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Once again, I was attacked by my colleagues, including two co-authors of the 2014 Surgeon General's report, for having the nerve to suggest that lifelong smokers of filtered cigarettes may have slightly lower lung cancer risk than lifetime smokers of non-filtered cigarettes.

Thus, the authors readily acknowledge that it is impossible from this study to determine whether or not e-cigarettes lead to smoking or whether smoking leads to e-cigarette experimentation.

As a public health advocate, the position of the Tobacco Control Legal Consortium is perplexing to me. The Consortium appears to be calling for the removal of the 24-month grace period for submission of substantial equivalence or new product applications by electronic cigarette products. If this advice were to be implemented, then the only electronic cigarettes that could remain on the market are those which were actually marketed as of February 15, 2007. This means that 99.9% of the electronic cigarettes currently on the market would have to be taken off the market.


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