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Steps needed to reduce smoking in the US

tes did not expressly exempt tobacco, the report states. Tobacco is the only legal product for which the government's stated goal is to suppress use altogether rather than to promote safe or responsible use. Moreover, recent revelations of the industry's efforts to manipulate nicotine levels to encourage addiction have eroded the supposition that all smokers have freely assumed the risks of smoking and are solely responsible for the consequences, the committee noted.

"Smoking is a habit with potentially deadly consequences that is often taken up by adolescents before they can truly appreciate the risk of addiction," said committee chair Richard J. Bonnie, John S. Battle Professor of Law and director, Institute of Law, Psychiatry, and Public Policy, University of Virginia, Charlottesville. "We propose aggressive steps to end the tobacco problem -- that is, to reduce tobacco use so substantially that it is no longer a significant public health problem. This report offers a blueprint for putting the nation on a course for achieving that goal over the next two decades."

The desire to educate youth and limit their access to tobacco underlies many of the committee's recommendations because of the high rate at which teens start smoking. Most smokers start before they turn 18, and the rate of daily smoking among high school seniors has hovered around 20 percent for most of the past two decades. Adolescents generally recognize the harmful effects of smoking, but typically overestimate their ability to escape addiction and fail to appreciate fully the personal impact of the long-term health consequences, the report says.

The committee believes that federal regulation is an essential element of a comprehensive approach to tobacco control. Therefore, it urges Congress and the president to give FDA the authority to enforce standards for nicotine reduction and to regulate companies' claims that their products reduce exposure or risk. And
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Contact: Christine Stencel
news@nas.edu
202-334-2138
The National Academies
24-May-2007


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