The results of a new study have shown that past-month e-cigarette use predicted future conventional cigarette use, but past-month smoking did not predict vaping.

What their three waves of annual surveys also showed was that even if teens did not switch over from e-cigarette to conventional cigarettes or vice-versa, the frequency of their smoking increased over time.

So what can be done to stop this one-way pathway to all the dangers of nicotine and other carcinogens introduced by e-cigarette and in turn combustible cigarette smoking? We asked Dr Jonathan Klein, anti-tobacco advocate and Director of the AAP’s Julius Richmond Center (focused on smoking prevention) to provide a commentary to answer this question. Dr Klein discusses what we can do as child health care professionals on an individual as well as community and even national level to influence policy that will hopefully limit access that teens have to vaping and e-cigarettes.