The US Surgeon General officially declared e-cigarette use among youth “an epidemic” on December 18, 2018. Although cigarette use across the country has declined, the rate of vaping among teens has increased dramatically. A recent Monitoring the Future survey (drugabuse.gov) that included more than 40,000 teens nationwide found that 21% of 12th graders vaped during the past 30 days, which was double the rate in 2017. Vaping rates increased similarly in children as young as 6th grade.