The AHA’s need to issue a policy statement on e-cigarettes comes in response to the skyrocketing use of these devices. As of early 2014, there were an estimated 466 brands and 7764 different flavors of e-cigarette products. With all of these products in the marketplace, critics are concerned with the danger of youth use, often citing that the flavors and packaging of these devices and e-liquids are making nicotine use more attractive for kids & teenagers. In 2012 data from the showed that only 2.1% of kids in grade 6-12 use e-cigarettes, however this number is up from the previous year. Seventy-six percent of youth who have tried e-cigarettes also smoke traditional cigarettes. This seems to suggest that despite many critics’ concerns, e-cigarettes aren’t necessarily the “gateway” to smoking that some people originally thought.

1. Between 2003 and 2008, one of the authors performed consultation services for R.J. Reynolds and Lorillard and conducted research at his medical school which was funded by R.J. Reynolds, Brown & Williamson, and Liggett. The total annual amount of his consulting payments from Big Tobacco was as high as $40,000. While the amount of grant funding received from tobacco companies is not clear, one of the anti-smoking groups has documented that the level of funding in 2005 was $400,000 and in 2004 was $1 million.

I cannot think of a regulatory provision that would be more favorable to combustible cigarettes than to ban any potential competitor products that are not made from tobacco and do not involve combustion from informing consumers that these products are safer alternatives to smoking. This is literally a huge gift to the combustible cigarette market and therefore, it is devastating to the public's health. It is going to increase disease and death. This is absolutely the opposite of what the FDA should be doing in these regulations.

Well, Polosa et al. have conducted exactly such a . They examined the changes in asthma symptoms among smokers who continue to smoke versus those who switch to electronic cigarettes. These investigators reported that in contrast to real cigarettes, the fake ones result in actual harm reversal. Lung function, asthma control, and asthma symptoms were significantly improved among patients who switched from regular cigarettes to electronic cigarettes. These improvements were even observed among patients who became dual users of both real and fake cigarettes.

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