World Lung Foundation, Hong Kong, China.
Lancet. 2013 May 4;381(9877):1581-7. doi: 10.1016/S0140-6736(13)60854-5.
For the purpose of this article, Asia refers to WHO's combined South-East Asia and Western Pacific regions and thus includes Australia and New Zealand. Asia has the highest number of tobacco users and is the prime target of transnational tobacco companies. The future of global tobacco control rests in this region and the challenges are clear. China, India, and Indonesia are key markets and Asia is a frontrunner in tobacco control measures, such as plain packaging of cigarettes. Some countries in Asia have a long history of tobacco control activities beginning in the 1970s, and WHO's Western Pacific Region is still the only region where all countries have ratified WHO's Framework Convention on Tobacco Control. We reviewed the history, research, epidemiology, tobacco control action, obstacles, and potential responses and solutions to the tobacco epidemic in this region. Levels of development, systems of government, and population size are very different between countries, with population size ranging from 1500 to 1·3 billion, but similarities exist in aspects of the tobacco epidemic, harms caused, obstacles faced, and tobacco control actions needed.
本文中的亚洲指的是世卫组织的东南亚和西太平洋区域,因此包括澳大利亚和新西兰。亚洲拥有最多的烟民,是跨国烟草公司的主要目标市场。全球控烟的未来取决于该地区,而挑战也十分明显。中国、印度和印度尼西亚是主要市场,亚洲在控烟措施方面处于领先地位,如香烟采用平装。亚洲的一些国家从 20 世纪 70 年代就开始了长期的控烟活动,世卫组织西太平洋区域仍然是唯一一个所有国家都批准世卫组织《烟草控制框架公约》的区域。我们回顾了该区域的控烟历史、研究、流行病学、控烟行动、障碍以及应对烟草流行的潜在对策和解决方案。各国之间在发展水平、政府体制和人口规模方面差异很大,人口规模从 1.5 亿到 13 亿不等,但在烟草流行、造成的危害、面临的障碍以及所需的控烟行动等方面存在相似之处。