Joel Nitzkin

Youth smoking is down, but thanks to what?

We received some welcome news this week from the Food and Drug Administration: Cigarette smoking by high school students has been cut in half since 2011, from 15.8 …

FDA misinterprets massive victory on teen smoking

As detailed this morning by the Food and Drug Administration, cigarette smoking by U.S. high school students has been cut in half since 2011—from 15.8 percent to 8.0 …

Trump’s FDA nominee faces steep climb to reform tobacco regulation

As the U.S. Senate weighs whether to confirm Dr. Scott Gottlieb—President Trump's pick to be commissioner of the Food and Drug Administration—there is an important question that he …

Comments to FDA on regulating tobacco-related products as drugs

Cigarettes are the most hazardous and addictive tobacco product. All of the 480,000 U.S. deaths each year attributed by federal authorities to tobacco products are due to a …

The government has to change its tune on how to reduce harm from tobacco

A recent report from the Core Team on Tobacco Control drew 120 eminent signatories from the tobacco control community to endorse the proposition that it is possible to …

E-cig tipping points vs. FDA deeming regulations

The attached policy study originally was published in Volume 8, Issue 1 of the Journal of Addiction Research & Therapy. In 2002, writer Malcom Gladwell introduced the concept of …

FDA should get out of the smokeless tobacco industry

The following op-ed was co-authored by R Street Associate Fellow Brad Rodu. Just days after President Donald Trump's inauguration, the Food and Drug Administration proposed new rule mandating major reductions in the …

Congress, please make smoking less harmful

Legislation introduced recently by Reps. Tom Cole, R-Okla., and Sanford Bishop, D-Ga., would make significant changes to the way the Food and Drug Administration regulates tobacco and nicotine …

Vapor devices are not cigarettes

There is a movement afoot in New Mexico to treat e-cigarettes and related nicotine-vapor products as if they pose the same risks for addiction and potentially fatal tobacco-attributable …

Lots of smoke, no fire

Surgeon General Vivek H. Murthy got it wrong. Contrary to the claims in this week’s highly publicized report, e-cigarettes and other vapor devices are not a threat to …

FDA’s e-cigarette rules are a public-health hazard

Since they first were introduced in the United States in 2006, electronic cigarettes have helped millions of U.S. smokers to cut down or quit and diverted teens from …

What drives tobacco-control policy?

This is a follow-up to the presentation by Dr. David Ashley of the Food and Drug Administration's Center for Tobacco Products (CTP) at the March 2016 meeting of …

Should we just take the nicotine out of cigarettes?

The short answer is…not yet. In the United States, the ultimate goal of tobacco-control programming long has been a “tobacco-free society.” This goal is clearly articulated in the most …

What drives tobacco-control policy?

The attached policy brief has been accepted for publication by the journal Nicotine & Tobacco Research. This is a follow-up to the presentation by Dr. David Ashley of the FDA’s …

Suggested guidelines for state and local regulation of e-cigarettes

Tobacco cigarettes are by far the most addictive and hazardous nicotine-delivery products. The tar in cigarette smoke, not the nicotine, causes cancer and heart and lung disease. E-cigarettes …

Letter to Alaska Legislature on e-cigarettes

Dear Alaska State Legislator or Legislative Staff Member: I am a public-health physician who has been involved in tobacco control since the 1970s. I have been a local health …

Letter to R.I. Senate Judiciary Committee on S. 2107

Dear Sen. McCaffrey: I am a public health physician who advises the R Street Institute on tobacco-related policy. Detail on my background and how I arrived at my position …

H.R. 2058 and the regulation of e-cigarettes

H.R. 2058, recently introduced in May 2015 by U.S. Rep. Tom Cole, R-Okla., draws the attention of policymakers to the structure of the Food and Drug Administration’s regulatory …

Comments to FDA on regulating tobacco products as drugs

Summary Recommendations: FDA should redefine smoking as a behavior, not a disease, and regulate all tobacco-related and nicotine-delivery products accordingly. FDA should migrate all regulation of tobacco-related and nicotine-delivery products …

Understanding the crusade against e-cigarettes

Two recent public comment letters from Stanton Glantz of the University of California at San Francisco finally lay bare the myth that underlies the public-health crusade against e-cigarettes …

Modeling the health effects of expanding e-cigarette sales

A modeling study by Sara Kalkhoran and Stanton A. Glantz published in the Oct. 1, 2015 edition of JAMA Internal Medicine can reasonably be interpreted as demonstrating the …

No, e-cigarettes aren’t recruiting teens to smoke

Writing in the Sept. 8 edition of JAMA Pediatrics, Dr. Brian Primack and team reported on a portion of the data from a national survey of U.S. teens …

Endgame proposals and a wake-up call to the tobacco-control community

The recent endgame review by Patricia McDaniel and her team in the Aug. 28 edition of Tobacco Control demonstrates a major flaw in thinking within the tobacco-control community. The …

E-cigarettes and recruitment of teens to nicotine addiction

Writing in the Aug. 18 edition of the Journal of the American Medical Association, Adam Leventhal of the University of Southern California and his team survey teens about …

Letter to National Park Service on e-cigarette policy

This note is in response to the National Park Service news release dated Sept. 14, 2015, about subjecting electronic cigarettes to the same rules imposed on combustible tobacco …

Need for dialogue on tobacco harm reduction

What is now needed, if we are to ever secure the personal and public health benefits that e-cigarettes and tobacco harm reduction can offer, is honest and sincere …

E-cigarettes are a friend to public health

Delaware lawmakers are now considered H.B. 5, a bill that would ban e-cigarette use everywhere smoking is prohibited. Experience as a public health physician has taught me to …

Nitzkin testimony on Delaware HB 5

My name is Joel Nitzkin. I am a public health physician, board certified in preventive medicine as my medical specialty. I have been a local health director, a state …

Letter on e-cigarette provisions of Minnesota tax bill

I am a public health physician who advises the R Street Institute on tobacco-related policy. Detail on my background and how I got to where I am today …

More on hidden formaldehyde in e-cigarette aerosols

This letter was co-authored by Dr. Michael Siegel of the Boston University School of Public Health and Dr. Konstantinos Farsalinos of the Onassis Cardiac Surgery Center in Athens, …

Statement on e-cigarettes at FDA workshop

The attached statement on e-cigarette regulation was delivered by R Street Senior Fellow Dr. Joel Nitzkin to the March 9, 2015 FDA workshop in Hyattsville, Md. …

THR statement to Preventive Medicine 2015 conference

The attached statement on tobacco harm reduction was delivered by R Street Senior Fellow Dr. Joel Nitzkin to the Preventive Medicine 2015 conference in Atlanta, Ga., on Feb. …

Letter to Oregon Legislative Assembly about HB 2546

I submit this comment and request to amend H.B. 2546 in my capacity as a public health physician and my role as senior fellow for tobacco policy with …

A modest proposal to the e-cigarette community

    At the Sept. 24, 2014 IQPC ECig USA Industry Conference in Las Vegas, I opted to abandon my previously anticipated presentation in favor of the following, based on …

Presentation to Ecig USA Industry Conference

  The attached presentation was delivered by R Street Senior Fellow Joel Nitzkin at the IQPC Ecig USA Industry Conference, held in Las Vegas, Nev. from Sept. 23-25, 2014. …

Letter to Gov. Nixon on veto of tobacco harm-reduction bill

July 31, 2014   Gov. Jeremiah Nixon P.O. Box 720 Jefferson City MO 65102 Re: Veto of Missouri Senate Substitute for S.B. 841 Dear Gov. Nixon, As a public health physician, with …

E-cigarettes: A life-saving technology or a way for tobacco companies to re-normalize smoking in American society?

  The attached study appeared in the June 30, 2014 edition of the Food and Drug Law Institute's Food and Drug Policy Forum. Electronic cigarettes, commonly referred to as "e-cigarettes," …

The case for e-cigarettes

There are about 46 million smokers in the United States, and an estimated 480,000 deaths per year are attributed to cigarette smoking. Despite our best efforts, these numbers …

E-cigarette primer for state and local lawmakers

Cigarettes kill an estimated 480,000 Americans each year. An estimated 46 million Americans smoke cigarettes, the most hazardous and most addictive of tobacco products. Despite our best efforts, …

The case in favor of e-cigarettes for tobacco harm reduction

This paper has been accepted for publication in the International Journal of Environmental Research and Public Health. A carefully structured Tobacco Harm Reduction (THR) initiative, with e-cigarettes as a …

Comments to FDA on e-cigarette deeming regs

This note is in response to the April 2014 FDA Docket No. FDA-2014-N-0189 requesting comment on proposed regulations for extending the authority of the FDA Center on Tobacco …

Response to ANR fact sheet: Electronic cigarettes and secondary aerosol

This note is in response to the so-called “fact sheet” entitled “Electronic Cigarettes and Secondhand Aerosol” produced by Americans for Nonsmokers Rights (ANR) February 20, 2014 [1] in …

Letter to U.S. Preventive Services Task Force

This memo urges USPSTF to expand their consideration of options for smoking cessation to include tobacco harm reduction, alternative health education interventions not involving use of pharmaceuticals, and …

The promise of e-cigarettes for tobacco harm reduction

Nicotine vaporizers, usually referred to as e-cigarettes, show substantial promise as a vehicle for tobacco harm reduction (THR). Skyrocketing sales of e-cigarettes, consumer advocacy for these products, and …

Letter to Kathleen Sebelius and Richard Durbin on e-cigarette flavoring

Dear Secretary Sebelius and Senator Durbin: I write to you as a public health physician self-employed as a policy consultant. I have been a local health director, state health …

Statement from Dr. Joel Nitzkin on Duluth e-cigarette ordinances

The attached letter to the City Council of Duluth, Minn. is in response to introduced ordinances that would extend restrictions on smoking in indoor and outdoor areas to …

FDA lifts restrictions on OTC nicotine replacement therapies

In a truly stunning announcement, April 1, the U.S. Food and Drug Administration announced its intention to lift many restrictions on labeling of over-the-counter Nicotine Replacement Therapy drugs; allow …

FDA lifts restrictions on OTC nicotine replacement therapies

In a truly stunning announcement, last week, the U.S. Food and Drug Administration announced its intention to lift many restrictions on labeling of over-the-counter Nicotine Replacement Therapy drugs; …

Dialogue, stakeholders and the future of tobacco control

In a Jan. 31 BMJ blog post, Dr. Ruth Malone, editor of Tobacco Control, excoriated the Food and Drug Administration for proposing "facilitated dialogue" with the "tobacco industry." …

Reducing smoking: A guide for state policy makers

PDF Download Text A review of public health literature related to smoking cessation suggests smoking bans and efforts to stop minors from smoking can be very effective. They …

A response to ‘Stubbing Out Cigarettes for Good’

Earlier this month, the New York Times published and op-ed penned by Richard Daynard of Northeastern University titled “Stubbing out Cigarettes for Good.” Professor Daynard is president of …

Comment to FDA on e-cigarettes: A public health perspective and plea for common sense

If properly regulated and promoted, e-cigarettes have the potential to substantially reduce risk of tobacco-attributable illness among current smokers; enhance future total abstinence from tobacco use; and do …

R Street policy on tobacco harm reduction

Tobacco Harm Reduction (THR) is a policy and process by which smokers who are unable or unwilling to quit smoking are enabled and encouraged to switch to a …

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