“This means that simply seeing a person you vape with, or visiting a school restroom — where teens say they vape during the school day — can unleash intense cravings,” says Addy. Vaping devices no longer look like cigarettes; they are easily hidden. Today, they have become ever-present in high schools throughout the country.

“We end up needing to teach kids how they can deal with cravings, how they can identify high-risk situations, how they can actually deal with being surrounded by people who are using these things,” says Sharon Levy, the director of the Adolescent Substance Use and Addiction Program at Boston Children’s Hospital. “Because the reality is that, for most kids, we treat them and put them back in school, and then they go to the bathroom, and everybody’s Juuling.”