Though smoking is declining, and the dangers of smoking have been common knowledge for a long time, nearly one in five Summit County residents still smoke. Comparing youth and adult smoking rates, the rates tend to increase as age increases, rising from 2% of middle school students to 6% of high school students and finally to 20% of adults who say they are current smokers. Cigarette smoking among high school students has decreased significantly, from 13.5% in 2013 to 5.8% in 2018. The decline in traditional tobacco use is happening alongside a sharp increase in the use of e-cigarettes and other vaping products.