Utahs SHARP Survey for the Four Corners area (including 6 th , 8 th , 10 th , & 12 th grade students in Grand, Carbon, and Emery counties) shows that 62.8% of the students first use of tobacco was with e-cigarettes (Bach-Harrison, 2020)
As recently as 2022, when vaping product makers found a loophole for synthetic nicotine rather than that derived from tobacco, which got them past an initial FDA ban, the FDA again had to use rule-making to broaden its authority over all forms of nicotine, regardless of its source

Residents English: 1-800-QUIT-NOW (1-800-784-8669) or smokefree.gov Spanish: 1-855-DEJELO-YA (1-855-335-3569) or espanol.smokefree.gov Chinese: 1-800-838-8917 or asiansmokersquitline.org Korean: 1-800-556-5564 or asiansmokersquitline.org Vietnamese: 1-800-778-8440 or asiansmokersquitline.org Veterans: 1-855-QUIT VET (1-855-784-8838) or mentalhealth.va.gov/quit-tobacco/ TTY: 1-800-332-8615 Canada Residents English: 1-866-366-3667 or gosmokefree.gc.ca/quit French: 1-866 JARRETE (1-866-527-7383) or vivezsansfumee.gc.ca/abandon Online resources These organizations offer good information online and may have local resources in your area: American Heart Association: 1-800-AHA-USA1 or heart.org/Smoking American Cancer Society: 1-800-ACS-2345 (1-800-227-2345) or cancer.org/healthy/stay-away-from-tobacco American Lung Association: 1-800-LUNGUSA (1-800-586-4872) or lung.org/stop-smoking National Cancer Institute: 1-877-44U-QUIT (1-877-448-7848) or smokefree.gov Truth Initiatives Become An Ex: becomeanex.org Private programs Many hospitals, health care companies and employers offer outpatient and inpatient smoking cessation programs

During the past two or so decades, research has been undertaken worldwide to reveal the evidence on the health effects of passive smoking
Clin Toxicol Phila Pa