PMID: 18205564Jan 22, 2008Paper

Should Australia lift its ban on low nitrosamine smokeless tobacco products?

The Medical Journal of Australia
Coral E Gartner, Wayne D Hall

Abstract

In Australia, 2.9 million people continue to smoke daily, and tobacco still accounts for 8% of disease burden. Tobacco harm-reduction strategies, such as the use of Swedish snus, have been suggested as a way to further reduce this disease burden. In Australia, the most dangerous tobacco products (cigarettes) are the least regulated, while oral tobacco products, including snus, cannot be sold legally. Recent epidemiological modelling indicates that there are only small differences in life expectancy between smokers who quit and those who switch to snus. There is a case on public health and ethical grounds for allowing inveterate smokers who want to reduce their health risks to access snus. At a minimum, the recent increase in tax on smokeless tobacco should be reversed, and the ban on the commercial importation and supply of low nitrosamine smokeless tobacco should be reconsidered in light of the epidemiological evidence on its potential to reduce tobacco-related disease in smokers.

References

Dec 9, 2003·Tobacco Control·J FouldsK Fagerström
Aug 5, 2004·Journal of Agricultural and Food Chemistry·Bengt-Göran OsterdahlAlexandre Paccou
Oct 8, 2004·Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists·Brad Rodu, Christer Jansson
Mar 12, 2005·Annual Review of Public Health·K Michael Cummings, Andrew Hyland
Apr 7, 2005·BMC Public Health·Carl V PhillipsBrian Guenzel
Oct 1, 2005·Inhalation Toxicology·H Daniel RothXiao Liu
May 27, 2006·Tobacco Control·L M Ramström, J Foulds
Sep 14, 2006·Addiction·Helena FurbergPatrick F Sullivan

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Citations

Aug 19, 2009·Addiction·Coral Gartner, Wayne Hall
May 1, 2009·Drug and Alcohol Review·Coral E Gartner, Wayne D Hall
Jan 22, 2008·The Medical Journal of Australia·Simon Chapman

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