Tobacco Control 1 Understanding the Tobacco Control Act: efforts by the US Food and Drug Administration to make tobacco-related morbidity and mortality part of the USA's past, not its future

Tobacco Control 1 Understanding the Tobacco Control Act: efforts by the US Food and Drug Administration to make tobacco-related morbidity and mortality part of the USA's past, not its future
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DOI:
10.1016/s0140-6736(13)60735-7
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发表时间:
2013-05-04
期刊:
影响因子:
168.9
通讯作者:
Deyton, Lawrence R.
Deyton, Lawrence R.
中科院分区:
医学1区
文献类型:
--
作者:
Husten, Corinne G.;Deyton, Lawrence R.

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美国在减少烟草使用的发病率和死亡率方面有着丰富的公共卫生工作历史。全面的烟草预防方案如果得到有力实施,将减少青年和成人吸烟的流行率,减少卷烟消费,加速降低与烟草有关的死亡率,并减少与烟草有关的疾病的医疗保健费用。有效的公共卫生干预措施包括提高烟草产品价格、无烟政策、反营销运动、广告限制、通过保险和电话帮助热线增加获得烟草使用治疗的机会,以及采取综合办法防止儿童和青少年接触烟草产品。美国食品和药物管理局(FDA)有六个主要领域的监管权力:烟草产品的监管;烟草产品的广告,营销和促销的监管;烟草产品的分销和销售的监管;烟草控制法和烟草法规的规定的执行;支持FDA当局和活动的监管科学;以及关于烟草产品危害的公众教育,并支持FDA的监管行动。随着2009年6月《家庭吸烟预防和烟草控制法》(《烟草控制法》)的通过,烟草预防和控制的手段又增加了重要的新的监管办法。
The USA has a rich history of public health efforts to reduce morbidity and mortality from tobacco use. Comprehensive tobacco-prevention programmes, when robustly implemented, reduce the prevalence of youth and adult smoking, decrease cigarette consumption, accelerate declines in tobacco-related deaths, and diminish healthcare costs from tobacco-related diseases. Effective public health interventions include raising the price of tobacco products, smoke-free policies, counter-marketing campaigns, advertising restrictions, augmenting access to treatment for tobacco use through insurance coverage and telephone help lines, and comprehensive approaches to prevent children and adolescents from accessing tobacco products. The US Food and Drug Administration (FDA) has six major areas of regulatory authority: regulation of tobacco products; regulation of the advertising, marketing, and promotion of tobacco products; regulation of the distribution and sales of tobacco products; enforcement of the provisions of the Tobacco Control Act and tobacco regulations; regulatory science to support FDA authorities and activities; and public education about the harms of tobacco products and to support FDA regulatory actions. With passing of the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act) in June, 2009, important new regulatory approaches were added to the tobacco prevention and control arsenal.