Electronic cigarette use and its association with asthma chronic obstructive pulmonary disease (COPD) and asthma COPD overlap sy Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine Exclusive E cigarette Use Significantly Associated with COPD RT E cigarettes, vapes, juul, extwhatever you call them, they are not a better alternative to smoking. They still contain toxic chemicals that cause severe lung diseases. Start your quit plan today by call