By Committee to Assess the Science Base for Tobacco Harm Reduction, Board on Health Promotion and Disease Prevention, Institute of Medicine, Kathleen Stratton, Padma Shetty, Robert Wallace, Stuart Bondurant
Despite overwhelming facts of tobacco's damaging results and strain from anti-smoking advocates, present surveys convey that approximately one-quarter of all adults within the usa are people who smoke. This viewers is the objective for a wave of tobacco items and prescription drugs that declare to maintain tobacco excitement whereas lowering its poisonous effects.
Clearing the Smoke addresses the issues in comparing even if such items really do decrease the health and wellbeing hazards of tobacco use. in the context of regulating such items, the committee explores key questions:
- Does using such items reduce publicity to destructive ingredients in tobacco?
- Is lowered publicity linked to diminished damage to health?
- Are there surrogate signs of damage that may be measured speedy adequate for law of those products?
- What are the general public wellbeing and fitness implications?
This e-book appears to be like on the forms of items that can lessen damage and stories the to be had proof for his or her influence on quite a few varieties of melanoma and different significant illnesses. It additionally recommends ways to governing those items and monitoring their public overall healthiness effects.
With an perspective of fit skepticism, Clearing the Smoke can be very important to well-being coverage makers, public well-being officers, scientific practitioners, brands and agents of "reduced-harm" tobacco items, and a person attempting to kind via product claims.
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Extra resources for Clearing the Smoke : Assessing the Science Base for Tobacco Harm Reduction
Enforcement power Tobacco product marketing, including PREPs 17 18 CLEARING THE SMOKE REFERENCES CDC (Centers for Disease Control and Prevention). 1994. Health objective for the nation; cigarette smoking among adults–United States, 1993. Morbidity and Mortality Weekly Report 43(50):925-930. CDC (Centers for Disease Control and Prevention). 2000a. cigarette smoking among adults– United States, 1998. Morbidity and Mortality Weekly Report 49(39):881-884. CDC (Centers for Disease Control and Prevention).
There is no evidence currently that use of any product, other than those that lead to cessation, can achieve harm reduction from tobacco. Many tobacco and cigarette-like products have been introduced in the distant and recent past that do, under measurement systems such as the smoking machine, result in decreased emission of some toxicants compared to conventional tobacco products. These products could, therefore, 28 CLEARING THE SMOKE potentially result in reduced exposure to toxicants. The committee uses “potentially,” because whether exposure to tobacco toxicants is reduced depends on the user’s behavior, such as frequency and intensity of use.
The regulatory agency should be empowered to require manufacturers of all products marketed with claims of reduced risk of tobacco-related disease to conduct post-marketing surveillance and epidemiological studies as necessary to determine the short-term behavioral and long-term health consequences of using their products and to permit continuing review of the accuracy of their claims. Regulatory Principle 7. In the absence of any claim of reduced exposure or reduced risk, manufacturers of tobacco products should be permitted to market new products or modify existing products without prior approval of the regulatory agency after informing the agency of the composition of the product and certifying that the product could not reasonably be expected to increase the risk of cancer, heart disease, pulmonary disease, adverse reproductive effects or other adverse continues 11 EXECUTIVE SUMMARY BOX 1 Continued health effects, compared to similar conventional tobacco products, as judged on the basis of the most current toxicological and epidemiological information.