Smoking rate among US adults drops to record low as vape use rises: CDC

Signage outside the Center for Disease Control (CDC) headquarters in Atlanta, Georgia, US, on Friday, Dec. 5, 2025. (Megan Varner/Bloomberg via Getty Images)

(NEW YORK) -- Cigarette smoking among U.S. adults continues to fall to record low levels as e-cigarette use rises, according to a report from the Centers for Disease Control and Prevention (CDC) published early Thursday.

Nearly 10% of adults in the U.S. smoked cigarettes in 2024, the report found. This is down from about 11% in 2023, CDC data shows.

Rates of cigarette use have dramatically fallen since a landmark 1964 Surgeon General report warned about the dangers of cigarette smoking and linked it to lung cancer, chronic bronchitis and other serious diseases.

The 1964 report also found a 70% higher mortality rate among smokers and helped launch a nationwide anti-smoking campaign.

At the time, more than 42% of adult Americans were smokers, according to the Surgeon General.

"Decreased cigarette use is certainly in line with decades of trends and really hard work on the part of public health and education folks to get the word out about how awful cigarettes are and how deadly they are," Dr. Maria Rahmandar, medical director of the substance use & prevention program in the division of adolescent and young adult medicine at Ann & Robert H. Lurie Children's Hospital of Chicago, told ABC News.

"However, with decreased cigarette use, that means that big tobacco companies are losing money, and so they're always looking for new ways to capture customers and hook new people on powerfully addictive ... nicotine," she added.

The new CDC report found those living in rural areas were more likely to smoke more than city dwellers. More than 15% of those in non-metropolitan areas smoked cigarettes compared to those living in cities, the report noted.

Meanwhile, the report found that 7% of American adults used e-cigarettes, or vapes, in 2024.

This is a slight uptick from 6.5% of adults reporting e-cigarette use in 2023 and nearly double from the 3.7% of adults who reported using e-cigarettes in 2020, CDC data shows.

"I think we had a shot [at] the first tobacco?free generation prior to e?cigarettes coming onto the market. Unfortunately, it's kind of derailed that progress," Thomas Carr, director of national policy at the American Lung Association, told ABC News.

The report found that vaping patterns were similar to cigarettes by metro areas, where 6.1% reported using e-cigarettes compared to 9.2% in rural areas. 

Previous CDC data found that men; those who identify as lesbian, gay or bisexual; and those who report serious psychological distress are more likely to report current e-cigarette use.

The CDC has also previously found that some adults use e-cigarettes to try to quit smoking cigarettes. The health agency notes the Food and Drug Administration has not approved any e-cigarette to help people quit smoking.

Rahmandar said e-cigarettes have been marketed as a way for people to get off cigarettes, which she noted can help. But she cautioned that there are still many unknowns about e-cigarette harms.

"Cigarettes are terrible, and it is possible that e?cigarettes are safer -- not safe -- safer than cigarettes," she said. "So could it be better for somebody to switch that in a harm reduction philosophy? Yes, however, we still don't know long term effects of e?cigarettes, either ... We know that there are immediate effects. There certainly are harmful chemicals, carcinogens, toxins, heavy metals, respiratory irritants and other things inside of there that certainly can cause immediate harm." 

By age, those between age 45 and 64 were most likely to be smokers followed by those between ages 25 and 44.

Among vapers, those between ages 18 and 24 had the highest prevalence of e-cigarette use followed by those between ages 25 and 44.

Previous CDC data has shown that the majority of young adults who use e-cigarettes have never smoked cigarettes.

"I think this is ... the JUUL generation," Carr said, referencing what was the most popular e-cigarette in the U.S. "From 2017 to 2019, they got teens to get hooked on JUUL, and they're now adults, and unfortunately, they haven't been able to quit using e-cigarettes."

Tiffany Le, MD, is a pediatrics resident at UT Southwestern Medical Center and a member of the ABC News Medical Unit. 

ABC News' Liz Neporent contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Houston airport has become a symbol for the shutdown’s impacts on air travel

HOUSTON (AP) — George Bush Intercontinental Airport in Houston has become the symbol for how the ongoing partial government shutdown has wreaked havoc on the nation’s air travel system.

While long security lines have hobbled airports across the U.S., Bush Intercontinental’s problems have been more pronounced. Frustrated travelers at Houston’s largest airport have confronted warnings of four-hour wait times to get through security, as many Transportation Security Administration workers aren’t showing up for their shifts since they’re not getting paid during the shutdown.

“And we’ve been in this airport since 8 o’clock in the morning. Very tired, queuing and queuing and very slow,” Edgaer Fernando, who was traveling to Guatemala, said on Tuesday.

Union and airport officials have offered a variety of reasons why Bush Intercontinental seems to be worse than other airports.

These include the Houston airport having one of the highest callout rates of TSA workers in the country due to the economic challenges they are facing, higher passenger traffic as the airport is a major hub for United Airlines, and a busy tourism month for Houston.

More TSA workers in Houston are not coming to work compared to other cities

Both Bush Intercontinental and Hobby, the city’s other major airport, have had some of the highest callout rates in the U.S.

While 11% of TSA workers nationally did not show up for work on Tuesday, at Bush Intercontinental, that number was nearly 40%. At Hobby, it was even higher — 43%. The callout rate in Houston has averaged between 35% and 40%, said Johnny Jones, the secretary and treasurer for Council 100 of the American Federation of Government Employees, which represents TSA workers nationwide.

But Bush Intercontinental is much busier than Hobby, having served over 48.4 million passengers in 2024, compared to 14.6 million passengers at Hobby.

Jim Szczesniak, director of aviation for the Houston Airport System, said that at Bush Intercontinental, 37 TSA checkpoint lanes are usually operating. Only between a third and 50% of lanes are currently being operated, he said.

“We worry conditions will only get worse at airports across the U.S. until Congress ends this shutdown,” Szczesniak said in a video posted on social media Tuesday.

TSA workers were already dealing with financial difficulties and debt from last year’s shutdown, and with higher costs for groceries and gas, employees “are just tired of it,” Jones said.

“There could be a million factors, but I can just tell you as simple as this: If everybody’s being paid, you wouldn’t have no lines,” Jones said.
Bush Intercontinental is among the nation’s largest hub airports

The Houston airport is one of the nation’s busiest and is also a major hub for United Airlines. Of the 48.4 million passengers that went through the airport in 2024, 34.8 million were from United Airlines.

“There’s high call outs, but it’s also the excessive origination point for a lot of flights,” Jones said.

With the high volume of passengers, the Houston airport might have also been experiencing a staffing shortage even before the shutdown, as no TSA workers have been hired around the country in about a year, Jones said.

March has been a busy month for Houston

Besides spring break travelers, Houston has hosted a variety of high-profile events this month.

These include games during the World Baseball Classic and CERAWeek, a major energy conference with more than 10,000 participants from around the world. The Houston Livestock Show and Rodeo reportedly drew 2.6 million attendees, many from outside the metro area, during its three-week duration. And this week, two of the NCAA Tournament’s Sweet 16 games will be played in Houston.

“While the delays are frustrating for travelers, they do not appear to be impacting tourism. In fact, Houston is experiencing the strongest month of March in terms of hotel rooms and reservations in the city’s history,” Mayor John Whitmire said in a statement.

Wait times at Bush Intercontinental seemed to improve on Wednesday as it took less than two hours to get through TSA security.

“Everyone’s trying their best. And thanks to all the TSA members who are here,” Raj Chauhan, who was traveling to Miami, said on Wednesday.

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Follow Juan A. Lozano: https://x.com/juanlozano70

Growth rate slowed in US metro areas in 2025, with steepest drops along the southern border

Growth rates in U.S. metro areas dropped the steepest in communities along the U.S.-Mexico border last year because of declines in immigrants while counties along Florida’s Gulf Coast lost residents due to a series of hurricanes, according to new population estimates released Thursday by the U.S. Census Bureau.

The estimates showed that a majority of metro areas and counties had slower population gains last year, which the bureau attributed primarily to a slowdown in international migration, compared to the previous year when an influx of immigrants had helped urban areas recover from the COVID-19 pandemic a few years earlier.

The average growth rate for metro areas fell from 1.1% in 2024 to 0.6% in 2025.

The figures, covering one year through July 2025, reflect the initial months of President Donald Trump’s second term and the beginning of his administration’s immigration crackdown, With an aging America and birth rates in the U.S. declining over the past two decades, immigration has become an important source of growth in many communities.

“With so little natural increase, migration determines whether an area grows or declines, particularly in the big metro cores that have continuous domestic out-migration and are dependent on immigration,” said Kenneth Johnson, senior demographer at the University of New Hampshire.

Immigrant losses

Three metro areas along the U.S-Mexico border stretching from Arizona to Texas had the steepest drops in population growth rates in 2025, according to the Census Bureau.

The growth rate in Laredo, Texas, dropped from 3.2% to 0.2%. It went from 3.3% to 1.4% in Yuma, Arizona, and declined from 1.2% into negative territory at -0.7% in El Centro, California. All three experienced growth in 2024 because of an influx of thousands of immigrants.

“That pattern suggests a sharper rise-and-fall effect in border regions, where international migration plays a more central role in year-to-year population change,” said Helen You, interim director of the Texas Demographic Center.

As in 2024, the top destinations for immigrants in pure numbers in 2025 were counties that are home to Houston, Miami and Los Angeles. But the drop in immigrant numbers in those counties was stark. Nine out of 10 U.S. counties had lower levels of immigration in 2025 compared to 2024, according to the Census Bureau.

Hurricane migration

Two destructive hurricanes, Helene and Milton, tore through Gulf Coast counties in Florida in fall 2024, leaving behind tens of billions of dollars in damage. The storms also caused residents to leave, according to the population estimates.

Pinellas County, which is home to St. Petersburg, lost almost 12,000 residents, the second most in the U.S., trailing only Los Angeles County, which has been losing residents all decade. Pinellas County relies on migration for growth because deaths outpace births more than in any county in the U.S.

Taylor County, a tiny community ravaged by the hurricanes in Florida’s Big Bend area, had the steepest growth rate decline among U.S. counties last year, with a -2.2% drop.

But the hurricane migration wasn’t limited to Florida. In the Blue Ridge Mountains, the county that is home to Asheville, North Carolina, had more than 2,000 residents leaving in the months after the remnants of Hurricane Helene destroyed homes and cut off power and communications to mountain towns.

Growth leaders

The New York metro area slid from growing by the most people in 2024 to ranking No. 13 in 2025 because of the drop in immigrants.

Instead, two perennial growth powerhouses this decade, the Houston and Dallas-Fort Worth metro areas, were at the top of the list, followed by the Atlanta, Phoenix and Charlotte, North Carolina, metro areas.

Several midsize metros in Florida and South Carolina had the largest growth rates. Ocala, Florida, located 80 miles (129 km) northwest of Orlando and known for its horse farms, led the nation at 3.4%. It was followed by: metro Myrtle Beach, South Carolina, which has become a retirement haven; Spartanburg, South Carolina; Lakeland, Florida, located between the much larger metros of Tampa and Orlando; and Punta Gorda, Florida, about 35 miles (56.3 km) north of Fort Myers.

Sunbelt exurban growth

The far-out suburbs were top destinations among those who had moved from somewhere else in the United States.

They were led by Collin County, Texas, outside Dallas; Montgomery County, Texas, outside Houston; Pinal County, Arizona, outside Phoenix; and Pasco and Polk counties outside Tampa.

The rapid growth of far-flung exurbs is an after-effect of the COVID-19 pandemic, according to the Census Bureau. Rising housing costs drove people farther from cities, and remote work allowed many to do their jobs from home at least part of the week.
Where the babies are

Even though New York had more people moving out than moving in, births allowed the metro area to gain more than 32,000 residents. The New York metro area led the nation in natural increase, or births outpacing deaths, followed by the Dallas-Fort Worth and Houston metros.

The metros where deaths outpaced births in the greatest numbers were Pittsburgh, Pennsylvania, and several Florida communities with large senior populations — the Sarasota, Daytona Beach and Tampa metro areas.

The two Texas metro areas topped the charts in natural increase because of their age structure and the fact that they have gained more people than anywhere in the U.S., You said.

“Decades of domestic and international in-migration have produced relatively young populations, with a large share of residents in childbearing ages, alongside comparatively smaller proportions of senior populations,” she said.

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Follow Mike Schneider on the social platform Bluesky: @mikeysid.bsky.social.

New District Clerk appointed

New District Clerk appointedSMITH COUNTY — The Smith County Council of Judges has accepted the resignation of district clerk Penny Clarkston and has appointed her successor. Clarkson formally resigned from her position on Tuesday, citing personal family reasons. Following Clarkson’s resignation, it was announced that paralegal Gaye Boynton has been appointed to complete Clarkson’s term, which runs through the end of the year.

Boynton recently defeated Clarkston in the March Republican primary election and is currently running unopposed in the general election this November.

Prior to running for local office, Boynton served in several leadership positions, including as President of the Tyler Area Association of Legal Professionals (TAALP), and had more than 10 years of experience in the Women’s Ministry at Green Acres Baptist Church.

Crash victim’s family sues doctor

Crash victim’s family sues doctorLUFKIN — The family of a man who was killed in a Lufkin car crash on Jan. 17 is suing the pediatrician, George Fidone. A family is seeking $1 million from Lufkin pediatrician, George Fidone, for allegedly driving while intoxicated and killing husband and father, D. Marcus Hadnot, in a January car crash.

The crash occurred on College Drive when a Mercedes, driven by Fidone, crashed into Hadnot’s Kia at around 10:15 a.m. Hadnot and his dog, who were in the car, were later pronounced dead following the crash. Fidone told officers he was on his phone and allegedly admitted that the crash was his fault before heading to the hospital for minor injuries. He was later arrested after blood collected from the crash reported a 0.14 blood alcohol level, an arrest affidavit stated.

He was booked into the Angelina County Jail and charged with two counts of intoxicated manslaughter with a vehicle and two counts of intoxication assault with a vehicle. Continue reading Crash victim’s family sues doctor

Arrests following fatal club shooting

Arrests following fatal club shootingSMITH COUNTY — Two teenagers have been arrested in connection with the deadly Sunday morning shooting that left two dead and another injured, the Smith County Sheriff’s Office confirmed.

Tyler teenagers, Brandon Young, 18, and Andru Davis, 18, were identified by investigators to be directly involved in the shooting and were believed to be at a known address in Houston. On March 24, Smith County Investigators worked with the East Texas Anti-Gang Center to notify Houston officials of their location. A team was sent to the address and attempted to apprehend the suspects.

Upon arrival, Young was quickly found and taken into custody without incident. However, Davis fled the scene, according to the sheriff’s office. Law enforcement personnel were surrounding the residence, and Davis was apprehended shortly by a police K-9 and taken into custody. Due to being bitten, Davis was transported to a local hospital.

Young was booked into the Smith County Jail for warrants of engaging in organized criminal activity and deadly contact. He is being held on a $750,000 bond. Continue reading Arrests following fatal club shooting

Angelina County emergency alert

LUFKIN — The City of Lufkin will conduct a county-wide test of its emergency alert system at 10:30 a.m., Thursday, April 2. This test will push out alerts through text message, email and phone call. This also will include land-line phones. Cell phones will sound an alert, and a message will be on the screen explaining this is a test.

Lufkin’s emergency management coordinators, in conjunction with Angelina County’s emergency officials, will use this test to ensure the system is working properly. Should there be a large-scale emergency, this system will be used to alert residents of the situation and allow for instructions and directions to keep everyone safe.

“We appreciate the cooperation of our local law enforcement, school districts, hospitals, and other entities to spread the word about this test,” Fire Chief Jesse Moody said. “It is our focus to keep our residents safe.

City of Lufkin residents are encouraged to sign up for Lufkin Alerts! This emergency notification system enables the city to provide you with critical information quickly in a variety of situations, such as severe weather, unexpected road closures, missing persons and evacuations of buildings or neighborhoods, Moody said.

To sign up go to this link. Residents can expect to receive the message on multiple platforms.

Smith County Road Projects

Smith County Road Projects SMITH COUNTY – Construction contracts for four major projects totaling more than 16 miles of road were awarded Tuesday, March 24, by the Smith County Commissioners Court. Texana Land & Asphalt Inc. came in as the lowest bidder on all four projects, which will all entail completely rebuilding the roadways and overlaying with asphalt.

County Road 129, from CR 113 to U.S. Highway 69; and CR 146 will have 2.595 miles of roads improved for $704,852. Smith County Engineer Frank Davis said the project will take about three months and will be paid for out of the Road and Bridge Budget. Both roads are south of Tyler and are in Smith County Commissioner Precinct 1.
Continue reading Smith County Road Projects

Police arrest four on meth charge

Police arrest four on meth chargePALESTINE – A traffic stop in Palestine led to the arrest of four others after officers found more than 16 grams of suspected methamphetamine in the vehicle on Wednesday. According to our news partner KETK and the Palestine Police Department, an officer conducted a traffic stop on a Dodge Ram pickup truck early morning Wednesday on North Loop 256 near North Queen Street.

The vehicle was occupied by four individuals, including passenger 49-year-old Robert Anderson, who had an active warrant out of Travis County for criminal trespass of a habitation. While Anderson was being arrested for the warrant, officers reportedly located a bag containing a meth pipe that belonged to him.

Officers conducted a further search of the vehicle and found several glass pipes with residue and containers containing about 16.44 grams of suspected methamphetamine. Another small bag of suspected meth, weighing less than a gram, was found.

The substances tested positive for methamphetamine and the other three passengers were arrested for drug charges.

Police pursuit ends in arrest

Police pursuit ends in arrestEDGEWOOD – A police pursuit through Van Zandt County ended Tuesday afternoon when a fleeing driver slammed into a patrol car and was taken into custody. According to our news partner KETK, the Van Zandt County Sheriff’s Office, officers from the Edgewood Police Department responded to a call on U.S. Highway 80, near The Lumber Yard Cafe, after receiving reports of a disturbance.

When officers arrived, they saw a 47-year-old man get into a 1999 Ford pickup and speed off. As he fled, the driver allegedly struck an Edgewood patrol vehicle, sparking a pursuit. Officers requested help from the Department of Public Safety and the Van Zandt County Sheriff’s Office as the chase continued toward downtown Wills Point on Highway 80. DPS deployed two sets of spike strips, successfully slowing the vehicle.

He was taken to a local hospital for evaluation before being booked into the Van Zandt County Detention Center, where he was charged with aggravated assault of a public servant and evading arrest in a vehicle. Authorities said his name is not being released at this time.

During the pursuit, Wills Point ISD was placed on hold and was lifted at around 3:40 p.m. as a precaution to ensure student safety.