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The rest of the story is that new data from the CDC itself show that the smoking rate among U.S. high school students dropped significantly in 2013, reaching the (the Youth Risk Behavior Survey), which began in 1991.

The Truth: Electronic cigarettes do not contain or deliver tobacco.

Apparently, the science no longer matters. You can acknowledge that a study does not allow you to determine the direction of a relationship, but then go ahead and draw such a conclusion anyway. Frankly, this is junk science, and it is just as bad as what we have attacked the tobacco industry for doing in years past.

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.

The full effect of using electronic cigarettes on people’s health has yet to be established as e-cigs are a relatively new device and long term effect studies simply do not yet exist. Though there is only limited research at this time, the studies that do exist primarily seem to agree that the electronic method of delivering tobacco to your system is significantly safer than the traditional method of combustible smoking, which exposes the user to noxious smoke and tar. The AHA policy statement read: “To date, relatively little research has been conducted on the human health effects of e-cigarettes.” They go on to cite a study by the American Journal of Preventative Medicine, in which they found that, “no serious adverse effects have been reported in clinical trials with less than 6 months of use compared with nicotine patches.” Users who are trying to quit smoking and using nicotine replacement often report having more success with e-cigarettes as a cessation method for a variety of reasons. Not only do vapor cigarettes deliver the nicotine in a safer way, they also allow the user to have an enjoyable experience, one that is similar to traditional smoking, which many smokers agree is often just as much of a part of their addiction as the nicotine itself.

"There's a lot we don't know about them."


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