Tobacco use is far from a thing of the past, nearly 20% of Ohioans still smoke and youth vaping is introducing a new generation to nicotine, which is the highly addictive ingredient in all tobacco products, including vapes. Youth vaping trends are undoing years of progress in tobacco prevention. Tobacco is responsible for 480,000 deaths every year in the United States. This is more than, Human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, and firearm-related incidents combined, which places tobacco at the top of public health concerns.