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烟草监管的风险评估

Risk Assessment for Tobacco Regulation.

作者信息

Berman Micah L, El-Sabawi Taleed, Shields Peter G

机构信息

The Ohio State University College of Public Health and Moritz College of Law, Columbus, OH.

The Ohio State University College of Public Health, Columbus Ohio.

出版信息

Tob Regul Sci. 2019 Jan;5(1):36-49. doi: 10.18001/TRS.5.1.4.

DOI:10.18001/TRS.5.1.4
PMID:31602391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6786779/
Abstract

Risk assessment is a process that uses a transparent, reproducible and pre-established methodology to evaluate alternatives for managing health-related risks. Although an array of federal agencies regularly use risk assessment to inform regulatory decisions, its application to tobacco regulation is new. By comparing examples of FDA risk assessments for food and tobacco, this paper highlights some of the challenges inherent in applying risk assessment methodologies to tobacco regulation. In doing so, it calls upon researchers to work with the FDA to develop a tobacco-specific approach to risk assessment that reflects the Tobacco Control Act's regulatory framework and the distinctive features of tobacco products and tobacco use.

摘要

风险评估是一个运用透明、可重复且预先确定的方法来评估管理健康相关风险的替代方案的过程。尽管一系列联邦机构经常使用风险评估来为监管决策提供依据,但其在烟草监管中的应用却是新的。通过比较美国食品药品监督管理局(FDA)对食品和烟草的风险评估实例,本文突出了将风险评估方法应用于烟草监管所固有的一些挑战。在此过程中,它呼吁研究人员与FDA合作,开发一种针对烟草的风险评估方法,该方法应反映《烟草控制法》的监管框架以及烟草制品和烟草使用的独特特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/ccfa7a0e18b3/nihms-1012701-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/b353e05b6366/nihms-1012701-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/1638816f2140/nihms-1012701-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/ccfa7a0e18b3/nihms-1012701-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/b353e05b6366/nihms-1012701-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/1638816f2140/nihms-1012701-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a3/6786779/ccfa7a0e18b3/nihms-1012701-f0003.jpg

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本文引用的文献

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Assessing modified risk tobacco and nicotine products: Description of the scientific framework and assessment of a closed modular electronic cigarette.评估改良风险烟草和尼古丁产品:科学框架描述和封闭式模块化电子烟评估。
Regul Toxicol Pharmacol. 2017 Nov;90:342-357. doi: 10.1016/j.yrtph.2017.09.008. Epub 2017 Sep 25.
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Estimating the effect of differing assumptions on the population health impact of introducing a Reduced Risk Tobacco Product in the USA.评估不同假设对在美国引入风险降低型烟草产品所产生的人群健康影响的作用。
Regul Toxicol Pharmacol. 2017 Aug;88:192-213. doi: 10.1016/j.yrtph.2017.06.009. Epub 2017 Jun 24.
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减少烟草相关危害:FDA 提出的无烟烟草制品标准建议。
Tob Control. 2018 May;27(3):352-354. doi: 10.1136/tobaccocontrol-2016-053612. Epub 2017 Jun 20.
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Population Modeling of Modified Risk Tobacco Products Accounting for Smoking Reduction and Gradual Transitions of Relative Risk.考虑吸烟减少和相对风险逐渐转变的改良风险烟草产品的人群建模。
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Carcinogenesis. 2017 Apr 1;38(4):411-418. doi: 10.1093/carcin/bgx012.
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Defining Tobacco Regulatory Science Competencies.界定烟草监管科学能力
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A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products.评估电子烟及其他雾化尼古丁产品对公共卫生影响的框架。
Addiction. 2017 Jan;112(1):8-17. doi: 10.1111/add.13394. Epub 2016 Apr 25.
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Modeling the Health Effects of Expanding e-Cigarette Sales in the United States and United Kingdom: A Monte Carlo Analysis.模拟美国和英国扩大电子烟销售对健康的影响:蒙特卡洛分析
JAMA Intern Med. 2015 Oct;175(10):1671-80. doi: 10.1001/jamainternmed.2015.4209.
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A novel approach to assess the population health impact of introducing a Modified Risk Tobacco Product.一种评估引入改良风险烟草产品对人群健康影响的新方法。
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