The rest of the story is that the study actually did not find that 11.9% of the former smokers were addicted to nicotine at follow-up. Nor did it find that 2.9% of the baseline nonsmokers were currently addicted to nicotine.

This creates a huge incentive for Congress, and the President, not to take any action that would substantially reduce cigarette consumption. For example, it would create an incentive to bury electronic cigarettes somewhere under the Beltway so they cannot compete with the traditional cigarette products.

Included in a recent editorial, Dr. Michael Katz mentioned that the FDA should monitor electronic cigarettes as a nicotine delivery tool, and that electronic cigarettes should continue to be banned in locations where typical tobacco products are not allowed. “Unfortunately, the evidence on whether e-cigarettes help smokers to quit is contradictory and inconclusive,” Katz wrote. He did say he was willing to support their use if “there were good data indicating that they helped smokers to stop.” Dr. Gilbert Ross, medical and executive director of The American Council on Science and Health, said “allowing e-cigs to compete with cigarettes in the marketplace might decrease smoking-related morbidity and mortality.”

Yesterday, I explained that the of electronic cigarettes by Stan Glantz and colleagues published this week in the journal Circulation is because it draws conclusions about the efficacy of e-cigarettes for smoking cessation from studies that were not designed to measure such effects in the first place. These studies did not examine smoking cessation rates among a cohort of smokers who were identified at baseline as using e-cigarettes with the intention of quitting smoking. Moreover, smokers who use e-cigarettes are likely more heavily addicted to nicotine and may be more resistant to quitting, thus making inferences about cessation effectiveness from these studies inappropriate.

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