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Q Lifestyles

22

Anti-smoking .

campa1gns really work

Figures reported to WHO show that. in Sweden, where strong health warnmgs on cigarette packets were introduced in 1975, the percentage of people who smoked at least once a day dec- lined from 43 per cent to 31 per cent over the next five years.

Among 13-year-old boys, the numbers who smoked fell from 14 per cent in 1971 to five per cent in 1980, and for 13-year-old girls, the drop was from 16 per cent to six per cent.

When a comparable Tobacco Act took effect in Norway in 1973, the proportion of males smoking each day was 52 per cent but by 1982 it had fallen to 40 per cent.

Even in countries with more limited legislation and pro- grammes, there has been a marked decline in smoking. In Canada, tobacco consumption in 1983 decreased substantially, pro- bably reflecting the large price in- creases for cigarettes in the two prev1ous years.

In the United States, the propor- tion of smokers declined from 42 per cent to 33 per cent between 1965 and 1980. The proportion of boys aged 17-18 who smoked fell from 30 per cent in 1968 to 20 per cent in 1979; among girls of the same age, an initial increase from 18 per cent in 1968 to 25 per cent in 1977-1978 seemed to have levelled off by 1979.

The effectiveness of national smoking control programmes in reducing tobacco-associated dis- eases can only be measured over many years. But one study among male doctors in Europe, for ins- tance, showed that a reduction in smoking from 43 per cent to 21 per cent between 1954 and 1971 was followed by a reduction of 25 per cent in deaths from lung can- cer over this period. •

WORLD HEALTH, Jan./Feb. 1986

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