Maddox Raglan, Telford Rohan M, Waa Andrew, Diaz Abbey, Bradbrook Shane Kawenata, Calma Tom, Whop Lisa J
Bagumani (Modewa) Clan, Alotau, Papua New Guinea
National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
Tob Control. 2024 Dec 27. doi: 10.1136/tc-2023-058547.
The eradication of the commercial tobacco industry is a crucial goal for health and well-being, particularly from a public health and health justice perspective. The term 'eradication' is applied in epidemiology to mean the process and outcome of elimination of the-commercial tobacco industry as a human-made-agent of disease and death. In this commentary, we outline why the eradication of the tobacco industry is necessary, urgent and realistic.The potential impact of eradication of the industry is substantial. Without the industry and the commercial tobacco that it produces, it is expected that globally over 22 000 lives will be saved daily (over 8 million annually), and life expectancy will increase. The human right to health underscores the need for tobacco industry accountability for the harms it causes and given the enormous human and financial costs, it is time for action towards eradication of the industry.The tobacco industry's opposition to tobacco control, particularly strategies focused on market supply and industry reform, has been fierce. Their strategies have involved circumventing, attacking and undermining public health measures to preserve profits. However, with insights learnt from over 70 years of incremental successes in reducing commercial tobacco use, we know that through comprehensive and locally tailored eradication strategies involving legislation, regulation and public health initiatives across multiple levels of governments, we can overcome the resistance from the tobacco industry and their affiliates. Given the cost of commercial tobacco and the ever-growing global consensus on its harms, the time to act is now.
消除商业烟草行业是促进健康和福祉的关键目标,尤其是从公共卫生和健康公平的角度来看。在流行病学中,“消除”一词是指消除商业烟草行业这一导致疾病和死亡的人为因素的过程和结果。在这篇评论中,我们概述了为何消除烟草行业是必要的、紧迫的且现实的。
消除该行业的潜在影响是巨大的。如果没有这个行业及其生产的商业烟草,预计全球每天将挽救超过22000人的生命(每年超过800万),预期寿命也将提高。健康权强调烟草行业应对其造成的危害负责,鉴于巨大的人力和财力成本,现在是采取行动消除该行业的时候了。
烟草行业对烟草控制,尤其是针对市场供应和行业改革的策略,一直持激烈反对态度。他们的策略包括规避、攻击和破坏公共卫生措施以维护利润。然而,从70多年来在减少商业烟草使用方面逐步取得的成功中我们了解到,通过涉及各级政府立法、监管和公共卫生举措的全面且因地制宜的消除策略,我们能够克服烟草行业及其附属机构的抵制。鉴于商业烟草的成本以及全球对其危害日益达成的共识,现在是采取行动的时候了。