A spokesperson from one of the leading national anti-smoking groups commented: "The more things change, the more they stay the same. This just goes to show that the tobacco industry is still able to unduly influence medical research reporting, even if they are not currently paying their consulting scientists. These conflicts of interest were firmly established in the past and the conflicted scientists continue to do the tobacco industry's bidding."

For decades big tobacco companies denied smoking killed people or was even addictive. But in a brief it prepared for the TGA, Nicoventures spelt out the dangers of its parent company’s products.

Why? Because it is quite apparent from the study itself that the authors knew that the overwhelming majority of the 88 electronic cigarettes "users" in their study had little or no interest in quitting and were not using these products as part of a quit attempt.

Fortunately, there is a simple way to evaluate this hypothesis, at least on a preliminary basis, prior to waiting for the results of longitudinal studies. Enough youth are experimenting with electronic cigarettes, and the increase in youth e-cigarette use has been dramatic and sustained enough, that if the gateway hypothesis were correct, we would be starting to see an increase in smoking prevalence among youth due to the many new smoking initiates that were converted from e-cigarette experimentation to smoking.

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