Jim McManus is Director of Public Health for Hertfordshire County Council. He is responsible for leading the local public health system and services, devising policy and strategy and working with partners to improve and protect the health of over 1.1 million citizens.
Jim is also a Board and Council member for The Association of Directors of Public Health (ADPH) which is the representative body for the leaders of Public Health systems in the UK. Jim acts as Chair for the Public Health England, Local Government Association and ADPH national steering group on whole systems approaches to Obesity. He also works on Sector Led Improvement in Public Health, and is one of the national ADPH leads on Drugs and Alcohol, and on the Public Health role in Health and Social Care Integration.
Ecigarettes and the gateway to smoking for young people, still no convincing evidence
Jim McManus | 26 January 2016
This morning saw a further paper , this time a longitudinal study, looking at young people in Hawai http://m.tobaccocontrol.bmj.com/content/early/2016/01/05/tobaccocontrol-2015-052705.
The paper concludes that "adolescents who use e-cigarettes are more likely to start smoking cigarettes. This result together with other findings suggests that policies restricting adolescents’ access to e-cigarettes may have a rationale from a public health standpoint. " Except, unfortunately, its methods don't justify those conclusions.
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