(See: Dutra LM, Glantz SA. Electronic cigarettes and conventional cigarette use: a cross-sectional study. Published online March 6, 2014. JAMA Pediatr. doi:10.1001/jamapediatrics.2013.5488.)

If the electronic cigarette companies are acting fraudulently, then I guess so am I. If you review my blog, you will find that I referred to what comes out of electronic cigarettes as a vapor until quite recently. It wasn't until several months ago that I learned that it is actually an aerosol rather than a vapor. I wasn't using a tobacco industry tactic; I was simply using the term that was most commonly used, and I was using the term that I believed was correct. I don't have any reason to believe that electronic cigarette companies were doing anything different. Moreover, it is not fraudulent for these companies to try to connote reduced harm. Electronic cigarettes are undeniably less harmful than real cigarettes.

Earlier this week, I discussed an published in the journal Tobacco Control and a blog on the article, in which a set of anti-smoking researchers attacked the cigarette industry for complying with the law. The article and commentary criticize tobacco companies for changing their labeling of "light" and "ultra-light" cigarette brands by removing these terms and instead, giving the brands different colors to differentiate them. The study found that manufacturers removed the "lights" labels, as required by law, and substituted colors for the banned descriptors. The study concludes that the tobacco companies circumvented the law and argues that these brands should be labeled by the FDA as "adulterated" and pulled from the market.

In my view, this press release, including the headline and the quotes from Drs. Glantz and Dutra, is dishonest.

Second, disclosure of conflicts of interest is essential to achieve the public health ethical principle of transparency. Readers have the right to know if there are any relevant conflicts that could be perceived as influencing the objectivity of scientific reports.

Smoking of any kind has been banned from all North Carolina jails and prisons since March of 2010. Since then, according to Eddie Caldwell Director of the North Carolina Sherriff’s association, “jail staff have to contend with inmates suffering from nicotine withdrawal.” Which can potentially cause unneeded conflict between jail staff and inmates. Some county jails have turned to electronic cigarettes as the solution, and as Caldwell further states “There are a number of jails across the state that allow their inmates to purchase these e-cigarettes.” Much of the reasoning behind this decision according to Caldwell is officer safety, and that “traditional cigarettes create a risk of fire, the risk of secondhand smoke and other things like that,” Caldwell said, “that at least as far as I’ve heard are not a problem with e-cigarettes.”

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