In 2020, US health authorities identified more than 2,800 cases of e-cigarette or vaping-related lung injury. The Centers for Disease Control and Prevention found 68 deaths attributed to that injury.

In Australia, a major study by leading charity The Cancer Council found more than half of all children who had ever vaped had used an e-cigarette they knew contained nicotine and thought that vaping was a socially acceptable behaviour.

School-age children were being supplied with e-cigarettes through friends or “dealers” inside and outside school, or from convenience stores and tobacconists, the report said.

Teens also reported purchasing vapes through social media, websites and at pop-up vape stores, the Generation Vape project found.

“Whichever way teenagers obtain e-cigarettes, they are all illegal, yet it’s happening under the noses of federal and state authorities”, report author and Cancer Council chair Anita Dessaix said.

“All Australian governments say they’re committed to ensuring e-cigarettes are only accessed by smokers with a prescription trying to quit – yet a crisis in youth e-cigarette use is unfolding in plain view.”

In addition to the government’s move to ban the import of all non-pharmaceutical vaping products – meaning they can now only be bought with a prescription – all single-use disposable vapes will be made illegal.

The volume and concentration of nicotine in e-cigarettes will also be restricted, and both flavours and packaging must be plain and carrying warning labels.

But these new measures are not actually all that drastic, says public health physician Professor Emily Banks from the Australian National University.

“Australia is not an outlier. It is unique to have a prescription-only model, but other places actually ban them completely, and that includes almost all of Latin America, India, Thailand and Japan.”

Health Minister Mark Butler said the new vaping regulations will close the “biggest loophole in Australian healthcare history”.

“Just like they did with smoking… ‘Big Tobacco’ has taken another addictive product, wrapped it in shiny packaging and added sweet flavours to create a new generation of nicotine addicts.”

“We have been duped”, he said.

Medical experts agree. Prof Banks argues that the promotion of e-cigarettes as a “healthier” alternative was a classic “sleight-of-hand” from the tobacco industry.

As such vaping has become “normalised” in Australia, and in the UK too.

“There’s over 17,000 flavours, and the majority of use is not for smoking cessation”, she tells the BBC.

“They’re being heavily marketed towards children and adolescents. People who are smoking and using e-cigarettes – that’s the most common pattern of use, dual use.”

Professor Banks says authorities need to “de-normalise” vaping among teenagers and make vapes much harder to get hold of.

“Kids are interpreting the fact that they can very easily get hold of [vapes] as evidence [they’re safe], and they’re actually saying, ‘well, if they were that unsafe, I wouldn’t be able to buy one at the coffee shop’.

But could stricter controls make it harder for people who do turn to vapes hoping to quit or cut down on tobacco?

“It is important to bear in mind that for some people, e-cigarettes have really helped. But we shouldn’t say ‘this is great for smokers to quit’, says Prof Banks.

“We know from