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In Reply: Dr Hughes raises an important point regarding the role of tobacco cessation in stemming the global tobacco epidemic. Comprehensive tobacco control involves a range of supply, demand, and harm-reduction strategies. The Framework Convention on Tobacco Control, which takes a comprehensive approach to global tobacco control, sets forth a range of demand reduction strategies, including those aimed at preventing initiation of tobacco use (for example, article 13 addresses tobacco advertising, promotion, and sponsorship) and those aimed at promoting and facilitating the cessation of tobacco use (article 14).¹

Although improving access to cessation treatments is a key component of comprehensive tobacco control, I do not agree that treatment-focused strategies are the most important and are "much more scientifically based" than most other tobacco control strategies. A growing body of literature provides evidentiary support for the effectiveness of individual strategies as well as the synergistic, cumulative effect of numerous strategies undertaken . . . [Full Text of this Article]

Lawrence O. Gostin, JD
gostin@law.georgetown.edu
O’Neill Institute for National and Global Health Law
Georgetown University Law Center
Washington, DC

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