The rest of the story is that this is what the tobacco industry used to do. It is not how we in tobacco control should be conducting our business.

Furthermore, later in the paper they reinforce this point more specifically, writing: "the cross-sectional nature of our study does not allow us to identify whether most youths are initiating smoking with conventional cigarettes and then moving on to (usually dual use of) e-cigarettes or vice versa...".

But tobacco abstinence is not the only theory…

"Produced by the Forum of International Respiratory Societies (FIRS), the position statement will be presented July 9 at a meeting hosted by FIRS and the NCD (Noncommunicable Disease) Alliance, “Shared Drivers, Shared Solutions: NCDs, Lung Health and Sustainable Development.” ... FIRS, established in 2001, is an organization composed of the world's leading international respiratory societies working together to improve lung health globally, including theAmerican College of Chest Physicians(CHEST), theAmerican Thoracic Society(ATS), the Asociación Latinoamericana del Thorax(ALAT), theAsian Pacific Society of Respirology(APSR), theEuropean Respiratory Society(ERS), theInternational Union Against Tuberculosis and Lung Disease(The Union), and thePan African Thoracic Society(PATS)."

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