The commentaries by the two former tobacco industry consultants, university professors at a major midwestern medical school, are not in any way pro-tobacco, although they do criticize a number of current anti-smoking initiatives because they are ineffective and not based on sound formative research.

6. Regulation of heating temperature and protection against overheating and dry puffs.

While it is theoretically possible that an electronic cigarette company could some day get a full reduced risk claim approved, the regulatory burden is extreme. Not only would the company have to show that the product is safer than smoking, but the company would also have to demonstrate that the product will not deter smokers from quitting and will not introduce youth to the use of nicotine. The studies required would be substantial. For most companies, the costs would be prohibitive. It would take many years before any company could even have a reasonable chance of getting such an application approved and by then it will be too late for the market to continue to expand.

This is particularly disturbing, as five years have passed and numerous studies have been published since the FDA originally told the public that cigarette smoking may be than using non-tobacco, non-combusted electronic cigarettes.

Dr. Foulds and colleagues developed a 10-question scale to assess nicotine dependence and administered it to a sample of 2,368 current electronic cigarette users. Subjects were asked to fill out the scale to assess the level of their addiction while smoking, and then again to assess the level of their current addiction using electronic cigarettes.

As I remarked last week, I do not begrudge the CDC for holding a different position than I do on the e-cigarette issue. However, the agency crosses the line when it lies to the public in order to support its position. Dishonesty has no place on the agenda of a federal public health agency, especially one that is as highly reputed as the CDC.

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