Thai kids who start with e-cigs more likely to go on to add cigs

Kade Patanavanich, Methavee Worawattanakul, and I just published “Longitudinal bidirectional association between youth electronic cigarette use and tobacco cigarette smoking initiation in Thailand” in Tobacco Control. This paper shows that in Thailand, as in richer countries, never-smoking youth who use e-cigarettes are more likely to become smokers than kids who don’t use e-cigarettes. (Kids whoContinue reading “Thai kids who start with e-cigs more likely to go on to add cigs”

Trump judge continues to delay cigarette warning labels by doing nothing

Last May a federal judge in Texas appointed by President Trump again delayed ruling on the tobacco companies’ lawsuit against the Congressionally-mandated warnings on cigarette packs that the FDA finally issued in 2020. Now he has done it again, pushing the rule’s effective date for the warning labels by an additional 90 days, to OctoberContinue reading “Trump judge continues to delay cigarette warning labels by doing nothing”

FDA should not grant exemptions to its proposed standard banning menthol in cigarettes that would continue to allow menthol heated tobacco products or low nicotine cigarettes

FDA’s proposed standard banning menthol in cigarettes is very well-done except for its provision that would allow FDA to exempt heated tobacco products like Philip Morris’ IQOS, BAT’s glo or JTI’s Ploom — which are considered “cigarettes” under the law — or low nicotine cigarettes. (FDA has only authorized sale IQOS so far.) This isContinue reading “FDA should not grant exemptions to its proposed standard banning menthol in cigarettes that would continue to allow menthol heated tobacco products or low nicotine cigarettes”

FDA should prohibit all menthol flavor additives, compounds, constituents, and ingredients in cigarettes, and should not limit the proposed standard to prohibiting menthol as a “characterizing flavor”

My colleagues at UCSF and other universities and I have submitted this comment to the FDA in response to its proposal to prohibit the use of menthol in cigarettes. A PDF of the comment is here. The Regulations.gov tracking number is l6b-ew3y-c1ye. FDA should prohibit all menthol flavor additives, compounds, constituents, and ingredients in cigarettes,Continue reading “FDA should prohibit all menthol flavor additives, compounds, constituents, and ingredients in cigarettes, and should not limit the proposed standard to prohibiting menthol as a “characterizing flavor””

Cutting phase-in for cig menthol ban from 1 year to 90 days will prevent 265,000 kids from smoking and 12,000 premature deaths

FDA’s draft rule ending menthol cigarettes proposes giving tobacco companies a year to clear menthol cigarettes off the market. FDA requested public comment on shortening the phase in 90 days. My UCSF and Stanford colleagues and I submitted this public comment (PDF version) supporting a 90 day phase in. We noted that FDA’s own analysisContinue reading “Cutting phase-in for cig menthol ban from 1 year to 90 days will prevent 265,000 kids from smoking and 12,000 premature deaths”

FDA granting the tobacco companies’ request to extend the public comment period its menthol cigarette ban will lead to 58,000 more smokers and 2,700 more deaths

FDA has invited public comment on its well-justified rule to get rid of menthol cigarettes. Even though dealing with menthol cigarettes has been being considered and debated for 13 years, the tobacco companies have told FDA they need more time to prepare their comments and asked that the comment period be extended for 60 days.Continue reading “FDA granting the tobacco companies’ request to extend the public comment period its menthol cigarette ban will lead to 58,000 more smokers and 2,700 more deaths”

FDA proposed updating its HPHC list in 2019; it needs to finish the job

One of the nerdy, but very important, parts of the FDA tobacco product regulatory process is the list of “Hazardous and Potentially Hazardous Compounds” (HPHC) list that FDA released in 2012. This list contains 93 bad chemicals — mostly carcinogens — that FDA identified as important when assessing the risks of tobacco products. It hasContinue reading “FDA proposed updating its HPHC list in 2019; it needs to finish the job”

FDA’s proposed ban on menthol cigarettes explains why FDA needs to reverse its de facto approvals of menthol e-cigarettes

The FDA’s decisions to act on premarket tobacco product applications (PMTAs) for e-cigarettes has been explicit about two points: (1) it is authorizing tobacco flavors because kids don’t seem to use tobacco flavored e-cigs and (2) it is blocking flavored e-cigs – except menthol – because kids like flavors.  Because they can’t justify allowing mentholContinue reading “FDA’s proposed ban on menthol cigarettes explains why FDA needs to reverse its de facto approvals of menthol e-cigarettes”

Ending the sale of flavored tobacco products is the real harm reduction

Yesterday (May 9, 2022) I testified before the Colorado Senate Finance Committee supporting a proposed statewide ban on the sale of all flavored tobacco products. As usual, opponents claimed that flavored products were needed for “harm reduction.” In listening to their testimony, I realized that for e-cigs and other tobacco products to actually reduce harm,Continue reading “Ending the sale of flavored tobacco products is the real harm reduction”

FDA proposed menthol ban in cigarettes is well done, except for the exceptions

On April 28, 2022, FDA released its proposed tobacco product standard prohibiting menthol cigarettes. The justification for prohibiting menthol as a characterizing flavor includes a comprehensive review of the effects of menthol on smoking, including why menthol promotes cigarette initiation and how it makes it harder to quit smoking. In addition to summarizing the behavioralContinue reading “FDA proposed menthol ban in cigarettes is well done, except for the exceptions”