Let's dispel a few myths perpetuated in this story. 1) Smoke is produced by the process of combustion. Since nothing is burned in a so-called "electronic cigarette" there is no smoke. We consumers prefer the more accurate term "personal vaporizer" (PV). 2) We do know what's in them--ingredients Generally Recognized as Safe (GRAS) by the FDA. Read the package: Propylene glycol, water, flavoring, and (optionally) nicotine. 3) The target market for these products are smokers who would like to stop inhaling smoke but who want to continue to enjoy a smoking-like experience or the beneficial effects of nicotine. 4) Children cannot purchase the products over the internet without a valid credit card. If they have one, they could also be purchasing alcohol, ordering prescription drugs from overseas, or viewing offensive materials. Bottom line: The solution to this potential problem is parental vigilence.
Dr. Goldstein missed a few facts when doing his extensive research. Had he read the Health New Zealand test report , he would have known each puff from a PV delivers only 1/10 the amount of nicotine as a puff of smoke. It's difficult to OD on that. And because the users don't have to continuously puff, as is required with tobacco cigarettes to keep them lit, most users end up inhaling a lot less nicotine than they did from smoking. They take a puff or two, and then set them down. More importantly, users are not exposed to the constituents in smoke that actually do cause cancer, heart, and lung disease: tar, carbon monoxide, particulates, and thousands of chemicals created by the process of combustion.
He also missed reading published surveys showing that 63% to 79% of PV consumers have completely replaced their smoked cigarettes. The same surveys show that 90% of consumers report their health has improved--even those who only used the devices to reduce the number of cigarettes smoked.
I'm surprised that Dr. Goldstein doesn't know that the FDA-approved Nicorette products come in yummy flavors such as White Ice, Kool Mint, Cinnamon Surge, and Fruit Splash. Shame on GlaxoSmithKline for targeting children with their products!
If Dr. Goldstein can say "There's no evidence they work," perhaps he has no patients who smoked for decades and tried 10 times or more to quit without success. Hundreds of thousands of folks like this were finally were able to put away the lighter after making the switch.
If Dr. Goldstein can say "they're not safe" with a straight face, maybe he doesn't have any patients who wheeze, hack, and cough from years of smoking. I lost the wheeze and the cough after switching to the PV 19 months ago, and so have a multitude of other former smokers.