Tobacco Control Program

Electronic Smoking Devices (ESDs) and Vaping in Youth and Young AdultsThink Vaping is Safe Flier. Click for pdf version of the flier

What you should know:

  • Electronic cigarettes – or e-cigarettes — are also called vapes, e-hookahs, vape pens, and electronic nicotine delivery systems (ENDS).
  • Using an e-cigarette product is commonly called vaping.
  • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.

Electronic Smoking Devices (ESDs) have:

  • Chemicals that can cause lung disease and possibly death
  • Nicotine that is addictive and can damage the developing brain
  • Liquids that can contain:  THC and cannabinoid (CBD) oils, and other substances and additives.

What the CDC recommends:

  • Until we know more, if you are concerned about the health risks, CDC recommends that you not use e-cigarette or vaping products.
  • If you are an adult who used e-cigarettes to quit cigarette smoking, do not return to smoking cigarettes.
  • If you have recently used an e-cigarette or vaping product and you have symptoms like those reported in this outbreak, see a healthcare provider.

Symptoms of Severe Lung Disease Reported by Some Patients in This Outbreak
Patients in this investigation have reported symptoms such as:

  • Cough, shortness of breath, or chest pain
  • Nausea, vomiting, or diarrhea
  • Fatigue (tiredness), fever, or abdominal pain
  • Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. A lung infection does not appear to be causing the symptoms.

Regardless of the ongoing investigation: 

Anyone who uses an e-cigarette or vaping product should not buy these products (e.g., e-cigarette or vaping products with THC, other cannabinoids) off the street, and should not modify or add any substances to these products that are not intended by the manufacturer.


How to Quit

Additional Resources:

For Providers:

As this investigation continues, CDC encourages clinicians to report possible cases of e-cigarette or vaping-associated lung injury to their local or state health department for further investigation.

If e-cigarette or vaping product use is suspected as a possible cause for a patient’s lung injury, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the Health Alert Network (HAN), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing.


Maryland Department of Health (MDH) Secretary Robert R. Neall today issued the following clinical reporting order as the investigation of severe lung illnesses in Maryland continues (click below):


For additional information and guidance, visit:

(Information and resources courtesy of the Centers for Disease Control and Prevention)

For Teens:

Visit teenhealthmatters for information and resources.

Additional Resources:

How to Quit:

National Age for Sales of Tobacco Products and Electronic Smoking Devices is Raised to 21

On Dec. 20, 2019, the President of the United States signed legislation amending the Federal Food, Drug, and Cosmetic Act, and raising the federal minimum age of sale of tobacco products from 18 to 21 years. It is now illegal for a retailer to sell any tobacco product—including cigarettes, cigars and e-cigarettes—to anyone under 21.  There is NO MILITARY EXEMPTION and no grandfathering clause.

The Health Department has programs designed to help people of all ages to quit smoking or vaping.  Visit our Tobacco Sales Enforcement Program to Prevent  Youth Access to Tabacco webpage for more information about helping teens and young adults quit smoking/vaping.

You can find additional information about quitting tobacco at . 

For more information go the Maryland Department of Health's T21 webpage here.

Tobacco Use Prevention and Cessation Program

The Howard County Tobacco Use Prevention and Cessation Program offers an evidence-based smoking cessation program modeled after the American Lung Smoking Cessation Flier. Click to get .pdf of flierAssociation’s Freedom From Smoking Curriculum.  Free education and assistance are offered to anyone who lives, works, or studies in Howard County.

  • Tobacco use is the number one cause of preventable death and disease
  • Smoking causes cancer, heart disease, stroke, lung disease, diabetes, and chronic obstructive pulmonary disease (COPD)
  • Lung Cancer is the #1 cause of cancer deaths in the world, killing more people than breast, colorectal and prostate cancers combined
Program Goals
  • Preventing initiation among youth/young adults from using tobacco/nicotine-related products
  • Providing resources to promote quitting among adults and youth
  • Eliminating exposure to secondhand smoke
  • Identifying and eliminating tobacco-related disparities
Free Quit Smoking Help
  • Weekly individual and group sessions are offered
  • Help with developing a quit plan, reducing stress, cravings, and withdrawal symptoms
  • Nicotine replacement patches, gum, lozenges, and Chantix offered to those attending classes
  • Physician evaluation to determine the best method to help quit.
To Register

Call 410-313-6265


Program staff are available to attend events or conduct education presentations. To request staff attendance or resource materials, complete and submit the Community Outreach Event Request Form, or call 410-313-6265.

For information about our tobacco awareness programs for teens, click here.