1 Vaping INTRODUCTION by Susan Walley, MD, NCTTS, FAAP Chair, American Academy of Pediatrics Section on Nicotine and Tobacco Prevention and Treatment Professor of Pediatrics, University of Alabama at Birmingham School of Medicine Electronic cigarettes are the tobacco products most commonly used by youths in the United States. The use of e-cigarettes, also known as vaping or JUULing, is a public health epidemic that has reached every state, community, and neighborhood in the nation and has threatened to wipe out the decades of progress made by public health experts in decreasing tobacco use. E-cigarette companies such as JUUL, PuffBar, and Stig aggressively market to youths with child-appealing candy, fruit, and dessert flavors while using social media influencers to spread misleading and inaccurate information about the health effects of e-cigarettes. Meanwhile, due to the high nicotine concentrations in these products and a largely unregulated market, teens are becoming addicted to nicotine, and health care providers have limited evidence-based treatment strategies. Fortunately, the AAP already had been working diligently to eliminate youth tobacco use and smoke exposure before the dramatic rise in youth e-cigarette use and thus was able to respond quickly to this public health crisis. The AAP was one of the first organizations to sound the alarm about the health concerns of e-cigarettes. Along with other child health advocates, the AAP has led the charge to educate pediatric health care providers and the public about the harms of e-cig- arette products and advocate for policies to protect youths as well as fund studies on effective treatments for nicotine-addicted adolescents. The AAP recognizes that keeping up with accurate and timely information about youth e-ciga- rette use, health effects, and treatment for nicotine-addicted youths can be challenging. Thus, we have compiled published articles that relate to youth e-cigarette use and exposure in this custom collection. This collection compiles the most up-to-date information on e-cigarette topics that impact the pediatric population, from accidental e-cigarette liquid exposures to cannabis use to secondhand aerosol exposure. This collection offers easy access to these sentinel reviews and research to help pediatric health care providers identify and treat adolescent use and exposure to e-cigarettes. This collection includes the AAP policy statement “E-Cigarettes and Similar Devices,” which outlines clinical and public-health recommendations with advocacy opportunities for your organization, community, and state. Pediatricians have a very powerful voice to advocate for youth, and I invite you to join the Ameri- can Academy of Pediatrics Section on Nicotine and Tobacco Prevention and Treatment (formerly known as the Section on Tobacco Control) to advocate and educate your patients and community leaders about ways to protect children from tobacco use and smoke exposure. Comprehensive indoor tobacco-free laws that include restrictions on smoking and vaping are among the most effective public-health initiatives. While Tobacco 21 which increases the legal age of purchase of tobacco products to 21 passed in December 2019, there remains a crucial need for improved enforcement. Thank you for what you do, and enjoy this collection that reviews e-cigarettes and their health effects on youth.
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