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"And we knew from light cigarettes that it was a public health disaster because they undermined smokers' wish to quit completely." Andrew Pipe, the heart specialist in Ottawa, used the "Why quit?" ad in seminars at medical conferences five years ago to warn about the ways tobacco companies could use e-cigarettes to promote smoking
This entailed four rotations of: a five-minute video with smoking-related content (composed of similar but non-identical clips to those presented in the baseline visit), a five-minute presentation of smoking images (with each image presented for 3 seconds, see Supplementary Methods), and five minutes of manipulating smoking paraphernalia (e.g., lighter, cigarettes)
In this paper, we explore the ethical dilemma whereby these campaigns are seen as helpful for public health in promoting smoking prevention and cessation but also potentially harmful for persons suffering from tobacco-related illnesses, including lung cancer