A new anti-smoking ad released by the US Centers for Disease Control and Prevention will feature a lung-collapse survivor who cites both e-cigarettes and tobacco cigarettes.

The ad is part of the CDC’s “Tips” campaign, which has become known for using real smokers to show the grotesque effects of smoking. It marks the first time one of the ads will feature a person who cites e-cigarettes.

An advocate for e-cigarettes calls the ad “patently dishonest.”