© 2003 BMJ Publishing Group Ltd
EDITOR'S CHOICE
Harm reduction
| The first 150 words of the full text of this article appear below. |
In recent years, the tobacco control community has experienced impassioned and at times acrimonious debate about harm reduction. For years, tobacco control has stood fast on a doctrinaire devotion to an absolutist precept: that tobacco use of any sort was unacceptable. With the advent of nicotine replacement therapy, there was early consternation from some who, like Gertrude Stein, felt nicotine is nicotine is nicotine. Nicotine weaning was one thing, but nicotine maintenance bordered on profanity.
In this issue, we take the debate on harm reduction further by considering a tobacco product, the widespread use of which appears to be associated with significant reductions in lung cancer and myocardial infarction in Sweden. We commissioned a major review of the public health significance of snus,1 an oral tobacco product that has been widely used since the early 20th century and which has seen a prolonged growth in use since the 1970s, a
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