“…Since exposure to toxins from smoking conventional cigarettes is primarily the result of the combustion process, substituting cigarettes with noncombusted products such as smokeless tobacco or e-cigarettes could theoretically reduce the adverse health consequences caused by cigarette smoking among those who would not have quit tobacco entirely (Levy et al, 2004(Levy et al, , 2006Royal College of Physicians, 2007). For example, it has been demonstrated that e-cigarette vapor contains lower levels of carcinogens and toxicants than cigarette smoke (Goniewicz et al, 2013;McAuley, Hopke, & Zhao, 2012), which could theoretically reduce smoking-related disease rates if cigarette smokers who would not otherwise quit would completely switch to e-cigarettes. On the other hand, the Institute of Medicine (IOM) warns that availability of other tobacco products may have a net negative impact on public health since smokers might delay or refrain from quitting, former smokers may be drawn back to tobacco use, and nonsmokers might be encouraged to start using tobacco (IOM, 2012).…”