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减少危害、公共卫生与人权:吸烟者有权了解重大的减少危害选项。

Harm reduction, public health, and human rights: smokers have a right to be informed of significant harm reduction options.

作者信息

Kozlowski Lynn T

机构信息

Department of Behavioral Health, Pennsylvania State University, University Park, PA 16802, USA.

出版信息

Nicotine Tob Res. 2002;4 Suppl 2:S55-60. doi: 10.1080/1462220021000032843.

Abstract

Public health policy needs to be assessed for effects on human rights as well as public health. Although promoting harm reduction products to cigarette smokers might lead to greater total public health harm, if the products become too popular, human rights issues also need to be considered. Avoiding, or objecting to, the fair presentation of information on effective harm reduction products to smokers to allow them to make an informed choice to reduce health risk can represent a violation of a human right - the right to information. The necessary conditions are not met for protecting public health by restricting information on certain risk reduction products. As examples, based on current evidence, smokers have a right to information on snus (Swedish moist snuff) and medicinal nicotine as harm reduction options that would reduce substantially the risk of death to individuals. Smokers also have a right to truthful information about lower-tar cigarettes that have been erroneously promoted as risk reducing.

摘要

公共卫生政策需要从对人权以及公共卫生的影响两方面进行评估。尽管向吸烟者推广减少危害的产品可能会导致总体上对公共卫生造成更大的危害,但如果这些产品变得过于流行,人权问题也需要加以考虑。避免或反对向吸烟者公正地呈现有关有效减少危害产品的信息,以使他们能够做出明智的选择来降低健康风险,这可能构成对一项人权——知情权的侵犯。通过限制有关某些降低风险产品的信息来保护公共卫生的必要条件并不存在。例如,根据目前的证据,吸烟者有权了解鼻烟(瑞典湿鼻烟)和药用尼古丁等作为减少危害选项的信息,这些选项将大幅降低个人死亡风险。吸烟者也有权获得关于低焦油香烟的真实信息,这些香烟曾被错误地宣传为降低风险的产品。

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