Hot Topics:

E-Cigarettes & Vaping
E-Cigarettes & Vaping2020-02-26T16:13:35+00:00

Resources Library – Hot Topic – E-Cigarettes and Vaping

The Tobacco Industry Is Constantly Finding New Ways to Attract People to Use Tobacco Products

The tobacco industry is constantly finding new ways to attract people to use tobacco products. Up until 2016, flavoured tobacco products were available for purchase in New Brunswick and were particularly attractive to young people, as well as non-smokers, trying out tobacco for the first time. New Brunswick banned flavoured tobacco products in 2016 to help lower smoking initiation rates and, especially, protect its young people from the harmful effects of a lifelong addiction to nicotine.
However, flavoured e-cigarettes and vaping products have appeared on the market and been rapidly rising in popularity among non-smokers, especially youth, raising concerns among parents, teachers and health care professionals.

Dangers of E-Cigarettes & Vaping Products

While e-cigarettes and vaping devices are less harmful than smoking cigarettes, according to Health Canada, vaping still exposes a person to chemicals that can harm their health. The Health Canada Consider the consequences of vaping website warns that “vaping can expose you to harmful chemicals like formaldehyde and acrolein, and metals and contaminants like nickel, tin, and aluminum. You don’t want any of these in your lungs!” Furthermore, vaping can efficiently deliver nicotine to the body, causing one to crave it more and more, which can lead to an addiction and physical dependence.

In fact, since the fall of 2019, the Government of Canada is investigating the emergence of vaping-associated lung illness, also known as severe pulmonary illness associated with vaping. Health Canada and the New Brunswick Government have issued statements warning the public about the potential dangers of vaping product use. There have been many cases reported in the USA and a few in Canada – which raises concern about the immediate risks and potential long term effects of vaping.

For many non-smokers, especially youth, vaping can become a gateway towards smoking cigarettes, and using other tobacco products or cannabis.

Go to for useful information on all the risks associated with e-cigarettes and vaping products.

Warnings and Statements from Health Canada on the dangers and risks of e-cigarettes and vaping products: 

Declaration from the Council of Chief Medical Officers of Health: 

News Release from the New Brunswick Chief Medical Officer of Health:

Vaping As a Smoking Cessation Aid

Some Canadians report having had success in quitting smoking by using vaping products. Health Canada recognizes that vaping products “may reduce health risks for smokers who can’t or don’t want to quit using nicotine:
  • on their own
  • by using counselling services
  • by using medication or approved nicotine replacement therapies like:
    • gums
    • patches
    • lozenges”

It is clear that for smokers, quitting smoking is the best thing they can do to improve their health. For smokers thinking of using vaping products to quit smoking or switching completely to vaping products, Health Canada says:

  • “completely replacing cigarette smoking with vaping will reduce your exposure to harmful chemicals.
  • there are short-term general health improvements if you completely switch from smoking cigarettes to vaping products.”
One should be careful and seek professional advice, however, when considering vaping products to quit smoking. Vaping is not officially recognized nor endorsed as a smoking cessation aid, since many less harmful therapies exist and have been proven effective.

Rise in Popularity of Vaping in Canada

The rise in popularity of vaping products among non-smokers, especially young people, is alarming.

A study by Dr. David Hammond, published in June 2019 in the British Medical Journal found a dramatic 74% increase in vaping among youth aged 16-19 in Canada from Aug/Sept 2017 to Aug/Sept 2018, with vaping increasing from 8.4% to 14.6% in the past 30 days.

The 2018-2019 New Brunswick Student Wellness Survey (Grades 6-12) has also revealed that almost one-third of New Brunswick youth have tried vaping. The number of students between grades 6-and-12 who say they’ve tried vaping is up across the board in New Brunswick. More than 29 per cent of youth surveyed say they’ve tried a vape product or an e-cigarette, compared to 22 per cent three years ago.


In Canada, Bill S-5 (An Act to amend the Tobacco Act and the Non-smokers’ Health Act and to make consequential amendments to other Acts) was adopted on May 23, 2018, formally legalizing (and regulating) vaping products. Since the adoption of Bill-S-5, Health Canada has lead a series of consultations on strenghtening regulations surrounding vaping products.

In December 2019, Health Canada announced its intent to implement stronger vaping regulations, citing: “The Government of Canada is concerned by the rapid rise in youth vaping, and is taking action to address it. Working with other orders of governments, the medical community and other stakeholders, the government will do more to protect youth from the risks of vaping.” These new regulations will prohibit the promotion and advertising of vaping products anywhere they can be seen or heard by youth as well as implement new mandatory health warnings on vaping product packaging. Packaging will be required to be child resistant, and limits will be placed on nicotine content to ensure that vaping products are not toxic to children if accidentally ingested. Health Canada also announced that additional measures with respect to reducing nicotine concentration limits and additional flavour restrictions are being examined.

Additionally, various Canadian provinces are implementing their own regulations to deal with the problematic rise in popularity of youth vaping. The New Brunswick Anti-Tobacco Coalition (NBATC) is closely following these developments. View a list here of current legislation in place or in the works throughout Canada.

It should be noted that the New Brunswick Government addressed the issue of vaping in its Speech from the Throne on November 19, 2019. Under the priority Dependable Public Health Care, the following was stated; “Health risks associated with vaping, especially for young people, is a rising concern. Government will work with health specialists and advocates to develop a strategy to combat youth vaping in New Brunswick.” Currently in New Brunswick, the Tobacco and Electronic Cigarette Sales Act prohibits the sale of tobacco products, e-cigarettes, vaping products, and e-juices to persons under 19 years of age. The sale of flavoured tobacco products to all New Brunswickers is also prohibited, but this does not extend to vaping products.

Provincial Vaping Working Group 

Many in New Brunswick have been working independently to address the increasing number of youth and young adults that are trying and using vaping products.  As this trend continues and more evidence about the harms of vaping for youth becomes available, now is the time for collaborative action.  The New Brunswick Anti-Tobacco Coalition (NBATC) – in partnership with Vitalité Health Network – has been leading a Provincial Vaping Working Group since the spring of 2019. Everyone with an interest in the topic is welcome to join this Working Group. If you would like to participate, please contact the NBATC.

Provincial Vaping Working Group Meeting Minutes:

Seasonal e-newsletters produced by the NBATC to support vaping prevention, education and cessation efforts led by the Provincial Vaping Working Group members: 

Media Coverage (Since 2019) – Vaping Issue 

(in order – from most recent to less recent)

CBC has also launched a series examining the policy and industry failures that accompanied the introduction of vaping. The series is entitled: Vape Fail. View it here.

Reports and Statistics

Vaping among Canadian teens doubles in 2 years, new research shows

New research reveals vaping among Canadian youth has risen dramatically over the past two years, and experts say it shows no signs of slowing down unless stricter regulations are put in place immediately.


Statement on the second anniversary of the federal Tobacco and Vaping Products Act

On the second anniversary of the federal Tobacco and Vaping Products Act (TVPA) coming into force, tobacco control organizations are calling on the Health Minister and other Parliamentarians to acknowledge the dangerous flaws in the law and to act faster to strengthen national controls on the vaping market.

The press release is below. What’s your opinion on this?

Press Release
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Study – Increased exposure to e-cigarette marketing in Canada is strongly associated with increases in youth vaping

A study by David Hammond et al concluded that “Increased exposure to e-cigarette marketing in Canada is strongly associated with increases in youth vaping. With our findings, we provide empirical support for the effectiveness of more comprehensive regulatory restrictions that are being considered at the federal and provincial levels in Canada.”

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New Brunswick – CCS calls for action on youth vaping during provincial election campaign

Canadian Cancer Society calls for all political parties to commit to youth vaping legislation in platforms

New Brunswick lags far behind other Maritime Provinces in curbing youth vaping

August 31, 2020 (Saint John, New Brunswick): The Canadian Cancer Society is calling on all political parties to adopt meaningful and actionable platform commitments to address significant gaps in cancer prevention and support for those living with cancer and have identified two key issues.  The first priority is an essential component of combating the current youth vaping culture in New Brunswick as outlined in this video (see here), with a clear message: governments need to do more to address youth vaping and increasing the minimum age to 21 is a strong start. “Vaping rates in New Brunswick are reaching epidemic levels. We need government to take strong immediate action by passing a suite of comprehensive measures designed to reduce vaping rates amongst youth,” says Lana Randell, Advocacy Coordinator.

During the 2020 New Brunswick Provincial Election, we continue to encourage the government and all Members of Legislative Assembly to highlight the ongoing tobacco epidemic and create effective policies that will promote healthier lifestyles, protect the next generation of Canadians and enhance the quality of life of people living with cancer.

Effective action on vaping must include key policy measures, such as raising the minimum age for e-cigarettes and tobacco to 21, restricting e-cigarette sales to adult-only locations, and removing flavours from e-cigarettes, taxation, amongst others.  Earlier this year, Prince Edward Island adopted legislation to increase the minimum smoking and vaping age to 21 and restrict sales of e-cigarettes to adult-only locations and just announced regulations to eliminate the sale of flavoured e-cigarettes.  Nova Scotia recently implemented regulations to eliminate the sale of flavoured e-cigarettes, cap nicotine levels at 20mg/ml, and a taxation structure on e-cigarette products and e-juice.

A 2019 study, led by Professor David Hammond of the University of Waterloo, found that among those 16-19 years old, vaping increased by a stunning 112% from 2017 to 2019, from 8.4% to 17.8%. “The e-cigarette industry has designed a persuasive and enticing market for youth, and the growing use and popularity of vaping products is a direct threat to the progress made in tobacco control,” says Randell.  “Governments have an opportunity to stem the tide of this growing crisis, and we urge them to act swiftly and decisively.”

Tobacco is the leading cause of preventable disease and death in Canada, which is why CCS urges the provincial government to adopt a minimum age of 21. The vast majority of smokers begin smoking before the age of 19 and many of them get and stay addicted. A recent report by the Institute of Medicine concluded that increasing the minimum tobacco sales age to 21 in the U.S. would reduce smoking rates among 15- to 17-year-olds by 25%, and among 18 and 19-year-olds by 15%.  (Video)

The Canadian Cancer Society has identified a second key priority with the need to expedite the implementation of the already approved and funded Palliative Care Strategy to improve access to palliative care for the people of New Brunswick, with cancer patients comprising approximately 80% of patients who receive palliative care.

About the Canadian Cancer Society

The Canadian Cancer Society (CCS) is the only national charity that supports Canadians with all cancers in communities across the country. No other organization does what we do; we are the voice for Canadians who care about cancer. We fund groundbreaking research, provide a support system for all those affected by cancer and shape health policies to prevent cancer and support those living with the disease.

Help us make a difference. Call 1-888-939-3333 or visit today.

For more information, please contact:

Lana Randell
Canadian Cancer Society

New longitudinal studies find little support for e-cigarettes as an effective tool for population-level smoking cessation

So far, the Canadian evidence, like that in the USA, does not support the conclusion that vaping is an effective population-based smoking cessation method.

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New Brunswick Liberal Health Critic introduces bill to ban flavoured e-cigarettes

On Nov. 18, 2020, New Brunswick Liberal Health Critic Jean-Claude D´Amours introduced a private member`s bill to ban flavoured e-cigarettes.  Bill 17, An Act to Amend the Tobacco and Electronic Cigarette Sales Act, can be seen here:

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One year later: Weedless Wednesday Advice from the Chief Medical Officers of Health

Last year, about 6 weeks before Canada and the world became gripped with the COVID-19 pandemic, Canada’s Council of Chief Medical Officers of Health (CCMOH) issued a collective statement related to the highly-transmissable vaping variant of the older tobacco pandemic.

The occasion was, like today,  Weedless Wednesday.

On Wednesday, January 22, 2020 the CCMOH issued their third joint statment on “Nicotine Vaping”. In it, they called on governments to shift their approach to vaping so that these products were used only as a way to end nicotine use. They specified about two dozen “regulatory and policy recommendations that we believe are necessary to be taken by federal, provincial/territorial and municipal governments to address this rapidly emerging public health threat.”

In the past year, virtually all governments have strengthened controls on the vaping industry.

In the past 12 months, seven (Alberta, British Columbia, Nova Scotia, Newfoundland and Labrador, Ontario, PEI, Saskatchewan), and three territories (Yukon, Northwest Territories and Nunavut) as well as the federal government have advanced regulatory controls on e-cigarettes. Two other provinces (New Brunswick and Quebec) have also indicated their intention to do so.

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TikTok is being used by vape sellers marketing to teens

Sellers are offering flavored disposable vapes, parent-proof ‘discreet’ packaging, no ID checks.

Read Article

For Many Young People, 2021 is the Year to Cancel Vaping

Reversing a toxic cultural trend

Vaping used to be seen as cool. But times have changed. As influencer Victoria Annunziato says, “Like many others, I started using e-cigarettes when I was young. I had no idea what nicotine was or how addictive it could be. I want to use my platform and work with truth to start a conversation about my own experience, so others can avoid the traps that got me hooked or quit with me if they are already vaping. I’m hopeful that my journey will inspire others and spread awareness.”

More Information

Canadian Tobacco and Nicotine Survey, 2020, results released

On March 17, 2021, initial results from the Canadian Tobacco and Nicotine Survey (CTNS), 2020, were released.  Below is information from Statistics Canada.  CTNS was first conducted in 2019. CTNS smoking prevalence has tracked lower than the Canadian Community Health Survey, which has a much larger sample size.

In 2019, the survey was conducted between Dec. 8, 2019 and Jan. 16, 2021.

Full Report

New survey results show a flattening of youth vaping rates

Statistics Canada released the results of its second annual survey on tobacco and vaping. The Canadian Tobacco and Nicotine Survey (CTNS) was first conducted in the fall of 2019, and was repeated in December 2020-January 2021.

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Interventions to Prevent Harms from Vaping – Ontario Tobacco Research Unit (OTRU) – 2019

The use of e-cigarettes—particularly among youth and young adults—has become a growing concern in Ontario. Local health units have a strong interest in implementing evidence-based interventions to counter the uptake of e-cigarette use. For this report, OTRU conducted a review of vaping interventions that could be implemented at a local level. With a focus on prevention, our search found several promising practices but little evaluative evidence on their effectiveness. Most interventions observed were public education and school-based efforts. Other interventions included community-based interventions, health-care provider interventions, aerosol-free policies, age restrictions and advertising and promotion restrictions. A vaping path logic model is presented to help organize possible interventions and expected outcomes.

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E-Cigarette Use for Smoking Cessation: Scientific Evidence and Smokers’ Experience – Ontario Tobacco Research Unit – 2019

Knowledge synthesis of reviews regarding the effectiveness of e-cigarettes for smoking cessation. We also conducted a study of experiences among Ontario smokers who have tried vaping to quit smoking cigarettes. Preliminary findings from these initiatives are highlighted in this report.

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Prevalence of vaping and smoking among adolescents in Canada, England, and the United States, David Hammond et al, British Medical Journal – 2019

A study published in the British Medical Journal has found a dramatic 74% increase in vaping among youth aged 16-19 in Canada from Aug/Sept 2017 to Aug/Sept 2018, with vaping increasing from 8.4% to 14.6% in the past 30 days.

News Releases:


Monitoring the Future – National Adolescent Drug Trends in 2018 – University of Michigan Institute for Social Research – 2019

Increases in adolescent vaping from 2017 to 2018 were the largest ever recorded in the past 43 years for any adolescent substance use outcome in the U.S. The percentage of 12th grade students who reported vaping nicotine in the past 30 days nearly doubled, rising from 11% to 21%. This ten percentage point increase is twice as large as the previous record for largest-ever increase among past 30-day outcomes in 12th grade. As a result of the increase, one in five 12th grade students vaped nicotine in the last 30 days in 2018.

Furthermore, vaping prevalence more than doubled in each of the three grades from 2017 to 2019. In 2019, the prevalence of use during the previous 30 days was more than 1 in 4 students in the 12th grade, more than 1 in 5 in the 10th grade, and more than 1 in 11 in the 8th grade.


Sales of JUUL e-cigarette skyrocket, posing danger to youth – Centre for Disease Control and Prevention – 2018

Sales of JUUL, an e-cigarette shaped like a USB flash drive, grew more than seven-fold from 2016 to 2017, and held the greatest share of the U.S. e-cigarette market by December 2017. The findings, from an analysis of retail sales data from 2013-2017, were released by the Centers for Disease Control and Prevention (CDC).


Youth and Young Adult Vaping in Canada – Ontario Tobacco Research Unit Project Newsletter – 2018

As part of the Health System Research Fund, OTRU’s Research on E-Cigarettes and Waterpipe (RECIG-WP) grant has established a Youth and Young Adult Panel Study in order to help understand what happens over time to young people, especially non-smokers, who start vaping. In this newsletter, we highlight preliminary findings from baseline data collection.


The Tobacco and Vaping Products Act: Implications for E-Cigarette Point-of-Sale Promotion – Ontario Tobacco Research Unite Update – 2018

E-cigarettes are now being aggressively marketed at point-of-sale in convenience stores as well as in vape shops, with and without claims about health effects and about smoking cessation effectiveness. Our research suggests that e-cigarettes are being promoted in such a way as to attract youth and young adult nonsmokers and that vape shops serve as a major channel of the marketing and promotion of e-cigarettes for recreational purposes. Considering the addictive properties of nicotine and the potential health effects of vaping, it will be important to study the effects of the Tobacco and Vaping Products Act on the use of e-cigarettes by nonsmokers.

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Public Health Consequences of E-Cigarettes – National Academies of Sciences, Engineering, and Medicine – 2018

Millions of Americans use e-cigarettes, even as rates of smoking combustible tobacco cigarettes continue to decline among youth and adults. In 2016 youth e-cigarette use was substantially higher than cigarette smoking or use of any other tobacco product. The Center for Tobacco Products of the Food and Drug Administration requested that the National Academies of Sciences, Engineering, and Medicine convene a committee of experts to conduct a review the available evidence of the health effects related to the use of e-cigarettes and identify future federally funded research needs.

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Electronic cigarette use and smoking initiation among youth, a longitudinal cohort study, David Hammond et al, Canadian Medical Association Journal – 2017

The influence of ecigarette use on smoking initiation is a highly controversial issue, with limited longitudinal data available for examining temporal associations. We examined e-cigarette use and its association with cigarette-smoking initiation at 1-year follow-up within a large cohort of Canadian secondary school students.


Association of E-Cigarette Use With Respiratory Disease Among Adults: A Longitudinal Analysis – American Journal of Preventative Medicine – 2019

The evidence on the health burden of e-cigarettes continues to build with the results of a cohort study of the respiratory effects of e-cigarettes among adults by Bhatta and Glantz.

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Research on Electronic Cigarettes: Advertising and Promotion – Ontario Tobacco Research Unit (OTRU) – 2020

Report on recent findings, centred on advertising and promotion, from the OTRU’s Research on E-Cigarette and Waterpipe Health System Research Fund project. As part of the Research on E – Cigarettes and Waterpipe Health System Research Fund project, OTRU conducted a longitudinal youth and young adult survey, a point-of-sale observational study and a focus group study in an effort to gather insights into changes in vaping cultures, environments, and marketing influences.

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Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review – International Journal of Environmental Research & Public Health – 2020

The use of heat-not-burn tobacco products (HnB) is being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Substantial controversy has accompanied their marketing and use in the public health context. In this study, we aimed to consider the probable impacts of heat-not-burn tobacco products use on public health.

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Vaping Prevention Toolkit – BC Lung Association – 2020

Youth vaping has reached epidemic levels, threatening to addict a new generation of young people on nicotine. In an effort to address the problem, the BC Lung Association recently partnered with Vancouver Coastal Health and Fraser Health Authorities to develop a Vaping Prevention Toolkit.


  • Infographic
  • FAQs
  • Vaping Products Information for Parents
  • Vaping Products Information for Teachers
  • PowerPoint Presentation

Canadian Tobacco and Nicotine Survey 2019 – Statistics Canada – 2020d

Vaping is the act of inhaling and exhaling vapour produced by a device such as an electronic cigarette (e-cigarette), vape mod, vaporizer or vape pen.

While some use these devices to curtail or to quit smoking, vaping can also have negative effects, particularly among youth. According to Health Canada, the majority of vaping products contain nicotine, and vaping can lead to nicotine addiction. Vaping may also increase the risk of exposure to other harmful chemicals.

For the first time, Statistics Canada has collected detailed information about vaping. The new Canadian Tobacco and Nicotine Survey aims to shed light on the types of products Canadians are using, how often they are vaping and their reasons for doing so.


Public Education and Prevention Resources

2021 NB Stroke Conference Across the Continuum and Beyond


When: Thursday, May 27, 2021
Where: Virtual (More info to come)

The Heart and Stroke Foundation of New Brunswick is pleased to be hosting the 7th annual New Brunswick Stroke Conference in collaboration with Horizon Health Network and Vitalité Health Network.  This exciting virtual event will bring together a leading group of stroke experts from across Canada to share
their knowledge and experience in best practices in stroke care across the continuum and beyond.
Sessions will be offered in both official languages.

Cohosted by:

Horizon Health Network and Vitalité Health Network

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Brochure – Vaping – Know the Risks – NB Lung Association – 2019

Public information brochure developed by the New Brunswick Lung Association. Very useful for parents to share with their children/teens and for teachers to share with their students.


Canadian Cancer Society Calls for Immediate Government Action Against Youth Vaping in New Video

The Canadian Cancer Society has released a video  with a clear message: governments need to do more to address youth vaping and increasing the minimum age to 21 is a strong start. “Vaping rates in this province are reaching epidemic levels. We need government to take strong immediate action by passing a suite of comprehensive measures designed to reduce vaping rates amongst youth,” says Kelly Cull, Regional Director of Public Policy.

March 10 marks the opening of the Third Session of the 59th Legislative Assembly in New Brunswick. Government has an opportunity to highlight the ongoing tobacco epidemic and create effective policies and programs that will promote healthier lifestyles and protect the next generation of Canadians.


Consider the Consequences of Vaping – Health Canada – 2019

Campaign aimed at youth to tackle increasing vaping rates among this demographic. Many useful tools are available for parents and educators to talk to teens about vaping.

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COVID, youth, and substance use: Critical messages for youth and families

The Canadian Pediatric Society has published a new article that encourages pediatricians and other health professionals who work with youth and families to communicate the message that smoking and vaping may increase their risk of acquiring the COVID-19 infection.

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Digital Influencers – Consider the Consequences of Vaping – 2019

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E-Cigarettes in Canada – Heart and Stroke Foundation of Canada – 2018

Position paper with public health information produced by the Heart & Stroke Foundation of Canada.

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Flavoured Vapes Hooks Kids Campaign – Lung Association and Heart & Stroke Foundation – 2020

The Canadian Lung Association and Heart & Stroke created a uniquely flavoured ice cream to warn parents about the dangers of vaping.

In its latest awareness campaign, “Flavoured Vapes Hook Kids,” an ice cream truck peddles nicotine-flavoured dessert near Toronto’s Rogers Centre and captures the outraged reactions.

The two health charities warn that while some adults may use vape products to quit smoking, the addition of attractive, discreetly packaged “yummy” flavours have made it appealing to youth, as well as easy to hide from authority figures.

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For Many Young People, 2021 is the Year to Cancel Vaping

Reversing a toxic cultural trend

Vaping used to be seen as cool. But times have changed. As influencer Victoria Annunziato says, “Like many others, I started using e-cigarettes when I was young. I had no idea what nicotine was or how addictive it could be. I want to use my platform and work with truth to start a conversation about my own experience, so others can avoid the traps that got me hooked or quit with me if they are already vaping. I’m hopeful that my journey will inspire others and spread awareness.”

More Information

Health Canada proposes to lower the nicotine concentration limit in vaping products

The Government of Canada remains concerned by the rise in youth vaping and is acting to address it. After confirming its intentions to lower the nicotine concentration in vaping products, today the Honourable Patty Hajdu, Minister of Health, announced a public consultation on a proposal to better protect Canadians.

As part of efforts to reduce the appeal of vaping products, Health Canada is proposing to lower the nicotine concentration to a maximum of 20 mg/mL and prohibit the packaging and sale of a vaping product if the nicotine concentration displayed on the package exceeds this new limit. The current limit is 66mg/mL.

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Health Canada’s Departmental Plan for 2020-21

Health Canada will advance implementation of Canada’s Tobacco Strategy, a modernized approach for successful tobacco control with the goal of achieving the target of less than 5% tobacco use by 2035.

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Health Concerns: Vaping – Health Canada

Vaping public health education homepage with links to news, facts, resources, health issues, vaping for smoking cessation, youth, etc.


Heart and Stroke launches campaign urging federal action on youth vaping

Heart and Stroke has launched an e-advocacy campaign urging federal action on youth vaping, including on flavoured e-cigarettes.  This campaign had initially been launched in early March and was up for a week before COVID dominated public discussion.

The Heart and Stroke campaign website includes an opportunity for individual Canadians to send a letter by email to federal representatives, including their Member of Parliament and the Minister of Health.

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Horizon Physician Seeing Lung Illness in Patients Due to Vapes – Statement by Dr. Joseph Ojah (2020)

By Dr. Joseph Ojah, Thoracic Surgeon, Horizon’s The Moncton Hospital

Vaping may be a useful tool in a harm-reduction model of smoking cessation in adults. But the serious consequences from the major uptake of vaping in previously healthy, non-smoking youth, are becoming much more broadly known in the media.

The long-term physical and structural damaging effects on fragile lung tissue are not yet fully understood since vaping is a relatively recent “trend”.

Vaping includes the inhalation of aerosolized chemicals, ultra-fine particles, volatile compounds, heavy metals and other harmful materials, including highly addictive nicotine, which all have serious detrimental effects.

This has produced the alarming reports throughout the United States and Canada of increasing numbers of vape users requiring intensive care and mechanical ventilation over the past year.

As a thoracic surgeon, even I am starting to see some related lung illness (inflammation and tissue destruction) in my patients.

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Lung Cancer Education (Including Risks Related to Vaping) – Toolkit for Teachers – Institut universitaire de cardiologie et de pneumologie de Québec – 2019 (ONLY IN FRENCH)

Free educational kit for teachers, aimed at students aged 12 to 17. It was designed to educate young people about the importance of preventing lung cancer. Different questions related to the lung, lung cancer and its main risk factor, tobacco cigarettes, are discussed. In addition, given the craze, but also the multiple respiratory problems recently reported in connection with vaping, it seemed important to make an update on this subject.

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Micro-Grants for Cannabis or Vaping Public Education – Health Canada

Micro-grants are offered up to $1,000 to support public education about the health effects of cannabis and/or the risks of vaping.

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New Federal Regulations on E-cigarette Advertising

The Government of Canada is taking a number of steps to address the rise in youth vaping. Among these measures, the final Vaping Products Promotion Regulations (VPPR) were published in the Canada Gazette, Part II , July 8, 2020. These new regulations will restrict vaping product promotions aimed at youth to address a key factor that has contributed to the rise in youth vaping.

Please see the Minister of Health’s announcement related to the new regulations at the following link

The VPPR will:

  • prohibit vaping products from being advertised in public spaces if the ads can be seen or heard by youth, whether in brick and mortar stores or online, including on radio and television;
  • prohibit retailers from displaying vaping products at points of sale in a manner that they may be seen by youth, including online; and
  • require that permitted ads (e.g., displayed where youth are not permitted) convey a prescribed health warning statement about the hazards of vaping product use.

The final regulations as well as the associated Regulatory Impact Assessment Statement were published in the Canada Gazette, Part II today, July 8, 2020, and can be found at the following link:

The regulations come into force 30 days after publication on August 7, 2020, with the exception of the point-of-sale display prohibition, which will come into force 60 days after publication on September 6, 2020.  The List of Health Warnings for Vaping Product Advertising can be found here:

New legislation for PEI now in effect

In PEI, new legislation establishing age 21 for tobacco and e-cigarettes, and requiring e-cigarette sales to be in specialty stores only, came into effect March 1, 2020.

PEI becomes the first province to establish age 21, and the first to require that e-cigarettes be sold in specialty stores only.  The minimum age 21 provision will not apply to anyone who was 19 as of March 1, 2020.

More Information

New longitudinal studies find little support for e-cigarettes as an effective tool for population-level smoking cessation

So far, the Canadian evidence, like that in the USA, does not support the conclusion that vaping is an effective population-based smoking cessation method.

For More Information
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Nfld and Lab Bill 48 for e-cigarette tax adopted, to come into effect Jan. 1, 2021

In Newfoundland and Labrador, Bill 48, An Act to Amend the Revenue Administration Act No. 4, received third reading on Nov. 2, 2020 and Royal Assent on Nov. 5, 2020.  This bill implements the provincial e-cigarette tax (20% of retail price) and will come into force Jan. 1, 2021.  The bill can be seen here:

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Nova Scotia becomes first province to adopt maximum nicotine level of 20 mg/ml

On May 5, 2020, Nova Scotia became the first province in Canada to adopt a maximum nicotine level of 20 mg/ml for e-cigarettes and e-liquids.  The Nova Scotia regulation comes into force Sept. 1, 2020.

The maximum nicotine level of 20 mg/ml is the same standard that has been in place in the 28-country European Union (EU) for a number of years.

Some tobacco companies are selling in Canada e-cigarette brands with nicotine levels almost triple this maximum level.

This regulatory amendment, N.S. Reg. 75/2020, was published in Nova Scotia’s Royal Gazette Part II on May 22, 2020 and can be seen on p.244:

More Information

The Tobacco Access Regulations can be seen here (the amendments take effect Sept 1, 2020):

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Nova Scotia provincial licensing of e-cigarette retailers in force July 1

On June 23, 2020, Nova Scotia Regulation 91/2020 was adopted, amending the Revenue Act Regulations.  These regulations are related to the provincial licensing of e-cigarette retailers and wholesalers, which came into force July 1, 2020.  The government is targeting August 1, 2020 for full implementation in advance of the Nova Scotia e-cigarette tax coming into effect Sept. 15, 2020.  There will be a three-year licence fee of $124.60 for e-cigarette retailers.

Below is a Nova Scotia government news release.

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Prince Edward Island bans flavoured e-cigarettes – effective March 1, 2021

Prince Edward Island becomes the second Canadian province to formalize a comprehensive ban on flavoured vaping products. The ban will come into effect at the beginning of next March, after which only tobacco-flavoured e-cigarettes will be legal for sale.

The decision is reflected in the Order in Council EC2020-489 signed on August 11, 2020:

1. Section 1.1 of the Tobacco and Electronic Smoking Device Sales and Access Act Regulations (EC538/15) is revoked and the following substituted: 1.1 For the purpose of section 3.1 of the Act, an agent added to tobacco or an electronic smoking device to produce an aroma or taste other than the aroma or taste of tobacco, including the aroma or taste of candy, chocolate, fruit, a spice, an herb, an alcoholic beverage, vanilla or menthol, is a prescribed flavouring agent.

2. These regulations come into force on March 1, 2021.

This year, Prince Edward Island has been a pioneer of tobacco control reforms. In March, it implemented Canada’s first “AGE 21” measures for vaping and tobacco, and also moved vaping products out of general retailers. Since March, e-cigarettes can only be sold in specialty shops in PEI.

Only one other province (Nova Scotia) has banned flavourd e-cigarettes to-date. Two others (British Columbia and Ontario) have limited sales of flavoured products to specialty stores.

Updated fact sheets:

At-a-glance: Provincial restrictions on vaping products
Vaping regulation timeline
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Protecting Youth from the Vaping Crisis – Heart & Stroke Foundation – 2020

Position paper with public health information produced by the Heart & Stroke Foundation of Canada.

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Public Health of Vitalité Health Network Takes Action on Vaping – New Awareness Campaign!

Public Health of Vitalité Health Network launched a vaping awareness campaign in February 2020 to encourage parents to talk to their children about all the risks associated with this popular practice. The campaign has a brochure for parents, as well as videos and infographics.


Smoke Is Smoke! – New Brunswick Anti-Tobacco Coalition – 2019

Sheds light on the dangers of second-hand smoke from tobacco as well as cannabis. This fact sheet also addresses vaping and reminds people to respect smoke-free environments in New Brunswick, which prohibit smoking and vaping. We all win when we can live, work and play in 100% smoke-free environments!


Smokers and Vapers May Be at Greater Risk for Covid-19

Tobacco and marijuana products damage lungs, where the virus does its harm. Health officials are urging people to quit, and temporary sales bans in the United States are even being discussed.

More Information
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Stop Youth Vaping – Heart & Stroke Foundation – 2020

Campaign and an e-advocacy site urging action on youth vaping.

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Talking With Your Teen About Vaping: A Tip Sheet for Parents – Health Canada – 2019

Useful public health information about vaping and tips on how to talk to teens about it.

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The Tobacco Prevention Toolkit – Stanford Medecine (USA) – 2020

Theory-based and evidence-informed resources created by educators, parents, and researchers aimed at preventing middle and high school students’ use of tobacco and nicotine. Includes a modul on e-cigarettes, vapes and pod-based devices.


Vape-Free Schools Campaign – Anglophone South School District (New Brunswick) – 2019

Developed by the Anglophone South School District, this kit includes:

  • Letter to High School Parents
  • Communications Kit
  • Vaping Mini-Lessons (Powerpoint)

Contact Joyce Walker Haley – Healthy Learner Nurse, Anglophone School Disctict, for more information or to obtain a copy (

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Vaping – Know the Risks (PowerPoint Presentation) – New Brunswick Lung Association – 2019

For teachers to share with students in their class or community groups to share in a public health setting to educated on the risks of vaping. Contact Barbara Walls at for more information on this presentation.

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Vaping – The Mechanics – Health Canada – 2018

Describes how vaping devices work and the chemicals used for vaping devices.

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Vaping Education Toolkit – Canadian Lung Association – 2020

Excellent public education information & resources from the Canadian Lung Association.

Topics include:

  • Vaping – What you need to know
  • Smoking, vaping to quit and quiting vaping
  • Vaping & youth
  • Vaping resources

Vaping Prevention Toolkit – PEI Lung Association – 2020

Vaping education toolkit:

-Vaping Products Information for Families
-Vaping Products Information for Educators
-Vaping Products Information for Coaches
-Help Quitting

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Video: “Consider the Consequences of Vaping” – Health Canada – 2019

Even though vaping is less harmful than smoking, there are still consequences for you to consider. Vaping can expose you to chemicals that could harm your health. This video is aimed at youth and is part of Health Canada’s Consider the Consequences of Vaping education campaign.

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WHO Announces Smoking Can Increase Your Chances of Getting Covid-19

Using tobacco products can increase your chance of getting COVID-19. Bringing your hands to your mouth can transfer the virus into your body. Sharing tobacco products can transmit the virus between people. Tobacco weakens your respiratory system making you more vulnerable to the  coronavirus.

See Infographic

WORLD NO TOBACCO DAY-May 31, 2020- Protecting youth from industry manipulation and preventing them from tobacco and nicotine use

Every year, on May 31st, the World Health Organization (WHO) and global partners celebrate World No Tobacco Day (WNTD). The annual campaign is an opportunity to raise awareness on the harmful and deadly effects of tobacco use and second-hand smoke exposure, while discouraging the use of tobacco in any form.

The focus of World No Tobacco Day 2020 is on “protecting youth from industry manipulation and preventing them from tobacco and nicotine use.”

The World No Tobacco Day 2020 global campaign will serve to:

  • Debunk myths and expose manipulation tactics employed by the tobacco and related industries, particularly marketing tactics targeted at youth, including through the introduction of new and novel products, flavours and other attractive features;
  • Equip young people with knowledge about the tobacco and related industries’ intentions and tactics to hook current and future generations on tobacco and nicotine products; and
  • Empower influencers (in pop culture, on social media, in the home, or in the classroom) to protect and defend youth and catalyze change by engaging them in the fight against Big Tobacco.

Youth vaping prevention campaign updates

We’d like to share some exciting updates to our youth vaping prevention campaign!

This year’s advertising campaign runs from February 22 until March 21 2021 and features 10 second cuts of our existing video advertisement that drive to new content:

  1. Advertisements on Snapchat, YouTube, Instagram, and Native Touch invite teens to visit our redesigned campaign page at, featuring:
  • testimonials from teens;
  • new content on peer pressure;
  • new 10 second videos and
  • a FAQ page with answers to teens’ questions
  1. Advertisements on Facebook and through search engine marketing, invite parents of teens to learn more at the new page: Preventing kids and teens from vaping.

How you can help

Check-out the collection of youth vaping prevention resources, including our new 10 second videos. Please feel free to utilize and share these resources to expand the reach of the campaign in your jurisdiction.

A virtual tour update

  • The Consider the consequences of vaping tour continues to host virtual sessions for high school students across Canada.
  • Students learn the latest on the harms and risks associated with teen vaping, while completing interactive activities. Anonymous questions that are collected are then answered by Health Canada and shared through the school.
  • Fall 2020: Hosted 54 virtual sessions.
  • Winter projection: 224 virtual sessions.
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