Harm Reduction at the Crossroads: The Case of E-Cigarettes

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The recent popularity of electronic (e)-cigarettes and their rapid uptake by youth has ignited the debate about their role as a harm-reduction strategy. Harm reduction in the context of tobacco control contends that in societies that have achieved considerable success in curbing smoking, leaving the remaining hard-to-quit smokers with an abstinence-only option is unfair, especially when less-harmful choices are available. On one side of the debate are those who call for caution in endorsing such products until critical pieces of evidence about their safety and potential become available, whereas the other side argues that waiting until all questions about e-cigarettes are answered is dogma driven. In this piece, I try to discuss the unresolvable contention between harm-reduction goals of offering safer options to smokers, and those of e-cigarette makers of being commercially viable and profitable.

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Acknowledgments

Dr. Maziak is supported by the National Institute on Drug Abuse (Grant No. R01 DA035160).

Dr. Maziak is grateful to his students and colleagues, whose discussions about this topic have contributed to this piece.

References (30)

  • D.B. Abrams

    Promise and peril of e-cigarettes, can disruptive technology make cigarettes obsolete?

    JAMA

    (2014)
  • A report by the Tobacco Advisory Group of the Royal College of Physicians

    (2007)
  • S. Chapman et al.

    Large-scale unassisted smoking cessation over 50 years: lessons from history for endgame planning in tobacco control

    Tob Control

    (2013)
  • Z. Cahn et al.

    Electronic cigarettes as a harm reduction strategy for tobacco control: a step forward or a repeat of past mistakes?

    J Public Health Policy

    (2011)
  • T.L. Wagener et al.

    Electronic cigarettes: achieving a balanced perspective

    Addiction

    (2012)
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