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ERJ Open Res. 2019 Aug 12;5(3). pii: 00114-2019. doi: 10.1183/23120541.00114-2019. eCollection 2019 Jul.

There can be smoke without fire: warranted caution in promoting electronic cigarettes and heat not burn devices as a safer alternative to cigarette smoking.

Author information

Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Respiratory Translational Research Group, Dept of Laboratory Medicine, School of Health Sciences, University of Tasmania, Launceston, Australia.
Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia.


The tobacco industry is now shifting its focus from combustible cigarettes to promoting the "safer" electronic nicotine delivery alternatives. This editorial presents emerging challenges these devices pose to human health.

Conflict of interest statement

Conflict of interest: K.D. McAlinden has nothing to disclose. Conflict of interest: S.S. Sohal has nothing to disclose. Conflict of interest: P. Sharma has nothing to disclose.

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