Flanking measures for tobacco product standards

A letter to the Secretary for Health and Human Services, Xavier Becerra, calling for six supporting strategies to improve the impact of three forthcoming (though repeatedly delayed) tobacco product standards in the United States. The idea is to encourage “good” responses to such standards – for example switching to menthol vapes rather than illicit menthol cigarettes.

Letter PDF: Enhancing the public health impact of upcoming tobacco product standards 12 April 2024

Six main themes are identified:

  1. Embed standards in a coherent regulatory strategy to shift the trajectory of disease and inequities while protecting youth and ensuring a well-regulated, lawful market. 
  2. Deliver the availability of a far broader range of authorized, lower-risk nicotine products. 
  3. Make a sustained effort to align risk perceptions with sound science. 
  4. Improve the public understanding of the role of nicotine. 
  5. Raise health and medical practitioner awareness and engagement. 
  6. Impose credible enforcement and community safety regimes for product standards. 

Letter from:

  • Jasjit S Ahluwalia, MD, MPH, MS
  • Scott D. Ballin, JD
  • Clive D. Bates, MA, MSc
  • Neal L. Benowitz, MD
  • K. Michael Cummings, MPH, PhD
  • Jonathan Foulds, PhD
  • Thomas J. Glynn, PhD
  • Scott Leischow, PhD
  • Lynn T. Kozlowski, PhD
  • Robin Mermelstein, PhD
  • Ethan Nadelmann, JD, PhD
  • Michael F. Pesko, PhD
  • Nancy A. Rigotti, MD
  • Brad Rodu DDS
  • David Sweanor, JD
  • Kenneth E. Warner, PhD

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