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. Author manuscript; available in PMC: 2021 Mar 15.
Published in final edited form as: Sci Total Environ. 2020 Nov 1;760:143423. doi: 10.1016/j.scitotenv.2020.143423

Impacts of electronic cigarettes usage on air quality of vape shops and their nearby areas

Liqiao Li a, Charlene Nguyen a, Yan Lin a, Yuening Guo a, Nour Abou Fadel b, Yifang Zhu a,*
PMCID: PMC7937385  NIHMSID: NIHMS1676146  PMID: 33162144

Abstract

With the rapid growth of the electronic cigarette (e-cig) market, there is an increasing number of vape shops that exclusively sell e-cigs. The use of e-cigs in the vape shop is a primary source of indoor particles, which might transport to its nearby indoor spaces in the multiunit setting. In this study, six pairs of vape shops and neighboring businesses in Southern California were recruited for real-time measurements of particulate pollutants between February 2017 and October 2019. The mean (SD) particle number concentration (PNC) and PM2.5 concentration in the studied vape shops were 2.8 × 104 (2.3 × 104) particles/cm3 and 276 (546) μg/m3, which were substantially higher than those in neighboring businesses and outdoor areas. In addition, 24-h time-weighted average (TWA) nicotine sampling was conducted in the six pairs and three additional pairs. Nicotine was detected in the air of all the studied vape shops and neighboring businesses, in which the mean (SD) concentration was 2.59 (1.02) and 0.17 (0.13) μg/m3, respectively. Inside vape shops, the dilution-corrected vaping density (puffs/h/100 m3) is a strong predictor of the particle concentration, and nicotine concentration highly depends on the air exchange rate (AER). Out of the six studied pairs, PNCs in five vape shops and PM2.5 in two vape shops were significantly correlated with those in their neighboring businesses. This correlation was stronger when the door of the vape shop was closed. When the door was open, environmental electronic vaping (EEV) aerosols, especially smaller particles, could transport from the vape shop to the outdoor environment. Overall, e-cig usage in the vape shop impacts both its own and nearby air quality, raising concerns regarding the risk of exposure to EEV aerosols in the surrounding environments.

Keywords: Vape shop, E-cigarette, Secondhand exposure, Particulate matter, Nicotine, Multiunit

GRAPHICAL ABSTRACT

graphic file with name nihms-1676146-f0001.jpg

1. Introduction

An electronic cigarette (e-cig), belonging to the group of electronic alternatives to tobacco cigarettes (EATCs) (Protano et al., 2020), is a battery-powered nicotine delivery system that generates aerosols by vaporizing e-liquids. Widely serving as an alternative to smoking tobacco cigarettes, the use of e-cigs (also known as vaping) has grown exponentially worldwide (Hammond et al., 2020; Yoong et al., 2018). In addition, there has been a high demand for flavored e-cig products among never-smoking adolescents and young adults since e-cigs were introduced (Glantz and Bareham, 2018; McMillen et al., 2019; Vallone et al., 2020). With the rapid growth of the e-cig markets, various e-cig devices, ranging from the disposable cigalike to a more advanced tank style and the emerging pod-based JUUL with thousands of appealing flavors, have been introduced to the public (Galstyan et al., 2019; Glantz and Bareham, 2018; Huang et al., 2019; McKelvey et al., 2018). As a result, a new type of retailer, the vape shop, where customers can exclusively purchase e-cig products and sample e-liquids with a combination of flavors and varying levels of nicotine, has emerged (Galstyan et al., 2019; Lee et al., 2018). In the United States, the growing vape shop industry accounts for 20% of the e-cig retail markets in 2019 and has proliferated globally over the past few years (Galstyan et al., 2019; Sussman et al., 2016; Truth Initiative, 2019). While many states have established smoking bans in workplaces and public spaces, the use of e-cigs is unrestricted in vape shops. Exposure to the visible massive “clouds” produced in vape shops brings an environmental and public health concern (Nguyen et al., 2019).

At the end of 2019, many cases and deaths of e-cigarette or vaping product use-associated lung injury (EVALI) have been reported in the United States (Carlos et al., 2019; Layden et al., 2019), suggesting the potential serious health risks of vaping. Using e-cigs may not only pose health harms to active users but also bystanders who are involuntarily exposed to environmental electronic vaping (EEV) aerosols (Protano et al., 2018). Although the information on the health effects of exposure to EEV aerosols is limited, a review article summarizing more than 20 studies on secondhand exposure has shown that vaping degrades indoor air quality by generating high levels of particles that are comparable to other tobacco products (Li et al., 2020b). Many studies have reported that the average fine particulate matter (PM2.5) during active vaping in the indoor environments are mostly greater than 150 μg/m3 and can even reach 1.5 × 103 μg/m3 (Czogala et al., 2014; Melstrom et al., 2017; Nguyen et al., 2019; Protano et al., 2018; Protano et al., 2020; Schober et al., 2014; Son et al., 2020; Soule et al., 2017; Volesky et al., 2018; Zhao et al., 2017). The average indoor particle number concentrations (PNCs), an approximate measure for ultrafine particles (UFPs), ranged from 7.2 × 103 to 6.2 × 104 particles/cm3 (Melstrom et al., 2017; Nguyen et al., 2019; Schober et al., 2014; Scungio et al., 2018; Volesky et al., 2018; Zhao et al., 2017). Additionally, substantial amounts of propylene glycol, vegetable glycerin, and nicotine, as well as relatively low levels of toxic compounds such as carbonyls, aromatic volatile organic compounds (VOCs), and heavy metals, have been observed in EEV aerosols in indoor environments (Li et al., 2020b). In addition to the secondhand exposure, the deposited residuals from vaping might be reemitted into the gas phase and serve as a potential source of thirdhand exposure (Goniewicz and Lee, 2015; Khachatoorian et al., 2019). The health effects of thirdhand exposure are understudied which warrant future research.

Different from typical laboratory studies in which volunteers vape an e-cig following a standard puffing protocol for a short period, continuous vaping by multiple e-cig users occurs in vape shops during business hours. Nguyen et al. (2019) found that the PNC and PM2.5 in vape shops fluctuated dramatically and can even reach up to 4.8 × 105 particles/cm3 and 37,500 μg/m3, respectively. The exhaled particles can persist and mix in the indoor environment, leading to elevated concentrations at distances greater than 3.6 m away from the vaping sources (Nguyen et al., 2019). Because vape shops are typically located in multiunit buildings with at least one neighboring business, such as an office, restaurant, retail store, or clinic, the EEV particles may also travel to their neighboring businesses (Nguyen et al., 2019). Additionally, vape shops were found disproportionately located in proximity to vulnerable communities such as the low-income, minority, and youth (Berg, 2018). Vulnerable individuals who are bystanders in a vape shop or neighboring the vape shops can be at increased risks of exposure to EEV aerosols.

It has been well established that secondhand smoke (SHS) can transfer from smoking units to smoke-free adjacent units through shared ventilation, open windows, holes in walls, hallways, and electric outlets (Bohac et al., 2011; Hood et al., 2014; King et al., 2010; Russo et al., 2015). Analogous to SHS, these transfer mechanisms might also be applicable to EEV aerosols. Khachatoorian et al. (2019) detected tobaccospecific residues, including nicotine, minor alkaloids, and TSNAs, on surfaces in an indoor space adjacent to a vape shop, suggesting potential thirdhand exposures to e-cig emissions. In a laboratory setting, Zhang et al. (2020) found that the EEV aerosols transferred from a vaping room to its adjacent non-vaping room, which could be effectively reduced by blocking the door between the two rooms. However, no study has assessed the transport of EEV aerosol from vape shops to neighboring units in multiunit commercial buildings. Therefore, the aim of this study was to (1) assess the impacts of e-cig usage in vape shops on the indoor air quality of neighboring businesses, (2) identify major factors that influence the behaviors of EEV aerosols, and (3) evaluate the transport of EEV particles from the vape shop to its outdoor environment.

2. Materials and methods

2.1. Study sites

Both vape shops and their neighboring businesses in Southern California were recruited via phone calls, site visits, and brochure postings. Vape shops for this study were identified from a Yelp.com search using the keywords “vape shops”. For each selected vape shop, a neighboring business was identified through the Google Maps search and site visits. The selection criteria for each pair (i.e., vape shop and its neighboring business) include: (a) The pair was adjacent to each other on the same floor in a multiunit commercial building; (b) no other tobacco products other than e-cigs were used in the vape shops; and (c) neighboring businesses were smoke-free indoor spaces. Because high levels of particles have been reported in restaurants serving barbecued, boiling, and pan-fried food (Lee et al., 2001), these restaurants were excluded in this study. A total of nine pairs of vape shops and neighboring businesses (pair IDs A–I) agreed to participate in this study.

The characteristics of the study sites such as building location, shop volume, ventilation type, air exchange rate (AER), and vaping density for each pair are summarized in Table 1 (see Supplementary Table S1 for ventilation and sampling details). All of the studied pairs A-I were located in multiunit commercial buildings, which were either in a plaza or storefront along a street. No e-cigs or other tobacco products were consumed in the studied neighboring businesses due to the smoking ban in all enclosed workplaces in California (AB-13, enacted as California Labor Code LC 6404.5). However, the smoking ban did not apply to vape shops.

Table 1.

Characteristics and nicotine concentrations of the nine studied vape shops and their neighboring businesses.

Pairs IDa Location Vape shop Neighboring business Nicotine transferc (%)
Volume (m3) Ventilation type AER (h−1) bVaping density (puffs/h/100 m3) 24-h TWA nicotine (μg/m3) Volume (m3) Ventilation type AER (h−1) 24-h TWA nicotine (μg/m3)
A Plaza 168 Natural ventilation 0.29 13 (14) 3.43 (1.21) >400 Rooftop A/C and natural ventilation 0.21 0.09 (0.04) 2.7
B Plaza 242 Natural ventilation 0.21 13 (12) 3.08 (0.69) >400 Rooftop A/C 0.17 0.37 (0.32) 12
C Plaza 217 Window A/C 0.39 11 (8) 1.72 (0.51) 278 Rooftop A/C with an exhaust fan 0.60 0.42 (0.14) 24.7
D Plaza 323 Rooftop A/C with a mixing fan 0.20 8 (4) 3.99 (1.07) 357 Rooftop A/C with mixing fans 0.20 0.13 (0.05) 3.4
E Storefront 418 Rooftop A/C 0.22 5 (8) 3.15 (2.67) 181 Rooftop A/C 0.21 0.11 (0.04) 3.6
F Storefront 361 Rooftop A/C 0.81 5 (6) 1.89 (1.27) 358 Rooftop A/C 0.78 0.14 (0.05) 7.5
G Storefront 212 Rooftop A/C 1.06 NAd 0.65 (0.35) 160 Natural Ventilation NA 0.09 (0.04) 13.2
H Plaza 402 Rooftop A/C 0.31 NA 2.72 (0.26) 376 Rooftop A/C 0.58 0.07 (0.05) 2.6
I Plaza 260 Rooftop A/C or natural ventilation 0.24 20 (6) 2.71 (1.50) 116 Rooftop A/C 0.30 0.06 (0.03) 2.4

Abbreviations: AER, air exchange rate; A/C, air conditioning; TWA, time-weighted average; NA, not applicable.

a

Real-time particle samplings were conducted in pairs A–F while nicotine samplings were conducted in all nine pairs.

b

Vaping density (puffs/h/100 m3): total number of puffs per hour normalized by the shop volume for each vape shop.

c

Nicotine transfer: the percentage of nicotine transferred from vape shop to neighboring business = (neighboring business nicotine concentration / vape shop nicotine concentration) × 100%.

d

NA due to lack of access.

2.2. Sampling protocol

Air samplings in each pair of vape shops and neighboring businesses were conducted for 3–4 days between February 2017 and October 2019. Fig. 1 illustrates the sampling types and sampling locations in the study site: (a) Sampling location 1: inside the vape shop within 1.2 m away from the vaping bar which was the main vaping activity area, (b) sampling location 2: inside the neighboring business, (c) sampling location 3: outside of the vape shop about 1–3 m away from the front door of vape shop, and (d) an additional sampling location 4 for vape shop I only: outdoor about 6–8 m away from the front door of vape shop. Real-time PNC and PM2.5 mass concentrations were monitored concurrently in pairs A-F at sampling locations 1–3. No particle sample was collected concurrently in pairs G-I because we were not able to install the particle sampling instruments in the neighboring businesses. The transport of EEV particles from the vape shop to its outdoor area was investigated in vape shop I at sampling locations 1, 3, and 4 when the door of vape shop I was open. Particle size distributions were measured inside pair B (sampling locations 1 and 2) and vape shop C (sampling location 1 only). The 24-h time-weighted average (TWA) airborne nicotine samplings were conducted in all pairs A-I at sampling locations 1 and 2.

Fig. 1.

Fig. 1.

The schematic diagram of sampling types and sampling locations in a representative pair of vape shop and its neighboring business.

On each sampling day, particle monitoring was conducted for about 5–8 h during overlapping business hours between a vape shop and its neighboring business. Observation notes were recorded by research staff who stayed in the vape shop during the 5–8 sampling hours including (1) characteristic information such as shop volume (m3), ventilation type, and location; (2) total number of puffs generated by e-cig users including customers and employees in the vape shops every minute, which allowed us to calculate the total number of puffs per unit time; (3) any changes of ventilation settings such as opening or closing the shop doors and A/C switching on or off; and (4) activities with any potential particle emissions.

2.3. Measurement of particle number, PM2.5, and particle size distribution

Three sets of instruments were installed at sampling locations 1–3 to measure real-time PNC and PM2.5 mass concentration simultaneously. At each sampling location, a portable Condensation Particle Counter (CPC 3007, TSI Inc., Shoreview, MN) or a DiSCmini (Diffusion Size Classifier Miniature, Testo SE & Co. KGaA, Germany) and a DustTrak II Aerosol Monitor (DustTrak II 8532, TSI Inc.) were used to measure PNC and PM2.5, respectively, at 2-min logging intervals. Real-time carbon dioxide (CO2) concentrations, temperature, and relative humidity were measured at 1-minute intervals by two indoor air quality monitors (Q-Trak 7575, TSI Inc.) in vape shops and neighboring businesses. Using the CO2 concentration data, we calculated the room AER by the CO2 tracer gas decay method (Batterman, 2017; Nguyen et al., 2019). In addition, particle size distributions in the size range of 7–289 nm and 0.5–19.8 μm were measured in pair B and vape shop C with a Scanning Mobility Particle Sizer (SMPS 3080, TSI Inc.) (100 s up scan, 20 s down scan) and Aerodynamic Particle Sizer (APS 3321, TSI Inc.), respectively.

2.4. Measurement of airborne nicotine concentrations

Airborne nicotine was collected using a modified sampling method (Chen et al., 2017; Lopez et al., 2013) that was first developed by Hammond and Leaderer (1987). The sampler with a 37 mm filter pretreated with sodium bisulfate was connected to a pump at a sampling rate of 3 L/min. The sampling flow rate were verified by a mass flow meter (Model 4140, TSI Inc.) at the start and end of each sampling session. The average flow rate of the two values was used to calculate the total air volume. The active nicotine samplers were installed at sampling locations 1 and 2 in each pair for a period of 24 h. A total of 3–5 nicotine samples were collected in each pair. To ensure nicotine data quality, an outdoor sample for each pair of shops was also collected. All the nicotine filters were extracted using dichloromethane with an internal standard (i.e., 2 μg/mL quinoline) and analyzed by gas chromatography–mass spectrometry (GC–MS). The limit of quantification (LOQ) of GC–MS was 0.2 μg per filter, equivalent to 0.05 μg/m3 24-h TWA nicotine. The TWA airborne nicotine concentration was calculated by dividing the total mass of nicotine collected in the filter by the product of flow rate (i.e., 3 L/min) and sampling time in minutes.

2.5. Quality control/quality assurance for data collection and analysis

Before each sampling session, particle sampling instruments were zero checked and collocated for at least 30 min for quality assurance. Regression results from the collocation tests have been applied to correct all the PNC and PM2.5 data throughout this study.

DustTrak is sensitive to the composition and size distribution of airborne particles leading to notable upward PM2.5 bias during air sampling (Moosmuller et al., 2001; Zhao et al., 2017). Therefore, we have conducted gravimetric calibration of DustTrak II PM2.5 measurements in this study. The detailed process has been described previously (Nguyen et al., 2019; Zhao et al., 2017). Briefly, PM2.5 gravimetric samples were collected using personal cascade impactors side by side with the DustTrak II inside selected vape shops and outdoor sampling locations. A calibration factor of 0.25 ± 0.009 (R2 = 0.95; 95% CI, 0.22 to 0.28) and 0.48 ± 0.026 (R2 = 0.98; 95% CI, 0.41 to 0.55) was determined for PM2.5 data in vape shop and ambient sampling locations (i.e., outdoor and neighboring business), respectively, from gravimetric analysis.

2.6. Data analysis

The arithmetic mean and standard deviation (SD), as well as median and interquartile range (IQR), of PNC, PM2.5, and nicotine concentrations were calculated for each pair of vape shops and neighboring businesses during overlapping business hours. Kruskal-Wallis ANOVA on Ranks was used to compare e-cig-related air pollutant levels in vape shop with neighboring business and outdoor sampling locations. In an effort to examine the temporal dynamics of particle transfer, linear regression analyses were used to determine the correlation between particle concentrations in vape shops and vaping-free areas (i.e., neighboring businesses or outdoor sampling locations) using 10-min averaged data. Based on field observation notes, vaping density (puffs/h/100 m3), defined as the total number of puffs per hour normalized by the shop volume, for each vape shop was estimated. The effects of parameters such as AER and vaping density on the e-cig-related air pollutant levels in vape shops were also assessed by linear regression. Hourly averaged data were used to investigate the effects of vaping density on particle concentrations.

R 3.4.0 and Microsoft Excel 2016 (Microsoft, Seattle, WA, USA) were used to summarize data and perform statistical analyses. All figures were generated with Sigmaplot 14.0 (Systat Software Inc., San Jose, CA). The level of statistical significance was set at p < 0.05.

3. Results and discussion

3.1. E-cig related air pollutants in the vape shops and neighboring businesses

3.1.1. Particle concentrations

The PNC and PM2.5 concentrations for pairs A–F during overlapping business hours are presented with respect to mean vaping density in Fig. 2 (see Supplementary Table S2 and Table S3 for the mean and median particle concentrations, respectively). The median (IQR) PNCs in the six vape shops during the sampling sessions ranged from 1.4 × 104 (1.1 × 104, 1.7 × 104) to 3.5 × 104 (2.0 × 104, 5.0 × 104) particles/cm3. For PM2.5, the median (IQR) concentration was within the range of 15 (6, 145)–134 (33, 541) μg/m3. Both PNC and PM2.5 observed in vape shops were at the comparable level to a previous vape shop study (Nguyen et al., 2019). When customers were at high volumes, the peak PNCs and PM2.5 concentrations in the vape shop can even reach 2.9 × 105 particles/cm3 and 4988 μg/m3, respectively. As the vaping density decreased from 13 to 5 puffs/h/100 m3, the mean PM2.5 in the vape shops A-F significantly decreased (r = 0.97, p = 0.002). A similar but less prominent trend was observed for PNCs (r = 0.81, p < 0.05). As to the median concentrations, however, there is no significant correlation detected. It should be noted that vape shops A and B enhanced their natural ventilation by opening their shop doors only for 18% and 20% of sampling time, respectively, but did not use any ventilation for most of the time (Table S1).

Fig. 2.

Fig. 2.

Box plots summarizing (a) PNC and (b) PM2.5 mass concentrations measured during all sampling sessions for the six pairs of vape shops and neighboring businesses A–F by vaping density. The solid line in each box represents the median value, and the dash line in each box represents the mean value.

The PNC and PM2.5 in vape shops A-F were significantly higher than their neighboring businesses (Kruskal-Wallis, p < 0.001), except for PM2.5 in vape shop E. The mean (SD) PNCs in the neighboring businesses reached up to 1.8 × 104 (7.3 × 103) particles/cm3 which was higher than most of the common indoor environments such as homes, offices, and schools (Morawska et al., 2017). The mean PM2.5 concentrations in neighboring businesses A, C, and E exceeded the U.S. Environmental Protection Agency’s annual standard of 12 μg/m3, which is the maximum allowable concentration for outdoor air quality (U.S. Environmental Protection Agency, 2016). Although there is currently no standard for PM2.5 in the indoor environments, the indoor PM2.5 levels are expected to be the same as, or lower than, outdoor levels when there is no other indoor emission source (U.S. Environmental Protection Agency, 2020).

On the other hand, PNC and PM2.5 in vape shops A-F were all significantly greater than those measured at outdoor sampling locations (Kruskal-Wallis, p < 0.001; see Supplementary Table S2), suggesting that the high concentration measured in vape shops were not due to outdoor impacts such as vehicular emissions.

3.1.2. Airborne nicotine concentration

Gas-phase nicotine, as a tracer for EEV aerosols, was detected in all nine pairs, suggesting EEV aerosol transfer from vape shops to neighboring businesses (Table 1). The median (IQR) concentration of the 24-h TWA nicotine measured in vape shops and neighboring businesses were 2.72 (1.80, 3.29) μg/m3 and 0.11 (0.08, 0.26) μg/m3, respectively. The nicotine levels estimated in the vape shops were comparable to previous studies that recruited volunteers to use e-cigs in a room (0.20–6.23 μg/m3) (Czogala et al., 2014; Geiss et al., 2015; Johnson et al., 2018; Liu et al., 2017; Melstrom et al., 2017; Schober et al., 2014). The nicotine levels in vape shops were found to be similar to those in smoking hospitality venues in Ghana where nicotine samples were passively collected for 7 days (Agbenyikey et al., 2011). However, the nicotine levels in vape shops were about 5–10 times lower than those measured in smoking allowed restaurants and bars where nicotine samples were collected during 4 busy hours (Bolte et al., 2008). The nicotine levels in all the studied vape shops and four of the neighboring businesses were significantly higher than those at e-cig users’ homes (0.11 μg/m3) (Ballbè et al., 2014). On the other hand, Chen et al. (2017) reported an exceptionally high nicotine concentration ~ 125 μg/m3 at a vaping convention with more than 1000 participants in a 13,475 m3 venue (i.e., 13 m3 per person or 7 occupants per 100 m3). In the current study, there were usually 2–7 people inside vape shops (i.e., ~41–145 m3 per person or ~1–2 occupants per 100 m3) during our sampling time. Therefore, the difference in nicotine concentration may be explained by two factors: (1) the space occupied by each person in the vaping convention is lower than that in vape shops, suggesting less dilution for EEV aerosols; (2) our sampling inside vape shops included overnight periods when there was no vaping; in contrast, sampling in the vaping convention was conducted only during active vaping periods. Nevertheless, Johnson et al. (2018) reported a low median concentration of nicotine ~1.1 μg/m3 in four e-cig vaping events where the occupancy densities were ~17–200 m3 per person (1–6 occupants per 100 m3), which were closer to what observed in the vape shops.

Similar to previous e-cig indoor studies (Ballbè et al., 2014; Chen et al., 2017; Johnson et al., 2018), our method only measured gas-phase not particulate phase nicotine. To understand the total exposure to nicotine from EEV aerosols, the gas/particle partitioning of nicotine should be considered in future studies. Assuming the nicotine measured in the neighboring business was all from its adjacent vape shop, the percentage of nicotine transfer ranged from 2.4 to 24.7%. Although the airborne nicotine levels varied depending on the level of nicotine in the e-liquids selected by e-cig users as well as the customer traffic, the identification of nicotine in all studied vape shops and neighboring businesses confirmed that involuntary exposures to EEV aerosols occurred in these indoor environments.

3.2. Predictors of air pollutants concentrations inside vape shops

A previous study (Nguyen et al., 2019) used the total number of puffs every 30 min as a predictor which had strong correlation with both PNC (r = 0.74, p < 0.001) and PM2.5 concentrations (r = 0.75, p < 0.001) in vape shops when the shop door was closed. After considering the different vape shop volumes, we found that the dilution-corrected vaping density (puffs/h/100 m3) had an even stronger positive correlation with PNC (r = 0.82, p < 0.001) and PM2.5 (r = 0.88, p < 0.001), respectively (Fig. 3). This result is in agreement with recent findings that EEV aerosols can be substantially affected by the dilution condition (Floyd et al., 2018; Ingebrethsen et al., 2012; Meng et al., 2017; Zhao et al., 2016). Additionally, the PM2.5 mass concentration showed a better correlation with vaping density compared to PNC, suggesting that fine particles are more sensitive to dilution compared to smaller particles.

Fig. 3.

Fig. 3.

Relationships between hourly averaged PNC and PM2.5 and vaping density (puffs/h/100 m3) when the shop door was closed for vape shops A–F and I with particle samplings.

In addition to vaping density, we previously found that lower AERs in vape shops could increase the particle levels measured from opening to closing of business on busy days (Nguyen et al., 2019). In this study, all of the studied vape shops and neighboring businesses did not use any central ventilation during sampling sessions. Only either A/C (without outdoor air supply) or natural ventilation was observed in the shops. Accordingly, the AERs for all of the pairs ranged from 0.20 to 1.06 h−1. We found a negative, significant association between the AER and 24-h TWA airborne nicotine concentration in vape shops (see Supplementary Fig. S1; r = −0.86, p = 0.003). This finding confirms that the mitigation of nicotine pollution in vape shops can be achieved by enhancing ventilation despite the varying levels of nicotine in different e-cig products. Due to a small number of studied vape shops with relatively low AERs in this study, future research is warranted to systematically evaluate the effects of ventilation on indoor airborne nicotine levels.

3.3. Impacts of EEV emissions from vape shops on nearby areas

3.3.1. Indoor air quality of neighboring businesses

The relationship between the 10-min averaged concentrations (i.e., both PNC and PM2.5) inside vape shops and those in neighboring businesses A-F were summarized in Table 2 (see Supplementary Figs. S2 and S3 for the regression analysis). For PNCs, significant correlations (r > 0.33, p < 0.001) were detected in 5 out of 6 pairs (i.e., A, B, C, E, and F). A moderate or strong correlation (r > 0.40) was observed in pairs A, B, and C, which had higher vaping density compared to other pairs. The weakest correlation shown in pair E among the five pairs with significant correlations was likely because their ventilation systems were separated by a wall while the ventilation system of other pairs were connected. The slopes of the linear regression relating the PNCs in neighboring businesses to those in vape shops ranged from 0.035 to 0.368. In other words, PNCs in the neighboring businesses were expected to increase by 35 to 368 particles/cm3 when the PNC in vape shops increased by 1000 particles/cm3. Notably, the regression slopes for pairs B and F were 3–10 times higher than other pairs possibly because multiple pathways such as the ductwork in their shared ventilation systems, doors, shared walls, and building cracks contributed to the particle transfer between the two indoor spaces. Future studies are needed to identify these potential pathways in multiunit buildings for mitigation purposes. No significant correlation was observed for pair D likely because the sampling instruments were installed behind several large massage chairs in the corner of the neighboring business, creating an enclosed area in which the EEV particles could hardly reach.

Table 2.

Linear regression analysis relating the 10-min averaged PNC and PM2.5 in neighboring businesses and outdoors (sampling location 3) to those in vape shops for pairs A-F.

Vape shops PNC PM2.5
Slope (95% CI) p-Value r Slope (95% CI) p-Value r
Neighboring businesses
A 0.035 (0.027, 0.043) <0.001 0.59 0.010 (0.008, 0.013) <0.001 0.56
B 0.316 (0.238, 0.394) <0.001 0.62 −0.002 (−0.006, 0.002) 0.329 −0.09
C 0.136 (0.105, 0.168) <0.001 0.55 0.041 (0.0369, 0.045) <0.001 0.83
D −0.008 (−0.017, 0.001) 0.075 −0.22 −0.003 (−0.006, 0.001) 0.148 −0.12
E 0.111 (0.054, 0.167) <0.001 0.37 0.020 (−0.003, 0.042) 0.084 0.15
F 0.368 (0.119, 0.616) 0.005 0.39 0.016 (−0.044, 0.077) 0.595 0.07
Outdoors
A 0.076 (0.043, 0.109) <0.001 0.37 0.006 (0.005, 0.008) <0.001 0.64
B 0.584 (0.451, 0.716) <0.001 0.66 0.013 (−0.009, 0.034) 0.251 0.12
C 0.054 (−0.010, 0.117) 0.099 0.13 −0.000 (−0.002, 0.002) 0.937 −0.01
D 0.222 (−0.050, 0.495) 0.107 0.27 −0.001 (−0.003, 0.001) 0.428 −0.07
E −0.056 (−0.106, −0.006) 0.030 −0.30 −0.005 (−0.011, 0.001) 0.120 −0.17
F 0.088 (−0.033, 0.210) 0.149 0.28 0.089 (0.037, 0.141) 0.001 0.43

Regarding PM2.5, while the correlations were weak for most pairs, significant results (r > 0.33, p < 0.001) were observed in 2 out of 6 pairs (i.e., A and C). The regression slopes were 0.010 and 0.041 for pairs A and C, respectively. Interestingly, the correlation coefficient for PM2.5 in pair C reached as high as 0.83, which was likely driven by the extremely high PM2.5 levels (1000–4500 μg/m3) in vape shop C. The reason why the transfer of UFPs in pair C is less prominent compared to PM2.5 can be explained by the change of particle size in vape shop C (see Supplementary Fig. S4). When vaping density increased from 10 to 44 puffs/h/100 m3, the particle mass distribution shifted from a typical single mode at 1 μm, which has been observed in previous studies (Baassiri et al., 2017; Floyd et al., 2018), to a trimodal pattern of 0.3, 0.8, and 3 μm. The increase of the micron-sized particles can be explained by the fact that the emitted UFPs coagulated with the 1 μm particles resulting in a growth of particle mass to the 3 μm mode. Mikheev et al. (2016) and Floyd et al. (2018) have demonstrated that coagulation effectively increases the e-cig particle mass while depleting smaller particles. As a result, the increase of PNC (from 2.3 × 104 to 2.8 × 104 particles/cm3) was less prominent than PM2.5 which surged by 6 times to 127 μg/m3 in the neighboring business when emission increased in vape shop C. These results show that both UFPs and PM2.5 from the vape shops can impact the indoor air quality in their neighboring businesses.

The higher particle transfer rates were observed in pairs B, C, and F, which also had higher nicotine transfer rates compared to other pairs (see Table 1). The highest nicotine transfer rate (i.e., 24.7%) was observed in pair C likely because the neighboring business C experienced significant impacts of both particle number and mass on their indoor air quality. Notably, despite no significant correlation observed for particles in pair D, 3.4% of gas-phase nicotine still transferred from vape shop D to its neighboring business suggesting indoor air pollution due to vaping.

3.3.2. Outdoor air quality

As the EEV aerosols in the vape shop can transfer to its neighboring business in the multiunit building, we were also interested in whether the EEV particles can travel to the outdoor environment. The relationship between the 10-min averaged concentrations (i.e., both PNC and PM2.5) inside and outside vape shops A-F is also summarized in Table 2 (see Supplementary Figs. S5 and S6 for the regression analysis). For PNCs, significant correlations (r > 0.33, p < 0.001) were detected only in vape shops A and B with natural ventilation. Both vape shops A and B also had the highest vaping density among the six studied vape shops, which contributed to increasing the particle concentration gradient between indoors and outdoors. According to the Fick’s first law of diffusion, particles might transport from vape shops to outdoor areas through the open doors and holes on the wall. The regression slope for vape shop B was 7 times higher than vape shop A possibly because of the higher vaping frequency (i.e., 46.2 puffs/h) in vape shop B when the door was open compared to vape shop A (i.e., 25.4 puffs/h). For PM2.5, a significant correlation was only observed in vape shop A.

3.4. Effects of vape shop door open and close on particle transport

3.4.1. Neighboring businesses

The effects of door open and close on UFP transfer from a vape shop to its neighboring business for pair B are further illustrated in Fig. 4. During the sampling period, the vape shop door was closed before 14:30 except for customers walking in and out, and then kept open after 14:30. Following the PNC spikes in the vape shop, the PNC levels were also elevated in the neighboring business (Fig. 4a). Shortly following the vape shop door open, the PNC started to diminish in the neighboring business (Fig. 4a). Consequently, the mean PNC decreased by 19% to 4.3 × 104 (2.0 × 104) particles/cm3 in the vape shop (Kruskal-Wallis, p < 0.05) and decreased by 33% to 1.8 × 104 (4.8 × 103) particles/cm3 in neighboring business (Kruskal-Wallis, p < 0.001).

Fig. 4.

Fig. 4.

Temporal profile of (a) PNC in vape shop B and its neighboring business B as well as particle size distributions in (b) vape shop B and (c) neighboring business B during overlapping business hours on a day with ventilation changes. Note: The door of vape shop was closed during 13:30–14:30 and the door was open during 14:30–18:00.

Fig. 4b and c presents the contour plots of the number-based particle size distribution for pair B. The color intensity indicates the normalized particle number concentration (dN/dLogDp) for a given particle size at a given time. As demonstrated by Nguyen et al. (2019), the particles emitted in the vape shop were characterized by a bimodal particle number distribution of 60 nm and 250 nm when the shop door was closed. Meanwhile, UFPs largely penetrated into the neighboring business showing a single mode at 60 nm. Since UFPs may deposit deep into the human lung and induce greater adverse respiratory effects (Peters et al., 1997; Sturm, 2016), the exposure to EEV related UFPs might bring more health concerns for employees and patrons in the neighboring business. Under the effect of door open, the particle size distribution in the vape shop shifted to a single mode while the UFPs started to decrease shortly after door open.

Opening and closing the vape shop doors changed the condition of ventilation in vape shops A and B. When the door of the vape shop was closed, an even stronger correlation in terms of PNC was observed for pairs A (r = 0.62, p < 0.001) and B (r = 0.66, p < 0.001). This was most likely a result of the enhanced particle concentration gradient between the vape shop and neighboring business because particles persisted and remained at high concentrations in the vape shop during door closed periods (Nguyen et al., 2019). However, no significant correlations were observed for both pairs A (r = 0.36, p > 0.05) and B (r = 0.25, p > 0.05) when their shop doors were open due to the enhanced dilution from outdoor air. For PM2.5, a similar but less prominent effect was observed in pair A, but no significant correlation was presented in pair B at all. Future research is warranted to systematically evaluate more mitigation strategies that would effectively reduce exposure to EEV aerosols in public multiunit buildings.

3.4.2. Outdoor environment

While opening doors significantly reduced particle levels inside vape shops and neighboring businesses, it might increase the transport of EEV particles from vape shops to outdoor areas. Indeed, as shown in Fig. 5, linear regression demonstrated that the correlation between particle concentrations (i.e., PNC and PM2.5) inside and outside vape shop B was stronger when the shop door was open compared to that was closed. In addition, the regression slope was greater during the door open periods, suggesting particles due to vaping largely transported from vape shop to its outdoor environment, compared to the door closed. Similar results were also observed for vape shop A (see Supplementary Fig. S7). As shown in Supplementary Fig. S8, the exceptionally high ratio between the indoor and outdoor particle concentration (or I/O) demonstrated that vaping was a major indoor emission source in vape shops A and B regardless of door opening or closing. Compared to door closed periods, door opening significantly reduced the I/O ratios for both PNC and PM2.5. Like indoor spaces with smoking cigarettes that showed PM2.5 I/O ratio reached ~11 with the minimal AER (Li and Chen, 2003), the median I/O ratio in vape shops was up to 34 during door closed periods where the ventilation was dominated by infiltration (Chen and Zhao, 2011). After the shop door was open, the AER between indoor and outdoor likely increased, resulting in significantly lower I/O ratios around 2–4. This is because that the outdoor air with a lower particle concentration penetrated into vape shops more quickly and diluted the indoor EEV aerosols. At the same time, EEV aerosols traveled to the outdoor environment.

Fig. 5.

Fig. 5.

Effects of door open and close on the particle transport from vape shop B to the outdoor environment (i.e., sampling location 3: ~1–3 m away from the front door of vape shop B).

To further study the effect of proximity to vape shop on outdoor particle concentrations, additional particle measurements were conducted simultaneously at indoor sampling location 1 and outdoor sampling locations 3 and 4 for vape shop I (Fig. 6). As seen in Fig. 6a, the mean PNCs were 3.1 × 104, 1.3 × 104, and 8.9 × 103 particles/cm3 at sampling locations 1, 3, and 4, respectively. When the sampling location moved from indoor location 1 to outdoor locations 3 and 4, the PNC dropped to 41% and 29% of what was measured in the vape shop, respectively. The significant correlations of location 1 with location 3 (r = 0.51, p < 0.001) and 4 (r = 0.37, p = 0.004) indicate that small particles measured by PNC transported from the vape shop to the outdoor area and could even reach ~6–8 m away from the shop.

Fig. 6.

Fig. 6.

(a) PNC and (b) PM2.5 at indoor sampling locations 1 (inside vape shop) as well as outdoor sampling locations 3 (outside ~1–3 m away from the vape shop door) and 4 (outside ~6–8 m away from the vape shop door) for vape shop I. The solid line in each box represents the median value, and the dash line in each box represents the mean value.

In Fig. 6b, the mean PM2.5 was 472, 27, and 5 μg/m3 at sites 1, 3, and 4, respectively. When the sampling location moved to 3 and 4, PM2.5 dropped to 6% and 1%, of what was measured in the vape shop. Compared to UFPs, the stronger correlation between locations 1 and 3 (r = 0.75, p < 0.001) observed for PM2.5 indicates that fine particles traveled to outdoor location 3 from the vape shop despite at a low level. However, the insignificant correlation between locations 1 and 4 (r = 0.01, p > 0.05) for PM2.5 showed that large particles hardly traveled for a long distance because EEV particle mass decreased more rapidly due to evaporation compared to particle number (Li et al., 2020a).

Previously, Zhao et al. (2017) found that only 7% of PNC and 1% of PM2.5 remained beyond 2.5 m away from an e-cig user in an indoor environment. With more vaping events in the vape shop than a laboratory setting, our results indicate that EEV particles not only persisted in the indoor environment but also traveled to outdoor areas from the vape shop, especially for small particles. Both UFPs and PM2.5 transported from the vape shop to outdoor areas, leading to exposure risk for passersby and patrons in the shopping strip or plaza. On the other hand, EEV particles with the capability to travel farther away may enter the neighboring business through infiltration. A trade-off should be considered between using natural ventilation as the mitigation strategy to reduce exposure to EEV aerosols. However, the natural ventilation was the only method used by the studied vape shops. Other ventilation types such as mechanical ventilation with either an exhaust or supply air system should be considered in future studies.

4. Conclusions

This is the first study that focuses on the transport of EEV aerosols from vape shops to neighboring indoor spaces in multiunit buildings and the outdoor environment. The PNC and PM2.5 concentration in the studied vape shops were substantially higher than those in neighboring businesses and outdoor areas. Gas-phase nicotine was detected in all the studied vape shops and neighboring businesses. The results of this study indicate that EEV aerosols can transfer from the vape shops to neighboring businesses. Compared to PM2.5, UFPs are more likely to travel to nearby indoor spaces. Under the extremely high level of PM2.5 in the vape shop, the particle mass transfer from the vape shop to a neighboring business could also occur. Opening the door of the vape shop substantially reduced the aerosol transport from the vape shop to its neighboring business. During door open periods, EEV aerosols, especially small particles, could transport from vape shop to outdoor areas. These data provide strong policy implications in terms of protecting employees, patrons, and bystanders from exposures to EEV aerosols in indoor and outdoor spaces adjacent to vape shops. Further research on mitigation measures is needed to better inform policy. The high levels of indoor air pollutants produced by using e-cigs call for precautionary measures to protect public health.

Supplementary Material

SI File

HIGHLIGHTS.

  • Air pollutants were measured concurrently in vape shops and neighboring businesses.

  • Nicotine was detected in all the studied vape shops and neighboring businesses.

  • Exhaled e-cig aerosols can transfer to nearby spaces in multiunit buildings.

  • Ultrafine particles were more likely to transport to the outdoor environment.

  • Door open or close largely affected the air pollution levels in the nearby areas.

Acknowledgments

This work was supported by the Tobacco-Related Disease Research Program (TRDRP) (Contract # 23XT-0001 and T29IR0480). We thank Dr. Mel Suffet and Dr. Shane Que Hee for their technical support.

Footnotes

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Appendix A. Supplementary data

Supplementary data to this article can be found online at https://doi.org/10.1016/j.scitotenv.2020.143423.

References

  1. Agbenyikey W, Wellington E, Gyapong J, Travers MJ, Breysse PN, McCarty KM, Navas-Acien A, 2011. Secondhand tobacco smoke exposure in selected public places (PM2.5 and air nicotine) and non-smoking employees (hair nicotine) in Ghana. Tob. Control 20, 107–111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Baassiri M, Talih S, Salman R, Karaoghlanian N, Saleh R, El Hage R, Saliba N, Shihadeh A, 2017. Clouds and “throat hit”: effects of liquid composition on nicotine emissions and physical characteristics of electronic cigarette aerosols. Aerosol Sci. Technol 51, 1231–1239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Ballbè M, Martínez-Sánchez JM, Sureda X, Fu M, Pérez-Ortuño R, Pascual JA, Saltó E, Fernández E, 2014. Cigarettes vs. e-cigarettes: passive exposure at home measured by means of airborne marker and biomarkers. Environ. Res 135, 76–80. [DOI] [PubMed] [Google Scholar]
  4. Batterman S, 2017. Review and extension of CO2-based methods to determine ventilation rates with application to school classrooms. Int. J. Environ. Res. Public Health 14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Berg CJ, 2018. Vape shop location and marketing in the context of the Food and Drug Administration regulation. Public Health 165, 142–145. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bohac DL, Hewett MJ, Hammond SK, Grimsrud DT, 2011. Secondhand smoke transfer and reductions by air sealing and ventilation in multiunit buildings: PFT and nicotine verification. Indoor Air 21, 36–44. [DOI] [PubMed] [Google Scholar]
  7. Bolte G, Heitmann D, Kiranoglu M, Schierl R, Diemer J, Koerner W, Fromme H, 2008. Exposure to environmental tobacco smoke in German restaurants, pubs and discotheques. J. Expo. Sci. Environ. Epidemiol 18, 262–271. [DOI] [PubMed] [Google Scholar]
  8. Carlos WG, Alexander LEC, Gross JE, Dela Cruz CS, Keller JM, Pasnick S, Jamil S, 2019. Vaping-associated pulmonary illness (VAPI). Am. J. Respir. Crit. Care Med 200, P13–P14. [DOI] [PubMed] [Google Scholar]
  9. Chen C, Zhao B, 2011. Review of relationship between indoor and outdoor particles: I/O ratio, infiltration factor and penetration factor. Atmos. Environ 45, 275–288. [Google Scholar]
  10. Chen R, Aherrera A, Isichei C, Olmedo P, Jarmul S, Cohen JE, Navas-Acien A, Rule AM, 2017. Assessment of indoor air quality at an electronic cigarette (Vaping) convention. J. Expo. Sci. Environ. Epidemiol 522–529. [DOI] [PubMed] [Google Scholar]
  11. Czogala J, Goniewicz ML, Fidelus B, Zielinska-Danch W, Travers MJ, Sobczak A, 2014. Secondhand exposure to vapors from electronic cigarettes. Nicotine Tob. Res 16, 655–662. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Floyd EL, Queimado L, Wang J, Regens JL, Johnson DL, 2018. Electronic cigarette power affects count concentration and particle size distribution of vaping aerosol. PLoS One 13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Galstyan E, Galimov A, Sussman S, 2019. Commentary: the emergence of pod mods at vape shops. Eval. Health Prof 42, 118–124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Geiss O, Bianchi I, Barahona F, Barrero-Moreno J, 2015. Characterisation of mainstream and passive vapours emitted by selected electronic cigarettes. Int. J. Hyg. Environ. Health 218, 169–180. [DOI] [PubMed] [Google Scholar]
  15. Glantz SA, Bareham DW, 2018. E-cigarettes: use, effects on smoking, risks, and policy implications. In: Fielding JE, Brownson RC, Green LW (Eds.), Annual Review of Public Health. vol 39, pp. 215–235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Goniewicz ML, Lee L, 2015. Electronic cigarettes are a source of thirdhand exposure to nicotine. Nicotine Tob. Res 17, 256–258. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Hammond SK, Leaderer BP, 1987. A diffusion monitor to measure exposure to passive smoking. Environ. Sci. Technol 21, 494–497. [DOI] [PubMed] [Google Scholar]
  18. Hammond D, Rynard VL, Reid JL, 2020. Changes in prevalence of vaping among youths in the United States, Canada, and England from 2017 to 2019. JAMA Pediatr. 174 (8), 797–800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Hood NE, Ferketich AK, Klein EG, Pirie P, Wewers ME, 2014. Associations between self-reported in-home smoking behaviours and surface nicotine concentrations in multiunit subsidised housing. Tob. Control 23, 27–32. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Huang J, Duan Z, Kwok J, Binns S, Vera L, Kim Y, Szczypka G, Emery S, 2019. Vaping versus JUULing: how the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tob. Control 28, 146–151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Ingebrethsen BJ, Cole SK, Alderman SL, 2012. Electronic cigarette aerosol particle size distribution measurements. Inhal. Toxicol 24, 976–984. [DOI] [PubMed] [Google Scholar]
  22. Johnson JM, Naeher LP, Yu XZ, Rathbun SL, Muilenburg JL, Wang JS, 2018. Air monitoring at large public electronic cigarette events. Int. J. Hyg. Environ. Health 221, 541–547. [DOI] [PubMed] [Google Scholar]
  23. Khachatoorian C, Jacob P, Benowitz NL, Talbot P, 2019. Electronic cigarette chemicals transfer from a vape shop to a nearby business in a multiple-tenant retail building. Tob. Control 28, 519–525. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. King BA, Travers MJ, Cummings KM, Mahoney MC, Hyland AJ, 2010. Secondhand smoke transfer in multiunit housing. Nicotine Tob. Res 12, 1133–1141. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Layden JE, Ghinai I, Pray I, Kimball A, Layer M, Tenforde M, Navon L, Hoots B, Salvatore PP, Elderbrook M, Haupt T, Kanne J, Patel MT, Saathoff-Huber L, King BA, Schier JG, Mikosz CA, Meiman J, 2019. Pulmonary illness related to E-cigarette use in Illinois and Wisconsin — preliminary report. N. Engl. J. Med 382 (10), 903–916. [DOI] [PubMed] [Google Scholar]
  26. Lee SC, Li WM, Chan LY, 2001. Indoor air quality at restaurants with different styles of cooking in metropolitan Hong Kong. Sci. Total Environ 279, 181–193. [DOI] [PubMed] [Google Scholar]
  27. Lee JGL, Orlan EN, Sewell KB, Ribisl KM, 2018. A new form of nicotine retailers: a systematic review of the sales and marketing practices of vape shops. Tob. Control 27, E70–E75. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Li Y, Chen Z, 2003. A balance-point method for assessing the effect of natural ventilation on indoor particle concentrations. Atmos. Environ 37, 4277–4285. [Google Scholar]
  29. Li L, Lee ES, Nguyen C, Zhu Y, 2020a. Effects of propylene glycol, vegetable glycerin, and nicotine on emissions and dynamics of electronic cigarette aerosols. Aerosol Sci. Technol 1–12. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Li L, Lin Y, Xia T, Zhu Y, 2020b. Effects of electronic cigarettes on indoor air quality and health. Annu. Rev. Public Health 41, 363–380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Liu JM, Liang QW, Oldham MJ, Rostami AA, Wagner KA, Gillman IG, Patel P, Savioz R, Sarkar M, 2017. Determination of selected chemical levels in room air and on surfaces after the use of cartridge- and tank-based E-vapor products or conventional cigarettes. Int. J. Environ. Res. Public Health 14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Lopez MJ, Fernandez E, Perez-Rios M, Martinez-Sanchez JM, Schiaffino A, Galan I, Moncada A, Fu M, Montes A, Salto E, Nebot M, 2013. Impact of the 2011 Spanish smoking ban in hospitality venues: indoor secondhand smoke exposure and influence of outdoor smoking. Nicotine Tob. Res 15, 992–996. [DOI] [PubMed] [Google Scholar]
  33. McKelvey K, Baiocchi M, Halpern-Felsher B, 2018. Adolescents’ and young Adults’ use and perceptions of pod-based electronic cigarettes. JAMA Netw. Open 1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. McMillen R, Klein JD, Wilson K, Winickoff JP, Tanski S, 2019. E-cigarette use and future cigarette initiation among never smokers and relapse among former smokers in the PATH study. Public Health Rep. 134, 528–536. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Melstrom P, Koszowski B, Thanner MH, Hoh E, King B, Bunnell R, McAfee T, 2017. Measuring PM2.5, ultrafine particles, nicotine air and wipe samples following the use of electronic cigarettes. Nicotine Tob. Res 19, 1055–1061. [DOI] [PubMed] [Google Scholar]
  36. Meng Q, Son Y, Kipen H, Laskin D, Schwander S, Delnevo C, 2017. Particles released from primary E-cigarette vaping: particle size distribution and particle deposition in the human respiratory tract. Am. J. Respir. Crit. Care Med 195. [Google Scholar]
  37. Mikheev VB, Brinkman MC, Granville CA, Gordon SM, Clark PI, 2016. Real-time measurement of electronic cigarette aerosol size distribution and metals content analysis. Nicotine Tob. Res 18, 1895–1902. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Moosmuller H, Arnott WP, Rogers CF, Bowen JL, Gillies JA, Pierson WR, Collins JF, Durbin TD, Norbeck JM, 2001. Time resolved characterization of diesel particulate emissions. 1. Instruments for particle mass measurements. Environ. Sci. Technol 35, 781–787. [DOI] [PubMed] [Google Scholar]
  39. Morawska L, Ayoko GA, Bae GN, Buonanno G, Chao CYH, Clifford S, Fu SC, Hanninen O, He C, Isaxon C, Mazaheri M, Salthammer T, Waring MS, Wierzbicka A, 2017. Airborne particles in indoor environment of homes, schools, offices and aged care facilities: the main routes of exposure. Environ. Int 108, 75–83. [DOI] [PubMed] [Google Scholar]
  40. Nguyen C, Li LQ, Sen CA, Ronquillo E, Zhu YF, 2019. Fine and ultrafine particles concentrations in vape shops. Atmos. Environ 211, 159–169. [Google Scholar]
  41. Peters A, Wichmann HE, Tuch T, Heinrich J, Heyder J, 1997. Respiratory effects are associated with the number of ultrafine particles. Am. J. Respir. Crit. Care Med 155, 1376–1383. [DOI] [PubMed] [Google Scholar]
  42. Protano C, Avino P, Manigrasso M, Vivaldi V, Perna F, Valeriani F, Vitali M, 2018. Environmental electronic vape exposure from four different generations of electronic cigarettes: airborne particulate matter levels. Int. J. Environ. Res. Public Health 15. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Protano C, Manigrasso M, Cammalleri V, Zoccai GB, Frati G, Avino P, Vitali M, 2020. Impact of electronic alternatives to tobacco cigarettes on indoor air particular matter levels. Int. J. Environ. Res. Public Health 17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Russo ET, Hulse TE, Adamkiewicz G, Levy DE, Bethune L, Kane J, Reid M, Shah SN, 2015. Comparison of indoor air quality in smoke-permitted and smoke-free multiunit housing: findings from the Boston Housing Authority. Nicotine Tob. Res 17, 316–322. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Schober W, Szendrei K, Matzen W, Osiander-Fuchs H, Heitmann D, Schettgen T, Jorres RA, Fromme H, 2014. Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers. Int. J. Hyg. Environ. Health 217, 628–637. [DOI] [PubMed] [Google Scholar]
  46. Scungio M, Stabile L, Buonanno G, 2018. Measurements of electronic cigarette-generated particles for the evaluation of lung cancer risk of active and passive users. J. Aerosol Sci 115, 1–11. [Google Scholar]
  47. Son Y, Giovenco DP, Delnevo C, Khlystov A, Samburova V, Meng Q, 2020. Indoor air quality and passive E-cigarette aerosol exposures in vape-shops. Nicotine Tob. Res 22 (10), 1772–1779. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Soule EK, Maloney SF, Spindle TR, Rudy AK, Hiler MM, Cobb CO, 2017. Electronic cigarette use and indoor air quality in a natural setting. Tob. Control 26, 109–112. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Sturm R, 2016. Total deposition of ultrafine particles in the lungs of healthy men and women: experimental and theoretical results. Ann. Transl. Med 4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Sussman S, Baezconde-Garbanati L, Garcia R, Barker DC, Samet JM, Leventhal A, Unger JB, 2016. Commentary: forces that drive the vape shop industry and implications for the health professions. Eval. Health Prof 39, 379–388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Truth Initiative, 2019. E-cigarettes: Facts, Stats and Regulations. Truth Initiative, Washington, DC. [Google Scholar]
  52. U.S. Environmental Protection Agency, 2016. 40 CFR 50.18. National Primary Ambient Air Quality Standards for PM2.5. U.S. Environmental Protection Agency, Washington, D.C. [Google Scholar]
  53. U.S. Environmental Protection Agency, 2020. Indoor Air Quality (IAQ): Indoor Particulate Matter. U.S. Environmental Protection Agency. [Google Scholar]
  54. Vallone DM, Cuccia AF, Briggs J, Xiao H, Schillo BA, Hair EC, 2020. Electronic cigarette and JUUL use among adolescents and young adults. JAMA Pediatr. 174 (3), 277–286. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Volesky KD, Maki A, Scherf C, Watson L, Van Ryswyk K, Fraser B, Weichenthal SA, Cassol E, Villeneuve PJ, 2018. The influence of three e-cigarette models on indoor fine and ultrafine particulate matter concentrations under real-world conditions. Environ. Pollut 243, 882–889. [DOI] [PubMed] [Google Scholar]
  56. Yoong SL, Stockings E, Chai LK, Tzelepis F, Wiggers J, Oldmeadow C, Paul C, Peruga A, Kingsland M, Attia J, Wolfenden L, 2018. Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta-analysis of country level data. Aust. N. Z. J. Public Health 42, 303–308. [DOI] [PubMed] [Google Scholar]
  57. Zhang L, Lin Y, Zhu Y, 2020. Transport and mitigation of exhaled electronic cigarette aerosols in a multizone indoor environment. press. Aerosol Air Qual. Res 20 (11), 2536–2547. [Google Scholar]
  58. Zhao J, Pyrgiotakis G, Demokritou P, 2016. Development and characterization of electronic-cigarette exposure generation system (Ecig-EGS) for the physico-chemical and toxicological assessment of electronic cigarette emissions. Inhal. Toxicol 28, 658–669. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Zhao TK, Nguyen C, Lin CH, Middlekauff HR, Peters K, Moheimani R, Guo QJ, Zhu YF, 2017. Characteristics of secondhand electronic cigarette aerosols from active human use. Aerosol Sci. Technol 51, 1368–1376. [Google Scholar]

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