(See: Dutra LM, Glantz SA. Electronic cigarettes and conventional cigarette use: a cross-sectional study. Published online March 6, 2014. JAMA Pediatr. doi:10.1001/jamapediatrics.2013.5488.)

Thus, the authors readily acknowledge that it is impossible from this study to determine whether or not e-cigarettes lead to smoking or whether smoking leads to e-cigarette experimentation.

Furthermore, the Lung Association's position is not at all science-based. There is no evidence that electronic cigarettes are contributing to "more disease, death, and misery." In fact, the current evidence suggests that electronic cigarettes are contributing significantly to the reduction of disease, death, and misery.

Yesterday, I was informed by one of the contributing authors to the 2014 Surgeon General's report that each of the authors and reviewers of the report was required to complete conflict of interest disclosure forms. This makes the problem even more serious than it initially appeared. It now seems that this is not merely a matter of the CDC not knowing about, or failing to inquire about the conflicts of interest of report authors. Instead, this is now a matter of the CDC hiding, or covering up, these conflicts of interest, which are not revealed to the public anywhere in the report or on the report's web site.

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