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Lawrence O. Gostin, JD

JAMA. 2007;298(17):2057-2059.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the mid-20th century, the cigarette was a cultural icon in Western society—tobacco smoking was viewed as chic, promoted ubiquitously, and portrayed by sports and movie stars as an accoutrement of the good life.¹ But by the close of the century, public and political perceptions were transformed by revelations about the tobacco industry's knowledge of the risks and its intent to deceive. Tobacco executives understood the health effects of smoking, the addictive quality of nicotine, and the toxicity of pesticides contained in cigarettes.

The ensuing regulation in North America and Western Europe had a salutary effect, even if smoking remains a pressing public health hazard. But in the 21st century, the tobacco industry has quietly moved its locus of activity to lucrative, emerging markets—the vast populations in Africa, Asia, Eastern Europe, and Latin America. The poorest, least educated, and sickest people on earth inhabit these regions. . . . [Full Text of this Article]

Author Affiliations: O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC; and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

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