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Tobacco endgame: twenty-year international and Russian experience. Part III. Barriers and prospects for ending the tobacco epidemic

https://doi.org/10.15829/1728-8800-2025-4487

EDN: GMDBRC

Abstract

More and more countries are implementing strategies aimed at ending the tobacco epidemic. The aim of this three-article study was to analyze existing tobacco endgame strategies and measures, their potential or actual effectiveness, assess the implementation of these strategies within national legislation, identify the main barriers to their implementation, and discuss prospects for achieving them. This article systematizes tobacco endgame policy initiatives, strategies, and measures, as well as analyzes productand consumer-focused policy initiatives, the strategies and measures implemented within these initiatives, and their effectiveness.

About the Authors

M. G. Gambaryan
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990


O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990


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What is already known about the subject?

  • The idea of a tobacco endgame is based on tobacco control recognition as the first priority for the pre­vention of noncommunicable diseases.
  • The concept of a tobacco endgame implies a tran­sition to the implementation of policies and stra­tegies aimed at the complete elimination of tobacco use.

What might this study add?

  • Policy initiatives, strategies, and measures of a to­bacco endgame, as well as country experiences in implementing them, are systematized.
  • To achieve tobacco control goals, regulations need to be revised to include product- and consumer-­fo­cu­sed measures.
  • Comprehensive measures combining several stra­tegies aimed at ending the tobacco epidemic appear to be the most effective.

Review

For citations:

Gambaryan M.G., Drapkina O.M. Tobacco endgame: twenty-year international and Russian experience. Part III. Barriers and prospects for ending the tobacco epidemic. Cardiovascular Therapy and Prevention. 2025;24(9):4487. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4487. EDN: GMDBRC

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