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September 6th, 2013:

Teens flock to e-cigs, usage more than doubles in one year

More than 75% of teen e-cig users smoke conventional cigarettes too

Manufacturers of electronic cigarettes — or e-cigs — like to say the devices help smokers quit while also dissuading non-smokers from taking up the tobacco-smoking habit.

But data published by the Centers for Disease Control and Prevention suggest the claims may be a smokescreen. The percentage of U.S. middle and high school students who use e-cigarettes more than doubled from 2011 to 2012, according to the findings from the National Youth Tobacco Survey.

The survey is likely to provide ammunition to critics who say the federal government is not moving quickly enough to regulate the e-cigs. In April, five U.S. Senators wrote to FDA Commissioner Margaret Hamburg, urging her agency to issue regulations for the devices. The letter was signed by Sens. Dick Durbin (D-Il.), Frank Lautenberg (D-N.J.), Richard Blumenthal (D-Conn.), Sherrod Brown (D-Oh.) and Jack Reed (D-R.I.).

The FDA has left no doubt it intends to regulate e-cigs. The only questions are when and how.

“These data show a dramatic rise in usage of e-cigarettes by youth, and this is cause for great concern as we don’t yet understand the long-term effects of these novel tobacco products,” said Mitch Zeller, director of FDA’s Center for Tobacco Products. “These findings reinforce why the FDA intends to expand its authority over all tobacco products and establish a comprehensive and appropriate regulatory framework to reduce disease and death from tobacco use.”

Britian began regulating e-cigs in June, treating them as non-prescription medicine, allowing them to be sold widely by retailers but empowering the government to enforce quality and purity standards.

The CDC survey found that the percentage of high school students who reported ever using an e-cigarette rose from 4.7 percent in 2011 to 10.0 percent in 2012. In the same time period, high school students using e-cigarettes within the past 30 days rose from 1.5 percent to 2.8 percent. Use also doubled among middle school students.

Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigarettes.

Lifelong addiction

“The increased use of e-cigarettes by teens is deeply troubling,” said CDC Director Tom Frieden, M.D., M.P.H. “Nicotine is a highly addictive drug. Many teens who start with e-cigarettes may be condemned to struggling with a lifelong addiction to nicotine and conventional cigarettes.”

The study also found that 76.3 percent of middle and high school students who used e-cigarettes within the past 30 days also smoked conventional cigarettes in the same period.

In addition, 1 in 5 middle school students who reported ever using e-cigarettes say they have never tried conventional cigarettes. This raises concern that there may be young people for whom e-cigarettes could be an entry point to use of conventional tobacco products, including cigarettes.

“About 90 percent of all smokers begin smoking as teenagers,” said Tim McAfee, M.D., M.P.H., director of the CDC Office on Smoking and Health. “We must keep our youth from experimenting or using any tobacco product. These dramatic increases suggest that developing strategies to prevent marketing, sales, and use of e-cigarettes among youth is critical.”

No proof

Although some e-cigarettes have been marketed as smoking cessation aids, there is no conclusive scientific evidence that e-cigarettes promote successful long-term quitting, the FDA noted. However, there are proven cessation strategies and treatments, including counseling and FDA-approved cessation medications.

Cigarette smoking remains the leading preventable cause of dis­ease, dis­ability, and death in the United States, responsible for an estimated 443,000 deaths each year. And for every one death, there are 20 people living with a smoking-related disease. To quit smoking, free help is available at 1-800-QUIT NOW or