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Effect of smokeless tobacco (snus) on smoking and public health in Sweden
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  • Published on:
    Re: RE: Does Snus use have a harm reduction effect in Sweden?

    Dr Gupta’s letter suggests that the reduction in lung cancer in both Sweden and Connecticut is highly likely to be due to a reduction in smoking in both places. This is entirely unsurprising, and as far as Sweden is concerned is precisely what we suggested in the original paper he referred to:

    “There has been a larger drop in male daily smoking (from 40% in 1976 to 15% in 2002) than female daily smoking (34% in...

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    Conflict of Interest:
    None declared.
  • Published on:
    RE: Does Snus use have a harm reduction effect in Sweden?

    Dr Gupta’s comparison of trends in lung cancer mortality and smoking prevalence in Sweden and Connecticut purports to undermine the claim that increasing snus use in Sweden has contributed to declining lung cancer rates there.

    Dr Gupta argues that some factor other than snus must have been at work because the ratio of lung cancers between Sweden and Connecticut has remained constant despite the large differenc...

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    Conflict of Interest:
    None declared.
  • Published on:
    Does Snus use have a harm reduction effect in Sweden?

    Dear Editor

    Some tobacco control community members believe that advocating the use of snus, a form of Swedish smokeless tobacco said to be less harmful than cigarettes, would prove an effective harm reduction strategy against tobacco related diseases. One important basis for such a claim is the fact that snus is widely used in Sweden (23% men used snus daily in 2002), where the incidence of cancer caused by tob...

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    Conflict of Interest:
    None declared.
  • Published on:
    UK Legislative response

    Readers should note the following motion placed before the UK parliament on this topic on 10 December 2003:

    SMOKELESS TOBACCO 10.12.03 Flynn/Paul That this House welcomes the confirmation from Cancer Research UK Action on Smoking and Health and the Royal College of Physicians that some forms of smokeless tobacco are between 500 and 1,000 times less hazardous than smoking tobacco; agrees with the conclusion tha...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: South Asian Communities in UK (EU) Brace Themselves Against Smokeless Tobacco Flood

    Kawaldip Sehmi's letter seems to advocate ignorance and a kind of book-burning attitude to understanding this area. But in fact, better knowledge of the science might help his cause.

    The paper by Enstrom and Kabat caused problems not because its findings conflicted with the established evidence base, but because it was flawed and the BMJ failed to put its contribution in context with the rest of the large evidenc...

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    Conflict of Interest:
    None declared.
  • Published on:
    South Asian Communities in UK (EU) Brace Themselves Against Smokeless Tobacco Flood

    Last week in the BMJ 2003; 327 (6 December), after seeing his comments on the Enstrom and Kabat paper on second-hand smoke being used by Forest to advance the tobacco industry’s position, the BMJ Editor says in a fair and frank admission:

    "Reading the quote on a Forest advertisement tightens my anus, but I wrote it and can't deny it."

    Health Professionals who have been working hard towards getting che...

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    Conflict of Interest:
    None declared.