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Once again, the FDA is stating that smoking may not be any more hazardous than vaping.

It is worth noting that the conclusions which Dr. Glantz is disseminating are destructive because they undermine decades of public education about the severe hazards of smoking. If the public thinks that smoking is only as risky as vaping, then it is likely that many smokers will decide to continue smoking rather than quitting using electronic cigarettes. And many ex-smokers who have quit with electronic cigarettes may return to smoking, thinking that they might as well since they are not getting any definite health benefit from having made the switch.

Yesterday, I that this month's issue of JAMA features a co-authored by Dr. Michael Fiore (from the University of Wisconsin School of Medicine and Public Health) which reviews the history of tobacco control in the 50 years since the release of the 1964 Surgeon General's report. Although the article discloses no conflicts of interest, I revealed that Dr. Fiore has a long and intensive history of financial conflicts of interest with the very pharmaceutical companies that manufacture smoking cessation drugs, which he recommends, in the article, be prescribed to every patient who smokes.

Similarly, NJOY does not appear to be marketing to kids. The most telling point is that in its internet sales, the company does not sell flavored e-cigarettes (only traditional tobacco and menthol). And of course, if NJOY were after kids, it would certainly offer the flavored varieties online, since kids are more easily able to obtain these products online, where age verification is not required, than in-store, where it is.

The Rest of the Story

The report includes pictures of product images and advertisements that appear to showcase the sweet, fruit flavorings of these products.

As a result of the decision, the FDA will not be able to rely upon the findings and conclusions of the TPSAC menthol report. In addition, the Court instructed the agency to reconstruct TPSAC by replacing any members who have conflicts of interest. Dr. Samet is the only current TPSAC member who appears to be implicated by this instruction.


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