The Business Standard and Medical Xpress reporters were not the only ones to get this message from the study and its authors. According to an on the CBS Atlanta web site: "Exposure to surfaces and objects that have been saturated in cigarette smoke, labeled as “third-hand smoke,” may be as deadly as smoking the cigarette itself."

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

It may actually be the case that electronic cigarettes serve as an inhibitor of smoking initiation by getting a youth used to a flavorful experience, thus making it less likely - not more likely - that the youth will move on to the harsh taste of tobacco. It is difficult enough to enjoy the initial experiences with tobacco cigarettes, but it would be expected to become that much less enjoyable if one has become accustomed to a flavored nicotine product like electronic cigarettes.

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