solution

积极应对

虽然烟草流行日益猖獗,但我们已有的控烟措施可以带来真正的生死攸关的变化。各国政府必须积极而果断地采取行动,实施这些经证实有效的干预措施,并坚决抵制烟草业对我们所做出的努力的破坏。

Global tobacco consumption is slowing. This is largely due to many countries implementing successful tobacco control programs. Slowly, the tobacco control community is “normalizing” its interventions. For example, a decade ago, just 10 countries had comprehensive smoke-free policies whereas today it is 55, with 23 more almost there. For those fortunate enough to live in smoke-free environments, it is thanks to these efforts that encountering smoking in a restaurant today feels so jarring. Once a society has adjusted to a smoke-free norm, it becomes difficult to understand why smoking was ever tolerated. But more work remains to be done.

Many tobacco control proponents aspire to a so-called “end game” for tobacco, and such visions vary considerably, from complete eradication of tobacco use to declines in prevalence to 5% or less. While it is important to aspire, we emphasize that vigorous implementation and enforcement of the proven strategies would undoubtedly drive tobacco prevalence down significantly and just as importantly keep low prevalence low. The largest obstacle in many countries remains a lack of will. Some government officials are still unwilling to follow through on commitments to the WHO FCTC, and more broadly, to commit sufficient resources to promoting societal well-being through comprehensive tobacco control.

Though there were small victories at the Seventh Conference of Parties of the WHO FCTC in late 2016, there were also disturbing signs of governments indifferent to tobacco control. Even worse, some official delegates promoted messages remarkably similar to those of the tobacco industry. These dynamics reinforce that the industry remains a powerful and ubiquitous force globally and must not be underestimated. However, an emerging global orientation toward preventing non-communicable diseases, and tobacco control’s increasing place on the development agenda, are helping to challenge the industry’s power.


控烟政策实施

五大主要控烟政策的平均成效(无烟、警告标签、戒烟、营销禁令和税收)。

There is considerable discussion in the public health community about the role of potentially less harmful tobacco products. This issue is complex. We implore readers to be open-minded but also skeptical, and to always turn to science – tobacco control must be grounded in facts. There may be no one-size-fits-all solution to this new challenge, but we must work together as a public health community, find or rigorously generate the necessary evidence, interpret it thoughtfully, and avoid dogmatism that serves to divide and potentially obfuscate important truths. While we must address new developments, we also cannot let them distract from the key tasks at hand, particularly implementing evidence-based measures such as high excise taxes on cigarettes. New approaches to reducing tobacco-related disease will almost certainly work better in concert with proven measures to motivate quitting and discourage initiation. Moreover, there is no substitute for the weight of government action when it comes to implementing these proven measures.

我们可以先设立一个适当的目标——以2010年为基准,将2025年的吸烟率降低30%,之后再设立更加宏伟的目标。但是要达到这些目标,政府必须更加提高实施这些干预措施的工作力度,同时政府内部的支持者也必须大声呼吁变革。在政府之外,包括民间团体和研究人员,必须督促政府提高工作力度,并给予必要的援助,来实现这些目标。因此,我们希望您能认真承诺,积极参与这项活动,以使数百万人免受烟草的毒害。