1 / 24

Smoking and Health: An Update

Smoking and Health: An Update. Jonathan M. Samet, MD, MS Director, USC Institute for Global Health Professor and Flora L. Thornton Chair, Department of Preventive Medicine Keck School of Medicine. Global Tobacco Epidemic.

Download Presentation

Smoking and Health: An Update

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Smoking and Health: An Update Jonathan M. Samet, MD, MS Director, USC Institute for Global Health Professor and Flora L. Thornton Chair, Department of Preventive Medicine Keck School of Medicine

  2. Global Tobacco Epidemic • State of the global tobacco epidemic and an update on the health effects of smoking

  3. Prevalence of Current Cigarette Smoking *GATS = Global Adult Tobacco Survey

  4. The 2010 Report of the U.S. Surgeon General • Reviews mechanisms by which smoking causes disease • Includes findings from human, animal, and laboratory studies • Evidence important for causation, prevention, diagnosis, and treatment Text and image source: USDHHS. (2010).

  5. SGR 2010: Major Conclusions Source: USDHHS. (2010).

  6. SGR 2010: Summary on Genetics of Nicotine Addiction Source: USDHHS. (2010).

  7. Emerging Information on the Health Effects of Smoking • Tuberculosis • Breast cancer • Diabetes mellitus

  8. Smoking and Tuberculosis

  9. Smoking and Tuberculosis

  10. Risk of Latent TB Infection for Smoking vs. Nonsmoking Image source: (2007). PLoS Med, 4:e20

  11. Risk of Clinical TB for Current Smoking vs. Nonsmoking Image source: (2007). PLoS Med, 4:e20

  12. Risk of TB Mortality for Smoking vs. Nonsmoking Image source: (2007). PLoS Med, 4:e20

  13. Smoking and Tuberculosis

  14. Smoking and Tuberculosis Deaths due to tuberculosis among Indian adults ages 30-69 years Estimated excess smoking-associated deaths among Indian adults in 2010 Source: Jha et al. (2008). NEJM, 358, 1137-1137.

  15. Tobacco Smoking/SHS Exposure and Breast Cancer Risk

  16. Tobacco Smoking/SHS Exposure and Breast Cancer Risk

  17. Smoking and Diabetes Image source: Willi et al. (2007). JAMA, 298, 2654-2664.

  18. Smoking and Diabetes Image source: Willi et. al. (2007). JAMA, 298, 2654-2664.

  19. Menthol Cigarettes • A report of the FDA’s Tobacco Products Scientific Advisory Committee (TPSAC)

  20. Menthol Cigarettes • Menthol is an organic compound (a naturally occurring monocyclic terpene alcohol), either derived from natural sources or synthesized, widely used in consumer and medicinal products • Pharmacologically, menthol in cigarette smoke has a cooling effect that may facilitate deeper inhalation and mask the irritation by nicotine and other smoke components • Menthol is present in most cigarettes in the United States, and in about 30% of cigarettes it is present in high enough concentration to make menthol the characterizing flavor

  21. Menthol Cigarettes • The FDA is charged with addressing the impact of the use of menthol in cigarettes on the public health • Its scientific committee developed a report on this topic, released in March 2011 • Menthol cigarettes are not common worldwide, but products are being developed

  22. Menthol: Possible Effects on Public Health Image source: Tobacco Products Scientific Advisory Committee (TPSAC), FDA. 2011

  23. TPSAC Conclusions: • Based on the conclusions to the nine questions, TPSAC provides the following general conclusions: Menthol cigarettes have an adverse impact on public health in the United States There are no public health benefits of menthol compared to non-menthol cigarettes

  24. TPSAC’s Recommendation to FDA Removal of menthol cigarettes from the marketplace would benefit public health in the United States

More Related