82 FR 50428 - Request for Information on Effective, Large-Scale, Sustainable Approaches To Help People Quit Using Tobacco by Employing Evidence-Based Treatment Options
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 82, Issue 209 (October 31, 2017)
Centers for Disease Control and Prevention
Federal Register Volume 82, Issue 209 (October 31, 2017)
| Page Range | 50428-50429 | |
| FR Document | 2017-23669 |
[Federal Register Volume 82, Number 209 (Tuesday, October 31, 2017)] [Notices] [Pages 50428-50429] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-23669] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC-2017-0103] Request for Information on Effective, Large-Scale, Sustainable Approaches To Help People Quit Using Tobacco by Employing Evidence- Based Treatment Options AGENCY: Centers for Disease Control and Prevention, Department of Health and Human Services (HHS). ACTION: Request for information. ----------------------------------------------------------------------- SUMMARY: The Centers for Disease Control and Prevention (CDC) within the Department of Health and Human Services (HHS) is requesting information from the public to inform future activities regarding how to efficiently and cost effectively help people quit using tobacco using evidence-based treatment options. DATES: Written comments must be received on or by January 2, 2018. ADDRESSES: Submit comments by any one of the following methods:Internet: Electronic comments may be sent via http://www.regulations.gov, docket control number CDC-2017-0103. Please follow the directions on the site to submit comments; or Mail: Comments may also be sent by mail to the attention of Pamela Lemos, Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Mail Stop F-79, Atlanta, GA 30341. All relevant comments will be posted without change to http://www.regulations.gov including any personal information provided. FOR FURTHER INFORMATION CONTACT: Pamela Lemos, Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341; Telephone (770) 488-5709; Email: OSHFRN@cdc.gov. SUPPLEMENTARY INFORMATION: Scope of Problem Cigarette smoking is the leading cause of premature death and disease in the United States, causing about 480,000 deaths each year and costing the country over $300 billion annually in health care spending and lost productivity.1 2 Helping tobacco users quit completely is the quickest approach to reducing tobacco-related disease, death, and costs.\7\ Quitting smoking has immediate and long- term health benefits.\1\ While quitting smoking at any age is beneficial, smokers who quit by the age of 35 to 44 years can prevent most of the risk of dying from a smoking-related disease.1 8 Most cigarette smokers say that they want to quit, more than half try to quit each year, and almost three in five American adults who ever smoked have quit.\3\ Several treatments are proven effective in helping tobacco users quit, including individual, group, and telephone counseling and seven FDA-approved cessation medications.3 4 Receiving advice to quit and quitting assistance from health care providers also increases quit rates.4 5 The use of both counseling and medication when trying to quit is more effective than using either method alone.4 5 However, only one-third of smokers use counseling and/or medication when trying to quit, and only one in twenty smokers use both.\3\ While adult cigarette smoking rates have been declining overall for several decades, certain groups continue to smoke at high rates and face special challenges in quitting, including adults who live below the poverty level and adults with behavioral health conditions.\6\ Those with behavioral health conditions include adults with mental illness or substance abuse disorders. The Substance Abuse and Mental Health Services Administration's National Survey on Drug Use and Health (NSDUH) defines mental illness as any diagnosable mental, behavioral, or emotional disorder and defines substance use disorder as dependence or abuse of alcohol or illicit drugs. Many resources are available to help smokers connect with evidence- based treatments. Telephone quitlines exist in all states and other innovative and emerging resources are available such as web based platforms, texting, chat, and mobile apps. Many smokers, however, are unaware of these resources or have misconceptions about them. Approach CDC is seeking information from the public to inform future activities that could efficiently and cost effectively connect tobacco users with evidence-based treatment options to help them quit. We plan to use the information gathered to inform activities including, but not limited to, state tobacco control programming, national governmental and nongovernmental organization work, and other entities that work to make broadly available and sustainable connections between people who want to quit using tobacco and evidence-based cessation assistance. The goal of this effort is to ensure that all tobacco users who want help quitting are aware of and have ready access to evidence-based treatment options through channels that they are comfortable using, including but not limited to telephone quitlines. We will carefully review and consider all comments received to this request for information. CDC is specifically interested in receiving information on the following topics: (1) How can CDC leverage emerging technologies to deliver evidence- based cessation interventions through new and innovative platforms that have broad reach, especially among younger adults, those with low income, and adults with chronic and/or behavioral health conditions? (2) What are some innovative approaches to reduce the cost--in time, staffing, and funding--of providing effective cessation services to people who want to quit using tobacco? (3) How might standardization of quitline services achieve greater efficiency while also preserving state quitlines' ``brands,'' flexibility, and capacity for innovation? (4) What communication channels and communication strategies should CDC consider employing to ensure that both tobacco users, including those belonging to high-risk and disadvantaged populations, and health care providers are aware of and have access to evidence-based cessation resources? (5) What role should CDC, state and local health departments, not for profit institutions, traditional healthcare providers, and/or professional healthcare partner organizations, play in ensuring that high-risk populations (such as smokers living below the poverty level or those with behavioral health conditions) have access to tailored cessation services of appropriate intensity to help them successfully quit? [[Page 50429]] (6) How can CDC support state and local health departments, traditional healthcare providers, not for profit health institutions, and professional healthcare partner organizations to ensure that evidence-based tobacco cessation interventions are integrated into primary and behavioral health care settings on a consistent and sustainable basis? (7) How can the public health sector most effectively maximize the impact of public and private insurance coverage of cessation treatments as part of efforts to ensure that all tobacco users have barrier-free access to these treatments? References 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking--50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. 2. Xu X, Bishop EE, Kennedy SM, Simpson SA, Pechacek TF. Annual Healthcare Spending Attributable to Cigarette Smoking: An Update. American Journal of Preventive Medicine 2014;48(3):326-33. 3. Babb S, Malarcher A, Schauer G, Asman K, Jamal A. Quitting Smoking Among Adults--United States, 2000-2015. MMWR Morb Mortal Wkly Rep 2017;65:1457-1464. 4. Siu AL; US Preventive Services Task Force. Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2015;163:622-34. 5. Fiore MC, Ja[eacute]n CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update--Clinical Practice Guidelines. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Agency for Healthcare Research and Quality, 2008. 6. Jamal A, King BA, Neff LJ, Whitmill J, Babb SD, Graffunder CM. Current Cigarette Smoking Among Adults--United States, 2005-2015. MMWR Morb Mortal Wkly Rep 2016;65:1205-1211. 7. Institute of Medicine. Ending the Tobacco Problem: A Blueprint for the Nation. Washington: The National Academies Press, 2007. 8. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, McAfee T, Peto R. 21st-century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine 2013;368(4):341-50. Dated: October 25, 2017. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2017-23669 Filed 10-30-17; 8:45 am] BILLING CODE 4163-18-P
![50428 Federal Register / Vol. 82, No. 209 / Tuesday, October 31, 2017 / Notices
natural and human environment and Health, Centers for Disease Control and Approach
determined that the proposed action Prevention, 4770 Buford Highway, CDC is seeking information from the
would not result in significant adverse Atlanta, GA 30341; Telephone (770) public to inform future activities that
impacts. Based on the results of the 488–5709; Email: OSHFRN@cdc.gov. could efficiently and cost effectively
Final EA, CDC has issued a FONSI SUPPLEMENTARY INFORMATION: connect tobacco users with evidence-
indicating the proposed action will not based treatment options to help them
have a significant impact on the Scope of Problem
quit. We plan to use the information
environment. The Build Alternative will Cigarette smoking is the leading cause
gathered to inform activities including,
be undertaken in accordance with the of premature death and disease in the
but not limited to, state tobacco control
best management practices (BMPs), United States, causing about 480,000
programming, national governmental
minimization and mitigation measures deaths each year and costing the
and nongovernmental organization
as presented in the Final EA and FONSI. country over $300 billion annually in
work, and other entities that work to
health care spending and lost
Dated: October 25, 2017. make broadly available and sustainable
productivity.1 2 Helping tobacco users
Sandra Cashman, connections between people who want
quit completely is the quickest approach
Executive Secretary, Centers for Disease to reducing tobacco-related disease, to quit using tobacco and evidence-
Control and Prevention.
death, and costs.7 Quitting smoking has based cessation assistance.
[FR Doc. 2017–23668 Filed 10–30–17; 8:45 am] The goal of this effort is to ensure that
immediate and long-term health
BILLING CODE 4163–18–P benefits.1 While quitting smoking at any all tobacco users who want help quitting
age is beneficial, smokers who quit by are aware of and have ready access to
the age of 35 to 44 years can prevent evidence-based treatment options
DEPARTMENT OF HEALTH AND most of the risk of dying from a through channels that they are
HUMAN SERVICES smoking-related disease.1 8 comfortable using, including but not
Most cigarette smokers say that they limited to telephone quitlines. We will
Centers for Disease Control and want to quit, more than half try to quit carefully review and consider all
Prevention each year, and almost three in five comments received to this request for
[Docket No. CDC–2017–0103] American adults who ever smoked have information.
quit.3 Several treatments are proven CDC is specifically interested in
Request for Information on Effective, effective in helping tobacco users quit, receiving information on the following
Large-Scale, Sustainable Approaches including individual, group, and topics:
To Help People Quit Using Tobacco by telephone counseling and seven FDA- (1) How can CDC leverage emerging
Employing Evidence-Based Treatment approved cessation medications.3 4 technologies to deliver evidence-based
Options Receiving advice to quit and quitting cessation interventions through new
assistance from health care providers and innovative platforms that have
AGENCY: Centers for Disease Control and broad reach, especially among younger
also increases quit rates.4 5 The use of
Prevention, Department of Health and adults, those with low income, and
both counseling and medication when
Human Services (HHS). adults with chronic and/or behavioral
trying to quit is more effective than
ACTION: Request for information. using either method alone.4 5 However, health conditions?
only one-third of smokers use (2) What are some innovative
SUMMARY: The Centers for Disease approaches to reduce the cost—in time,
Control and Prevention (CDC) within counseling and/or medication when
trying to quit, and only one in twenty staffing, and funding—of providing
the Department of Health and Human effective cessation services to people
Services (HHS) is requesting smokers use both.3 While adult cigarette
smoking rates have been declining who want to quit using tobacco?
information from the public to inform (3) How might standardization of
future activities regarding how to overall for several decades, certain
groups continue to smoke at high rates quitline services achieve greater
efficiently and cost effectively help efficiency while also preserving state
people quit using tobacco using and face special challenges in quitting,
including adults who live below the quitlines’ ‘‘brands,’’ flexibility, and
evidence-based treatment options. capacity for innovation?
poverty level and adults with behavioral
DATES: Written comments must be (4) What communication channels
health conditions.6 Those with
received on or by January 2, 2018. behavioral health conditions include and communication strategies should
ADDRESSES: Submit comments by any adults with mental illness or substance CDC consider employing to ensure that
one of the following methods: abuse disorders. The Substance Abuse both tobacco users, including those
• Internet: Electronic comments may and Mental Health Services belonging to high-risk and
be sent via http://www.regulations.gov, Administration’s National Survey on disadvantaged populations, and health
docket control number CDC–2017–0103. Drug Use and Health (NSDUH) defines care providers are aware of and have
Please follow the directions on the site mental illness as any diagnosable access to evidence-based cessation
to submit comments; or mental, behavioral, or emotional resources?
• Mail: Comments may also be sent disorder and defines substance use (5) What role should CDC, state and
by mail to the attention of Pamela disorder as dependence or abuse of local health departments, not for profit
Lemos, Office on Smoking and Health, alcohol or illicit drugs. institutions, traditional healthcare
Centers for Disease Control and
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Many resources are available to help providers, and/or professional
Prevention, 4770 Buford Highway, Mail smokers connect with evidence-based healthcare partner organizations, play in
Stop F–79, Atlanta, GA 30341. treatments. Telephone quitlines exist in ensuring that high-risk populations
All relevant comments will be posted all states and other innovative and (such as smokers living below the
without change to http:// emerging resources are available such as poverty level or those with behavioral
www.regulations.gov including any web based platforms, texting, chat, and health conditions) have access to
personal information provided. mobile apps. Many smokers, however, tailored cessation services of
FOR FURTHER INFORMATION CONTACT: are unaware of these resources or have appropriate intensity to help them
Pamela Lemos, Office on Smoking and misconceptions about them. successfully quit?
VerDate Sep<11>2014 17:37 Oct 30, 2017 Jkt 244001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 E:\FR\FM\31OCN1.SGM 31OCN1](https://thefederalregister.org/doc/82_FR_50637/page/1.svg)
![Federal Register / Vol. 82, No. 209 / Tuesday, October 31, 2017 / Notices 50429
(6) How can CDC support state and Dated: October 25, 2017. DEPARTMENT OF HEALTH AND
local health departments, traditional Sandra Cashman, HUMAN SERVICES
healthcare providers, not for profit Executive Secretary, Centers for Disease
health institutions, and professional Control and Prevention. Food and Drug Administration
healthcare partner organizations to [FR Doc. 2017–23669 Filed 10–30–17; 8:45 am] [Docket No. FDA–2017–N–5897]
ensure that evidence-based tobacco BILLING CODE 4163–18–P
cessation interventions are integrated Packaging, Storage, and Disposal
into primary and behavioral health care Options To Enhance Opioid Safety—
settings on a consistent and sustainable DEPARTMENT OF HEALTH AND Exploring the Path Forward; Public
basis? HUMAN SERVICES Workshop; Request for Comments
(7) How can the public health sector AGENCY: Food and Drug Administration,
most effectively maximize the impact of Centers for Disease Control and
Prevention HHS.
public and private insurance coverage of
cessation treatments as part of efforts to ACTION: Notice of public workshop;
ensure that all tobacco users have [CDC–2017–0048; Docket Number NIOSH– request for comments.
barrier-free access to these treatments? 156–C]
SUMMARY: The Food and Drug
References Final Immediately Dangerous to Life or Administration (FDA, the Agency, or
Health (IDLH) Value Profiles we) is announcing the following public
1. U.S. Department of Health and Human workshop entitled ‘‘Packaging, Storage,
Services. The Health Consequences of and Disposal Options To Enhance
AGENCY: National Institute for
Smoking—50 Years of Progress: A Report Opioid Safety—Exploring the Path
Occupational Safety and Health
of the Surgeon General. Atlanta: U.S. Forward.’’ The purpose of this 2-day
Department of Health and Human
(NIOSH) of the Centers for Disease
Control and Prevention (CDC), public workshop is to host a scientific
Services, Centers for Disease Control and discussion with experts and seek input
Prevention, National Center for Chronic Department of Health and Human
Services (HHS). from interested stakeholders regarding
Disease Prevention and Health the role of packaging, storage, and
Promotion, Office on Smoking and ACTION: Notice of availability. disposal options within the larger
Health, 2014.
landscape of activities aimed at
2. Xu X, Bishop EE, Kennedy SM, Simpson SUMMARY: NIOSH announces the addressing abuse, misuse, or
SA, Pechacek TF. Annual Healthcare availability of the following four inappropriate access of prescription
Spending Attributable to Cigarette Immediately Dangerous to Life or Health opioid drug products (opioids); guiding
Smoking: An Update. American Journal (IDLH) Value Profile documents: principles and considerations for the
of Preventive Medicine 2014;48(3):326– Acetonitrile [CAS No. 75–05–8], design of packaging, storage, and
33. Chloroacetonitrile [CAS No. 107–14–2],
3. Babb S, Malarcher A, Schauer G, Asman
disposal options for opioids; integrating
Methacrylonitrile [CAS No. 126–98–7], packaging, storage, and disposal options
K, Jamal A. Quitting Smoking Among
and Nitrogen dioxide [CAS No. 10102– into existing health care and pharmacy
Adults—United States, 2000–2015.
44–0]. systems, including both open and
MMWR Morb Mortal Wkly Rep
2017;65:1457–1464. DATES:The final IDLH Value Profile closed health care systems (e.g., a closed
4. Siu AL; US Preventive Services Task documents were published on system such as the U.S. Department of
Force. Behavioral and pharmacotherapy September 29, 2017. Veterans Affairs); data needs and how to
interventions for tobacco smoking address challenges in assessing the
cessation in adults, including pregnant ADDRESSES: These documents may be impact of packaging, storage, and
women: U.S. Preventive Services Task obtained at the following link: https:// disposal options in both the premarket
Force recommendation statement. Ann www.cdc.gov/niosh/idlh/default.html. and postmarket settings; and ways in
Intern Med 2015;163:622–34. FOR FURTHER INFORMATION CONTACT: R. which FDA could encourage the
5. Fiore MC, Jaén CR, Baker TB, et al. Todd Niemeier, MS, CIH, NIOSH, development and assessment of
Treating Tobacco Use and Dependence: Education and Information Division packaging, storage, and disposal options
2008 Update—Clinical Practice (EID), Robert A. Taft Laboratories, 1090 for opioids that have the potential to
Guidelines. Rockville (MD): U.S. Tusculum Ave., MS–C32, Cincinnati, enhance opioid safety.
Department of Health and Human OH 45226, phone 513/533–8166 (not a DATES: The public workshop will be
Services, Public Health Service, Agency toll-free number), email: rbn4@cdc.gov. held on December 11 and 12, 2017, from
for Healthcare Research and Quality, 8:30 a.m. to 5 p.m. Submit either
2008. SUPPLEMENTARY INFORMATION: On May 5, electronic or written comments on this
6. Jamal A, King BA, Neff LJ, Whitmill J, 2017, NIOSH published a request for public workshop by February 12, 2018.
Babb SD, Graffunder CM. Current public review in the Federal Register See the SUPPLEMENTARY INFORMATION
Cigarette Smoking Among Adults— [82 FR 21239] on IDLH Value profiles. section for registration date and
United States, 2005–2015. MMWR Morb We did not receive public comments, information.
Mortal Wkly Rep 2016;65:1205–1211. but did receive peer and stakeholder
7. Institute of Medicine. Ending the Tobacco comments. These comments received ADDRESSES: The public workshop will
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Problem: A Blueprint for the Nation. were reviewed and addressed where be held at the Sheraton Silver Spring
Washington: The National Academies appropriate. Hotel, 8777 Georgia Ave., Silver Spring,
Press, 2007. MD 20910. The hotel’s phone number is
8. Jha P, Ramasundarahettige C, Landsman V, Frank Hearl, 301–589–0800.
Rostron B, Thun M, Anderson RN, Chief of Staff, National Institute for You may submit comments as
McAfee T, Peto R. 21st-century hazards Occupational Safety and Health, Centers for follows. Please note that late, untimely
of smoking and benefits of cessation in Disease Control and Prevention. filed comments will not be considered.
the United States. New England Journal [FR Doc. 2017–23665 Filed 10–30–17; 8:45 am] Electronic comments must be submitted
of Medicine 2013;368(4):341–50. BILLING CODE 4163–19–P on or before February 12, 2018. The
VerDate Sep<11>2014 17:37 Oct 30, 2017 Jkt 244001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\31OCN1.SGM 31OCN1](https://thefederalregister.org/doc/82_FR_50637/page/2.svg)
Document Created: 2018-10-25 10:19:37
Document Modified: 2018-10-25 10:19:37
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Request for information. | |
| Dates | Written comments must be received on or by January 2, 2018. | |
| Contact | Pamela Lemos, Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341; Telephone (770) 488-5709; Email: [email protected] | |
| FR Citation | 82 FR 50428 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR