© 2000 by European Journal of Public Health
Proven strategies for smoking cessation: adopting a global approach
Godfrey Fowler**Correspondence: Godfrey Fowler OBE, FRCP, FRCGP, Emeritus Professor of General Practice, University of Oxford, Department of Primary Health Care, Institute of Health Sciences, Old Road, Headington, Oxford OX3 7LF, UK, tel. +44 1865 226801, fax +44 1865 226720, e-mail: godfrey.fowler{at}dphpc.ox.ac.uk
Smoking is one of the biggest single causes of preventable mortality, with tobacco use accounting for an estimated 1,273,000 deaths in Europe in 1998. The 2nd European Conference and 1st Iberoamerican Conference on Tobacco or Health brought together world experts on tobacco control to discuss the themes of children and tobacco; politics and economics; and the science of cessation. This supplement focuses mainly on the latter topic. Healthcare services and healthcare personnel in all countries need to become actively involved in promoting smoking cessation in order to reduce tobacco-related mortality, but in many parts of Europe guidelines or recommendations for integration of smoking cessation into routine clinical care are lacking. With the recent development of nicotine replacement therapy, and tailored, self-help, behavioural support therapy, health professionals, including pharmacists, are able to offer effective support. Promotion of smoking cessation can produce immediate public health and economic benefits. There is a need for collaboration between all concerned - international agencies, governments, public health bodies, health professionals and the pharmaceutical industry - to confront the challenges of tobacco control.
Keywords: smoking, smoking cessation, nicotine replacement therapy, counselling, health professional