For several years, I have repeatedly written about how the debate over harm reduction, especially electronic cigarettes, has brought out personal attacks, distortion of the science, and even lies among a number of opponents of this novel approach to smoking cessation. Over the past several days, I have learned that there is venom on both sides of the debate, and I had a chance to experience that venom from supporters of harm reduction.

Despite the tremendous proliferation of e-cigarette experimentation among youth, with a doubling of use from 2011 to 2012 alone, the CDC data show that youth smoking prevalence (among high school students) fell dramatically, from 18.1% in 2011 to 15.7% in 2013. This is a 13.3% decline in smoking prevalence over a two-year period. It is also the largest drop in youth smoking prevalence measured by this survey over the past decade.

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