With hundreds of electronic cigarettes out there, I hear outlandish claims all the time and most of them have been nothing more than just sales pitches.

Just last week, the FDA indicated that even very in cigarette brands could pose major issues of public health significance, prompting the agency to disapprove one substantial equivalence application and to hold onto thousands more for over a year.

This conclusion - that thirdhand smoke is deadly - was disseminated widely throughout the world. Headlines read like this:

In other words, not only is this fraud, but it is doing public health damage.

The finding of reduced exhaled nitric oxide is an indication that an exposure is causing some sort of inflammatory effect on cells lining the respiratory tract. It doesn't mean anything more or less than that. You can't take two exposures - each of which causes respiratory tract inflammation - and make the statement that the effects of both exposures are equal. Risk posed by an exposure depends on many other factors, including the degree of inflammation induced, the reversibility of the effect, the nature of the exposure, the chronicity of the exposure, etc.

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