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.

The rest of the story is that GASP as well as New Jersey politicians who are pretending to show a genuine concern for the public's health are actually showing little but hypocrisy and political cowardice. In 2014, I don't see any need for this kind of public health nonsense.

The black box warning, then, advises physicians to observe patients being put on Chantix for "suicide-related events," including "suicide."

Why does the Surgeon General's report not review the literature on the cancer risks of filtered vs. non-filtered cigarettes, even though it seems to draw a conclusion about this issue? The only answer I can think of is that the report aimed to draw a particular conclusion, rather than to present the facts in an objective way. Apparently, the report was pre-determined to conclude that all design changes to cigarettes increased their cancer risk. It conflated the filter with other sources of tar yield reductions and at the same time, failed to review studies that examined the relative risk of filtered vs. non-filtered cigarettes.

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