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Roughly 4.9 million American teens used e-cigarettes in 2018, an increase of 1.5 million teens in just 12 months, the US Centers for Disease Control and Prevention reported Monday. “These data are a sobering reminder of the rampant rise of youth e-cigarette use,” said the FDA commissioner, Dr Scott Gottlieb. “I fear this trend will continue in 2019, forcing us to make some tough decisions about the regulatory status of e-cigarettes.”