FILE - In this April 11, 2018 file photo, a high school student uses a vaping device near a school campus in Cambridge, Mass. Twice as many high school students used nicotine-tinged electronic cigarettes in 2018 compared with the previous year, an unprecedented jump in a large annual survey of teen smoking, drinking and drug use. Findings were released on Monday, Dec. 17, 2018. (AP Photo/Steven Senne, File)