Never-smoking adults who vape: the public health implications depend on the alternative

Agreement: I Agree Body: Dear Editor New data from the Office for National Statistics show that more than one million adults in Great Britain who have never smoked now use e-cigarettes, while smoking prevalence continues to fall.[1] These trends raise an important question about the public health implications of vaping among never-smokers. The answer depends, in part, on what these people would otherwise be doing. The evidence is clear that e-cigarettes are substantially less harmful than combustible cigarettes, although they are not risk-free.[2,3] For people who would otherwise have taken…