Health Affairs October 25, 2024
For six decades following the 1964 surgeon general’s report on smoking, public health and industry have implemented opposing strategies regarding the marketing and sale of tobacco products. Despite progress, smoking-attributable mortality remains a leading cause of preventable death, and concerning disparities in tobacco use prevalence exist, particularly among the 28.3 million US adults who smoke cigarettes. Recently, the emergence of e-cigarettes, oral nicotine pouches, and other novel tobacco products have created intense disagreements regarding how tobacco control can best improve public health. In this environment, decisions being made by policy makers, regulators, and industry will determine whether the US will continue to see a slow and inequitable reduction in tobacco-related deaths, or bolder action is taken to more rapidly reduce...
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