Studies Show FDA Educational Efforts Help Prevent Youth From Starting E-Cigarette Use, Illegal E-Cigarette Sales
Journal includes new commentary from acting CTP Director and studies of how efforts prevented ~450,000 youth from e-cig use and over $42m in

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Studies Show FDA Educational Efforts Help Prevent Youth From Starting E-Cigarette Use, Illegal E-Cigarette Sales

Today, the U.S. Food and Drug Administration (FDA) announced the publication of a special issue of the American Journal of Preventive Medicine (AJPM) with research demonstrating that “The Real Cost” campaigns have achieved significant, measurable public health results—including preventing more than $42 million in sales of illegal e-cigarette products that would have been used by youth.

A peer-reviewed study in the special issue found that “The Real Cost” youth e-cigarette prevention campaign prevented an estimated 444,252 American youth from starting to use e-cigarettes between 2023 and 2024. Based on that finding, FDA estimates the campaign also blocked more than $42 million in sales of unauthorized e-cigarettes that would have been used by youth during that same period.

“Given the careful research that went into the campaign’s development, it’s no surprise that ‘The Real Cost’ has been so effective at its core goal of preventing youth from starting to use tobacco products,” said Bret Koplow, Ph.D., J.D., acting director of FDA’s Center for Tobacco Products (CTP). “I’m heartened to see the scientific investment in developing these efforts transformed into real-world success in keeping kids from picking up a cigarette or e-cigarette.”

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