Conclusions

  1. To prevent uptake of smoking amongst young people it is important to develop more smoke-free areas in public and to increase the price of cigarettes, in that way reducing morbidity and mortality from smoking 20 years hence and beyond.
  2. Comprehensive community, country and EU interventions against smoking should be further strengthened, including plain packaging and the phasing-out of cigarettes.
  3. To reduce the burden of tobacco-induced respiratory disorders – of which the most important are lung cancer and COPD – it is important to encourage all current smokers to quit in order to reduce morbidity and mortality from smoking over the next two decades.
  4. Smoking cessation treatment (counselling in combination with drugs) is one of the most cost-effective interventions in medicine; it should be used more widely and its cost should be reimbursed completely. Education and training in cessation of tobacco use should be included in the curricula of all health professionals and medical students.
  5. The UK model, with public smoking cessation clinics for every 150 000 of the population and reimbursement of smoking cessation therapy, could be a model for other European countries.
  6. The proposals in the WHO Framework Convention of Tobacco Control should be further implemented across Europe.

See the entire Tabacco smoking Chapter