Maryland's Tobacco Resource Center - Linking Professionals to Best Practices

The "iPhone" of ENDS

Image result for juul


A new type of ENDS (Electronic Nicotine Delivery System) that resembles a USB has become highly popular among teens. These devices contain approximately twice as much nicotine as typical e-cigarette products, are easy to hide, and come in a variety of flavors which could appeal to youth1. Prior research on nicotine products and adolescents suggests that the this craze could be potentially dangerous and addictive for the developing brains of teenagers and can encourage adolescents to abuse nicotine2,3. There have been many news reports concerning the use of these USB-like ENDS in schools; which have caused parents, health professionals, and school personnel to grow concerned over their use. This concern has even led at least one school in Anne Arundel County to remove its doors from the bathrooms to discourage students from using these devices4.

On April 24th the FDA Commissioner Scott Gottlieb, M.D. released a statement focused on the concern of these products and other ENDS products in youth and included future strategies for regulation and enforcement5. Some of these steps include a current crack down on establishments selling these products to minors, contacting eBay Inc. concerning its listing of ENDS products, and reaching out to manufacturers to hold them accountable5. The statement can be found here: FDA Statement on ENDS.

For more information on this product see this resource provided by the American Academy of Pediatricians Julius B. Richmond Center of Excellence.


  1. American Academy of Pediatricians Julius B. Richmond Center of Excellence. JUULing: What Pediatricians and Families Need to Know. Retrieved from:
  2.  U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.
  3. Smokefree teen. Nicotine & Addiction. Retrieved from:
  4. Pacella, R. (2018, April 20). Broadneck High removes bathroom doors to discourage vaping, smoking and 'juuling'. Retrieved from
  5. Office of the Commissioner. (n.d.). Press Announcements - Statement from FDA Commissioner Scott Gottlieb, M.D., on new enforcement actions and a Youth Tobacco Prevention Plan to stop youth use of, and access to, JUUL and other e-cigarettes. Retrieved from Tobacco Prevention&utm_medium=email&utm_source=Eloqua