While New Jersey anti-smoking groups and policy makers pat themselves on the back for what they claim is "groundbreaking" public health protection, New Jersey remains one of the two worst states in the country in terms of failure to protect a huge segment of its workers - casino workers - from the devastating health effects of heavy and chronic secondhand smoke exposure.

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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