Vaping and Electronic Cigarette (E Cigarette) Products Cattaraugus County Website Risks of E Cigarette and Vape Pen Use Be A Vape Free Teen Cecil County Health Department Electronic Nicotine Delivery Systems (ENDS), including e cigarettes and vapes, are often perceived as a safer alternative to traditional tobacco. But is the evidence really supporting this belief? A recent umbrella review published Vaping and the Brain: Effects of Electronic Cigarettes and E Liquid Substances The Journal of Neuropsychiatry and Clinical Neurosciences