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Some particles emitted when vape smoke is exhaled include: Particulate matter (PM2.5) Using e-cigarettes indoors leads to PM2.5 concentrations of up to 1,121 g/m3, 45 times higher than the WHOs recommended daily limit of 25 g/m3 The typical level of PM2.5 caused by indoor e-cigarette use is 150 g/m3, about the same as regular cigarettes 2 Volatile organic compounds (VOCs) Formaldehyde, acrolein, diacetyl, and acetaldehyde are a few Heavy metals like arsenic, mercury, lead, chromium, and nickel (the two latter being categorised as inhalation carcinogens) Nicotine Trace amounts of nicotine have been found even in nicotine-free e-cigarettes, enough to lead to addiction 4 Propylene glycol 5 How is vaping bad for your health

Arch Dermatol 1971

In primary care, it is important to: ask about smoking status in consultations with people with MHCs