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E-cigarettes use among middle and high school students – United States, 2020

9/9/20--In 2020, 19.6% of high school students (3.02 million) and 4.7% of middle school students (550,000) reported current e-cigarette use. Among current e-cigarette users, 38.9% of high school students and 20.0% of middle school students reported using e-cigarettes on 20 or more of the past 30 days; 22.5% of high school users and 9.4% of middle school users reported daily use. Among all current e-cigarette users, 82.9% used flavored e-cigarettes, including 84.7% of high school users (2.53 million) and 73.9% of middle school users (400,000). Read

E-cigarette unit sales, by product and flavor type – United States, 2014-2020

9/9/20--During September 2014–May 2020, e-cigarette sales increased by 122.2%. Sales of prefilled cartridges increased during September 2014–August 2019; since then, sales of disposable products have increased. Prefilled mint cartridge e-cigarette sales increased from September 2014 to August 2019, then decreased, as menthol sales increased during August 2019–May 2020. Read

A year of progress, but youth e-cigarette use still at epidemic levels

9/10/20--Although significant progress has been made since the creation of the initiative – Protect Kids: Fight Flavored E-Cigarettes led by the Campaign for Tobacco-Free Kids, youth e-cigarette use remains at epidemic levels and bold action is needed at all levels of government to prohibit flavored e-cigarettes and stop tobacco companies from addicting a new generation of kids. Read

Protecting young people from e-cigarettes

9/13/20--Many things remain uncertain as a new school year begins, but the proven, science-backed information on the risks of using e-cigarettes can protect the minds and lungs of youth from harm caused by e-cigarettes and nicotine, and keep them from starting to use these products in the first place. Read

Quick facts on the risks of e-cigarettes for kids, teens, and young adults

9/13/20--The Centers for Disease Control presents quick facts on the risks of e-cigarettes for kids, teens, and young adults. Some of which include: The use of e-cigarettes is unsafe; most e-cigarettes contain nicotine; nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s, and young people who use e-cigarettes may be more likely to smoke cigarettes in the future. Read

Surgeon General’s advisory on e-cigarette use among youth

9/13/20--Surgeon General of the United States Public Health Service, VADM Jerome Adams, is emphasizing the importance of protecting children from a lifetime of nicotine addiction and associated health risks by immediately addressing the epidemic of youth e-cigarette use. The recent surge in e-cigarette use among youth, which has been fueled by new types of e-cigarettes that have recently entered the market, is a cause for great concern. Read

Vaping DOES raise the risk of breast cancer, warn scientists amid concerns that young women are ‘targeted by E-cigarette companies’

9/12/20--Vaping increases the risk of developing breast cancer, a new study suggests. According to scientists from a group of American universities, including Yale, Johns Hopkins and Princeton, exposure to e-cigarette vapor creates a 'tumor-promoting environment' in the breast and elsewhere in the body. Read

E-cigarettes, Vaping, and the FDA’s Dilemma

9/14/20--According to this report, the rapidly increasing use of e-cigarettes is currently outpacing the accumulation of evidence regarding its harms versus its benefits. These may be largely generational: the harms of addicting an entirely new generation to nicotine versus the immediate and long-term morbidity and mortality benefits to an older generation who may already be suffering the consequences of its own addiction. The FDA has the herculean task of sorting this out while protecting everyone. Read

E-cigarette promotes breast carcinoma progression and lung metastasis: Macrophage-tumor cells crosstalk and the role of CCL5 and VCAM-1

10/28/20--This study provides the first robust scientific evidence to raise awareness regarding the risks of vaping. Read

California governor signs bill to ban sale of flavored tobacco

9/1/20--California Governor Gavin Newsom signed Senate Bill (SB) 793 into law, banning the retail sale of flavored tobacco products in the state, effective January 2021. Written by Senator Jerry Hill (D-San Mateo), the bill was supported by the American Lung Association and the American Heart Association. The new law will make the sale of electronic (”e”)-cigarette cartridges and flavored cigarettes subject to a $250 fine to the retailer. Read

California assembly votes overwhelmingly to end the sale of flavored tobacco products; state poised to deliver historic victory for kids over tobacco industry

8/24/20--The California Assembly today delivered a resounding victory for kids and public health over the tobacco industry by voting, 58-1, to prohibit the sale of flavored tobacco products, including flavored e-cigarettes, flavored cigars and menthol cigarettes. This bold action, in a state home to more than 10% of the U.S. population, cracks down on the products that have long been the tobacco industry’s most powerful weapons in targeting and hooking kids and the Black community. Read

CDC survey finds nearly a third of high school students used e-cigarettes in 2019 – It’s time to eliminate the flavored products addicting kids

8/20/20--Following the 2019 Monitoring the Future survey and the 2019 National Youth Tobacco Survey, the 2019 Youth Risk Behavior Survey (YRBS) is the third national survey to show that youth e-cigarette use skyrocketed between 2017 and 2019. The YRBS found that 32.7% of high school students were current e-cigarette users in 2019, up from 13.2% in 2017. Read

New 30-City Study: Over 60% of public schools Are within 1,000 feet of tobacco retailers

8/12/20--Across 30 major U.S. cities, an average of 63% of public schools are located within 1,000 feet – about two city blocks – of a tobacco retailer, according to a comprehensive new study mapping tobacco retailers in the 30 cities. The study was conducted by researchers from the Stanford University School of Medicine, the University of North Carolina at Chapel Hill and Washington University in St. Louis. Read

California governor signs bill to ban sale of flavored tobacco

9/1/20--California Governor Gavin Newsom signed Senate Bill (SB) 793 into law, banning the retail sale of flavored tobacco products in the state, effective January 2021. The new law will make the sale of electronic (”e”)-cigarette cartridges and flavored cigarettes subject to a $250 fine to the retailer. Read

FDA should require research on impact of e-cigarettes and other tobacco products on youth before authorizing marketing of tobacco products and claims of modified risk

7/23/20--In a new commentary published in the Journal of Adolescent Health, a group of leading tobacco control experts called on the U.S. Food and Drug Administration (FDA) to require tobacco companies to submit research showing the impact on youth and young adults in the United States before authorizing the marketing of any new tobacco product, including e-cigarettes, or permitting any claim that states or implies a tobacco product is less harmful than any other tobacco product. Read

Juul submits application to FDA to keep selling e-cigarettes

7/30/20--Juul Labs Inc submitted an application to the U.S. Food and Drug Administration that would allow it to keep selling e-cigarettes, which face heightened scrutiny over a surge in teenage vaping. Once an application is submitted, companies can keep selling their products for a year from the date of deadline, without official approval, or until a negative action is taken by the FDA. Read

Juul quietly revamped its e-cigarette, risking the FDA’s rebuke

7/23/20--According to four former Juul employees, the company’s engineers changed the pod design, added new, heartier internal components to resist the shutdown problem, and rewrote the device’s firmware. The updated model, delivered in late 2017, was given the internal code name Jagwar. Federal regulators were similarly unaware of the full extent of the product changes, even as the Food and Drug Administration crawled all over the company for months in an effort to curb a widening youth nicotine epidemic. Read
 

Kids These Days: Vaping comes with consequences. So why do teens do it?

7/29/20--There can be serious consequences to vaping, so why do so many teens continue to do it? In this episode, Grace Wang and Mia Goldstein talk to teens about addiction. Read

The Tobacco Prevention Toolkit

7/31/20--Theory-based and evidence-informed resources created by educators, parents, and researchers aimed at preventing middle and high school students’ use of tobacco and nicotine. Read

Op-Ed: Big Tobacco helped destroy Black Americans’ health. Banning menthols could help improve it

8/7/20--According to an op-ed by Rev. John E. Cager III published in the Los Angeles Times, Big Tobacco has successfully conducted a decades-long campaign to lure and hook Black smokers by marketing menthol-infused products specifically to Black consumers. Furthermore, Black Americans have the greatest burden of tobacco-related mortality of any ethnic or racial group in the U.S., according to the Centers for Disease Control and Prevention. Tobacco use is a major contributor to the three leading causes of death among Black Americans — heart disease, cancer and stroke. Read

Mass. regulators fine Revolutionary Clinics $120,000 for selling tainted marijuana vapes

8/6/20--A Fitchburg marijuana company, Revolutionary Clinics, will pay Massachusetts $120,000 to settle charges it sold vaporizers containing excessive levels of ethanol to six other dispensaries, which then sold dozens of the tainted devices to consumers. The Cannabis Control Commission voted unanimously to approve the fine and impose a four-month probation for the company over various violations related to the wholesale vape transactions, which occurred from December 2018 to early 2019. Read

Assessment of menthol and nonmenthol cigarette consumption in the US, 2000 to 2018

8/7/20--This serial cross-sectional study estimates menthol and nonmenthol cigarette consumption from 2000 to 2018 with a previously used approach. Results indicate that the large decline in cigarette consumption in the US over the last 2 decades is overwhelmingly attributed to nonmenthol cigarettes, and this trend is more pronounced since the signing of the TCA. Read

European group: E-cigarette use should be limited due to CV effects

8/6/20--In a new position paper, the European Association of Preventive Cardiology recommended that due to known CV harms from e-cigarettes, they should not be used for smoking cessation except as a last resort. Read

Mass regulators release 619,000 aging marijuana vapes for sale, despite lead contamination concerns

8/7/20--Consumers in Massachusetts may soon notice an unfamiliar warning sticker on their marijuana vapes: “This product was previously quarantined. Passed retesting for heavy metals and Vitamin E Acetate.” Actually, more than 619,000 vapes were sitting in vaults at cannabis facilities across the state since September, when Governor Charlie Baker temporarily banned the devices in an effort to combat an outbreak of vaping-related lung illnesses. Read

Content Analysis of Instagram Posts From 2019 With Cartoon-Based Marketing of e-Cigarette–Associated Products

7/20/20--Studies have indicated that cartoons are an effective strategy in increasing product recognition and susceptibility to use e-cigarettes. Recently, the US Food and Drug Administration announced it is prioritizing enforcement against e-cigarette companies that use marketing likely to promote youth use. This study aimed to determine if companies were using cartoon-based strategies to market and promote e-cigarette–associated products in 2019 on Instagram. Read

The science of smoking and COVID-19

7/12/20--While some COVID-19 risk factors have to do with age, chronic illness or immunocompromisation, there’s one that’s tied directly to a different kind of medical concern -- addiction to cigarettes. According to an Anchorage Daily News article, while smoking cigarettes doesn’t necessarily make you more likely to become infected with the novel coronavirus, smokers who do contract COVID-19 may be more likely to have serious or fatal cases than non-smokers. Read

Controversial e-cigarette company Puff Bar says it’s suspending U.S. sales

7/13/20--Puff Bar, a California-based marketer of disposable e-cigarettes, announced the sales suspension Monday on its website. In a phone call with FairWarning, the company’s Chief Financial Officer Patrick Beltran confirmed that U.S. sales were being halted until further notice, but said that international sales would continue for the time being. Beltran would not give a reason for the move. Read

Reducing vaping among youth and young adults

7/1/20--This guide supports health care providers, systems, and communities seeking to prevent vaping. It describes relevant research findings, examines emerging and best practices, identifies knowledge gaps and implementation challenges, and offers useful resources. Read

Notes from the Field: E-cigarette, or Vaping, Product Use — Associated lung cases during the COVID-19 response

6/26/20--In April 2020, during the early COVID-19 pandemic, eight patients hospitalized with e-cigarette, or vaping, product use–associated lung injury (EVALI) were reported to the California Department of Public Health (CDPH). According to the report, it is unclear whether EVALI cases have continued to occur and were underreported or missed or whether these cases might represent the background incidence of EVALI as previously identified by CDC review of syndromic data. Read

E-cigarettes

6/23/20--This webpage gives an overview of tobacco companies’ interests in e-cigarettes, also known as electronic cigarettes or ENDS (Electronic Nicotine Delivery Systems), which have been acquired, developed and sold by tobacco companies since 2012. It also links to further pages giving more detailed information about each company’s products, market share and business strategy, including methods used to promote their products around the world. Read

California Senate to Big Tobacco: It’s time to end the sale of candy-flavored tobacco products

6/25/20--A coalition of health, youth, and community advocates united to protect kids from the dangers of tobacco use applauded passage by the California State Senate of SB 793, landmark legislation authored by State Senator Jerry Hill (D-San Mateo) to end the sale of all candy-flavored tobacco products across the state, including the original candy flavor: sweet minty menthol cigarettes. Read

Impact of e-cigarette and cigarette prices on youth and young adult e-cigarette behavior; evidence from a national longitudinal cohort

6/19/20--This is the first study to examine e-cigarette and cigarette prices on e-cigarette and cigarette behavior longitudinally among young people. Findings suggest the need for better measuring the costs associated with e-cigarette use among this population, as well as a careful assessment of price and tax policies that takes into account cross-product impact to sufficiently discourage e-cigarette and cigarette use among young people. Read

Juul sees long road back to growth

6/11/20--Since K.C. Crosthwaite took the helm of the e-cigarette maker nine months ago, Juul has halted most of its U.S. advertising, cut more than 1,500 jobs, stopped selling sweet and fruity flavors in the U.S. and put the brakes on its international expansion. And he doesn’t plan to get the startup back to growth any time soon. Read

Scientists discover that nicotine promotes spread of lung cancer to the brain

6/4/20--Among people who have the most common type of lung cancer, up to 40% develop metastatic brain tumors, with an average survival time of less than six months. But why non-small-cell lung cancer so often spreads to the brain has been poorly understood. Read

State-regulated marijuana vape cartridges aren’t safe, doctor and whistleblower say

6/3/20--According to a doctor and state Department of Health whistleblower, a lack of proper controls over Hawaii’s medical marijuana dispensaries is putting patients’ health in danger. Hawaii News New (HNN) investigation revealed many of the vaping cartridges being sold in Oahu’s dispensaries would be banned in other states for failing to meet safety standards. Read

What we do not know about e-cigarettes is a lot

6/5/20--Much more is unknown than known about e-cigarettes. However, despite all this uncertainty, some have rendered global and fairly Manichean pronouncements regarding the threats and benefits of e-cigarettes. According to an editorial published in JAMA Network, "we are largely ignorant not only about the effects of e-cigarettes, but also about the long-term consequences of such public pronouncements." Read

Association of electronic nicotine delivery system use with cigarette smoking relapse among former smokers in the United States

6/5/20--In this study, risk of cigarette smoking relapse among former cigarette smokers was higher among those who used electronic nicotine delivery systems or other tobacco products compared with those who did not. Furthermore, for clinicians treating former smokers who have successfully quit all nicotine products, the implications are that use of ENDS products should be discouraged, just as use of all other tobacco products is discouraged. Read

Association of socioeconomic position with e-cigarette use among individuals who quit smoking in England, 2014 to 2019

6/5/20--In this study, lower socioeconomic position was associated with higher rates of e-cigarette use among those who quit smoking after e-cigarettes became widely available, likely reflecting continued use of e-cigarettes as a long-term cessation aid among individuals with lower socioeconomic positions. Read

Associations of flavored e-cigarette uptake with subsequent smoking initiation and cessation

6/5/20--In this cohort study with 17, 929 participants, multivariable analyses of nationally representative, longitudinal survey data evaluated differences in smoking initiation and cessation subsequent to vaping uptake among those who used flavored vs unflavored e-cigarettes, separately by age group. Results indicate that adults who began vaping nontobacco-flavored e-cigarettes were more likely to quit smoking than those who vaped tobacco flavors. More research is needed to establish the relationship between e-cigarette flavors and smoking and to guide related policy. Read

Youth and Young Adult Use of Pod-Based Electronic Cigarettes From 2015 to 2019

6/1/20--In this systematic review, pod-based e-cigarettes enhanced the delivery of nicotine and had greater dependence potential. Youth and young adult use can be attributed to social acceptability, convenient product features, and aggressive social media marketing. Read

Vaping and youth—First, do no harm

6/1/20--In this issue of JAMA Pediatrics, Lee and colleagues review the evidence on pod-based electronic cigarette (e-cigarette) use among youth and young adults. Recent data reveal that this trend is driven largely by the increase in e-cigarette use, and today e-cigarettes are the most commonly used tobacco product among youth. These facts have led the US surgeon general to declare youth e-cigarette use to be an epidemic. Read

Allergic and Respiratory Symptoms in Employees of Indoor Cannabis Grow Facilities

5/27/20--A study seeking to investigate the association between workplace exposures and health symptoms in an indoor Cannabis grow facility in Washington State shows a high prevalence of work-related allergic- and particularly respiratory symptoms in the employees of one indoor Cannabis grow facility in Washington State. However, due to the high incidence of recreational cannabis use among these workers, the relative influence of occupational versus recreational exposure to Cannabis dust on the respiratory health and sensitization status of these workers could not be resolved in this study. Read

Coronavirus-like symptoms of 4 teens had been from vaping, doctor says

5/12/20--Doctors at Orlando Health say in the past month they've treated four teenagers for severe respiratory illnesses that appeared to be the coronavirus but when the results came back negative, they realized it was from vaping. Read

Recommendations from the USPSTF for prevention and cessation of tobacco use in children and adolescents

4/28/20--In this issue of JAMA, the US Preventive Services Task Force (USPSTF) presents updated recommendations on prevention and cessation of tobacco use among children and adolescents seen in primary care settings. The USPSTF recommends education and brief counseling with a clinician to prevent initiation of tobacco use. The USPSTF also concludes that evidence is insufficient to assess the balance of benefits and harms of primary care–feasible interventions for the cessation of tobacco use among school-aged children and adolescents. Read

Changes in prevalence of vaping among youths in the United States, Canada, and England from 2017 to 2019

5/4/20--The prevalence of vaping increased between 2018 and 2019 within all 3 countries, but was substantially more prevalent in Canada and the US compared with England. Vaping was substantially higher among individuals who reported smoking than other respondents in all 3 countries, although increases between 2017 and 2019 were observed across all subgroups for most measures of vaping in the US and Canada including among those who reported never smoking. Read

Youth perceptions of Juul in the United States

5/4/20--The use of e-cigarettes among youths has reached epidemic proportions in the United States. Juul is the most popular brand of e-cigarettes among youth, and it has been criticized for marketing that targets youths. Concerns of serious short-term and long-term health outcomes from e-cigarette use have led to actions from the US Food and Drug Administration, states, and municipalities to ban or restrict the sale of e-cigarettes. Read

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents

4/28/20--Tobacco use is the leading cause of preventable death in the US. An estimated annual 480,000 deaths are attributable to tobacco use in adults, including from secondhand smoke. The USPSTF commissioned a review of the evidence on the benefits and harms of primary care interventions for tobacco use prevention and cessation in children and adolescents. The current systematic review newly included e-cigarettes as a tobacco product. Read

The world pushes back against e-cigarettes and Juul

3/30/20--The e-cigarette giant Juul Labs counted on international expansion to offset losses in the U.S., but the regulatory response abroad has been even stricter. The company has been met with ferocious anti-vaping sentiment and a barrage of newly enacted e-cigarette restrictions, or outright bans, in country after country. As a result, its ambitious overseas plans have collapsed. Read

Regulating vaping — policies, possibilities, and perils

3/25/20-- Use of e-cigarettes has recently soared, particularly among young people. Federal and state governments have implemented numerous policies to combat the growth of vaping. According to an article by Jody L. Sindelar published in The New England Journal of Medicine, policies should protect young people without diminishing the ability of e-cigarettes to help adult smokers transition away from more harmful combustible cigarettes or to serve as a cessation aid for people attempting to quit smoking. Read

Prevalence of electronic cigarette use among adolescents in New Jersey and association with social factors

2/12/20--In a survey study of 4183 respondents examining factors associated with use of electronic cigarettes (e-cigarettes), including JUUL, among high school students, inclusion of a JUUL use measure produced higher estimates of current use than assessing the use of e-cigarettes or JUUL alone, and 88.8% of youth reported using the JUUL brand. In addition, current use of other tobacco products, endorsing a tobacco brand on social media, having tobacco-branded merchandise, having close friends who used JUUL, and seeing JUUL used on school grounds were significantly associated with current and frequent e-cigarette use, inclusive of JUUL. Read

Philip Morris steps up vaping plan, keeps close ties with Altria

1/20/20--Philip Morris Chief Executive Officer Andre Calantzopoulos announced that the company is getting ready to launch a new vaping device, IQOS Mesh, early this year. Calantzopoulos states there “will be consolidation in the market for e-cigarettes” and Philip Morris wants to be on the forefront with its IQOS brand. Although Philip Morris’s merger talks with Altria failed last year amid mounting controversy over the health effects of Juul, it hasn’t given up on a potential reunion with sister company Altria Group Inc. at some point in the future. Read

FDA to ban all e-cigarette pod flavors except tobacco and menthol

1/1/19--The Food and Drug Administration plans to ban the sale of fruity flavors in cartridge-based e-cigarettes, but the restriction won’t apply to tank vaping systems commonly found at vape shops, according to people familiar with the matter. Read

Vitamin E Acetate in bronchoalveolar-lavage fluid associated with EVALI

12/20/19--The causative agents for the current national outbreak of electronic-cigarette, or vaping, product use–associated lung injury (EVALI) have not been established. Detection of toxicants in bronchoalveolar-lavage (BAL) fluid from patients with EVALI can provide direct information on exposure within the lung. Results from the performed study indicate that Vitamin E acetate was associated with EVALI in a convenience sample of 51 patients in 16 states across the United States. Read

Adolescent addiction expert weighs in on proposed ban on flavored e-cigarette pods

1/1/20--NPR's Mary Louise Kelly talks with Dr. Sharon Levy, a pediatrician and an adolescent addiction expert with Boston Children's Hospital, about the FDA's proposed ban on most flavored e-cigarette pods. Read

CCC and DPH enter ‘data-sharing agreement,’ but withhold names of pot dispensaries linked to potential vaping illnesses

12/10/19--The Cannabis Control Commission and the Department of Public Health have agreed to share data with each other to investigate whether six probable cases of vaping-related lung illnesses are linked to state-licensed marijuana retailers, as health officials had suggested last week. Read

Commission amends quarantine order to permit sale of marijuana vaporizer devices and newly manufactured marijuana vaping products

12/12/19--The Cannabis Control Commission has issued an amended quarantine order for vaporizer devices and products manufactured by Marijuana Establishments and Medical Marijuana Treatment Centers in Massachusetts. The order permits the sale of devices used to vaporize flower for adult and medical use of marijuana, devices designed to vaporize concentrate that do not contain usable marijuana, and regulated vaporizer products that are manufactured starting Thursday which pass screens for vitamin E acetate as well as other contaminants required under the Commission’s testing protocols. Read

Association between adolescent blunt use and the uptake of cigars

12/6/19--In this cohort study of 1825 US adolescents, ever vs never blunt use at age 14 years was significantly associated with progression to current cigar use across the following 24 months. Blunt use was not significantly associated with the number of days of cigar use across follow-up. These findings highlight the risk that blunt use may pose for subsequent cigar use among adolescents. Read

Six with lung illness linked to regulated marijuana vapes, state says

12/5/19--Six Massachusetts patients with probable — but not confirmed — cases of vaping-related lung illnesses reported using regulated products from state-licensed marijuana companies, state health officials revealed Thursday night. The patients represent a small fraction of the 90 probable and confirmed cases of vaping-related lung illnesses flagged so far by the state Department of Public Health, but mark the first time state authorities have explicitly linked the lung illnesses to cannabis vapes purchased at legal stores and dispensaries. Read

Mass. health officials concede lung patients may have used illicit vapes, too

12/6/19--State health officials conceded Friday night that six Massachusetts patients suffering from probable cases of vaping-related lung illnesses may have used illicit marijuana vapes in addition to legal ones, a surprising revision from the day before when officials suggested products sold at licensed cannabis retailers were to blame for the ailments. Read

Flavors of e-cigarettes used by youths in the United States

11/5/19--Adolescent e-cigarette use has increased substantially since 2016.1 To counteract such trends, public health agencies are considering regulatory restrictions of e-cigarettes in flavors popular among youths.2,3 Whether certain flavors warrant inclusion or exemption from regulatory policies is unclear because recent estimates of the specific e-cigarette flavors adolescents use are lacking. Read