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About 1 in 3 high school students and 1 in 8 middle school students used tobacco products in 2019, according to the latest annual . For the sixth consecutive year, electronic cigarettes were the most commonly used product. Because the survey was administered electronically for the first time in 2019, the report does not compare the findings with previous years. “We are fully committed to preventing children from using harmful tobacco products, including e-cigarettes, and will continue to develop policies that will achieve that objective as soon as possible,”  Admiral Brett Giroir, M.D., assistant secretary for health at the Department of Health and Human Services and acting commissioner for the Food and Drug Administration.