But beyond the issue of medical or public health malpractice, I am most concerned about the simple principle of honesty. As medical and health professionals, our very first obligation is to be truthful with our patients and with the public. The information being provided by this respiratory therapist is untruthful. It is simply not the case that smoking may be less hazardous than vaping. There is no credible scientific debate about that issue in the year 2014.

With the exception of aluminum, the concentrations of most metals were substantially lower during vaping than in the no vaping condition. Metals therefore do not appear to be a significant health issue at this point in time.

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