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, from 1.9% of middle school students reporting they are current smokers, to 5.8% of high school students reporting the same, up to the 20% of adults who say they are also current smokers. Cigarette smoking among high school students has dropped significantly in the past five years, from 13.5% in 2013 to 5.8% in 2018. Despite the decline in traditional tobacco use, there has been an increase in the use of e-cigarettes and other vaping products.