Da. Kessler et al., THE LEGAL AND SCIENTIFIC BASIS FOR FDAS ASSERTION OF JURISDICTION OVER CIGARETTES AND SMOKELESS TOBACCO, JAMA, the journal of the American Medical Association, 277(5), 1997, pp. 405-409
On August 28, 1996, the US Food and Drug Administration (FDA) asserted
jurisdiction over cigarettes and smokeless tobacco under the Federal
Food, Drug, and Cosmetic Act. Under this Act, a product is a ''drug''
or ''device'' subject to FDA jurisdiction if it is ''intended to affec
t the structure or any function of the body.'' The FDA determined that
nicotine in cigarettes and smokeless tobacco does ''affect the struct
ure or any function of the body'' because nicotine causes addiction an
d other pharmacological effects. The FDA then determined that these ph
armacological effects are ''intended'' because (1) a scientific consen
sus has emerged that nicotine is addictive; (2) recent studies have sh
own that most consumers use cigarettes and smokeless tobacco for pharm
acological purposes, including satisfying their addiction to nicotine;
and (3) newly disclosed evidence from the tobacco manufacturers has r
evealed that the manufacturers know that nicotine causes pharmacologic
al effects, including addiction, and design their products to provide
pharmacologically active doses of nicotine. The FDA thus concluded tha
t cigarettes and smokeless tobacco are subject to FDA jurisdiction bec
ause they contain a ''drug,'' nicotine, and a ''device'' for deliverin
g this drug to the body.