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Major reviews — including those by King’s College London — show vaping delivers significantly fewer toxic chemicals than smoking. Biomarker analyses found vapers have dramatically lower exposure to cancer-causing agents, VOCs, and harmful metals compared to smokers. Experts estimate health risks from vaping are around 33% of those from smoking.
The chart summarizes toxins in cigarette smoke vs vape aerosol. Cigarette smoke contains 9 to 450 times higher levels of most toxicants than e-cig vapor. While vaping isn’t totally risk-free, the exposure difference is substantial.
Cardiovascular & respiratory risk: Vaping appears safer than smoking but may still slightly increase risks for heart attack and lung function decline compared to non-users.
Cancer risk: Long-term data is limited, but early biomarker studies suggest a ~42% lower exposure to carcinogens from vaping compared to smoking .
Other non-fatal but notable risks include potential COPD, asthma, immunosuppression, and oral exposure side effects .
Public Health England and organizations like the Royal College of Physicians estimate vaping is 95% less harmful than smoking.
Health bodies remain cautious due to rising youth vaping and unknown long-term effects.
| Aspect | Smoking | Vaping |
|---|---|---|
| Carcinogen exposure | Very high | Lower by 90%+ |
| Respiratory toxicity | High (COPD, asthma) | Moderate, still above non-smokers |
| Cardiovascular impact | High | Slight but lower than smoking |
| Risk for non-smokers | N/A | Not zero, but much lower |
| Long-term data available | Extensive | Limited, emerging research |
While vaping isn't risk-free, it's consistently shown as a much safer alternative to smoking — particularly as a tool for adult smokers to quit combustible tobacco. Switching completely from cigarettes to vaping can drastically reduce exposure to harmful substances — but non-smokers shouldn’t start vaping.
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