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In fact, there is no evidence for any of the three parts ofSenator Blumenthal’s statement. There is no scientific evidence thate-cigarettes addict children to nicotine. There is no evidence thate-cigarettes lure children into a lifetime of smoking addiction. And there isno evidence that e-cigarettes cost our society billions of dollars.

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.

In the study, investigators examined measures of acute heart function using echocardiography among 36 smokers and 40 vapers, before and after using either a cigarette or e-cigarette. The researchers found that cigarette smoking adversely affected acute heart function. Electronic cigarette use had no effect on any of the measures examined.

Suppose that there are 1000 e-cigarette users who enter the cancer center with a diagnosis of cancer. Of these, an amazing 900 were able to quit smoking. However, 100 were very resistant smokers and could not quit smoking, even with e-cigarettes. Note that it would be these 100 resistant smokers who would be enrolled in the study. The 900 ex-smokers who quit using e-cigarettes would not be eligible for the study, because they no longer smoke.

Congratulations to Mayor Canepa, for making an early bid for the 2014 .


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