SF Board of Supervisors committee unanimously endorses proposed Recovery First Drug Policy, sends to full board

On April 24, the SF Board of Supervisors Committee on Administration unanimously endorsed Supervisor Matt Dorsey’s Recovery First Drug Policy. The amendments were suggested by the San Francisco/Marin Medical Society to make the language more precise in medical terms, but did not substantively change the policy statement, which now reads, “Long-term remission of substance useContinue reading “SF Board of Supervisors committee unanimously endorses proposed Recovery First Drug Policy, sends to full board”

18 Senators write HHS leaders asking for details on cuts to tobacco programs and specific plans to meet legal obligations

On April 22, 2025, 18 Democratic senators wrote HHS Secretary Kennedy and the leaders of the FDA and CDC expressing concern about Trump Administration decisions to decapitate and cut the FDA Center for Tobacco Products and shut down the CDC Office on Smoking and Health, actions that will cost billions in health costs by nextContinue reading “18 Senators write HHS leaders asking for details on cuts to tobacco programs and specific plans to meet legal obligations”

San Francisco’s proposed Recovery First Drug Policy is a good idea

In September, San Francisco Supervisor Matt Dorsey introduced his “Recovery First Drug Policy” that states “The cessation of illicit drug use and attainment of long-term Recovery from Substance Use Disorders shall be the primary objective of the City’s drug policy.” The policy allows for other steps, including harm reduction, as part of a comprehensive approachContinue reading “San Francisco’s proposed Recovery First Drug Policy is a good idea”

Trump gives Big Tobacco a big gift: He killed the National Youth Tobacco Survey, blinding public, researchers, and policy makers to the effects of changing tobacco industry products and practices

The now-shuttered CDC Office on Smoking and Health (OSH) has conducted the National Youth Tobacco Survey since 1999.  The survey provides important surveillance about how youth tobacco use is changing.  After Congress created the FDA Center for Tobacco Products, it partnered with CDC to expand the scope and depth of the survey, including increasing detailsContinue reading “Trump gives Big Tobacco a big gift: He killed the National Youth Tobacco Survey, blinding public, researchers, and policy makers to the effects of changing tobacco industry products and practices”

Trump removes Brian King as Director and guts FDA Center for Tobacco Products

As part of its campaign to wreck the federal government, Brian King, head of the FDA Center for Tobacco Products, has been put on administrative leave. He has been reportedly offered a job with a regional office of the Indian Health Service that includes Alaska. (According to the New York Times, “Some senior leaders basedContinue reading “Trump removes Brian King as Director and guts FDA Center for Tobacco Products”

“Hard core” smokers are melting away in response to established tobacco control policies

The whole argument for promoting e-cigarettes, heated tobacco and other “potentially reduced risk” tobacco products is built on the assumption that there is a “hard-core” of smokers who “cannot or will not quit” using established smoking cessation therapies or in response to population level tobacco control interventions (e.g., clean indoor air laws, media campaigns, orContinue reading ““Hard core” smokers are melting away in response to established tobacco control policies”

Three year study finds that fourth-generation e-cigarettes like Juul associated with continued smoking and vaping

Most studies of the association between e-cigarette use and smoking and nicotine cessation have been conducted with the earlier generation e-cigarettes, which do not deliver nicotine as effectively as the fourth generation e-cigarettes pioneered by Juul. (These e-cigarettes use protonated nicotine [also called nicotine salts] to increase nicotine delivery to the user.) Our meta-analysis ofContinue reading “Three year study finds that fourth-generation e-cigarettes like Juul associated with continued smoking and vaping”

RJR reports Calif effort to get rid of “non-menthol” cigs are working

In 2023 RJR Tobacco sued California AG Rob Bonta trying to block his decision that RJR’s “non-menthol” cigarettes (example1, example2) were included in California’s prohibition on the sale of flavored tobacco products. RJR argued that these products were not “flavored” because the cooling sensation they delivered was provided with the chemical WS-3, which did notContinue reading “RJR reports Calif effort to get rid of “non-menthol” cigs are working”

Surgeon General Reports on Tobacco Health Disparities and E-cigs available at UCSF Tobacco Center eScholarship site

Shortly after Donald Trump took office, the Surgeon General Reports Eliminating Tobacco-Related Disease and Death: Addressing Disparities (2024) and E-cigarette Use Among Youth and Young Adults (2016), together with related public education materials, disappeared from the CDC website. As of today (February 24, 2025), the e-cigarette report was back on the CDC website, but theContinue reading “Surgeon General Reports on Tobacco Health Disparities and E-cigs available at UCSF Tobacco Center eScholarship site”

Forewarned is for-armed: Tobacco, food and alcohol industry efforts to intimidate health advocates and researchers

As someone who has spent decades doing public health research and advocacy on tobacco and other issues, I have been the object of several attacks and intimidation efforts, including, among other things, attacks on my professional credibility, litigation, and pressure on funders. Fortunately, thanks to a strong support network, including from the University of California,Continue reading “Forewarned is for-armed: Tobacco, food and alcohol industry efforts to intimidate health advocates and researchers”