Fortunately, the vast majority of the public appears to have better scientific judgment than the FDA and to recognize that cigarette smoking is far more hazardous than the use of an electronic nicotine delivery system that merely aerosolizes nicotine from a propylene glycol solution that is completely free of any tobacco or any combustion.

These data all but destroy the gateway hypothesis. They demonstrate that at the current time, the evidence simply does not support the assertion that the proliferation of e-cigarette use among youth is leading to increased smoking initiation. Electronic cigarettes are not leading to a lifetime addiction to cigarette smoking among our nation's youth.

That the FDA is not sure whether smoking is any more hazardous than vaping does not say a lot for the agency's scientific standards.

It is worth noting that the conclusions which Dr. Glantz is disseminating are destructive because they undermine decades of public education about the severe hazards of smoking. If the public thinks that smoking is only as risky as vaping, then it is likely that many smokers will decide to continue smoking rather than quitting using electronic cigarettes. And many ex-smokers who have quit with electronic cigarettes may return to smoking, thinking that they might as well since they are not getting any definite health benefit from having made the switch.

The problem is that in this cross-sectional study, there is no way to determine the direction of the observed relationship.

If any of my readers can find out, please let me know because it is baffling to understand why a long-time anti-smoking advocate like Stan would want to protect cigarettes from the most serious competition they have ever faced. If this flavoring ban is enacted, Stan will have the rare role of being not only the hero of the tobacco control movement but the hero of the cigarette promotion movement as well.

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