Emerging Tobacco Product Issues -- The New Kids in Town

1. Emerging Tobacco Product Issues --The New Kids in Town MDCH Tobacco Program September 2009

2. AKA… • So-called “harm reduced” products • Potentially reduced exposure products = PREPS • Non-tobacco nicotine products • Alternative tobacco products

3. The term “Harm Reduction” • Has been generally used in the fields of substance abuse, alcohol abuse, and sex health education • And more recently to tobacco use – reducing the harm caused by tobacco by using products that are potentially less toxic….

4. Tobacco -Harm Reduction!?Why? • 70% of smokers want to quit. • But only 4.7% of them quit for 3-12 months • This indicates difficulty in quitting, So Tobacco industries wanted to keep the addiction and protect their products…and came with: Strategies to reduce tobacco harm (other than quitting) and one of them is Tobacco Harm reduction products to appear that they care about smoker’s health

5. There is ample evidence that the tobacco companies have long been expert in manipulating the amount of nicotine in their tobacco products…

7. Some pictures of so-called reduced harm or potentially reduced exposure products

8. The mixed message about “harm reduction” and “reduced exposure”…. Reduced exposure ≠ reduced harm Reduced exposure should result in reduced riskof disease to be significantly acceptable!

9. Tobacco -Harm Reduction!?The evidence? There is NO EVIDENCE to suggest that: • there is enough of a reduction in tobacco toxins exposure with any of the existing tobacco products to expect a reduction in disease risk. • Also the extent of toxin exposure reduction necessary to result in disease reduction is not knownyet.

10. Example of loose-leaf chewing (spit) tobacco

12. Switching to Low-Tar Cigarettes

13. Examples of Twist-Chewing tobacco

14. Chewing (spit) tobacco - loose-leaf

15. Examples of Snuff-Moist

16. Chewing (spit) tobacco- loose-leafTucked between the gum and jaw

17. Chewing tobacco - PlugChewed or held in the cheek and may be held for hours

18. Moist SnuffFlavored…

19. Chewing tobacco - Plug

20. Chewing tobacco - TwistChewed or held in the cheek and may be held for hours

21. Moist snuffA pinch is placed between the lip or cheek and gum and held for 30 minutes

22. Light Cigarettes

23. Dry SnuffSame as moist, may also be sniffed

24. Dry Snuff

25. Flavored TobaccoUsed for the Hookah

26. Flavored TobaccoUsed for cigarettes

27. Orbs TobaccoPlaced in the mouth, on the tongue or between the cheek and gum where it dissolves to release tobacco

28. Orbs TobaccoResembles candy and breath mint strips

29. SnusA finely ground tobacco in sachets "tea bag-like pouches”

30. More spit tobacco

32. E-cigaretteThe Marketers say: it looks like a cigarette, feels like a cigarette and tastes like a cigarette, yet it isn’t a cigarette

33. E-cigaretteManufacturers consider it a device – not a drug

34. E-cigaretteManufacturers claim that they are safer???

35. E-cigaretteManufacturers claim that they are safer??? • But the FDA On July 22, 2009announced that the results of the analysis of the electronic cigarette samples showed that the product contained detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed.

36. _____________________ Thank you