Harm Reduction

E-vapor ArrayIn today s NEJM, a Perspective article by three experts in tobacco and economics discuss variable approaches to taxing nicotine-delivery products. Entitled Differential Taxes for Differential Risks Toward Reduced Harm from Nicotine-Yielding Products, it is co-...

Cooking DrugsA perspective article in the current NEJM, entitled Threading the Needle - How to Stop the HIV Outbreak in Rural Indiana, evaluates the root causes and the delayed and inadequate public health response to a smoldering HIV epidemic among IV drug users in poor rural Scott County, Indiana over the past two years. The authors, Steffanie Strathdee PhD and Chris Beyrer, MD MPH, from UCSD in San Diego, and Johns Hopkins-Bloomberg School of Public Health, Baltimore,...

ECigVaporHarmlessA new study published in Toxicology in Vitro found that while cigarette smoke damaged tissue with a dose-response effect -at six hours of exposure, only 12 percent of the cells remained alive - six hours of cellular exposure to e-cigarette vapor left the lung tissue unaffected.

The researchers from British American Tobacco, working with MatTek Corp., were led by Dr. Louise Neilson, and they had two main goals: first, to...

gilbertFor decades the Federal government has insisted they want fewer Americans to smoke but recent regulatory missteps have instead led to worries by health professionals that policies designed to create winners and losers in the smoking cessation market instead keep people addicted to tobacco. There has always been a bit of inconsistency in how smoking cessation has been handled; raising taxes on cigarettes, for example, unfairly impacts poor people, and those taxes fund government services, making the government more reliant on the industry they say they want to make smaller.

Smoking public service...

Chest CT scanA study led by Dr. Claudia Henschke of the Icahn School of Medicine at Mount Sinai in New York City, published in the journal Radiology, examined data on almost 58,000 people who took part in the International Early Lung Cancer Program (I-ELCAP). Almost 2,400 nonsolid nodules were detected, but upon annual follow-up, most remained stable or diminished in size. (A nonsolid nodule is a nodule that does not obscure the underlying lung tissue and in which the only solid components are blood vessels).

The goal of the study was...

E-vapor ArrayA new survey of smoking, tobacco and nicotine use by American adults underwritten by Reuters and Ipsos revealed that about one in ten of us vape use e-cigarettes or one of the 2nd or 3rd generation vapor products to reduce their consumption of cigarettes, or quit smoking entirely. (Ipsos is an international market research firm).

The poll was conducted between May 19 and June 4; respondents numbered 5,679 adults. Among those under the age of 40, 15 percent were vapers. (The most...

ByeBye-cigs-Hello-e-cigs-225x130The adult smoking rate in New York State has declined to near-historic lows, according to a press release from the office of Gov. Andrew Cuomo. According to the new report, the rate now is down to 14.5 percent (the national rate is 17.8 percent, according to the CDC). Even better news: the teen smoking rate is down to a new low: only 7.4 percent of NYS s high school students reported smoking (it is not completely clear whose data are...

Chest CT scanLet s get to the end of this story first, as the rest of it is subject to debate and discussion among patients, doctors and family members. This however is not: no screening will prevent or protect against lung cancer. The best and only protection is this: Don t smoke. If you do, quit.

That s easy to say, so hard to do. That's why it's far better to never start smoking! But the remaining discussion here is for smokers and ex-smokers considering if they should get the screening CT scan for lung cancer.

Not long ago, the official advisory to smokers and their doctors...

20120214_HSQCover22-176x225Dr. Brad Rodu is a Professor of Medicine at the University of Louisville. He has been an ACSH advisor for many years, and has written or co-written many of our publications on tobacco harm reduction.

He was also a member of the ACSH Panel at the American Academy for the Advancement of Science...