Verkkothere are also public health concerns, including concerns about the effect of ecs on smoking prevalence and their potential use by children as a. Verkkoeight reviews that vaping may act as a gateway to smoking (with the most recent review establishing 3 times higher odds of initiating tobacco cigarette smoking for. Verkkoit is important to understand how vaping might affect the prevalence of cigarette smoking. Not only might there be gateway effects, with vaping.