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Federal government websites often end in. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. NCBI Bookshelf. Previous Surgeon General's reports on smoking and health have articulated a vision for ending the tobacco epidemic through a variety of methods, including sustained use of successful interventions, a comprehensive approach, and continued support to build the scientific foundation for action U.
Recent recommendations made by expert groups also emphasize comprehensive coordinated approaches to reducing tobacco use and its harms Bonnie et al. The potentially relevant literature is vast and, consequently, coverage in this chapter is analytic and synthetic without providing an exhaustive review of all relevant evidence supporting reviews are provided online at www.
Tobacco use has serious economic and social implications for the population, and is intimately tied to collective images and attitudes that can positively or negatively impact use. As scientific knowledge about the disease effects of smoking has advanced, and as research on tobacco industry documents and litigation have uncovered the deceptive and covert activities of tobacco companies, attitudes toward tobacco use and smoking in public places have changed from accepting to increasingly unfavorable.
In the second part of this chapter, the changing nature of tobacco products is reviewed and a brief overview is provided of current efforts to regulate tobacco manufacturing, marketing, and use. Tobacco and other commercial tobacco products that contain nicotine cover a wide range, including not only conventional cigarettes, cigars, and smokeless tobacco but dissolvable tobacco products DTPs , electronic delivery systems, low nitrosamine smokeless tobacco, and water pipes.
