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Have you or someone you know recently made the switch to e-cigarettes believing they're a better alternative to smoking? With slim packaging, sweet flavors, and less toxins than regular cigarettes, vapes appear to be the smarter choice but new studies are ringing the alarm- e-cigarettes could be causing more damage to your lungs than you think. From free radical damage to heightened risk for COPD, the "safe" image of vaping is rapidly disintegrating.
Over the last decade, vaping has become the new smoking alternative. A large new study conducted by scientists at Johns Hopkins Medicine has implicated sole use of e-cigarettes with permanent damage to the lungs, including development of chronic obstructive pulmonary disease (COPD). Free radicals and toxic chemicals inhaled when vaping that attack lung tissue.
E-cigarettes or vapes have quickly grown to become the second-most prevalent use of tobacco in America. Middle and high school students alone account for more than a million regular e-cigarette users, based on Centers for Disease Control and Prevention (CDC) figures. For adults, user rates increased from 4.5% in 2019 to 6.5% in 2023 — an alarming upward trend.
Unlike cigarettes — which have been thoroughly researched for decades — the long-term effect of vaping is not well understood, especially among older adults. That is, until now.
A recent study, released in Nicotine & Tobacco Research and conducted by Dr. Michael Blaha, a professor of cardiology and epidemiology at Johns Hopkins University School of Medicine, has completed an important piece of the puzzle. Based on a solid sample of nearly a quarter-million participants between the ages of 30 and 70, the study followed participants over four years to identify the health consequences of different tobacco-use behaviors — including vaping exclusively.
Here's what they discovered: out of 3,164 elite e-cigarette users, there was a statistically significant rise in new cases of COPD and, although to a lesser degree, hypertension. Although these rates were lower than among conventional cigarette smokers, they were greater than among non-smokers — confirming that e-cigarettes are not as harmless as previously believed.
"These findings are an important stepping stone for future studies on the health impact of e-cigarettes," Dr. Blaha said in a news release. "We now have a clear link between e-cigarette use and new-onset COPD that will need to be carefully monitored."
COPD, a chronic lung disease that limits airflow and gets progressively worse, has traditionally been linked to smoking. Indeed, 8 of every 10 deaths due to COPD in the U.S. are caused by traditional cigarettes. But the new information contradicts the conventional wisdom that e-cigarettes are the safer choice.
Scientists determined that even singleton e-cigarette users experienced an increase in risk for developing COPD — a conclusion which is in line with previous, smaller studies that attributed vaping to asthma and other respiratory illnesses.
Alarming as it is, the harm associated with vaping could be due to exposure to oxidative stress and free radicals — unstable molecules that harm cells and tissues. Free radicals are produced when e-liquids are heated and can cause inflammation and permanent structural damage to the lungs.
In opposition to common assumption, e-cigarette vapor is not harmless at all. Vape juice regularly includes a combination of nicotine, THC, flavorings, and oily solvents — including agents that can ruin lung tissue:
Vitamin E acetate: Safe as a skin product or food supplement but hazardous when breathed in. It has been found in the lungs of people suffering from severe vaping-related illnesses.
Diacetyl: Added to flavor, this chemical causes "popcorn lung" (bronchiolitis obliterans), a condition that destroys the small airways of the lungs.
Formaldehyde: A poisonous compound that raises the risk of lung disease and heart ailments.
Acrolein: A recognized irritant and herbicide capable of causing acute and chronic lung damage.
The act of vaporizing these compounds in an aerosol ensures that consumers are not only inhaling flavored vapor, but they are subjecting their lungs to a mix of chemicals whose known toxic effects.
A second population identified in the research — those who both use e-cigarettes and regular cigarettes — were determined to be at highest risk for respiratory disease, including COPD. These dual users account for a large segment of current tobacco-users and are subject to compounded health risks.
"Vaping isn't the way out that people believe," cautions Dr. Daniel Ouellette, Henry Ford Health Chief of Pulmonary and Critical Care Medicine. "We're just beginning to learn how vaping damages lungs across decades, but what we do know already rings alarm bells."
Even with a recent dip in youth vaping and an FDA prohibition on some flavored e-cigarettes, vaping is extremely popular among young adults. In 2023, 15.5% of U.S. adults between the ages of 21–24 vaped frequently, while only 3.3% of adults between the ages of 50–64 did.
This is especially concerning with the growing evidence that early and extended exposure to vaping increases the risk of chronic lung disease later in life.
While vaping was once positioned as a safer bridge away from smoking, the science tells a more sobering story. Free radicals and toxic chemicals present in e-cigarette vapor are not just irritants — they are agents of irreversible lung damage. And with COPD diagnoses rising even among exclusive vapers, it is clear that the risk is real and growing.
Even apart from the massive coughing fit or readily visible signs, your lungs might be strained by vaping already. Study summarized in the *Journal of Clinical Investigation* reports that e-cigarettes release free radicals—molecules too reactive that harm lung tissue on the cellular level. This type of harm often will not necessarily reveal immediate signs but may subtly work its way towards causing long-term inflammation. With time, you may experience shortness of breath on light exertion, tightness in the chest, or mild wheezing—dismissed until the issue gets serious. Such symptoms, while subtle, are early indicators of possible irreversible lung alterations.
Stopping vaping may seem challenging, particularly if it was your initial departure from conventional cigarettes but going on can raise your risk of getting COPD or chronic lung inflammation. Taking charge begins with knowing what triggers you—stress, boredom, or habit—and substituting them with better ones.
Nicotine replacement therapies (such as patches or lozenges), behavioral counseling, or computer-based cessation programs can help overcome cravings. First and foremost, see a health care provider to evaluate your lungs and receive individualized advice. The sooner you act, the more likely you are to reduce damage.
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“Heartbreaks happen to many people, it’s ok” or “You’ll move on, it’s a heartbreak, not the end of the world” and similar phrases as these are ones we have all heard. However, how much truth these sentences hold has been questioned. Many people experience mental health issues after experiencing heartbreak like depressive episodes and anxiety symptoms. However, did you know that heartbreaks can actually affect your heart?
The pain associated with heartbreaks is often thought of as psychological, but it can actually weaken the ability to pump blood effectively. This is a condition known as the broken heart syndrome, or Takotsubo Cardiomyopathy.
According to the Harvard Health Publishing, it is a sudden change in the shape of the heart's left ventricle, which is its primary pumping chamber. This is a concerning issue as it weakens the heart’s ability to effectively circulate blood throughout the body.
The British Heart Foundation explains that some people, like women over 50s are more susceptible to getting this issue. It could also be an issue if you have other mental health issues like anxiety or depression.
Harvard explains that most cases of this syndrome occur in the age frames of 58 to 75. 5% of these women thought they were having a heart attack. The symptoms can indeed be very similar to those of a heart attack and may include:
While the precise cause of Takotsubo cardiomyopathy remains under investigation, medical experts believe that a sudden surge of stress hormones, such as cortisol and adrenaline, triggered by intense emotional distress, plays a significant role. The syndrome often occurs following significant emotional events like bereavement, serious illness, or trauma, which is why it's commonly referred to as 'broken heart syndrome'. But that is not the only reason why you may experience this, other causes may include sudden drop in blood pressure, severe pain, asthma attack, intense fear, serious illnesses or surgery, etc.
When doctors are diagnosing this syndrome, they look for things like, no evidence of blockages in the angiogram, which helps them rule out heart attacks, they also use imaging techniques like echocardiogram, that will show abnormalities in the left ventricle.
Fortunately, it is temporary. The condition is typically managed with medications aimed at reducing the strain on the heart and minimizing the risk of complications. These medications can include:
While most people recover fully, approximately one in ten patients may experience a recurrence of broken heart syndrome. Additionally, some individuals may have persistent symptoms or lasting changes to the shape of their heart, potentially requiring long-term medication.
Once a person has fully recovered from broken heart syndrome, it is advisable to focus on managing stress levels, adopting a healthy diet, and maintaining regular physical activity to help prevent future episodes.
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Misleading signs are often worse than no signs, you may be working on the symptoms when the disease is already doing damage to your body. When something goes wrong in our body, most of us can catch onto it. However, we almost always tackle the most obvious issue, not knowing there could be something worse going on.
A similar issue happens to a UK-based woman, named, Loise who was suffering with high blood pressure and dismissed it as a symptom of menopause. Soon she found out that it was in fact not menopause that she was going through, rather she had been battling kidney cancer and did not know about it.
Cancer is the leading cause of death worldwide with nearly 10 million deaths in 2020. Cancer is a generic term for many different diseases that affect parts of one's body, according to the World Health Organization. Kidney cancer is the sixth most common cancer in UK adults and 14th most common cancer worldwide. According to Cancer Research UK, the average number of cases reported for kidney cancer in 2017-19 UK was 13,834. It is also more common in the elderly, aged 80-84, and there has been a 92% rise in the incidence rates of kidney cancer since the 1990s.
In the Kidney Cancer UK's TikTok page, Louise's highlights the critical importance of recognizing that not all symptoms in middle-aged women are solely due to hormonal changes. In her case, the elevated blood pressure was an indicator of an aggressive form of kidney cancer.
Often, kidney cancer doesn't manifest with clear and distinct symptoms, and it is frequently discovered incidentally during tests conducted for other health concerns. Louise emphasized the challenge of diagnosis, "Symptoms are unfortunately vague, especially for women, as it includes high blood pressure, night sweats, blood in your urine and flank pain. GPs often relate these to menopause symptoms." She strongly advises everyone to "regularly scan your body" and to pay attention to persistent discomfort. She urged, "How long have those niggling pains been there? Get them checked - always better to be safe than sorry!"
Reflecting on her own diagnosis, Louise recounted having "high blood pressure but unseen blood" in her urine. She explained how her cancer was detected, "I was lucky routine bloods picked up an issue with my liver, prompting ultrasound."
Her treatment journey involved significant surgical interventions, "I have now had two major surgeries to remove cancer and my kidney within the last 15 months. I'm three weeks post open surgery and recovering well." The outcome of recent tests brought encouraging news, "The news that all the biopsies came back as not cancer has been amazing."
Currently, Louise is managing side effects from her immunotherapy treatment. Looking ahead, Louise remains realistic but hopeful "My cancer was the most aggressive at grade 4 so there will always be a high chance of it coming back, but medications and research is changing all the time and I have faith that the surveillance scans will help us nip anything untoward in the bud!"
While kidney cancer often progresses without noticeable symptoms, the NHS indicates that when they do appear, they can include:
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Throughout the first week of April, the state of Kentucky witnessed flooding, due to heavy rains, specifically in the Franklin County. The reason being, it is located on the Kentucky River for over 200 years. While such natural disasters can cause distress in terms of physical safety, expert also reveals that such natural disasters could impact one's mental health too.
Natural disasters like Kentucky's recent flooding can have serious impacts on victim's mental health, reveals Christal Badour, associate professor of psychology at the University of Kentucky and a trauma recovery research.
As reported in Weku NPR, the UK psychologist explains that reactions to traumatic events typically fall into short-term and long-term symptoms. These include people feeling overwhelmed, anxiety, and difficulty communicating. While most people eventually recover without lasting effects, some may struggle for a longer duration.
These long-term issues include depression or post-traumatic stress disorder (PTSD). Badour also notes that people who already had a mental health difficulty before the natural disaster could also further feel isolated. Along with that, individuals with fewer financial resources could be at more risk of long-term problems.
According to a report from Clinical Psychology Review, 20 to 80% of people will experience long-term symptoms after a disaster. These rates could vary depending on the type of disaster one faces. PTSD symptoms often improve after the first year, however, depression and anxiety are more likely to linger.
There have been previous studies too that confirm the same. As per a 2024 study, titled Impact of Natural Disasters on Mental Health: Evidence and Implications, by Eamin Z Heanoy and Norman R Brown, notes: "Natural disasters are large-scale catastrophic events, and they are increasing in frequency and severity. Converging evidence indicates that the mental health consequences of disasters are extensive and are often associated with trauma and the disruption of personal and socioeconomic factors in people’s lives."
However, the study also notes that although most individuals who experience disaster-related traumatic events do not develop mental illnesses, some could experience adverse psychological effects of the disaster.
Another expert, Nomy Levy-Carric, MD, MPhil, writes for Mass General Brigham, which is an institute dedicated to serving the community and enhancing patient care, teaching, and research, notes that natural disaster can indeed leave a lasting impact on individuals, families, and often an entire community.
Levy Carrick notes: "A person’s reaction depends on many factors, including their past experiences, what is happening in their life at that moment, the nature of their exposure, and the support available to them as they rebuild. The sudden loss of control and uncertainty can be overwhelming, making it harder to cope in both the short and long term."
The doctor notes the Psychological First Aid or PFA provides a structured way to support emotional recovery immediately after a disaster.
However, notes Badour, there is still a major gap in treatment. Most disaster relief services only last up to one year.
“After that year has passed, a lot of people feel like there's no one there to help them, especially if you're in a community that was already lacking in mental health support and resources,” she said.
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