Smoking remains the leading cause of preventable death and disease in the U.S., yet efforts to prevent kids from picking up the habit continue to fall short.

The most recent National Youth Tobacco Survey showed vaping is by far the most popular option for school-age kids with more than 14% of high school students and 3% of middle-school students reporting they vaped at least once over the past 30 days.

Dr. Emily Jacobs, a pediatrician at Franklin Memorial Hospital in Farmington, said most kids pick up the vaping habit from other kids.

"I don't even think they know why they started," Jacobs pointed out. "It's just either boredom or experimenting, and they almost never have a good reason for continuing to vape. It's often just an addiction."

Most youths who responded to the survey reported they would like to quit, but withdrawals can exacerbate any depression or anxiety, which may have led them to start vaping in the first place.

The marketing of vapes or e-cigarettes has long been blamed for the increase in teen vaping. E-cigarette maker Juul Labs recently agreed to pay nearly $440 million dollars to settle an investigation into the marketing of its high-nicotine products. But Jacobs noted kids are savvy.

"I have a teen who, on Snapchat, she could find some guy driving around the community with a ton of vapes in his car and Snapchat him her location," Jacobs observed.

Jacobs added teens are open to talking about vaping and receptive to learning about the risks it poses to their long-term health.

She advised parents to keep an open line of communication to ensure kids feel safe in sharing their experiences. There's also the 1-800-QUIT-NOW hotline, and teens can also text "Start My Quit" to 36072.

As Women's Health Month winds down, experts in alcohol abuse are speaking out about an increase in binge drinking among women over the past five years.

A recent study from the Journal of the American Medical Association found that women are now binge drinking more than men for the first time in history.

Joanne Hawes - director of clinical operations with the Betty Ford Center in Rancho Mirage, California - explained that women's bodies make them more vulnerable to excessive alcohol consumption.

"Alcohol is actually ingested differently for women, and can affect them more quickly," said Hawes. "So women tend to have health issues more quickly than men. Things like liver damage or brain atrophies, even heart disease."

Alcoholics Anonymous says 38% of their clients are women, and the proportion has been rising in recent years.

Data from the National Institutes of Health show that nearly one in three young women aged 18 to 25 binge drink on a regular basis.

Hawes added that the stress of holding down a job and caring for children during the COVID lockdown contributed to a rise in alcohol abuse among women.

Dr. Lisa Saul, chief medical officer for women's health at UnitedHealthcare, said heavy drinking among women has surged by 41% since the pandemic, heightening the risk of cancer.

"Alcohol is a carcinogen," said Saul, "and we know that it is linked to at least six types of cancer, including breast and colorectal cancer."

Many employee assistance programs offer help to find treatment. The National Institutes of Health lists alcohol addiction resources on its website, Rethinking Drinking.

Florida's new law banning fluoride in public water systems has drawn sharp criticism from dental professionals, who cite decades of evidence supporting its safety and effectiveness in preventing tooth decay.

Dr. Jeff Ottley, president of the Florida Dental Association, warned that the change will lead to a rise in cavities, particularly among children and underserved populations.

"Over the next two to three years, we will see an increase in the number of cavities, particularly in children and older adults who take multiple medications, which cause dry mouth," he said. "Those older adults will start getting cavities along the roof surfaces of their teeth and under existing restorations, like crowns and fillings."

Backers of the ban, including libertarian groups and some GOP legislators, have argued that "fluoride is a choice" and have recommended topical treatments, such as toothpaste, over what they claimed to be "mass medication."

Ottley stressed that fluoride occurs naturally in water, and the ban eliminates adjustments that allow cities to reach optimal levels for dental health.

He also predicted severe consequences, especially for Florida's Medicaid system and rural communities.

"The Medicaid system in Florida already has the lowest reimbursement rate across the country," he said, "and so you're going to have an influx in the number of kids looking, and parents looking to treat their kids who are on Medicaid, and the providers just aren't going to be there."

Ottley warned that higher Medicaid payments will be needed to attract dental-care providers, which he said could lead to ballooning costs.

His interim advice for parents: Seek prescription fluoride vitamins, and everyone should maintain rigorous brushing and flossing routines, cut their sugar intake and avoid post-brushing snacks before bed.


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California lawmakers are considering a bill to ease regulations on birth centers at a time when maternity wards are closing in many counties. Assembly Bill 55 would streamline the licensure process, which allows a birth center to accept Medi-Cal, making midwifery care available to low-income families.

Sandra Poole, health policy advocate with the Western Center on Law and Poverty, said the bill would also no longer require a birthing center to be within 30 minutes of a hospital but instead rely on a transfer plan to address potential emergencies.

"Of course, if you're in an area where the labor and delivery has closed, that's going to be impossible," she explained. "There are 12 counties in the State of California that have absolutely no labor and delivery wards at all in the county."

Birth centers are non-hospital, homelike facilities for low-risk pregnancies. At least 40% of California's birth centers have closed since 2020, and just four of the 37 remaining centers are licensed, because the current licensing process is unnecessarily burdensome, according to a study published today by the Western Center on Law and Poverty, in partnership with the California Black Women's Health Project and the Black Women for Wellness Action Project.

The study also surveyed patients on the merits of birth centers. Holly Drayton is a mother and former doula from the Santa Barbara area.

"For people to have that option would really give them the opportunity to choose the birth that they want in an environment where they do feel comfortable to labor in the way that they're supported, to make it the best possible outcome," Drayton said.

Sarah Archer, a mother who supports birth centers, said they are an important part of the state's health care system, and are proved to reduce pre-term births.

"People deserve choices in the way they want to give birth, not just in a sterile hospital," she explained. "It's a very safe, very quiet, beautiful, serene environment versus a medical setting."

The bill has passed the State Assembly and is now before the Senate Health Committee.