Tob Control 2001;10:201-203 ( Autumn )

Editorial

Applying the risk/use equilibrium: use medicinal nicotine now for harm reduction

The first 150 words of the full text of this article appear below.

Both the recent Institute of Medicine (IOM) report¹ and the article by Henningfield and Fagerstrom² in this issue of Tobacco Control consider the value of adding harm reduction products to the main public health strategies for dealing with tobacco useprevention, cessation, and protection of non-smokers from tobacco smoke pollution.^3 4 Harm reducing products are those that lower total tobacco caused morbidity and mortality, even though these products might involve continued exposure to one or more tobacco related toxicants. The IOM committee developed a testing strategy to assess which products (tobacco or pharmaceutical) are truly harm reducing, along with surveillance and regulatory principles for the protection of public health. Henningfield and Fagerstrom² discussed the possible benefits from an uncontrolled harm reduction "intervention" in Sweden involving Snus (Swedish moist snuff) and to some extent nicotine replacement pharmaceuticals or medicinal nicotine (MN).

It will take years, if ever, before any battery of IOM-type . . . [Full text of this article]

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