20 state attorneys general sue to block HHS cuts

Today (May 5, 2025) 20 Democratic state attorneys general filed a lawsuit to reverse President Trump and HHS Secretary Robert Kennedy Jr’s devastating cuts to the Department of Health and Human Services. The suit details the broad damage that the cuts are doing, with and emphasis on the states and, in many cases, the specificContinue reading “20 state attorneys general sue to block HHS cuts”

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”

Shuttering CDC and FDA tobacco offices will increase the deficit by billions of dollars (right away)

Trump shuttering the CDC Office on Smoking and Heath and decapitating the FDA Center for Tobacco Products will not only increase tobacco-caused disease but will also make the federal budget deficit worse (and cost American people and businesses a lot of money in avoidable medical costs). The only winners will be the big tobacco companiesContinue reading “Shuttering CDC and FDA tobacco offices will increase the deficit by billions of dollars (right away)”

1900 members of National Academies of Sciences, Engineering and Medicine issue statement warning about damage Trump is doing

One problem created by President Trump’s blitzkrieg against a wide range of government, academic, legal and other institutions has been the slow (but growing) development of collective action to defend these institutions and their value to society. Today, about 1900 members of the National Academies of Sciences, Engineering and Medicine (home page) issued an openContinue reading “1900 members of National Academies of Sciences, Engineering and Medicine issue statement warning about damage Trump is doing”

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”

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”

Historical and political context for Philip Morris International’s continuing medical education courses on harm reduction: Implications for current product regulation

In mid-2024 Drs. Robert Jackler, Pam Ling and others learned that the for-profit medical company Medcape was offering a continuing medical education course on tobacco harm reduction sponsored by Philip Morris International that promoted the industry position that smokers could reduce risk by switching from cigarettes to “less risky” products, such as smokeless tobacco. MostContinue reading “Historical and political context for Philip Morris International’s continuing medical education courses on harm reduction: Implications for current product regulation”

Heated tobacco products increase risk of metabolic syndrome more than smoking

The tobacco companies have been aggressively promoting heated tobacco products (HTP), including Philip Morris IQOS, BAT’s glo and JTI’s Ploom, as safer alternatives to cigarettes as part of the companies’ efforts to reposition themselves as “part of the solution” to the tobacco problem. Similar to e-cigarettes, they argue that these products are safer because theContinue reading “Heated tobacco products increase risk of metabolic syndrome more than smoking”

Dual use is not an intermediate condition on the way from cigarettes to “switching completely” or quitting

Discussion of potential harm reduction associated with the use of e-cigarettes assumes that smokers will “switch completely” from cigarettes to e-cigarettes or stop both tobacco products. Advocates of this view, including the US FDA, recognize and accept that this process may include a period of dual use in which smokers use both products. Now JosefContinue reading “Dual use is not an intermediate condition on the way from cigarettes to “switching completely” or quitting”