smokeless tobacco products (e.g., chewing tobacco and
snuff), and pipe tobacco, increased from 2000 to 2015 ( 38).
Electronic cigarettes (e-cigarettes) are a rapidly emerging
tobacco product that expose users to a number of harmful
chemicals that are known to have adverse health effects.
Given that currently we have limited understanding of
the long-term effects of e-cigarette use, the U.S. Surgeon
General has expressed major concerns about the rise in
incidence and death
rates are highest in
counties with the highest
level of poverty ( 46).
Goal 1. First, Do
No Harm | Include
e-cigarettes in policies
and programs related
to conventional cigarette
smoking while educating
the public about the
health risks using evidence-based messages.
Goal 2. Provide
Information about the
Dangers of E-Cigarette
Use among Youth and
Young Adults | Educate
parents, teachers, and
coaches as well as health
professionals about the risks of e-cigarette use
among youth and young adults.
Goal 3. Continue to
at the Federal Level
to Protect Public
Health | Implement
FDA regulatory authority over the manufacturing,
marketing, and distribution of e-cigarettes.
Goal 4. Promote Programs
and Policies at the State
and Local Levels to Prevent
E-Cigarette Use among Youth
and Young Adults | Identify
best strategies to implement
population-level regulations to
reduce e-cigarette use among
youth and young adults; include e-cigarettes in smoke-
free indoor air policies; restrict youth access to retailers;
establish packaging requirements.
Goal 5. Curb Advertising
and Marketing That
and Young Adults
to Use E-Cigarettes |
Restrict advertising and
marketing that cater to the younger generation.
Goal 6. Expand
and Evaluation Related to
E-Cigarettes | Enhance
research, and evaluation.
A Report from the U.S. Surgeon General
Electronic cigarettes (e-cigarettes) are a rapidly emerging form of electronic nicotine delivery system
(ENDS) that deliver nicotine, flavorings, and other additives to users via an inhaled aerosol. The increase
in e-cigarette use among youth and young adults has become a public health concern and prompted the
U.S. Surgeon General to issue a report that offers a list of goals intended to minimize the public health
threat posed by these products ( 47).