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(See: Dutra LM, Glantz SA. Electronic cigarettes and conventional cigarette use: a cross-sectional study. Published online March 6, 2014. JAMA Pediatr. doi:10.1001/jamapediatrics.2013.5488.)

The rest of the story is that the 2014 Surgeon General's report is violating the very ethical principles that it attacks the tobacco company for violating in the past. While there has been substantial progress in the past 50 years in the area of disclosure of conflicts of interest, somehow that progress has evaded the producers of the Surgeon General's report itself.

I understand the venom that these policy makers have for electronic cigarettes because they look like cigarettes; however, their desire to protect tobacco cigarettes from competition from these safer products is not enough to justify urging their state Attorneys General to trample on the Constitution and to violate well-established state contract law.

For all of these reasons, I believe that the current evidence does not support the FDA placing a ban on flavorings in electronic cigarettes. Such an action would, ironically, have devastating overall consequences for the public's health, both among youth and adults.

This issue is particularly important because based on the arguments of these authors, the FDA should ban filtered cigarettes in order to protect the public's health. But in my opinion, such a move could be disastrous because it would result in a dramatic increase in tar delivery and possibly carcinogen dose, potentially leading to an increase, rather than a decrease in cancer.


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