The Philippines has long been burdened with tobacco-related illnesses. Over the past 2 decades, national legislation was enacted to address this problem. Tobacco control policies include prohibitions on public smoking and advertising, the enforcement of graphic health warning labels, and increased taxes on tobacco products. These policies were associated with significant declines in smoking among Filipino adults and adolescents.1,2  However, the increasing popularity of electronic nicotine delivery systems (ENDS) among Filipino youth may reverse this progress. Evidence indicates that youth who use ENDS may be more likely to smoke conventional cigarettes in the future.3,4 

The Philippines relies on the Global Youth Tobacco Survey to monitor ENDS use in Filipino youth. From 2015 to 2019, e-cigarette use among Filipino teenagers aged 13 to 15 increased by 110%. In 2019, 14.1% of Filipino teenagers reported e-cigarette use in the past 30 days whereas 24.6% tried...

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