U.S. to require cuts to cigarettes’ nicotine levels in bid to curb addiction and reduce top cause of preventable deaths
in 2018 by publishing an information-gathering notice. But the idea never had full-throated White House backing and was shelved after Gottlieb left the administration in spring 2019.Supporters say slashing nicotine, the addictive ingredient in cigarettes, would be a milestone in public health that would save millions of lives over generations.
Guy Bentley, director of consumer freedom at the Reason Foundation, a libertarian think tank, criticized the plan. Bentley said rather than cutting nicotine levels in cigarettes, the administration should promote safer alternatives such as e-cigarettes. The FDA is reviewing thousands of applications from e-cigarette manufacturers to determine which should be allowed to remain on the market.In early 2021, the FDA pitched the nicotine-reduction strategy in talks on tobacco issues with the White House and the Department of Health and Human Services.
“There’s a long arc to major policymaking, and the Biden administration’s commitment to advance that effort will mean it gets done,” Gottlieb, the former FDA commissioner, said. The combination of reduced nicotine levels and appropriate regulation of other sources of nicotine for addicted adult smokers, such as e-cigarettes, could be “one of the most impactful public health efforts in modern times,” he said.Nicotine, a chemical that occurs naturally in the tobacco plant, does not cause cancer.
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