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One example of a rechargeable e- cigarette model "blu" is a brand of electroniccigarettes manufactured by Lorillard, the company that makes Newport ciga- rettes. It is purposefully designed to look difference than a cigarette for use by consumers in places with smoke -free policies. This disposable electronic cigarette produced by N10Y costs about $7. NJOY is the number one selling brand of electronic cigarettes. WHAT IS AN ELECTRONIC CIGARETTE? Electronic cigarettes, also called e- cigarettes, are battery operated nicotine vaporizers that are produced primarily in China.' E- cigarettes often look like a traditional cigarette but do not produce smoke. The use of e- cigarettes is referred to as "vaping" rather than "smoking." E- cigarette users purchase cartridges filled with liquid nicotine and other substances, attach the cartridge onto the e- cigarette battery, and breathe in nicotine vapor produced by a small heating element. The cartridges are sold in many flavors such as cherry, bubblegum, vanilla, and fruit punch, making them appealing to youth.2 Disposable e- cigarettes sell for about $5 and rechargeable e- cigarettes cost up to $120. E- cigarettes are often advertised as a safer alternative to tobacco cigarettes; however, the potential health risks associated with these products is not known. Liquid nicotine found in e- cigarettes is derived from tobacco; however, most of the devices do not contain any tobacco. Similar to tobacco cigarettes, heavy metals, carcinogens, silicate, and nanoparticles (which can go deep into the lungs) have been found in e- cigarette vapor.3 ARE ELECTRONIC CIGARETTES REGULATED? The production and manufacturing of e- cigarettes is poorly regulated.45 The Food and Drug Administration (FDA) has noted that "quality control processes used to manufacture these products are inconsistent or nonexistent." For example, three different e- cigarette cartridges with the same label were tested and each cartridge released a substantially different amount of nicotine with each puff 6 WHATARETHE HEALTH EFFECTS OF ELECTRONIC CIGARETTE USE? Because these products are so new, little is known about their long term health effects. There is a significant amount of research showing the harmful effects of nicotine: a highly addictive stimulant that increases blood pressure and heart rate.3 E- cigarettes are designed to deliver high amounts of nicotine to the user. Often, e- cigarettes deliver more than two times the amount of nicotine approved by the FDA for smoking cessation aids.' Many of the ingredients found in e- cigarettes are known to be dangerous to human health. These ingredients can cause: lung and cardiac inflammation, cancer, and cell damage.