E-cigarette use among middle and high school students - United States, 2024

National Youth Tobacco Survey 2024 update. Past-30-day e-cigarette use: 7.8% high school, 3.5% middle school - down from 27.5% peak in 2019. Documents shift from JUUL to disposable devices (Elf Bar dominant), persistent flavour appeal (fruit, candy), and gateway concern: 60% of youth e-cig users had never used cigarettes. Essential surveillance data for any pediatric tobacco-prevention conversation.