The shift is real, and its overdue
To describe electronic cigarette use as a new drug use option and part of at-risk teenagers substance using repertoires is unnecessarily alarmist, given the evidence that regular use among never smokers is negligible, the lack of evidence that electronic cigarette use acts as a gateway to tobacco use, and the likely low level of harm associated with electronic cigarette use. About 80,000 people a year die from tobacco smoke-related diseases in Britain, nearly a fifth of all deaths in the over-35s
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Tobacco products contain nicotine, an addictive substance, leading to dependence and making quitting difficult
