Alternative Forms of Tobacco aka
Potentially Reduced Exposure
Products (PREPS)

Once limited to cigarettes, cigars, pipe tobacco and chewing or spit tobacco, tobacco products today come in more flavors, forms, shapes and sizes, and with more unproven health claims, than ever before.
Key trends include:




Introducing flavored products
Creating novel smokeless products
Targeting products and marketing
Sustaining addiction and discouraging quitting

Reduced Exposure vs.
Reduced Risk

Reduced Exposure: The shortened level of secondhand smoke omitted and its inhalation to non-smokers

Reduced Risk: A lower risk of negative health effects associated with the use of the tobacco product

New Advertisement Methods

Manufacturers focus on the habits, desires, and tastes of their intended audience.
“The tobacco pandemic is a communicated disease. It is communicated through advertising, through the example of smokers and through the smoke to which non-smokersespecially children-are exposed.” – Gro Harlem
Brundtland, Director General, World Health
Organization, 1999



New Packaging
New Sizes
 New Designs



New Flavors
New Techniques
TRU Youth must have New IDEAS too!

Virginia Slims
Camel #9
Smaller diameter. Skinny for image and convenience.

By Revved Up Inc. & Southern
Smokeless
INFUSED WITH CAFFEINE



Innovative Manufacturing
Philip Morris has a Japanese company PMJ
D-spec/LSS Products

D-Spec or Less Smoke Smell (LSS) cigarette. D-spec, a technology perfected by Japan Tobacco Inc., is a method of fixing a flavorant onto the cigarette to improve the smell of side stream smoke.

Camel Nutty Menthol
Salem Menthol
When lit, the extra paperlayer burns simultaneously with the cigarette rod, off setting the tobacco smell.
Triple menthol cigarette with an internal flavored yarn inserted in the filter. Flavors include mint, spearmint, and peppermint.

Marlboro
Marlboro Intense

7.2cm long compared to a regular 8.5cm cigarette. Designed for quick use.


This smaller cigarette is being referred to as
“snack size”.
Similar to Marlboro’s
72s brand.

By squeezing the filter the small blue capsule is crushed and chemicals are released.
 Contains a small blue menthol capsule within the filter.

Reduced Risk Products




Advertise they have less nicotine or tobacco therefore it is a safer alternative
Some products substitute tobacco for other harmful substances that can contain carbon monoxide and propylene glycol
Can still have a high level nicotine
There are not current studies supporting the use of these products, no safe level!

E-cig: Nicotine, No Tobacco




Heats up nicotine instead of burning it
No carcinogens or tar
Blows out vapors
A mix of water, nicotine, artificial smoke flavor and propylene glycol, the chemical used in fog-making machines.
"The electronic cigarette is not a proven nicotine replacement therapy," said Dr
Ala Alwan, Assistant Director-General of
WHO's Noncommunicable Diseases and
Mental Health Cluster.

Eclipse contains Tobacco, heats instead of burning.

Reduced exposure products
Camel Dissolvables deliver between 0.0 to 3.1 milligrams of nicotine, while cigarette smokers typically inhale about 1mg per cigarette.
Camel Dissolvables will not be positioned as a smoking cessation or reduced risk product.
Emerging Products by R.J. Reynolds
Camel Dissolvable Sticks: Can be placed in the mouth like a toothpick or broken into a piece that is placed between the upper lip and gum, where it dissolves after ten minutes. Flavor: Mellow
Camel Orbs: Pellet that lasts about 15 minutes. Same usage as sticks. Flavors:
Fresh Mint and Mellow
Strips: Dissolve after 3 minutes. Flavor:
Fresh Mint

Sachet (Pouch)
Revel
Smokeless and Spit-less
Available in mint, wintergreen, and cinnamon
Resembles gum or mints
Comes in a pouch (sachs)

Camel Snus


Spit-less pouch
The juice can be swallowed

Fuisz




Film strip
Owned by MonoSol Rx
Claims to have significantly lower amounts of tobacco
What could be dangers of using this film?

Nicotine Water


Each 8-ounce bottle contains 4mg of nicotine equally suspended in purified water, with just a hint of lemon flavoring.
All you will taste is the water. For use where smoking is not allowed or for people who want to quit smoking.
From http://www.nicoworldwide.com/
“NICLite® contains a purified organic nicotine molecule in a Complex Homeopathic
Formula, which will go into equal suspension in 8 ounces of pharmaceutical grade water.”


Nicogel is a tobacco gel that smokers can substitute for cigarettes. It is to be used when a smoker is in a place where they are not allowed to smoke.
 http://www.nicogel-uk.com/index.php
It is not a smoking cessation product. To use Nicogel one must take a single press of gel and rub it into their skin.

Moving from ideas to action
Questions to ask yourself when making an action plan:






Have a goal. How can we write down the goal in simple terms?
How to spread the message —who needs to be educated, how do we get our message out, etc
When to begin and end the work towards this goal. Are these dates realistic in terms of what everyone can do?
Materials are needed—food, pencils and paper, poster board, etc
Make sure that everyone knows what their responsibility will be.
How do we evaluate the successfulness of the action steps? How do we know when we’ve finished the steps?

Techniques






Hosting tobacco education events
Educate Staff about new products to help with Compliance
Host events with your TRU club at school
Submitting letters to the editor to your local newspapers.
Educate Family and Friends
Continue to research and stay up to date!

Resources









 Jim Martin, NC Tobacco Prevention and Control Brach Presentation: 15 New
Tobacco Products sept29-3 (2)-1.ppt
Paul Turner, NC STEP Presentation: Task Force Updates August 2008
World Health Organization, Marketers of electronic cigarettes should halt unproved therapy claims, 9/19/2008. http://www.who.int/mediacentre/news/releases/2008/pr34/en/index.html
.
Southern Smokeless, http://www.southernsmokeless.com/ .
Crown Seven, http://www.crown7.com/ .
New Products, Tobacco Documents, www.tobaccoproducts.org
NC Tobacco Prevention and Control Branch, http://www.tobaccopreventionandcontrol.ncdhhs.gov/ .
NC Health and Wellness Trust Fund, www.healthwellnc.com
Nico Worldwide Inc, http://www.nicoworldwide.com/
Nicogel, Limited Company registered in England, http://www.nicogel-uk.com

What flavors does Revel usually come in?

What commonly used object can be most compared to the size of the Fuisz:

What flavoring does Nico
Water have a hint of?

Reduced Risk means:
A. A lower risk of negative health effects with usage of tobacco
B. The more tobacco you use, the lower the risk of cancer is
C. The risk of being hit by a UFO is reduced

A. Of image and for convenience
B. Because there’s less tobacco for women
C. They look cooler than regular cigarettes

To activate the flavor in
Camel Crush, you:
A. Punch the box
B. Throw the carton down the stairs
C. Squeeze the ball until you hear a click

A. Babies want them
B. So they are “snack size”
C. They’re more intense