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Today, I reveal that the CDC's Office on Smoking and Health (OSH) - the lead agency that produces the report - is apparently intentionally hiding the conflicts of interest. In other words, OSH knows about these conflicts but has apparently decided not to share this information with the public. That is, OSH is intentionally hiding these conflicts from the public.

The truth is that there are major advantages and disadvantages of both surveys and clinical trials to examine the potential benefits of electronic cigarettes. Both types of study designs have inherent biases which can produce results that are more "favorable" or "unfavorable." This is why the methodology of published research needs to be examined so carefully. It is not so simple as to dismiss RCT evidence and accept survey evidence. One needs to consider the strengths and limitations inherent in both approaches. And at the end of the day, the only defensible approach, I believe, is that both types of studies are necessary, and we must carefully interpret and synthesize the findings from studies of multiple designs, using the totality of the evidence to make final judgments about the benefits of electronic cigarettes.

"Nicoventures has met with the Therapeutic Goods Administration about the possible introduction of a new smoking cessation device in Australia," the statement said.

While it is theoretically possible that an electronic cigarette company could some day get a full reduced risk claim approved, the regulatory burden is extreme. Not only would the company have to show that the product is safer than smoking, but the company would also have to demonstrate that the product will not deter smokers from quitting and will not introduce youth to the use of nicotine. The studies required would be substantial. For most companies, the costs would be prohibitive. It would take many years before any company could even have a reasonable chance of getting such an application approved and by then it will be too late for the market to continue to expand.

When students take their final exam in my course, they are all experiencing acute effects on their respiratory tracts. In fact, if you were to measured their exhaled nitric oxide levels, you would find that there is a significant reduction, just as is observed with smoking.


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