Harmful and Potentially Harmful Constituents in Tobacco Products and Tobacco Smoke; Request for Comments, 50226-50230 [2011-20502]
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Federal Register / Vol. 76, No. 156 / Friday, August 12, 2011 / Notices
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
Dated: August 8, 2011.
Steven M. Hanmer,
Reports Clearance Officer.
[FR Doc. 2011–20495 Filed 8–11–11; 8:45 am]
BILLING CODE 4184–09–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Announcement of a Single Source
Grant Award to the Tribal Law and
Policy Institute
Children’s Bureau,
Administration on Children, Youth and
Families, HHS.
ACTION: Notice to award a single source
program expansion supplement grant to
the Tribal Law and Policy Institute,
located in West Hollywood, CA, to
support activities of the National
Resource Center for Tribes under the
Tribal Maternal, Infant, Early Childhood
Home Visiting Program.
AGENCY:
CFDA Number: 93.508.
Statutory Authority: Social Security Act,
Title V, Section 511 (42 U.S.C. 701), as
amended by the Patient Protection and
Affordable Care Act of 2010 (ACA), Pub. L.
111–148.
The Administration for
Children and Families (ACF),
Administration on Children, Youth and
Families (ACYF), Children’s Bureau
(CB) announces the award of a single
source program expansion supplement
grant to the Tribal Law and Policy
Institute, West Hollywood, CA, for the
National Resource Center (NRC) for
Tribes. The program expansion
supplement funds will be used to
provide technical assistance and
support for the planning, development
and implementation of the Tribal
Maternal, Infant and Early Childhood
Home Visiting program.
The NRC for Tribes will provide
technical assistance to ACF Tribal Home
Visiting grantees to enhance their
capacity to plan for and implement
high-quality, evidence-based, and
evidence-informed programs.
Implementation of the NRC4Tribes work
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SUMMARY:
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will include engaging, assessing,
informing and supporting culturallyappropriate Tribal home visiting
services that are part of coordinated
early childhood systems in the
American Indian and Alaska Natives
(AIAN) communities and that support
quality and effectiveness of services for
AIAN children, youth, and families,
which leads to increased safety,
permanency, and well-being for
children.
The Tribal Law and Policy Institute
NRC for Tribes and its partner agencies
are uniquely qualified to provide
training and technical assistance to
Tribes based upon their experience,
expertise, and commitment to
increasing cultural competency and
sensitivity to the Tribal point of view in
training and technical assistance. The
NRC for Tribes expertise in Tribal
culture, child maltreatment prevention,
collaboration, evaluation, and
implementation of evidence-based
programs and practices makes them an
appropriate recipient of supplemental
funds to carry out this project.
Amount of Award: $150,000.
Project Period: May 15, 2011 to
September 30, 2011.
FOR FURTHER INFORMATION CONTACT:
Roshanda Shoulders, Children’s Bureau,
1250 Maryland Ave., SW., 8th Floor,
Washington, DC 20024. Telephone:
(202) 401–5323. E-mail:
roshanda.shoulders@acf.hhs.gov.
Dated: August 2, 2011.
Bryan Samuels,
Commissioner, Administration on Children,
Youth and Families.
[FR Doc. 2011–20278 Filed 8–11–11; 8:45 am]
BILLING CODE 4184–25–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2011–N–0271]
Harmful and Potentially Harmful
Constituents in Tobacco Products and
Tobacco Smoke; Request for
Comments
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice; request for comments.
The Food and Drug
Administration (FDA) is requesting
comments, including scientific and
other information, concerning the
harmful and potentially harmful
constituents (HPHCs) in tobacco
products and tobacco smoke. This
information will assist the Agency in
SUMMARY:
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establishing a list of HPHCs in tobacco
products and tobacco smoke (the HPHC
list).
DATES: Submit either electronic or
written comments by October 11, 2011.
ADDRESSES: Submit electronic
comments to https://
www.regulations.gov. Submit written
comments to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852. Identify
comments with the docket number
found in brackets in the heading of this
document.
FOR FURTHER INFORMATION CONTACT:
Carol Drew, Center for Tobacco
Products, Food and Drug
Administration, 9200 Corporate Blvd.,
Rockville, MD 20850–3229, 877–287–
1373.
SUPPLEMENTARY INFORMATION:
I. Background
On June 22, 2009, the President
signed the Family Smoking Prevention
and Tobacco Control Act (Tobacco
Control Act) (Pub. L. 111–31) into law.
The Tobacco Control Act amended the
Federal Food, Drug, and Cosmetic Act
(the FD&C Act) (21 U.S.C. 301 et seq.)
by, among other things, adding a new
chapter granting FDA important new
authority to regulate the manufacture,
marketing, and distribution of tobacco
products to protect the public health
generally and to reduce tobacco use by
minors. Section 904(e) of the FD&C Act
(21 U.S.C. 387d(e)), as added by the
Tobacco Control Act, requires FDA to
establish, and periodically revise as
appropriate, ‘‘a list of harmful and
potentially harmful constituents,
including smoke constituents, to health
in each tobacco product by brand and
by quantity in each brand and
subbrand.’’ Section 904(e) of the FD&C
Act also requires that FDA ‘‘publish a
public notice requesting the submission
by interested persons of scientific and
other information concerning the
harmful and potentially harmful
constituents in tobacco products and
tobacco smoke.’’
The Agency has solicited scientific
and other information from interested
persons and has developed a list of
tobacco product constituents it
currently believes are harmful or
potentially harmful to health. Although
the Agency’s work to date reflects
consideration of substantial scientific
and other information, we believe that
additional information from the public
may be beneficial to the Agency before
it establishes the list described in
section 904(e) of the FD&C Act. We are
therefore publishing the Agency’s
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Federal Register / Vol. 76, No. 156 / Friday, August 12, 2011 / Notices
current list as table 1 of this document
and requesting public comment as
described in section II of this document.
In this section of the document, we are
also providing information about the
Agency’s guidance on HPHCs, the
criteria that the Agency used to help
develop the list, and reasons the Agency
might add or remove constituents.
On June 10, 2010, FDA announced the
availability for public comment of a
draft guidance for industry and FDA
staff entitled ‘‘Harmful and Potentially
Harmful Constituents’ in Tobacco
Products as Used in Section 904(e) of
the Federal Food, Drug, and Cosmetic
Act’’ (75 FR 32952). FDA announced the
availability of the final guidance on
January 31, 2011 (76 FR 5387) (available
at https://www.fda.gov/
TobaccoProducts/GuidanceCompliance
RegulatoryInformation) (HPHC final
guidance). This final guidance
represents the Agency’s current thinking
on the meaning of the term ‘‘harmful
and potentially harmful constituent’’ in
the context of implementing section
904(e) of the FD&C Act. It states: ‘‘FDA
believes that the phrase ’harmful and
potentially harmful constituent’
includes any chemical or chemical
compound in a tobacco product or in
tobacco smoke: (a) That is or potentially
is inhaled, ingested, or absorbed into the
body; and (b) that causes or has the
potential to cause direct or indirect
harm to users or non-users of tobacco
products.’’(HPHC final guidance at page
2). The HPHC final guidance includes
examples of constituents that have the
potential to cause direct harm and
examples of constituents that have the
potential to cause indirect harm:
‘‘Examples of constituents that have the
’potential to cause direct harm’ to users
or non-users of tobacco products
include constituents that are toxicants,
carcinogens, and addictive chemicals
and chemical compounds. Examples of
constituents that have the ’potential to
cause indirect harm’ to users or nonusers of tobacco products include
constituents that may increase the
exposure to the harmful effects of a
tobacco product constituent by: (1)
Potentially facilitating initiation of the
use of tobacco products; (2) potentially
impeding cessation of the use of tobacco
products; or (3) potentially increasing
the intensity of tobacco product use
(e.g., frequency of use, amount
consumed, depth of inhalation).
Another example of a constituent that
has the ’potential to cause indirect
harm’ is a constituent that may enhance
the harmful effects of a tobacco product
constituent.’’ (HPHC final guidance at
page 2).
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On May 1, 2010, the Agency
established a subcommittee of the
Tobacco Products Scientific Advisory
Committee (TPSAC), 1 the Tobacco
Product Constituents Subcommittee (the
subcommittee), and charged the
subcommittee with making preliminary
recommendations to TPSAC on HPHCs
in tobacco products and tobacco smoke.
The subcommittee held public meetings
on June 8 and 9, 2010, and July 7, 2010.
Prior to these meetings, FDA solicited
data, information, and/or views on
HPHCs in tobacco products and tobacco
smoke from the public, and at the June
meeting, presentations were made by
interested persons.2 At these meetings
the subcommittee:
• Reviewed example lists of HPHCs
developed by other countries and
organizations;
• Identified criteria for selecting
carcinogens, toxicants, and addictive
chemicals or chemical compounds in
tobacco products and tobacco smoke;
• Identified chemicals or chemical
compounds that met the identified
criteria;
• Confirmed the existence of methods
for measuring each chemical or
chemical compound identified; and
• Identified other potentially
important information or criteria for
measuring HPHCs in tobacco products
or tobacco smoke, such as smoking
machine regimens to be used in
measuring HPHCs.
The subcommittee made preliminary
recommendations to TPSAC.
On August 30, 2010, TPSAC held a
public meeting to deliberate on the
recommendations from the
subcommittee. Prior to this meeting,
FDA published a notice in the Federal
Register soliciting data, information,
and/or views from the public on the
issues to be discussed at this meeting.3
FDA asked what criteria TPSAC
recommended the Agency use for
determining whether a constituent is a
carcinogen, toxicant, or addictive
1 Information about TPSAC as well as information
and background materials on TPSAC meetings are
available at https://www.fda.gov/
AdvisoryCommittees/CommitteesMeetingMaterials/
TobaccoProductsScientificAdvisoryCommittee/
default.htm.
2 See 75 FR 22147 (April 27, 2010), and 75 FR
33814 (June 15, 2010). Information submitted to the
public docket for each of these meetings is available
at https://www.fda.gov/AdvisoryCommittees/
CommitteesMeetingMaterials/TobaccoProducts
ScientificAdvisoryCommittee/ucm222977.htm and
https://www.fda.gov/AdvisoryCommittees/
CommitteesMeetingMaterials/TobaccoProducts
ScientificAdvisoryCommittee/ucm222978.htm.
3 See 75 FR 47308 (August 5, 2010). Information
submitted by the public to the docket for this
meeting is available at https://www.fda.gov/
AdvisoryCommittees/CommitteesMeetingMaterials/
TobaccoProductsScientificAdvisoryCommittee/
ucm232799.htm.
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50227
chemical or chemical compound that
should be included on the HPHC list. As
a result of its discussions, TPSAC
recommended to the Agency the
following criteria for selecting the HPHC
list:
• Constituents identified as known,
likely, probably, or possible human
carcinogens by the U.S. Environmental
Protection Agency (EPA);
• Constituents identified as known,
probable, or possible carcinogens by the
International Agency for Research on
Cancer (IARC) including IARC Group 1
(carcinogenic to humans), IARC Group 2
(probably carcinogenic to humans), and
IARC Group 2B (possibly carcinogenic
to humans);
• Constituents identified as human
carcinogens or reasonably anticipated to
be human carcinogens by the National
Toxicology Program (NTP);
• Constituents identified as potential
occupational carcinogens by the
National Institute for Occupational
Safety and Health (NIOSH):
• Constituents identified by EPA or
the Agency for Toxic Substances and
Disease Registry (ATSDR) as having
adverse respiratory or cardiac effects;
• Constituents identified by the
California Environmental Protection
Agency (CA EPA) as reproductive or
developmental toxicants;
• Constituents having, based upon a
review of the peer-reviewed literature,
evidence of at least two of the following
measures of abuse liability (addiction):
Æ Central nervous system activity;
Æ Animal drug discrimination;
Æ Conditioned place preference;
Æ Animal self-administration;
Æ Human self-administration;
Æ Drug liking;
Æ Signs of withdrawal; and
• Constituents banned in food (for
smokeless tobacco products).
FDA believes having criteria for use in
determining whether a constituent is
harmful or potentially harmful will be
beneficial. FDA carefully evaluated the
data, information, and views on HPHCs
in tobacco products provided by TPSAC
and the public, in light of the Agency’s
own knowledge and expertise, and
taking into consideration its HPHC final
guidance. Based on this evaluation, FDA
tentatively concludes that it should use
the criteria listed previously in this
document in determining whether a
constituent should be included on the
HPHC list. Specifically, FDA has
tentatively concluded that it should
consider a constituent meeting these
criteria to be harmful or potentially
harmful, such that it should be included
on the HPHC list, unless other scientific
information obtained by or submitted to
the Agency shows that the constituent is
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not, in fact, harmful or potentially
harmful. Applying this approach to the
criteria and the available information,
FDA developed table 1 of this
document.
FDA recognizes that table 1 of this
document may not include all
constituents that are ‘‘harmful or
potentially harmful.’’ For example, the
criteria described previously in this
document generally depend on a
chemical or chemical compound being
both studied and listed by another
entity, such as constituents identified by
EPA or ATSDR as having adverse
respiratory or cardiac effects. The fact
that a constituent has not been so
identified by EPA or ATSDR could be
because it has not been adequately
studied or has not yet been
systematically reviewed by relevant
agencies, rather than because the
constituent does not have adverse
respiratory or cardiac effects. Moreover,
FDA has only focused on the five
disease outcomes of cancer,
cardiovascular disease, respiratory
effects, developmental or reproductive
effects, and addiction. FDA intends to
review other disease outcomes to assess
whether additional chemicals or
chemical compounds in tobacco
products or tobacco smoke are harmful
or potentially harmful constituents that
contribute to the risk of other diseases.
Similarly, the criteria FDA has
tentatively selected are limited to those
that relate to carcinogens, toxicants, and
addictive chemicals or chemical
compounds in tobacco products and
tobacco smoke. We intend to consider
whether additional criteria should be
selected to help identify other classes of
harmful or potentially harmful
chemicals and chemical compounds for
inclusion on the HPHC list, and whether
individual constituents should be
added. Just as these types of new
information may lead to additions to the
list, FDA recognizes that it may become
aware of new scientific information
about constituents of tobacco products
that make it appropriate to remove one
or more of the constituents that appear
on the list. For these reasons, FDA will
continue to review scientific
information about tobacco product
constituents. FDA intends to do this
both before and after it establishes its
list of HPHCs for the purpose of section
904(e) of the FD&C Act, consistent with
the directive in section 904(e) that the
Agency periodically revise the list as
appropriate.
II. Request for Comments and
Information
FDA is soliciting public comment,
including scientific and other
information, concerning the HPHCs in
tobacco products and tobacco smoke.
We are particularly interested in
comments from the public on the
following topics:
• The criteria FDA should use in
determining whether a constituent is
harmful or potentially harmful such that
it should be included on the HPHC list;
• Whether any chemicals or chemical
compounds not listed in table 1 of this
document should be added because they
are harmful or potentially harmful,
including supporting scientific or other
information; and/or
• Whether any of the chemicals or
chemical compounds listed in table 1 of
this document should be removed
because they are not harmful or
potentially harmful, including
supporting scientific or other
information.
III. Submission of Comments
Interested persons may submit to the
Division of Dockets Management (see
ADDRESSES) either electronic or written
comments regarding this document. It is
only necessary to send one set of
comments. It is no longer necessary to
send two copies of mailed comments.
Identify comments with the docket
number found in brackets in the
heading of this document. Received
comments may be seen in the Division
of Dockets Management between 9 a.m.
and 4 p.m., Monday through Friday.
TABLE 1—LIST OF THE CHEMICALS AND CHEMICAL COMPOUNDS IDENTIFIED BY FDA AS HARMFUL AND POTENTIALLY
HARMFUL CONSTITUENTS IN TOBACCO PRODUCTS AND TOBACCO SMOKE
Carcinogen (CA), respiratory toxicant (RT), cardiovascular toxicant (CT),
reproductive or developmental toxicant (RDT), addictive (AD)
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Constituent
Acetaldehyde ..................................................................................................................................................................
Acetamide .......................................................................................................................................................................
Acetone ...........................................................................................................................................................................
Acrolein ...........................................................................................................................................................................
Acrylamide ......................................................................................................................................................................
Acrylonitrile .....................................................................................................................................................................
Aflatoxin B1 .....................................................................................................................................................................
4–Aminobiphenyl ............................................................................................................................................................
1–Aminonaphthalene ......................................................................................................................................................
2–Aminonaphthalene ......................................................................................................................................................
Ammonia .........................................................................................................................................................................
Anabasine .......................................................................................................................................................................
o-Anisidine ......................................................................................................................................................................
Arsenic ............................................................................................................................................................................
A-a-C (2-Amino-9H-pyrido[2,3-b]indole) .........................................................................................................................
Benz[a]anthracene ..........................................................................................................................................................
Benz[j]aceanthrylene ......................................................................................................................................................
Benzene ..........................................................................................................................................................................
Benzo[b]fluoranthene ......................................................................................................................................................
Benzo[k]fluoranthene ......................................................................................................................................................
Benzo[b]furan ..................................................................................................................................................................
Benzo[a]pyrene ...............................................................................................................................................................
Benzo[c]phenanthrene ....................................................................................................................................................
Beryllium .........................................................................................................................................................................
1,3–Butadiene .................................................................................................................................................................
Cadmium .........................................................................................................................................................................
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CA, RT,
CA
RT
RT, CT
CA
CA, RT
CA
CA
CA
CA
RT
AD
CA
CA, CT,
CA
CA, CT
CA
CA, CT,
CA, CT
CA, CT
CA
CA
CA
CA
CA, RT,
CA, RT,
AD
RDT
RDT
RDT
RDT
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Federal Register / Vol. 76, No. 156 / Friday, August 12, 2011 / Notices
TABLE 1—LIST OF THE CHEMICALS AND CHEMICAL COMPOUNDS IDENTIFIED BY FDA AS HARMFUL AND POTENTIALLY
HARMFUL CONSTITUENTS IN TOBACCO PRODUCTS AND TOBACCO SMOKE—Continued
Carcinogen (CA), respiratory toxicant (RT), cardiovascular toxicant (CT),
reproductive or developmental toxicant (RDT), addictive (AD)
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Constituent
Caffeic acid .....................................................................................................................................................................
Carbon monoxide ...........................................................................................................................................................
Catechol ..........................................................................................................................................................................
Chlorinated dioxins/furans ..............................................................................................................................................
Chromium .......................................................................................................................................................................
Chrysene .........................................................................................................................................................................
Cobalt ..............................................................................................................................................................................
Coumarin ........................................................................................................................................................................
Cresols (o-, m-, and p-cresol) ........................................................................................................................................
Crotonaldehyde ...............................................................................................................................................................
Cyclopenta[c,d]pyrene ....................................................................................................................................................
Dibenz[a,h]acridine .........................................................................................................................................................
Dibenz[a,j]acridine ..........................................................................................................................................................
Dibenz[a,h]anthracene ....................................................................................................................................................
Dibenzo[c,g]carbazole ....................................................................................................................................................
Dibenzo[a,e]pyrene .........................................................................................................................................................
Dibenzo[a,h]pyrene .........................................................................................................................................................
Dibenzo[a,i]pyrene ..........................................................................................................................................................
Dibenzo[a,l]pyrene ..........................................................................................................................................................
2,6-Dimethylaniline .........................................................................................................................................................
Ethyl carbamate (urethane) ............................................................................................................................................
Ethylbenzene ..................................................................................................................................................................
Ethylene oxide ................................................................................................................................................................
Formaldehyde .................................................................................................................................................................
Furan ...............................................................................................................................................................................
Glu-P-1 (2-Amino-6-methyldipyrido[1,2-a:3’,2’-d]imidazole) ...........................................................................................
Glu-P-2 (2-Aminodipyrido[1,2-a:3’,2’-d]imidazole) ..........................................................................................................
Hydrazine ........................................................................................................................................................................
Hydrogen cyanide ...........................................................................................................................................................
Indeno[1,2,3-cd]pyrene ...................................................................................................................................................
IQ (2-Amino-3-methylimidazo[4,5-f]quinoline) ................................................................................................................
Isoprene ..........................................................................................................................................................................
Lead ................................................................................................................................................................................
MeA-a-C (2-Amino-3-methyl)-9H-pyrido[2,3-b]indole) ....................................................................................................
Mercury ...........................................................................................................................................................................
Methyl ethyl ketone .........................................................................................................................................................
5-Methylchrysene ............................................................................................................................................................
4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) ..................................................................................................
Naphthalene ....................................................................................................................................................................
Nickel ..............................................................................................................................................................................
Nicotine ...........................................................................................................................................................................
Nitrobenzene ...................................................................................................................................................................
Nitromethane ..................................................................................................................................................................
2-Nitropropane ................................................................................................................................................................
N-Nitrosodiethanolamine (NDELA) .................................................................................................................................
N-Nitrosodiethylamine .....................................................................................................................................................
N-Nitrosodimethylamine (NDMA) ...................................................................................................................................
N-Nitrosomethylethylamine .............................................................................................................................................
N-Nitrosomorpholine (NMOR) ........................................................................................................................................
N-Nitrosonornicotine (NNN) ............................................................................................................................................
N-Nitrosopiperidine (NPIP) .............................................................................................................................................
N-Nitrosopyrrolidine (NPYR) ...........................................................................................................................................
N-Nitrososarcosine (NSAR) ............................................................................................................................................
Nornicotine ......................................................................................................................................................................
Phenol .............................................................................................................................................................................
PhIP (2-Amino-1-methyl-6-phenylimidazo[4,5-b]pyridine) ..............................................................................................
Polonium-210 ..................................................................................................................................................................
Propionaldehyde .............................................................................................................................................................
Propylene oxide ..............................................................................................................................................................
Quinoline .........................................................................................................................................................................
Selenium .........................................................................................................................................................................
Styrene ............................................................................................................................................................................
o-Toluidine ......................................................................................................................................................................
Toluene ...........................................................................................................................................................................
Trp-P-1 (3-Amino-1,4-dimethyl-5H-pyrido[4,3-b]indole) .................................................................................................
Trp-P-2 (1-Methyl-3-amino-5H-pyrido[4,3-b]indole ) ......................................................................................................
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CA
RDT
CA
CA, RDT
CA, RT, RDT
CA, CT
CA, CT
Banned in food
CA, RT
CA
CA
CA, CT
CA
CA
CA
CA
CA
CA
CA
CA
CA, RDT
CA
CA, RT, RDT
CA, RT
CA
CA
CA
CA, RT
RT, CT
CA
CA
CA
CA, CT, RDT
CA
CA, RDT
RT
CA
CA
CA, RT
CA, RT
RDT, AD
CA, RT, RDT
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
AD
RT, CT
CA
CA
RT, CT
CA, RT
CA
RT
CA
CA
RT, RDT
CA
CA
50230
Federal Register / Vol. 76, No. 156 / Friday, August 12, 2011 / Notices
TABLE 1—LIST OF THE CHEMICALS AND CHEMICAL COMPOUNDS IDENTIFIED BY FDA AS HARMFUL AND POTENTIALLY
HARMFUL CONSTITUENTS IN TOBACCO PRODUCTS AND TOBACCO SMOKE—Continued
Carcinogen (CA), respiratory toxicant (RT), cardiovascular toxicant (CT),
reproductive or developmental toxicant (RDT), addictive (AD)
Constituent
Uranium-235 ...................................................................................................................................................................
Uranium-238 ...................................................................................................................................................................
Vinyl acetate ...................................................................................................................................................................
Vinyl chloride ..................................................................................................................................................................
Dated: August 9, 2011.
Leslie Kux,
Acting Assistant Commissioner for Policy.
[FR Doc. 2011–20502 Filed 8–11–11; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2011–N–0556]
Center for Devices and Radiological
Health 510(k) Clearance Process;
Recommendations Proposed in
Institute of Medicine Report: ‘‘Medical
Devices and the Public’s Health, The
FDA 510(k) Clearance Process at 35
Years;’’ Public Meeting
AGENCY:
Food and Drug Administration,
HHS.
Notice of public meeting;
request for comments.
ACTION:
The Food and Drug
Administration (FDA) is announcing a
public meeting entitled:
‘‘Recommendations Proposed in
Institute of Medicine Report: ‘Medical
Devices and the Public’s Health, The
FDA 510(k) Clearance Process at 35
Years.’ ’’ The purpose of the public
meeting is to encourage public comment
on the recommendations proposed in
the Institute of Medicine (IOM) report.
Date and Time: The public meeting
will be held on September 16, 2011,
from 8:30 a.m. to 5 p.m. Submit
electronic and written comments by
September 30, 2011.
Location: The public meeting will be
held at the Silver Spring Hilton Hotel,
8727 Colesville Rd., Silver Spring, MD
20910.
Contact Person: Philip Desjardins,
Center for Devices and Radiological
Health, Food and Drug Administration,
10903 New Hampshire Ave., Bldg. 66,
rm. 5452, Silver Spring, MD 20993,
301–796–5678,
philip.desjardins@fda.hhs.gov.
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
16:37 Aug 11, 2011
Jkt 223001
Registration and Requests for Oral
Presentations: Registration is free and
will be on a first-come, first-served
basis. Persons interested in attending
this meeting must register online by 5
p.m. on September 15, 2011. For those
without Internet access, please call the
contact person to register.
Early registration is recommended
because seating is limited and,
therefore, FDA may limit the number of
participants from each organization. If
time and space permit, onsite
registration on the day of the public
meeting will be provided beginning at
7:30 a.m.
If you need special accommodations
due to a disability, please contact Susan
Monahan (email:
Susan.Monahan@fda.hhs.gov or phone:
301–796–5661) no later than September
15, 2011.
To register for the public meeting,
please visit https://www.fda.gov/
MedicalDevices/NewsEvents/
WorkshopsConferences/default.htm (or
go to the FDA Medical Devices News &
Events—Workshops & Conferences
calendar and select this public meeting
from the posted events list). Please
provide complete contact information
for each attendee, including name, title,
affiliation, address, email, telephone,
and FAX number. Registrants will
receive confirmation once they have
been accepted. You will be notified if
you are on a waitlist.
This meeting includes a public
comment session. During online
registration you may indicate if you
wish to make an oral presentation
during a public comment session at the
public meeting, and which topic you
wish to address in your presentation.
FDA has included topics for comment
in this document. FDA will do its best
to accommodate requests to speak.
Individuals and organizations with
common interests are urged to
consolidate or coordinate their
presentations, and request time for a
joint presentation. FDA will determine
the amount of time allotted to each
presenter and the approximate time
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each oral presentation is to begin. All
requests to make oral presentations, as
well as presentation materials, must be
sent to the contact person by September
15, 2011.
Comments: Regardless of attendance
at the public meeting, interested persons
may submit either electronic or written
comments until September 30, 2011.
Submit electronic comments to https://
www.regulations.gov. Submit written
comments to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852. It is only
necessary to send one set of comments.
It is no longer necessary to send two
copies of mailed comments. Identify
comments with the docket number
found in brackets in the heading of this
document. Received comments may be
seen in the Division of Dockets
Management between 9 a.m. and 4 p.m.,
Monday through Friday.
SUPPLEMENTARY INFORMATION:
I. What is the background and purpose
for holding this public meeting?
In September 2009, FDA’s Center for
Devices and Radiological Health (CDRH)
convened an internal 510(k) Working
Group as part of a two-pronged,
comprehensive assessment of the
premarket notification (510(k)) process.
The first prong of this evaluation
consisted of an internal evaluation of
the 510(k) process, resulting in the
publication of the CDRH preliminary
internal evaluation entitled ‘‘510(k)
Working Group Preliminary Report and
Recommendations’’ (https://
www.fda.gov/downloads/AboutFDA/
CentersOffices/CDRH/CDRHReports/
UCM220784.pdf ). This preliminary
report was intended to communicate
preliminary findings and
recommendations regarding the 510(k)
program and actions CDRH might take
to address identified areas of concern.
The report was issued on August 5,
2010 (75 FR 47307). After reviewing
public comment, CDRH issued a plan of
action for implementation of the
previously announced
E:\FR\FM\12AUN1.SGM
12AUN1
Agencies
[Federal Register Volume 76, Number 156 (Friday, August 12, 2011)]
[Notices]
[Pages 50226-50230]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-20502]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2011-N-0271]
Harmful and Potentially Harmful Constituents in Tobacco Products
and Tobacco Smoke; Request for Comments
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice; request for comments.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA) is requesting comments,
including scientific and other information, concerning the harmful and
potentially harmful constituents (HPHCs) in tobacco products and
tobacco smoke. This information will assist the Agency in establishing
a list of HPHCs in tobacco products and tobacco smoke (the HPHC list).
DATES: Submit either electronic or written comments by October 11,
2011.
ADDRESSES: Submit electronic comments to https://www.regulations.gov.
Submit written comments to the Division of Dockets Management (HFA-
305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061,
Rockville, MD 20852. Identify comments with the docket number found in
brackets in the heading of this document.
FOR FURTHER INFORMATION CONTACT: Carol Drew, Center for Tobacco
Products, Food and Drug Administration, 9200 Corporate Blvd.,
Rockville, MD 20850-3229, 877-287-1373.
SUPPLEMENTARY INFORMATION:
I. Background
On June 22, 2009, the President signed the Family Smoking
Prevention and Tobacco Control Act (Tobacco Control Act) (Pub. L. 111-
31) into law. The Tobacco Control Act amended the Federal Food, Drug,
and Cosmetic Act (the FD&C Act) (21 U.S.C. 301 et seq.) by, among other
things, adding a new chapter granting FDA important new authority to
regulate the manufacture, marketing, and distribution of tobacco
products to protect the public health generally and to reduce tobacco
use by minors. Section 904(e) of the FD&C Act (21 U.S.C. 387d(e)), as
added by the Tobacco Control Act, requires FDA to establish, and
periodically revise as appropriate, ``a list of harmful and potentially
harmful constituents, including smoke constituents, to health in each
tobacco product by brand and by quantity in each brand and subbrand.''
Section 904(e) of the FD&C Act also requires that FDA ``publish a
public notice requesting the submission by interested persons of
scientific and other information concerning the harmful and potentially
harmful constituents in tobacco products and tobacco smoke.''
The Agency has solicited scientific and other information from
interested persons and has developed a list of tobacco product
constituents it currently believes are harmful or potentially harmful
to health. Although the Agency's work to date reflects consideration of
substantial scientific and other information, we believe that
additional information from the public may be beneficial to the Agency
before it establishes the list described in section 904(e) of the FD&C
Act. We are therefore publishing the Agency's
[[Page 50227]]
current list as table 1 of this document and requesting public comment
as described in section II of this document. In this section of the
document, we are also providing information about the Agency's guidance
on HPHCs, the criteria that the Agency used to help develop the list,
and reasons the Agency might add or remove constituents.
On June 10, 2010, FDA announced the availability for public comment
of a draft guidance for industry and FDA staff entitled ``Harmful and
Potentially Harmful Constituents' in Tobacco Products as Used in
Section 904(e) of the Federal Food, Drug, and Cosmetic Act'' (75 FR
32952). FDA announced the availability of the final guidance on January
31, 2011 (76 FR 5387) (available at https://www.fda.gov/TobaccoProducts/GuidanceComplianceRegulatoryInformation) (HPHC final guidance). This
final guidance represents the Agency's current thinking on the meaning
of the term ``harmful and potentially harmful constituent'' in the
context of implementing section 904(e) of the FD&C Act. It states:
``FDA believes that the phrase 'harmful and potentially harmful
constituent' includes any chemical or chemical compound in a tobacco
product or in tobacco smoke: (a) That is or potentially is inhaled,
ingested, or absorbed into the body; and (b) that causes or has the
potential to cause direct or indirect harm to users or non-users of
tobacco products.''(HPHC final guidance at page 2). The HPHC final
guidance includes examples of constituents that have the potential to
cause direct harm and examples of constituents that have the potential
to cause indirect harm: ``Examples of constituents that have the
'potential to cause direct harm' to users or non-users of tobacco
products include constituents that are toxicants, carcinogens, and
addictive chemicals and chemical compounds. Examples of constituents
that have the 'potential to cause indirect harm' to users or non-users
of tobacco products include constituents that may increase the exposure
to the harmful effects of a tobacco product constituent by: (1)
Potentially facilitating initiation of the use of tobacco products; (2)
potentially impeding cessation of the use of tobacco products; or (3)
potentially increasing the intensity of tobacco product use (e.g.,
frequency of use, amount consumed, depth of inhalation). Another
example of a constituent that has the 'potential to cause indirect
harm' is a constituent that may enhance the harmful effects of a
tobacco product constituent.'' (HPHC final guidance at page 2).
On May 1, 2010, the Agency established a subcommittee of the
Tobacco Products Scientific Advisory Committee (TPSAC), \1\ the Tobacco
Product Constituents Subcommittee (the subcommittee), and charged the
subcommittee with making preliminary recommendations to TPSAC on HPHCs
in tobacco products and tobacco smoke. The subcommittee held public
meetings on June 8 and 9, 2010, and July 7, 2010. Prior to these
meetings, FDA solicited data, information, and/or views on HPHCs in
tobacco products and tobacco smoke from the public, and at the June
meeting, presentations were made by interested persons.\2\ At these
meetings the subcommittee:
---------------------------------------------------------------------------
\1\ Information about TPSAC as well as information and
background materials on TPSAC meetings are available at https://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/default.htm.
\2\ See 75 FR 22147 (April 27, 2010), and 75 FR 33814 (June 15,
2010). Information submitted to the public docket for each of these
meetings is available at https://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm222977.htm and https://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm222978.htm.
---------------------------------------------------------------------------
Reviewed example lists of HPHCs developed by other
countries and organizations;
Identified criteria for selecting carcinogens, toxicants,
and addictive chemicals or chemical compounds in tobacco products and
tobacco smoke;
Identified chemicals or chemical compounds that met the
identified criteria;
Confirmed the existence of methods for measuring each
chemical or chemical compound identified; and
Identified other potentially important information or
criteria for measuring HPHCs in tobacco products or tobacco smoke, such
as smoking machine regimens to be used in measuring HPHCs.
The subcommittee made preliminary recommendations to TPSAC.
On August 30, 2010, TPSAC held a public meeting to deliberate on
the recommendations from the subcommittee. Prior to this meeting, FDA
published a notice in the Federal Register soliciting data,
information, and/or views from the public on the issues to be discussed
at this meeting.\3\ FDA asked what criteria TPSAC recommended the
Agency use for determining whether a constituent is a carcinogen,
toxicant, or addictive chemical or chemical compound that should be
included on the HPHC list. As a result of its discussions, TPSAC
recommended to the Agency the following criteria for selecting the HPHC
list:
---------------------------------------------------------------------------
\3\ See 75 FR 47308 (August 5, 2010). Information submitted by
the public to the docket for this meeting is available at https://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm232799.htm.
---------------------------------------------------------------------------
Constituents identified as known, likely, probably, or
possible human carcinogens by the U.S. Environmental Protection Agency
(EPA);
Constituents identified as known, probable, or possible
carcinogens by the International Agency for Research on Cancer (IARC)
including IARC Group 1 (carcinogenic to humans), IARC Group 2 (probably
carcinogenic to humans), and IARC Group 2B (possibly carcinogenic to
humans);
Constituents identified as human carcinogens or reasonably
anticipated to be human carcinogens by the National Toxicology Program
(NTP);
Constituents identified as potential occupational
carcinogens by the National Institute for Occupational Safety and
Health (NIOSH):
Constituents identified by EPA or the Agency for Toxic
Substances and Disease Registry (ATSDR) as having adverse respiratory
or cardiac effects;
Constituents identified by the California Environmental
Protection Agency (CA EPA) as reproductive or developmental toxicants;
Constituents having, based upon a review of the peer-
reviewed literature, evidence of at least two of the following measures
of abuse liability (addiction):
[cir] Central nervous system activity;
[cir] Animal drug discrimination;
[cir] Conditioned place preference;
[cir] Animal self-administration;
[cir] Human self-administration;
[cir] Drug liking;
[cir] Signs of withdrawal; and
Constituents banned in food (for smokeless tobacco
products).
FDA believes having criteria for use in determining whether a
constituent is harmful or potentially harmful will be beneficial. FDA
carefully evaluated the data, information, and views on HPHCs in
tobacco products provided by TPSAC and the public, in light of the
Agency's own knowledge and expertise, and taking into consideration its
HPHC final guidance. Based on this evaluation, FDA tentatively
concludes that it should use the criteria listed previously in this
document in determining whether a constituent should be included on the
HPHC list. Specifically, FDA has tentatively concluded that it should
consider a constituent meeting these criteria to be harmful or
potentially harmful, such that it should be included on the HPHC list,
unless other scientific information obtained by or submitted to the
Agency shows that the constituent is
[[Page 50228]]
not, in fact, harmful or potentially harmful. Applying this approach to
the criteria and the available information, FDA developed table 1 of
this document.
FDA recognizes that table 1 of this document may not include all
constituents that are ``harmful or potentially harmful.'' For example,
the criteria described previously in this document generally depend on
a chemical or chemical compound being both studied and listed by
another entity, such as constituents identified by EPA or ATSDR as
having adverse respiratory or cardiac effects. The fact that a
constituent has not been so identified by EPA or ATSDR could be because
it has not been adequately studied or has not yet been systematically
reviewed by relevant agencies, rather than because the constituent does
not have adverse respiratory or cardiac effects. Moreover, FDA has only
focused on the five disease outcomes of cancer, cardiovascular disease,
respiratory effects, developmental or reproductive effects, and
addiction. FDA intends to review other disease outcomes to assess
whether additional chemicals or chemical compounds in tobacco products
or tobacco smoke are harmful or potentially harmful constituents that
contribute to the risk of other diseases. Similarly, the criteria FDA
has tentatively selected are limited to those that relate to
carcinogens, toxicants, and addictive chemicals or chemical compounds
in tobacco products and tobacco smoke. We intend to consider whether
additional criteria should be selected to help identify other classes
of harmful or potentially harmful chemicals and chemical compounds for
inclusion on the HPHC list, and whether individual constituents should
be added. Just as these types of new information may lead to additions
to the list, FDA recognizes that it may become aware of new scientific
information about constituents of tobacco products that make it
appropriate to remove one or more of the constituents that appear on
the list. For these reasons, FDA will continue to review scientific
information about tobacco product constituents. FDA intends to do this
both before and after it establishes its list of HPHCs for the purpose
of section 904(e) of the FD&C Act, consistent with the directive in
section 904(e) that the Agency periodically revise the list as
appropriate.
II. Request for Comments and Information
FDA is soliciting public comment, including scientific and other
information, concerning the HPHCs in tobacco products and tobacco
smoke. We are particularly interested in comments from the public on
the following topics:
The criteria FDA should use in determining whether a
constituent is harmful or potentially harmful such that it should be
included on the HPHC list;
Whether any chemicals or chemical compounds not listed in
table 1 of this document should be added because they are harmful or
potentially harmful, including supporting scientific or other
information; and/or
Whether any of the chemicals or chemical compounds listed
in table 1 of this document should be removed because they are not
harmful or potentially harmful, including supporting scientific or
other information.
III. Submission of Comments
Interested persons may submit to the Division of Dockets Management
(see ADDRESSES) either electronic or written comments regarding this
document. It is only necessary to send one set of comments. It is no
longer necessary to send two copies of mailed comments. Identify
comments with the docket number found in brackets in the heading of
this document. Received comments may be seen in the Division of Dockets
Management between 9 a.m. and 4 p.m., Monday through Friday.
Table 1--List of the Chemicals and Chemical Compounds Identified by FDA
as Harmful and Potentially Harmful Constituents in Tobacco Products and
Tobacco Smoke
------------------------------------------------------------------------
Carcinogen (CA), respiratory toxicant
(RT), cardiovascular toxicant (CT),
Constituent reproductive or developmental
toxicant (RDT), addictive (AD)
------------------------------------------------------------------------
Acetaldehyde..................... CA, RT, AD
Acetamide........................ CA
Acetone.......................... RT
Acrolein......................... RT, CT
Acrylamide....................... CA
Acrylonitrile.................... CA, RT
Aflatoxin B1..................... CA
4-Aminobiphenyl.................. CA
1-Aminonaphthalene............... CA
2-Aminonaphthalene............... CA
Ammonia.......................... RT
Anabasine........................ AD
o-Anisidine...................... CA
Arsenic.......................... CA, CT, RDT
A-[alpha]-C (2-Amino-9H- CA
pyrido[2,3-b]indole).
Benz[a]anthracene................ CA, CT
Benz[j]aceanthrylene............. CA
Benzene.......................... CA, CT, RDT
Benzo[b]fluoranthene............. CA, CT
Benzo[k]fluoranthene............. CA, CT
Benzo[b]furan.................... CA
Benzo[a]pyrene................... CA
Benzo[c]phenanthrene............. CA
Beryllium........................ CA
1,3-Butadiene.................... CA, RT, RDT
Cadmium.......................... CA, RT, RDT
[[Page 50229]]
Caffeic acid..................... CA
Carbon monoxide.................. RDT
Catechol......................... CA
Chlorinated dioxins/furans....... CA, RDT
Chromium......................... CA, RT, RDT
Chrysene......................... CA, CT
Cobalt........................... CA, CT
Coumarin......................... Banned in food
Cresols (o-, m-, and p-cresol)... CA, RT
Crotonaldehyde................... CA
Cyclopenta[c,d]pyrene............ CA
Dibenz[a,h]acridine.............. CA, CT
Dibenz[a,j]acridine.............. CA
Dibenz[a,h]anthracene............ CA
Dibenzo[c,g]carbazole............ CA
Dibenzo[a,e]pyrene............... CA
Dibenzo[a,h]pyrene............... CA
Dibenzo[a,i]pyrene............... CA
Dibenzo[a,l]pyrene............... CA
2,6-Dimethylaniline.............. CA
Ethyl carbamate (urethane)....... CA, RDT
Ethylbenzene..................... CA
Ethylene oxide................... CA, RT, RDT
Formaldehyde..................... CA, RT
Furan............................ CA
Glu-P-1 (2-Amino-6- CA
methyldipyrido[1,2-a:3',2'-
d]imidazole).
Glu-P-2 (2-Aminodipyrido[1,2- CA
a:3',2'-d]imidazole).
Hydrazine........................ CA, RT
Hydrogen cyanide................. RT, CT
Indeno[1,2,3-cd]pyrene........... CA
IQ (2-Amino-3-methylimidazo[4,5- CA
f]quinoline).
Isoprene......................... CA
Lead............................. CA, CT, RDT
MeA-[alpha]-C (2-Amino-3-methyl)- CA
9H-pyrido[2,3-b]indole).
Mercury.......................... CA, RDT
Methyl ethyl ketone.............. RT
5-Methylchrysene................. CA
4-(Methylnitrosamino)-1-(3- CA
pyridyl)-1-butanone (NNK).
Naphthalene...................... CA, RT
Nickel........................... CA, RT
Nicotine......................... RDT, AD
Nitrobenzene..................... CA, RT, RDT
Nitromethane..................... CA
2-Nitropropane................... CA
N-Nitrosodiethanolamine (NDELA).. CA
N-Nitrosodiethylamine............ CA
N-Nitrosodimethylamine (NDMA).... CA
N-Nitrosomethylethylamine........ CA
N-Nitrosomorpholine (NMOR)....... CA
N-Nitrosonornicotine (NNN)....... CA
N-Nitrosopiperidine (NPIP)....... CA
N-Nitrosopyrrolidine (NPYR)...... CA
N-Nitrososarcosine (NSAR)........ CA
Nornicotine...................... AD
Phenol........................... RT, CT
PhIP (2-Amino-1-methyl-6- CA
phenylimidazo[4,5-b]pyridine).
Polonium-210..................... CA
Propionaldehyde.................. RT, CT
Propylene oxide.................. CA, RT
Quinoline........................ CA
Selenium......................... RT
Styrene.......................... CA
o-Toluidine...................... CA
Toluene.......................... RT, RDT
Trp-P-1 (3-Amino-1,4-dimethyl-5H- CA
pyrido[4,3-b]indole).
Trp-P-2 (1-Methyl-3-amino-5H- CA
pyrido[4,3-b]indole ).
[[Page 50230]]
Uranium-235...................... CA, RT
Uranium-238...................... CA, RT
Vinyl acetate.................... CA, RT
Vinyl chloride................... CA
------------------------------------------------------------------------
Dated: August 9, 2011.
Leslie Kux,
Acting Assistant Commissioner for Policy.
[FR Doc. 2011-20502 Filed 8-11-11; 8:45 am]
BILLING CODE 4160-01-P