Without effective regulation, 'reduced risk' tobacco products threaten public health. Report by the US House of Representatives
Harm Reduction
Tobacco is a uniquely dangerous consumer product and there is no safe level of use. Most of the harm comes from the poisons in tobacco smoke. Smokeless tobacco products are less hazardous but are associated with an increased risk of mouth and throat cancers. Although nicotine is the addictive component of tobacco, it is relatively benign compared to the other toxins in tobacco. Therefore it is possible to use ‘clean’ nicotine that is found in medicinal nicotine replacement products without causing lasting harm. One way of reducing the harm caused by tobacco may be to facilitate the switch from smoked tobacco products to the use of ‘clean’, non-tobacco, nicotine products.
Without effective regulation, 'reduced risk' tobacco products threaten public health. Report by the US House of Representatives
Article in Thorax of a systematic review of studies relating the smokeless tobacco.
The report outlines the case for lifting the ban on certain types of oral tobacco in the European Union. The European Union denies smokers to other tobacco options available to them.
The impact of smokeless tobacco use on smoking in northern Sweden. A review done for ASH.
The purpose of this study was to characterize the relation between smokeless tobacco use and the risk of all-cause and disease-specific mortality. The authors assessed the 20-year mortality experience of smokeless tobacco users.
Held by the Health Development Agency (from 2005 called the National Institute of Clinical Excellence), ASH and Pharmacy Healthcare Scheme at the Russell Hotel. The aim of the meeting was to discuss the role that a harm reduction strategy can play in tobacco control.
Background paper on issues and conflicts over harm reduction strategies for tobacco. The product is harm reducing if lower total tobacco related morbidity and mortality even though that product may involve continued exposure to tobacco related toxicants.
Conceptual structure and nomenclature for analysis and research. The goal of tobacco control has always been to reduce death and disease due to tobacco use. Recent discussions have broadened the concept of tobacco control beyond cessation and prevention to include concepts such as the use of medications to achieve reduction in tobacco use, chemoprevention to reduce disease, modifications of tobacco products to reduce toxicity, and behavioural approaches to change smoking and tobacco use behaviour.
Smokers have a right to be informed of significant harm reduction options Public health policy needs to be assessed for effects on human rights as well as public health. Although promoting harm reduction products to cigarette smokers might lead to greater total public health harm, if the products become too popular, human rights issues also need to be considered.
ASH's critique of the US Institute of Medicine (IOM) report published as an editorial in the Tobacco Control Journal (June 2001).
The Harm Reduction International website includes a number of articles on tobacco harm reduction.
Editoral in the New Scientist on harm reduction. 10 November 2001.
Feature in the New Scientist on tobacco harm reduction. 10 November 2001 by Clair Wilson
Report by the New Zealand Health Technology Centre (NZHTA), Department of Public Health and General Practice, Christchurch School of Medicine and Health Sciences. Feb 2007, Volume 10, number 1 by Marita Broadstock. The New Zealand Health Technology Assessment (NZHTA) is a clearing house for health outcomes and health technology assessment, it conducts Systematic Reviews of evidence.
Report by the US Institute of Medicine (IOM). Clearing the Smoke: Assessing the science base for tobacco harm reduction. A vast report of what causes harm in tobacco products and what might be done about it. Feb 2001.









