Furthermore, it is well known that electronic cigarette users do not inhale more deeply than smokers. While smoke does enter the distal airways - which is why adenocarcinoma rates have increased so dramatically - vaping involves aerosol inhalation and the aerosol is mostly absorbed in the upper, not the lower airways. As with a nicotine inhaler, most of the nicotine absorption occurs in the upper airways.

Similarly, NJOY does not appear to be marketing to kids. The most telling point is that in its internet sales, the company does not sell flavored e-cigarettes (only traditional tobacco and menthol). And of course, if NJOY were after kids, it would certainly offer the flavored varieties online, since kids are more easily able to obtain these products online, where age verification is not required, than in-store, where it is.

I find quite sad that an article needs to be published imploring tobacco control researchers to be honest and rigorous and to use good scientific practice and draw conclusions based on evidence rather than emotions.

Ironically, Stan Glantz criticized the study specifically because it examined the effect of electronic cigarettes on quitting among smokers who desired to quit. According to an in the New York Times: "Stanton A. Glantz, a professor of medicine at the University of California, San Francisco, said the study’s limitation was that it tried to measure the effect of e-cigarette use only among smokers who were trying hard to quit, not all smokers."

From the researchers themselves!

I have long found it curious that anti-smoking advocates and groups fail to praise and congratulate vapers who have completely quit smoking for having completely quit smoking. Apparently, in tobacco control, it is not just important to quit smoking, but you have to quit smoking the right way (a.k.a., with Big Pharma drugs).

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