I'm not sure where I saw this, but Mitch Zeller was quoted stating that the RCP report does not apply to the United States due to skyrocketing youth e-cig usage (supposedly not seen in the UK).
While none of of us wish to see youths becoming nicotine dependent, this statement deserves very close scrutiny....
Certainly multiple studies have shown adolescents using vaping products, and this proportion has increased precisely as tobacco smoking goes down.
The CDC and FDA choose to state that, taken together, tobacco usage remains constant. However, the data sources are not equivalent - the question items used to analyse tobacco smoking ask specifically about daily usage, whereas the
Furthermore, a recent NIDA study shows that 60% of those adolescents are vaping zero nicotine liquids. These can only be considered tobacco products in a legalistic and tautological sense that the deeming regulation itself makes them so!
Accordingly, the real picture is likely to be that very few adolescents are daily-dependent users of vaping products who were previously tobacco-naive. At the same time, cigarette usage has (definitely) plummeted.
In other words, then, the likely story here is that far from being an entry into nicotine addiction, vaping products are associated with the greatest ever decline in youth smoking and that this relationship may well be causative.
The CDC/FDA (and the various health orgs) appear to refuse to countenance this possibility, even though it's a very real one, and very obvious to anyone with a modicum of critical thinking skills.
What's going on here?