The effects of such a regulation would be to force thousands of ex-smokers back to cigarette smoking. It would also result in thousands of dual users who have substantially cut down on their smoking to return to their pre-vaping cigarette consumption levels. Of course, the net effect of such a policy would be to substantially harm the public's health.

Despite the tremendous proliferation of e-cigarette experimentation among youth, with a doubling of use from 2011 to 2012 alone, the CDC data show that youth smoking prevalence (among high school students) fell dramatically, from 18.1% in 2011 to 15.7% in 2013. This is a 13.3% decline in smoking prevalence over a two-year period. It is also the largest drop in youth smoking prevalence measured by this survey over the past decade.

For all of these reasons, I believe that the current evidence does not support the FDA placing a ban on flavorings in electronic cigarettes. Such an action would, ironically, have devastating overall consequences for the public's health, both among youth and adults.

You will probably spend more time finding the perfect flavored e-liquid than you will spend looking for your e-cig because there are many more choices of e-liquids compared to e-cigs. Some people need more vapor, and some require more flavorings. This is up to you on what you want.I have my personal preferences on how I like my e-juice to taste and you will also.

Hopefully, 2014 will mark the return of evidence-based tobacco control practice.

What makes the Citizens Medical Center policy particularly ugly is that they justify it by arguing that their patients don't want to see obese people people it doesn't fit with their "mental projection" of a healthcare professional. That is simply disgusting. The same thing could have been said years ago (or maybe today) about certain other groups, such as black health care workers, LGBT workers, or Jewish workers.

The Rest of the Story

Banning the sale of flavored electronic cigarettes would be tantamount to a ban on virtually all electronic cigarettes. In reality, virtually every electronic cigarette product is flavored. Even the "tobacco" type of electronic cigarette is actually a flavored product, since flavorings are generally used to create that "tobacco" taste. Otherwise, the only ingredients in electronic cigarettes are nicotine, propylene glycol, and glycerin.

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