Maddox Raglan, Bradbrook Shane Kawenata
Bagumani (Modewa) Clan, Yardhura Walani, National Centre for Epidemiology and Population Health, The Australian National University (ANU), 54 Mills Rd, Canberra, ACT 2602, Australia.
Ngāi Tāmanuhiri, Rongowhakaata, Ngāti Kahungunu, Aotearoa, New Zealand.
Health Promot Int. 2025 Jul 1;40(4). doi: 10.1093/heapro/daaf103.
The tobacco and nicotine industry, embedded in colonial exploitation and racialised harm, remains a leading cause of preventable disease, death, and intergenerational trauma. This article presents a transformative abolitionist public health framework, grounded in Indigenous-led principles of sovereignty, truth-telling, love, and justice. It aims to dismantle the structural drivers of harm perpetuated by the industry. We centre abolition as a moral and ethical imperative, but also as a practical necessity to uphold the human right to health, restore Indigenous authority, and eliminate systems that commodify addiction and death. Drawing on Indigenous health paradigms and abolitionist theory, we outline practical, policy-facing pathways to abolition. These include divesting from harm, reinvesting in care, defunding industry influence, and embedding reparative justice. Examples include legal liability mechanisms, profit caps, truth-telling commissions, trade reform, and Indigenous-led health infrastructure. We distinguish abolition from prohibition, framing it as a strategic, relational, and system-wide response that invests in life-affirming alternatives rather than punitive control. At the heart of this framework is love, a radical commitment to healing, collective well-being, and restoring power and agency to communities most harmed. Rather than placing responsibility on individuals, this framework offers a systems-wide approach to public health that targets the structural drivers of harm. This article contributes a new model for health-generative public policy, advancing abolition as an urgent strategy for equity, truth, and planetary and human health.
烟草和尼古丁行业根植于殖民剥削和种族化伤害,仍然是可预防疾病、死亡和代际创伤的主要原因。本文提出了一个变革性的废奴主义公共卫生框架,该框架基于由原住民主导的主权、讲真话、爱和正义原则。其目的是消除该行业长期存在的伤害的结构性驱动因素。我们将废除该行业作为一项道德和伦理要务,同时也是维护健康人权、恢复原住民权威以及消除将成瘾和死亡商品化的体系的实际必要举措。借鉴原住民健康范式和废奴主义理论,我们概述了面向政策的废除该行业的切实可行途径。这些途径包括撤资于伤害行为、对护理进行再投资、停止资助行业影响以及融入修复性正义。例子包括法律责任机制、利润上限、真相调查委员会、贸易改革以及由原住民主导的卫生基础设施。我们将废除与禁止区分开来,将其界定为一种战略性、关联性和全系统的应对措施,该措施投资于肯定生命的替代方案而非惩罚性控制。这个框架的核心是爱,这是一种对治愈、集体福祉以及恢复受伤害最严重社区的权力和能动性的激进承诺。该框架不是将责任归咎于个人,而是提供一种全系统的公共卫生方法,以针对伤害的结构性驱动因素。本文为促进健康的公共政策贡献了一个新模式,将废除该行业作为实现公平、真相以及地球和人类健康的紧迫战略加以推进。