The study is notable because it found that even among dual users, there was a substantial improvement in respiratory health symptoms and a significant increase in several measures of acute lung function, especially small airways flow rates. Thus, the results of this study suggest that dual use of cigarettes and electronic cigarettes might result in respiratory health improvement if the reduction in cigarette use is dramatic, as it was among the dual users in this study.

Unfortunately, the Campaign for Tobacco-Free Kids is just all too ready to buy into this political propaganda and to jump on the train being conducted by communities of privilege that runs ramshod through poorer communities.

Instead of being a time to celebrate our continued progress in fighting Big Tobacco, Dr. Blum suggests that both the government and the national tobacco control organizations have largely abandoned the fight against the tobacco industry and smoking and instead, have dedicated themselves to funding or seeking funding for research that makes no further contribution to the protection of the public's health.

Tobacco control advocates have often criticized scientists who were supported by the tobacco industry for failing to disclose their funding or other conflicts of interest, such as being paid to author commentaries critical of tobacco control policies. And rightly so. However, if we now engage in the very same tactics, then we become hypocrites, and our credibility in criticizing tobacco industry "hacks" is shot. We don't have any credibility in attacking "tobacco hacks" if we are "Big Pharma hacks."

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