Though cigarette use is down, quicker action is needed to counter a “startingly high” rate of use by youth of vaping devices and other tobacco products, says the American Lung Association's 14th annual report on control efforts.

“Federal and state governments are not acting quickly or aggressively enough to meet the three bold goals called for by the American Lung Association and its partners,” concludes ‘State of Tobacco Control 2016.’ Those goals include lowering rates of smoking and other tobacco use to less than 10 per cent “for all communities,” by 2024.
US government data cited in the report show nearly one-in-four high school students use at least one tobacco product, including e-cigarettes and e-shisha, and half of that group uses two or more products. “The significant increase in the use of some tobacco products threatens to undermine the United States' overall progress in the fight against tobacco-caused death and disease,” the lung group said in a summary of the report.
The health group's report contains tobacco control evaluations for the individual states and the federal government.