Editorial
Clearing the smoke or muddying the water?
| The first 150 words of the full text of this article appear below. |
After two years, 500 pages and thousands of person hours, the authors of the Institute of Medicine report on the science base for tobacco harm reduction must have been horrified by the headlines following the news conference (see box) launching their report.1 (See executive summary on p 189.)
The Food and Drug Administration asked the Institute of Medicine four
questions. The first three seek guidance on what happens when an
individual uses a product or strategy for reducing harm
is there
potential for a genuine health gain and how should this be evaluated?
The fourth question addresses what happens to the population as a whole
when harm reduction strategies are presented to smokers.
These questions are not simple, and largely untestable in advance of
the widespread use of the products. The question about how the
population as a whole will respond can never be answered in advance
because it will
Relevant Article
-
Clearing the smoke: the science base for tobacco harm reduction
executive summary
- Kathleen Stratton, Padma Shetty, Robert Wallace, Stuart Bondurant
Tob. Control 2001 10: 189-195.[Extract] [Full Text] [PDF]
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Foulds, J, Ramstrom, L, Burke, M, Fagerstrom, K
(2003). Effect of smokeless tobacco (snus) on smoking and public health in Sweden. Tobacco Control
12: 349-359
[Abstract] [Full Text]
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