Given the inherent toxicity of combusted tobacco products, decreasing their appeal will maximize the potential public health benefits of these regulatory actions. The American Lung Associations. Preventing Tobacco Use Among Young People: A Report of the Surgeon General, 1994. On April 29, 2021, FDA announced the Agencys commitment to advance two tobacco product standards to significantly reduce disease and death from cigarettes and cigars. NYTS data from 2018 and 2019 showed disturbing increases in the use of e-cigarette products among middle and high school students.34 In 2020, however, NYTS data showed that 1.8 million fewer U.S. youth were currently using e-cigarettes compared to 2019.5 While that finding was promising, the data also showed disposable e-cigarette use among high school students increased from 2.4 percent in 2019 to 26.5 percent in 2020 a 1,000 percent increase; similarly, disposable e-cigarette use among middle school students increased from 3.0 percent to 15.2 percent a 400 percent increase, and more than 8 out of 10 youth who used e-cigarettes reported use of flavored products. Pursuant to the Tobacco Control Act, a new tobacco product is one that was not commercially marketed as of February 15, 2007, or one that was modified after February 15, 2007. I appreciate the opportunity to be here today to provide background on FDAs regulation of e-cigarettes and our efforts to prevent youth initiation and address this important public health issue. Join the 700,000+ people getting our email updates! First, many teens believe vaping is less harmful than smoking. You will be subject to the destination website's privacy policy when you follow the link. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. We will continue to take vigorous compliance and enforcement actions aimed at ensuring e-cigarettes, and all tobacco products, are not being marketed or sold to youth. CTP also supports two other national surveys in collaboration with CDC. Smoking during pregnancy may increase the likelihood that the child will smoke cigarettes regularly in the future. Questions also have swirled over whether e-cigarettes are effective as a smoking-cessation tool, or whether they merely offer another path to nicotine addiction. Since 2010, FDA has conducted more than 900 inspections of manufacturing establishments, some of which manufacture ENDS products (including e-liquids). National Youth Tobacco Survey, 2014. The PATH Study is a national, longitudinal cohort study of almost 46,000 youth and adults in the United States that collected its first wave of data in 2013 and follows study participants over time to learn how and why people start using tobacco products, switch tobacco products, use multiple tobacco products, quit using them, and start using them again after they have quit, as well as how different tobacco products affect health (such as cardiovascular and respiratory health) over time. Let's join together to end the youth vaping epidemic by supporting parents, schools and students. You will now receive email updates from the American Lung Association. Research from The Johns Hopkins University on vape ingredients published in October 2021 reveals thousands of chemical ingredients in vape products, most of which are not yet identified. Survey data shows 4.6% of adults currently used e-cigarettes or a similar device in 2017, compared with 4.7% in 2016. What do the numbers show about vaping in the U.S.? The Health Consequences of Smoking50 Years of Progress: A Report of the Surgeon General, 2014. Life expectancy for smokers is at least 10 years shorter than for nonsmokers. I will describe FDAs progress on the processing and review of these applications later in my testimony. FDA also conducts inspections of manufacturing establishments, which includes inspections of vape shop establishments, many of which mix and/or sell flavored ENDS products. Masks are required inside all of our care facilities. Centers for Disease Control and Prevention. In light of the EVALI outbreak, the CDC advises people who use e-cigarettes for smoking cessation to weigh the risks and benefits and first consider use of other FDA-approved smoking cessation options. Now his mother is warning others. When the Deeming rule took effect in August 2016, many of the regulatory and legal requirements that had been in place for manufacturers of cigarettes, smokeless tobacco, cigarette tobacco, and roll-your-own tobacco since 2009, as well as several new requirements specific to deemed products, became applicable to manufacturers of e-cigarettes and other ENDS products. 2011; 20(Suppl 2):ii1ii7. On February 6, 2020, FDA began prioritizing enforcement against illegally marketed ENDS products by focusing on the following groups of products that do not have premarket authorization: Since September 9, 2020, FDA is also prioritizing enforcement against ENDS products that are not the subject of a pending premarket application. Saving Lives, Protecting People. Other influences that affect youth tobacco use include: Lower socioeconomic status, including lower income or education, Not knowing how to say no to tobacco product use, Lack of support or involvement from parents, Accessibility, availability, and price of tobacco products, Seeing tobacco product advertising in stores, on television, the Internet, in movies, or in magazines and newspapers, Higher costs for tobacco products (for example, through increased taxes), Prohibiting smoking in indoor areas of workplaces and public places, Raising the minimum age of sale for tobacco products to 21 years, TV and radio commercials, posters, and other media messages aimed at kids and teens in order to counter tobacco product ads, Community programs and school and college policies that encourage tobacco-free places and lifestyles, Community programs that lower tobacco advertising, promotions, and help make tobacco products less easily available, Being part of a religious group or tradition, Racial/ethnic pride and strong racial identity. The CDC has identified vitamin E acetate as a chemical of concern among people with EVALI. . Among those age 55 and older, death rates are decreasing for every ten-year age group, except for those age 85 and older, for whom the rate increased from 1999 to 2017 before decreasing the next three years. The survey provides important data that allow us to understand current youth tobacco product use in a larger historical context. Its quite another thing to start up nicotine use with vaping. Suspending inspections was necessary to protect the health and safety of FDAs staff and contractors (both adults and youth) who participate in the inspections. The Agency made the list available to the public to be transparent and increase stakeholder knowledge of these products; however, the list is only one source of information. Smoking increases the risk of dying from coronary heart disease among middle-aged men by almost four times. Youth are more likely to use tobacco products if they see people their age using these products. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The continued marketing of these widely-used products has the potential to have the greatest public health impacteither positively or negativelyas they hold the largest overall market share and therefore are likely used by the largest number of people. Emerging data suggestslinks to chronic lung disease and asthma, as well as associations between dual use of e-cigarettes and smoking withcardiovascular disease. Marketing products with direct or implied claims of reduced risk only if FDA confirms that scientific evidence supports the claim and determines that providing a marketing authorization for the product will, among other things, benefit the health of the population as a whole. I will provide a brief update on FDAs work in each of these areas, with a focus on our efforts related to youth use of e-cigarettes. As anticipated, FDA received thousands of tobacco product submissions covering millions of tobacco products, the vast majority of which are for ENDS products. The number of people who vaped daily used to be 1 in 5, but now its up quite a bit, which is concerning because it implies more nicotine addiction. FDA may also seek a No-Tobacco-Sale Order (NTSO) against a retailer that has committed five or more repeated violations of certain restrictions in a 36-month period. CDC twenty four seven. In 2022, nearly 2 of every 100 high school students (1.6%) reported that they had had used smokeless tobacco in the past 30 days. It is important to keep working to prevent and reduce the use of all forms of tobacco product use among youth. As of May 31, 2021, FDA had issued more than 120 warning letters to firms selling or distributing unauthorized ENDS and that did not submit premarket applications by the September 9 deadline. Even nicotine free juice often contains nicotine 30. In July 2019, the court issued a further order directing FDA to require that applications for deemed new tobacco products such as e-cigarettes, cigars, pipe tobacco, and hookah tobacco, that were on the market as of August 8, 2016, be filed with FDA no later than May 12, 2020. T he Centers for Disease Control and Prevention (CDC) announced on Jan. 16 that, as of Jan. 14, the number of people who have died from a vaping-related illness has increased to 60, and. Protecting our nations youth from the dangers of tobacco products is among the Agencys most important responsibilities, and we are taking aggressive steps to make sure tobacco products are not being marketed or sold to kids. Together, the data sheds light on patterns of e-cigarette use and vaping in the U.S. California, meanwhile, had the lowest rate of vaping (3%) and the second-lowest rate of tobacco smokers (11.3%). By identifying and ensuring review of these applications, we believe we can achieve the greatest public health impact most quickly. In 2022, about 4 of every 100 middle school students (4.5%) and about 1 of every 6 high school students (16.5%) reported current use of a tobacco product. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. FDA will continue to support and fund research to evaluate the health impacts of ENDS, both at the individual and population levels. Thank you for taking the time to confirm your preferences. Students who had vaped most commonly reported getting the last e-cigarette they had used from friends (63%), siblings (8%) or parents (7%). The .gov means its official.Federal government websites often end in .gov or .mil. In addition, the nicotine in smokeless tobacco may increase the risk for sudden death from a condition where the heart does not beat properly (ventricular arrhythmias).5, Cigarette smoking causes about one of every five deaths in the United States each year.1,6Cigarette smoking is estimated to cause the following:1. Data from 2020 show that 11% of Americans vape. Select your location to view local American Lung Association events and news near you. The campaign has successfully reached and engaged teens, generating over 5 billion views, more than 3.5 million likes, 350,000 shares, and 88,000 comments. 1; Between 1964 and 2014, 2.5 million people died from exposure to secondhand smoke, according to the 2014 report from the U.S. In 2015, 9.3% of high school students reported smoking cigarettes in the last 30 days, down 74% from 36.4% in 1997 when rates peaked after increasing throughout the first half of the 1990s. First, many teens believe vaping is less harmful than smoking. An updated vaping illness tracker with data from 2020 is now available. As a result of the SARS-CoV2 pandemic, a number of FDAs compliance and enforcement activities were disrupted. According to Blaha, there are three reasons e-cigarettes may be particularly enticing to young people. Preventing tobacco product use among youth is critical to ending the tobacco epidemic in the United States. Each year, more than 480,000 people in the United States die prematurely from diseases caused by cigarette smoking and exposure to tobacco smoke. Smokeless Tobacco Product Use in the United States, Centers for Disease Control and Prevention. Read our simple and effective tips for protecting you and your family from the dangers of air pollution. It causes you to crave a smoke and suffer withdrawal symptoms if you ignore the craving. If cigarette smoking continues at the current rate among youth in this country, 5.6 million of today's Americans younger than 18 will die early from a smoking-related illness. On May 20, 2021, FDA posted a list of deemed new tobacco products for which a PMTA was submitted by September 9, 2020.6 The list includes over 6 million products. Another key component of FDAs tobacco compliance and enforcement program is our monitoring and investigations of tobacco product promotion, advertising, and labeling activities. The Lung Cancer Stat Bite provides an overview of incidence, deaths, stage distribution, and five-year relative survival. Another effort the University of Michigan's Monitoring the Future survey, funded by the National Institute on Drug Abuse offers a more recent look at the issue among adolescent students. CTP-funded e-cigarette research is administered through federal contracts, interagency agreements, and grants funded through a partnership with the National Institutes of Health (NIH) Tobacco Regulatory Science Program (TRSP). The Statistics Canada report bears that out. The teen's death was announced by Dallas . The latest numbers from the CDC suggests the crisis is growing with more than. At Another Johns Hopkins Member Hospital: Will Vaping Lead Teens to Smoking Cigarettes? The Tobacco Control Act also authorized FDA to deem other tobacco products (which include any product made or derived from tobacco that is intended for human consumption that is not a drug, device, or combination product under the FD&C Act, including any component, part, or accessory of that product) to be subject to the Agencys regulatory authority in Chapter IX of the FD&C Act. Im keeping a close eye on that.. Among these are:2. In addition, FDA and the American Academy of Pediatrics (AAP) recently developed video interviews with pediatricians talking about the dangers of youth ENDS use. Circuit ruled that while FDA could choose to regulate e-cigarettes and other products made or derived from tobacco under its new tobacco authorities, it could not regulate these products under FDAs drug and device authority unless they were marketed for therapeutic purposes.1. Nicotine is the primary agent in regular cigarettes and e-cigarettes, and it is highly addictive. International Agency for Research on Cancer Monographs on the Evaluation of Carcinogenic Risks to Humans Vol. Saving Lives, Protecting People, Estimates of Current Tobacco Use Among Youth, Factors Associated With Youth Tobacco Product Use, The Health Consequences of Smoking50 Years of Progress: A Report of the Surgeon General, Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General, 2018 National Survey on Drug Use And Health: Detailed Tables, Flavored Tobacco Product Use Among Middle and High School StudentsUnited States, 2014, Characteristics of e-Cigarette Use Behaviors Among US Youth, 2020, Tobacco Product Use and Associated Factors Among Middle and High School Students National Youth Tobacco Survey, United States, 2021, Tobacco Product Use Among Middle and High School Students United States, 2022, Tobacco Product Use Among Middle and High School Students, United States, 2020, Nicotine Pouch Unit Sales in the US, 2016-2020. 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