The prevalence of dual use of cigarettes and vapes among adults in England has seen a notable increase, rising from 3.5% in 2016 to 5.2% in 2024. While this trend might initially appear positive, as dual users can mitigate harm by substituting vaping for smoking, experts emphasize the importance of complete cessation for optimal health benefits. Research indicates a shift in dual-use patterns, with a decrease in daily smoking coupled with occasional vaping and a corresponding increase in daily vaping combined with non-daily smoking. However, the fundamental message remains clear: quitting both smoking and vaping is crucial for maximizing health outcomes.
While vaping is often promoted as a harm reduction tool for smokers attempting to quit, combining the two negates this benefit and presents a heightened health risk. Cigarettes introduce harmful toxins like tar and carbon monoxide, damaging the lungs and cardiovascular system. Vaping, while generally considered less harmful than smoking, introduces chemicals from e-liquids that can irritate and damage lung tissue. Simultaneous exposure to both sets of toxins places a greater strain on the body, exacerbating the potential for harm. Smoking is linked to serious health conditions including stroke and various cancers, while vaping carries potential risks associated with tooth decay and hindered brain development.
The long-term effects of vaping are still being investigated, adding another layer of uncertainty to the risks of dual use. Although vaping is considered less harmful than smoking, it is not risk-free. Experts caution against viewing vaping as a long-term alternative to smoking and encourage individuals to pursue complete cessation of both habits for optimal health. While anecdotal evidence and emerging research point to potential health risks associated with vaping, the long-term consequences require further investigation.
The UK has implemented strict regulations for the safety and quality of vapes, and the NHS recommends their use solely for adult smokers seeking to quit. The government’s decision to ban disposable vapes in 2025, while allowing refillable vapes to remain accessible for smoking cessation purposes, underscores the complex balancing act between harm reduction and public health. This measure aims to protect young people from the allure of vaping while preserving its potential role in helping smokers quit. A proposed law further aims to prevent anyone currently aged 15 or younger from ever purchasing cigarettes, a bold move intended to curb the devastating health impacts of smoking.
Quitting both smoking and vaping can be challenging, but achievable with the right strategies. Setting a quit date, seeking support from healthcare professionals or stop-smoking services, and utilizing nicotine replacement therapy (NRT) can significantly enhance the chances of success. Staying active, identifying and avoiding triggers, and celebrating milestones are crucial aspects of the quitting journey. For those aiming to quit vaping specifically, gradual reduction, distraction techniques, avoiding vaping environments, and seeking support from stop-smoking services are recommended strategies.
Ultimately, quitting smoking and vaping is a personal journey that requires commitment and support. While vaping might serve as a temporary aid in quitting smoking, it shouldn’t be viewed as a long-term solution. Complete cessation of both habits is essential for realizing the full health benefits and minimizing long-term risks. The government’s ongoing efforts to regulate vaping products and restrict access for young people, coupled with public health campaigns promoting cessation, underscore the national commitment to tackling these health challenges.
