CENTER FOR TOBACCO PRODUCTS @FDATobacco Sources: (1) Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the Field: Increase in use of electronic cigarettes and any tobacco product among middle and high school students — United States, 2011–2018. MMWR Morbid Mortal Wkly Rep. 2018;67(45). (2) Wang TW, Gentzke A, Sharapova S, Cullen KA, Ambrose BK, Jamal A. Tobacco product use among middle and high school students — United States, 2011-2017. MMWR Morb Mortal Wkly Rep. 2018;67(22). SURGE IN YOUTH CURRENT E-CIGARETTE USE— 1.5 Million More Students Vaping in 2018 vs 2017 CTP-116 Last Updated November 2018 Note: All numbers in this document are estimates. 11.7% 20.8% 2017 2018 4.9% 3.3% 2017 2018 Current e-cigarette use among middle and high school students increased alarmingly between 2017 and 2018. 0 10 20 Years Current Use of Any Tobacco Product Percentage of Students 30 2015 2016 2017 2018 SURGE IN YOUTH CURRENT E-CIGARETTE USE — 1.5 Million More Students Used E-Cigarettes in 2018 vs 2017 48 % Increase Among Middle School Students 78 % Increase Among High School Students Here is a breakdown of the recent findings: AMONG HIGH SCHOOL CURRENT E-CIGARETTE USERS — Rise in Frequency and Use of Flavors E-CIGARETTE USE SURGE LED TO UPTICK IN OVERALL TOBACCO USE — Reversing Previous Declines High School Students 27.1% Middle School Students 7.2% CAUSE FOR CONCERN 2018 NATIONAL YOUTH TOBACCO SURVEY FINDS in 2018 vs 20% in 2017 More Used E-Cigarettes on 20 or More Days 28 % in 2018 vs 61% in 2017 68 % More Used Flavored E-Cigarettes