Clearing the smoke : assessing the science base for tobacco harm reduction / Kathleen Stratton ... [et al.], editors.

Format:

Book

Contributor:

Stratton, Kathleen R.

Language:

English

Subjects (All):

Smoking--Health aspects.

Smoking.

Smoking cessation.

Tobacco use--Prevention.

Tobacco use.

Physical Description:

1 online resource (656 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : Institute of Medicine, National Academy Press, c2001.

Language Note:

English

Summary:

Despite overwhelming evidence of tobacco's harmful effects and pressure from anti-smoking advocates, current surveys show that about one-quarter of all adults in the United States are smokers. This audience is the target for a wave of tobacco products and pharmaceuticals that claim to preserve tobacco pleasure while reducing its toxic effects. Clearing the Smoke addresses the problems in evaluating whether such products actually do reduce the health risks of tobacco use. Within the context of regulating such products, the committee explores key questions: Does the use of such products decrease exposure to harmful substances in tobacco? Is decreased exposure associated with decreased harm to health? Are there surrogate indicators of harm that could be measured quickly enough for regulation of these products? What are the public health implications? This book looks at the types of products that could reduce harm and reviews the available evidence for their impact on various forms of cancer and other major ailments. It also recommends approaches to governing these products and tracking their public health effects. With an attitude of healthy skepticism, Clearing the Smoke will be important to health policy makers, public health officials, medical practitioners, manufacturers and marketers of "reduced-harm" tobacco products, and anyone trying to sort through product claims.

Contents:

Front Matter

Preface

REVIEWERS

Contents

Executive Summary

1 Introduction

2 Principles of Harm Reduction

3 Historical Perspective and Lessons Learned

4 Products for Tobacco Exposure Reduction

5 The Scientific Basis for PREP Assessment

6 Surveillance for the Health and Behavioral Consequences of Exposure Reduction

7 Implementation of a Science-Based Policy of Harm Reduction

8 Principal Conclusions

9 Nicotine Pharmacology

10 Tobacco Smoke and Toxicology

11 Exposure and Biomarker Assessment in Humans

12 Cancer

13 Cardiovascular Disease

14 Nonneoplastic Respiratory Diseases

15 Reproductive and Developmental Effects

16 Other Health Effects

A Presentations and Submissions

B Committee Biographical Sketches

C Time Line of Tobacco Events

Index.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786610185153

9781280185151

1280185155

9780309511841

0309511844

OCLC:

52786961