WITH THE CONSTANT NEWS STREAM, reliable information about the vaping epidemic – and what you can do about it – can be hard to find.

We’ve identified high quality information that gives you the latest updates on the youth vaping epidemic, health effects of vaping, health communication best practices, and advocacy resources for communities.

Only 3% of adult smokers used JUUL to quit in past year
The Truth Initiative
Recently published in Tobacco Control, a study by the Truth Initiative found that only a small percentage of adult smokers used JUUL in their attempts to quit smoking, undermining JUUL's claim that its marketing targets the cessation efforts for adult smokers. The study found that among those who had tried to quit in the last four years, 2.2% used JUUL alone, 10.3% used Nicotine Replacement Therapy (such as gum or patches) alone, 6.9% used other e-cigarettes, and 1.4% used JUUL and another method.

Close-up of woman having teeth examined by a dental professional
Need another reason not to vape? Your oral health is at risk
American Heart Association
Dentists and oral health researchers warn that while the long-term impacts of vaping are still unclear, they have observed changes in oral health among people who vape. Notably, they are observing more cavities and periodontal disease, typically seen in older adults, in young people who vape.

E-cigarette use increased from 2015-2019. Tobacco control strategies reduce tobacco use among teens.Teenager with headphones
Tobacco Product Use Among High School Students — Youth Risk Behavior Survey, United States, 2019
Centers for Disease Control and Prevention
Using data from the 2019 Youth Risk Behavior Survey, the CDC reported that current youth vaping use was 32.7%. Among current e-cigarette users aged ≤17 years, most commonly reported borrowing them from someone else. And while cigarette, cigar, and smokeless tobacco use among high schoolers has decreased, there was a noted increase in those using e-ciagrettes.

AJPM American Journal of Preventative Medicine global map
Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey
American Journal of Preventative Medicine
Using data from the 2015 National Transgender Survey, researchers found that the odds of cigarette, e-cigarette, and dual-use among transgender individuals increased with their experiences of discrimination, perception of visual non-conformity, and disclosure of transgender identity to their social circles.

Journal of Adolescent Health Table of Contents
Association Between Youth Smoking, Electronic Cigarette Use, and Coronavirus Disease 2019
Journal of Adolescent Health
Using an online national survey of adolescents in the US, researchers analyzed the relationship between cigarette and e-cigarette use and COVID-19 symptoms, testing, and diagnosis. This recent study found that the likelihood of COVID-19 diagnosis was highest among dual users of cigarettes and e-cigarettes.

Backlit profile of man exhaling blue smoke cloud
Vaping law passes: Advertising banned, flavours restricted and illegal for under 18s
New Zealand Herald
The Parliament in New Zealand passed The Smokefree Environments and Regulated Products Vaping Amendment Bill which takes effect in November. Among its reach, the law will ban vaping sales to those under the age of 18, prohibit advertising, limit flavors, ban vaping in cars with children, and give the Ministry of Health more power to respond quickly to future regulatory needs.

Man holding a vape while exhaling a thick cloud of smoke
‘Everybody I Know And Hang Out With Vapes’: More Colorado Teens See The Danger In Vaping, But 1 In 4 Still Do It
Colorado Public Radio
Rates of vaping among youth in Colorado are among some of the highest in the U.S. While many understand there are risks to vaping, some continue to vape. Youth in Colorado are also increasingly using vapes for marijuana.

Substance Use & Misuse An International Interdisciplinary Focus
Up in Smoke: Exploring the Relationship between Bullying Victimization and E-Cigarette Use in Sexual Minority Youths
Substance Use and Misuse
Researchers analyzed the relationship between experiences of bullying (in school and cyberbullying) and e-cigarette use for youth who identify as sexual minorities. They found that together, experiences of bullying in school and online were associated with e-cigarette use.

U.S. News & World Report
Minnesota Sees Return of Vaping-Related Lung Injuries
U.S. News & World Report
Minnesota health officials report a potential resurgence of EVALI amidst the COVID-19 pandemic. They note that diagnosis was difficult because patients with EVALI presented with similar symptoms of COVID-19.

Woman holds disposable Puff Bar e-cigarette watermelon flavor
FDA calls for removal of fruity, disposable e-cigarettes
Associated Press
The US Food and Drug Administration has told the company Cool Clouds Distribution, makers of Puff Bar, to remove their devices from the US market. A notice on Puff Bar's website states that online sales and distribution have ceased. Warning letters were also distributed to nine other companies whose products illegally appeal to children.

Girl using a vape mod
State Sues JUUL, Charges Vaping Company Targeted Hawaii Minors
Hawaii Public Radio
Hawai'i is the latest state to sue JUUL for marketing its products to minors thus violating its Unfair and Deceptive Acts and Practices Law. Vaping rates among middle and high school students in Hawai'i were some of the highest in the country in 2017.

Pediatrics Official Journal of the American Academy of Pediatrics
E-cigarette Marketing Regulations and Youth Vaping: Cross-Sectional Surveys, 2017–2019
Using varying marketing policies in Canadian provinces, researchers tested the association between exposure to vaping marketing and vaping prevalence as well as marketing policy strength. They found evidence to support more stringent marketing policies as a strategy to curb youth vaping prevalence.

CDC Centers for Disease Control and Prevention
Notes from the Field: E-cigarette, or Vaping, Product Use–Associated Lung Injury Cases During the COVID-19 Response — California, 2020
CDC Morbidity and Mortality Weekly Report (MMWR)
Healthcare providers report EVALI cases in patients in California in April. They updated clinical guidelines in May in response to the COVID-19 pandemic.

Hand holding a JUUL pen
Drug Education and Cessation Programs Help Teens Avoid or Quit Vaping
Rural Monitor
Throughout the country, health educators are integrating student input, partnering with peer student educators, engaging with families, and advocating for policy change in their efforts to prevent vaping and help teens quit vaping. Barriers to healthcare in rural areas make accessing specialized youth tobacco cessation especially tricky. These educators leverage school as an intervention location and rely on prevention education and telephonic quitlines to reach their students.

Four Puff Bar products in a retail display each is a different flavor: sour apple, banana ice, lychee ice, lush ice
Lawmakers Say Puff Bar Used Pandemic to Market to Teens
New York Times
Federal lawmakers cite youth-targeted marketing in a request to the Food and Drug Administration to ban Puff Bar products. The marketing is especially important as it seems to encourage youth to use Puff Bar without their parents noticing while staying at home during the COVID-19 pandemic. Puff Bar sales have been on the rise, with some calling it the next JUUL, especially since their products bypass the federal vape flavor ban.

Puff Bar packaging and products on a table flavors include: O.M.G., lychee ice, pineapple lemon, cool mint
Dangerous loopholes: Young e-cigarette users report swapping products as vaping policies change
Truth Initiative
Since the ban on fruit and mint flavored e-liquids, youth who vape have shifted from products like JUUL to products like Puff Bar which continue to offer flavored products as a result of policy loopholes.

JAMA Pediatrics
Youth and Young Adult Use of Pod-Based Electronic Cigarettes From 2015 to 2019: A Systematic Review
JAMA Pediatrics
Researchers conducted a systematic review to find out what factors were associated with the use of pod-based e-cigarettes, particularly for youth and young adults. Their findings indicated that pod-based e-cigarettes carry greater potential for nicotine dependence. Youth and young adult use are highly influenced by social acceptability, product design, and marketing which the authors indicate as potential intervention targets to curb use in this population.

In World’s Happiest Nation, Teens Don’t Want to Vape Anymore
Finland reports that its efforts to curb youth vaping is showing promise as the proportion of high school students who vape drops to under 1%. Strategies used include taxation, flavor bans, and mandatory health education.

Man exhaling smoke while facing upwards
Adverse Effects of Electronic Cigarettes on the Disease-Naive Oral Microbiome
Science Advances
Researchers used oral swabs of vapers, cigarette smokers, and non-users to analyze the impact of vaping on the oral cavity. Their findings that the oral damage of e-cigarette use is significant but not less than the damage of cigarette use challenges the harm reduction claims of e-cigarettes as a cessation tool.

Young dark-skinned girl in pink sweater exhales smoke rings on a pink background
World No-Tobacco Day Awards recognizes advancements in Bolivia, Brazil, Mexico and Venezuela
Pan American Health Organization (PAHO) | World Health Organization (WHO)
Institutions and individuals in Bolivia, Brazil, Mexico, and Venezuela were recognized this year for their work on tobacco control. Mexico, specifically, took economic and trade action to curb youth vaping.

Addictive Behaviors An International Journal
Evaluating the actual and perceived effectiveness of E-cigarette prevention advertisements among adolescents
Addictive Behaviors
This article is one of the first to test the effectiveness of the FDA's The Real Cost campaign ads. Researchers found that the campaign's ads scored highly on scales of message perception and effect perception. They led adolescents to have higher beliefs about the harms of vaping, more negative attitudes toward vaping, and lower intentions to vape compared to control videos. Several of the authors are involved in Vaping Prevention Resource.

African American pastor standing in a neighborhood street
No Menthol Sunday Expands Message with Virtual Services
The Birmingham Times
Churches across Almaba and the nation participated in No Menthol Sunday on May 17, 2020. The annual observance, led by the National African American Tobacco Prevention Network (NAATPN), engages faith leaders to strive for better health outcomes for their African American communities and congregations. While the campaign typically targets the role of menthol flavoring in cigarette marketing, this year, there is a particular focus on youth vaping and menthol flavoring.

Coverpage CHI‘20 Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
PuffPacket: A Platform for Unobtrusively Tracking the Fine-grained Consumption Patterns of E-cigarette Users
Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
PuffPacket is a vaping measurement tool developed by a team of researchers at Cornell University. PuffPacket can be physically attached to any vaping device and is intended to track vaping intensity, frequency, and inhalation duration. When linked to a smartphone, it can also track contextual triggers.

Teen using cell phone while parent looks on
FDA Warns Manufacturers and Retailers to Remove Certain E-cigarette Products Targeted to Youth from the Market
U.S. Food and Drug Administration
The FDA issued warnings to retailers and manufacturers of electronic nicotine delivery system (ENDS) products that were targeted to youth. These products include those which look like children's toys and smartwatches and clothing with hidden pockets meant to conceal an e-cigarette. They also issued warnings to e-liquid producers that used youth-targeted marketing including candy-like packaging.

Tobacco Control
Do JUUL and e-cigarette flavours change risk perceptions of adolescents? Evidence from a national survey
Tobacco Control
Using a national survey of high school students who had ever heard of JUUL or e-ciagrettes, researchers found that youth risk perception of e-cigarette use was influenced by e-cigarette flavors.

Illustration, person vaping
The Scary Relationship Between Vaping And Coronavirus
Medical professionals urge vapers that the time to quit is now. The combination of COVID-19 virus transmission and the health effects of vaping put those who vape and those around them at increased risk of contracting and spreading the virus. Further, those who vape and are infected with COVID-19 may have a harder time recovering from the virus.

Man vaping, face covered with aerosol, holding blue mod e-cigarette
Smokers and Vapers May Be at Greater Risk for Covid-19
New York Times
While vaping may be a stress-reducing behavior for some, doctors warn that vaping (use of e-cigarettes) may contribute to the spread of COVID-19 virus. They say that e-cigarette use itself and the physical health impacts of vaping, including lung damage, weakened immune system, and increased ACE-2 receptor expression, may put an individual at increased risk of contracting the virus. Other tobacco use may also contribute to virus spread.

JAMA Oncology
e-Cigarette Use Among Young Adult Cancer Survivors Relative to the US Population
JAMA Oncology
In this research letter, the authors show that young adult cancer survivors are more likely to vape than their peers who have not previously had cancer. They explain the implications of such a finding in their letter.

Preventative Medicine Reports academic journal cover
Correlates of Youth Vaping Flavor Preferences
Preventative Medicine Reports
This peer-reviewed analysis shows an association between flavor and electronic nicotine delivery systems (ENDS) use among youth aged 13-18. Moreover, its findings indicate that flavors are a drivers for experimentation with ENDS and flavor preferences vary by sex, age, and race/ethnicity. The authors provide recommendations relevant to vaping prevention messaging and policy.

Vitamin E Acetate in Bronchoalveolar-Lavage Fluid Associated with EVALI
New England Journal of Medicine
Scientific background on vitamin E acetate which is associated with EVALI (e-cigarette or vaping-associated lung injury).

Surge in youth vaping prompting cities, state to consider flavored tobacco bans
The San Diego Union Tribune
An update as cities consider vaping bans. Cities, including San Diego, are considering banning the sale of flavored tobacco and vaping liquids. Supporters hope this will prevent youth nicotine use; critics say it will damage small businesses and that it won’t work to prevent youth vaping.

Is vaping a source for good or for evil? Both.
The Washington Post
A report on Juul, government response, and the pros and cons of vaping. New youth vaping prevention regulations in some states are causing small vape shops to switch to selling different types of products or close down. The goal is to protect youth by getting flavored products off the market. However, critics say that teens will still be able to access vapes and that this regulation will impact customers coming into stores, who are already 21+ and may be using vapes to quit smoking.

Parents: Teens Are Still Vaping, Despite Flavor Ban. Here's What They're Using
An update on vaping use among teens. Disposable vapes are a new popular vape product; the industry has been able to get new products on the market, where teens can access them, even with current regulations. Teens often look for the sweet flavors that vapes provide. Parents can make sure they understand the products, gently open conversations about vaping with teens, and make use of all resources available to them.

Young people have moved on to a new kind of vape not covered by the flavor ban: disposables
A perspective on the FDA’s vaping policy. The US government has started to restrict e-cigs to curb underage vaping. However, many youth have already moved to new types of products: flavored disposable versions which circumvent the new policy.

Portage students take on vaping, bullying at youth summit
Record Courier
A report on a youth summit where young people discussed the problems and solutions they face. One hundred Portage County (Ohio) high school students discussed vaping, among other things, during a Youth Leadership Summit. The students developed data-driven plans for their schools to implement and protect youth.

Who Thought Sucking on a Battery Was a Good Idea? Vaping is a health crisis that’s only just begun.
New York Magazine
A recap of the EVALI (e-cigarette or vaping-associated lung injury) outbreak of 2019. Was it a result of vitamin E acetate, an additive often mixed with THC? Or could EVALI be only the first of many repercussions of vaping? A look into a teen-run drug ring distributing illegal THC vape cartridges in local high schools, the black market behind vaping, and the role Big Tobacco is playing across virtually all top e-cigarette brands.

Teens Find a Big Loophole in the New Flavored Vaping Ban
The New York Times
Perspectives on the FDA’s vaping policy and reports of experiences from teens who vape. An FDA policy loophole meant to curb teen vaping by targeting vape flavors allows teens to continue to access vapes through disposable devices. Teens have switched from reusable vapes to these disposable ones, to continue accessing vape flavors. The FDA says it will act if they see products targeted to children. Those advocating against the policy are concerned that the FDA has a lag in understanding the issue.

Update: Characteristics of a Nationwide Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injury — United States, August 2019–January 2020
An update from the CDC in on the Fall 2019 EVALI outbreak. Nationwide, 82% of patients hospitalized with EVALI reported use of reported tetrahydrocannabinol (THC)-containing product use. After case numbers peaked the week of September 19, 2019, weekly reported cases have declined.

A Teen With Cough: Could This Be Vaping Related?
A hypothetical case presentation that illustrates key EVALI (e-cigarette or vaping-associated lung injury) evaluation and healthcare treatment scenarios. Would you know what to do?

How Juul hooked a generation on nicotine
New York Times
A deep dive into Juul’s marketing tactics that actively targeted millennials and ignored evidence that teenagers were illegally using its products.

BMJ Tobacco Control COVID-19 preys on lungs, while the tobacco industry makes them more vulnerable Woman exhaling smoke virus
Reactions to electronic nicotine delivery system (ENDS) prevention messages: results from qualitative research used to inform FDA’s first youth ENDS prevention campaign
Tobacco Control
In response to growing increased vaping among youth, large-scale health communications campaign messages were evaluated using focus group discussions with youth. Researchers found that addiction-only messages resonated less with youth and that messages with the negative consequences of vaping and strong health effects resonated more with this group.

Teen Vaping Linked to More Health Risks
Yale Medicine
A look into the 2019 EVALI (e-cigarette or vaping-associated lung injury) outbreak, as well as the potential risks of vaping that, surfaced prior. Various doctors and researchers weigh in on how to talk to your kids about vaping. Concerns about research showing the effects of nicotine on the developing adolescent brain discussed as well as the increased likelihood of adolescents who vape becoming cigarette smokers in the future.