University of Auckland, Auckland, New Zealand.
University of Auckland, Auckland, New Zealand.
Lancet. 2015 Mar 14;385(9972):1011-8. doi: 10.1016/S0140-6736(15)60133-7.
The time has come for the world to acknowledge the unacceptability of the damage being done by the tobacco industry and work towards a world essentially free from the sale (legal and illegal) of tobacco products. A tobacco-free world by 2040, where less than 5% of the world's adult population use tobacco, is socially desirable, technically feasible, and could become politically practical. Three possible ways forward exist: so-called business-as-usual, with most countries steadily implementing the WHO Framework Convention on Tobacco Control (FCTC) provisions; accelerated implementation of the FCTC by all countries; and a so-called turbo-charged approach that complements FCTC actions with strengthened UN leadership, full engagement of all sectors, and increased investment in tobacco control. Only the turbo-charged approach will achieve a tobacco-free world by 2040 where tobacco is out of sight, out of mind, and out of fashion--yet not prohibited. The first and most urgent priority is the inclusion of an ambitious tobacco target in the post-2015 sustainable development health goal. The second priority is accelerated implementation of the FCTC policies in all countries, with full engagement from all sectors including the private sector--from workplaces to pharmacies--and with increased national and global investment. The third priority is an amendment of the FCTC to include an ambitious global tobacco reduction goal. The fourth priority is a UN high-level meeting on tobacco use to galvanise global action towards the 2040 tobacco-free world goal on the basis of new strategies, new resources, and new players. Decisive and strategic action on this bold vision will prevent hundreds of millions of unnecessary deaths during the remainder of this century and safeguard future generations from the ravages of tobacco use.
现在是全世界认识到烟草业造成的不可接受的损害的时候了，应该努力建设一个基本上没有（合法和非法）烟草产品销售的世界。到 2040 年实现一个无烟世界，即全世界只有不到 5%的成年人口使用烟草，这在社会上是可取的，技术上也是可行的，而且在政治上也可能成为现实。有三种可能的前进道路：所谓的照常营业，即大多数国家稳步实施世界卫生组织《烟草控制框架公约》（FCTC）的规定；所有国家加速实施 FCTC；以及所谓的增压方法，用加强联合国领导、所有部门的充分参与和增加对烟草控制的投资来补充 FCTC 的行动。只有增压方法才能实现到 2040 年建成一个无烟世界的目标，届时烟草将看不见、想不到、不时兴——但不会被禁止。第一个也是最紧迫的优先事项是在 2015 年后可持续发展健康目标中纳入一个有雄心的烟草目标。第二个优先事项是加速所有国家实施 FCTC 的政策，所有部门包括私营部门（从工作场所到药房）都充分参与，并增加国家和全球投资。第三个优先事项是修订 FCTC，纳入一个有雄心的全球烟草减少目标。第四个优先事项是举行一次联合国高级别会议，讨论烟草使用问题，根据新的战略、新的资源和新的参与者，为实现到 2040 年建成无烟世界的目标而推动全球行动。对这一大胆设想采取果断和战略性的行动，将防止本世纪剩余时间内数以亿计的人不必要地死亡，并保护后代免受烟草使用的危害。
