(Access to Coverage of Tobacco Treatment In Our Nation)
Shaping Policies | Improving Health
Dear Partners:
This month I would like to invite your participation in the discussion over the use of electronic cigarettes (e-cigarettes). E-cigarettes are battery powered cigarette-shaped tubes that heat liquid nicotine into an inhalable vapor, advertised variously as devices to use where smoking is not permitted or alternatives to cigarettes. They are supposed to satisfy cravings for cigarettes without the harms of cigarettes. Is this too good to be true?
A federal appeals court will decide whether the Food and Drug Administration has the authority to regulate electronic cigarettes, known as e-cigarettes, as drug-delivery devices or should treat them as tobacco products, which have different regulatory standards.
On November 19, 2009, ACTTION presented a webinar on The Impact of Massachusetts MassHealth (Medicaid) Benefit on Smoking Prevalence and Health Outcomes. This month ACTTION spoke with Lois Keithly, Director of the Massachusetts Tobacco Cessation and Prevention Program, to follow up on the webinar and discuss next steps both for Massachusetts and others who might want to duplicate the Massachusetts cessation benefit.
Public advertising and promotional campaigns can help create the environment that encourages smokers to decide to make the effort to quit and supports them in their quitting efforts. Recent news report provided examples of state and local government cessation campaigns.
Cigarettes that are almost nicotine free may be a tobacco product that can facilitate cessation; however, future research is clearly needed to support these preliminary findings. Compared to low nicotine yield cigarettes, the nearly free cigarettes were not associated with compensatory smoking behaviors. Compensatory behavior is the effort by smokers to try to counteract nicotine reductions by smoking more or smoking harder. This would undercut the benefits of nicotine reduction, and increase exposure to toxic substances. The findings in this study are encouraging but larger studies are needed before this type of product can be recommended for cessation.
Have you seen the television ad showing a woman in an office mixing a fancy cocktail, ignoring her work, and walking outside to stand next to a dumpster to drink her cocktail and smoke a cigarette? The ad is for the EX campaign.
In an effort to increase the number of smokers who successfully quit, the Association for the Treatment of Tobacco Use and Dependence (ATTUD) and the Society for Research on Nicotine and Tobacco (SRNT) have joined in submitting a “citizens’ petition” to the Food and Drug Administration. The petition aims to reduce barriers to the use of nicotine replacement therapy and generally make cessation more “user-friendly.” The premise of the petition is that “Tight constraints imposed by the Food and Drug Administration (“FDA”) on manufacturers of NRT interfere with full and effective use of NRT by individuals and across the population.” The petition asks the FDA for a “more flexible evidence-based regulatory approach to the treatment of tobacco dependence and that Nicotine Replacement Therapy (NRT) labeling indications and instructions be modified to be consistent with current science.”
A Healthier America: One Community at a Time
www.nphw.org
Health Education Council's Break Free Alliance and the National African American Tobacco Education Network presents:
Promising Practices: Achieving Health and Social Equity in Tobacco Control.
http://healthedcouncil.org/promisingpractices_2010.html
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