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Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives

机译:损害最小化和烟草控制:恢复尼古丁的社会观点,以迅速挽救生命

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摘要

Inhalation of the toxic smoke produced by combusting tobacco products, primarily cigarettes, is the overwhelming cause of tobacco-related disease and death in the United States and globally. A diverse class of alternative nicotine delivery systems (ANDS) has recently been developed that do not combust tobacco and are substantially less harmful than cigarettes. ANDS have the potential to disrupt the 120-year dominance of the cigarette and challenge the field on how the tobacco pandemic could be reversed if nicotine is decoupled from lethal inhaled smoke. ANDS may provide a means to compete with, and even replace, combusted cigarette use, saving more lives more rapidly than previously possible. On the basis of the scientific evidence on ANDS, we explore benefits and harms to public health to guide practice, policy, and regulation. A reframing of societal nicotine use through the lens of harm minimization is an extraordinary opportunity to enhance the impact of tobacco control efforts.
机译:吸入通过燃烧烟草制品主要卷烟产生的有毒烟雾,是在美国和全球烟草相关疾病和死亡的压倒性原因。 最近开发了一种不同类别的替代尼古丁递送系统(ands),不燃烧烟草,并且与香烟的危害显着不那么有害。 并且有可能破坏卷烟的120年的主导地位,并挑战这些领域,如果尼古丁从致命吸入烟雾脱钩,可能会如何逆转烟草大流行病。 并且可以提供与竞争,甚至更换燃烧的卷烟使用,甚至更换燃烧的手段,比以前更快地节省更多的生命。 在科学依据的基础上,我们探讨了对公共卫生的利益和危害,以指导惯例,政策和监管。 通过损害最小化镜头的恢复社会尼古丁使用是一种促进烟草控制努力的影响的非凡机会。

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