Since Dr. Foulds' addiction scale correlates significantly with actual quitting behavior, one would expect that these results would eventually translate into higher rates of complete nicotine cessation in smokers who switch to electronic cigarettes.

It should be clear to readers that this study was poorly designed toinvestigate the efficacy of electronic cigarettes. The study systematicallysampled a group of quitline callers who were unsuccessful using electroniccigarettes. These people tried and failed using electronic cigarettes. How dowe know they failed? Because they wouldn’t have had to call the quitline ifthey weren’t still smoking. This is clearly a harder core group of smokers andit is no surprise that their cessation rates were lower after 6-months than thecomparison group. The study tells us nothing about the effectiveness ofelectronic cigarettes, other than that they do not work for everyone. In fact, this research is biased in favor of not finding aneffect of electronic cigarettes on smoking cessation.

The rest of the story, then, is that health advocates in Michigan are so blinded by ideology (that anything that looks like a cigarette is evil) that they are on the exact opposite side of the issue as they should be. First, they are opposing the prohibition of the sale of e-cigarettes to minors. Second, they are in favor of protecting the sale of tobacco cigarettes by removing all competitive advantage that e-cigarettes hold in the marketplace.

Perhaps the FDA Center for Tobacco Products' slogan should be: "CTP: Protecting the Public from Cigarettes that Smell Wrong."

For these reasons, I believe that electronic cigarettes are a much more viable option as a harm reduction approach for smoking cessation.

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