Tob Control. 2013 May;22 Suppl 1(Suppl 1):i3-5. doi: 10.1136/tobaccocontrol-2013-050989.
Since its origins in the 1960s, tobacco control has achieved remarkable success against the scourge of tobacco-produced disease and death. Yet tobacco use, especially cigarette smoking, remains the world's leading cause of preventable premature death and is likely to do so for decades to come. Evidence-based policies seem incapable of substantially hastening the demise of smoking. Slowness in the decline of smoking in developed nations, and increasing smoking in many low- and middle-income countries has sparked interest in novel, even radical 'endgame' strategies to eliminate the toll of tobacco. This paper identifies the principal endgame proposals and, with the other papers in this volume, has the goal of expanding and deepening the endgame conversation by engaging the broader tobacco control community. While we struggle today with often widely divergent perspectives and beliefs about what is possible and how it might be achieved, we all share the same vision of the final words to this story: 'The end'.
自 20 世纪 60 年代起源以来,烟草控制在对抗烟草相关疾病和死亡方面取得了显著成功。然而,烟草使用,尤其是吸烟,仍然是全球可预防的早逝的主要原因,并可能在未来几十年内继续如此。基于证据的政策似乎无法显著加速吸烟的消亡。发达国家吸烟率下降缓慢,而许多低收入和中等收入国家的吸烟率却在上升,这引发了人们对新颖的,甚至激进的“终结游戏”策略的兴趣,以消除烟草的危害。本文确定了主要的终结游戏提案,并与本卷中的其他论文一起,通过吸引更广泛的烟草控制界,旨在扩大和深化终结游戏的对话。虽然我们今天在关于什么是可能的以及如何实现的问题上存在着常常大相径庭的观点和信念,但我们都有着相同的愿景,即看到这个故事的最后一句话:“终结”。