The report concludes by calling on the Food and Drug Administration to remove candy-flavored NRT products from the market and to regulate the marketing of NRT so that it does not appeal to or target youths.

"Thanks again for making time to see us, this is an area of much focus globally and we are committed to bringing these products to market and so reducing the harm caused by smoking in the population," the letter said.

And importantly, the same thing is being said today, in some hospitals, about smokers. A number of hospitals refuse to hire smokers not merely to reduce health care costs, but because they don't want their patients to have to even "see" a smoker.

Virtually every electronic cigarette consists of nicotine, PG and/or VG, and flavorings, plus or minus a little water and perhaps citric acid. It is the flavor that makes the brand. In most cases, even the "tobacco"-flavored electronic cigarettes contain flavorings.

"“There’s so much we don’t yet know about e-cigarettes,” said Douglas Tipperman, M.S.W., a public health advisor at SAMHSA. “They are not harmless. We don’t know the health impact at the individual or the population level.”

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