It is not the case that the authors are simply unaware of the inability of their study to conclude that the e-cigarette use is leading to regular cigarette smoking. They readily acknowledge this in the study. Nevertheless, both of the authors still make conclusive statements to the public, misleading us to believe that the study demonstrates that e-cigarettes are a gateway to regular cigarette use.

The Rest of the Story

Liz Ruzzo

Because of the importance of this issue, I have written to the editorial staff of JAMA, urging them to publish a corrective statement, requiring Dr. Fiore to disclose his long and intensive history of conflicts of interest with pharmaceutical companies that manufacture smoking cessation drugs.

And Dr. Terry failed to stop the study in 1965, even after the 1964 World Health Organization's Helsinki Declaration clearly articulated the ethical imperative of informed consent for human medical experimentation.

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