There is no question that the best advice to smokers is to quit completely. But for those who are unable to do so, the use of electronic cigarettes to try to quit is sound advice. Clearly, if they quit completely with electronic cigarettes, they have accomplished a huge task in terms of improving their health. But even if they are still dual using, they may have substantially improved their health. And, they may have made it easier to quit completely at a later time.

The study finds that e-cigarette use is associated with smoking status. In addition, e-cigarette use is associated with heavier smoking and with fewer periods of smoking abstinence.

While it is difficult for me to have to criticize anti-smoking groups because these are groups with which I have had a career-long collegial relationship, it appears that these groups are substantially harming the health of the public by impeding smoking cessation. Sadly, this means that their efforts are going to result in a significant amount of unnecessary disease and death.

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