Previous reviews have found that e-cigarettes are viewed by the general public as effective strategies for quitting and reducing harm, and research suggests some smokers use e-cigarettes for cessation purposes. Physicians may be interested in continuing the e-cigarette conversation with their patients in future appointments, as advising patients to quit smoking is the most often utilized intervention. The overall scope of most current studies show that, regardless of the delay from the FDA, most physicians will recommend e-cigs as a tobacco harm reduction tool, as they would any other traditional smoking cessation.

Big Tobacco's 'new errand boy'

I continued to smoke for a few weeks when I wanted to, but used my e-cig when I found it convenient. I found myself using my e-cigarette more and more and my tobacco cigarettes less and less. Within a month or two, I could not stand the smell of a cigarette…

If there were any evidence that electronic cigarettes inhibit, rather than enhance smoking cessation, I too would join Dr. Glantz's camp and oppose electronic cigarettes. But such evidence does not exist. Not a shred of it so far. Not a single study suggests that electronic cigarette use results in lower quit rates than what would occur in the absence of electronic cigarette use among smokers who try these products.

The degree to which electronic cigarettes stimulate or depress overall interest in quitting is a separate and empirically answerable question. In fact, evidence from the UK indicates that the spread of electronic cigarettes has been associated with a in the desire to quit smoking at a population level.

In my opinion, New Jersey has no business pretending that achieving "100 percent smoke-free parks and recreation areas" is some sort of huge public health victory when the reality is that thousands of its casino workers continue to suffer disease and disability from exposure to high levels of secondhand smoke.

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