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In the 1970s, the tobacco industry perpetuated the myth that some kangers of cigarettes were safer than others. Perhaps because of differences in nicotine or tar delivery. Or perhaps because of differences in additives. But the public health community knew that was hogwash and didn't buy it. In fact, eventually the federal government filed a lawsuit against the tobacco companies, arguing that their public statements insinuating that some cigarette kangers are safer amount to conspiracy to commit fraud. The tobacco companies found themselves guilty of racketeering and will now have to issue a corrective statement indicating that even major differences in cigarette ingredients do not render them significantly different in terms of the overall public health risk that they pose.

The required text for the corrective statements and their required placement is as follows:

But beyond the issue of medical or public health malpractice, I am most concerned about the simple principle of honesty. As medical and health professionals, our very first obligation is to be truthful with our patients and with the public. The information being provided by this respiratory therapist is untruthful. It is simply not the case that smoking may be less hazardous than vaping. There is no credible scientific debate about that issue in the year 2014.

But sadly, I have no doubt about how to answer the question I posed in the title for this post. I am sure that Stan will continue to defend his false accusations and allow them to stand, rather than to retract these defamatory remarks and apologize to Jacob and others whose reputations he defiled. Sadly, these tactics are acceptable in the tobacco control movement, as long as they are directed at tobacco companies (and now, electornic cigarette companies).

The main difference between this study and those touted by Glantz as showing that e-cigarettes are ineffective is that unlike Glantz's cited studies, this one actually examines cessation rates among smokers who reported using e-cigarettes for smoking cessation. In other words, Brown et al. included smokers who reported having used e-cigarettes with the intention to quit smoking. In the studies cited by Glantz, smoking cessation rates for all e-cigarette users were examined, even if a smoker just tried a puff of an electronic cigarette to see what all the hype is about.

The degree to which electronic cigarettes stimulate or depress overall interest in quitting is a separate and empirically answerable question. In fact, evidence from the UK indicates that the spread of electronic cigarettes has been associated with a in the desire to quit smoking at a population level.


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