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). Investigation and OutcomesThe Food and Drug Administration and CDC analyzed nationally representative data from the 2024 National Youth Tobacco Survey (NYTS), a…