Anecdotes are in fact data. Of course, what you do with that data and how you interpret it is affected by the nature of how the data were obtained. But anecdotes are data. Remember, the connection between smoking and lung cancer itself was first uncovered by a case series. Physicians started to note multiple cases of lung cancer - which was very rare at the time - all occurring in smokers. While these patients could be called "anecdotes," they were also people who provided very real and important data that led to the discovery that smoking causes lung cancer. That connection would not have been found had these "anecdotes" been dismissed.

All in all, the deeming regulations are a disaster. However, they are not as much of a disaster as they could have been. The positive side is that internet sales, marketing to adult consumers, and flavors are still allowed and that no products will immediately be taken off the market. The negative side is that new products will require pre-approval, virtually every product on the market will require a substantial equivalence determination (if not a new product approval), and that manufacturers will be forced to implicitly lie about the intended purpose and relative safety of the product by not being allowed to correctly point out that these products are much safer than tobacco cigarettes.

The main difference between this study and those touted by Glantz as showing that e-cigarettes are ineffective is that unlike Glantz's cited studies, this one actually examines cessation rates among smokers who reported using e-cigarettes for smoking cessation. In other words, Brown et al. included smokers who reported having used e-cigarettes with the intention to quit smoking. In the studies cited by Glantz, smoking cessation rates for all e-cigarette users were examined, even if a smoker just tried a puff of an electronic cigarette to see what all the hype is about.

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