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Tobacco Harm Reduction
06. The failure of light cigarettes
  Frost C, Fullerton FM, Stephen AM, Stone R, Nicolaides-Bouman A, Densem J, Wald NJ & Semmence A (1995) The tar reduction study: Randomised trial of the effect of cigarette tar yield reduction on compensatory smoking. Thorax, 50, 1038-1043.

This well designed randomized trial demonstrates that smokers will compensate and regulate nicotine levels when smoking lower tar cigarettes. Unfortunately, we are unavailable to provide free access to this paper at this time. If multiple copies of this paper are required, please contact bmjpermissions1@bmj.com. An electronic abstract is available for this paper at http://thorax.bmj.com/cgi/content/abstract/50/10/1038

 
  Hecht SS, Murphy SE, Carmella SG, Li S, Jensen J, Le C, Joseph AM & Hatsukami DK (2005) Similar uptake of lung carcinogens by smokers of regular, light, and ultralight cigarettes. Cancer Epidemiology Biomarkers and Prevention, 14, 693-698.

This research indicates that there is no significant difference in lung carcinogens from cigarettes with different tar yields – even those that claim to be “light” and “mild”.

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  Jarvis MJ, Boreham R, Primatesta P, Feyerabend C & Bryant A (2001) Nicotine yield from machine-smoked cigarettes and nicotine intakes in smokers: Evidence from a representative population survey. Journal of the National Cancer Institute, 93, 134-138.

This paper presents data from a representative population sample in the UK. It demonstrates that smokers have a tendency to regulate nicotine levels when using lower tar cigarettes by inhaling more smoke – cancelling out any potential health gains from the lower tar cigarettes themselves. Unfortunately, we are unable to provide free access to this article.

 
  King W, Carter SM, Borland R, Chapman S & Gray N (2003) The Australian tar Derby: The origins and fate of a low tar harm reduction programme. Tobacco Control, 12 (Supplement 3), iii61-iii70.

This paper documents the development of the low tar harm reduction programme in Australia and recommends that the programme is replaced with new harm reduction strategies.

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  WHO Scientific Advisory Committee on Tobacco Policy Regulation (2003) Conclusions and recommendations on health claims derived from ISO/FTC method to measuring cigarette yield. Geneva: World Health Organization.

This report calls for the banning of misleading information displayed on cigarette packs such as the terms “light” and “mild”. It is available in English, French, Spanish, Arabic, Chinese and Russian.

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