Suppose that there are 1000 e-cigarette users who enter the cancer center with a diagnosis of cancer. Of these, an amazing 900 were able to quit smoking. However, 100 were very resistant smokers and could not quit smoking, even with e-cigarettes. Note that it would be these 100 resistant smokers who would be enrolled in the study. The 900 ex-smokers who quit using e-cigarettes would not be eligible for the study, because they no longer smoke.

This irony is bizarre, but also quite unfortunate, as the undermining of anti-smoking messages from the e-cigarette industry by health groups is contributing to an unhealthy and incorrect perception that cigarette smoking is no worse than vaping. This incorrect perception is no doubt deterring many smokers from quitting or cutting down substantially on their cigarette consumption by trying e-cigarettes. Thus, the efforts of the FDA, CDC, and other health groups are actually aiding the cigarette companies by helping to protect cigarette sales from competition from the fake, non-tobacco variety.

The major finding of the report was that pharmaceutical companies are marketing nicotine gum and lozenges in flavors that could be appealing to children and teens. Among the flavored brands of nicotine gum and lozenges cited in the report are:

With the release of its deeming regulations, the FDA is poised to give a huge gift to combustible tobacco and to the diseases and death caused by cigarettes. If promulgated as is, the regulations will be devastating to the public's health by protecting the combustible cigarette market at the expense of the introduction and promotion of much safer alternative products that would otherwise have the potential to substantially reduce lung disease, heart disease, stroke, and cancer.

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