The authors conclude with a section entitled "What Needs to Happen?"

According to a published research and a European Lung Foundation , the European Respiratory Society is opposed to the use of e-cigarettes in any setting in which they are unregulated (which currently includes the United States and most countries).

The report also documents how pharmaceutical companies are using sponsorships of motor sports - particularly, the sponsorship of racing cars - to associate these products with youth-popular activities and events that have large youth audiences. The report includes photos, such as:

Nevertheless, this does not stop the authors from drawing a conclusion. They conclude, despite their acknowledged inability to draw such a conclusion, that: "e-cigarette use is aggravating rather than ameliorating the tobacco epidemic among youths."

Unfortunately, it does not appear that these investigators are truly interested in whether e-cigarettes help many smokers quit or not. Instead, I believe that these researchers have a pre-determined conclusion that e-cigarettes are ineffective and that they are trying to manufacture results that support their pre-determined conclusion.

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