In their to this response, the authors of the study clarify their reasoning for attacking the cigarette companies, even though they merely complied with the law:

According to a new published in the International Journal of Environmental Research and Public Health, asthmatic smokers who use electronic cigarettes experience an improvement in their asthma symptoms and lung function, even if they remain dual users.

Stated another way, Dr. Glantz is cautioning the FDA against assuming that e-cigarettes are safer than conventional cigarettes in terms of their effects on lung function.

With the exception of aluminum, the concentrations of most metals were substantially lower during vaping than in the no vaping condition. Metals therefore do not appear to be a significant health issue at this point in time.

As I had suggested in my September 2010 column, Judge Richard Leon's decision was based in large part on his finding that Dr. Benowitz's ongoing conflict of interest with pharmaceutical companies rendered him unable to objectively consider the issue of dissolvable tobacco products (DTPs).

If the policy were based on health principles, it would encourage smokers to quit, and therefore, it would reward smokers who are trying to quit using nicotine patches, nicotine gum, or electronic cigarettes, rather than exclude these individuals from employment.

As electronic cigarettes become more mainstream, physicians will be called on more and more to discuss the safety and effectiveness of these types of devices/products. It is extremely crucial that the FDA take in all the evidence on electronic cigarettes and deliver a clear and substantial review for not only physicians, but the general public as well in regards to them being a possible safer tobacco substitute. Most physicians seem to a similar thought process pertaining to the overall recommendations of using an e-cig as a tobacco eliminating solution – primarily giving their patients as much info as possible – good and bad – and letting them decide on their own.

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