U.S. health officials say teenage use of e-cigarette has reached "epidemic" levels and are calling on the industry to address the problem or risk having their flavored products pulled off the market.

The warning from the Food and Drug Administration on Wednesday marks a stark shift in the agency's tone on e-cigarettes, which have become the most used tobacco product among teenagers.

Since 2017, FDA officials have discussed e-cigarettes as a potential tool to ween adult smokers off cigarettes.

» Pennsylvania teen develops 'wet lung' after vaping for 3 weeks, case study says

But FDA commissioner Scott Gottlieb says the agency did not predict an "epidemic of addiction" among youth, mainly driven by flavored products.

Gottlieb says the five largest e-cigarette manufacturers will have 60 days to produce plans to immediately reverse underage use of their products.

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Atlanta Police Chief Darin Schierbaum, accompanied by Atlanta Fire Chief Roderick Smith, provided an update to the press during a media tour at the Atlanta Public Safety Training Center. They discussed the new Simulation Center, which will enable officers to train for various crime scenarios, including domestic disputes, commercial robberies, and kidnappings. Tuesday, Dec. 17, 2024.
(Miguel Martinez / AJC)

Credit: Miguel Martinez-Jimenez/AJC