Vaping FAQs

what is teen vaping epidemic

by Levi Mosciski Published 1 year ago Updated 1 year ago
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Recent national surveys demonstrate a drastic increase in e-cigarette use among high schoolers. An article from the New England Journal of Medicine reported a 10% increase in adolescents using e-cigarettes between 2017 and 2018 alone, which is approximately 1.3 million teenagers.

Full Answer

Why vaping is dangerous for teens?

Vaping increases the risk of teens developing an addiction to nicotine. Vaping exposes children and teens to harmful metals and toxic chemicals found in e-cigarettes. A mysterious, vaping-related illness is on the rise: e-cigarette or vaping product use-associated lung injury (EVALI).

What is the real risk behind teen vaping?

The teen years are critical for brain development, which continues into young adulthood. Young people who use nicotine products in any form, including e-cigarettes, are uniquely at risk for long-lasting effects.

What are the effects of vaping on teenagers?

  • Nicotine dependence, which can lead to disruptions in brain development and chemistry
  • Increase in shortness of breath, coughing, and fevers
  • Acid reflux
  • Higher likelihood of contracting lipoid pneumonia, which occurs when fatty substances are inhaled into the lungs.

Is teen vaping a public health crisis?

Vaping among preteens and teens has reached a crisis point, according to a 2019 survey, and it threatens to undo years of public health efforts that had led to a decline in nicotine use. Parents should be concerned because: Vaping increases the risk of teens developing an addiction to nicotine.

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What is the vaping epidemic?

The exposure of young people to e-cigarettes through the process of vaping has garnered national attention in the media. The prevalence of nicotine vaping in the US doubled in grades 8, 10, and 12 across a 2-year span from 2017 to 2019, making it the largest increase in adolescent substance use ever recorded.

Why did teenagers start vaping?

Curiosity (55.3%) A friend or family member used them (30.8%) Availability of flavors like mint, candy, fruit, or chocolate (22.4%) They can be used to do tricks (21.2%)

Is vaping an epidemic in the US?

We must take aggressive steps to protect our children from these highly potent products that risk exposing a new generation of young people to nicotine. The bad news is that e-cigarette use has become an epidemic among our nation's young people.

How many teens suffer from vaping?

In 2021, more than a quarter (27.6%) of high school e-cigarette users and 8.3% of current middle school e-cigarette users reported vaping daily, according to the 2021 National Youth Tobacco Survey.

What's worse smoking or vaping?

1: Vaping is less harmful than smoking, but it's still not safe. E-cigarettes heat nicotine (extracted from tobacco), flavorings and other chemicals to create an aerosol that you inhale. Regular tobacco cigarettes contain 7,000 chemicals, many of which are toxic.

Why has vaping become so popular?

Experts say part of the reason for the surge in use in such a short time is the evolution of the devices themselves. "We used to say that cigarettes are the most effective way of consuming nicotine, but e-cigarettes have replaced them," said Dr.

What does vaping do to children?

sleep problems. exposure to cancer-causing chemicals. chronic bronchitis. lung damage that can be life-threatening.

How do lungs heal from vaping?

However, there are certain lifestyle behaviors you can practice to try and accelerate the rate at which your lungs heal.Drink Lots Of Water. ... Eat Healthy Foods. ... Exercise Regularly. ... Cough. ... Clean Your Living Space. ... Practice Deep Breathing. ... Try Steam Therapy.

What is the average age of death by vaping?

The median age of those who died was 51, with a range of 15 to 75 years. Before the Texas teenager's death, the youngest reported vaping fatality was a 17-year-old Bronx resident. Many of the older patients who died were reported to have underlying health conditions.

What age group is vaping the most?

Teens and young adults. Gallup says that 20% of people age 18 to 29 vape, compared to 9% of people age 30 to 49, 7% of people age 50 to 64, and less than 0.5% of people older than 65. And, according to the Truth Initiative, 15- to 17-year-olds are 16 times more likely to vape than 25- to 34-year-olds.

Is vape a drug?

While “vape” itself is not necessarily a drug, vaping products often contain harmful substances, like nicotine and THC (the active ingredient in marijuana). These substances can have a negative impact on your teenager's physical health and brain development.

Why did vaping become a thing?

In 2003, Chinese pharmacist Hon Lik developed the first real vape-like device. Lik was a heavy smoker whose father died of lung cancer. He said he was desperate to quit smoking when the idea of using vapor came to him.

Why did vaping start in the first place?

The reality is that vapes were invented by people who wanted to stop smoking and the aim was to have fewer smokers buying cigarettes. They were about as far from being a plot by the tobacco companies as it was possible to get.

What was the original purpose of vaping?

The e-cigarette was invented in 2003 by Chinese pharmacist Hon Lik, who initially developed the device to serve as an alternative to conventional smoking.

What caused vaping to become popular?

Public Health England, the UK's national health body, conducted a widely-cited study concluding that vaping was 95 percent safer than smoking. Emboldened by these findings, even more smokers began to take to vaping, particularly in England, where the adult smoking rate dropped precipitously.

How can physicians help with vaping?

The other way physicians can help address vaping in adolescents is by participating in advocacy at a local, state or national level. Currently in the state of Missouri, e-cigarettes are not included in the definition of “Tobacco Products” and thus are not subject to the same restrictions as combustible cigarettes. The sale of e-cigarettes to those under 18 years of age is prohibited, just as with tobacco. But the only regulation in place for e-cigarette packaging is that the liquid must be in child-resistant containers. The American Academy of Pediatrics is currently advocating for Missouri to include e-cigarettes in smoke-free laws and to increase the minimum age to purchase electronic cigarettes to 21 years.16Organizations like the American Academy of Pediatrics and the American College of Physicians have both released position papers on vaping and offer further ways to join the fight. It is time for physicians to ask their adolescent patients about vaping and to provide education to the child and parents on the dangers of vaping. Physicians have the responsibility to be advocates for their patients working with medical organizations, state and local governments to address the adolescent vaping epidemic.

What is the advertising for e-cigarettes?

Advertising for e-cigarettes has been heavily aimed at adolescents. Everything from the billboards to the packaging to the product itself has been aimed at teens. Ads on social media were widely distributed. From 2014 to 2016, advertising for vaping exploded and one study found that 78% of middle and high school students had been exposed to at least one advertisement.1Pods come in fun packaging and the different pods are flavored to be attractive to adolescents, with everything from mint to gummi bear to frosted sugar cookie. This is especially concerning because studies have shown that flavor is one of the most important factors adolescents consider in trying e-cigarettes.4The devices to aerosolize the pods are designed to look like anything from USBs to pens to inhalers. They can be personalized much like a cell phone case and backpacks have special pockets for the mod devices.

What is an electronic cigarette?

Electronic cigarettes are battery-operated devices that use an electric pulse to heat and aerosolize a flavored liquid that typically contains nicotine. They were first introduced to the U.S. in 2007, and they were advertised by the tobacco companies as an adjunct method to help patients quit smoking. This claim never had evidence to support it, as studies comparing the use of electronic cigarettes, placebos, and nicotine patches demonstrated no significant differences in abstinence rates.3But because e-cigarettes were seen as a treatment option, they were not subjected to the same regulations as combustible cigarettes. It wasn’t until 2016 that the Congress passed the Child Nicotine Poisoning Prevention Act, giving the FDA the authority to regulate e-cigarette packaging.1

Do e-cigarettes increase the chance of smoking?

There has also been evidence that suggests e-cigarette use increases an individual’s chance of using combustible cigarettes . Adolescents who use e-cigarettes are 3.6 times more likely to report using combustible cigarettes later in life.9Teens have also been shown to be more susceptible to addiction. We know that nicotine addiction often originates in adolescence with studies showing that close to 90% of adult daily smokers started before the age of 18.10Thus, e-cigarettes are effectively helping to create a new generation addicted to nicotine.

Is e-cigarette use increasing?

Electronic cigarette (e-cigarette) use has recently risen to the forefront of medical discussions across the country. A significant increase in e-cigarette use by adolescents has been observed over the last decade. This article discusses the targeting of adolescents by e-cigarette companies. It looks at how teenagers are uniquely affected by nicotine and at risk for progressing to using combustible cigarettes and marijuana. Lastly, it discusses the role of physicians in combating the spread of e-cigarettes.

Can vaping be used to inhale cannabinoids?

Many vaping devices can also be used to inhale cannabinoids. One study demonstrated that teens who use nicotine liquid in e-cigarettes were 3.6 to 4 times more likely to use marijuana in the next two years.1Another study demonstrated that 1 in 10 seniors in high school vape cannabis.6This should be extremely distressing to physicians and medical providers because it is known that marijuana is extremely harmful to the development of the adolescent brain and studies have actually shown changes in brain structure. As a result, deficits in attention, learning, and memory associated with cannabis use in adolescents has been reported.11One study demonstrated that high schoolers who use marijuana were four times more likely to have multiple sexual partners when compared to students who only use tobacco or alcohol.12A sizable portion of adolescents who use marijuana report symptoms of paranoia, anxiety and hallucinations.13. Adverse effects from marijuana use, including cannabis hyperemesis syndrome have become common among pediatric patients.14

How many high schoolers are vaping?

The 2019 survey shows the rate of vaping among high school and middle school students continues to rise. With more than 1 in 4 high schoolers and 1 in 10 middle schoolers reporting vaping use, the need to educate families about the risks of vaping is critical.

What is the danger of vaping?

Vaping exposes children and teens to harmful metals and toxic chemicals found in e-cigarettes.

How many people died from vaping in 2020?

Those direct health harms include a dramatic rise in acute lung injuries associated with vaping, known as EVALI. It’s unclear what is causing the condition, but the common denominator is e-cigarette use. Across the United States, more than 2,660 cases of EVALI hospitalization or deaths were reported to the CDC, as of Jan. 14, 2020. Sixty deaths related to EVALI were confirmed in 27 states and the District of Columbia during the same time. “These are lung injuries that look like the person worked in a chemical plant for years,” says Dr. Jenssen.

What are the metals in e-cigarettes?

On top of that, recent research on actual e-cigarette users has shown that they are taking in heavy metals like nickel, tin and lead, as well as chemicals known to cause cancer. Some of that is coming from the flavorings and the heating devices, and some is from the tobacco from which the liquids are made.

How old is too old to be addicted to nicotine?

Children and teenagers younger than 18 years old are especially vulnerable to addiction. “Nicotine can change the biochemical pathways in the body, making paying attention more difficult and priming the brain for addiction,” says Dr. Jenssen.

Is vaping a public health crisis?

Teen Vaping Is a Public Health Crisis: What You Need to Know . Vaping among preteens and teens has reached a crisis point, according to a 2019 survey, and it threatens to undo years of public health efforts that had led to a decline in nicotine use. Parents should be concerned because: Vaping increases the risk of teens developing an addiction ...

Is vaping a good alternative to smoking?

Myth: Vaping is a “healthier” alternative to smoking. Fact: There is no evidence that supports the claim that vaping is a healthier alternative to smoking. These products are not regulated by the FDA and do not disclose their ingredients. Myth: Vapes don’t contain nicotine.

How many youth use e-cigarettes in 2020?

While we are seeing some progress in youth prevalence rates, the fact that there are still 3.6 million youth e-cigarettes users in 2020 is deeply concerning and underscores the critical need for FDA to address youth use of e-cigarettes and other ENDS.

When did the FDA start regulating e-cigarettes?

It is important to note FDA’s initial efforts to regulate e-cigarettes began more than a decade ago. Between 2008 and 2010, FDA attempted to regulate e-cigarettes as unapproved drug/device combination products. FDA’s action was challenged and ultimately, the U.S. Court of Appeals for the D.C. Circuit ruled that while FDA could choose to regulate e-cigarettes and other products “made or derived from tobacco” under its new tobacco authorities, it could not regulate these products under FDA’s drug and device authority unless they were marketed for therapeutic purposes. 1

What is the FDA's role in tobacco?

In 2009, Congress passed the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act), which amended the Federal Food, Drug, and Cosmetic Act (FD&C Act) to authorize FDA to oversee the manufacture, marketing, distribution, and sale of tobacco products and protect the public from the harmful effects of tobacco product use.

Why did the FDA suspend inspections?

Suspending inspections was necessary to protect the health and safety of FDA’s staff and contractors (both adults and youth) who participate in the inspections. However, FDA’s monitoring and surveillance of websites, publications, and social media continued without interruption during that time.

Is nicotine an addictive substance?

Nicotine is an addictive chemical,” and. Prohibition of vending machine sales, unless in a facility that never admits youth. Following publication of the final deeming rule, FDA announced an enforcement policy with staggered timeframes.

What are the different types of e-cigarettes?

E-cigarettes are a rapidly changing product class, and are known by many different names, including “e-cigs,” “e-hookahs,” “mods,” and “vape pens.” 2 Recently, a new type of e-cigarette has become increasingly popular among our nation’s youth due to its minimal exhaled aerosol, reduced odor, ...

How do e-cigarettes affect the brain?

2 Most e-cigarettes contain nicotine – the addictive drug in regular cigarettes, cigars, and other tobacco products. 2 Nicotine exposure during adolescence can harm the developing brain – which continues to develop until about age 25. 2 Nicotine exposure during adolescence can impact learning, memory, and attention. 1,2 Using nicotine in adolescence can also increase risk for future addiction to other drugs. 1,2 In addition to nicotine, the aerosol that users inhale and exhale from e-cigarettes can potentially expose both themselves and bystanders to other harmful substances, including heavy metals, volatile organic compounds, and ultrafine particles that can be inhaled deeply into the lungs. 2

Can e-cigarettes be used for marijuana?

2 E-cigarettes can also be used to deliver other drugs, including marijuana. 2 In 2016, one-third of U.S. middle and high school students who ever used e-cigarettes had used marijuana in e-cigarettes. 6

Is it too late to stop smoking e-cigarettes?

Talk to your child or teen about why e-cigarettes are harmful for them. It’s never too late.

Do Juul e-cigs have nicotine?

All JUUL e-cigarettes have a high level of nicotine. A typical JUUL cartridge, or “pod,” contains about as much nicotine as a pack of 20 regular cigarettes. 10 These products also use nicotine salts, which allow particularly high levels of nicotine to be inhaled more easily and with less irritation than the free-base nicotine that has traditionally been used in tobacco products, including e-cigarettes. This is of particular concern for young people, because it could make it easier for them to initiate the use of nicotine through these products and also could make it easier to progress to regular e-cigarette use and nicotine dependence. However, despite these risks, approximately two-thirds of JUUL users aged 15-24 do not know that JUUL always contains nicotine. 11

What is the appeal of vaping?

The appeal of vaping advertising is also stronger and more focused on younger markets. Specifically, “vaping..attracts young people who have never even smoked cigarettes, encouraged by aggressive marketing and the variety of alcopops type flavors available.”.

Is vaping dangerous?

With this much public and government pressure to enforce health and safety, it would be wise to consider the potential dangers of vaping. Even despite the lack of clarity on e-cigarettes, data does show that the people of the United States and the larger global community should take the threat of this epidemic seriously. We must be aware of the potential injury it poses to ourselves and our country’s way of living.

Is it safe to smoke e-cigs?

Despite the significant increase in the amount of recent lung injury cases, the positive and empowering intentions of e-cigarettes should not be overlooked. E-cigarettes were originally introduced to the market about 15 years ago as a safe alternative to smoking, delivering nicotine through a seemingly less harmful heated liquid. Multiple professional studies, such as a British study, published as recently as February 2019 in the New England Journal of Medicine suggests that “e-cigarettes are more efficient than patches, gum or other products in helping people to stop smoking cigarettes.” Even though it’s currently difficult to quantify their health ramifications, these studies show that there is evidence that e-cigarettes are indeed less toxic than traditional cigarettes.

Does vaping increase the number of smokers?

Of further concern is that the growing number of vape users has been shown to also correlate to an increase in the number of first-time and daily smokers of real cigarettes, particularly in younger crowds, as noted before. This is quite opposite of the initially intended effect. William Shadel, a scientist at the RAND Corporation in Pittsburgh, Penn. says “vaping could make you more dependent on nicotine, and cause you to later want to take up cigarette smoking.” The role of vaping as an onramp to smoking real cigarettes cannot be cautioned against enough.

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Introduction

  • Good morning, Chairman Krishnamoorthi, Ranking Member Cloud, and Members of the Subcommittee. Thank you for the opportunity to be here today to discuss the Food and Drug Administration’s (FDA or the Agency) efforts to address youth use of electronic nicotine delivery systems, or ENDS, which include e-cigarettes. I am Janet Woodcock, Acting FDA Comm...
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Background

  • Let me start with some information on our tobacco regulatory authorities and our recent regulatory efforts regarding ENDS and e-cigarettes. Tobacco use is the single largest preventable cause of disease and death in the United States. Each year, more than 480,000 people in the United States die prematurely from diseases caused by cigarette smoking and exposure to toba…
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Regulatory Requirements For Ends Products

  • When the Deeming rule took effect in August 2016, many of the regulatory and legal requirements that had been in place for manufacturers of cigarettes, smokeless tobacco, cigarette tobacco, and roll-your-own tobacco since 2009, as well as several new requirements specific to deemed products, became applicable to manufacturers of e-cigarettes and other ENDS products. These i…
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Data on Youth Use of E-Cigarettes

  • FDA collaborates with the Centers for Disease Control and Prevention (CDC) to administer the National Youth Tobacco Survey (NYTS) to middle and high school students each year. The survey provides important data that allow us to understand current youth tobacco product use in a larger historical context. NYTS data from 2018 and 2019 showed disturbing increases in the use of e-c…
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FDA’s Actions to Address Youth Use of Ends Products

  • Protecting our nation’s youth from the dangers of tobacco products is among the Agency’s most important responsibilities, and we are taking aggressive steps to make sure tobacco products are not being marketed or sold to kids. Our work to protect youth from tobacco products is comprehensive and includes compliance and enforcement, premarket review, public education, …
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Conclusion

  • Thank you again for the opportunity to testify about FDA’s comprehensive efforts to regulate ENDS, including our actions to prevent youth access to, and use of, these products. The efforts described here are just a part of the important work FDA and the Administration are undertaking to protect children and youth from the harms of tobacco products. We still have much to accom…
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