MAHB Flavored Tobacco Guidance List 10.1.15
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Sep 19 New Tobacco Products.Ppt
9/20/13 New Products Old Tricks The Problem What’s the Problem with New Products? New tobacco products are designed to: – Draw in new and youth users – Keep smokers smoking – Circumvent regulations and taxation 1 9/20/13 Increased youth smokeless tobacco use TOLL OF OTHER TOBACCO USE National Youth Smoking and Smokeless Tobacco Use 1997 - 2011 2003-2009: -11.0% 2003-2011: -17.4% 2003-2009: -9.2% 2003-2011: -8.7% 2003-2009: +36.4% 2003-2011: +16.4% 2003-2009: +32.8% 2003-2011: +14.9% Source: CDC, Youth Risk Behavior Surveillance Survey. 2 9/20/13 Most popular snuff brands among 12-17 year olds 1999-2011 2011 Top 3 Most Popular Moist Snuff Brands among 12-17 year olds 1. Grizzly (Reynolds American, via American Snuff Company) 2. Skoal (Altria, via UST) 3. Copenhagen (Altria, via UST) Source: 2011 NSDUH Source: Analysis of NHSDA, NSDUH data Health Harms of Other Tobacco Use Smokeless Tobacco It [smokeless • Cancer, including oral cancer tobacco] is not a safe and pancreatic cancer substitute for smoking cigarettes. • Gum disease -- U.S. Surgeon General, 1986 • Nicotine addiction Cigar Use • Cancer of the oral cavity, larynx, esophagus and lung 3 9/20/13 Brand development, Acquisitions Over Time WHERE IS THE INDUSTRY HEADED? Companies under in 1989 ( ) 4 9/20/13 Companies under in 2013 (28.5% economic interest) Tobacco Brands in 2013 Non-Tobacco Products 5 9/20/13 Companies under RJR Nabisco in 1989 Companies under in 2013 (formerly Conwood Company) B&W no longer exists as a separate company. -
Section 5: Smoking Regulations for Food Service Establishments
Section 5: Smoking Regulations Statement of Purpose Whereas there exists conclusive evidence that tobacco smoke causes cancer, respiratory and cardiac diseases, negative birth outcomes, irritations to the eyes, nose and throat; and whereas more than eighty percent of all smokers begin smoking before the age of eighteen years (Centers for Disease Control and Prevention, "Youth Surveillance - United States 2000," 50 MMWR 1(Nov. 2000); and whereas nationally in 2000, sixty nine percent of middle school age children who smoke at least once a month were not asked to show proof of age when purchasing cigarettes (Id.); and whereas the U.S. Department of Health and Human Services has concluded that nicotine is as addictive as cocaine or heroin; and whereas the Institute of Medicine (IOM) concludes that raising the minimum age of legal access to tobacco products to 21 will reduce tobacco initiation, particularly among adolescents 15 – 17, and will improve health across the lifespan and save lives; and whereas sales of flavored little cigars increased by 23% between 2008 and 2010 and many non-cigarette tobacco products, such as cigars and cigarillos, can be sold in a single “dose;” enjoy a relatively low tax as compared to cigarettes; are available in fruit, candy and alcohol flavors; and are popular among youth; and whereas the U.S. Food and Drug Administration and the U.S. Surgeon General have stated that flavored tobacco products are considered to be “starter” products that help establish smoking habits that can lead to long-term addiction; and whereas despite state laws prohibiting the sale of tobacco products to minors, access by minors to tobacco products is a major problem; and whereas the sale of tobacco products is incompatible with the mission of health care institutions because it is detrimental to the public health and undermines efforts to educate patients on the safe and effective use of medication; now, therefore it is the intention of the Wareham Board of Health to regulate the access of tobacco products. -
Other Tobacco Products (OTP) Are Products Including Smokeless and “Non-Cigarette” Materials
Other tobacco products (OTP) are products including smokeless and “non-cigarette” materials. For more information on smoking and how to quit using tobacco products, check out our page on tobacco. A tobacco user may actually absorb more nicotine from chewing tobacco or snuff than they do from a cigarette (Mayo Clinic). The health consequences of smokeless tobacco use include oral, throat and pancreatic cancer, tooth loss, gum disease and increased risk of heart disease, heart attack and stroke. (American Cancer Society, “Smokeless Tobacco” 2010) Smokeless tobacco products contain at least 28 cancer-causing agents. The risk of certain types of cancer increases with smokeless tobacco: Esophageal cancer, oral cancer (cancer of the mouth, throat, cheek, gums, lips, tongue). Other Tobacco Products (OTP) Include: Chewing/Spit Tobacco A smokeless tobacco product consumed by placing a portion of the tobacco between the cheek and gum or upper lip teeth and chewing. Must be manually crushed with the teeth to release flavor and nicotine. Spitting is required to get rid of the unwanted juices. Loose Tobacco Loose (pipe) tobacco is made of cured and dried leaves; often a mix of various types of leaves (including spiced leaves), with sweeteners and flavorings added to create an "aromatic" flavor. The tobacco used resembles cigarette tobacco, but is more moist and cut more coarsely. Pipe smoke is usually held in the mouth and then exhaled without inhaling into the lungs. Blunt Wraps Blunt wraps are hollowed out tobacco leaf to be filled by the consumer with tobacco (or other drugs) and comes in different flavors. Flavors are added to create aromas and flavors. -
Altria Group, Inc. Annual Report
ananan Altria Altria Altria Company Company Company an Altria Company ananan Altria Altria Altria Company Company Company | Inc. Altria Group, Report 2020 Annual an Altria Company From tobacco company To tobacco harm reduction company ananan Altria Altria Altria Company Company Company an Altria Company ananan Altria Altria Altria Company Company Company an Altria Company Altria Group, Inc. Altria Group, Inc. | 6601 W. Broad Street | Richmond, VA 23230-1723 | altria.com 2020 Annual Report Altria 2020 Annual Report | Andra Design Studio | Tuesday, February 2, 2021 9:00am Altria 2020 Annual Report | Andra Design Studio | Tuesday, February 2, 2021 9:00am Dear Fellow Shareholders March 11, 2021 Altria delivered outstanding results in 2020 and made steady progress toward our 10-Year Vision (Vision) despite the many challenges we faced. Our tobacco businesses were resilient and our employees rose to the challenge together to navigate the COVID-19 pandemic, political and social unrest, and an uncertain economic outlook. Altria’s full-year adjusted diluted earnings per share (EPS) grew 3.6% driven primarily by strong performance of our tobacco businesses, and we increased our dividend for the 55th time in 51 years. Moving Beyond Smoking: Progress Toward Our 10-Year Vision Building on our long history of industry leadership, our Vision is to responsibly lead the transition of adult smokers to a non-combustible future. Altria is Moving Beyond Smoking and leading the way by taking actions to transition millions to potentially less harmful choices — a substantial opportunity for adult tobacco consumers 21+, Altria’s businesses, and society. To achieve our Vision, we are building a deep understanding of evolving adult tobacco consumer preferences, expanding awareness and availability of our non-combustible portfolio, and, when authorized by FDA, educating adult smokers about the benefits of switching to alternative products. -
Tobacco Product Use and Associated Factors Among Middle and High School Students — United States, 2019
Morbidity and Mortality Weekly Report Surveillance Summaries / Vol. 68 / No. 12 December 6, 2019 Tobacco Product Use and Associated Factors Among Middle and High School Students — United States, 2019 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Surveillance Summaries CONTENTS Introduction ............................................................................................................2 Methods ....................................................................................................................2 Results .......................................................................................................................5 Discussion ................................................................................................................8 Limitations ...............................................................................................................9 Conclusion ............................................................................................................ 10 References ............................................................................................................. 10 The MMWR series of publications is published by the Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30329-4027. Suggested citation: [Author names; first three, then et al., if more than six.] [Title]. MMWR Surveill Summ 2019;68(No. SS-#):[inclusive -
Alaska Native Adult Tobacco Survey Member List Version
APPENDIX K: SURVEY (MEMBER LIST VERSION) |___|___|___|___| |___| |___|___| |___|___|___|___| |___|___|___|___| Year Interview Interviewer Survey Number Respondent ID Supervisor Alaska Native Adult Tobacco Survey Member List Version TABLE OF CONTENTS Section Page 1. Introduction ............................................................................................. 2 2. General Health .......................................................................................... 5 3. Cigarette Use ............................................................................................ 5 4. Iqmik Use ............................................................................................... 14 5. Chewing Tobacco (Spit) .......................................................................... 23 6. Snuff or Dip Tobacco .............................................................................. 32 7. Secondhand Smoke Exposure ................................................................. 42 8. Risk Perception ...................................................................................... 44 9. Demographics......................................................................................... 48 10. User-Selected Items ............................................................................. 52 Public burden of this collection of information is estimated to average 40 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, -
FLAVORED TOBACCO PRODUCTS Flavored Tobacco Products Are Tempting to Youth
2008 YTS REPORT: FLAVORED TOBACCO PRODUCTS Flavored Tobacco Products are Tempting to Youth Fighting to protect youth Under the Family Smoking Prevention and Tobacco Control Act of 2009, the The 2008 Indiana Youth Tobacco Survey provides the latest information on U.S. Food and Drug Administration (FDA) banned candy and fruit-fl avored the use of fl avored tobacco products by Indiana youth. cigarettes. However, the ban does not include other types of fl avored tobacco products such as smokeless tobacco or cigars. It is widely known 1 Carpenter, C.M., G.F. Wayne, J.L. Pauly, H.K.Koh, and G.N. Connolly. 2005. “New Cigarette that fl avored tobacco products are tempting to youth and tobacco industry Brands With Flavors That Appeal to Youth: Tobacco Marketing Strategies.” Health Affairs 24(6): 1601-1610. documents have revealed strategies to add fl avors to tobacco products that 2 1 Manning, K.C., Kelly, K.J., and Comello, M.L. 2009. “Flavoured cigarettes, sensation seeking are appealing to young people . With the changes in regulations, many and adolescents’ perceptions of cigarette brands.” Tobacco Control, 18: 459-465. experts believe tobacco companies have already taken a different marketing tactic to now market their fl avored smokeless and cigar products. Flavor additives, including chocolate, lime, orange and mint as well as menthol, can mask the harsh unpleasant taste and odor of tobacco; this could ultimately entice and make it easier for youth to use tobacco products. Despite the mild presentation, these fl avored products offer the same health risks and consequences as unfl avored tobacco products. -
Blunts and Blowt Jes: Cannabis Use Practices in Two Cultural Settings
Free Inquiry In Creative Sociology Volume 31 No. 1 May 2003 3 BLUNTS AND BLOWTJES: CANNABIS USE PRACTICES IN TWO CULTURAL SETTINGS AND THEIR IMPLICATIONS FOR SECONDARY PREVENTION Stephen J. Sifaneck, Institute for Special Populations Research, National Development & Research Institutes, Inc. Charles D. Kaplan, Limburg University, Maastricht, The Netherlands. Eloise Dunlap, Institute for Special Populations Research, NDRI. and Bruce D. Johnson, Institute for Special Populations Research, NDRI. ABSTRACT Thi s paper explores two modes of cannabis preparati on and smoking whic h have manifested within the dru g subcultures of th e United States and the Netherlan ds. Smoking "blunts," or hollowed out cigar wrappers fill ed wi th marijuana, is a phenomenon whi ch fi rst emerged in New York Ci ty in the mid 1980s, and has since spread throughout th e United States. A "bl owtj e," (pronounced "blowt-cha") a modern Dutch style j oint whi ch is mixed with tobacco and in cludes a card-board fi lte r and a longer rolling paper, has become th e standard mode of cannabis smoking in the Netherl ands as well as much of Europe. Both are consid ered newer than the more traditi onal practi ces of preparin g and smoking cannabis, including the traditional fi lter-less style joint, the pot pipe, an d the bong or water pipe. These newer styles of preparati on and smoking have implications for secondary preventi on efforts wi th ac tive youn g cannabis users. On a social and ritualistic level th ese practices serve as a means of self-regulating cannabi s use. -
Smokeless Tobacco Use: out of the Park!
"UUBDINFOU SMOKELESS TOBACCO USE: OUT OF THE PARK! BACKGROUNDER* February 2016 For three decades, North American public health authorities – including the U.S. Surgeon General, the U.S. National Cancer Institute and the Canadian Cancer Society – have known that smokeless tobacco use is hazardous to health and can lead to long-term nicotine addiction. Smokeless tobacco contains at least 28 cancer-causing chemicals and causes oral, pancreatic and esophageal cancer. Use of smokeless tobacco is also associated with other health problems including lesions in the mouth and tooth decay: According to the U.S. National Cancer Institute, at least 28 cancer-causing chemicals 1 have been identified in smokeless tobacco. The U.S. National Toxicology Program has 2 ͏ρῢ̳ΠΎρ͏͋ ρΦήΝ͏Π͏ρρ ϋή̳̀́́ή ̳ρ ̳ ΏΝΧήϲΧ ϦΦ̳Χ ̳́ν́ΎΧή͏ΧΉ͟ The U.S. National Founding Agencies Cancer Institute and the International Agency for Research on Cancer both report that Canadian Cancer Society 3 use of smokeless tobacco causes oral, pancreatic and esophageal cancer. Ontario Division Heart and Stroke Foundation of Ontario Smokeless tobacco use is associated with leukoplakia, a disease of the mouth Non-Smokers’ Rights Association characterized by white patches and oral lesions on the cheeks, gums, and/or tongue. Ontario Medical Association Leukoplakia can sometimes lead to oral cancer. Studies have found that more than half of daily users of smokeless tobacco had lesions or sores in the mouth, and that these Supporting Agencies sores are commonly found in the part of the mouth where users place their chew or 4 Association of Local dip. Public Health Agencies Cancer Care Ontario Chewing tobacco has also been linked to tooth decay. -
Stop Smoking Systems BOOK
Stop Smoking Systems A Division of Bridge2Life Consultants BOOK ONE Written by Debi D. Hall |2006 IMPORTANT REMINDER – PLEASE READ FIRST Stop Smoking Systems is Not a Substitute for Medical Advice: STOP SMOKING SYSTEMS IS NOT DESIGNED TO, AND DOES NOT, PROVIDE MEDICAL ADVICE. All content, including text, graphics, images, and information, available on or through this Web site (“Content”) are for general informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis or treatment. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE, OR DELAY IN SEEKING IT, BECAUSE OF SOMETHING YOU HAVE READ IN THIS PROGRAMMATERIAL. NEVER RELY ON INFORMATION CONTAINED IN ANY OF THESE BOOKS OR ANY EXERCISES IN THE WORKBOOK IN PLACE OF SEEKING PROFESSIONAL MEDICAL ADVICE. Computer Support Services Not Liable: IS NOT RESPONSIBLE OR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS SITE. Confirm Information with Other Sources and Your Doctor: You are encouraged to confer with your doctor with regard to information contained on or through this information system. After reading articles or other Content from these books, you are encouraged to review the information carefully with your professional healthcare provider. Call Your Doctor or 911 in Case of Emergency: If you think you may have a medical emergency, call your doctor or 911 immediately. DO NOT USE THIS READING MATERIAL OR THE SYSTEM FOR SMOKING CESSATION CONTAINED HEREIN FOR MEDICAL EMERGENCIES. No Endorsements: Stop Smoking Systems does not recommend or endorse any specific tests, products, procedures, opinions, physicians, clinics, or other information that may be mentioned or referenced in this material. -
How Other Countries Regulate Flavored Tobacco Products / 1
How Other Countries Regulate Flavored Tobacco Products / 1 How Other Countries Regulate Flavored Tobacco Products In 2009, the U.S. Food and Drug Administration, under authority granted by the Family Smoking Prevention and Tobacco Control Act, prohibited the manufacturing, marketing, and sale of cigarettes containing “characterizing flavors,” such as vanilla, chocolate, cherry, and coffee. This prohibition extends to flavored cigarettes and flavored cigarette “component parts,” such as their tobacco, filter or paper. However, the prohibition exempts the flavors of menthol and tobacco and does not apply to non-cigarette tobacco products, such as electronic cigarettes, cigars, smokeless tobacco, hookah tobacco, and their flavored component parts. Other countries have enacted more robust regulations regarding flavored tobacco products. Below is a summary of select flavored tobacco restrictions from around the world.* European Union. In 2014, the European Union (representing 28 member states) passed a new Tobacco Products Directive that includes: • A ban on flavorings (other than menthol) in cigarettes and RYO tobacco as of May 20, 2016 • A ban on flavor capsules in tobacco products as of May 20, 2016 • A ban on menthol cigarettes and RYO tobacco as of May 20, 2020 Australia. A number of states and territories (including Australian Capital Territory, New South Wales, Victoria, and South Australia) have legislation that delegates authority to their Health Ministers to prohibit tobacco products or classes of tobacco products that have a distinctive fruity, sweet, or confectionery-like character and/or that might encourage a minor to smoke (or where the smoke may do so). Brazil. In 2012, Brazil became the first country to adopt a ban of all tobacco product flavors and additives, including menthol. -
“I Just Use It for Weed”: the Modification of Little Cigars and Cigarillos by Young Adult African American Male Users
HHS Public Access Author manuscript Author ManuscriptAuthor Manuscript Author J Ethn Subst Manuscript Author Abuse. Author Manuscript Author manuscript; available in PMC 2018 May 09. Published in final edited form as: J Ethn Subst Abuse. 2017 ; 16(1): 66–79. doi:10.1080/15332640.2015.1081117. “I just use it for weed”: The modification of little cigars and cigarillos by young adult African American male users Sarah J. Koopman Gonzaleza, Leslie E. Cofieb, and Erika S. Trapla aDepartment of Epidemiology & Biostatistics, Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, Ohio bDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina Abstract Little cigar and cigarillo (LCC) use has received increased attention, but research on their modification is limited. Qualitative interviews with 17 young adult African American male LCC users investigated tobacco use behaviors and patterns, including LCC modification. The modification of LCCs for use as blunts emerged as a very prominent aspect of LCC users’ tobacco use. Four subthemes regarding marijuana and blunt use are explored in this article, including participants’ explanations of how blunts are made and used, concurrent use of marijuana and tobacco, perceptions and reasons for smoking marijuana and blunts, and perceptions of the risks of blunt use. Keywords Blunts; cigarillos; little cigars; marijuana Introduction Little cigar and cigarillo (LCC) use has received increased attention in research in the past decade as rates of LCC use rise (Centers for Disease Control and Prevention, 2012; Cullen et al., 2011). LCCs have been shown to be common among African American men (Borawski et al., 2010; Cullen et al., 2011; Montgomery, 2015) and among youth and young adults (Arrazola et al., 2015; Richardson, Rath, Ganz, Xiao, & Vallone, 2013).