Nevertheless, this does not stop the authors from drawing a conclusion. They conclude, despite their acknowledged inability to draw such a conclusion, that: "e-cigarette use is aggravating rather than ameliorating the tobacco epidemic among youths."

Thus, the authors readily acknowledge that it is impossible from this study to determine whether or not e-cigarettes lead to smoking or whether smoking leads to e-cigarette experimentation.

2. The 52 media outlets that carried the story and quoted Dr. Frieden as stating that electronic cigarettes are "condemning many kids to struggling with a lifelong addiction to nicotine."

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