As the World Health Organisation’s World No Tobacco Day takes aim at low-risk alternatives to smoking, several international experts have made critical comments in response. Continue reading “International experts in tobacco policy say WHO is blocking innovation and wasting opportunities to save millions of lives”
The new Commissioner, Scott Gottlieb calls for FDA to develop a ‘new comprehensive plan for tobacco and nicotine regulation’ and announced ‘bold and far-reaching measures’ based on ‘ a firm foundation of rules and standards for newly-regulated products’. FDA announced it would “begin a public dialogue about lowering nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards“.
There have been two very encouraging initiatives in the United States in the last month, both captured in the form of letters to recently-appointed FDA Commissioner Scott Gottlieb.
Some of the most experienced US tobacco control experts are showing support for tobacco harm reduction and calling for a rethink of the approach to regulating low-risk nicotine products, such as vaping technologies. I see this as an emerging second front in US public health tobacco policy – one that is more pragmatic and focussed on tackling disease as effectively as possible than the established coalition. Continue reading “American experts call for risk-based reform of FDA regulation of tobacco and nicotine”
Can the impending near-complete destruction of the U.S. vaping market be averted? A group of public health experts believes it can – though time is running out. Led by Iowa Attorney General Tom Miller (@AGIowa) they have written to the new Commissioner of the Food and Drug Administration, Dr Scott Gottlieb (@SGottliebFDA) with proposals and supporting material. The focus is on what can be done by the FDA itself, without Congress amending the Tobacco Control Act.
On 17 November 2016, the Iowa Attorney General, Tom Miller, gave a speech at the E-cigarette Summit 2016 (with biography) on e-cigarettes examining the claims of anti-vaping activists, and their scientific, ethical and legal basis. The full text of the speech is here: America Needs England (PDF). I reported an earlier speech here.
The speech should be widely read, especially in the United States. To facilitate an informed reading, I have reproduced the speech here, with some thematic subheadings, source links and illustrations [these are my additions].
- On legal accountability and the limits of impunity for misleading consumers
- On misleading health claims
- On fundamentals: no combustion
- On youth vaping and smoking
- On e-cigarette gateways
- On e-cigarette marketing to kids
- On false perceptions of relative risk and the responsibility of public health bodies to put this right
- On what America can draw from England
- On the importance of top academics speaking out
Quite simply the best speech I have ever heard on tobacco and nicotine policy, science and ethics. From Tom Miller one of the architects or the United States Master Settlement Agreement and Chair of the Truth Initiative. A model of decency, humility and rigorous scientific reflection, in my opinion.
The speech was given over lunch at the Food and Drug Law Institute Tobacco Conference, 27 October 2016 in Washington DC.
General Miller’s speaking notes are available here (check against delivery).