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Samira Asma

, Douglas W. Bettcher

, Jonathan Samet

, Krishna M. Palipudi

, Gary Giovino

, Stella Bialous

, Katherine DeLand

, June Leung

, Daniel Ferrante

, Gemma Vestal

, Gonghuan Yang

, and Derek Yach

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date: 17 May 2022

Tobacco use is the single-most preventable cause of death and is unique in terms of its current and projected future impacts on global mortality. If current trends of tobacco use continue, the number of people killed by tobacco will reach 8.3 million annually by the year 2030. Tobacco is also the only legal consumer product that can harm everyone exposed to it, and it kills up to half of those who use it as intended. Despite the crises, there is also an opportunity. The current national and global momentum to promote smoke-free societies offers opportunity to apply proven strategies. The World Health Organization (WHO) Framework Convention on Tobacco Control, a multilateral legal framework, presents a blueprint for countries to reduce both supply and demand for tobacco. In addition, the WHO MPOWER package offers recommendations for countries to implement the most proven strategies. This chapter examines the history of tobacco use and dependence, and the current and projected pattern of the tobacco epidemic, reviews the structure, conduct, and strategies of the tobacco industry, and proposes proven tobacco control strategies, which may have relevance throughout the world.

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