Format

Send to

Choose Destination
See comment in PubMed Commons below
Tob Control. 2013 May;22 Suppl 1:i49-51. doi: 10.1136/tobaccocontrol-2012-050809.

Can tobacco control endgame analysis learn anything from the US experience with illegal drugs?

Author information

1
School of Public Policy and Department of Criminology, University of Maryland, 4103 Van Munching Hall, College Park, MD 20742, USA. preuter@umd.edu

Abstract

The goals of tobacco control endgame strategies are specified in terms of the desired levels of tobacco use and/or tobacco related health consequences. Yet the strategies being considered may have other consequences beyond tobacco use prevalence, forms and related harms. Most of the proposed strategies threaten to create large black markets with potential attendant harms: corruption, high illegal earnings, violence and/or organised crime. Western societies of course have considerable experience with these problems in the context of prohibition of drugs such as cannabis, cocaine, heroin and methamphetamine. These experiences suggest that low prevalence has been achieved only by tough enforcement with damaging unintended consequences. Tobacco prohibition (total or partial) may not present the same trade-off but there is little basis for making a projection of the scale, form and harms of the attendant black markets. Nonetheless, these harms should not be ignored in analyses of the endgame proposals.

[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Support Center