1. Ratify and fully implement the Framework Convention for Tobacco Control. Key provisions include: comprehensive bans on tobacco advertising, promotion, and sponsorship, larger and stronger warning labels on tobacco product packaging, provision of tobacco addiction treatment, disclosure of tobacco product ingredients, and public protection against environ- mental tobacco smoke exposure.
  • President
  • Congress
2. Authorize the Food and Drug Administration (FDA) to strictly regulate tobacco products and product marketing. FDA must receive sufficient funding and personnel to carry out this crucial role.
  • President
  • Congress
3. Increase the Federal excise tax on tobacco products.
  • Congress
4. Require all Federal facilities to be smoke-free.
  • Congress
  • Federal agencies
5. Reallocate existing National Cancer Institute, Centers for Disease Control and Prevention, and other Federal resources to better mirror the tobacco-related disease burden and capitalize on opportunities for progress.
  • Congress
  • Department of Health and Human Services (National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration)
  • Veterans Administration
6. Add the conduct of meaningful tobacco-related activities to the evaluation criteria for NCI-designated Cancer Centers.
  • National Cancer Institute
7. Reduce the influence of the tobacco industry:
  • U.S. political parties and individual candidates should refuse campaign contributions from the tobacco industry or its subsidiaries.
  • Prohibit recipients of National Cancer Institute grants and contracts from accepting money from tobacco companies or their subsidiaries. Other Federal agencies should consider similar requirements.
  • All U.S. political parties
  • National Cancer Institute
8. Strengthen anti-tobacco efforts at the state and local levels:
  • Increase state commitment of Master Settlement Agreement funds and/or tobacco tax funds for tobacco control programs to at least the minimum level recommended by the Centers for Disease Control and Prevention for each state.
  • Pass smoke-free ordinances for all public and private work- places and public spaces.
  • Encourage state governments to further increase tobacco excise taxes to discourage purchase of cigarettes and other tobacco products.
  • Require all public schools and universities to be 100 percent smoke-free.
  • Require state-funded programs (e.g., Medicaid, corrections, mental health) to offer smoking cessation services.
  • Ensure that all state cancer control plans include a tobacco control component.
  • State and local governments
9. Develop and provide evidence-based multimedia curricula and educational materials in grades K-12 on the dangers of tobacco use and tobacco smoke exposure and the role of the tobacco industry in promoting tobacco use. Encourage colleges and universities to disseminate tested anti-tobacco messages for the 18 to 24 year-old age group through campus radio and television stations, Web sites, and print publications.
  • Department of Health and Human Services (National Institutes of Health, Centers for Disease Control and Prevention, Food and Drug Administration)
  • State and local boards of education
  • Non-governmental organizations
10. Cease including images of smoking in movies, television, music videos, video games, and other visual media with child, adolescent, and young adult audiences.
  • All visual media producers
11. Prohibit smoking in and around the workplace. Support worker efforts to quit smoking; provide incentives for cessation.
  • Employers
12. Make coverage of tobacco use cessation services and medications a standard benefit in all comprehensive health benefit packages.
  • Health insurance companies
  • Centers for Medicare and Medicaid Services
  • Veterans Administration
  • Civilian Health and Medical Program of the Uniformed Services
  • Indian Health Service
13. Incorporate smoking cessation services into the comprehensive care of cancer patients, survivors, and their family members.
  • Cancer centers
  • Academic and community hospitals and medical centers
  • Private oncology offices/practices
  • All publicly-funded clinics and health centers
14. Adopt the Agency for Healthcare Research and Quality Guidelines for Clinicians Treating Tobacco Use and Dependence as part of the standard of care for all health care providers.
  • Primary and other health care providers
15. Quit smoking and use of any smokeless tobacco products. Prohibit smoking in the home and car. Protect children from exposure to smoking in movies and smoking role models. Patronize only smoke-free restaurants and other businesses.
  • Individuals and families

From: 9, A Vision for the Future

Cover of How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease
How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General.
Centers for Disease Control and Prevention (US); National Center for Chronic Disease Prevention and Health Promotion (US); Office on Smoking and Health (US).

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