The Centers for Disease Control and Prevention (CDC) is telling the public that electronic cigarettes are a gateway to youth smoking. The CDC has alarmed the public about a concerning doubling of the use of electronic cigarettes by teenagers from 2011 to 2012. Although I pointed out that most of this use occurred among smokers, the CDC nevertheless concluded that electronic cigarettes are leading to increased smoking rates among youth.

Another problem with what Dr. Glantz has done is that it is fundamentally dishonest. He is essentially lying to the public about the science regarding electronic cigarettes. He knows full well - as he acknowledges in the paper - that this study provides no answer regarding whether e-cigarettes precede and lead to smoking or whether youths who are heavier and more dependent smokers are more likely to experiment with e-cigarettes. Nevertheless, he is telling the public that he has answered the question and that the answer is that e-cigarette use precedes and leads to smoking. This is tantamount to lying to the public.

Why does the Surgeon General's report not review the literature on the cancer risks of filtered vs. non-filtered cigarettes, even though it seems to draw a conclusion about this issue? The only answer I can think of is that the report aimed to draw a particular conclusion, rather than to present the facts in an objective way. Apparently, the report was pre-determined to conclude that all design changes to cigarettes increased their cancer risk. It conflated the filter with other sources of tar yield reductions and at the same time, failed to review studies that examined the relative risk of filtered vs. non-filtered cigarettes.

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