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        Until recently, Dr. Jonathan Avery, an addiction psychiatrist at Newyork-Presbyterian/WeillCornell Medical Center, rarely treated adolescents for nicotine addiction. After years of29 youth smoking rates, “we thought we were winning the game on cigarettes,” Avery says.But e-cigarettes -- which can each contain as much nicotine as a pack of cigarettes—haveexploded in 30 , causing what the Food and Drug Administration (FDA) is calling an “epidemic”among young people. More than 20% of high school students use e-cigs, even though they are legalonly for adults. “Suddenly, there are all sorts of young people looking for treatment, wondering whatto do,” Avery says.           E-cigarette use has far 31 science when it comes to finding treatments for nicotinedependence. Without specific treatment standards for young patients, clinicians often turn teens awayor try nicotine- 32 therapies like patches and gum—even though they are designed for adults andhaven’t been proved to be effective against e-cigarette dependence. “There are no treatmentguidelines yet for these products,” says Donna Richardson, clinical 33 of the Rutgers TobaccoDependence Program. “We have nothing else.”           But demand is growing. The FDA is so concerned about youth e-cigarette 34 that this yearit began looking into ways to help kids quit. In January, the anti-tobacco group Truth Initiativelaunched a text-based e-cigarette- 35 program for young people; 31,000 people have registered,the group says.            Most parents are looking for insurance-covered outpatient care, which “just sort of doesn’t exist,”Avery says. This year he started a counseling-based treatment program for adolescents with e-cigdependence and has treated about 30 kids so far. Soon he expects to have company. “It’s probablygoing to be picking up everywhere,” he says. “A lot of us in the addiction world are paying attentionto this.”


(AB) coordinator (AC) cessation (AD) outpaced (AE) overstated (BC) addiction (BD) popularity (BE) plummeting (CD) ascending (CE) inundated (DE) replacement 

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