Two health crises among youth — a mental health crisis and nicotine addiction— pose increasing threats to a generation of young people. In 2023, over 2.1 million youth reported using e-cigarettes in the past 30 days, including 10% of high school students and 4.6% of middle school students. Among current e-cigarette users, 11.4% of middle school students and 29.9% of high school students reported using e-cigarettes daily.