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Achieving Worldwide Tobacco Control
Gro Harlem Brundtland, MD, MPH
JAMA. 2000;284:750-751.
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Fifty years ago, THE JOURNAL published 2 articles1-2 that were among the first of what was to become a deluge of epidemiological studies linking tobacco use to adverse health outcomes. These early studies on tobacco and disease established the basis for assessing disease causality and led to the conclusion that tobacco use is directly responsible for more than 25 causes of death.3 In the last 2 decades, this epidemiological evidence for disease causation has been complemented by evidence of economic harm.
Yet, despite this overwhelming evidence, it is estimated that 4 million people will die of tobacco-related illness this year, and by the 2020s, that figure will increase to 10 million deaths per year, 70% of which will occur in developing countries.4 From a public health perspective, any factor giving rise to this many deaths should be subject to active control measures. For tobacco, this . . . [Full Text of this Article]
Author Affiliation: World Health Organization, Geneva, Switzerland.
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