Vaping Predicted to Have Notable Impact on Europe's COPD Burden Respiratory Therapy Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine Smoking and vaping are often compared, but neither is harmless. While they work differently, both can expose the lungs to addictive nicotine and harmful chemicals that impact breathing and overall health. Smoking Safer Than Smoking? Vaping Tied to Alarming Rise in COPD Cases Discover Magazine