This survey has two major implications for public health regulation.

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For several years, I have repeatedly written about how the debate over harm reduction, especially electronic cigarettes, has brought out personal attacks, distortion of the science, and even lies among a number of opponents of this novel approach to smoking cessation. Over the past several days, I have learned that there is venom on both sides of the debate, and I had a chance to experience that venom from supporters of harm reduction.

First, he cites the JAMA Pediatrics article in which Glantz and Dutra conclude that electronic cigarettes are exaggerating, rather than ameliorating smoking among youth. Clive writes: "somehow you have managed to position this study as showing there is a gateway from e-cigarette use to smoking. NOTHING in the study or the underlying data suggests this. You would need information on how smoking, e-cigarette use and abstinence evolved over time to test these hypotheses, but your study does not have that."

On his wonderful science and advocacy , tobacco control practitioner and former director of Action on Smoking and Health (ASH-UK) Clive Bates issues a : an open letter to Stan Glantz urging him to discontinue the misrepresentation of his research to spread false and unsupported information about electronic cigarettes being a gateway to cigarette smoking.

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