Surgeon General Reports Youth And Young Adult E-Cigarette Use Poses A Public Health Threat


The U.S. Surgeon General, Dr. Vivek H Murthy, released the country’s first official report raising health concerns about e-cigarette use among youth and young adults. “All Americans need to know that e-cigarettes are dangerous to youth and young adults,” said Dr. Murthy. “Any tobacco use, including e-cigarettes, is a health threat, particularly to young people.”  

The report that has recently been released raises concerns about e-cigarette use among youth and young adults. In addition to documenting the evidence on the health risks of e-cigarettes among young people, the report describes industry influences on e-cigarette use and outlines potential actions to prevent youth and young adults from the harms of e-cigarette use, which includes effects on brain development.

These devices are referred to by the companies themselves and by consumers as e-cigarettes, e-cigs, cigalikes, e-hookahs, mods, vape pens, vapes and tank systems. The report uses the term “e-cigarette” to represent all of the diverse products in this rapidly diversifying product category.

The report is tied to the alarming rate at which young adults and youth report using an e-cigarette in the past month; nationally 1 in 6 high school students do so. In Alaska more youth reported using e-cigarettes (17.7%) than traditional tobacco products (11%) in 2015. 

The U.S. Surgeon General’s report finds that nicotine, a highly addictive drug at any age, is significantly more addictive to youth and young adults. They are uniquely vulnerable to the long term consequences of nicotine exposure to their brains which are still developing; recent research establishing that the human brain continues to develop well into a person’s mid to late 20’s.

The report concludes that youth use of nicotine in any form is unsafe. The report also finds that secondhand aerosol that is exhaled into the air by e-cigarette users can expose others to potentially harmful chemicals. 

“Protecting our nation’s youth from the harms of tobacco and nicotine is a top priority for HHS and this administration. And this report, outlining the harms of e-cigs and providing clear steps to reduce their impact on our kids, is an important step in our fight,” states Secretary of Health and Human Services, Sylvia Burwell. “We cannot let the enormous progress we’ve made toward a tobacco-free generation be undermined by e-cigarettes and other emerging tobacco products.”

Call To Action:

This report, which was written and reviewed by more than 150 experts is the first comprehensive federal review of the public health impact of e-cigarettes on US youth and young adults. The report issues a call to action to prevent e-cigarette use and related harms to among America’s young people. Those recommendations include:

•    Continuing to regulate e-cigarettes at the federal level to protect public health.

•    Raising and strongly enforcing minimum age-of-sale laws for all tobacco products, including e-cigarettes.

•    Incorporating e-cigarettes into smoke-free policies.

•    Regulating e-cigarette marketing.

•    Sponsoring high-impact media campaigns to educate the public on the harms of e-cigarettes among young people.

•    Expanding research efforts related to e-cigarettes.

Major Conclusions From The Report:

•    E-cigarettes are a rapidly emerging and diversified class of products typically delivering nicotine, flavorings and other additives to users via inhaled aerosol.

•    E-cigarette use among youth and young adults has become a public health concern.

•    E-cigarettes are now the most commonly used tobacco product among youth. E-cigarette use is strongly associated with the use of other tobacco products among youth and young adults, including combustible tobacco products such as cigarettes.

•    The use of products containing nicotine poses dangers to youth, pregnant women and fetuses. The use of products containing nicotine in any form among youth, including e-cigarettes is unsafe.

•    E-cigarette aerosol is not harmless. It can contain harmful and potentially harmful ingredients, including nicotine.

•    E-cigarettes are marketed by promoting flavors and using a wide variety of media channels and approaches that have been used in the past for marketing conventional tobacco products to youth and young adults.

•    Action can be taken at the national, state and local levels to reduce youth and young adult use of e-cigarettes.

 “We need parents, teachers, health care providers and other influencers to help make it clear that e-cigarettes contain harmful chemicals and are not okay for kids to use,” Dr. Murthy said. “Today’s report gives them the facts about how these products can be harmful to young people’s health.” To learn more about what you can do to protect your children and the youth of Alaska, contact Breathe Free Mat-Su at

 A new interactive website containing key information from the report, written especially for parents and adult influencers of youth, is available at