Why does the Surgeon General's report not review the literature on the cancer risks of filtered vs. non-filtered cigarettes, even though it seems to draw a conclusion about this issue? The only answer I can think of is that the report aimed to draw a particular conclusion, rather than to present the facts in an objective way. Apparently, the report was pre-determined to conclude that all design changes to cigarettes increased their cancer risk. It conflated the filter with other sources of tar yield reductions and at the same time, failed to review studies that examined the relative risk of filtered vs. non-filtered cigarettes.

In my opinion, rather than being an objective scientific review of the literature, this article is little more than a hatchet job on e-cigarettes. The authors clearly have reached a pre-determined conclusion that e-cigarettes are not helpful in smoking cessation and they stretch science beyond recognition in trying to get the published scientific evidence to support this conclusion.

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