Boys and girls of primary school age are becoming so ill from vaping they are ending up in hospital, a Sky News investigation can reveal.
Figures from NHS England show there were 15 cases where children aged nine or under needed to be admitted in the year to April, up from 12 last year and two the year before that.
Professor Andy Bush, a paediatric chest physician at the Royal Brompton Hospital in west London, says he’s “absolutely horrified” by the statistics.
“Young children are being exposed to substances of addiction, substances that are toxic and some of the toxicity is not known,” he said.
“It’s a jungle… we just do not know what is in most of these things.
“If a teenager starts smoking cigarettes, probably the worst that’s going to happen to them is they’re going to be sick and throw up behind the bike shed.
“The acute use of e-cigarettes can put them in hospital, can put them in intensive care, things like lung bleeding, lung collapse and air leak, the lungs filling up with fat.”
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For many smokers, vaping has been the key to quitting what is the biggest preventable cause of death.
Image: Rosey Christoffersen died after both her lungs collapsed
But Rachel Howe is convinced it’s what killed her 18-year-old daughter, Rosey Christoffersen in February 2015, six months after she began vaping heavily.
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“She was supposed to call me at 5.30pm but she didn’t call,” she said.
“I rang her phone and one of the ambulance crew answered and said we’re with your daughter, we’re working on her. She’d come out of work and collapsed.”
Rosey had suffered a heart attack, but what had caused it was the sudden collapse of both her lungs – a bilateral pneumothorax.
Her brain was starved of oxygen and two days later it was made clear she would not survive.
Image: Rachel Howe is convinced vaping killed her daughter
Rachel, from the Wirral, was told Rosey’s lungs were “just a mass of holes and blisters called blebs”.
“To be honest, there was just a lot of stunned silence at the hospital,” she said.
Rosey had been to the doctors a number of times with chest pain in the months before her death but as a fit and active footballer it was put down to a pulled muscle.
“I was finding bottles and bottles of the empty liquid,” said Rachel.
“She constantly had it in her mouth. And I kept saying to her, you know, you wouldn’t smoke that much… why are you vaping that much?”
No post-mortem was carried out, no official link was made, but Rachel says doctors told her vaping was “probably” to blame.
Image: Professor Andy Bush
Professor Bush goes further than that, adding he has never seen double lung collapse in a fit, young person.
“I think that mother is right,” he said.
“I cannot think of any other explanation that would cover the facts.”
It’s illegal to sell vapes to under-18s and the boxes are clearly labelled.
But it’s easy to see why certain products would appeal to children.
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5:38
What are the dangers of vaping?
But John Dunne, from the UK Vaping Industry Association, says “the statistics would not exist if children were not getting their hands on vapes”.
“Every year according to the NHS some 76,000 people die from smoking, whereas there has not been one officially confirmed report of a death from vaping even though the category has been available in the UK for around the last 15 years,” he said.
“The fundamental issue that needs urgently addressing is the woeful level of enforcement of vaping age regulations across the UK.
“Whilst we see recent measures announced by the government as a step in the right direction to tackle youth vaping… much more needs to be done to support Trading Standards in their efforts to tackle rogue traders and cut off the source of supply of vapes to minors.”
He wants on-the-spot fines of £10,000 to be introduced for those caught selling to young people.
Image: Rachel Howe and Rosey Christoffersen
Rosey was due to start a new job as a trainee hairdresser a couple of days after collapsing.
Instead that day she was being kept alive so her organs could be donated, helping eight other people.
Rachel wants more research to be done into the impact vaping has on young people.
She’s made it her mission to tell her daughter’s story to any young people she sees vaping, or who come into the shop she works in asking for them.
The impact on young lungs is only just emerging, but she knows there’s too much at stake to ignore the risks.
England and Scotland fans have found out where their World Cup group games will be played when the tournament kicks off in June.
England, who are in Group L, will begin their tournament against Croatia in Dallas at 4pm EST (9pm BST) on 17 June. They will then go on to face Ghana in Boston at 4pm EST (9pm BST) on 23 June and Panama in New Jersey, New York, at 5pm EST (10pm BST) on 27 June.
Scotland are in Group C, and their first match will be against Haiti in Boston at 9pm EST on 13 June (2am GMT the following morning).
They will go up against Morocco also in Boston at 6pm EST (11pm GMT) on 19 June and then Brazil in Miami at 6pm EST (11pm GMT) on 24 June.
Fans are expected to rush to sort their travel and accommodation plans now that they know where and when the matches take place.
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2:44
England and Scotland learn World Cup fate
Wales and Northern Ireland have yet to find out if they will qualify.
Wales must face a play-off against Bosnia and Herzegovina in Cardiff, then either Italy or Northern Ireland, if they are victorious.
If they beat these play-off opponents, they will secure their place in Group B alongside Canada, Qatar and Switzerland.
However, Northern Ireland will also be vying to guarantee their spot in the same group if they can beat Italy and then either Wales or Bosnia and Herzegovina.
This breaking news story is being updated and more details will be published shortly.
England are in Group L along with Croatia, Panama and Ghana. Their first match will be against Croatia, who beat them in the semi-finals of the 2018 World Cup in Russia.
Image: Pic: Reuters
Scotland’s first match will be against Haiti, in Group C.
Brazil and Morocco are the other Group C teams – both countries were also in the same opening group as Scotland in the 1998 World Cup in France.
Image: Trump and Infantino at the World Cup draw
Wales have yet to find out if they will qualify as they must face a play-off against Bosnia and Herzegovina in Cardiff, and then either Italy or Northern Ireland, if they are victorious.
If they can overcome these play-off opponents then they will secure their place in Group B along with Canada, Qatar and Switzerland. But Northern Ireland will also be vying and hoping to guarantee their spot in the same group if they can beat Italy and then either Wales or Bosnia and Herzegovina.
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1:20
‘Bring it on!’: Scotland fans react to World Cup draw
The Republic of Ireland also need to get through the play-offs first and are paired against the Czech Republic for their semi-final. Should Ireland win that match, they will need to beat either North Macedonia or Denmark to get to the finals where an opening group containing joint hosts Mexico, South Africa and South Korea awaits.
This was a World Cup draw like no other. Crafted less for the teams but for one man.
The choice of venue. The creation of a new trophy. The closing music act.
Donald Trump was lavished with the adulation he craves by FIFA President Gianni Infantino and feels others unfairly deny him.
Knowing how much being overlooked by the Nobel Committee hurt the US president, there was Mr Infantino with FIFA’s newly-created Peace Prize to hand over. And a medal for Mr Trump to wear.
“This is truly one of the great honours of my life,” he said. “And beyond awards, Gianni and I were discussing this. We saved millions and millions of lives.”
This was all on the stage in front of an audience who turned up to find out who they will be playing at the World Cup.
England handed an undaunting route past Croatia, Panama and Ghana. Scotland paired with newcomers Haiti before tricky reunions from their last men’s World Cup in 1998 against Brazil and Morocco.
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Image: Pic: Reuters
But the show before the draw could even begin – presided over by Rio Ferdinand – took almost as long as a football match, at 87 minutes after the noon kick-off was delayed.
There was a walk of self-promotion to complete – “I guess they have to wait” – before taking his seat in the Kennedy Center. Or the Trump Kennedy Center as the president takes to calling the venue picked 1.5 miles from the White House.
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0:35
England manager Thomas Tuchel reacts to draw
“It was falling apart,” he said, delaying the walk into the auditorium. “And now it’s, it’s pretty much back.”
Mr Infantino could only watch on, beaming, at his friend.
“We had a dead country,” Mr Trump went on, “and now we have the hottest country anywhere in the world”.
There was the awkwardness of being reminded, before receiving the peace accolade, about threats to launch military strikes on Venezuela to stop the drugs trade.
“I did settle eight wars, and we have a ninth coming,” he swatted away the question. “Which nobody’s ever done before. But I want to really save lives. I don’t need prizes.”
But FIFA knew how much he wanted more gold for the collection with the prize.
Image: Donald Trump and FIFA president Gianni Infantino. Pic: Reuters
Image: Pic: Reuters
And for all the mockery and disdain targeted at FIFA, how many sports would relish having the US president spend several hours attending a procedural event determining the placing of teams in groups for a tournament?
How many would dish out the same flattery to secure direct lines to the leader of the nation staging their championship?
Many have benefited from Mr Trump’s stardust and swagger being attached to this spectacle.
Even Port Vale’s most famous fan – Robbie Williams – secured a walk-on role, exceeding his profile this side of the Pond.
And the Village People are reaping the rewards of becoming the unlikeliest of Trump hype acts.
The festivities ended with eyes fixed back up to the presidential seating and the YMCA dance being performed.
This was an afternoon that dispelled any pretence that FIFA keeps a distance from politics. It was unapologetically political. But few speak out in the FIFA world as the redistributed wealth keeps rolling back in their direction.
It would be easy to forget this isn’t entirely America’s World Cup. They’re sharing hosting with Canada and Mexico.
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1:20
‘Bring it on!’: Scotland fans react to World Cup draw
And eventually the spotlight was ceded to their leaders – very briefly – as Mexican President Claudia Sheinbaum and Canadian Prime Minister Mark Carney drew out their countries’ names.
But it did live up to FIFA’s mantra that football can unite the world.
The neighbours were brought together here on a snowy day in Washington. And tensions – often stoked by Mr Trump with Canada and Mexico – thawed in the name of football.