Sir, there has been a surge in popularity as of late in 'disposable' vape bars. These are sold in convenience stores and come in a variety of flavours. They can also be purchased online (in some cases, without age verification). The majority of these products contain 20 mg of nicotine salt, with a total of 600 puffs - equivalent to 45 cigarettes. The addition of an integrated e-liquid and power supply means they can be discarded following usage.

E-cigarette exposure can increase the risk for deteriorating periodontal health as well as changes to the oral microbiome. Components of e-cigarette vapour also contain known cytotoxic, genotoxic and carcinogenic properties.1 Furthermore, disposable systems can deliver nicotine at a higher rate per puff to the user than traditional cigarettes, which may lead to an increased dependency.2

Vape bars are becoming increasingly popular amongst teenagers who are unlikely to be using them for their intended purpose as a cessation tool. Additionally, the number of individuals who haven't smoked but have tried vaping is increasing - however, the extent to which these young people would have tried smoking if vaping had not been available is unclear.3 Research in the UK indicates young consumers (11-16-year-olds) perceive fruit and candyfloss flavours as less harmful than nicotine- or coffee-flavoured vapes.4

One must ask if we should be enquiring about a patient's social history from a younger age? It is not standard practice to ask those below 16 if they use nicotine products; this trend may change that. As healthcare professionals, we have a pivotal role in educating our patients in order to prevent an addiction which may be very difficult to overcome once established.5