Many tobacco control advocates have asked me why, as a harm reduction supporter, I am always talking about the use of electronic cigarettes to help people quit smoking, rather than the use of smokeless tobacco products.

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."

The Rest of the Story

Remember that I did not argue that a smoker switching from a non-filtered to a filtered cigarette brand will reduce her cancer risk. It may be that vigorous compensation offsets the impact of such a change. However, I do believe that the scientific evidence supports the contention that all else being equal, a lifelong smoker of non-filtered cigarettes faces a slightly higher cancer risk than a lifelong smoker of filtered cigarettes.

Something that all E-Cig users should take note of is the higher the voltage (wattage as well) being used increases the chemicals being released. So the more advanced users that have high wattage devices should take this into consideration especially with using a higher PG blend of E-Juice. Although with lower wattages these chemicals being released is still much lower than that of regular cigarettes, by several folds in fact. But with higher wattages and using a high PG blend, your E-Cigs are releasing just as much as regular tobacco cigarettes. This makes second hand vapor more dangerous than previously assumed.

Instead, in 2014, it is the electronic cigarette companies which are sending the anti-smoking messages and the health groups which are undermining those messages.

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