Following an advisory from the Union Ministry of Health and Family Welfare issued in 2018, Twelve states across India have banned Electronic Nicotine Delivery Systems (ENDS) or e-cigarettes. States of Punjab, Maharashtra, Karnataka, Kerala, Bihar, Uttar Pradesh, Jammu & Kashmir, Himachal Pradesh, Tamil Nadu, Puducherry and Jharkhand have taken steps to ban the use of ENDS. ENDS, more commonly known as e-cigarettes or "vapes" in India, are products that produce an aerosolized mixture containing flavored liquids and nicotine that is inhaled by the user.