Epigenetic and long term effects of nicotine on biology, behavior, and health ScienceDirect 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 Adolescent Perspectives on the Pharmacy Based T EVER (Teen E Cigarette and Vaping Educational Resource) and Its Potential Impact on Youth Vaping Youth vaping Vancouver Coastal Health