Although there has been progress in reducing cigarette use, vaping use has dramatically increased. In Colorado, almost 27% of high school students vape, the highest user rate for youth in the nation. In Larimer County, the rate is slightly higher at 32% (Healthy Kids Colorado Survey 2017 High School). In Fall 2018, 30% of incoming CSU students reported using e-cigarettes before arriving on campus (AlcoholEdu Fall 2018 pre intervention survey). The following sections provide information on health effects of tobacco/nicotine, policies, and quitting resources.