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"We've got a very large problem here in Hawaii," Dr. Bonnie Halpern-Felsher, Founder and Creator of the Stanford Tobacco Prevention Toolkit, said.

According to the Department of Health, the number of Hawaii youth experimenting with e-cigarettes or vapes has increased four times among middle school children from 2011 to 2015, and six times among high schoolers.

"In the last twelve months is when we've seen a particular rise, really in 2018 of e-cigarette and Juul use," Dr. Halpern-Felsher said.