These data all but destroy the gateway hypothesis. They demonstrate that at the current time, the evidence simply does not support the assertion that the proliferation of e-cigarette use among youth is leading to increased smoking initiation. Electronic cigarettes are not leading to a lifetime addiction to cigarette smoking among our nation's youth.

This lack of transparency in the report is unfortunate because readers deserve to be informed about financial conflicts of interest that could potentially have influenced the report's presentation and interpretation of the scientific evidence. This is especially important because the report makes broad conclusions regarding national strategies for smoking cessation. Thus, if the report's authors have received money from pharmaceutical companies that make the very products about which the report is opining, it would be critical to disclose these conflicts. The report fails to do so.

Health officials, of course, continue to deny a link to the ban of electronic cigarettes but rather instead blame on cuts to anti-smoking programs statewide. They also blame it on the rise of young smokers and the current methodology of deterring smoking is outdated. So instead they want to dump more money into anti-smoking programs to counter the new rise of new smokers.

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