In order to introduce a new electronic cigarette product to the market, the manufacturer will have to demonstrate that the product is beneficial to the public's health. This does not simply mean that one must demonstrate that the product is safer than cigarettes. The applicant also needs to show that the introduction of the product into the market will not deter smokers from quitting or encourage youth to start using the product. At the present time, there is a substantial body of opinion among tobacco control experts that electronic cigarettes do not reduce population risk. Therefore, how can we expect that a manufacturer could demonstrate, at the level of proof required, something which most tobacco control experts do not even agree with?

The study reports that at one year follow-up, the rate of smoking cessation among the baseline non-e-cigarette users was 13.8%, compared to 10.2% for the 88 electronic cigarette users, a difference that was not statistically significant. On this basis, the study concludes that electronic cigarettes are not effective for smoking cessation.

Remember that I did not argue that a smoker switching from a non-filtered to a filtered cigarette brand will reduce her cancer risk. It may be that vigorous compensation offsets the impact of such a change. However, I do believe that the scientific evidence supports the contention that all else being equal, a lifelong smoker of non-filtered cigarettes faces a slightly higher cancer risk than a lifelong smoker of filtered cigarettes.

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