• Family Medicine Cares: JUUL® and Other Electronic Nicotine Delivery Devices are Bad for Kids

    What is JUUL® ?
    JUUL is a brand of electronic cigarette (e-cigarette) or vaping device.1 JUUL (pronounced jewel) looks like a USB drive, and is promoted as an alternative to combustible cigarettes and existing e-cigarettes or vaping devices.1 “JUULing” is the term used when using JUUL.1

    What is the threat to youth?
    Similar to other e-cigarettes, JUUL comes in a variety of flavors, including fruit medley, mango, cool mint, and crème brûlée.1  Most youth who experiment with tobacco begin with a flavored product,4 as the flavors appeal to youth.5

    Youth are particularly aware of JUUL, as nearly 1 in 5 students age 12 to 17 have seen JUUL used in school.6 Since JUUL resembles a USB flash drive, it is increasingly used by students in classrooms, hallways, restrooms, and at school sporting events.7

    Sixty-three percent of JUUL users age 15 to 24 did not know JUUL contains nicotine.8

    Youth may start using e-cigarettes because they believe they are harmless. Nicotine, a key ingredient in tobacco products, is an addictive drug. Tobacco use by and around children and adolescents is a particular concern due to increased risk for addiction and passive exposure. Smoking is a known cause of cancer, heart disease, stroke, and chronic obstructive pulmonary disease. Young people who use e-cigarettes, such as JUUL, are more likely to transition to combustible cigarettes.9

    A message from the American Academy of Family Physicians   
    Family Physicians: JUUL®: An Electronic Cigarette You Should Know About

    Patient Education Resource
    What is JUUL® ?

    Resources for Physicians
    What is JUUL® ?
    AAFP Tobacco and Nicotine Cessation Toolkit
    AAFP Ask and Act Tobacco Cessation Program
    AAFP Electronic Nicotine Delivery Systems Fact Sheet
    AAFP News: Rise of 'JUULing' Among Youth Sparks Sharp Response

    Family Medicine is Not Alone: Additional Resources 
    AAFP Partnership with Tobacco Free Kids and Federal Trade Commission Petition: New Investigation Exposes How Tobacco Companies Market Cigarettes on Social Media in the U.S. and Around the World

    New York Times in-depth article on the investigation: The tobacco industry says it no longer tries to hook new generations of smokers. So what’s behind the legions of beautiful young people in smoking, vaping and partying posts with the same hashtags?

    CDC: E-Cigarettes and Young People: A Public Health Concern
    Scientists are still learning more about how e-cigarettes affect health. However, there is already enough evidence to justify efforts to prevent e-cigarette use by young people. We know that the vapor from e-cigarettes is harmful because it contains harmful ingredients, including nicotine. Nicotine exposure during adolescence can cause addiction and can harm the developing brain.

    Know the Risks: E-Cigarettes and Young People
    A message from the Office of the U.S Surgeon General
    Adolescent years are times of important brain development. Brain development begins during the growth of the fetus in the womb and continues through childhood and to about age 25. Nicotine exposure during adolescence and young adulthood can cause addiction and harm the developing brain.

    National Institute on Drug Abuse: Electronic Cigarettes (E-cigarettes)
    E-cigarettes are popular among teens and are now the most commonly used form of tobacco among youth in the United States. Their easy availability, alluring advertisements, various e-liquid flavors, and the belief that they're safer than cigarettes have helped make them appealing to this age group.