According to a news release from Centers for Disease Control and Prevention, so-called “emerging tobacco products” like e-cigarettes and hookahs are gaining traction among middle- and high-school students. The CDC went into further detail in this week’s Morbidity and Mortality Weekly Report.

According to the report, the use of emerging tobacco products increased, but there was no meaningful decrease in students’ cigarette smoking or overall tobacco use. Information from the 2012 National Youth Tobacco Survey reveals that recent e-cigarette use increased among middle school students from 0.6 percent in 2011 to 1.1 percent in 2012 and among high school students from 1.5 percent to 2.8 percent. Hookah use among high school students increased from 4.1 percent to 5.4 percent from 2011 to 2012.

The report explains that the rise in the use of emerging tobacco products could be the result of an increase in marketing, availability and visibility of e-cigarettes and hookahs, as well as the belief that they may be innocent alternatives to traditional cigarettes. However, emerging tobacco products are not subject to FDA regulation. The FDA has said that it expects to issue a proposed rule that would subject emerging tobacco products to FDA regulation.

The report also reveals a rise in cigar use among some groups of middle- and high-school students. During 2011-2012, cigar use rose significantly among non-Hispanic black high school students from 11.7 percent to 16.7 percent, and has more than doubled since 2009.

“This report raises a red flag about newer tobacco products,” said CDC Director Tom Frieden in a statement. “Cigars and hookah tobacco are smoked tobacco – addictive and deadly. We need effective action to protect our kids from addiction to nicotine.”

The data on cigars takes into consideration little cigars, which look a lot like cigarettes but are cheaper because they are taxed at lower rates and can be purchased individually. Little cigars can also have fruit flavors that are restricted in cigarettes. A study recently revealed that nearly 36 percent of middle- and high-school students who smoke cigars use fruit or candy flavored little cigars.

“A large portion of kids who use tobacco are smoking products other than cigarettes, including cigars and hookahs, which are similarly dangerous,” said Tim McAfee, director of the CDC’s Office on Smoking and Health. “As we close in on the 50th anniversary of the first Surgeon General’s report on the dangers of smoking, we need to apply the same strategies that work to prevent and reduce cigarette use among our youth to these new and emerging products.”

Smoking is still the leading cause of preventable death and disease in the U.S., resulting in the death of more than 1,200 Americans per day.