Besides the bad publicity that e-cigarettes are still subjected to, a TPD regulation banning sales of nicotine containing e-liquids above 20 mg/ml, has been making it hard for many smokers to switch to e-cigarettes.It is a known fact that when smokers first turn to vaping, they first start with higher doses of nicotine to match the hit they were getting from their cigarettes, and then proceed to wean themselves slowly in order to curb their addiction.
Almost 21 percent of high school seniors say they vaped a nicotine product within the past 30 days, up from 11 percent a year ago - the largest one-year increase of any substance use in the survey's 43-year history.
Bonnie Halpern-Felsher, a professor of pediatrics in Stanford University's Division of Adolescent Medicine, called this increase in vaping alarming but not surprising because of new products, such as those from popular e-cigarette maker Juul.
Vaping use is also seen among younger teens, with the MTF survey likewise finding that more than one of every 10 8th graders reported vaping nicotine liquid in the past 12 months.
"This report dovetails with the government's Tobacco Control Plan commitment to back innovative products in its drive to encourage smokers to quit, and its recommendations are evidence-based and created to maximise the benefits of safer nicotine delivery", said the NNA about the report.
"What is it that we're doing right with teenagers that we're not doing with adults?" said Dr. Nora Volkow, director of the National Institute on Drug Abuse, a federal agency that funds the MI study.
"Intriguingly, when they go off to college or go to work, you see the highest rates of opioid use among 18 to 24 years of age".
In an advisory Tuesday, Surgeon General Jerome Adams said parents, teachers, health professionals and government officials must take "aggressive steps" to keep children from using e-cigarettes.
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Among 12th-graders, the proportion of students who said they had vaped a nicotine product in the 30 days before they took the survey soared from 11 percent in 2017 to 20.9 percent in 2018.
Food and Drug Administration Commissioner Scott Gottlieb has described teen vaping an "epidemic".
The latest survey indicates that students may not realize they're using an addictive substance.
There's yet more disturbing news about kids vaping nicotine.
Most e-cigarettes contain nicotine.
Compton said more progress is needed, however. And there is a growing body of evidence that these are not simply kids who are vaping instead of smoking.
"We are encouraged to see continued declines in a variety of measures of underage alcohol use", says George F. Koob, Ph.D., director of the National Institute on Alcohol Abuse and Alcoholism.
"Just a few years ago, we saw that over 10 percent of high school seniors reported using Vicodin in any given year". Other illicit drugs, including cocaine, synthetic cannabinoids, and MDMA as well as alcohol also remained at historic lows. Yet the percentage of teenagers who reported ever using alcohol dropped as much as 58% from its peak in 1994. In 2018, 7.5 percent of seniors, 7 percent of sophomores and 2.6 percent of eighth-graders said they had vaped marijuana in the past 30 days. While the devices are believed by many to be safer than traditional tobacco cigarettes, they are far from harmless. Under 14 percent said they had been binge-drinking, defined as having five or more drinks in a row.