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A December report from Surgeon General Vivek Murthy found e-cigarettes are now the most commonly used form of tobacco among youth in the United States, surpassing conventional tobacco products, including cigarettes, cigars, chewing tobacco and hookahs. In fact, use of e-cigarettes among high school students increased by 900% from 2011 to 2015, according to the report

Such an increase was shown in one national survey (CDC 2005b), but not in another, (see Figure 1-9)