Scared smokeless–The FDA should use the most graphic images possible in its new warnings on cigarette packs.

Source: Los Angeles Times It's easy to guess what would happen if a pharmaceutical company asked the Food and Drug Administration to approve a new product with the following characteristics: no proven health benefits. Major known side effects: greatly increased risk of emphysema, heart attacks, stroke and cancer, including lung, cervical, mouth, stomach and bladder. The product also lowers bone density in older women and causes higher rates of serious health problems among newborns. It significantly harms the health even of those who merely spend time near the drug while it's in use. And it's addictive. If cigarettes were a new invention, they'd never pass muster with even the most lax of regulatory agencies. Unhappily for our collective health, not only does tobacco's legacy date back thousands of years, but it is inextricably tied to the birth of the United States. None other than John Rolfe, best known as Pocahontas' husband, is credited with the first commercial cultivation of tobacco in Jamestown, in 1612. Four hundred years later, we've learned a thing or two about tobacco, especially in its inhaled form. Now we wrestle with how to act on that information. Cigarettes are a terrible health scourge, but this is also a country that respects the right of adults, in most cases, to ruin their own health as long as they are not endangering others. So driving drunk is forbidden, as is smoking in many indoor public spaces, but cigarettes themselves remain legal. Yet as a society, we don't want to [...]

2010-11-23T10:56:50-07:00November, 2010|Oral Cancer News|

Nicotine-delivering e-cigarettes under fire

Source: Courier Journal By: Patrick Howington Sean Howard smoked cigarettes for 14 years until he found something new — an electronic cigarette that delivers the nicotine he craves but not the deadly toxins from cigarette smoke. Now Howard, 28, of Lexington, said he breathes better, can exercise again, and “I don’t smell like a cigarette.” A server at a local country club, Howard said he has gone back and tried cigarettes a couple of times in the year since he quit them, “and now I can’t stand the things. … I actually don’t know how I smoked them.” Howard is among the growing number of advocates of e-cigarettes — plastic or metal tubes that contain a nicotine solution but no tobacco. A battery heats the liquid into a vapor for inhaling. Sold under names like “Health E-Cigarettes” and “SmokeAnywhere” that suggest harmlessness and the ability to evade indoor smoking bans, e-cigarettes don’t require matches and don’t emit toxic smoke — but they’ve still drawn plenty of fire. In court filings and enforcement actions, federal regulators and some states have lined up with medical organizations who say e-cigarettes’ safety hasn’t been proved. While their sale is legal in most of the U.S., including Kentucky and Indiana, several states have banned e-cigarettes or are considering it. (They are not covered under Louisville and Lexington’s indoor smoking bans, though, and there are no current plans to add them.) Advocates of the product, and some medical experts, say the devices could save thousands of [...]

Smokeless products face FDA test. Tobacco maker first in line for regulatory review

Source: Boston.com By: Michael Felberbaum RICHMOND- Tobacco maker Star Scientific Inc. hopes there's fire where there's no smoke. The small Virginia company has made itself the test case for a big issue: whether the Food and Drug Administration will allow certain tobacco products — particularly the company’s tobacco lozenges — to be marketed as less harmful than cigarettes. The application to market the product as safer also highlights a philosophical debate over how best to control tobacco. One camp says there’s no safe way to use tobacco and pushes for people to quit above all else. Others embrace the idea that lower-risk alternatives like smokeless tobacco or electronic cigarettes can improve public health, if they mean fewer people smoke. How the FDA handles the products is being closely watched by both the public health community and bigger tobacco companies, which are looking for new products to sell as they face declining cigarette demand due to tax increases, health concerns, smoking bans, and social stigma. A law enacted last year gives the FDA authority to evaluate tobacco products for their health risks and lets the agency approve ones that could be marketed as safer than what’s currently sold. So far only Star Scientific has applied for approval to market what the agency calls “modified-risk’’ products. The company says the small tablets that dissolve in the user’s mouth contain “below detectable levels’’ of certain cancer-causing chemicals found in tobacco and its smoke. It wants to sell them to smokers as “a useful [...]

FDA sends e-cigarette companies a warning

Source: www.boston.com Author: staff The Food and Drug Administration is lighting a fire under the electronic cigarette industry to work with the agency to legally market the devices and is cautioning other companies that their sales and manufacturing practices violate federal law. The FDA said yesterday it sent warning letters to five companies that make e-cigarettes or components for the plastic and metal devices that heat a liquid nicotine solution in a disposable cartridge, creating vapor that the smoker inhales. In the letters, the FDA said the companies are violating the Federal Food, Drug and Cosmetic Act, including unsubstantiated claims and poor manufacturing practices. The FDA is asking the companies to let the agency know within 15 business days how it plans to correct the violations. The other companies receiving warning letters were E-CigaretteDirect LLC of Colorado, Ruyan America Inc. in Minneapolis, Gamucci America in Florida, and Johnson Creek Enterprises LLC of Wisconsin. But in a letter to the Electronic Cigarette Association, the FDA said the actions were not meant to be seen as a larger effort to ban e-cigs. It urged the industry group to work with the FDA to ensure the safety and effectiveness of the devices to help people quit smoking traditional cigarettes through usually expensive clinical trials. “We are interested in finding out whether e-cigarettes can be proven safe and effective,’’ said Michael Levy, FDA compliance lawyer.

2010-09-13T09:02:45-07:00September, 2010|Oral Cancer News|

New cancer drug gets dramatic results

Source: Technology Review Author: Emily Singer Researchers call the experimental drug a major success for targeted cancer therapies. An experimental drug designed to block the effects of a genetic mutation often found in patients with malignant melanoma, a deadly cancer with few existing treatments, significantly shrank tumors in about 80 percent of those who carried the mutation. The findings, published Wednesday in the New England Journal of Medicine, signal a major success for so-called targeted cancer therapies, which are designed to block the effects of genetic mutations that drive the growth of cancer cells. "This study is a major breakthrough in cancer treatment, and for metastatic melanoma," saysMatthew Meyerson, an oncologist and researcher at the Dana Farber Cancer Institute in Boston. Meyerson was not involved in the study. "It's a spectacular example of how genome-targeted therapies are beginning to help cancer patients." The drug in the current study inhibits activity of a protein called BRAF, which is overactive in 50 to 60 percent of malignant melanomas. Advances in genetic technologies over the last decade have allowed scientists to study the genetic mutations that underlie cancer in much greater detail. The result has been a new approach to drug design. Unlike chemotherapy, which can affect both healthy and cancerous cells and often triggers serious side effects, genetically targeted drugs act selectively on cancer cells that carry the mutation. Only a handful of such drugs have been approved by the U.S. Food and Drug Administration, and most target rare mutations. The BRAF mutation, [...]

2010-08-29T07:37:09-07:00August, 2010|Oral Cancer News|

New types of smokeless tobacco present growing risks for youth: products mistaken for candy

Source: thenationshealth.aphapublications.org Author: Kim Krisberg The decline in the U.S. smoking rate is arguably one of the biggest achievements in the nation’s public health history. But as public health makes inroads, the tobacco industry is pushing back, offering new ways to deliver nicotine and hook lifelong customers. As nonsmoking ordinances sweep across the country, tobacco manufacturers are marketing new smokeless and spitless tobacco products, often selling them as complementary products to cigarettes — pushing the message that such “novel” tobacco products can deliver a nicotine fix whether smoking is allowed or not. Going by brand names such as Orbs, Snus and Taboka, the products are smokeless and spitless, often dissolving in a user’s mouth. For example, Marlboro Snus comes in a teabag-like pouch that a user puts between the cheek and gum and then discards after about 30 minutes. Camel Orbs look similar to small pieces of candy — almost like a Tic Tac — come in flavors such as “fresh” and “mellow,” and dissolve in a user’s mouth. Camel Sticks and Camel Strips also dissolve in a user’s mouth. A recent Camel Snus ad reads “Boldly Go Everywhere” and “Break Free.” While such products have yet to catch on in a significant way in the United States, public health advocates warn not to underestimate the influence of tobacco marketing, especially in regard to young people. They also warn that tobacco companies seem to be portraying the novel products as a “healthier” alternative to cigarettes or as a quitting aid. [...]

The cancer-causing sex virus

Source: Forbes Author: Matthew Herper Martin Duffy, a Boston consultant and economist, thought he just had a sore throat. When it persisted for months, he went to the doctor and learned there was a tumor on his tonsils. Duffy, now 70, had none of the traditional risk factors for throat cancer. He doesn't smoke, doesn't drink and has run 40 Boston marathons. Instead, his cancer was caused by the human papilloma virus (HPV), which is sexually transmitted and a common cause of throat and mouth cancer. HPV tumors have a better prognosis than those caused by too many years of booze and cigarettes. But Duffy "is in the unlucky 20%" whose cancer comes back--despite rounds of chemotherapy and radiation that melted 20 more pounds off a lean 150-pound frame. Now the cancer has spread throughout his throat, making eating and talking difficult. "I made my living as a public speaker," he says. "Now I sound like Daffy Duck." Duffy believes he has only a few months left. "How do you tell the people you love you love them?" he asks. Nine Things You Need To Know About HPV Most strains of the HPV virus are harmless, but persistent infections with two HPV strains cause 70% of the 12,000 cases of cervical cancers diagnosed annually in the U.S. Other forms of the sexually transmitted virus can cause penile and anal cancer, and genital warts. The HPV throat cancer connection has emerged in just the last few years and is so new that [...]

2010-07-25T20:13:00-07:00July, 2010|Oral Cancer News|

FDA analysis finds toxic substances in electronic cigarettes

Source: www.rwjf.org/publichealth Author: staff A preliminary analysis by the Food and Drug Administration (FDA) indicates that electronic cigarettes contain traces of toxic substances and carcinogens, contradicting manufacturers' claims that the products are safe alternatives to tobacco, the New York Times reports. According to manufacturers, the battery-powered devices, which produce a vapor that users inhale, contain little more than water, nicotine and propylene glycol, which is used in theatrical performances to create artificial smoke. However, an FDA analysis of the ingredients in two leading brands of electronic cigarettes found that some had detectable levels of nitrosamines, tobacco-specific compounds known to cause cancer. In addition, one Smoking Everywhere cartridge contained diethlyene glycol, a common ingredient in antifreeze that contributed to the death of hundreds of individuals worldwide after it was incorrectly used as a substitute for glycerin in toothpaste. According to the FDA's principal commissioner, the effect of inhaling diethlyene glycol and other carcinogens through electronic cigarettes on the human body remains unknown. The study also highlighted several quality control issues with the electronic cigarettes, which are manufactured in China. For example, nicotine levels varied among cartridges with labels that claimed to contain identical amounts of nicotine, and some cartridges claiming to be nicotine free did contain nicotine. Calling the products drug delivery devices, the FDA says electronic cigarettes should not be allowed in the United States and has rejected approximately 50 shipments at the border since summer 2008. However, vendors in malls nationwide and online continue to sell electronic cigarettes, which [...]

AACR recognizes one-year anniversary of tobacco law and the additional provisions taking effect today; calls for more research to combat tobacco epidemic

Source: AACR Author: Staff WASHINGTON, D.C. — The American Association for Cancer Research recognizes the first anniversary of the Family Smoking Prevention and Tobacco Control Act, which was signed into law by President Obama on June 22, 2009. The law empowered the Food and Drug Administration (FDA) to regulate the marketing, advertising and manufacturing of tobacco products. Provisions that go into effect today include restrictions on youth access to tobacco products, enhanced warning labels on smokeless tobacco products, and a ban on the use of deceptive terms such as “light” or “mild.” “While most people know that cigarette smoking causes cancer, we need to do a far better job of educating the public about the risks of all tobacco products,” said Margaret Foti, Ph.D., M.D. (h.c.), chief executive officer of the AACR. “In fact, there is sufficient scientific evidence to causally link tobacco use to cancers at 18 different organ sites. For example, smokeless tobacco alone can cause cancer of the mouth, esophagus and pancreas, and new smokeless tobacco labels will help to deliver that message.” Starting today, smokeless tobacco product labels must be larger, and incorporate messages including that smokeless tobacco is addictive and can cause mouth cancer. “With nearly a third of all cancer deaths caused by tobacco use, it is imperative that the research community come together to support the FDA in its efforts to establish a science-based framework for evaluating the harms caused by tobacco products,” said Chairperson of the AACR Task Force on Tobacco and [...]

2010-07-04T14:48:08-07:00July, 2010|Oral Cancer News|
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