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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.


Arizona Attorney General Mark Brnovich speaks at a news conference in Phoenix, on Jan. 7, 2020.
Juul to pay $14.5 million to settle Arizona vaping lawsuit
ABC News
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Arizona Attorney General Mark Brnovich Tuesday recently announced that Juul is settling with Arizona for $14.5 million. Juul admitted no wrongdoing while settling and called it “another step in our ongoing effort to reset our company.” A large chunk of the $14.5 million will be used for cessation and education programs that discourage use of vaping products with the goal of preventing youth vape use and nicotine addiction.

Build Back Better’s e-cigarette tax will make people smoke more
The Washington Post
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The Build Back Better plan is intended to improve the health of the public with taxes on some nicotine products, including e-cigarettes, but excluding cigarettes. New economic research shows that cigarettes and e-cigarette use is closely tied to each other. "If cigarettes become more costly relative to e-cigarettes, some cigarette smokers will switch to e-cigarettes. Conversely, if e-cigarette prices rise relative to cigarette prices — as they will under the legislation’s tax provision — some people will smoke cigarettes who would otherwise have used e-cigarettes."

NC Attorney General sues Juul co-founders, will investigate 20 e-cigarette companies
The News & Observer
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North Carolina Attorney General Josh Stein is suing Juul Labs' co-founders. At a recent press conference, Stein announced he is filing a lawsuit for their alleged personal participation in the company’s marketing strategy towards youth. Stein also announced the decision to investigate 20 companies involved in North Carolina's e-cigarette industry and the “use or suspected use” of their products by underage users.

Attorney General Josh Stein Announces Lawsuit and Statewide Investigation on E-Cigarettes
NC Department of Justice
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North Carolina's Attorney General Josh Stein announced major steps against the e-cigarette industry due to rising concerns of the public health impact on youth.This includes "kid-friendly" flavors, targeted marketing, and poor age verification. AG Josh Stein is filing a lawsuit against JUUL founders, conducting a statewide investigation into PUFF Bar and other state retailers, and issuing a civil investigative demand to 20 major companies.

In this April 16, 2019 file photo, a researcher holds vape pens in a laboratory in Portland, Oregon.
MDH teams up with 'the TikTok Doctor' to combat e-cigarette use among teens
KSTP-TV, Minneapolis
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The Minnesota Department of Health (MDH) is partnering with TikTok content creators to help combat teen e-cigarette use. The MDH is partnering with Dr. Rose Marie Leslie, a family medicine physician with nearly 1 million followers on the popular social media app, TikTok. Dr. Leslie is informally known as "the TikTok Doctor," with the goal of reaching more teenagers who are affected by e-cigarette dependence. "TikTok has been an outlet for me to break through the noise and reach young people with health information that is quick and simple to digest, and also entertaining," Leslie said in a statement. "Highlighting resources like My Life, My Quit to help teens break free from nicotine dependence has been a natural fit."

E-cigarette users face 15% higher risk of stroke at a younger age than traditional smokers
Medical Xpress
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New research finds that although stroke was more prevalent among traditional cigarette smokers, e-cigarette smokers had a 15% higher risk of having a stroke at a younger age. To be presented at the American Heart Association's Scientific Sessions 2021, this research was done by examining the National Health and Nutrition Examination Survey from 2015 to 2018 to identify 79,825 adults with a history of stroke who used traditional cigarettes or e-cigarettes. The study's co-lead author, Urvish K. Patel, M.D., M.P.H., urges the public on education and awareness of e-cigarette use, saying: "The public needs to know that the safety of e-cigarettes have not been proved to be safe and should not be considered as an alternative to traditional smoking especially among people with existing risk factors such as history of heart attack, high blood pressure and high cholesterol,".

“Tobacco-free nicotine” claims may increase the likelihood of e-cigarette use among young people
News Medical Life Sciences
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Published in the journal of Tobacco Control, a study explores young adults' perception of brands that claim tobacco products are "nicotine-free". This online study looked at 1,822 people aged 18 to 29 who either never used tobacco or who only had experimented with it to view depictions of Puff Bar e-cigarettes with either the claim that the product contains "tobacco-free nicotine," as it is marketed, or simply "contains nicotine."

England could prescribe e-cigarettes on National Health Service
CNN
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England may be the first country in the world to prescribe e-cigarettes licensed as a medical product, with the goal of cutting smoking rates in the country. England public health experts express concern and discussion on what this can mean, noting the risks of e-cigarette use and the potential for harm reduction.

Truth Initiative Logo. Inspiring lives free from smoking, vaping & nicotine
Greater nicotine flux is associated with greater dependence among pod-based e-cigarette users, new research shows
Truth Initiative
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Recent Truth Initiative research explores the impact of e-cigarette device and liquid characteristics on nicotine dependence. The report, published in the journal of Addictive Behaviors, shows that greater nicotine flux, or the rate that an e-cigarette emits nicotine, is associated with higher e-cigarette dependence among users of pod-based e-cigarettes like JUUL. The study also found that younger age was significantly associated with e-cigarette dependence.

US vaping industry looks for answers as Postal Service ends deliveries
Freight Waves
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The U.S. Postal Service’s ban on the shipping of all vaping products, which was mandated by Congress late last year, recently took effect. This imposes new challenges on the vaping supply chain and how they plan to get products to their customers, including the possibility of developing new shipping strategies.

Using e-cigarettes to prevent smoking relapse doesn't work well, study finds
CNN
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A longitudinal study finds that e-cigarettes may not be as effective of a tool to prevent relapse to cigarettes. Published in JAMA Network Open, the goal of the study was to assess whether recent former smokers who had switched to e-cigarettes or another tobacco product were less likely to relapse to cigarette smoking compared to those who remained tobacco-free. Results found that 50% of former smokers who quit tobacco "cold turkey" were off cigarettes at the second annual follow-up, but only 41.5% of those who used any other form of tobacco use, including e-cigarettes, had quit successfully. Study author, John Pierce, concludes that "If switching to e-cigarettes was a viable way to quit cigarette smoking, then those who switched to e-cigarettes should have much lower relapse rates to cigarette smoking. We found no evidence of this,".

What nicotine is doing to the youth mental health crisis
CHRON
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Many research studies discuss the association between smoking and vaping nicotine, including highlighting the research that nicotine can negatively impact your mental health - particularly worsening symptoms of depression and anxiety. A recently published white paper from Truth Initiative titled “Colliding Crises: Youth Mental Health and Nicotine Use,” details how nicotine can worsen anxiety symptoms and amplify feelings of depression.

FDA Ignores Its Own Data Showing Threat to Kids by Allowing Highly Addictive Vuse to Remain on the Market
American Lung Association
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The FDA recently announced that it authorized the marketing application for VUSE, a type of high-nicotine e-cigarette product. The American Lung Association’s President and CEO Harold Wimmer issued a statement in response to the FDA’s announcement: “The American Lung Association is dismayed that FDA will permit three Vuse products to remain on the market in the U.S., including products that contain almost 5% nicotine. The harm these products cause to youth shows that they fail to meet the Tobacco Control Act’s public health standard.

'Safer does not mean safe': Wadena County area educators share concerns about youth vaping
Wadena Pioneer Journal
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In Wadena County, Minnesota, public health professionals are working hard to raise awareness of the harmful and addictive nature of e-cigarette products. Dan Huebsch, a youth worker with the Community Concern For Youth program of Wadena and Todd counties, and Laure Laughlin, Community Health Promotion Specialist with Wadena County Public Health, are sharing various educational information and resources specific to Minnesota, hoping to curb what looks like an upward trend in youth use of e-cigarettes.

Washington County mulls retailer ban for vapes, flavored nicotine
Portland Tribune
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The Washington County Board of Commissioners is further considering banning sales of flavored tobacco and vaping products at retail locations that serve people under 21. The board held a public hearing and second reading of the ordinance, which would prohibit the sale of flavored tobacco products, synthetic nicotine, and the devices used to inhale them at any retail location where minors are allowed. Furthermore, it would prohibit retailers from discounting or using promotional prices for such products.

Johns Hopkins researchers thousands of unknown chemicals in electronic cigarettes
Johns Hopkins University
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A new study, published in the journal Chemical Research in Toxicology, suggests that people who vape are using a product with an unknown scope of risks. This is the first study of its kind to apply to vaping liquids and aerosols an advanced fingerprinting technique used to identify chemicals in food and wastewater. Senior author Carsten Prasse, an assistant professor of environmental health and engineering at Johns Hopkins says that "More and more young people are using these e-cigarettes and they need to know what they're being exposed to."

California will impose new vaping tax to curb teen use, fund public health programs
Los Angeles Times
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California Governor, Gavin Newsom, recently approved a 12.5% excise tax on electronic cigarettes. Supported by health groups like the American Cancer Society, this new tax hopes to reduce the number of purchases by those younger than 21 now that vaping devices will be more expensive. Governor Newsom also set aside $20 million to support public health initiatives and awareness campaigns on the health risks of vaping.

Australian vaping law changes: e-cigarette users now need a doctor’s prescription
The Guardian
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Backed by public health research, new laws in Australia are restricting how people obtain nicotine-containing vaping products, requiring prescriptions from a doctor. Prof. Emily Banks, an epidemiologist with the Australian National University explores the negative health effects from e-cigarette use. Furthermore, she states that for most smokers, e-cigarettes are not effective tools to assist them to quit, and the majority of people who vape in Australia are not using the products as smoking cessation devices.

New data show teen vaping declined with school closures
The Hill
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A new survey done by the Centers for Disease Control and Prevention (CDC) highlights new trends in e-cigarette use among youth, amidst the COVID-19 pandemic and other factors. Last year, nearly 20 percent of high school students and 5 percent of middle schoolers said they’d recently vaped. This year's data reports an estimated 11.3 percent of high school students and an estimated 2.8 percent of middle school students said they currently vape. Experts are largely attributing this major drop due to COVID-19 protocols as this year's survey was conducted online, and last year's survey was conducted in person, inside the school's classroom.

Juul Is No Longer U.S. Teenagers' Preferred E-Cigarette. Puff Bar Seems to Have Taken Over
TIME
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New data from the Centers for Disease Control and Prevention (CDC) highlights dramatic changes in teen e-cigarette preferences. More than half of students who vaped said they used disposable e-cigarettes, while about 29% said they used pod-based products. About 85% of youth vapers used products in flavors including fruit, candy and mint.

Study finds link between vaping, eating disorder risk for college students
KOMO News
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A new study published in the journal Eating Behaviors links vaping or e-cigarette use to an increased risk of developing an eating disorder in college students. Addiction medicine specialist, Dr. Vania Rudolf, explains why people with eating disorders are particularly vulnerable to vaping, and what can come out of that.

Vape makers struggle to stay in business after FDA bans flavored e-cigs
POLITICO
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Following the FDA's vaping and e-cigarette ban, small and medium sized e-cigarette businesses are struggling to stay open. This ban did not include denial of applications from some of the biggest in the game, like JUUL, and NJOY. Smaller companies are now left with many questions on just what the financial and legal consequences may be for going against the FDA, and how strict enforcement will be.

Colliding Crises: Youth Mental Health and Nicotine Use
Truth Initiative
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Recent research highlights the urgent need to address the connections between youth vaping and mental well-being. Published research, alongside Truth Initiative survey data, reveals that better mental health outcomes may be linked to quitting nicotine-containing e-cigarettes. 90% of those surveyed who quit said they felt less stressed, anxious, or depressed. 47% of respondents who quit vaping reported that when they quit vaping they felt more in control.

F.D.A. Delays Decision on Juul’s E-Cigarettes but Orders Others Off the Market
The New York Times
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The U.S. Food and Drug Administration (FDA) banned the sale of thousands of vaping and electronic cigarette products but left out one of the industry’s leading companies – Juul. FDA faced a court deadline to issue decisions on marketing applications from hundreds of vaping companies. Previously, they said they would prioritize the key players, like Juul and other industry giants, but none were included in their most recent announcement as much anticipated by public health leaders.

International research shows ‘strong evidence’ linking vaping to cigarette smoking
The Guardian
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An international review of vaping research found that young people who use e-cigarettes are more likely to take up tobacco cigarettes. Funded by the World Health Organization, Australian researchers found that people under 20 who used vapes were more than three times as likely to have ever smoked tobacco cigarettes, and more than twice as likely to have smoked cigarettes in the previous month. This data was a compilation of vaping studies in countries across the world including the United States, United Kingdom, and Germany. Lead author Serene Yoong, associate professor at Swinburne University of Technology in Melbourne, said the findings emphasized the need for youth prevention programs and better regulation of e-cigarette products.

FDA blocks sale of 55,000 flavored e-cigarette products
CNN
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The U.S. Food Drug and Administration (FDA) banned the sale of over 55,000 flavored e-cigarette products. This ban includes flavors made by three companies: JD Nova Group LLC, Great American Vapes, and Vapor Salon. While a step in the right direction, communities are concerned that this isn’t comprehensive enough, noting sales weren’t blocked for some of the top brands among youth, like JUUL.

Governor Pritzker signs legislation preventing underage electronic cigarette sales
WIFR Newsroom
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Illinois officials recently signed legislation that will put more regulations on e-cigarette use. The Illinois Governor signed Senate Bills 512 and 555 into law, further regulating youth use of electronic cigarettes. This new law prohibits certain marketing towards children and enforces stricter compliance checks for retailers. Attorney General Kwame Raoul sums it up best when he says “Our work does not end today. This law is a significant step forward in what must be a comprehensive approach to protecting young people from the dangers of using e-cigarettes and other tobacco products.”

Attorney General Josh Stein Co-Leads Bipartisan Coalition Calling for FDA Action on E-Cigarettes
North Carolina Department of Justice
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A new bipartisan coalition, led by North Carolina and Nebraska’s Attorney Generals calls on the Food and Drug Administration (FDA) to take action on the youth vaping epidemic. The proposed action includes prohibiting non-tobacco flavors, limiting nicotine amount, and restricting marketing. North Carolina Attorney General, Josh Stein, says this as a step toward the right direction, but not all that needs to be done: “…this problem is larger than any one company, and we need the FDA to step up and rein in the practices of the e-cigarette industry that hook our youth.”

A longitudinal analysis of e-cigarette use and cigar, little cigar or cigarillo initiation among youth and youth adults
Truth Initiative
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A recent study found that youth who used e-cigarettes were more likely to use cigars, little cigars, and cigarillos. The research study used a sample drawn from the Truth Longitudinal Cohort, and looked at the association between youth’s use of e-cigarettes and initiation of cigar use. The study found that the odds of using cigars was more than three times greater in youth and young adults who had ever used JUUL or other e-cigarettes compared to those who never used e-cigarettes.

TikTok and Vaping
Medpage Today
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What role does TikTok play in the vaping epidemic? A recent study found that adolescents using TikTok may be influenced in their perceptions of e-cigarette use. Positively framed e-cigarette and vaping-related postings that are posted on TikTok without age restrictions were viewed many times. Researchers were concerned that these popular videos may create social norms around vaping and increase its acceptance.

10 historically and predominantly Black institutions pledge to go tobacco/vape-free with Truth Initiative
Truth Initiative
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In February 2021, eight historically Black colleges and universities (HBCUs) and two predominantly Black institutions were awarded grants from Truth Initiative to combat health disparities related to tobacco and vape use. With the funding, these institutions will aim to adopt a 100% tobacco/vape-free campus policy. This would add 31,000 students to the nearly 2 million who have been impacted through Truth Initiative’s Tobacco/Vape-Free College Program.

Gut Inflammation Triggered by E-Cigarettes
Genetic Engineering and Biotechnology News
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New research from scientists at UC San Diego School of Medicine links gut health to e-cigarette use. They found that long-term use of nicotine-free e-cigarettes can lead to what they call a “leaky gut”. A leaky gut is where microbes and other molecules come out of the intestines, resulting in chronic inflammation. This can contribute to various health outcomes including inflammatory bowel disease, dementia, and certain cancers.

Only 3% of adult smokers used JUUL to quit in past year
The Truth Initiative
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
Pediatrics
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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)
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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
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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
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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
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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
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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.

Bloomberg
In World’s Happiest Nation, Teens Don’t Want to Vape Anymore
Bloomberg
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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
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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)
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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
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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
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Churches across Alabama 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
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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
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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
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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
HuffPost
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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
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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
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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
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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
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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
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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
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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
NPR
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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
MarketWatch
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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
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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
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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
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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
CDC
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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?
MedScape
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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
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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
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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
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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.