In 2017, the number of young Minnesotans using tobacco rose for the first time in 17 years due to a surge in e-cigarette use. Since then, the crisis has only gotten worse. According to the 2019 Minnesota Student Survey, 26.4 percent of Minnesota 11th graders reported using an e-cigarette in the past 30 days. That represents a 54 percent increase from the 2016 survey. Usage rates also climbed among 8th and 9th graders.