“This is a big deal. If you look at how we cope with our own trauma and other things, we oftentimes retreat and use chemicals as a way to self-manage,” said Dr. Jason Cunningham, CEO of West County Health Centers. “We deal mostly with diseases that start early on — COPD, heart disease, stroke, kidney disease, amputations, other things, cancer — and are directly related to smoking.”

Cunningham said that what they’re seeing is that many young people don’t associate vaping with tobacco use.