March 23, 2017 The FDA’s Proposed Product Standard on NNN in Smokeless Tobacco When speaking at NATO Shows in the past, Mitch Zeller, the Director of the U.S. Food and Drug Administration’s Center for Tobacco Products, has stated that product standards are the most powerful tool that Congress gave to the FDA to regulate tobacco products. A product standard allows the FDA to limit or prohibit an ingredient in a tobacco product or a constituent in tobacco smoke. Recently, the FDA issued a proposed rule to establish the agency’s first product standard. The proposed rule would limit the level of N-nitrosonornicotine (NNN) in finished smokeless tobacco products to one microgram per gram (or one part per million) at any time through the product's labeled expiration date. The FDA classifies NNN as a harmful or potentially harmful constituent in tobacco products. Under the Family Smoking Prevention and Tobacco Control Act, “smokeless tobacco” is defined as “any tobacco product that consists of cut, ground, powdered, or leaf tobacco and that is intended to be placed in the oral or nasal cavity.” This includes moist snuff, snus, dry snuff, chewing tobacco, and some dissolvables. This means that this proposed NNN standard of one part per million would apply to each of these different kinds of smokeless tobacco products. However, to clarify, the NNN in tobacco is naturally occurring and can be formed while being grown, cured, manufactured, or sitting in its package in a wholesale warehouse or on a retail store shelf. In fact, the FDA recognizes the variability of NNN in smokeless tobacco products when it states the following in the proposed rule: “NNN levels in tobacco can vary significantly from year to year, intra-year, and farmto-farm. Although tobacco plants inherently produce a small amount of NNN, a wide variety of factors can affect the final levels of NNN found in the finished tobacco product. These factors, which can either increase or decrease NNN levels in smokeless tobacco products, include the tobacco type (e.g., dark air-cured tobacco, Bright leaf tobacco, Burley tobacco), growing conditions (e.g., geographic region, climate, rainfall), curing techniques (e.g., fire, flue, air, sun), production process (e.g., additives), and storage conditions (e.g., temperature, humidity, duration).” Tobacco farmers and manufacturers have been working for many years to limit the NNN levels in smokeless tobacco products. With the FDA acknowledging that “[w]eather is a significant factor in NNN production,” there is no means by which farmers and manufacturers can control the weather in an effort to comply with the proposed one microgram per gram limitation. In the proposed rule, the FDA states that “an NNN level of 1.0 µg/g [one microgram per gram] of tobacco has been achieved in some smokeless tobacco products sold in the United States” and then claims that the proposed standard “is thus achievable using current technology” for all smokeless tobacco products. The FDA further states that the agency “may consider a lower NNN level in the future.” Several manufacturers that make smokeless tobacco products have submitted written responses to the FDA asking the agency to: (1) withdraw the proposed rule to allow for further consideration in light of President Donald Trump’s freeze on new federal regulations, (2) withdraw the proposed rule because it fails to adequately consider such basic issues as whether the proposed standard is even technically feasible for all smokeless tobacco products and the economic impact on manufacturers and tobacco farmers, and (3) address the agency’s apparent failure to consider the differences between various types of smokeless tobacco products. Originally, the FDA planned to accept public comments on the proposed NNN product standard until April 10, 2017. However, after manufacturers requested that the agency extend the comment period for an additional 75 days to allow more time to compile comments to address this complex issue, the FDA announced this week that the comment period has been extended an additional 90 days until July 10, 2017. NATO is planning to submit comments to the FDA on the NNN standard and its potential impact on retailers that sell tobacco products. NATO Follows Up With FDA Director Zeller on Social Sources Messaging At the 2016 NATO Show, FDA Center for Tobacco Products Director Mitch Zeller spoke about the initial findings of the agency’s Population Assessment of Tobacco and Health study. In his presentation, Director Zeller included the accompanying Power Point slide, which shows that up to 86% of youth obtain cigarettes from non-retail social sources. The study findings for the percentage of youth reliance on social sources for other products included 89.5% for e-cigarettes, 79% for cigarillos, 88% for hookah tobacco, and 77% for smokeless tobacco. During the follow up panel discussion on his presentation, Director Zeller stated that the FDA would be working on a messaging campaign to urge adults not to be a social source of tobacco for underage youth. Today, NATO sent the accompanying letter to Director Zeller inquiring about the status of the social sources messaging campaign. The Federal Trade Commission has a website at www.DontServeTeens.gov, which is a site to discourage adults from being a social source of alcohol for underage persons. The NATO letter suggests that perhaps the www.DontServeTeens.gov website could serve as a template for the FDA and its messaging on social sources. March 23, 2017 Director Mitch Zeller U.S. Food and Drug Administration Center for Tobacco Products 10903 New Hampshire Avenue Silver Springs, MD 20993-0002 RE: Social Sources Messaging Dear Director Zeller: You may recall that during your presentation at the 2016 NATO Show, you highlighted findings from the Population Assessment of Tobacco and Health study. In the follow up panel discussion, you mentioned that the Center for Tobacco Products would be developing messaging to discourage adults from being a social source of tobacco for underage youth. I am writing to inquire if messaging has been developed, or is in the process of being developed, regarding the issue of social sources. In a recent “This Week in CTP” bulletin, there was an article about the estimated impact of the FDA’s first tobacco education campaign titled “The Real Cost”. With the substantial reliance of underage youth on social sources to obtain tobacco products, I am wondering if the FDA’s planned social sources messaging would incorporate a multi-media format similar to “The Real Cost” campaign? While walking through the Reagan National Airport recently, I noticed an advertisement from the Federal Trade Commission with the message “We Don’t Serve Teens” and a website address of www.wedontserveteens.gov. I visited the website and the main message on the home page of the site reads as follows: This website has tools and information to help parents and others reduce teen drinking and related harm. Teens who drink usually get alcohol from “social sources” – at parties, from older friends and family, or by taking it from a cabinet or refrigerator without permission. Teen drinking is linked to injury and risky behavior. We can reduce teen drinking by stopping teens’ easy access to alcohol.” The website explains that the We Don’t Serve Teens is a consumer education campaign developed by the Federal Trade Commission and recognized by the U.S. Senate, the U.S. House of Representatives, the National Prevention Council, and representatives of more than 40 states. The campaign website includes educational materials for schools, parents and organizations. Since the Federal Trade Commission has already developed a significant educational campaign on social sources, perhaps the Center for Tobacco Products could utilize the We Don’t Serve Teens website and materials as a template if a tobacco social sources campaign will be initiated by the FDA. Please reply at your earliest convenience and update me on the progress of the FDA’s social sources messaging. Thank you. Sincerely, Thomas A. Briant Executive Director, National Association of Tobacco Outlets 2 YOUTH ACCESS TO TOBACCO PRODUCTS AMONG PAST 30-DAY USERS: WHERE DO YOUTH GET TOBACCO? 40 April 21, 2016 | NATO
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