The FDA is undermining decades of public health efforts to underscore the ubiquitous danger of cigarette smoking and the lack of value of even major design changes, such as filters and lower yields. By doing so, the agency is negating any positive effects of its own anti-smoking media campaign.

These flaws are also noted by Dr. Robert West, director of tobacco research at University College London, who that: "the study was not able to assess whether or not for cancer patients who smoke using an e-cigarette to try and quit is beneficial "because the sample could consist of e-cigarette users who had already failed in a quit attempt, so all those who would have succeeded already would be ruled out"."

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