Notes from the Field: E-Cigarette and Nicotine Pouch Use Among Middle and High School Students - United States, 2024

Current e-cigarette use among U.S. youth has declined considerably since 2019*; however, approximately 2.13 million youths used e-cigarettes in 2023 (1). As sales of nicotine pouches (small, dissolvable, flavored pouches containing nicotine derived from tobacco that users place in the mouth between the lip and gum)^† have continued to rise nationally since 2016, their use among U.S. youths has become concerning (2,3). All pouches and most e-cigarettes contain nicotine,^§ which is highly addictive and can harm the developing adolescent brain (4,5).