![]() ![]() It wasn’t until 2016 that the Congress passed the Child Nicotine Poisoning Prevention Act, giving the FDA the authority to regulate e-cigarette packaging. 3 But because e-cigarettes were seen as a treatment option, they were not subjected to the same regulations as combustible cigarettes. This claim never had evidence to support it, as studies comparing the use of electronic cigarettes, placebos, and nicotine patches demonstrated no significant differences in abstinence rates. in 2007, and they were advertised by the tobacco companies as an adjunct method to help patients quit smoking. MMWR Morb Mortal Wkly Rep 2018 67:1276–1277Įlectronic cigarettes are battery-operated devices that use an electric pulse to heat and aerosolize a flavored liquid that typically contains nicotine. Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Products Among Middle and High School Students – United States, 2011–2018. Source: Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. An article from the New England Journal of Medicine reported a 10% increase in adolescents using e-cigarettes between 20 alone, which is approximately 1.3 million teenagers. Recent national surveys demonstrate a drastic increase in e-cigarette use among high schoolers. The United States is seeing an explosive rise of adolescents’ vaping and the renormalization of smoking ( Table 1). Physicians have worked diligently to improve education on the dangers of smoking and fought to pass new regulations to protect patients. 1 The decrease is largely a response to exhaustive work done by physicians, advocacy groups and lawmakers. The Youth Risk Behavior Survey demonstrated a decrease in the number of teens trying combustible cigarettes from 70% in 1991 down to 58.4% in 2003 and even further down to 28.9% in 2017. Over the last 20 years, there has been a decrease in the number of teenagers smoking combustible cigarettes. Specifically, vaping in adolescents poses a grave risk to patients’ health and is a topic that physicians have to confront. “Do you drink any alcohol? Do you do any drugs? Do you smoke cigarettes?” While these are three very important questions to help us address potential health hazards with patients, they fail to identify some of the most significant factors in the lives of adolescent patients. Every medical student is taught the three basic questions to ask for social history. ![]()
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