15 million of adolescents vapane: dependence on electronic cigarettes that alarms the WHO (and us too)

The world smokes slightly less, but tobacco is still widely present in our lives. WHO’s new global report shows that the number of tobacco consumers dropped from 1.38 billion in 2000 to 1.2 billion in 2024.

Since 2010, the number of people who use tobacco has decreased by 120 million, with a 27% drop in relative terms. Still, tobacco still affects one in five adults all over the world, feeding millions of preventable deaths every year.

In response to these strong progress, the tobacco industry is fighting with new products based on nicotine, turning aggressively to young people – said Tedros Adhanom Ghebreyesus, general manager of WHO.

And from here an alarming figure: for the first time, the WHO has estimated the global use of electronic cigarettes and the numbers are increasing also and above all for minors. Among the more than 100 million people around the world they are vaping, there are:

Electronic cigarettes are fueling a new wave of nicotine dependence – says Etienne Krug, director of the Department for the determinants of health, promotion and prevention of WHO. They are marketed as a reduction in damage but, in reality, they are hooking children to nicotine before and risk undermining decades of progress.

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Teenagers and smoking

The WHO report provides global estimates on the prevalence and number of teenagers (aged 13 and 15 years) which use tobacco products and electronic cigarettes, based on the most recent school investigations conducted between 2014 and 2024.

Use of any tobacco product

Estimates on the use of any tobacco product (smoke and/or smoke-free tobacco, excluding products without tobacco such as electronic cigarettes) among 13-15 years adolescents are based on investigations in 161 countries (which represent 85% of teenagers drained globally).

  • Global prevalence: the global average prevalence is 10.0%
  • Regional prevalence (average): the regional variation is reduced, oscillating between 9.0% in the region of Southeast Asia and 11.6% in the European region
  • Regional gender differences:
  • Income division (prevalence):
  • Cigarette smoke

    The estimates on cigarette smoking among 13-15-year-old teenagers are based on investigations in 163 countries (which cover 86% of schoolchildren teenagers).

  • Regional variation (prevalence): the average prevalence varies from 3.4% in the region of Southeast Asia to 8.4% in the European region
  • Income division (prevalence): teenagers in medium-high income countries have the highest prevalence (6.8%)
  • Use of smoke -free tobacco

    The estimates on the use of smoke -free tobacco (current prevalence) are based on investigations in 129 countries (which cover 73% of the teenage population) and are probably considered a underestimation, since the countries without investigations have been assumed to have zero prevalence.

  • Regional variation: the regions with a relatively high prevalence of use include the region of Southeast Asia (4.2%), the African region (4.2%) and the eastern Mediterranean region (3.9%)
  • Highest load: the region of Southeast Asia has the highest load, with 3.5 million adolescents users
  • Prevalence for income: the prevalence is on average higher in low -income countries (4.7%), although this estimate is the least reliable due to the poor coverage of the investigations
  • Use of electronic cigarettes

    Estimates on the current use of electronic cigarettes among 13-15 years adolescents are based on 123 investigations completed from 2014 to 2024 (covering 51% of the global teenage population).

  • Prevalence vs adults: a comparison in 63 countries that monitor both groups shows that the prevalence between teenagers is on average nine times higher than that of adults in the same country
  • Regional prevalence (higher): the European region has the highest average prevalence (14.3%)
  • Prevalence for income (high income): in high income countries, the prevalence is 10.0%. In this group, the prevalence between girls (10.8%) is higher than that found among boys (9.2%)
  • Poor data coverage: the global estimate is affected by a serious lack of data in the African regions and Southeast Asia