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The article purports to review the scientific evidence of the use of e-cigarettes as a smoking cessation aid and it concludes that population-based studies have demonstrated that e-cigarettes inhibit quitting. Specifically, the article concludes as follows: "e-cigarette use in the real world is associated with significantly lower odds of quitting smoking cigarettes."

These flaws are also noted by Dr. Robert West, director of tobacco research at University College London, who that: "the study was not able to assess whether or not for cancer patients who smoke using an e-cigarette to try and quit is beneficial "because the sample could consist of e-cigarette users who had already failed in a quit attempt, so all those who would have succeeded already would be ruled out"."

The Marini study demonstrates that electronic cigarettes do lead to a reduction in exhaled nitric oxide, which suggests that they have a mild respiratory irritant effect and induce some inflammation in the airways. This is a finding which has been reported previously in a number of studies. It is not surprising because propylene glycol is known to be a mild respiratory irritant.

Like Senator Blumenthal's statement which I discussed yesterday, this piece by the American Lung Association is completely divorced from science and scientific evidence and falls solidly into the realm of political propaganda.

While most of the national tobacco control organizations are boasting about the amazing progress since the 1964 Surgeon General's report on smoking - progress that they claim has continued to this day - one veteran anti-smoking activist is challenging this dogma, arguing that in recent years, the tobacco control movement has squandered the opporunity to reduce smoking-related disease and death. Instead of continued progress, he says, the tobacco control movement has largely been co-opted by a bureaucracy of national organizations that seem more concerned about bolstering their funding streams than fighting the tobacco industry.


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