FDA's Real Cost campaign e-cigarette expansion (2018)
The Food and Drug Administration expanded its youth tobacco prevention campaign to e-cigarettes, using digital video, gaming platforms, and social media to reach teens aged 12 to 17. The campaign targets the 'cost-free' mentality about vaping.
Evaluation data between 2023 and 2024 estimated the campaign prevented about 444,252 American youth from starting to use e-cigarettes.
The effort contributed to the lowest youth e-cigarette use in a decade, with about 1.44 million US teens still vaping as of the 2025 survey.
Louisville's campaign applies the same playbook at the city level, using teen input and social media channels to replicate the FDA's national results locally.
