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What health authorities have said

Statements from public health agencies and medical bodies, with the year each was made and a link to the source.

“E-cigarettes present an important, potentially lifesaving opportunity to help currently addicted adult smokers quit combustible cigarettes.”
U.S. Department of Health and Human Services Secretary Azar statement, November 2018Read the statement →
“We believe e-cigs can provide substantial health benefits helping currently addicted adult smokers fully transition off of combustible cigarettes.”
Dr. Scott Gottlieb, FDA Commissioner on X (Twitter), February 2019See the post →
“If you could take every adult smoker and fully switch them to e-cigarettes, that would have a substantial public health impact.”
Dr. Scott Gottlieb, FDA Commissioner on X (Twitter), February 2019See the post →
“We’ve said all along we think that e-cigarettes could be a viable alternative for adult smokers. If you could migrate more adult smokers off combustible products, that would be a net public health benefit.”
Dr. Scott Gottlieb, FDA Commissioner C-SPAN interview, while in office, 2017–2019Watch the clip →
“If we could get all of those people to completely switch all of their cigarettes for one of these non-combustible products, that would be good for public health.”
Mitch Zeller, Director, FDA Center for Tobacco Products U.S. Senate HELP Committee hearing, May 2014Read the transcript (p. 27) →
“Evidence suggests that while e-cigarettes are not without health risks, they are likely to be far less harmful than conventional cigarettes, the report says. They contain fewer numbers and lower levels of toxic substances than conventional cigarettes, and using e-cigarettes may help adults who smoke conventional cigarettes quit smoking. However, their long-term health effects are not yet clear.”
National Academies of Sciences, Engineering, and Medicine Public Health Consequences of E-Cigarettes, January 2018Read the announcement →
“E-cigarettes either do not contain or have lower levels of several tobacco-derived harmful and potentially harmful constituents compared with cigarettes and smokeless tobacco. In comparison with NRTs, e-cigarette use has increased at an unprecedented rate, which presents an opportunity for harm reduction if smokers use them as substitutes for cigarettes.”
American Heart Association policy statement in Circulation, 2014Read the statement →
“Available data suggest that e-cigarette health risks are unlikely to exceed 5% of those associated with smoked tobacco products, and may well be substantially lower. In the UK, harm reduction is a recognized element of comprehensive tobacco control.”
Royal College of Physicians (UK) Nicotine without smoke: Tobacco harm reduction, April 2016Read the report (PDF) →

Sources checked October 2026. Agency positions can change over time; follow each link for the full context.

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