International experts in tobacco policy say WHO is blocking innovation and wasting opportunities to save millions of lives

WHO NCD poster
WHO Tobacco Free Initiative and Framework Convention on Tobacco Control – you have one job!

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”

Huge FDA announcement on future tobacco and nicotine strategy

FDA’s Scott Gottlieb: “new comprehensive plan for tobacco and nicotine regulation”

It came as a surprise, but today’s announcement from FDA on tobacco policy is huge.  The video of Dr Gottlieb’s speech and background is available here and speech text here.

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“.

FDA Press announcement: FDA announces comprehensive regulatory plan to shift trajectory of tobacco-related disease, death

Some highlights… Continue reading “Huge FDA announcement on future tobacco and nicotine strategy”

American experts call for risk-based reform of FDA regulation of tobacco and nicotine

Note to FDA – this means you!

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”

Avoiding bureaucratic destruction of the US vaping market – proposals for a new approach by FDA

Anti-proportionate regulator?

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.

This is the package. Continue reading “Avoiding bureaucratic destruction of the US vaping market – proposals for a new approach by FDA”

Bad science, accountability and courage – speech by AG Tom Miller

Iowa Attorney General Tom Miller
Tom Miller: “public policy through facts and science rather than ideology”

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].

Continue reading “Bad science, accountability and courage – speech by AG Tom Miller”

Iowa Attorney General Tom Miller gives outstanding speech on smoking, vaping and public health – listen

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).