Nicotine, vapes and youth addiction

Youth vaping requires prompt attention. NHS guidance states vaping is intended for adults who smoke as a quitting aid, not for children or young people. Nicotine is highly addictive and young people can progress from occasional use to regular cravings, secrecy, irritability and routine use more quickly than adults expect.

Staff should be aware that products can mislead. Some children use illicit or unregulated devices, and some vapes sold as containing THC have been found to include other harmful substances. It is illegal across the UK to sell nicotine vapes to under-18s or to buy them on behalf of under-18s.

What frontline staff should notice

• Dependence signs: repeated use, agitation without a vape and a strong focus on obtaining the next one.
• Concealment: hidden devices, chargers, wrappers or attempts to mask the smell.
• Health concerns: coughing, wheezing, dizziness, headaches or nausea.
• Peer pressure: vaping tied to image, status or belonging.
• Illegal supply: adults or older peers buying vapes for the child.

Vaping can appear minor until dependence, concealment and unsafe supply are established.