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Int. J. Environ. Res. Public Health, Volume 14, Issue 1 (January 2017)
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Cover Story (view full-size image) The prevalence of the use of electronic nicotine delivery systems (ENDSs) among U.S. high school [...] Read more. The prevalence of the use of electronic nicotine delivery systems (ENDSs) among U.S. high school students grew from 1.5% in 2013 to 16% in 2015, surpassing the prevalence of conventional cigarette use in this population. The Surgeon General’s report on e-cigarette use among youth and young adults calls for action to protect young people from using e-cigarettes as they pose long-term harm to brain development and respiratory health. Among tobacco control policies, warnings are an effective means to inform about health risks. Proposed in April 2014 and issued in May 2016, the U.S. food and drug administration (FDA) deemed that ENDSs and other covered products must display health warnings. Even before this proposal, many ENDS companies had some voluntary warnings such as California’s Proposition 65 warning. Some manufacturers went even further to list more potential risks in their “self-regulated” voluntary warnings that far exceed the FDA-proposed warnings.