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Review
. 2004 Apr 10;328(7444):885-7.
doi: 10.1136/bmj.328.7444.885.

Harm reduction

Affiliations
Review

Harm reduction

Ann McNeill. BMJ. .
No abstract available

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Figures

Figure 2
Figure 2
Prospective hazard ratios for death for smokers who cut down or quit compared with continuing heavy smokers. Adapted from Godtfredsen et al (Am J Epidemiol 2002;156: 994-1001)
Figure 1
Figure 1
“Low tar” cigarettes showing ventilation holes in the filters
Figure 3
Figure 3
Tar and nicotine yields for 187 cigarette brands tested by the UK Laboratory of the Government Chemist (data from www.open.gov.uk/doh/dhhome.htm)
Figure 4
Figure 4
Effect of compensation by smokers when smoking low tar cigarettes, as shown by mean blood levels of cotinine (with 95% confidence intervals) and related nicotine yield over time. 1=run-in to study; 2=entry; 3=at 2 months; 4=at 4 months; 5=at 6 months. Adapted from Frost et al (Thorax 1995;50: 1038-43)
Figure 5
Figure 5
According to the manufacturer, R J Reynolds (RJR), Eclipse cigarettes are “designed to burn only about 3% as much tobacco as other cigarettes.” RJR also explains that they “create smoke primarily by heating tobacco rather than burning it” (www.eclipse.rjrt.com)
Figure 6
Figure 6
Swedish snus, with pound coins for scale

References

    1. Tobacco Advisory Group of the Royal College of Physicians. Regulation of nicotine intake by smokers, and implications for health. In: Nicotine addiction in Britain. London: RCP, 2000. (A report of the Tobacco Advisory Group of the Royal College of Physicians, Chapter 6.)
    1. Stratton K, Shetty P, Wallace R, Bondurant S, eds. Clearing the smoke: assessing the science base for tobacco harm reduction. Washington, DC: National Academy Press, 2001. - PubMed
    1. Ferrence R, Slade J, Room R, Pope M, eds. Nicotine and public health. Washington, DC: American Public Health Association, 2000.
    1. Tobacco Advisory Group of the Royal College of Physicians. Protecting smokers, saving lives. The case for a tobacco and nicotine regulation authority. London: RCP, 2002.
    1. National Cancer Institute. Risks associated with smoking cigarettes and low machine-measured yields of tar and nicotine. Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Cancer Institute, 2001. (Smoking and tobacco control monograph No 13; NIH publication No 02-5074.)