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Here, they find a correlation between e-cigarette use and higher and more sustained levels of smoking. But because this is a cross-sectional study, they cannot determine which came first. In other words, what is the direction of the causal relationship? Does the e-cigarette use precede, and cause, the smoking? Or does the smoking precede, and cause, the e-cigarette use?

The European Respiratory Society, then, is opposed to the use of e-cigarettes at the present time in the United States. What this means is that the ERS would rather see smokers continue to use tobacco cigarettes than quit smoking by switching to electronic cigarettes.

"This statement insinuates that Mistic is a tobacco company. The statement refers to the survey as "research funded by the tobacco industry" and reminds readers of the history of the dissemination of misinformation by "the tobacco companies." I read this as a clear assertion that Mistic is a tobacco company, or owned by a tobacco company.

Glantz is lucky that he didn't name any specific electronic cigarette companies. If he had, he would have opened himself up to a potential lawsuit.


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