The impression I am left with is that the entire harm reduction debate is a toxic one, with venom on both sides, which is leading to irrational thinking, blind adherence to ideology, a focus on ad hominem attacks rather than rational scientific discourse, and a biased perspective on the scientific evidence.

• There is no evidence at the current time that kids are starting out with e-cigarettes and then going on to smoke conventional cigarettes.

The rest of the story is that Dr. Frieden continues to fabricate scientific evidence in an apparent effort to demonize electronic cigarettes. I have already reported how he that he purported to demonstrate that electronic cigarettes are a gateway to a lifetime addiction to smoking cigarettes. Here, he apparently makes up scientific evidence that large numbers of ex-smokers are returning to nicotine use by taking up vaping. While I follow the electronic cigarette literature extremely closely, I am aware of no studies which have shown that large numbers of ex-smokers are taking up vaping. In contrast, there is much evidence that large numbers of vapers are quitting smoking, and thus becoming ex-smokers.

More importantly, we need anti-smoking groups to once again become anti-smoking. Electronic cigarettes are devices which are helping thousands of smokers to get off cigarettes. Groups which oppose these products are opposing a viable form of smoking cessation. This is tantamount to being pro-smoking.

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