Earlier this week, I that the 2014 Surgeon General's fails to disclose the conflicts of interest of its authors, many of whom have received money from pharmaceutical companies which manufacture the very products about which the report opines. I also how this is particularly problematic, since the report itself complains about how historically, tobacco-funded scientists failed to disclose their conflicts of interest. I concluded that the 2014 Surgeon General's report is violating the very ethical principles that it attacks the tobacco company for violating in the past, and I note that while there has been substantial progress in the past 50 years in the area of disclosure of conflicts of interest, somehow that progress has evaded the producers of the Surgeon General's report itself.

According to the American Lung Association piece: "Big Tobacco desperately needs new nicotine addicts and is up to its old tricks to make sure it gets them. E-cigarettes are being aggressively marketed to children with flavors like Bazooka Bubble Gum, Cap'n Crunch and Cotton Candy. Joe Camel was killed in the 1990s, but cartoon characters are back promoting e-cigarettes."

Apparently, the science no longer matters. You can acknowledge that a study does not allow you to determine the direction of a relationship, but then go ahead and draw such a conclusion anyway. Frankly, this is junk science, and it is just as bad as what we have attacked the tobacco industry for doing in years past.

Sadly, the agency concluded that it is not sure that e-cigarettes are any safer than tobacco cigarettes. The FDA states: "Many consumers believe that e-cigarettes are "safe" tobacco products or are "safer" than cigarettes. FDA has not made such a determination and conclusive research is not available."

The Rest of the Story

What a great public health accomplishment it was to put cigarettes under the jurisdiction of the Food and Drug Administration. Although the FDA has so far done not a single thing to address cigarette safety problems such as heart disease, lung disease, and cancer, we can all breathe easier knowing that the FDA will plunge into action if a smoker somewhere reports that a cigarette doesn't smell or taste right.

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