One of my first assignments at the Office on Smoking and Health at CDC was to evaluate the evidence regarding the relationship between changes in tar yield of cigarettes and the risk of lung cancer. I examined the literature regarding both the introduction of the filter and other design changes that subsequently led to very low tar yields. My conclusion was that the filter itself produced a massive decline in tar yields, so great that even with smoker compensation, the lung cancer risk declined. However, further declines in tar yields were apparently not sufficient to overcome compensation, and lung cancer risks did not decline any further. Thus, my conclusion was that the filter produced small but measurable declines in lung cancer risk, but low-tar cigarettes within the filtered cigarette category conveyed no decrease in lung cancer risk.

For example, Stan Glantz argued against electronic cigarettes in a Scientific American , claiming that: "We’ve found very high levels of dual use [traditional cigarettes along with e-cigarette use]. Very few people have switched away from cigarettes or managed to use them as a bridge to eventually go off cigarettes."

Electronic cigarettes are not for everyone, and this study was not designed to examine the proportion of smokers who will be successful in quitting or cutting down substantially. However, it does document that among those who are successful in becoming ex-smokers or dual users with substantially lowered cigarette consumption, they will likely experience an improvement in their respiratory health.

g. Peach schnapps

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