Stop-smoking battle still raging 50 years after surgeon general published health risks
Experts would also like tobacco companies to cough up the money to fund anti-tobacco efforts, or at least stop contributing to the toll. The coalition highlighted Federal Trade Commission data showing that the tobacco industry will spend the equivalent of $1 million each hour this year to market cigarettes and smokeless tobacco products. The companies, it said, fight efforts to limit marketing, design their products to appeal to kids and aim to create and sustain addiction to nicotine.
Some progress has been impressive, but efforts to curb tobacco use have been hampered by tobacco manufacturers, Beitsch said, adding that it earlier appeared the tobacco industry "was going to work with us, even with the master settlement of the 1990s. But they never really honored commitments to tell the truth and work in an honorable way."
It is hard to make progress, he noted, when a "so-called partner doesn't really intend to collaborate."
Beitsch sees definite bright spots in anti-smoking efforts, though. Very few health practitioners smoke. Some states, including Utah, have already met goals set for 2020 in terms of reducing tobacco use. Florida is an example of a state that reached goals for reducing tobacco use in middle schools and high schools.
The high school smoking rate peaked at 36.4 percent in 1997, but was down to 18.1 percent in 2011, according to the Youth Risk Behavior Survey conducted by CDC. The recent Monitoring the Future Survey found smoking among high school seniors cut in half since 1997, down to 16.3 percent in 2013.
American adults have also cut the number of cigarettes they smoke. Adult per capita consumption has gone from a high of 4,345 in 1963 to 1,232 in 2011. A study in the American Journal of Public Health estimated that without the anti-tobacco efforts of the past 50 years, per capita cigarette use would have been five times higher in 2011 than it was.
Researchers say smoking by men declined an average of 25 percent in 187 countries from 1980 to 2012, and by 42 percent among women. But with population growth, the raw number of smokers globally has grown, and rates remain high in some countries. For men, smoking is very common in Russia, Indonesia and Armenia, for instance, while women smoke in higher-than-average numbers in Chile, France and Greece.
While the United States was first to sound the alarm about tobacco dangers, it lags behind many countries, Beitsch said.
"We were the first to take concerted action. We took the lead, but other countries have in many ways surpassed us in terms of how they deal with smoking," he said.
Tobacco-Free Kids wants the Food and Drug Administration to use the authority it received in 2009 to regulate manufacturing, marketing and sale of tobacco products, including electronic cigarettes.
It wants Congress to give the federal tobacco tax a hefty bump. And it wants more media campaigns that motivate smokers to quit and prevent others from picking up the habit.
One such campaign is "Tips from Former Smokers," that the CDC recently credited with helping more than 100,000 Americans kick the habit for good. The ads generated more than 150,000 extra calls to quit lines and sparked 2.8 million additional visits to the website, said the CDC, which created the campaign. The federal health agency listed it as one of its five top accomplishments of 2013.
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