As I found out when I simply proposed the rather benign, but crucial to science, idea of conducting a clinical trial to examine the effects of electronic cigarettes on smoking behavior (in comparison to the nicotine patch, a well-accepted standard), there is very little room for balanced, objective thinking in the current tobacco control/harm reduction environment. The simple proposal to conduct such a crucial study brought out personal attacks and profound criticism. This despite the fact that every single electronic cigarette company representative I talked to about the proposal felt that the study was critical and needs to be conducted. There was no opposition to conducting sound science among the electronic cigarette companies. All the opposition came from the harm reduction "community."

The Business Standard and Medical Xpress reporters were not the only ones to get this message from the study and its authors. According to an on the CBS Atlanta web site: "Exposure to surfaces and objects that have been saturated in cigarette smoke, labeled as “third-hand smoke,” may be as deadly as smoking the cigarette itself."

Last week, President Obama announced his answer: from smokers. The President proposed a 94 cent per pack increase in the federal cigarette tax, with revenue going to support a much needed expansion of early childhood education.

"Frieden acknowledged that “stick to stick, they’re almost certainly less toxic than cigarettes" and that many people have quit smoking tobacco cigarettes with the help of e-cigarettes. However, he said, “the plural of anecdote is not data.”"

Smoking status was then assessed at the time of the interview to determine the rates of successful quitting during the most recent quit attempt, comparing the three groups: (1) e-cigarettes only; (2) NRT only; and (3) no cessation aids. The total sample size was 5,863.

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