Curbing the tobacco epidemic: Employing behavioral strategies or rearranging the deckchairs on the Titanic? |
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| Institution: | 1. Department of Epidemiology and Cancer Control, St. Jude Children''s Research Hospital, Memphis, TN, USA;2. Department of Psychology, St. Jude Children''s Research Hospital, Memphis, TN, USA;3. Department of Biostatistics, St. Jude Children''s Research Hospital, Memphis, TN, USA;4. Department of Oncology, St. Jude Children''s Research Hospital, Memphis, TN, USA;5. The Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA;6. Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, MN, USA;1. Clinical and Population Health Research Program, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA;2. Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA;3. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA;4. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA;5. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA;6. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, USA;7. Department of Medicine, Creighton University, Omaha, NE, USA;1. Center for Health Data and Analysis, Rhode Island Department of Health, Providence, RI, USA;2. Brown University School of Public Health, Department of Epidemiology, Providence, RI, USA;3. Division of Chronic Disease & Health Promotion, Rhode Island Department of Health, Providence, RI, USA;1. Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, 3-3, Nakamichi 1-chome, Higashinari-ku, Osaka-shi, Osaka 537-8511, Japan;2. Department of Social Medicine, National Research Institute for Child Health and Development,2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan;1. Harvey L. Neiman Health Policy Institute, 1891 Preston White Drive, Reston, VA 20191, United States;2. Department of Health Administration and Policy, George Mason University, Fairfax, VA 22030, United States;3. Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Blvd., St. Louis, MO 63110, United States;4. Department of Radiology, Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, United States;5. Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road NE, Atlanta, GA 30322, United States;1. Cardiovascular Research Institute, Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, KS, USA;2. Institute for Measurement, Methodology, Analysis and Policy, Texas Tech University, Lubbock, TX, USA |
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| Abstract: | Henningfield brilliantly dissected the deadly comprehensive tactics of the tobacco industry but Food and Drug Administration and WHO strategies against the tobacco epidemic must be questioned. The Food and Drug Administration has the authority to regulate tobacco production (2009 Tobacco Control Act) but fails to ban menthol and reduce cigarettes nicotine content. As little has changed, the Healthy People 2010 objective of reducing the prevalence of cigarette smoking among adults to 12% by 2010 in the US will be attained by 2030. The monitoring of the WHO Framework Convention on Tobacco Control (WHO FCTC) is passive, even when governments repeatedly violate the Article 5.3 of the Convention, which specifically requires protecting public policy from tobacco industry interference. Since 2004, the year after the adoption of the Convention, the prevalence of daily smoking has leveled off and the 2012 annualized rate of change in prevalence of daily smoking was almost null. This contrasts with a 2% annual decrease in the prevalence of daily smoking from 1980 to 2004. The tobacco endgame needs acts, not bureaucracies. Two counties have been moving forward, Brazil has banned menthol and Australia has implemented plain packaging. |
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