Well, Polosa et al. have conducted exactly such a . They examined the changes in asthma symptoms among smokers who continue to smoke versus those who switch to electronic cigarettes. These investigators reported that in contrast to real cigarettes, the fake ones result in actual harm reversal. Lung function, asthma control, and asthma symptoms were significantly improved among patients who switched from regular cigarettes to electronic cigarettes. These improvements were even observed among patients who became dual users of both real and fake cigarettes.

Lorillard actually made a decision not to make its disposable electronic cigarettes available in the candy flavors that Blu had been selling prior to Lorillard's acquisition of Blu. Far from demonstrating that tobacco companies are trying to create "new" nicotine addicts, the evidence suggests that Big Tobacco companies are carefully trying to avoid youth customers. They realize that high levels of electronic cigarette use among youth will lead to a quick demise to their business from this innovative product.

The saddest part of the story is that while Councilman Constantinides is so concerned about youth "addiction" that he is willing to ban electronic cigarettes, he expressed no similar desire to ban the real ones. That's not public health leadership. It's political cowardice, and hypocrisy.

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