The tobacco endgame—eradicating a worsening epidemic

Willett, Jeffrey; Achenbach, Stephan; Pinto, Fausto J.; Poppas, Athena; Elkind, Mitchell S.V.

doi:10.1093/eurheartj/ehab245

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…Based on FCTC evaluation of the targets of MPOWER, the Korean government should strengthen smoking bans (P) and advertising bans (E) 13 . The experts jointly recommended implementation of MPOWER as a roadmap to achieve the tobacco endgame 39 . Therefore, for a rapid decrease in smoking prevalence, it is essential to implement MPOWER concurrently with a variety of endgame strategies.…”

Section: Discussionmentioning

confidence: 99%

Modeling the future of tobacco control: Using SimSmoke to explore the feasibility of the tobacco endgame in Korea

Kim,

Park,

Kang

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION We used a simulation model to assess the feasibility of reaching the tobacco endgame target (reducing the smoking prevalence to below 5% by 2050) and explored potential implementation strategies. METHODS The impact of strengthened tobacco-control policies on smoking prevalence was analyzed using Korea SimSmoke, a discrete-time Markov process. We considered the effects of various scenarios from 2023 and predictions were conducted until 2050. To confirm the stability of the results, deterministic and probabilistic sensitivity analyses were carried out by increasing and decreasing parameter estimates. RESULTS The implementation of tobacco-control policies in accordance with the WHO MPOWER (Μonitor tobacco use and prevention policies; Protect people from tobacco smoke; Offer help to quit tobacco smoking; Warn of the dangers of tobacco; Enforce bans on tobacco advertising, promotion, and sponsorship; Raise taxes on tobacco) measures were insufficient to achieve the tobacco endgame objective of 5% by 2050. The overall predicted smoking prevalence in 2050 is 4.7% if all policies are fully implemented in accordance with the FCTC guidelines together with a complete ban on the sale of cigarettes to people born after 2003 and annual 10% increases in price. Sensitivity analyses using the varying policy effect assumptions demonstrated the robustness of the simulation results. CONCLUSIONS For a substantive reduction in smoking prevalence, it is essential to strongly implement the MPOWER strategy. Beyond this foundational step, the eradication of smoking requires a paradigm shift in the perception of conventional tobacco-control policies, including a tobacco-free generation strategy and radical increases in the price of tobacco products.

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Section: Discussionmentioning

confidence: 99%

Modeling the future of tobacco control: Using SimSmoke to explore the feasibility of the tobacco endgame in Korea

Kim,

Park,

Kang

et al. 2023

Tob. Induc. Dis.

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“…These efforts are directed at preventing youth addiction and have major health equity implications because some flavorings, particularly menthol, are used in higher proportions by Black communities and Hispanic/Latino communities than White communities. 15 In the 1960s, Maurice Sokolow, also a recipient of AHA funding, and colleagues reported that hypertension was associated with a decrease in life expectancy and other complications. 16 After studies on the relationship of elevated blood pressure with cardiovascular disease and stroke, 17 physician-scientists began a more aggressive approach to reducing systolic blood pressure to <160 mm Hg.…”

Section: Major Advances In the Science Of Cardiovascular Disease And ...mentioning

confidence: 99%

The American Heart Association at 100: A Century of Scientific Progress and the Future of Cardiovascular Science: A Presidential Advisory From the American Heart Association

Elkind,

Arnett,

Benjamin

et al. 2024

Circulation

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In 1924, the founders of the American Heart Association (AHA) envisioned an international society focused on the heart and aimed at facilitating research, disseminating information, increasing public awareness, and developing public health policy related to heart disease. This presidential advisory provides a comprehensive review of the past century of cardiovascular and stroke science, with a focus on the AHA’s contributions, as well as informed speculation about the future of cardiovascular science into the next century of the organization’s history. The AHA is a leader in fundamental, translational, clinical, and population science, and it promotes the concept of the “learning health system,” in which a continuous cycle of evidence-based practice leads to practice-based evidence, permitting an iterative refinement in clinical evidence and care. This advisory presents the AHA’s journey over the past century from instituting professional membership to establishing extraordinary research funding programs; translating evidence to practice through clinical practice guidelines; affecting systems of care through quality programs, certification, and implementation; leading important advocacy efforts at the federal, state and local levels; and building global coalitions around cardiovascular and stroke science and public health. Recognizing an exciting potential future for science and medicine, the advisory offers a vision for even greater impact for the AHA’s second century in its continued mission to be a relentless force for longer, healthier lives.

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“…The incidence of lung cancer-a 'Big 5' lung disease as highlighted by the Forum of International Respiratory Societies (FIRS) 1 -is increasing in never-smoking individuals, as worldwide smoking rates decline, and the Tobacco Endgame is commenced in New Zealand. [2][3][4] We must continue to focus on reducing tobacco consumption, the major risk factor for 80%-90% of lung cancers, however, while effective strategies are in place to reduce, detect, and treat smoking-related lung cancer, 5,6 our strategies in the neversmoking population are not well defined.…”

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confidence: 99%