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August 2004, Vol 94, No. 8 | American Journal of Public Health 1294-1295
© 2004 American Public Health Association

LETTER

FAIRCHILD AND COLGROVE RESPOND

Amy Fairchild, PhD, MPH and James Colgrove, PhD

The authors are with the Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Amy Fairchild, PhD, MPH, Mailman School of Public Health, Columbia University, 722 W 168th St, 9th Floor, New York, NY 10032 (e-mail: alf4{at}columbia.edu).

We appreciate the thoughtful comments and concerns of Giovino, who was intimately involved in the Institute of Medicine’s (IOM’s) assessment of the scientific basis for tobacco harm reduction. We did not state, nor did we intend to imply, that the IOM report was primarily about less hazardous cigarettes. Further, we took care to describe the report as "endorsing harm reduction only ‘as a component of a comprehensive national tobacco control program that emphasizes abstinence-oriented prevention and treatment.’ "

We recognize that the term "safer cigarette" is problematic. But our purpose in the article was to analyze the historical evolution of public health thinking about "safer" products. The belief that such products were possible was central to that history, as was the use of the term "safer cigarettes."

We believe that others who, like us, are interested in how broadly the public health community defines harm reduction in the coming years and what place tobacco products will occupy within that framework will appropriately read the IOM report as stating the need to face squarely the challenge of tobacco-based products.





This Article
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Right arrow Tobacco Control
Right arrow Health Policy
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Right arrow Smoking Cessation

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