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The study concluded that: "e-cigarettes generate smaller changes in lung function but similar nicotinergic impact to tobacco cigarettes."

This issue is particularly important because based on the arguments of these authors, the FDA should ban filtered cigarettes in order to protect the public's health. But in my opinion, such a move could be disastrous because it would result in a dramatic increase in tar delivery and possibly carcinogen dose, potentially leading to an increase, rather than a decrease in cancer.

2. "Remember the National Smokers Alliance, Philip Morris' phony grassroots network? How about all those "studies" looking at public support for or economic impact of smokefree laws? They're back: There are three national e-cigarette "trade associations" one of which, Smoke Free Air Trade Association (SFATA), has several board members with ties to Big Tobacco. Also, two new statewide front groups, Oklahoma Vapors Advocacy League (OVAL) and Iowans for Alternatives to Smoking and Tobacco (IAST), have popped up and are providing testimony in favor of e-cigarette use. A lobbyist for IAST has also lobbied for Philip Morris."

Hopefully, the FDA will look towards a little higher level of scientific evidence and reasoning before it promulgates its final e-cigarette regulations.

Whether e-cigarette use precedes smoking or smoking precedes e-cigarette use is a critical question, but it is one which needs to be answered through longitudinal research. We need studies that follow the trajectory of teen tobacco/e-cigarette use over time. That is the only way to determine which comes first.

Even claiming that electronic cigarettes are tobacco products is disingenuous because these products do not contain tobacco. It is true that electronic cigarettes are being regulated as "tobacco products," but they are not tobacco products in the ordinary usage of this term. Calling them tobacco products will mislead the public into thinking that electronic cigarettes contain tobacco. This is of course not true.


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