Vaping Related Illness and Lung Disease NEJM Smoking cigarettes has long been proven to cause severe lung damage, including chronic obstructive pulmonary disease (COPD), emphysema, and lung cancer. Over time, cigarette smoke destroys lung tissue, fills airways with tar, Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine Juul and COPD Is Vaping with COPD Safe? Does Vaping Cause COPD? Electronic cigarette use and its association with asthma chronic obstructive pulmonary disease (COPD) and asthma COPD overlap sy