The increase is due largely to a surge in e-cigarette use, which jumped 78% among high schoolers from 2017 to 2018, according to the 2018 National Youth Tobacco Survey
doi: 10.1016/j.biopsych.2011.06.025
Given the drastic measures required by the deal, the subsequent bounce back by the tobacco companies, and the public perceptions of smoking today, one important question remains
Other Issues with Nicotine Testing There are other areas where nicotine/cotinine testing could be improved
As cigarette use continues to decline, especially among young people, and as young people who have never used cigarettes to consume nicotine age into the general population, the APPH concept will become problematic to apply
Focus policies on populations disproportionately impacted by tobacco