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The U.S. Surgeon General released Thursday a 30-year update on smoking-cessation efforts that provided a mixed message on the effectiveness of electronic cigarettes.

E-cigarettes are not currently approved by the Food and Drug Administration as a quit-smoking aid, and are not considered as safe products for any user.

“E-cigarettes, a continually changing and diverse group of products, are used in a variety of ways,” Dr. Jerome Adams said in the 20-page consumer guide.