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[DOI] [PubMed] [Google Scholar] Bruijnzeel AW

Cigar tobacco leaves are specially grown and selected for their strength, texture, aroma, and burn characteristics

The importance of White House support to get any final rule issued when there is no statutory or court-ordered deadline is perhaps most clearly illustrated by the fact that FDAdespite the extraordinary powers it has had since 2009 to regulate tobacco products to reduce public health harmshas not been able to implement a single final rule that would significantly reduce the enormous amount of death, disability, disease, and other harms and costs caused by tobacco-nicotine products despite its desire to do so.[13] The only two substantive final rules FDA has been able to issueeach, in turn, to require graphic health warnings (GHWs) on cigarettes[14]did not require White House support to be released because they were legally required to be issued by deadlines firmly established, respectively, by the Tobacco Control Act[15] and by court order[16] (with the first GHW rule struck down for violating the First Amendment[17] and the second GHW rule still being blocked by tobacco industry legal challenges).[18] Currently, there are no laws or court orders explicitly requiring FDA to issue a rule to regulate nicotine in cigarettes or any other tobacco products by a specific date, and it remains unclear whether the Trump White House would ever support issuing any such rule, despite the large public health gains and other benefits the rule would produce.[19] The Trump Administrations purging of the leadership and expert staff at FDAs Center for Tobacco Products suggests a pro-tobacco-industry or anti-tobacco-regulation perspective in the Trump White House