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E-cigarettes and vaping have been the focus of a number of social media rumors. In early 2018, one such rumor appeared that using a JUUL brand e-cigarette had caused lung cancer in four students: Although plenty of news reports warned parents that JUULing was the newest dangerous teen trend, we have been unable to find any that reported diagnoses or death from cancer associated with use of e-cigarettes. This rumor appeared to originate with viral screenshots from an Instagram post of indeterminate origin: According to the screenshots, four students in total have received terminal or otherwise dire diagnoses attributed specifically to their use of JUUL products. Aside from the mention of two universities (USC and LSU), the only available detail was that a 19-year-old man purportedly was diagnosed with lung cancer and his lungs [were] completely black. This rumor comes with no supporting evidence, incidental or otherwise. Dr. Kien Vuu, professor of medicine at UCLA-David Geffen School of Medicine, addressed the plausibility of specific claims that at least four people had developed lung cancer by JUULing for a relatively short period of their lives: Research into the long-term effects of e-cigarette use is ongoing, but David Levy, a professor of oncology at Georgetown Lombardi, said of data published in mid-2017: Levy referenced a study (E-cigarette use and associated changes in population smoking cessation: evidence from US current population surveys) published by BMJ on 26 July 2017. Laws about minimum age for tobacco purchases vary between states. However, JUUL's self-imposed age restriction is 21, regardless of any state laws: JUUL posted a statement addressing the rumor:
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