Pathology & Laboratory Medicine, American University of Beirut, Beirut, Lebanon.
Tob Control. 2019 Jun;28(Suppl 2):s104-s112. doi: 10.1136/tobaccocontrol-2018-054346. Epub 2018 Jul 31.
This paper investigates to what extent Framework Convention on Tobacco Control (FCTC) parties have successfully implemented regulatory measures against non-cigarette tobacco product (NCTP) use, considers the challenges and peculiarities in applying such regulations and proposes effective means.
This review was based on many sources mainly: International Legal Consortium, International Tobacco Control, Campaign for Tobacco-Free Kids, FCTC, expert group visits and published literature.
The FCTC provided a framework that applies to all forms of tobacco and this encouraged some parties to adopt control measures against NCTP and to incorporate them into their national tobacco control plans. Although a number of countries have adopted measures specifically targeted towards smokeless and waterpipe tobacco, greater global progress is needed. The strongest achievements have been in protection from exposure to tobacco smoke; controlling advertising, promotion and sponsorship; controlling sales to and by minors; education, communication and public awareness; and packaging and labelling of NCTP. Countries which adopted broad definitions of tobacco products have demonstrated encouraging trends in curbing their use. Future work should address the deep-rooted social acceptance of NCTP, the laxity in their control, their exclusion from regulations in some countries and the failure to subject them to increased taxation. Control measures should also specifically target the initiation risk to youth and adolescents and all factors that contribute to that such as banning flavourings and promotions through social media. Stronger global surveillance of NCTP use, tracking of policy implementation and evaluation of policy impact will provide important evidence to assist parties in fully implementing the FCTC to control their use.
引言：本文旨在探讨《烟草控制框架公约》（FCTC）缔约方在多大程度上成功实施了针对非香烟烟草制品（NCTP）使用的监管措施，考虑了在应用这些法规时面临的挑战和特殊性，并提出了有效的手段。
数据和方法：本综述主要基于以下来源：国际法律联盟、国际烟草控制组织、无烟草青少年运动、FCTC、专家组访问和已发表的文献。
发现与结论：FCTC 提供了一个适用于所有形式烟草的框架，这鼓励了一些缔约方采取针对 NCTP 的控制措施，并将其纳入国家烟草控制计划。尽管一些国家已经采取了针对无烟和水烟烟草的措施，但仍需要在全球范围内取得更大进展。最强有力的成就是在防止接触烟草烟雾、控制广告、促销和赞助、控制向未成年人销售和销售、教育、沟通和公众意识以及 NCTP 的包装和标签方面。那些采用广泛的烟草制品定义的国家已经显示出遏制其使用的令人鼓舞的趋势。未来的工作应该解决 NCTP 根深蒂固的社会接受度、对其控制的宽松性、在一些国家被排除在法规之外以及未能对其征收更高税款的问题。控制措施还应特别针对青少年的初始风险以及导致这种风险的所有因素，例如禁止通过社交媒体使用香料和促销。加强对 NCTP 使用情况的全球监测、跟踪政策实施情况和评估政策影响，将为缔约方全面实施 FCTC 以控制其使用提供重要证据。
