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Addictions & workplace health

The electronic cigarette: what does science say?

IRIS Prévention
2 September 2026
A quitting aid for some, a gateway to nicotine for others: few subjects attract as many misunderstandings as the e-cigarette. Here is what French health authorities actually say, what the law now requires, and how to decide according to your own situation.

Nearly 4 million people in France vape, and more than three quarters of them do so every day. Yet most do not really know what they are inhaling, or what the rules allow and forbid. This article sets out the facts without taking sides.

1. What is really inside an e-cigarette

The principle is simple: a battery heats a coil that vaporises a liquid. This e-liquid contains four types of ingredients.

ComponentRoleWhat you need to know
Propylene glycol and vegetable glycerineBase of the liquid, produce the visible vapourCommon substances in food and cosmetics, but their effects when repeatedly inhaled are less well known
NicotineThe substance responsible for dependenceOptional: nicotine-free liquids exist. In Europe, concentration is capped at 20 mg/ml
FlavouringsProvide the taste (tobacco, mint, fruit, dessert…)Mostly food flavourings, whose safety once heated and inhaled has not been systematically established
Water and alcoholThin the mixtureIn very small quantities

What fundamentally separates the e-cigarette from a conventional cigarette comes down to one word: no combustion. It is the burning of tobacco that produces tar, carbon monoxide and most of the carcinogens in smoke. This is the basis for the idea that vaping is less harmful. Less harmful does not mean harmless: the vapour contains fine particles and some irritants, generally at far lower levels than tobacco smoke.

2. The official position in France

The Haute Autorité de Santé (HAS), France's health authority, updated its recommendations on quitting smoking in 2023. Its position comes in two parts.

First, the e-cigarette is not recommended as a first-line quitting aid. The reference treatments remain nicotine replacement products (patches, gum, lozenges), reimbursed on prescription, combined with support from a health professional. That support matters as much as the product: without it, the great majority of quit attempts fail within the year.

Second, and this is the important nuance, the HAS states that a smoker who has already started vaping in order to quit should not be discouraged from doing so. The message is therefore not "do not vape", but "if you vape to quit smoking, do it as part of a supported quitting plan, without keeping cigarettes alongside".

That last point targets a common situation: dual use, meaning vaping while continuing to smoke. Vaping and still smoking, even less, does not deliver the expected benefit, because the harm from tobacco is not proportional to the number of cigarettes. A few cigarettes a day are enough to keep cardiovascular risk high.

3. What the law says since 2025

The regulatory framework has tightened considerably, and several rules are little known.

RuleWhat this means in practice
Sale to minors bannedWith or without nicotine. Penalties for sellers were increased in July 2025
Puffs bannedSince 25 February 2025, disposable e-cigarettes (pre-filled and non-rechargeable) can no longer be sold or given away in France. Rechargeable models remain permitted
Nicotine capped20 mg/ml maximum, tanks limited to 2 ml and refill bottles to 10 ml, under European regulations
Vaping banned in certain placesSchools, enclosed public transport and enclosed shared workspaces
Advertising bannedAs for tobacco, except in specialist shops

The ban on puffs answers a specific finding: these disposable products, with their sweet flavours and colourful designs, had been tried by more than a third of 18- to 29-year-olds in 2024 according to Santé publique France, and by a worrying share of secondary school pupils, even though selling them to minors was already prohibited.

4. Who vapes in France, and why it matters

The 2024 Santé publique France health barometer paints a clear picture. Around 8% of adults vape, 6.5% of them daily. Vaping has been rising slowly since 2016, while daily smoking has fallen to 18.2% of adults, its lowest level ever recorded.

The essential point lies elsewhere: almost all daily vapers are former smokers or smokers in the process of quitting. In practice, vaping remains a tool used by people trying to get away from tobacco. Starting to vape without ever having smoked remains marginal among adults. It is among the young that vigilance is needed.

5. What we do not yet know

It would be dishonest to present the case as closed. Three questions remain open.

Long-term effects. The e-cigarette has existed at scale for about fifteen years, which is short for measuring consequences that, in the case of tobacco, appear after twenty or thirty years. The available data are reassuring compared with tobacco, but they cannot guarantee complete safety.

Getting off vaping. Many people who quit smoking with an e-cigarette are still vaping years later. Yet the health goal remains stopping all nicotine use. Gradually lowering the liquid's nicotine strength, then switching to nicotine-free liquids, is the usual advice.

Product quality. Checks have shown that some products sold online or imported exceed the permitted concentrations. Buying through official channels in France, with compliant labelling, is not a detail.

6. What to do, depending on your situation

If I smoke and want to quit, the most effective route is still to talk to my doctor or pharmacist and use reimbursed nicotine replacement with support. If I prefer the e-cigarette, or have already started, the key is to stop conventional cigarettes completely and to see vaping as a step towards quitting, not an open-ended replacement. Tabac Info Service (39 89) offers free support.

If I vape without ever having smoked, there is no benefit to expect, only exposure to nicotine, and dependence sets in quickly. The right decision is to stop.

If I am a parent, the question is not whether my teenager vapes "only without nicotine": the flavours and the gesture normalise consumption, and checks show that labelling is not always reliable. Dialogue works better than a ban alone, but the ban is also the law's.

In every case, a health check-up is an opportunity to raise the subject without judgement, take stock of nicotine dependence and build an exit strategy that fits.

💡 Tips to remember

    • No combustion, so no tar and no carbon monoxide: this is what makes the e-cigarette less harmful than tobacco, without making it harmless.
    • The HAS does not recommend it as a first-line aid, but does not discourage a smoker who vapes to quit: the key is to stop cigarettes completely, not to combine the two.
    • Since 25 February 2025, disposable puffs are banned in France, and so is the sale of any vaping product to minors, with or without nicotine.
    • I buy only through official channels: nicotine is capped at 20 mg/ml in Europe, and imported or online products do not always respect that limit.
    • Vaping is not an end in itself: I gradually lower the nicotine with the goal of stopping, and I can get free support from Tabac Info Service (39 89).