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Additional facts about e-cigarette use and/or vaping:  one JUUL pod is the equivalent of smoking twenty cigarettes or 1 pack of cigarettes  middle and high school students who vape (12-17 years of age) are 4 times more likely to use marijuana  young adults (18-24 years of age)who vape are 2.3 times more likely to use marijuana  youth e-cigarette use increased by 78% in 2018  between 2011 and 2017, current use of e-cigarettes has increased by 430% in middle schools and 894% in high schools  3.6 million users of electronic nicotine devices are under the age of 18  1 in 9 high school seniors vape on a daily basis  e-cigarette aerosol contains at least 10 chemicals that are known to cause cancer, birth defects, and other reproductive harm  nicotine addiction, mood disorders, permanent lowering of impulse control, attention and learning difficulties have been associated with the use of e-cigarettes and JUULs  UNC-CH School of Medicine has reported finding major damage to human lungs that have been exposed to e-liquids  FDA has investigated at least 127 seizures that have been associated with vaping  If people continue to use an e-cigarette, or vaping, product, carefully monitor yourself for symptoms and see a healthcare provider immediately if you develop symptoms like those reported in this outbreak