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Editorials |

Electronic CigarettesE-cigarettes: No Such Thing as a Free Lunch…or Puff

Mark V. Avdalovic, MD; Susan Murin, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, University of California, Davis, School of Medicine; and VA Northern California Healthcare System.

Correspondence to: Susan Murin, MD, FCCP, Division of Pulmonary, Critical Care, and Sleep Medicine, University of California, Davis, 4150 V St, Ste 3400, Sacramento, CA 95817; e-mail: Susan.murin@ucdmc.ucdavis.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


© 2012 American College of Chest Physicians


Chest. 2012;141(6):1371-1372. doi:10.1378/chest.12-0205
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Extract

As practitioners of pulmonary and cardiac medicine, many of us have no doubt been asked by our patients who smoke about so-called “electronic cigarettes” (e-cigarettes). These devices, termed electronic nicotine delivery systems (ENDS) by the World Health Organization, have been available in the US market since 2007. Our patients have likely heard far more about these devices through marketing, chat rooms, and word of mouth, than we as physicians have through the medical literature. Because ENDS are not currently regulated by the US Food and Drug Administration (FDA) as medical devices— recent court decisions, denied the agency the right to such oversight—manufacturers of ENDS have not been required to establish either safety or efficacy, and we have had few data with which to answer our patients’ queries about these products. Are e-cigarettes a smoking cessation tool? Are they a harmless alternative to cigarettes, as manufacturers claim?

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