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tobaccotaxsystemisgainingmomentumandisendorsedbytheNationalCenterforPolicyAnalysisinitsreporttitledTakingTobaccobyRiskreleasedearlierthisyear.Tobacco-coatedsticksstripsandlozengesfallunderthedissolvabletobaccocategoryonethatcontinuestoevolvewithupsanddownsasallothersinharmreduction.AsmentionedaboveastudyconductedbyMatthewCarpenterattheMedicalUniversityofSouthCarolinafoundStarScienticsArivaandStonewalldissolvablesmokelessproductswereeectiveinhelpingsmokersremainsmoke-free.estudypublishedin2010inthejournalhighlightedthattheuseofdissolvableproductsresultedinasignicantdeclineincigaretteconsumptionperdayandanincreaseinself-ecacyamongsmokerstoquitthehabit.AccordingtoSiegelthestudycalledforalargeprospectiverandomizedclinicaltrialtomoreaccuratelyassessthelong-termviabilityofsmokelesstobaccouseasamethodforcessationinductionamongunmotivatedsmokers.MoregoodnewsforStarScienticcamethisMarchwhenregulatorsruledthatitsAriva-BDLandStonewall-BDLtobaccolozengesarentsubjecttoregulationunderthe2009tobaccolawclearingthewayforStarScientictostartsellingthem.edissolvableproductscontainreducedlevelsofcarcinogensknownastobacco-specicnitrosamines.Howeveraswithe-cigarettesanFDAadvisorypanelwilleventuallyevaluatedissolvabletobacco.InfactitwasannouncedthatonJuly21andJuly22theFDAsTobaccoProductsScienticAdvisoryCommitteeTPSACwillinitiatediscussionsonthenatureandimpactoftheuseofdissolvabletobaccoproductsonpublichealth.Oneofthebiggestdownersfordissolvableproductsistheexaggeratedhypethattheyresemblecandyandattractkidsandunderageyouthtotrythem.InKansaswhereAltriaGroupInc.sPhilipMorrisUSAandU.S.SmokelessTobaccoCo.subsidiariesaretest-marketingtobaccosticksundertheirMarlboroandSkoalbrandsthestatesDepartmentofHealthandEnvironmentrecentlyissuedanadvisorywarningparentsandothersaboutthehealthrisksofusingtheproducts.AspokespersonfortheKansasTobaccoUsePreventionProgramsaidthestickstastesweetandresemblechocolate-coveredtoothpicks.ButanAltriaspokespersonsaidrecentlyinthatthestickswhicharecoatedwithnelymilledtobaccoandcomeindierentavorssuchascoolmintareaimedatadultsmokersandsnuuserswhowantasmokelessspit-freealternativeandnotedthatmultiplewarningsontheproductpacksaremeanttomakesureadultsunderstandnottobuytheseforchildrenorleavethemaroundwherechildrencouldgetaholdofthem.HealthocialsinColoradoexpressedsimilarconcernsR.J.ReynoldsTobaccoCo.hasbeentest-marketingitsdissolvabletobaccoproductsCamelOrbsCamelSticksandCamelStripsinDenver.ClaimsthatdissolvablesmokelessproductsaremarketedincandyavorstoattractchildrenareirrationalaccordingtoadMarneyafoundingboardmemberofeConsumerAdvocatesforSmoke-FreeAlternativesAssociationCASAAwhonotedthatevennicotinereplacementtherapyproductsareavailableinsuchavors.Neverthelessstateandlocalgovernmentsareproposingtobanthemjustaswithe-cigarettes.Oregonforexampleislookingtobancertainavoreddissolvablesmokelesstobaccoproducts.LinnCountyIowaisproposingtobanthesaleofalldissolvables.OrdinancessuchasthesearesimilartothereversedlogicamongnationalantismokinggroupswhichsupportedFDAtobaccolegislationthatinstitutionalizestheFDAssealofapprovalforthemosttoxictobaccoproductsonthemarketcigarettesandputsinplaceinsurmountableobstaclesthatprecludethemarketingofsafertobaccoproductsthatcouldpotentiallysavelivesaccordingtoSiegel.equestforsafertobaccoproductscontinuesbeyondthescopeofcurrentproductcategories.NewnicotineaerosolproductsmaybeevenbettercigarettesubstitutesthanelectroniccigarettesandhavethepotentialtosavethelivesoftensofmillionsofsmokerssaysGodshall.HeisreferringinparttotherecentannouncementbyPhilipMorrisInternationalthatithasenteredintoanagreementforthepatentrightsofanewtechnologyemployingauniquemethodfordeliveringanicotine-containingaerosolonethatreportedlyletsusersinhalenicotinewithoutsmokingdevelopedbyJedRosedirectoroftheCenterforNicotineandSmokingCessationResearchatDukeUniversityinDurhamNorthCarolinawholedtheinitialstudiesintheearly1980sthathelpedpavethewayfornicotinecessationpatches.InanAPreportaspokesmanforPhilipMorrissaiditmaytakethreetoveyearstodevelopacommercialproductthatwouldbeconsideredanalternativetoconventionalcigarettes.LessthanaweekafterthePhilipMorrisannouncementBritishAmericanTobaccosrecentsubsidiaryNicoventuresfocusingonnicotinealternativessigneditsrstcommercialcontractwithKindConsumerreportedtheU.K.s.econtractisadistributionagreementforadevicethatusesminiaturizedbreath-operatedinhalationtechnologyratherthantobaccotodepositnicotineinthelungs.Itallcomesdowntoreducingtheriskofsmoking-relateddiseasesinthequickestwaypossible.AccordingtoNitzkinwhorecentlyspokeattheTobaccoMerchantsAssociationsTMAsannualconferenceweneedtoreconsiderthegoalofatobacco-freesocietyinsteadweshouldaimforasmoke-freesociety.Insteadofcuttingcigaretteconsumptionby25percentintroduceaproductthatreduceslungcancerriskby25percent.eelectroniccigarettedeliversnicotinewithoutthethousandsofchemicalsandmorethan60carcinogensintobaccocigarettesitreducesTSNAlevelsby1400timescomparedtolevelsinMarlborocigarettes.38TheElectronicCigaretteTestNicotineobaccoResearchTeWichitaEagleFinancialimesTOBACCOOUTLETBUSINESSJULYAUGUST2011SourceHarmreductionsessionpresentedinMayattheTobaccoMerchantAssociationsannualconferencebyprofessorMichaelSiegelofBostonUniversitysSchoolofPublicHealth.discovEringdissolvablEsonthEhorizonTOB