Use of electronic cigarettes by high school students tripled over three years, according to a new US government report released.
In a large national survey released yesterday, last year, 4.5 per cent of high school students said they had used e-cigarettes in the previous month. That's up from 1.5 per cent in 2011 and 2.8 per cent in 2012.
It's not known, though, how many were repeatedly using e-cigarettes and how many only tried it once during that month and didn't do it again.
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They are often described as a less dangerous alternative to regular cigarettes, but experts say nicotine including the nicotine in e-cigarettes is especially harmful to children.
Dozens of states outlaw the sale of e-cigarettes to minors, and federal officials have proposed a nationwide ban on such sales.
The e-cigarette findings from the federal Centers for Disease Control and Prevention are disheartening, said Dr Patrick T O'Gara, president of the American College of Cardiology.
Smoking rates has slowly been declining over the last several decades, but "we risk going backwards if a new generation of smokers becomes addicted to nicotine," O'Gara said in a statement.
The CDC report comes from a survey of more than 18,000 high school and middle school students.
The CDC survey also found 13 per cent of high school students recently smoked regular cigarettes, and that about 23 per cent used some form of tobacco product be it cigarettes, e-cigarettes, flavoured cigars, hookahs or something else.