The researchers also examined the link between smoking and COVID-19, and concluded that as "outlined by the WHO [World Health Organization], tobacco cigarette and waterpipe smoking may contribute to increased burden of symptoms due to COVID-19 compared to non-smoking, including being admitted to intensive care, requiring mechanical ventilation and suffering severe health consequences." The bottom line, according to Mnzel: "Although e-cigarettes appear to be less harmful than tobacco cigarettes, there is growing evidence that they also may cause side effects in the lungs, heart and blood vessels and that e-cigarette use may increase the risk of COVID-19 infection." He spoke in a news release from the European Heart Journal, which published the new findings June 26
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E-cigarettes also contain aldehydes as flavouring agents, many of which are structurally similar to their toxic tobacco counterparts, said Dr Clapp