In the absence of data demonstrating that flavored electronic cigarettes are serving as a gateway to youth smoking, there is no public health justification for a ban on flavors in electronic cigarettes, and such a measure could cause more public health harm than good.

Not everyone is informed as we are about what exactly an electronic cigarette is. Cigarettes have been demonized for decades; the very fact that it’s called an electronic cigarette and produces a opaque vapor during exhale has many misinformed individuals terrified.

But what is the clinical meaning of this effect? In order to find that out, one needs to conduct studies with longer-term end points.

In a news , SAMHSA (the Substance Abuse and Mental Health Services Administration) attempted to demonize electronic cigarettes, providing a quite biased and one-sided look at the risks associated with these products. The article fails to report the results of surveys and clinical trials, which have shown that e-cigarettes are a bona fide smoking cessation aid that have helped thousands of smokers to quit.

This is worth repeating: the nation's federal regulatory agency with jurisdiction over cigarettes is not sure that smoking - which kills more than 400,000 Americans each year - is any more dangerous than vaping, which involves no tobacco and no combustion and has not been shown to cause any harm. The FDA is not convinced that inhaling nicotine plus tens of thousands of chemicals and more than 60 known human carcinogens is any worse than inhaling nicotine plus propylene glycol and low levels of a few other chemicals.

A second major advantage of a clinical trial is that it can examine the potential effectiveness of interventions in which the use of a product is promoted for use among smokers who are interested in quitting. A survey cannot do this, because it can only examine the use of products under current conditions. It provides no information on what would happen if the product was actively promoted to a group of smokers, as it is in a clinical trial.

Sadly, Stan Glantz continues to feel the need to lie to the public in order to try to discredit opinions with which he does not agree. And while I have no problem discrediting statements by exposing the truth about financial relationships which present conflicts of interest, I do have a problem with spreading false lies that make the public believe that there is a conflict of interest present and which therefore defame the reputation of the individual. Not only is this unlawful, but it is unethical as well.

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