But what is the clinical meaning of this effect? In order to find that out, one needs to conduct studies with longer-term end points.

Well, consider that by banning smoking at all private clubs but creating an exemption for the city's Banquet Hall, it could potentially establish a competitive advantage for the city-owned facility over private facilities in competition for business from people looking for venues for celebrations.

Yesterday, a group of international lung health organizations issued a position statement on electronic cigarettes, which called for a ban (or severe restrictions) on these products until more is known about their health effects. In contrast, these organizations did not express any problem with real tobacco cigarettes remaining on the market, even though they kill millions worldwide each year, and electronic cigarettes are not known to have killed a single person ever.

Would one therefore conclude that taking an exam is just as risky, in terms of respiratory effects, as smoking a cigarette? Apparently, Dr. Glantz would draw such a conclusion. But it is easy to see why this is an inappropriate conclusion. And we would never disseminate messages to the public that smoking is no more hazardous than taking an exam.

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