The FDA has declared that the United States is in the middle of a youth vaping epidemic. E-cigarette use increased 78% among high school students (11.7% to 20.8%) and 48% among middle school students (3.3% to 4.9%) from 2017 to 2018.5 Among middle and high school students, 3.62 million were current users of e-cigarettes in 2018.6 JUUL is the most popular brand of e-cigarette in the United States, with 75% of the market. Its dramatic rise in popularity, especially among young people, has caused the Food and Drug Administration, U.S. Federal Trade Commission, and the House Subcommittee on Economic and Consumer Policy to scrutinize its marketing practices.

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