FDA Pursues Penalties for 22 Retailers Selling Unlawful E-Cigarettes

The U.S. Food and Drug Administration (FDA) has acted decisively against 22 retailers who were illegally selling Elf Bar/EB Design e-cigarettes. This brand is well-known for attracting young consumers. The FDA’s actions follow prior warnings issued to these retailers, urging them to stop selling unauthorized tobacco products. Unfortunately, subsequent inspections revealed that these retailers had not corrected their violations, leading the FDA to impose civil money penalties (CMPs) against them.

Elf bar e-cigarette

Retailers Ignored Prior Warnings

The FDA had previously sent warnings to these retailers, clearly explaining their legal obligations regarding tobacco product sales. These warning letters explicitly stated the potential consequences if retailers failed to correct their violations. However, follow-up inspections by the FDA found that these retailers had not taken heed of the warnings, prompting the agency to take firm action.

Maximum Penalties Sought

To hold these retailers accountable for their actions, the FDA has filed complaints seeking the maximum CMP of $19,192 for each violation. This is the first time the FDA has sought CMPs for the maximum allowable amount against retailers in this context. Imposing the maximum penalty underscores the FDA’s commitment to enforcing regulations that protect the health and safety of the American public.

Additional Actions and Oversight

In addition to the CMP complaints, the FDA has issued 168 warning letters to traditional retailers for illegally selling Elf Bar/EB Design products. These warning letters resulted from a nationwide retailer inspection effort conducted throughout August. Retailers receiving these warning letters have 15 days to respond, detailing the steps they’ve taken to comply with the law. Failure to address violations promptly may result in further regulatory actions by the FDA, such as injunctions, seizures, or additional CMPs.

Commitment to Public Health and Safety

Dr. Brian King, Director of the FDA’s Center for Tobacco Products, emphasized the agency’s unwavering commitment to upholding the law. He stated, “The FDA has been abundantly clear that we are committed to using the full scope of our authorities to hold those who break the law accountable. These retailers were duly warned of what could happen if they failed to correct their violations. They chose inaction and will now face the consequences.”

Ann Simoneau, Director of the FDA’s Office of Compliance and Enforcement within the Center for Tobacco Products, reaffirmed the agency’s dedication to closely monitoring compliance throughout the supply chain. This comprehensive approach includes follow-up inspections and ongoing surveillance of warning letter recipients, with additional enforcement actions as needed.

Stricter Enforcement for a Safer Future

These combined efforts underscore the FDA’s ongoing dedication to eliminating illegal e-cigarettes from the market, especially those appealing to young consumers. As of September 19, 2023, the FDA has taken decisive steps by issuing over 400 warning letters to retailers, both online and physical stores, for their involvement in selling unapproved tobacco products. Additionally, the agency has issued over 600 warning letters to companies manufacturing and distributing unauthorized tobacco products, including e-cigarettes.

Continued Vigilance: Protecting Youth from Harm

The FDA remains committed to taking action against those involved in creating, distributing, importing, or selling unauthorized e-cigarette products, including imposing CMPs on retailers in violation of the law. The FDA’s actions aim to protect the nation’s youth from the harmful effects of tobacco and nicotine addiction.

A Safer Path Forward

Currently, the FDA has authorized only 23 tobacco-flavored e-cigarette products and devices for legal sale in the United States. Selling or distributing e-cigarettes without FDA marketing authorization is explicitly prohibited under the Federal Food, Drug, and Cosmetic Act. Unapproved products face strict compliance and enforcement protocols.

In summary, the FDA continues its strong enforcement campaign against illegal e-cigarettes and unauthorized tobacco products. This underscores the importance of complying with regulations and obtaining marketing authorization to ensure public health and safety. The FDA reiterates its commitment to these principles.

Protecting the Future

The FDA remains steadfast in its mission to safeguard public health through vigilant regulatory oversight and enforcement. By taking firm action against retailers selling unauthorized tobacco products and youth-attractive e-cigarettes, the FDA aims to create a safer and healthier future for all Americans.

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FDA Exempts Premium Cigars from User Fees

In an unexpected move, the U.S. Food and Drug Administration (FDA) has introduced a significant adjustment concerning premium cigars. They have declared that during the fourth quarter of fiscal year 2024, makers and sellers of premium cigars will be exempt from specific fees. This decision brings substantial relief to these businesses. The catalyst for this change was a recent legal case, Cigar Association of America et al. v. United States Food and Drug Administration et al. It has established a distinct category exclusively for premium cigars. This unique classification grants premium cigars an exemption from the usual regulations imposed on regular tobacco products.

Premium cigars

The FDA’s Financial Backbone: Getting to Know User Fees

User fees are the financial backbone of the FDA’s Center for Tobacco Products. The rules governing their collection are determined by Congress. In essence, companies involved in the tobacco industry are required to contribute based on the excise taxes they pay relative to the aggregate excise taxes collected from all tobacco products. No matter if they produce cigarettes, roll-your-own tobacco products, snuff, chewing tobacco, cigars, or pipe tobacco.

However, here’s where the plot thickens: the FDA grapples with the challenge of distinguishing between different companies. And particularly- the ones exclusively dealing in premium cigars, those exclusively dealing in regular cigars, or those with a mix of both in their inventory. In response, the FDA is inviting these companies to step up to the plate and submit “dispute letters” within 45 days of the assessment of user fees. This gives companies two distinct paths to follow. They can either pay the full user fee upfront, with the expectation of a subsequent refund for the premium cigar portion. Another option- they can opt to make a calculated payment based on their assessment of what they owe for nonpremium cigars.

The Promise of a Smoother Process Ahead

The FDA has assured stakeholders of a more streamlined process in the future. However, the blueprint for this makeover remains shrouded in secrecy for the time being. So it leaves the industry and enthusiasts alike in suspense. This commitment to improving the user fee assessment process signals a potential shift towards greater transparency and clarity for the premium cigar industry.

Unanswered Questions: Will There Be Retroactive Refunds?

A burning question on many minds is whether the FDA plans to provide refunds to those who’ve paid user fees for premium cigars dating back to August 2016 and extending through the second quarter of fiscal year 2023. Unfortunately, the FDA has maintained silence on this matter, leaving premium cigar enthusiasts and manufacturers in a state of uncertainty regarding any potential retroactive reimbursement plans.

While the recent decision offers temporary respite for the premium cigar industry, it also raises questions about the future. The forthcoming changes to the user fee assessment process have generated curiosity and anticipation within the industry. As the FDA continues to redefine its approach to premium cigars, stakeholders will be closely watching for updates. They hope for a more equitable and transparent system that acknowledges the unique nature of these coveted cigars.

Tobacco Free Allegheny reminds you that smoking is bad for your health. Read about the comparison of cigars and cigarettes on our website


FDA Issues Warnings Regarding Unapproved E-cigarettes Gaining Popularity Among Youth

The FDA has taken steps to address the growing use of e-cigarettes among young people. On September 14, 2023, the FDA sent warning letters to 15 online retailers and three manufacturers/distributors. This was the result of the sale and distribution of unauthorized e-cigarette products. Notably, one retailer was selling them to minors. The warning letters were directed at a range of trendy e-cigarette products known to appeal to young consumers. These include disposable products under brand names such as Elf Bar, EB Design, Lava, Cali, Bang, and Kangertech.

E-cigarette smoking

Data-Powered Approach to Spot Emerging Risks

The FDA’s identification of these youth-attractive e-cigarette products was driven by swift surveillance and data-driven investigations. This approach involved analyzing retail sales data, emerging data from youth surveys, and other sources to identify the growing popularity of these products. This comprehensive analysis enabled the FDA to gain a deep understanding of the evolving landscape of e-cigarette usage among young individuals.

Consequently, the FDA focused its investigations on the entire supply chain, from manufacturers to distributors to retailers, deploying a multi-faceted strategy to combat the proliferation of these appealing yet potentially harmful products. By harnessing the power of data, the FDA aims to stay one step ahead of emerging threats to public health.

Boosting Compliance and Enforcement Efforts

Brian King, Ph.D., M.P.H., Director of FDA’s Center for Tobacco Products, stressed the importance of agile surveillance tools in addressing evolving threats in the e-cigarette landscape, especially those affecting young people. These tools are crucial for proactively identifying threats and safeguarding public health.

The companies that received warning letters were found to be selling or distributing e-cigarette products in the United States without FDA authorization. This action violates the Federal Food, Drug, and Cosmetic Act. These companies have 15 working days to respond with corrective actions and plans to prevent future violations.

Continued FDA Efforts to Protect Youth

These recent warning letters are part of the FDA’s ongoing efforts to combat youth-oriented tobacco products throughout the supply chain. Typically, most recipients of warning letters take corrective actions. Failure to do so may lead to further FDA actions, such as injunctions, seizures, or civil penalties. Over the past year, the FDA has taken its first steps toward issuing injunctions and civil penalties against e-cigarette manufacturers. Additionally, it issued a warning letter to a distributor for distributing illegal e-cigarettes. Since January 2023, the agency has imposed civil penalties on 29 manufacturers for the illegal sale of e-cigarettes.

Looking Ahead

To strengthen its compliance and enforcement endeavors, the FDA is expanding its surveillance capabilities to swiftly identify and respond to emerging products that pose public health risks. In June, the FDA collaborated with the National Institutes of Health (NIH) to allocate funding for the Center for Rapid Surveillance of Tobacco (CRST). CRST aims to support the FDA and the research community by rapidly detecting and reporting information about changes in the tobacco product marketplace and tobacco use patterns. CRST will complement the FDA’s array of time-sensitive data sources, offering potentially actionable information more quickly than traditional data collection methods.

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Psychosis and Tobacco Use: Tailored Interventions Needed, Study Finds

Psychosis, a condition characterized by a disconnection from reality, affects a significant number of individuals. Those with lifetime psychosis face a higher risk of tobacco use, including poly-tobacco use, quit attempts, and severe nicotine dependence. This presents an urgent need for personalized tobacco-cessation interventions to address their unique challenges.

Tobacco use

Filling Research Gaps

A recent study conducted by the National Institute on Drug Abuse (NIDA) aimed to fill the gaps in understanding tobacco-cessation methods among adults with psychiatric conditions. It also investigated the prevalence of these strategies and the severity of nicotine dependence among people with and without lifetime psychosis. The study was published in JAMA Network Open in March 2023.

Participants and Setting

The research used data from the Wave 5 survey of the Population Assessment of Tobacco and Health (PATH) Study, which was conducted from December 2018 to November 2019. The participants were adults with and without lifetime psychosis, with 2.9% of them (n=1186) meeting the criteria for study inclusion. The study was carried out in the United States.

Tobacco Use Differences

The researchers found differences in tobacco use between those with and without lifetime psychosis. Individuals with psychosis had a higher percentage of using both cigarettes and e-cigarettes and poly-combustible and noncombustible tobacco. However, they had lower exclusive use of cigarettes, e-cigarettes, and smokeless tobacco.

Nicotine Dependence and Quit Attempts

The study revealed that adults with lifetime psychosis and cigarette use in the prior month had higher nicotine dependence scores overall. They were also more likely to make quit attempts and use various tobacco-cessation approaches. They included e-cigarettes, nicotine replacement therapy (NRT), prescription medications, counseling, quitlines, support groups, or web-based programs.

Urgent Need for Targeted Interventions

Dr. Wilson M. Compton, MD, MPE, the corresponding author of the study from NIDA, emphasized the urgent need for evidence-based tobacco-cessation interventions tailored to people with psychosis. Tobacco smoking among people with mental illness has declined in recent years. Still, due to targeted prevention and control interventions, a significant gap remains between those with and without psychosis. To close this gap, pointed efforts are essential to help people with mental disorders reduce or quit smoking successfully.

Future Research Directions

Dr. Compton highlighted the importance of future research in understanding long-term trends in nicotine dependence and the impact of tobacco-cessation interventions for people with psychosis. Additionally, studying tobacco use initiation and prevalence among teens with or without psychiatric disorders, especially with the rising popularity of e-cigarettes among young people, is crucial. Including homeless and institutionalized individuals in research can also help identify effective strategies to mitigate tobacco use risks for populations at higher risk of psychiatric disorders.


The study sheds light on the urgent need for tailored tobacco-cessation interventions for individuals with lifetime psychosis. Integrating these interventions as part of comprehensive medical treatment for psychosis can provide immediate help and improve outcomes. Continued research on effective strategies for tobacco cessation and prevention is crucial to reducing the harmful impact of tobacco use on mental health and overall well-being. With NIDA supporting a broad research portfolio in this area, there is hope for finding better ways to address tobacco use challenges among those with psychiatric conditions.

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WHO Report: 7 in 10 People Protected by Tobacco Control Measures

Recently, the World Health Organization (WHO) released a promising report on the global tobacco control front. As of July 31, 2023, an impressive 71% of the world’s population, approximately 5.6 billion people, are now shielded by at least one policy aimed at safeguarding them from the perils of tobacco. This substantial increase since 2007 indicates significant progress in the battle against smoking.

Stop smoking

Over the last 15 years, the WHO has tirelessly pursued its tobacco control program known as MPOWER, yielding remarkable results and saving countless lives. Without this successful initiative, we would be grappling with approximately 300 million more smokers today.

Smoke-Free Indoor Public Facilities

The report emphasizes the crucial significance of protecting individuals from secondhand smoke, which poses severe risks to those inhaling it. Encouragingly, nearly 40% of countries have enacted laws ensuring indoor public places are completely smoke-free. This positive development not only promotes cleaner air but also mitigates the health hazards linked to secondhand smoke.

Mauritius and the Netherlands Reach Best Practice Levels

Both Mauritius in Africa and the Netherlands in the European Union have emerged as exemplary models in all MPOWER measures. Their outstanding commitment to safeguarding their citizens from tobacco-related harm is truly commendable.

The Importance of Strong Political Commitment

Mauritius’ Prime Minister, Pravind Kumar Jugnauth, rightfully underscores the pivotal role of unwavering political commitment in driving their tobacco control efforts. Leaders genuinely concerned about their citizens’ well-being take decisive actions against tobacco usage.

Continued Progress in the Netherlands

In the Netherlands, the relentless efforts of civil society organizations, health professionals, and medical experts fuel their tobacco control progress. Aiming to establish a smoke-free generation by 2040, their united front paves the way for a healthier society.

Smoke-Free Public Spaces – An Important Policy

Creating smoke-free public spaces proves instrumental in tobacco control endeavors. This policy acts as a catalyst for smokers to quit, offers protection to non-smokers from secondhand smoke, and acts as a deterrent for young people considering e-cigarette use.

Ongoing Challenges and Opportunities

Despite the progress made, combating the tobacco industry’s marketing campaigns remains an arduous task. While eight countries are on the verge of becoming tobacco control leaders, a significant number of 44 countries still lag behind in implementing necessary measures. Furthermore, 53 countries are yet to enforce complete smoking bans in healthcare facilities, and only half have achieved smoke-free workplaces and restaurants.

Urgent Call for Action

The WHO issues a compelling plea for all countries to adopt robust tobacco control measures. Tobacco remains the leading cause of preventable deaths worldwide, claiming a staggering 8.7 million lives annually. Equally alarming, approximately 1.3 million deaths result from secondhand smoke each year. These fatalities are preventable, demanding collective action to preserve global health.

The WHO’s report offers hope in the battle against tobacco, largely attributable to the MPOWER Strategy. While these efforts are making a positive impact, the journey is far from over. Implementing rigorous tobacco control measures holds the key to enhancing public health and saving millions of lives worldwide. Collaborative action among nations is imperative to combat the tobacco epidemic head-on.

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Sales of flavored e-cigarettes are flourishing despite strict federal measures

Uphill Battle to Curb Flavored E-Cigarette Appeal

In an unexpected twist, flavored e-cigarette sales have surged despite a federal crackdown aimed at curbing their appeal, raising concerns about their influence on youth. The struggle to regulate these products and protect adolescents from nicotine addiction appears to be an ongoing battle, as data from a recent report shows the tenacity of flavored e-cigarette brands in the market.


Flavored Allure and Teen Market Penetration

Flavored e-cigarettes, boasting enticing profiles like fruit, candy, spice, and dessert flavors, have firmly ensnared the attention of teenagers across the nation. The convergence of data from the Centers for Disease Control and Prevention (CDC), the CDC Foundation, and the Truth Initiative paints a vivid picture of the proliferation of these flavors and their resonance among underage smokers.

According to this comprehensive report, flavored e-cigarettes accounted for a staggering 41.3% of total U.S. retail e-cigarette unit sales in December 2022. This represents a notable escalation from a modest 29.2% recorded in January 2020. Furthermore, the broader e-cigarette market experienced an impressive surge of almost 47% during this period, emphasizing the steadfast popularity of these modern nicotine delivery systems.

Persistence Amid Regulatory Countermeasures

Perhaps the most intriguing aspect of this trend is its unwavering persistence in the face of stringent regulatory efforts. Despite federal crackdowns that introduced stricter limits on flavors and tobacco product marketing, the market for flavored e-cigarettes seems to have weathered the storm, leaving authorities and health advocates grappling with effective control mechanisms.

Even the January 2020 announcement by the U.S. Food and Drug Administration (FDA), which aimed to prohibit the sales of sweet and fruit-flavored pre-filled e-cigarette pods, has not been sufficient to suppress the demand for disposable alternatives. During the period spanning January 2020 to December 2022, the unit shares of pre-filled cartridges declined from 75.2% to 48.0%, indicating a notable shift. In contrast, disposable e-cigarette unit shares experienced a remarkable ascent, surging from 24.7% to 51.8% of total unit sales from January 2022 to December 2022.

Youth Protection and Regulatory Response

The entwined concerns about the highly addictive nature of nicotine and its potential harm to developing young minds, coupled with the appeal of flavored e-cigarettes, have kindled a sense of urgency among health authorities. A core highlight of these concerns centers around the popular disposable e-cigarette brands present in the market, with some not having received FDA approval and thus being illegal.

This regulatory shortfall becomes evident as the CDC points out that widely recognized disposable e-cigarette brands like Puff Bar, Elf Bar, and Breeze Smoke lack FDA authorization. In stark contrast, only one disposable e-cigarette brand, NJOY Daily, has gained FDA endorsement, offering solely tobacco flavors. Notably, the FDA’s interventions over the last year led to the removal of Elf Bar and Breeze Smoke from the U.S. market, as reported by the CDC.

Collaborative Endeavors to Safeguard the Future

The intricate relationship between flavored e-cigarettes, youth appeal, and regulatory actions underscores the need for collective efforts to shield the younger generation from the allure of these products. Experts assert that the tobacco industry is fully cognizant of how flavors entice and captivate young consumers, rendering them susceptible to nicotine addiction.

Robin Koval, CEO, and president of the Truth Initiative, brings attention to the imperative of addressing the broader landscape of flavored e-cigarettes, including disposables. While acknowledging the FDA’s recent endeavors to combat unlawful flavored e-cigarette marketing, Koval’s call for intensified protection of youth remains resolute.


In conclusion, the resilience of flavored e-cigarette sales amid regulatory attempts to curb their appeal raises serious concerns about their impact on youth. The challenge of shielding adolescents from the allure of nicotine addiction continues to require comprehensive regulatory approaches and collaborative efforts from both public health organizations and industry stakeholders. The battle against flavored e-cigarettes’ influence on young minds is far from over.

Tobacco Free Allegheny recommends, that we collectively strive for a nicotine-free future for the next generation.


FDA Alert: Amarillo Snuff Selling Unauthorized Nicotine Products

The U.S. Food and Drug Administration (FDA) has taken a significant stride in upholding public health and regulatory protocols by issuing a strong caution to Amarillo Snuff Co., a notable manufacturer of smokeless nicotine products. The company is being held responsible for its production, vending, and circulation of unauthorized nicotine-infused goods, some of which utilize unconventional ingredients like corn husks instead of conventional tobacco leaves. This recent measure highlights the FDA’s comprehensive strategy in overseeing the entire tobacco product supply chain, ensuring rigorous adherence to established criteria for all nicotine-containing items.

Amarillo snuff

Closing Regulatory Gaps

The formal warning, officially dispatched on August 11, 2023, stands as a robust affirmation of the FDA’s unwavering commitment to asserting its regulatory authority over all nicotine-containing tobacco products, irrespective of the origin of the nicotine. This tactical standpoint effectively eradicates regulatory loopholes that certain companies previously manipulated to evade proper oversight and bypass conformity with industry regulations.

Brian King, Ph.D., M.P.H., Director of FDA’s Center for Tobacco Products, underscored the gravity of this development, stating, “Last year, Congress clarified FDA’s authority to regulate tobacco products containing nicotine from any source, which closed a loophole that several companies were using to try to evade regulation. Our authority over these products is clear, and FDA is committed to holding those responsible for illegal products accountable for their actions.”

Market Clearance and Adherence to Regulations

The FDA’s warning letter draws attention to the absence of essential marketing clearance from the agency—an obligatory legal prerequisite defined by the Federal Food, Drug, and Cosmetic Act. The absence of such clearance amplifies concerns, particularly given the lack of FDA-sanctioned non-tobacco nicotine items to date. Consequently, the presence of non-tobacco nicotine products on the market without proper authorization raises significant concerns regarding public health and regulatory alignment.

Prompt Response and Potential Consequences

Amarillo Snuff Co. now faces a pivotal crossroads, with the FDA extending a 15-day window for the company to respond. The anticipated response should outline comprehensive strategies to rectify existing violations and forestall their recurrence. However, any delay in addressing these issues could invite more severe actions from the FDA, encompassing injunctions, confiscation of products, and financial penalties.

Ann Simoneau, Director of CTP’s Office of Compliance and Enforcement, strongly emphasized the potential ramifications for non-compliance, stating, “A majority of firms that receive warning letters correct their violations, but if they fail to do so, the products are subject to enforcement. FDA continues to bring enforcement actions, including injunctions and civil money penalties, as appropriate.”

Sustained Drive for Regulation and Conformance

This recent warning letter constitutes a segment of the FDA’s ongoing initiative to curb the promotion and circulation of unapproved non-tobacco nicotine products throughout the tobacco product supply chain. As of July 28, 2023, the FDA has issued close to 600 warning letters to unauthorized tobacco product manufacturers, with over 100 specifically targeting non-tobacco nicotine products. In parallel, the FDA has maintained vigilance in deterring the sale of e-cigarette and non-tobacco nicotine items to underage buyers, issuing an astounding 2,800 warning letters and 825 civil monetary penalties to retailers.

The FDA’s unwavering stance and robust enforcement actions send a clear message to manufacturers and retailers alike: adherence to regulatory compliance is pivotal in safeguarding the safety and credibility of the tobacco product market. As the FDA sustains its focus on unapproved non-tobacco nicotine products, industry stakeholders must continue their dedication to upholding established norms to secure consumer well-being and the overall industry landscape.

Tobacco Free Allegheny reminds you that any kind of smoking is very harmful to your health.


Substantial Reduction in Maternal Tobacco Use While Pregnant

Recent data analysis reveals an encouraging and remarkable trend in maternal habits, as the prevalence of cigarette smoking during pregnancy experienced a significant reduction across diverse demographic groups from 2016 to 2021. The National Center for Health Statistics meticulously compiled the latest report, released in 2023, shedding light on substantial strides made in curtailing maternal smoking during the critical gestational phase. Notably, this reduction is most pronounced among younger mothers and those of Asian heritage.

Pregnant woman

Notable Decline in Cigarette Smoking Rates

The freshly unveiled report underscores a striking 41% decrease in the count of mothers who smoked during their pregnancies between 2016 and 2021. This insight is gleaned from an in-depth analysis of birth certificates, painting a vivid picture of progress as the total number of maternal smokers dwindled from 282,712 to 168,086 within the specified timeframe.

  • The report underscores a significant decline in the percentage of mothers who smoked while expecting, marking a substantial 36% reduction – from 7.2% in 2016 to 4.6% in 2021.
  • The decrease in maternal smoking showcases an average annual drop of 8%, with a particularly remarkable decline of 16% witnessed between 2020 and 2021.

Demographic Shift: Reductions Across Diverse Groups

Particularly noteworthy is the heartening shift observed in maternal smoking patterns across various age groups, racial backgrounds, and ethnicities.

  • A remarkable decline is evident across all age brackets. While mothers aged 40 and older exhibited a 6% reduction, a substantial 47% decrease was seen among mothers under the age of 20.
  • Across diverse racial and ethnic groups, a consistent reduction in maternal smoking emerged:
    • Asian mothers stand out with an impressive proportional decline of 50%, transitioning from 0.6% in 2016 to 0.3% in 2021.
    • Black mothers demonstrated a substantial 37% decrease, reducing their smoking rate from 6% to 3.8%.
    • White mothers exhibited a 36% reduction, with percentages dropping from 10.5% to 6.7%.
    • Hispanic mothers showcased a 33% drop, with their smoking rate declining from 1.8% to 1.2%.
    • American Indian or Alaska Native mothers experienced a 24% reduction, lowering their rate from 16.7% to 12.7%.
    • Mothers of Native or Other Pacific Islander descent witnessed a 36% decline, with rates falling from 4.5% to 2.9%.

Nationwide Impact: Consistent Progress in All States

The study offers a heartening view of uniform progress in reducing maternal smoking across all 50 states and the District of Columbia.

  • Maternal smoking exhibited a consistent decline throughout the United States, spanning from a modest 18% decrease in Nevada to substantial reductions of 54% in Rhode Island, 53% in Hawaii, and 51% each in Connecticut and New Jersey.
  • State-specific maternal smoking percentages during pregnancy in 2021 ranged from 0.8% in California to 18.2% in West Virginia.

Conclusion: A Glimpse of Hope for Maternal Health

The findings of this report offer a glimmer of hope within the realm of maternal health, as maternal cigarette smoking during pregnancy experiences a notable decline over a span of six years. These encouraging trends witnessed across a spectrum of demographics and regions underscore the pivotal role of sustained initiatives aimed at reducing maternal smoking and mitigating its associated health risks. As the data underscores the potential for transformative change, a renewed sense of optimism emerges, fortifying the ongoing commitment to safeguarding the well-being of both expectant mothers and their unborn children. Efforts to create a healthier future continue to gain momentum.
The day you quit smoking is the day you start a happy and healthy life.


Historic Decline in US Cigarette Smoking

We all can witness huge progress in the US in reducing cigarette smoking among adults. It is getting to a historic low level, according to the latest data from the CDC. It says, that 11% of adults are current cigarette smokers in the most recent survey, down from 12.5% in the previous years. A lot of anti-smoking campaigns did much work to get this successful decline as a result. Not less important were educational programs, and stricter regulations over the years.

Vaping by young people

Challenges Persist in Certain Communities

While overall smoking rates have improved, certain communities still grapple with alarmingly high smoking rates. The American Lung Association’s 2023 State of Tobacco Control report points out that Native Americans, Alaska Natives, and LGBTQ community members are facing disparities in tobacco use, warranting targeted efforts to address these inequalities.

Grave Consequences of Smoking

Even though there is a great decline in cigarette smoking, the toll of smoking on public health is still quite big. Cigarette smoking is the most avoidable factor contributing to death and impairment in the United States, exceeding the combined consequences of all the wars the country had. Smokers have a really high risk of lung cancer, stroke, coronary heart disease, COPD, and various cancers. Secondhand smoke also poses severe health risks to individuals living with smokers.

Effective Strategies and Lingering Challenges

Anti-smoking campaigns, educational initiatives, and stringent laws have contributed to reducing smoking rates. Higher tobacco taxes have also played a role in discouraging smoking. However, the lack of federal tobacco tax increases in 14 years and the absence of state-level cigarette tax hikes in 2022 call for renewed efforts to combat smoking effectively.

E-Cigarettes: A Growing Concern

Everyone is very happy, that cigarette smoking declines, but e-cigarette usage rises, unfortunately. It is especially popular among young people. E-cigarette usage rose to nearly 6% and keeps raising fresh concerns for public health.

Safety Debate Surrounding E-Cigarettes

Some people believe that e-cigarettes are safer than regular cigarettes and can help them to quit. But the CDC and FDA advise not to use them. The especially harmful effect of e-cigarettes is on young people, pregnant women, and those who don’t use tobacco due to health concerns. Many studies were made by BMJ. The latest one shows that e-cigarettes are not as effective as other methods for quitting smoking and can produce harmful chemicals.

Worrisome Teenage E-Cigarette Use

More and more teenagers are choosing e-cigarettes over traditional cigarettes. Approximately 14% of high school students now use e-cigarettes. That is a sad fact, which is concerning as it could lead to a new generation of young people addicted to nicotine.

Early Screening to Prevent Smoking Initiation

The American Academy of Pediatrics stresses the importance of screening for tobacco use during regular checkups for children, starting as early as age 11 or 12, to prevent smoking initiation among young individuals.

Support for Quitting Smoking

The CDC offers support for adults aiming to quit smoking through the toll-free helpline 1-800-QUIT-NOW, providing free confidential coaching. The government also provides free online resources and text programs to assist individuals in their quitting journey.

Securing a Healthier Future

Reducing cigarette smoking is very good progress, but we must act quickly to avoid the dangerous growing use of e-cigarettes. The best way is to enforce tobacco control, raise awareness about e-cigarette risks, and offer support to quit vaping and smoking. It is our duty to work towards a healthier future for the nation and generations to follow.


E-Cigarettes and Teen Nicotine Quitting Challenges

A recent study sheds light on a concerning trend among adolescents attempting to quit nicotine: the presence of e-cigarettes appears to be hampering their efforts. Conducted by lead study author Richard Miech and his team, the analysis points to an alarming rise in the proportion of young people who are struggling to kick the nicotine habit, primarily due to the influence of electronic cigarette use. This revelation has raised concerns about the potential setbacks posed by e-cigarettes on the progress made in reducing youth nicotine consumption in recent years.


The Study’s Findings

High Percentage of Unsuccessful Quit Attempts

The study, published in the Journal of the American Medical Association, reveals a significant percentage of adolescents who reported failed attempts at quitting nicotine. The data from 2020 indicates that 5.74% of adolescents faced unsuccessful quitting efforts involving either e-cigarettes or combustible cigarettes. Notably, this marks the highest prevalence of failed attempts in over a decade.

E-Cigarettes Amplifying Quitting Challenges

Among the findings, a substantial portion of the unsuccessful quit attempts were driven by e-cigarette users. In 2020, 4.12% of adolescents faced difficulties in quitting e-cigarettes, making it a pivotal factor contributing to the overall rise in failed attempts.

Comprehensive Analysis

The study encompasses survey results spanning from 1997 to 2020, involving more than 815,000 middle and high school students. While there was a slight uptick in unsuccessful attempts to quit combustible cigarettes in 2020, the prevalence remained considerably lower than the figures from previous years.

Revisiting Progress and Concerns in Youth Smoking

Significance of Youth Nicotine Reduction

The decline in the overall U.S. smoking rate stands as a noteworthy achievement in public health. The decrease in youth smoking rates from 36% (1997) to 6% (2019) highlights substantial progress in curbing nicotine use among adolescents.

E-Cigarettes Pose a Setback

However, the study by Miech and his team raises concerns about potential setbacks. The surge in e-cigarette usage among youth since 2014 has triggered growing apprehension regarding its impact on public health.

The Escalating Concerns Surrounding E-Cigarettes

E-Cigarette Surge Among Youth

E-cigarettes have witnessed a remarkable rise in popularity among middle and high school students. Usage surged by a staggering 900% between 2011 and 2015, as highlighted in 2018.

Marketing and Youth Perception

Targeted marketing efforts by e-cigarette companies have contributed to the increase in youth usage. The portrayal of these products as trendy and safe has misled many adolescents.

Regulatory Measures and Challenges

Efforts to regulate e-cigarettes gain momentum. A provision within the recently signed $1.5 trillion omnibus appropriations bill empowers the Food and Drug Administration to oversee synthetic nicotine products more rigorously.

Urgent Call for Action

Addressing Addiction and Research Gaps

Matthew Myers, president of the Campaign for Tobacco-Free Kids, emphasizes the pressing need to assist addicted youth. E-cigarettes deliver nicotine more rapidly, intensifying addiction and posing unique challenges.

Lack of Solutions and Overcoming Barriers

Despite strides in prevention programs, effective approaches to help adolescents quit vaping remain scarce. Research into FDA-approved devices for youth usage is imperative to combat the escalating addiction crisis.


As the study’s findings highlight the concerning impact of e-cigarettes on adolescent nicotine cessation efforts, it underscores the urgency for comprehensive measures to address the escalating addiction rates. The collaboration of researchers, healthcare professionals, policymakers, and the public is crucial to curb the adverse effects of e-cigarette usage and ensure a healthier future for the next generation.

If you have already made this important decision and are on your way to a better life, the quit smoking timeline will be good support for you.