American association of public health physicians — tobacco

1. AAPHP tobacco policy should be based on the best available scientific evidence.

2. Tobacco use is a major cause of illness and death in the United States.

3. Almost all tobacco attributable mortality in the USA is due to cigarette smoking.

4. While nicotine is the primary addictive substance in cigarette smoke, other factors substantially enhance the addictiveness of cigarettes. These factors include habituation to the cigarette handling ritual, psychological appeal based on advertising themes, the strength and speed of the nicotine hit, and other factors. This set of factors make cigarettes the most addictive of tobacco/nicotine products.

5. Substances in the cigarette smoke, other than the nicotine, inhaled deep into the lung, cause most of the tobacco attributable illness and death in the United States.

6. Smoke free tobacco/nicotine products, as available on the American market, while not risk free, carry substantially less risk of death and may be easier to quit than cigarettes.

7. Since susceptibility to tobacco/nicotine addiction is strongest in adolescence and early adulthood, measures to prohibit sale of tobacco/nicotine products without a physician prescription should be maintained and strengthened.

8. The healthiest option is to never initiate tobacco/nicotine use.

9. For those already using a tobacco/nicotine product, the best option is to quit.

10. Harm Reduction Smokers who have tried, but failed to quit using medical guidance and pharmaceutical products, and smokers unable or uninterested in quitting should consider switching to a less hazardous smoke free tobacco/nicotine product for as long as they feel the need for such a product. Such products include pharmaceutical Nicotine Replacement Therapy (NRT) products used, off label, on a long term basis , electronic e cigarettes, dissolvables (sticks, strips and orbs), snus, other forms of moist snuff, and chewing tobacco.

11. Harm reduction should be considered as an addition to current tobacco control policies and programming and should be done in a way that will minimize initiation of tobacco/nicotine use, maximize quit rates and assure that dual use does not increase potential harm to the user.

12. Mandated health related warnings on tobacco/nicotine products should be periodically reviewed to assure that each warning reflects a real life hazard posed by the product in question and is not misleading in any way.

13. AAPHP tobacco policy should be intended to reduce the burden of illness, death and property damage attributable to tobacco products in American society. In pursuit of this goal, AAPHP must consider the needs and risks of current tobacco users, those potentially exposed to tobacco smoke, and those at risk of initiating future use of tobacco/nicotine products.

14. The tobacco page of the AAPHP web site should be configured to serve as an informational resource to physicians, other health related organizations and the general public.

AAPHP Tobacco Documents

AAPHP 2008 Harm Reduction and Resolutions White Paper AAPHP 2008 Harm Reduction and Resolution White Paper

AAPHP 2010 Harm Reduction Update

AAPHP Statement on the State Regulation of E cigarettes This document is undergoing review at this time.

American Association of Public Health Physicians, Tobacco Control Task Force (AAPHP) Citizen Petition Document ID FDA 2010 P 0095 0001 Docket ID FDA 2010 P 0095 available at /#!documentDetail D FDA 2010 P 0095 0001 Also available here . A second related petition is available here FDA Petition Summary References to materials included as attachments to FDA Petitions Attachment Set A1 A40 For material from all other attachment sets and for additional information please contact Joel L. Nitzkin, MD at jln md

For additional background information relative to Tobacco Harm Reduction, plus brief narratives and bibliographic references to deal with the objections most commonly raised by opponents to Tobacco Harm Reduction, Dr. Nitzkin has posted this «Tobacco Harm Reduction A Public Health Perspective» based on a presentation he gave to a joint committee of the Oklahoma State Legislature, October 3, 2012. 2012NitzkinHarmReduction

Dr. Nitzkin’s lecture given at the AAPHP meeting at the June 2013 AMA House of Delegates meeting is available here Dr Nitzkin’s Lecture AAPHPSavingSmokers0608 The resolution that passed is available here

Other Tobacco Related Documents of Potential Interest to Readers

FDA determination to regulate E Cigarettes and other smokeless tobacco products

2011 Harm Reduction Update

Legislation H.R. 1256 Family Smoking Prevention and Tobacco
Control Act111th Congress 2009 2010 available at

Electronic cigarettes

  • «I love the fact that I can smoke in the pub with my mates again. It is also saving me so much money compared to when I smoked normal cigs. Couldn t be any happier with my freedom experience!»

    Richard Johnson London

  • «I must say, we are very excited about the product, my fianc started using his yesterday and hasn’t missed his real fags at all!!!!I’ve been smoking since I was 15, and I’m really nervous about giving up, but think that Freedom Cigarettes are going to help me no end……. it’s a brilliant product!»

    Nikki Dance Reading

  • «Freedom is the fourth e cig brand I have tried and nothing compares with it for taste and real cigarette feeling. The light original is my favourite as it has a very rounded tobacco taste. I have recommend Freedom to all of my friends and family. If you are looking for the best e cig, try freedom!»

    Stacy James Manchester

  • «Last summer and I bought three packets. I haven t touched a tobacco cigarette since! Vaping is a much better and healthier option.»

    Robin Redford Esher

  • «Excellent product and customer service! I had a try of their new 2012 range the other day and I am really impressed. If anyone hasn t tried these then do, you will not be disappointed.»

    Stanton Presswick Edinburgh

  • «A friend of mine started smoking one when we were on a night out. I tried it and was so impressed I bought a packet the next day. Well done Freedom!»

    Gem Cranshaw Wimbourne

  • » My wife and children are so happy that I have taken up smoking Freedom electronic cigarettes. There are no smells off my clothes or from my breath, I don t have to leave the room every 30 mins.»

    Daniel Jones London

  • «I spend most of my time travelling on business and trying to grab a smoke at every chance I could. Apart from making me more relaxed, I actually find the experience and taste more enjoyable than plain old cigarettes.»

    Tracey Brown Stoke

  • «A smoking revolution! Try if you haven t!! Can t wait for the new flavours great work you guys at Freedom!!!»

    Tracey Brown Cardiff

  • «Just had a go on Freedom s new disposable e cig with the middle ring that lights up, very, very cool. This is the seriously good e cig experience. «

    Lucy Biggs Birmingham

  • «Since I have switch to Freedom e cigs my cig I have cut right down and I m saving loads of money. It s a real no brainer!»

    Dave Jones Merthyr Tydfil

  • «I run marathons, have been a PT and smoke. Now I have cut down drastically, whist feeling much fitter and enjoying my e cigs without a bad conscience.»

    Leon Hackett London

  • «All I can say is buy them, not comparable to smoking normal fags, in fact much better.»

    Scott Marshall Middlesex

  • «Didn t like the old ones but just tried one of their new models. Now the best e cig on the market by far!»

    Sarah Milner Bournemouth

  • «Tried a couple of the American e cigs and wasn t very impressed. Came over to the UK on a shoot and picked one of these little beauties up… Absolutely fantastic! «

    Astred Gensen L.A. US

  • «Your After sales service has been second to none and I won’t hesitate to recommend your company to others.»

    Karen Hughes Bishop’s Stortford

  • «Have had an Icig for some time. Can now attest that Freedom is much better. Charges faster, charge lasts much longer, taste is much better. Customer Service far superior!»

    Nigel and Syd Lemon Finistere FRANCE

  • «I am very happy with the product. I have been showing friends, family and colleagues what I have and they are all impressed.»

    Holly Evans Nottingham

  • «It is a brilliant product, it is saving me a fortune(having a couple of puffs as and when I feel I want a cigarette, instead of smoking a whole real one) «

    s. wayne london

  • «This is the second package of Freedom cigarettes our company has bought. Only 2 members of our office smoke, so we have paid for the Freedom packs on the condition that they use them instead of smoking. «

    P Francis London


5 комментариев to “American association of public health physicians — tobacco”

  1. e cigarette market via his American Tobacco Company (broken up by the U.S. Supreme Court in 1911). The markets for cheap, domestic cigarettes in the late nineteenth century were primarily boys and immigrant men from southern and eastern Europe, where the habit was common. The low cost and convenienc

    • tes Let you Enjoy Smoking without the Actual Smoke Enjoy the act of smoking and the strong, noticeable throat hit only the the best e cigs can provide. Our alternative to traditional cigarettes is better than traditional smoking, for both the smoker and second hand. You can enjoy the sensation tradi

    • 1186/1477 7517 10 19, PMID 24090432 a b c Britton, J. & Bogdanovica, I. (May 2014). "Electronic Cigarettes". Public Health England. Retrieved 21 May 2014. a b c "BMA calls for stronger regulation of e cigarettes". British Medical Association. Retrieved 18 November 2013. a b c d Edgar, Julie. "E Ciga

  2. European countries. Design Face to face cross sectional survey on smoking. Setting 18 European countries. Participants For each country, around 1000 subjects representative of the population aged 15 and over were enrolled. Current cigarette smokers were asked to show their latest purchased pack of c

  3. rity Magazine Spreads Blake Lively Public health advocates say a higher minimum age discourages, or at least delays, young people from starting smoking and thereby limits their health risks. But opponents of such measures have said 18 year olds, legally considered adults, should be able to make thei

Leave a Reply

You must be logged in to post a comment.