While the FDA has denied permission to market some e-cigarette products and has recently stepped up enforcement efforts, including warning letters, fines, injunctions to manufacturers and retailers, and joint operations with other federal officials to seize imports of unauthorized e-cigarette products, enforcement has been slow and many of the most popular e-cigarettes among youth remain on the market
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It will be, and is being done, by ignoring or condemning inexpensive and simple smoker quitting surveys being taken in those jurisdictions where NRT's influence isn't sufficient to extinguish efforts to conduct them [see the September 2002 JAMA survey finding that " NRT appears no longer effective in increasing long-term successful cessation "].[7] Instead, the industry's ploy is to direct all focus inward to battles being waged and victories being declared over those using placebo devices that the industry knows will continue to produce 3 to 4% midyear quitting rates
