Tobacco- April 17th, 2015


New on the CTP Website: Video Series on Tobacco Regulatory Science in Action
We are pleased to announce a new video series on the CTP website: Tobacco Regulatory Science in Action. In each video, the scientists behind CTP-supported research share the work they are doing, and, not only why it is so important to public health, but also to each of them personally.

As you’ll see, though the research spans many topics, the scientists all share a common goal—that their efforts will add to the knowledge base informing FDA’s decision making around tobacco product regulation and communication. The first three videos in the series represent a cross-section of the work under way around the perceptions and preferences of tobacco users, as well as the long term impact of using various tobacco products. We will add more videos in the coming weeks, so be sure to check back with us. See the videos now.


Government Survey Shows Youth E-Cigarette Use Tripled in One Year and Exceeds Use of Regular Cigarettes – FDA Must Act Now to Protect Kids (condensed version)
Historic Decline in Cigarette Smoking is Great News
Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids

WASHINGTON, DC – The 2014 National Youth Tobacco Survey released today shows that  historic declines in youth cigarette smoking continue, but youth use of electronic cigarettes tripled from 2013 to 2014 and, for the first time, exceeds use of regular cigarettes.
Among high school students, current cigarette smoking (use on at least 1 day in the past 30 days) fell from 12.7 percent in 2013 to 9.2 percent in 2014, reaching another record low. However, current e-cigarette use jumped from 4.5 percent in 2013 to 13.4 percent in 2014 (it was just 1.5 percent in 2011). Also troubling, there was no decline in overall tobacco use from 2011 to 2014, with 24.6 percent of high school students reporting current use of at least one tobacco product in 2014.
The dramatic decline in youth cigarette smoking is terrific news for our nation’s health and shows that the fight against tobacco is winnable if we do what we know works. However, the skyrocketing use of e-cigarettes is frightening and threatens this progress. It should spur strong and prompt action to prevent kids from using any tobacco product, not just cigarettes. We cannot allow the tobacco industry to keep addicting kids and create another epidemic with a new generation of tobacco products.
These survey results show why the Food and Drug Administration must act with urgency to protect our kids and issue a final rule to regulate all tobacco products, including e-cigarettes, cigars and hookah. We again call on the FDA and the Obama Administration to issue a final rule by April 25 – one year after the FDA issued a proposed rule – and to close gaps in the rule by cracking down on marketing and flavors that appeal to kids. The FDA first announced in early 2011 that it planned to regulate e-cigarettes, cigars and other unregulated tobacco products, so these important public health protections are long overdue. We cannot afford more delays that allow the tobacco industry to continue targeting our kids with unregulated tobacco products.
The National Youth Tobacco Survey results were published jointly by the FDA and the Centers for Disease Control and Prevention. The FDA’s own evidence leaves the agency with no excuse for failing to act immediately to protect our kids.
The National Youth Tobacco Survey results were published in the CDC’s Morbidity and Mortality Weekly Report.

New NIOSH Report Recommends All Workplaces be Tobacco Free
Recommendations include exposures to e-cigarettes in the workplace
A new report from the National Institute for Occupational Safety and Health (NIOSH) recommends that all workplaces become tobacco-free and that employers make tobacco cessation programs available to workers. These latest recommendations, which also encompass the use of Electronic Nicotine Delivery Systems (ENDS)—or e-cigarettes—are aimed at protecting workers from the occupational hazards of tobacco and the effects of secondhand exposure to tobacco smoke and emissions from e-cigarettes.
NIOSH’s recommendations, which were issued in a technical document called a Current Intelligence Bulletin (CIB), build upon previous recommendations regarding tobacco use in the workplace and incorporate public review and comment on an earlier draft document. The report is aimed at preventing occupational injury and illness related to tobacco use, while also improving the general health and well-being of workers.
Current Intelligence Bulletin 67: Promoting Health and Preventing Disease and Injury Through Workplace Tobacco Policies is available at

New Toolkit on Working with Healthcare Enrollment Assistors to Promote Tobacco Cessation
The Affordable Care Act and the new health insurance coverage options it established brought many new opportunities to help smokers quit. The American Lung Association has released a new toolkit exploring one of these opportunities: working with healthcare enrollment assistors to promote tobacco cessation to people enrolling in insurance coverage. You can view the toolkit here.
Healthcare enrollment assistors are organizations and individuals who help people enroll in new health insurance coverage – particularly Medicaid and state health insurance marketplace plans. These assistors include Patient Navigator Organizations, certified application counselors and brokers. These professionals are interacting directly with consumers – helping them to enroll, but also having discussions about their health and their coverage needs. This toolkit is designed to help you work with assistors in your state or area to make tobacco and quitting a part of these discussions.

In the toolkit, you will find:

  • Background information on health insurance enrollment, State Health Insurance Marketplaces and Medicaid Expansion
  • Information to help you build a strategy for reaching out to assistors (including links to lists of assistor organizations in your state or area)
  • Materials for consumers and assistors about tobacco cessation.

CDC Launches 2015 Tips Campaign
On March 30, 2015, CDC renewed the Tips From Former Smokers campaign ( with new, hard-hitting ads that show the harsh consequences of smoking. Real people tell personal stories about conditions linked to smoking that are not as well known to the public, such as colorectal cancer and vision loss (macular degeneration). Ads also highlight the benefits of quitting for loved ones and the importance of quitting cigarettes completely, not just cutting down. Ads are scheduled to air for 20 weeks—through August 16.

Following are materials as well as activities to help promote the campaign launch. We hope these resources will help facilitate your planning efforts and further support people in your own community who want to quit. Please share this e-mail with your tobacco control partners so that they can plan to use our materials, too.
Tips Web Site Resources: has comprehensive resources for you to use and promote, including:

  • Bios and additional interviews of the ad participants
  • Overviews of the health conditions featured in the campaign
  • Spanish-language content
  • “I’m Ready to Quit” practical tips for quitting smoking
  • Web badges and buttons to post on your site to link readers to the compelling personal stories on the Tips Web site
  • Printable Tips ads to hang in your workplace

Materials from the Tips from Former Smokers Download Center:

  • Access free materials at These include low-resolution TV ads; radio, online, print, and out-of-home ads; and public service announcements.

If you have additional questions about the 2015 Tips campaign, please contact

Institute of Medicine (IOM) Releases Report on Raising Minimum Age for Tobacco Purchases
In 2013, as requested by the U.S. Food and Drug Administration (FDA), the Institute of Medicine (IOM) convened a committee to conduct a study on the public health implications of raising the minimum age to purchase tobacco products. In the report, Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products, the committee of experts reviews existing literature on tobacco use initiation, developmental biology and psy­chology, and tobacco policy and predicts the likely public health outcomes of raising the minimum legal age for tobacco products.

Promoting Cessation Among Construction Workers Using Targeted Messages
Blue-collar workers, particularly those in the construction trades, are more likely to smoke and have less success in quitting when compared with white-collar workers. Little is known about health communication strategies that might influence this priority population. This article, Development of Targeted Messages to Promote Smoking Cessation among Construction Trade Workers describes the researchers’ formative work to develop targeted messages to increase participation in an existing smoking cessation program among construction workers.

Electronic Cigarettes Update
This research brief from RTI International, Exhaled Electronic Cigarette Emission: What’s Your Secondhand Exposure?, examines what is currently known about electronic cigarettes and the problem, the source-exposure-dose paradigm applied to electronic cigarettes and future research needs.

Reports and Articles

smokeless tobacco

Swedish Company Asks F.D.A. to Remove Warnings From Smokeless Tobacco Product
New York Times
WASHINGTON — For 50 years now, all tobacco products sold in the United States have had to display warnings about the health risks they carry.
But that could change if the maker of a popular Swedish tobacco product called snus convinces a panel of experts convened by the Food and Drug Administration this week that it is less harmful than cigarettes.
Snus (pronounced “snoose”) is moist, loose tobacco packaged in a pouch like a tea bag and tucked between the lip and the gums. Starting on Thursday, the company that makes it, Swedish Match, will have two days to try to persuade theF.D.A. and its experts that the traditional smoking warnings are too harsh to describe its product.

[California] Sonoma County may set price floor on cigarettes to deter underage smokers — Santa Rosa (CA) Press Democrat
April 4, 2015
The Press Democrat
Sonoma County supervisors on Tuesday are poised to take up sweeping new regulations aimed at making it more costly — and thus more difficult — for minors to purchase cigarettes and other tobacco products outside city limits.
An ambitious anti-smoking campaign, spearheaded by county health officials, seeks to impose new licensing fees on retailers who sell tobacco in the unincorporated area. The licensing regulation would require tobacco sellers to permanently raise the price they charge for a pack of cigarettes to a minimum of $7.

Warning images on cigarette packets ‘raise young adults’ knowledge about harms of smoking’
A new study suggests a combination of health warning images and text on cigarette packets is more likely to drive a greater appreciation of the dangers of smoking among young adults than text warnings alone.

Cigarette smoke makes superbugs more aggressive
In lab and mouse experiments, cigarette smoke helps drug-resistant bacteria fight off the immune system
Methicillin-resistant Staphylococcus aureus (MRSA), an antibiotic-resistant superbug, can cause life-threatening skin, bloodstream and surgical site infections or pneumonia. Researchers at the University of California, San Diego School of Medicine now report that cigarette smoke may make matters worse. The study, published byInfection and Immunity, shows that MRSA bacteria exposed to cigarette smoke become even more resistant to killing by the immune system.
“We already know that smoking cigarettes harms human respiratory and immune cells, and now we’ve shown that, on the flipside, smoke can also stress out invasive bacteria and make them more aggressive,” said senior author Laura E. Crotty Alexander, MD, assistant clinical professor of medicine at UC San Diego and staff physician at the Veterans Affairs San Diego Healthcare System.

E-cigarettes are being accessed by teenagers who are both smokers and non-smokers
One in five teenagers in a large survey has accessed e-cigarettes, and of these, 16% have never otherwise smoked, according to research published in the open access journal BMC Public Health. The highest numbers though were regular smokers – of whom over two thirds had accessed them.
E-cigarettes have been marketed as an alternative nicotine delivery system that is healthier than tobacco. There has been debate around the safety and efficacy of these devices, and whether they reduce the harm caused by smoking, or if they detract from healthy anti-smoking messages. A concern with clinicians, policymakers and parents alike is whether these devices act as a potential gateway to smoking, and discussion has ensued about the sale and marketing of these products to minors.

Research by Legacy about Use of Little Cigars and Cigarillos
Recently published research found a high degree of co-use of little cigars and cigarillos (LCCs) with cigarettes. The study concluded that high degree of co-use of LCCs and cigarettes, along with other factors, suggest that the users of these products face unique risk factors and warrant specific targeting in public health campaigns.

tobacco ads

Research about Frequency of Tobacco Advertising in Stores
Research examining interior and exterior tobacco advertising in stores found advertising significantly more likely to appear in outlets that accept SNAP and WIC benefits than in other tobacco-selling outlets


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