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The rest of the story, then, is that health advocates in Michigan are so blinded by ideology (that anything that looks like a cigarette is evil) that they are on the exact opposite side of the issue as they should be. First, they are opposing the prohibition of the sale of e-cigarettes to minors. Second, they are in favor of protecting the sale of tobacco cigarettes by removing all competitive advantage that e-cigarettes hold in the marketplace.

Some of the most important conclusions in epidemiologic research have come not from large case-control or cohort studies or clinical trials, but from case studies or case series, or as Dr. Frieden would say, "anecdotes."

Pogoda et al. found that the risk of acute myeloid leukemia is among smokers of non-filtered compared to filtered cigarettes: "Odds ratios were significantly increased for ... subjects who smoked ... nonfiltered products (OR = 2.3, 95 percent CI: 1.1, 4.9)."


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