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I agree, except that I would characterize the material from which Dr. Frieden is inventing these "facts" not as whole cloth but as cloth full of holes, more like a piece of Swiss cheese.

It makes no sense, from a public health perspective, to ban a product which is almost uniformly used by smokers in an effort to quit smoking or significantly reduce the amount of cigarette consumption, while at the same time, to sanction the sale of the real thing: deadly cigarettes. What Senator Hannon is saying is that he would rather have smokers continue to smoke cigarettes than quit smoking with the aid of a much safer alternative product.

In one of the first studies to examine the trajectory of electronic cigarette use over time, Lechner and colleagues have shown that extended duration of electronic cigarette use is associated with

The AHA’s need to issue a policy statement on e-cigarettes comes in response to the skyrocketing use of these devices. As of early 2014, there were an estimated 466 brands and 7764 different flavors of e-cigarette products. With all of these products in the marketplace, critics are concerned with the danger of youth use, often citing that the flavors and packaging of these devices and e-liquids are making nicotine use more attractive for kids & teenagers. In 2012 data from the showed that only 2.1% of kids in grade 6-12 use e-cigarettes, however this number is up from the previous year. Seventy-six percent of youth who have tried e-cigarettes also smoke traditional cigarettes. This seems to suggest that despite many critics’ concerns, e-cigarettes aren’t necessarily the “gateway” to smoking that some people originally thought.

I find it quite ironic that the health groups, including CDC and FDA, are undermining the efforts of even tobacco companies to develop the non-combustible market and shift a proportion of their sales from combustible to non-combustible products. And the CDC and FDA are completely undermining the efforts of the non-tobacco-related e-cigarette companies to promote e-cigarettes over real tobacco cigarettes.


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