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IJE Advance Access originally published online on August 14, 2007
International Journal of Epidemiology 2007 36(4):805-808; doi:10.1093/ije/dym101
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.

Commentary: Smokeless tobacco: seeing the whole picture

Martin McKee* and Anna Gilmore

European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

*Corresponding author. European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. E-mail: Martin.McKee@lshtm.ac.uk

Accepted 17 April 2007

The first 150 words of the full text of this article appear below.


   BACKGROUND
 
A window of opportunity?
The tobacco industry, with chameleon like qualities, has continuously and successfully adapted to the changing policy environment. Witness, for example, how it has maintained a growth in profits in much of the developed world despite falling sales. With greater understanding of the hazards of second-hand smoke identified as long ago as the 1970s as ‘the most dangerous development yet to the viability of the tobacco industry,1 the tobacco industry now faces a further threat as one country after another introduces smoke-free legislation. Once again it is adapting, pursuing opportunities to diversify its product in ways that might avoid the negative effects of this legislation on profits. Several leading tobacco companies are test-marketing new smokeless tobacco (ST) products in a number of countries and articles are appearing in newspapers extolling the benefits of ST as an aid to quitting smoking.

In Europe, however, the industry faces a formidable obstacle. In 1992, . . . [Full Text of this Article]


   Discussion
 
Smokeless tobacco: the effects on health
An aid to quitting?
Gateway effect or deterrent to smoking?
Other concerns
The tobacco industry

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