Of every dollar Americans spent on e-cigarettes in convenience stores, grocery stores, and similar tracked retailers during December 2025, roughly 69 cents went to a product the Food and Drug Administration had never authorized for sale. Among sales of fruit, candy, sweet, and mint flavors, the authorized share was zero.
Those are the central findings of a report published in NEJM Evidence on August 11, 2026, by scientists at the CDC Foundation. It appears in the journal's Public Health Alerts section, produced in partnership with the University of Minnesota's Center for Infectious Disease Research and Policy.
