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Youth E-cigarette Use Remains Serious Public Health Concern Amid COVID-19 Pandemic

For Quick Launch:

A examine launched at this time from the U.S. Meals and Drug Administration and the U.S. Facilities for Illness Management and Prevention (CDC) estimated that greater than 2 million U.S. center and highschool college students reported at the moment utilizing e-cigarettes in 2021, with greater than 8 in 10 of these youth utilizing flavored e-cigarettes.

The report, printed within the Morbidity and Mortality Weekly Report, was based mostly on knowledge from the 2021 Nationwide Youth Tobacco Survey (NYTS), a cross-sectional, self-administered survey of U.S. center (grades 6–8) and excessive (grades 9–12) faculty college students. The examine assessed present (used on a number of of the previous 30 days) e-cigarette use; frequency of use; and use by machine sort, flavors and traditional model.

This NYTS—administered Jan. 18- Might 21, 2021—was the primary to be totally performed in the course of the COVID-19 pandemic. Knowledge had been collected utilizing an internet survey to permit eligible college students to take part within the classroom, at dwelling or in another place to account for numerous faculty settings throughout this time. Previous to the pandemic, the survey was performed in particular person, inside the varsity classroom. Due to the adjustments in the best way the survey was performed this yr, outcomes of the 2021 NYTS can’t be in comparison with findings from earlier surveys.

Nonetheless, the 2021 NYTS gives essential details about youth use of e-cigarettes. Notably, when many college students had been in distant studying environments that may have affected their entry to tobacco merchandise, an estimated 11.3% (1.72 million) of highschool college students and an estimated 2.8% (320,000) of center faculty college students reported present e-cigarette use.

“These knowledge spotlight the truth that flavored e-cigarettes are nonetheless extraordinarily standard with children. And we’re equally disturbed by the quarter of highschool college students who use e-cigarettes and say they vape each single day,” mentioned Mitch Zeller, J.D., director of the FDA’s Heart for Tobacco Merchandise. “The FDA continues to take motion towards those that promote or goal e-cigarettes and e-liquids to children, as seen simply this yr by the denial of multiple million premarket purposes for flavored digital nicotine supply system merchandise. It’s important that these merchandise come off the market and out of the palms of our nation’s youth.”

Different Key Findings

  • Frequency of Use: Amongst youth who at the moment used e-cigarettes, 43.6% of highschool college students and 17.2% of center faculty college students reported utilizing e-cigarettes on 20 or extra of the previous 30 days. Additionally amongst present customers, greater than 1 in 4 (27.6%) highschool college students and about 1 in 12 (8.3%) center faculty college students who used e-cigarettes used them each day.
  • Gadget Sort Use: Amongst youth who at the moment used e-cigarettes, probably the most generally used e-cigarette machine sort was disposables (53.7%), adopted by prefilled or refillable pods or cartridges (28.7%), and tanks or mod programs (9.0%).
  • Taste Use: Amongst youth who at the moment used e-cigarettes, 84.7% used flavored e-cigarettes together with 85.8% of highschool and 79.2% of center faculty customers. General, probably the most generally used taste varieties had been fruit; sweet, desserts, or different sweets; mint; and menthol (Notice that these outcomes confer with flavors apart from tobacco).
  • Model Use: Amongst highschool college students who at the moment used e-cigarettes, 26.1% reported their traditional model was Puff Bar, adopted by Vuse (10.8%), SMOK (9.6%), JUUL (5.7%) and Suorin (2.3%). Amongst center faculty college students who at the moment used e-cigarettes, 30.3% reported their traditional model was Puff Bar, and 12.5% reported JUUL. Notably, 15.6% of highschool customers and 19.3% of center faculty customers reported not figuring out the e-cigarette model they normally used.

“This examine reveals that even in the course of the COVID-19 pandemic, e-cigarette use amongst youth stays a critical public well being concern,” mentioned Karen Hacker, M.D., M.P.H., Director of CDC’s Nationwide Heart for Persistent Illness Prevention and Well being Promotion. “It’s important we proceed working collectively to guard younger individuals from the dangers related to tobacco product use, together with e-cigarettes. Our public well being efforts embrace CDC’s Nationwide and State Tobacco Management Program, and sources for educators, mother and father and suppliers to warn youth about tobacco merchandise and assist them give up.”

Addressing Youth Tobacco Product Use

Youth use of tobacco merchandise—in any kind, together with digital nicotine supply programs (ENDS) like e-cigarettes—is unsafe. Such merchandise include nicotine, which is extremely addictive and may hurt the creating adolescent mind. Utilizing nicotine in adolescence may improve threat for future habit to different medicine.

Ongoing efforts to handle youth e-cigarette use are important, together with the FDA’s vital progress made on the unprecedented variety of well timed premarket purposes acquired by the Sept. 9, 2020, court-ordered deadline for deemed new tobacco merchandise, together with e-cigarettes.

The company has taken motion on over 96% of the purposes to this point, together with issuing advertising and marketing denial orders (MDOs) for multiple million flavored ENDS merchandise which are so standard with younger individuals. The MDOs had been issued for merchandise whose purposes lacked ample proof that such merchandise have a profit to grownup people who smoke to beat the general public well being concern posed by the well-documented and appreciable enchantment of the merchandise to youth. The FDA is conscious of a variety of corporations, corresponding to Puff Bar, claiming their merchandise include solely artificial nicotine not sourced from tobacco, which can increase separate regulatory and authorized points that the company is contemplating how finest to handle.

Since 2014, e-cigarettes have been probably the most generally used tobacco product amongst U.S. youth. Because the tobacco product panorama continues to evolve, the sustained implementation of complete tobacco management and prevention methods on the nationwide, state, and native ranges, coupled with FDA rules, can forestall and cut back tobacco product initiation and use amongst youth.


Associated Data



The FDA, an company inside the U.S. Division of Well being and Human Providers, protects the general public well being by assuring the protection, effectiveness, and safety of human and veterinary medicine, vaccines and different organic merchandise for human use, and medical gadgets. The company is also accountable for the protection and safety of our nation’s meals provide, cosmetics, dietary dietary supplements, merchandise that give off digital radiation, and for regulating tobacco merchandise.


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