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Monday, October 22, 2018

As vaping surges, teen cigarette smoking ticks up after decades of decline

More high school kids are smoking cigarettes as vaping surges, reversing a two-decade-long decline.

Last year, 8.1 percent of high school students reported smoking cigarettes, up from 7.6 percent in 2016, according to federal health officials, who asked not to be named because the data haven't been publicly released. The increase is not statistically significant, but it is likely to fuel growing controversy about teen use of e-cigarettes.

Preliminary data from the Centers for Disease Control and Prevention's annual National Youth Tobacco Survey also show e-cigarette use among high school kids surging by about 77 percent, numbers so staggering that Food and Drug Administration Commissioner Scott Gottlieb is labeling youth use of e-cigarettes an "epidemic." The complete data set, which was reviewed by federal health officials, is expected to be released later this year.

Teen smoking rates have plummeted since peaking in 1997 when 36.4 percent of high school students surveyed in the CDC's Youth Risk Behavior Survey said they regularly smoked cigarettes. In 2015, the National Youth Tobacco Survey identified a slight uptick — up to 9.3 percent from 9.2 percent in 2014 — before falling again to 8 percent in 2016.

Critics have warned a surge in e-cigarette use may cause nicotine-addicted kids to migrate to conventional cigarettes. The new data suggest this may be happening.

The Rand Corp., a nonprofit research group, published a report earlier this month showing teens who vape are more likely to smoke cigarettes and are likely to increase their use of both products over time.

While e-cigarette makers say their products are designed to help adults quit smoking, vaping has become a phenomenon among teenagers.

One brand in particular, Juul, has become a target of parents, teachers and now regulators. The FDA recently conducted a surprise investigation, seizing documents related to how the company markets its products. The agency in September ordered Juul and four other e-cigarette companies to submit plans within 60 days outlining how they will curb youth use.

"I think people should interpret the fact that I and others have made such a dramatic shift from our prior position with respect to these products as representing the fact that we have seen information that is deeply disturbing and startling in terms of the rapid rise of youth use over a short period of time," Gottlieb told CNBC last month.

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