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Teen use of flavored e-cigarettes has continued to rise, report says

Dr. Sanjay Gupta talks to a group of teens, including his own children, about the dangers of vaping.

Posted: Oct 3, 2019 3:52 PM


Flavored e-cigarette use among young people in the United States increased from 2014 to 2018, according to a new report from the US Centers for Disease Control and Prevention and the US Food and Drug Administration.

The report, released Thursday, said current use of flavored e-cigarettes -- defined as use in the past 30 days -- had increased among high school students since 2014 and among middle school students since 2015.

Public health officials have called youth vaping an epidemic. The rates of eighth, 10th and 12th graders who use e-cigarettes continued to rise in 2019 and doubled from 2017 to 2019, according to research released last month. The United States is also facing an outbreak of lung injuries linked to vaping, many of them among young people.

"The high prevalence of flavored tobacco product use among middle and high school students is a concern because flavors can increase the appeal of tobacco products to youths, promote youth initiation of tobacco products, and result in lifelong tobacco product use," the report said.

Since 2009, federal regulations have prohibited flavored cigarettes other than tobacco or menthol, but no such federal prohibition applied to other tobacco products. In the last few weeks, several states and cities around the United States have restricted sales of e-cigarette flavors, which can include fruit, chocolate and candy flavors. The FDA is also moving to clear the market of e-cigarette flavors.

The new report said 3.15 million middle and high school student tobacco users -- nearly two-thirds of them -- said they used any type of flavored tobacco products in 2018. E-cigarettes were the most commonly used type of flavored tobacco.

The analysis, based on data from the National Youth Tobacco Survey, found that use of flavored hookah pipe tobacco among middle and high school students had declined from 2014 to 2018. The use of flavored smokeless tobacco, cigars, pipe tobacco and menthol cigarettes decreased among high school students during that time, the report said.

The report said the increase in flavored e-cigarette use might be because of the recent popularity and higher market share of e-cigarettes shaped like a USB flash drive, such as Juul.

"These products can be used discreetly, have a higher nicotine content than earlier generation e-cigarettes, and are available in flavors that appeal to youths, the report said.

"These attributes might play a role in sustained use; research shows the majority of youths and young adults who reported ever using Juul also reported being current Juul users," it added.

Juul has maintained that its products are intended to convert adult smokers to what it described in the past as a less-harmful alternative. In other communications, the company says it cannot make claims its products are safer, in line with FDA regulations.

In 2018, Juul announced it would stop selling most flavors in retail stores, including convenience stores and vape shops, as part of a plan to restrict access among minors.

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 708779

Reported Deaths: 13226
CountyCasesDeaths
Marion966191721
Lake51761946
Allen39224672
Hamilton34549405
St. Joseph34157541
Elkhart27356432
Vanderburgh22081394
Tippecanoe21853212
Porter17935299
Johnson17544374
Hendricks16822310
Clark12697190
Madison12353337
Vigo12219244
Monroe11469166
LaPorte11162204
Delaware10366184
Howard9664211
Kosciusko9134114
Hancock7990139
Bartholomew7893155
Warrick7691155
Floyd7563176
Wayne6906198
Grant6844171
Boone6556100
Morgan6405138
Dubois6085117
Marshall5786108
Dearborn570376
Cass5685102
Henry5579101
Noble542683
Jackson493569
Shelby479495
Lawrence4342118
Gibson429089
Harrison428570
Clinton419753
Montgomery418086
DeKalb411184
Whitley380239
Huntington379880
Miami372865
Knox366689
Steuben365757
Putnam353160
Jasper350946
Wabash347878
Adams338052
Ripley334668
Jefferson313180
White308454
Daviess289499
Wells286481
Decatur279092
Fayette277262
Greene270785
Posey268833
Scott261153
LaGrange253670
Clay253544
Randolph235680
Washington231031
Spencer228031
Jennings225047
Fountain208845
Sullivan207942
Starke204752
Owen192356
Fulton192039
Jay186429
Carroll185920
Perry180736
Orange177853
Rush170724
Vermillion166043
Franklin165635
Tipton161043
Parke144616
Blackford133831
Pike130334
Pulaski113845
Newton104234
Brown100140
Crawford97614
Benton97113
Martin82915
Warren79715
Switzerland7698
Union69910
Ohio55811
Unassigned0408

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 1054807

Reported Deaths: 18991
CountyCasesDeaths
Franklin1225191356
Cuyahoga1074592069
Hamilton783261168
Montgomery50176996
Summit45557909
Lucas40298765
Butler37768570
Stark31513895
Lorain24246473
Warren23910293
Mahoning20946583
Lake20067362
Clermont19459229
Delaware18085130
Licking16149207
Fairfield15757197
Trumbull15627460
Medina14922259
Greene14706236
Clark13660293
Wood12806185
Portage12431196
Allen11352229
Richland11067198
Miami10548214
Muskingum8717127
Wayne8594209
Columbiana8569226
Pickaway8439121
Marion8390135
Tuscarawas8387240
Erie7600154
Hancock6730123
Ross6707146
Geauga6553146
Ashtabula6530165
Scioto6295101
Belmont5634158
Union558447
Lawrence5470102
Jefferson5343147
Huron5314114
Darke5273121
Sandusky5189120
Seneca5139120
Washington5087107
Athens503856
Auglaize476284
Mercer471984
Shelby456590
Knox4397108
Madison423959
Putnam421799
Ashland413488
Fulton410567
Defiance404296
Crawford3883101
Brown386955
Logan374476
Preble371098
Clinton362160
Ottawa357978
Highland347459
Williams328674
Champaign321557
Jackson308551
Guernsey307549
Perry290549
Fayette278048
Morrow275939
Hardin264764
Henry264366
Coshocton259857
Holmes253499
Van Wert239262
Pike233831
Gallia233446
Adams229152
Wyandot227553
Hocking209759
Carroll189447
Paulding168838
Meigs141738
Noble132937
Monroe128941
Morgan106823
Harrison105636
Vinton81614
Unassigned02
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