An article in the Times today (May 7, 2009) suggests that Margaret Hamburg is expected to be confirmed as the new FDA commissioner. I think this might be good news for the e-cigarette. Dr. Hamburg was a strong, intelligent, clear-thinking public health advocate in NY and, serving as Health Commissioner for New York City, was the one of the major forces pushing for a needle exchange program to help control HIV transmission in the city. This is a true harm-reduction approach, much like the e-cigarette. I hope she is perceptive about the e-cigarette and able to withstand the political and economic pressures at the FDA. I think it might be time to start approaching her on our issue. She was very responsive to input from HIV prevention people in NY on the needle exchange approach.