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In a news , SAMHSA (the Substance Abuse and Mental Health Services Administration) attempted to demonize electronic cigarettes, providing a quite biased and one-sided look at the risks associated with these products. The article fails to report the results of surveys and clinical trials, which have shown that e-cigarettes are a bona fide smoking cessation aid that have helped thousands of smokers to quit.

It shouldn't take a rocket toxicologist to figure out that electronic cigarettes - which contain no tobacco - have immense benefits over traditional tobacco products. It shouldn't take a rocket epidemiologist to figure out that eliminating almost all of the more than 10,000 chemicals and 60+ carcinogens in cigarettes is going to result in a safer product. And anyone who has read the numerous laboratory, toxicology, and clinical studies of electronic cigarettes and tobacco cigarettes should understand that vaping is much safer than smoking.

The failure of the report to disclose financial conflicts of interests of its authors is problematic for several reasons.

The major finding of the report was that pharmaceutical companies are marketing nicotine gum and lozenges in flavors that could be appealing to children and teens. Among the flavored brands of nicotine gum and lozenges cited in the report are:

"The challenge that the FDA has is that they will be challenged by the tobacco industry, as they have been at every step of the way. [The FDA] tried to regulate e-cigarettes earlier, and they lost to the tobacco industry. … So the FDA has to balance moving quickly with moving in a way that’s going to be able to survive the tobacco industry’s highly paid legal challenge."

What a great public health accomplishment it was to put cigarettes under the jurisdiction of the Food and Drug Administration. Although the FDA has so far done not a single thing to address cigarette safety problems such as heart disease, lung disease, and cancer, we can all breathe easier knowing that the FDA will plunge into action if a smoker somewhere reports that a cigarette doesn't smell or taste right.


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