"They add to mounting concerns that the rise in youth use of e-cigarettes, especially Juul, is vastly expanding the number of kids addicted to nicotine, could be leading kids to and not away from cigarettes, and directly threatens the decades-long progress our nation has made in reducing youth smoking and other tobacco use", Myers said.
According to the Vermont Department of Health, "When tobacco products and e-cigarettes are sold in flavors kids love, like cotton candy, bubble gum and peanut butter cup, they attract youth and seem less risky".
"A very important finding in today's study is that 2 in 5 high school students (reporting tobacco use) are using 2 or more tobacco products and 1 in 3 middle school students are", he said. "For the fifth year in a row, e-cigarettes (20.8%) were the most commonly used tobacco product among high schoolers ..."
Public health experts are continuing to sound the alarm on the teen vaping epidemic, tying the 1.3 million increase in teen tobacco users from 2017 to 2018 directly to e-cigarettes. "Youth use of any tobacco product, including e-cigarettes, is unsafe". The smoking rate among USA high school and middle school students has been flat for three years now, after a fairly steady decline for almost two decades, according to new numbers released Monday, Feb. 11, 2019.
The nicotine in e-cigarettes also pose other health hazards, said Dr. Anne Schuchat, the CDC's principal deputy director.
The U.S. Food and Drug Administration is cracking down on e-cigarette marketing and sales aimed at teens, but more needs to be done, said Thomas Ylioja, clinical director of health initiatives at National Jewish Health in Denver. "This is a real public health concern and something that we as university students are very concerned about". "What came out clearly was that the newer products were in no way less toxic to cells than conventional cigarettes or e-cigarette vaping".
SAAVE (Stop Addicting Adolescents to Vaping and E-Cigarettes) is a group of students and doctors created to petition the government to strengthen its regulations by banning all advertising as well as flavoured e-cigarette juice. In January, the FDA warned that e-cigarettes could be pulled from the market entirely if youth use continues to rise.
The CDC report singles out the company's sleek device, which is fueled by liquid nicotine "pods", as a reason that the rate of youth e-cigarette use has climbed so high.
Among high school students, 32.4% of non-Hispanic whites reported current use of any tobacco product in 2018, compared to 21.7% of Hispanics, 18.4% of non-Hispanics of other races, and 17.4% of black students. There was a significant difference between use among high school age students and those in middle school.
A few other states - including MA and Virginia - have implemented "ID at delivery requirements" for tobacco-related products, according to Gregory Conley, the president of the American Vaping Association, a nonprofit that advocates for "sensible regulation" but is not an industry representative.