Dr. Michael Thun of the American Cancer Society (ACS) may be correct in predicting that widespread use of smokeless tobacco as a means of helping people quit smoking might have the unintended effect of increasing overall tobacco use ("Should Snuff Be Used as a Tool to Quit Smoking?" page one, Sept. 16) Yet he is unimpressed by the fact that use of smokeless tobacco is significantly less harmful than use of cigarettes in every category, including oral cancer.
Anti-tobacco advocates have a hard time accepting any increase in the overall use of tobacco. But public health advocates should use a different measuring stick: net health effects. If we could reduce tobacco related illness at the cost of increasing tobacco use, I'm all for it.
Jeff Stier Associate Director American Council on Science and Health New York
Note: ACSH will release a full report on the use of smokeless tobacco for harm reduction this fall.
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AMERICAN COUNCIL ON SCIENCE AND HEALTH 1995 BROADWAY, SUITE 202, NEW YORK, NY 10023-5882 TELEPHONE: (212) 362-7044 TOLL FREE: (866) 905-2694 FAX: (212) 362-4919 E-MAIL: General organization mailbox: acsh@acsh.org ; Individual staffer: [last name or last name followed by first initial]@acsh.org