Vape Escape: Is Vaping a Safe Alternative to Cigarettes? Blue Cross and Blue Shield's Federal Employee Program FACT: Most e cigarette users also smoke cigarettes, a pattern known as dual use. This means the tobacco industry isn't helping people quit; it's sustaining addiction through another product. While the industry claims Alternative Tobacco Products Lower Toxins Than Cigarettes Ecigator No Nicotine Vape: What's Driving The Shift?