Showing posts with label tobacco control. Show all posts
Showing posts with label tobacco control. Show all posts

Monday, 21 March 2011

FDA Advisory Committee Recommends Removal of Menthol Cigarettes

The U.S. Food and Drug Administration Tobacco Products Scientific Advisory Committee (TPSAC) recently concluded that the “removal of menthol cigarettes from the marketplace would benefit public health in the United States.”  This recommendation to the FDA is based on prevailing science surrounding menthol cigarettes.  Although menthol cigarettes do not contain more toxins, they increase the number of young people who try cigarettes and the number of children who become regular smokers, increasing overall youth smoking.  Menthol cigarettes have also been found to be more appealing to African-Americans and therefore contribute to higher smoking rates and decreased cessation among this population.

The TPSAC final report is set to go through a systematic review by experts from the FDA Center for Tobacco Products.  They are to take into account menthol cigarettes’ risks and benefits to the population, effects on overall smoking initiation and cessation rates, achievability, and consequential effects that may arise, such as demand for contraband.  The FDA intends to provide its first progress report on the review in about 90 days.

Partnership for Prevention supports the TPSAC’s recommendations and urges the FDA to take action to ban menthol to curb the uptake of smoking by youth and promote cessation among other high-risk groups.  The tobacco industry’s incessant marketing of menthol cigarettes to youth, African Americans and other communities are threats to the public’s health.  We are hopeful that the FDA will recognize the harmful impact of menthol cigarettes on the health of the nation and employ the committee’s advice.

Harmeet Singh
Tobacco Control Team

Monday, 16 August 2010

Enlisting the Public to Help “Break the Chain of Tobacco Addiction”: A New Website for the FDA

On June 22, 2010 new restrictions on tobacco product sales and marketing under the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act) finally went into effect. This act is specifically aimed at protecting children and youth from the dangers of using tobacco. These restrictions prohibit the sale of cigarettes and smokeless tobacco to people under the age of eighteen; prohibit the sale of cigarette packs with less than twenty cigarettes; prohibit the distribution of free samples of cigarettes and smokeless tobacco; and prohibit tobacco companies from sponsoring many events such as music concerts, athletic games, and other cultural or social gatherings. These are certainly great strides for tobacco control, but the U.S. Food and Drug Administration (FDA) and tobacco prevention advocates still have a ways to go in order to continue to prevent tobacco use among America’s youth.

One major task is educating both retailers and the public about these new restrictions. The FDA has wasted no time and is tackling this issue with their new website: Break the Chain of Tobacco Addiction. The website features various ways for retailers, organizations, and the general public to “spread the word” about the new regulations. The site has flyers and posters available for download with slogans such as “Don’t Let Minors Buy Tobacco. It’s the Law. Break the chain of tobacco addiction. Keep tobacco out of the hands of America’s youth. It’s the right thing to do” and “Break the Chain of Tobacco Addiction: I follow the law. I don’t sell tobacco to minors.”

The FDA is also using their website to help people “Stay Informed” – visitors to the website can sign up for e-mail updates, an RSS feed, or become a follower on Twitter. There are also various links to information and materials to help people “Learn More” and there are a variety of “Guidances” for the help the tobacco industry comply with these new regulations. The FDA is encouraging organizations to feature its widget that scrolls content from the FDA’s website and the “Break the Chain” badge on their own sites.

To help spread the word about these important new regulations, visit the “Break the Chain” website at http://www.fda.gov/TobaccoProducts/ResourcesforYou/BreakTheChain/default.htm.


Katie Burggraf
Tobacco Control Team
Partnership for Prevention

Friday, 6 August 2010

Addressing Cigarette Use is Simply Not Enough When it Comes to Tobacco Control

Cigarette smoking causes 443,000 deaths annually and is the predominant form of tobacco used in the United States. However, adults also use other tobacco products either singly or in combination. The need to address this issue in tobacco use led the Centers for Disease Control and Prevention to analyze data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS), which is a state-based telephone survey of non-institutionalized adults who are eighteen years or older, and publish a report in today’s Morbidity and Mortality Weekly Report (MMWR), “Any Tobacco Use in 13 States – Behavioral Risk Factor Surveillance System.”

The CDC analyzed data on the use of tobacco products other than cigarettes that had been collected from thirteen states who agreed to an optional BRFSS module. The CDC looked at data for current cigarette use, any tobacco use (tobacco users who currently used cigarettes, smokeless tobacco, or other tobacco products), and current polytobacco users (tobacco users who currently used cigarettes and also another form of tobacco). These three different variables were also analyzed according to various risk factors such as gender, household income, education, age, ethnicity, etc.

Researchers found that simply focusing on cigarette use may not be the best solution when it comes to tobacco control. According to the study, in 2008 cigarette use ranged from 14.6% to 26.6%, any tobacco use ranged from 18.4% to 35.0%, and polytobacco use ranged from 1.0% to 3.7% among the thirteen states. Use of any tobacco product was more prevalent among persons who were a member of an unmarried couple, (36.3%), single adults (30.3%), and those who were widowed or divorced (29.1%) compared to married persons (21.2%). Polytobacco use was found to be more prevalent among men (4.4%), young adults between the ages of eighteen and twenty-four (5.7%), those who were single (4.8%), those who had a household income of less than $35,000 a year, adults with less than a high school education (3.6%), and those adults with only a high school diploma or GED (3.6%).

Results from this study show that while tobacco control efforts have focused mainly on decreasing the prevalence of cigarette smoking, the use of other tobacco products also needs to be addressed if we are to improve the health of our nation. When we consider any tobacco use, an additional 5% of the adult population in these thirteen states is added to the prevalence rate for tobacco use. Using multiple tobacco products can also have adverse health effects, lead to higher nicotine addiction, and make the tobacco user unable to quit using tobacco. For these reasons, and the fact that youth have higher polytobacco use than adults, prevention and health policy efforts need to be targeted towards all forms of tobacco and not just cigarette use.

Partnership for Prevention, a long standing advocate for evidence-based tobacco cessation policies, believes that tobacco control should be at the top of our health agenda and should involve proven strategies such as public awareness efforts, youth tobacco use prevention, tobacco tax increases, and smoke free air policies that address all forms of tobacco use.


Katie Burggraf
Tobacco Control Team
Partnership for Prevention

Thursday, 15 July 2010

Partnership for Prevention Featured on Sirius Radio

Robert J. Gould, PhD, President and CEO and Jason M.M. Spangler, MD, MPH, Senior Program Officer were interviewed this morning by Dr. Nieca Goldberg, a cardiologist and women's health expert at NYU Medical Center, on her radio show, "Doctor Radio", carried by Sirius XM Radio. The broadcast garnered interest from the public, as several people called/emailed in with specific screening questions.

In addition to fielding questions, Dr. Gould and Dr. Spangler discussed Partnership’s mission and stressed the importance of prevention. Dr. Gould and Dr. Spangler highlighted the critical work Partnership is accomplishing in the areas of tobacco cessation and control, vaccines, and aspirin use. Dr. Goldberg is a member of Partnership’s Aspirin Task Force, an advisory group tasked with increasing aspirin counseling and aspirin use for primary prevention of cardiovascular disease.

Dr. Gould and Dr. Spangler also touched on the new regulations that require insurance plans to provide United States Preventive Services Task Force (USPSTF) A and B recommended preventive services without cost sharing. These regulations will begin to remove barriers to access to preventive care.

The interview will be re-broadcast today at 5 pm Eastern, Friday July 16 at 5 am Eastern and Sunday July 18 at 5 am Eastern on Sirius channel 114 and XM channel 119.

If you don't have a Sirius or XM subscription, you can sign up for a 7-day free trial period by visiting this website: www.sirius.com/freetrial/register. We hope you will tune in.

Monday, 12 July 2010

Declines in Youth Smoking Trends are Coming to a Halt

As Rob Gould, President and CEO of Partnership for Prevention, has stated, “the top priority for prevention spending should be tobacco control.” And what is the best way to focus our tobacco control efforts? The answer is youth. By focusing on youth we can prevent this addictive behavior before it starts.

The need to address youth smoking is pressing. CDC published a report in last week’s Morbidity and Mortality Weekly Report (MMWR) titled, “Cigarette Use Among High School Students–United States, 1991-2009,” which brings to light to the slowing progress in youth smoking prevention.

The CDC studied cigarette smoking trends among high school students in the United States by analyzing data from the 1991-2009 Youth Risk Behavior Surveys (YRBS), which are conducted every two years among high school students in grades ninth through twelve. When looking at three different variables: ever smoked cigarettes (whether a student had ever smoked, even just one puff), current cigarette use (whether a student had smoked at least one day in the past thirty days), and current frequent cigarette use (whether a student had smoked at least twenty days or more during the past thirty days), researchers found that high school smoking rates dropped rapidly in the late 1990s. However, the rate of decline substantially slowed down after 2003 and has continued to only decline very gradually since then. When analyzing data from different racial and gender groups for current cigarette use, rates also declined rapidly in the late 1990s and then either continued to decline gradually or leveled off after 2003 for all subgroups except for black female students, for whom current cigarette use continued to decline after 1999 without slowing.

These slowing rates have led to our failure to meet the Healthy People 2010 national health objective to reduce the prevalence of current cigarette use among high school students to 16% or less. It is noteworthy that the 2009 YRBS survey was administered before the federal tax increase for cigarettes and before the Family Smoking Prevention Act went into effect, both of which aim to reduce youth smoking. However, much work needs to be done if we are to address these slowing declines in current cigarette smoking trends among high school students in the United States.

Partnership for Prevention agrees with the CDC’s recommendations for “reductions in advertising, promotions, and commercial availability of tobacco products… combined with expanded counter-advertising mass media campaigns and… other well-documented and effective strategies (e.g., higher prices for tobacco products through increases in excise taxes, tobacco free environments, programs that promote changes in social norms, and comprehensive communitywide and school-based tobacco-use prevention policies).”

Additionally, in a recent column in Kaiser Health News, “The Prevention Dilemma,” Rob Gould states that tobacco control should be the top priority for health reform funding and youth prevention placed at the top of the list. He argues for a “nationwide public education campaign modeled on the highly successful Truth® campaign that dissuades thousands of young people from initiating tobacco use and encourages smoking cessation.”

The MMWR brings disappointing news in terms of tobacco control, yet hopefully can be the driving force to focus our public health and policies and resources on preventing youth smoking and make this a healthier nation.

Katie Burggraf
Partnership for Prevention Intern

Tuesday, 22 June 2010

New Regulations Go Into Effect: The One Year Anniversary of the Tobacco Control Act

A year ago today, June 22, 2009, President Obama signed the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act), which places the regulation of tobacco products under the authority of the Food and Drug Administration (FDA).

Under the provisions of this Act, the FDA established the Center for Tobacco Products whose main goals include preventing the initiation of tobacco use among America’s children and adolescents; aiding adults with tobacco cessation; supplying the public with necessary information on the ingredients of tobacco products and the potential harms of using tobacco products; and using the regulation of tobacco products to protect the public from the health burden of tobacco, which is currently the leading cause of preventable disease in the United States.

So what happens today, June 22, 2010?

Today, new restrictions on tobacco product sales and marketing go into effect. These include the banning of descriptors such as “light,” “mild,” and “low” in cigarette and smokeless tobacco labeling and advertisements; larger and more graphic warning labels on smokeless tobacco products and advertisements; and the implementation of the 1996 Rule on Youth Access and Marketing. This rule aims to prevent the use of tobacco related products among America’s youth through regulations that prohibit the sale of cigarettes and smokeless tobacco to minors under federal law; ban tobacco related sponsorships of athletic, social, and other cultural events; and prohibit the sale of cigarette packages with less than twenty cigarettes.

And what should we look for in the future?

In the future the FDA is looking to develop tobacco product standards, regulate the introduction of new tobacco products, and place larger and more graphic warning labels on cigarette packaging and advertisements. Until then, the FDA urges states and localities to continue implementing tobacco taxes, smoke-free laws, funding for tobacco prevention and cessation, and coverage for smoking cessation services – all of which have proven to be effective in controlling the use of tobacco.

As Risa Lavizzo-Mourey, President and CEO of the Robert Wood Johnson Foundation explains, “Tobacco use is a contributing factor to dozens of diseases and conditions that impact American and accounts for $96 billion each year in health care costs. This groundbreaking legislation is a big investment in prevention that will help all Americans lead healthier lives.”

Read more about the Tobacco Control Act’s One Year Anniversary by clicking here.

Kathryn Burggraf
Tobacco Control Intern
Partnership for Prevention

Tuesday, 11 May 2010

HHS Secretary Names Preventing and Reducing Tobacco Use as a Top Priority

U.S. Department of Health and Human Services Secretary Kathleen Sebelius has named preventing and reducing tobacco use as a strategic initiative for HHS. Sebelius noted that it will require “comprehensive, sustained, and accountable tobacco control efforts based on evidence-based interventions” to lower the current smoking rate of twenty percent in the U.S.

Initial actions identified to increase efforts to prevent and reduce tobacco use include:
  • Strengthening the implementation of evidence-based tobacco control interventions and policies in States and communities;
  • Changing social norms around tobacco use;
  • Accelerating research to expand the science base and monitor progress; and
  • Leveraging HHS systems and resources to create a society free of tobacco-related disease and death.
Increasing efforts in the area of tobacco control is a big step in the right direction to ensure that Americans live healthier lives.

Brandi Robinson
Program Associate
Partnership for Prevention

Friday, 23 April 2010

Tobacco Control Report Released by CDC to Help States Develop and Implement Plans to Reduce Tobacco Use

The Centers for Disease Control and Prevention has released the report Tobacco Control State Highlights 2010, which provides tobacco control programs and decision-makers with state-specific data regarding proven, high-impact tobacco strategies. The report aims to address the public health impact of smoking and call attention to the urgent need to end the tobacco use epidemic.

Tobacco Control State Highlights 2010 provides state-specific data for a number of indicators including prevalence of tobacco use; Medicaid coverage for cessation counseling and medications; state retail environment tobacco licensure laws; and state funding for tobacco control. The indicators that were selected for this report are considered important and timely because they are closely aligned with high-impact program and policy recommendations from CDC’s Best Practices for Comprehensive Tobacco Control, 2007 and MPOWER, the World Health Organization’s framework for reducing tobacco use globally.

Key information provided by the report includes:
  • There are currently 24 states and D.C. that have passed comprehensive smoke-free laws
  • In 2007, seven states (Indiana, Massachusetts, Minnesota, New Mexico, Oklahoma, Oregon, and Pennsylvania) provided insurance coverage to Medicaid enrollees for all FDA-approved medicines and counseling to quit smoking.
  • Six states (Alabama, Connecticut, Georgia, Missouri, Nebraska, and Tennessee) had no cessation coverage for their Medicaid population
  • Combined interventions – increasing the price of cigarettes, implementing smoke-free policies, implementing mass media advertising campaigns, reducing tobacco advertising and promotion, controlling access to tobacco products, and promoting and assisting smokers to quit – are proven to significantly reduce smoking.
According to CDC Director Thomas R. Frieden, M.D., M.P.H. "Smokefree laws, hard-hitting ads, and higher cigarette prices are among our strongest weapons in this fight against tobacco use. We must redouble efforts to bring down smoking rates, prevent suffering and premature death, and cut health care costs by reducing smoking."

In the hopes of helping states take steps toward permanent change in coverage, access, and utilization of tobacco cessation treatments, Partnership for Prevention has awarded six ACTTION State Grants for the implementation of innovative strategies to increase access to treatment. Funds are to be used primarily for the development of state alliances and the creation of strategic plans. The projects will have a range of focuses including employer groups, health care systems, the uninsured, and the behavioral health/substance abuse populations.

The Partnership for Prevention ACTTION Grantee States are:
  • Colorado - Cessation Coverage/Treatment for Colorado’s Uninsured
  • Florida - Tobacco Cessation Summit & Action Plan
  • Nevada - Increasing Cessation Access for All Nevadans
  • New England - New England Partnership for Smoking Cessation Policy
  • New York – New York State Access to Tobacco Use Treatment Strategic Planning Project
  • Virginia - Virginia Partnership for Tobacco Use Cessation
Brandi Robinson
Tobacco Control Program Associate
Partnership for Prevention