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"Juuling": 5 Things to Know About the Youth Warming Trend

A college pensioners video about the trend of "juuling", a type of e-cigarette use popular with teenagers, has highlighted how appealing and addictive e-cigarettes – especially "JUUL" – can be teenagers, with children as young as 14 speak sincerely about using the device. In April, FDA Commissioner Scott Gottlieb emphasized what the Agency did to stop using e-cigarettes among teens and what steps it has taken to stop online sales of JUULs to minors.

The video, produced by 17-year-old Jack Waxman, a high school chief in Westchester, New York, begins with the statement "Next Production is a Message to America." The video contains teens talking about their JUUL usage, how they started using it and why they use it.

"I need it, it's just part of my life now, as I know it's bad but I can not stop," says a 1

4-year-old girl in the video.

Another 14-year-old girl has A story that may be even more remarkable: When she does the homework at night she has her pen in her right hand and her JUUL in the left.

Here are five things you need to know about JUUL usage:

What is a JUUL?

A JUUL is a type of e-cigarette that looks like a USB stick you had connected to your computer and is much nicer than other types of e-cigarettes. The device has replaceable pods which comes in eight different flavors and according to the company that makes JUUL, a JUUL pod has as much nicotine as a cigarette package.

What are the restrictions on buying a JUUL?

E-cigarettes are not FDA-approved units but the agency has set an age limit for purchasing the units. As of Aug 2016 , said FDA e-cigarettes and other "electronic nicotine delivery systems" can only be sold to customers 18 years of age or older. Some municipalities have a higher age limit for the purchase of tobacco products.

Why is JUULs attractive to teenagers?

Published literature states that e-cigarette use is attractive to teens because the fine comes in different flavors. At least two of the teens in Waxman's video said that if there were any restrictions on the tastes, the children would not be so attracted to the devices. The FDA refers to a 2013-14 survey that showed that 81 percent of today's youth e-cigarette users cited the availability of appealing tastes as the main reason for use.

CDC says that young people are more likely than adults to use e-cigarettes. According to CDC, in 2016, more than 2 million US middle and secondary students used e-cigarettes over the past 30 days, including 4.3 percent of high school students and 11.3 percent of high school students.

What does the government do to stop JUUL use among minors?

Last month, the FDA sent warning letters to 40 dealers to sell e-cigarettes, especially JUUL products, to minors. The FDA says it has also contacted eBay to "raise concerns" about lists of JUUL products on the site. The FDA says eBay has removed the lists and implemented new measures to prevent new listings being published. The FDA says it has also sent a letter to JUUL Labs, the company that makes the e-cigarette look like a USB, to request information to better understand the product's youth application. The FDA says that it will also send similar letters to other manufacturers of products that give rise to similar issues.

What are the consequences of e-cigarette use among teenagers?

CDC says that even though e-cigarettes are less harmful than cigarettes, they do not mean they are safe. E-cigarette aerosols can contain potentially harmful substances such as nicotine, heavy metals and carcinogens, says CDC.

According to the United States Surgeon General, young people can be more easily abused than adults and nicotine in e-cigarettes and other tobacco products can destroy their brains for addiction to other drugs, such as cocaine. The use of e-cigarettes among young people and young adults is also linked to the use of other tobacco products, such as cigarettes, says the Secretary-General. Nicotine exposure can also damage the developing brain.

JUUL Labs told ABC News in a statement that the product was made for adults who want to quit smoking (although the CDC says there is not enough evidence to recommend e-cigarettes as a way to quit smoking) and that no young person or non-nicotine user should try JUUL.

The company also recently announced an initiative to combat drug abuse.

JUUL Labs CEO Kevin Burns said in a press release that the company has undertaken to deter young and adults who currently do not smoke from using their products.

"We can not be more prominent at this point: no young or non-nicotine users will ever try JUUL," Burns said.

You can watch the video produced by Waxman below:

Image via the California Department of Public Health

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