News Are Cigarettes or Vapes Worse 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 The Health Risks Of E Cigarettes Versus Traditional Cigarettes Henry Ford Health Detroit, MI Comparison of Nicotine Levels Between Cigarettes and Vapes Ecigator