A new report by the Centers for Disease Control and Prevention (CDC) states that more than 16 million children reside in states that permit the sale of electronic nicotine delivery systems (ENDS), including e-cigarettes, to minors and only three states prohibit public indoor use of ENDS.

Of the 40 states that restrict sales of ENDS to minors, 12 laws became effective in 2013 and 16 in 2014, which may be partly due to efforts by advocacy efforts from the tobacco industry to encourage state laws prohibiting sales to minors. This leaves 10 states and the District of Columbia that have not enacted laws prohibiting the sale of ENDS to the estimated 16 million minors in these areas. In addition, 26 states and the District of Columbia have enacted comprehensive smoke-free laws that ban smoking in restaurants, worksites, and bars; only three of those states (New Jersey, North Dakota, and Utah) have also banned the use of ENDS indoors and no laws prohibiting public indoor ENDS use have passed since 2012. About 70 million children could be involuntarily exposed to secondhand smoke from cigarettes, other smoked tobacco products, or ENDS aerosol.

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Access and exposure to ENDS by minors are of particular concern due to the increasing use of e-cigarettes in those under the age of 18. Data from the latest National Youth Tobacco Survey reported that 4.5% of all high school students and 1.1% of all middle school students had used e-cigarettes within the past 30 days in 2013.

For more information visit CDC.gov.