TobaccoFree Research Institute, Dublin, Ireland.
Health Policy. 2009 Jul;91 Suppl 1:S3-14. doi: 10.1016/S0168-8510(09)70003-X.
To present the Tobacco Control interventions which are currently accepted as effective.
Review the available regulatory strategy laid down in the Framework Convention for Tobacco Control and explore the basis for the Treaty and the appropriateness of the response with particular reference to Europe.
An evidence-based approach was built up over some sixty years. At first a slow revelation of the catastrophic health effects of smoking is revealed. Then a reluctance to see tobacco addiction as a disease or even as an addiction delays attempts to develop active treatments. A powerful, corrupt industry demanding to be treated as normal delays effective interventions to control demand or supply.
The pace of Tobacco Control is too slow. An effective FCTC would still see millions of unnecessary premature deaths in this century. Most deaths will not be in the west where the true effects of this industry are accepted and where mechanisms to combat the worst abuses of industrial power exist. They will occur in the developing world. The FCTC provisions must be achieved and then some. It would be foolish to rely on it alone especially on its approach to control of supply. The role of the treatment of tobacco dependence may be underrated in Tobacco Control. In many other diseases, whether infections such as tuberculosis or lifestyle related such as hypertension, the role and availability of effective treatments often provides the catalyst to drive the social changes necessary to lead to commitment to effective change.
介绍目前被认为有效的烟草控制干预措施。
审查《烟草控制框架公约》中规定的现有监管策略，并探讨该条约的基础以及针对欧洲的适当性。
经过六十年的发展，建立了循证方法。首先，吸烟对健康的灾难性影响逐渐被揭示出来。然后，由于不愿将烟草成瘾视为疾病，甚至不愿将其视为成瘾，这阻碍了开发积极治疗方法的尝试。一个强大的、腐败的行业要求被视为正常，这阻碍了有效控制需求或供应的干预措施的实施。
烟草控制的步伐太慢。即使有有效的《烟草控制框架公约》，本世纪仍将有数百万人因不必要的早逝。大多数死亡不会发生在西方，在西方，人们已经接受了这个行业的真正影响，并且存在打击工业权力滥用的机制。它们将发生在发展中国家。必须实现《烟草控制框架公约》的各项规定，而且要超越这些规定。仅仅依赖它是愚蠢的，特别是依赖它对供应控制的方法。在烟草控制中，烟草依赖的治疗作用可能被低估了。在许多其他疾病中，无论是像结核病这样的传染病，还是像高血压这样的与生活方式有关的疾病，有效治疗方法的作用和可及性往往为推动社会变革提供了催化剂，从而促使人们承诺进行有效的变革。
