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Smokeless Tobacco And The U.S. Launch Of Snus

This week the respected CBS documentary news show “60 Minutes” included a feature on smokeless tobacco, focusing on the recent launch of snus in the United States. The show was relatively balanced in focusing on the main potential risks and benefits of snus.

It started by featuring a young man who enjoys using snus in places where he cannot smoke, while continuing with a pack-a-day smoking addiction. The interviewer gave him the bad news: “You are a dual user.”

It then had a segment with the widely respected Swedish nicotine addiction expert, Dr Karl Fagerstrom, who stated that snus is 90-99% less harmful than smoking (while admitting some risks, including of pancreatic cancer). Read more »

This post, Smokeless Tobacco And The U.S. Launch Of Snus, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Will Nicotine-Free Cigarettes Be Mandated By The FDA?

In the previous posting I discussed the possibility of FDA requiring that no tobacco products be allowed to emit Carbon Monoxide. While appealing in its simplicity, such a strategy may have problems in that it could be interpreted as a ban on a whole class (or classes) of tobacco products, which the legislation does not allow.

Another strategy might be to reduce the harm from tobacco by lowering the nicotine content/delivery of cigarettes down to the level at which they are no longer addictive. A form of this strategy was proposed in the 1990’s by leading tobacco researchers Professor Neal Benowitz, and Professor Jack Henningfield. The FDA legislation singles out nicotine as the only chemical that cannot be reduced to zero, but this allows FDA the right to reduce the nicotine delivery of tobacco products down to a level just above zero at which they would no longer be addictive. Read more »

This post, Will Nicotine-Free Cigarettes Be Mandated By The FDA?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Are E-Cigarettes Anything More Than A Theater Prop?

E-cigarettes continue to create a lot of media buzz and chatter among smokers and smoking cessation experts alike. Today, Professor Thomas Eissenberg of Virginia Commonwealth University published an important study demonstrating that E-cigarettes, despite claims on the packaging and advertising, deliver almost no nicotine to the user.

The study is published in the latest edition of the journal, Tobacco Control. Professor Eissenberg had 16 smokers abstain overnight, then come to the lab. on different days and (a) smoke two of their usual cigarettes (b) puff on two unlit cigarettes or (c) “smoke” 2 leading brands of E-cigarette using their “high nicotine” cartridge (16mg), each brand on a separate occasion. On each occasion he measured the blood nicotine levels before, during and up to 45 minutes after using the products. Read more »

This post, Are E-Cigarettes Anything More Than A Theater Prop?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Dr. Val And Jim Belushi Raise Awareness Of COPD

valjimbelushiIt’s not every day that a physician is invited to be screened for chronic obstructive pulmonary disease (COPD) by a comedian. But this event was no joke – actor Jim Belushi is in a contest with Danica Patrick, Bruce Jenner, Patty Loveless, and Michael Strahan to see who can get the most Americans screened for COPD. It’s a tough race for a good cause – though I’m not sure if Jim stands much of a chance in a competition against Danica Patrick. Maybe my blog readers will vote for Jim and give him the bump needed to keep him in the running? Please take the screening test here, or forward it to friends who may be at risk (age over 35, history of smoking).

Like any good blogger, I had my trusty digital recorder with me and got in a few questions with Jim. Special thanks to South African blogger Delre Roberts, who gave me the idea for my leading joke to Jim via Facebook: “How’s a comedian going to screen a doctor for COPD?  See how short of breath she gets from his jokes?” Good one, Delre! You got a laugh out of Jim… Check it out:

[Audio:https://getbetterhealth.com/wp-content/uploads/2010/02/jimbelushicopd.mp3] Read more »

Classic Study: There’s No Safe Threshold For Cigarette Smoking

The journal Tobacco Control has on its website a list of the top 10 most read articles each month. One paper that has been near the top ever since it was published in 2005, was written by Dr Kjell Bjartveit and his colleague Dr Tverdal, on “Health consequences of smoking 1-4 cigrettes per day.”

The study included 23,521 men and 19,201 women, aged 35–49 years when they were initially screened for cardiovascular disease risk factors in the mid 1970s and followed them up to 2002. The researchers calculated the total risks of death and relative risks adjusted for confounding variables, of dying from ischaemic heart disease, all cancer, lung cancer, and from all causes, and examined the effects of regular smoking of only a few cigarettes per day. Read more »

This post, Classic Study: There’s No Safe Threshold For Cigarette Smoking, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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