And predictably, the Campaign for Tobacco-Free Kids (CTFK) .

This is the equivalent of a cigarette company refuting the required warnings that are made on a cigarette package. The cigarette companies are free to fight the cigarette warning labels as they are being considered, but once a federal body requires those warnings, the companies must not act to undermine the required warnings. In this case, Pfizer's actions are more grievous than those of a cigarette company undermining a package warning because the black box warnings are required by a federal regulatory safety agency, rather than by a Congressional act. More specifically, the black box warnings are an official part of the formal approval of the marketing and sale of the drug. The company may not sell the drug without the warning. By publicly undermining and refuting the warning, the company is essentially violating the terms of the drug's approval.

Last week, the Northampton (MA) Board of Health enacted to strengthen its smoke-free air law. Specifically, the Board of Health extended the smoking ban to include: (1) all public parks and athletic fields; (2) all private clubs; and (3) the use of e-cigarettes in all public places, including parks.

The problem is that in this cross-sectional study, there is no way to determine the direction of the observed relationship.

The big, historic, evidence-based, unprecedented, bold new action taken by the FDA that it boasts is going to help ensure the protection of the nation's public health is to take four bidis off the market.

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