• The truth is that nicotine inhalers deliver to users the following chemicals:

"It is difficult to estimate the extent to which industry-generated research activities have influenced scientific thinking regarding the effects of nicotine on cognitive performance and on nicotine’s therapeutic applications. Authors’ industry affiliations and potential conflicts of interest reported in publications may go unnoticed by readers, may be difficult to identify, or may not be disclosed at all. Reviews and other articles citing industry-affiliated studies generally did not include author affiliations or potential conflicts of interest at all, leaving the readers unaware of possible industry influences."

The Rest of the Story

Moreover, these politicians - while callling for a ban on flavorings in fake cigarettes - are not calling for a similar ban on all flavorings in real cigarettes. They are not calling for a ban on the use of menthol cigarettes to addict kids. They are not calling on legislation to amend the Family Smoking Prevention and Tobacco Control Act to remove the menthol exemption. They are not calling upon the FDA to ban menthol.

In a separate published in the same issue of Circulation, these same authors write: "As of March 2014, 5 population-based studies had examined the relationship between e-cigarette use and quitting smoking. Because these studies did not measure whether people were using e-cigarettes as a smoking cessation aid or other reasons for use such as to circumvent smoke-free laws, they did not directly test the efficacy of e-cigarettes as smoking cessation aids." [emphasis is mine]

Second, disclosure of conflicts of interest is essential to achieve the public health ethical principle of transparency. Readers have the right to know if there are any relevant conflicts that could be perceived as influencing the objectivity of scientific reports.

These data all but destroy the gateway hypothesis. They demonstrate that at the current time, the evidence simply does not support the assertion that the proliferation of e-cigarette use among youth is leading to increased smoking initiation. Electronic cigarettes are not leading to a lifetime addiction to cigarette smoking among our nation's youth.

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