This definition includes products made from tobacco or from synthetic (manmade) substances derived from tobacco. Tobacco is a plant with leaves that contain the chemical nicotine, a toxic substance that gives tobacco products their addictive quality. Historically, cigarettes were the most commonly used tobacco product among teens. Today, vaping is the most common form. Cigarettes are an example of a combustible tobacco product. Combustible tobacco products are smoked, or burned and then inhaled. Other combustible tobacco products include rolled tobacco, cigars, cigarillos, pipes, blunts, hookah and water pipes, and bidis and kreteks (clove cigarettes). Smokeless tobacco products are noncombustible and include chewing tobacco, dipping tobacco, snuff, gutka or gutkha, and dissolvables. Unlike other tobacco products, vaping devices heat tobacco or synthetic nicotine without burning it. Examples of these devices include e-cigarettes, vaporizers (also called vapes or vape pens), hookah pens, e-cigars, and e-pipes. Often called electronic nicotine delivery systems (ENDS), these tobacco products are noncombustible and contain either tobacco or an e-liquid made of nicotine (or another drug) and other chemicals. Some people believe that vaping devices are safer, healthier, or less addictive than regular cigarettes. The reality is that all tobacco products can lead to addiction and serious health consequences (Figure 11.1). tobacco plant with leaves that contain the chemical nicotine nicotine toxic substance that gives tobacco products their addictive quality vaping devices tobacco products that heat tobacco or synthetic nicotine without burning it, producing an aerosol e-liquid substance made of nicotine (or another drug) and other chemicals is heated during vaping Types of Tobacco Products Combustible Tobacco Smokeless Tobacco Vaping Devices (or ENDS) Cigarettes Chewing tobacco E-cigarettes Cigars, cigarillos, and blunts Vaporizers (vapes and vape pens) Rolled tobacco Dipping tobacco and snuff Bidis and kreteks E-cigars Snus Pipes E-pipes Hookah and water pipes Dissolvables Hookah pens Combustible Tobacco, top to bottom: Voronina Svetlana/Shutterstock.com domnitsky/Shutterstock.com Andris Tkacenko/Shutterstock.com Claudine Van Massenhove/Shutterstock.com dimpank/Shutterstock.com Gerisima/Shutterstock.com Smokeless Tobacco, top to bottom: J.A. Dunbar/Shutterstock.com Rob Hainer/Shutterstock.com gopixgo/Shutterstock.com Goodheart-Willcox Publisher Vaping Devices: United States Food and Drug Administration Figure 11.1 Tobacco products may be combustible, smokeless, or electronic, but all can have serious health consequences. Do all of these tobacco products contain nicotine? Copyright Goodheart-Willcox Co., Inc. Chapter 11 Vaping and Tobacco 365