Thus, before even getting to the issue of informed consent, the subjects in this research did not even consent to the research in the first place.

The letter concludes: "By taking action to apply the MSA to e-cigarettes, you could make a giant stride in protecting kids from a lifelong addiction to nicotine."

"Inhaling tons of smoke from burning sticks full of harsh chemicals and dried leaves has been proven to be a highly efficient method of creating many murderous cancers. But while very addictive, not healthy, and not something we should be letting children purchase, nicotine use by itself is but a tiny fraction of tobacco’s threat. Confusing these problems is like comparing shoplifting a t-shirt with aggravated murder. Reporting recently on the toxicology of e-cigarettes, the British National Health Service stated the vapors contain 1/1000th the hazardous chemicals of real cigarettes. Those anti-smoking billboards on roadsides showing people with chunks of their face and lungs missing are showing the ravages of tobacco smoke, not nicotine use. To conflate the two ... is - at best - blindingly stupid regarding the facts ... . At worst, it is profoundly immoral propaganda that confuses and distracts people with a lethal addiction regarding a life-saving alternative. We now have the ability to separate smoking death from nicotine addiction. That should be a goal of health policy, not an obstacle."

One of the main criticisms of electronic cigarettes leveled by its opponents in the tobacco control movement is that there are many dual users of e-cigarettes and tobacco cigarettes and that this has adverse public health consequences.

2. The subjects did not provide informed consent for their participation in the research.

This is particularly disturbing, as five years have passed and numerous studies have been published since the FDA originally told the public that cigarette smoking may be than using non-tobacco, non-combusted electronic cigarettes.

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