"“There’s so much we don’t yet know about e-cigarettes,” said Douglas Tipperman, M.S.W., a public health advisor at SAMHSA. “They are not harmless. We don’t know the health impact at the individual or the population level.”

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I had intended to blog about your recent paper, but decided instead to write an open letter and to put these concerns to you directly. So, I write to express dismay at the false, misleading and damaging conclusions you have drawn from your recent paper in JAMA Pediatrics and related media communications. The errors of reasoning are elementary, but have been used to draw conclusions that are relentlessly hostile to e-cigarettes and the important public health concept of ‘tobacco harm reduction’.

The most telling point is that blu does not offer its disposable products in flavors other than tobacco (classic) or menthol. Note that the disposable products are the ones that are relevant to children because they are the cheapest and most likely to be used by kids. It is very unlikely that kids are going to unleash the money required to purchase the charging kit. Blu offers rechargeable starter kits that do contain flavorings, but does not offer the disposables in flavors other than tobacco or menthol. Kids would have to shell out a minimum of $70 for the starter kit.

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