young smoking cigarettes Why do people still smoke? Teen e-cig users more likely

North Carolinas General Assembly created the trust fund in 2002 after the 1998 Tobacco Master Settlement Agreement a $206 billion agreement between forty-six states that had previously sued the four main cigarette manufacturers for medical liability and an alleged cover-up of harmful health effects from smoking

After disposable e-cigarettes were exempted from federal restrictions on flavors in 2020, they skyrocketed in popularity, with use increasing about 1,000% (from 2.4% to 26.5%) among high school e-cigarette users during 2019-2020

Resources for healthcare professionals were also developed, including a 'guide to conducting a brief intervention' which is given to midwives on a lanyard

Wang points to the ever increasing potency of THC in todays marijuana products

The perception that alternatives are safer likely drives some of this shift