Overview
- The first global estimate finds at least 15 million users aged 13 to 15, with adolescents on average nine times more likely than adults to vape in countries with available data.
- About 86 million adult users are reported, with most concentrated in high‑income countries.
- Conventional smoking continues to decline, falling from roughly 1.38 billion people in 2000 to about 1.2 billion in 2024, yet around one in five adults still uses tobacco.
- The report draws on 2,034 national surveys covering 97% of the global population and notes possible undercounts in countries lacking reliable data.
- WHO leaders call for stronger controls including higher taxes, advertising and flavor curbs, comprehensive MPOWER measures or bans, while acknowledging e‑cigarettes may aid some adult cessation but long‑term harms remain uncertain.