Tobacco-free blunt wraps: a regulatory conundrum.
Tobacco-free blunt wraps: a regulatory conundrum.
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无烟草钝包装：监管难题。
DOI：
10.1136/tc-2023-058100
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发表时间：
2024
期刊：
影响因子：
5.2
通讯作者：
Krishnan-Sarin,Suchitra
中科院分区：
文献类型：
--
作者：
Kong,Grace;Morean,MeghanElizabeth;Davis,DanielleR;Bold,KrystenW;Krishnan-Sarin,Suchitra
雪茄（例如，大型制造的雪茄，小雪茄）是美国最常用的可燃烟草产品之一。1 2雪茄的流行可能是由于能够将其改造为吸食大麻“钝”（即中空雪茄，充满大麻或烟草和大麻的混合物）。3-5吸钝口烟比吸大麻或只吸烟草可能使使用者暴露于更高水平的致癌物，6在吸香烟和使用大麻的青少年和年轻人中，使用钝口烟的人比使用钝口烟以外形式的大麻的人对尼古丁和大麻的依赖性更大。7 8令人担忧的是，在年轻人，黑人或有物质使用障碍的人中，钝器使用率较高。8-10钝头可以使用钝头包装制成-通常由烟叶制成的外部包装。然而，“无烟草钝包装”是广泛可用的（例如，便利店，烟草零售商，网上）。这些产品不含尼古丁或烟草;它们是由包括大麻，香蕉叶，棕榈叶和玫瑰花瓣在内的产品制成的，并用于吸食大麻（在线补充图1）。不含烟草的钝形包装也有一些对年轻人非常有吸引力的特点：它们价格便宜，有很多口味（例如，水果，薄荷，“加州梦”），并使用名人和健康声称，可被视为减少伤害，如“有机”，“天然”和“无添加剂”进行营销。通过家庭吸烟预防和烟草控制法11和随后的推定规则，12美国食品和药物管理局（FDA）对不含烟草但影响烟草使用方式的烟草产品及其成分（如过滤嘴、包装纸）进行监管，其中包括无烟草钝包装。目前，FDA没有专门强调其对无烟草钝包装的监管权力的语言。因此，该行业可能会使用无烟草钝包装来规避FDA的监管机构，声称它们用于大麻，并且它们不含尼古丁/烟草。然而，它们也与雪茄产品（例如“rillo”）一起销售，这表明它们与现有的雪茄产品一样，可以用于消费烟草。为了弥补潜在的漏洞，FDA应该澄清其对无烟草钝包装的监管权力。13此外，FDA还建议禁止调味烟草雪茄。14如果这项禁令不包括无烟草钝包装，它可能会破坏这一口味限制政策，因为这些产品有许多口味。例如，如果香料雪茄被禁止，人们可能
Cigars (eg, large manufactured cigars, cigarillos) are among the most used combustible tobacco products in the USA. 1 2 Some of the popularity of cigars may be driven by the ability to modify them to smoke cannabis ‘blunts’(ie, hollowed-out cigars filled with cannabis or a mixture of tobacco and cannabis). 3–5 Smoking blunts could expose users to greater levels of carcinogens than smoking either cannabis or tobacco alone, 6 and, among adolescents and young adults who smoke cigarettes and use cannabis, those who use blunts have greater dependence on nicotine and cannabis than those who use cannabis in forms other than blunts. 7 8 Concerningly, blunt use is elevated among individuals who are young, black, or who have substance use disorders. 8–10 Blunts can be made using blunt wraps—external wraps typically made of tobacco leaf. However,‘tobacco-free blunt wraps’ are widely available (eg, convenience stores, tobacco retailers, online). These products do not contain nicotine or tobacco; they are made of products including hemp, banana leaves, palm leaves, and rose petals and are marketed for smoking cannabis (online supplemental figur e 1). Tobacco-free blunt wraps also have features that are highly appealing to youth: they are inexpensive, come in many flavours (eg, fruit, mint,‘California Dream’) and are marketed using celebrities and with health claims that could be perceived as reduced harm, such as ‘organic’,‘natural’and ‘no additives’.Through the Family Smoking Prevention and Tobacco Control Act 11 and the subsequent Deeming Rule, 12 the US Food and Drug Administration (FDA) regulates tobacco products and their components that do not contain tobacco but influence how tobacco is used (eg, filters, wrappers), which would include tobacco-free blunt wraps. Currently, the FDA does not have language that specifically highlights their regulatory authority over tobacco-free blunt wraps. Thus, the industry may use tobacco-free blunt wraps to circumvent FDA’s regulatory authority by claiming that they are used for cannabis and that they do not contain nicotine/tobacco. However, they are also marketed with terms referring to cigar products (eg,‘rillo’), suggesting that they are like existing cigar products and could be used to consume tobacco. To close the potential loophole, the FDA should clarify its regulatory authority over tobacco-free blunt wraps. 13 Additionally, the FDA has proposed prohibiting flavoured tobacco cigars. 14 If this prohibition does not include tobacco-free blunt wraps, it may undermine this flavour restriction policy because these products are available in many flavours. For instance, if flavoured cigars are banned, people may