SAMMENDRAGAntall ?rlige d?dsofre av tobakksr?yking ansl?s n? til 3millioner (alle land samlet); i 2025 vil det v?re 10 millioner,hvis ikke r?ykem?nstret endres. Storstilt global forebyggendeinnsats har latt vente p? seg, vesentlig p.g.a. tobakksindustriensmotstand og myndighetenes lunkenhet.Det er p?vist virkning av en rekke tiltak, bl.a. reklameforbud,helseadvarsler p? pakkene, avgifts?kninger og r?ykerestriksjoner.For ? skape et effektivt program er det n?dvendig medsolid faglig ekspertise, sterke pressgrupper, engasjerte byr?kraterog handlekraftige politikere.Canada har for tiden det mest avanserte program. Norge l?bra an i 1970-?rene, men sakket noe av i 80-?rene. Tobakksforbruketsteg inntil ca. 1975, men er falt senere. Det sammegjelder prosent dagligr?ykere blant elever i grunnskolen. Det harv?rt en nedgang i dagligr?yking blant menn; blant kvinner er dethittil liten endring, unntatt blant de yngste, som har nedgang.Utviklingen i de fattige landene er mest bekymringsfull.Norske politikere burde v?re p?drivere for ? f? FN til ? vedta eninternasjonal konvensjon om tobakkskontroll.Administrerende overlege, dr.med. Kjell Bjartveit,Statens helseunders?kelserBjartveit K.?The greatest challenge to preventive health work. Nor J Epidemiol 1995; 5 (2): 93-106.?ENGLISH SUMMARYIt is estimated that, worldwide, three million people die every year as a result of tobacco smoking. Thisnumber will increase to 10 million by year 2025 if today's pattern of smoking continues. Large-scale globalpreventive action is long in coming, mainly due to resistance of the tobacco industry and a lukewarm attitude onthe part of national governments.Various measures, such as a ban on advertising, health warnings on packaging, tax increases and restrictionson smoking, have been shown to work. Prerequisites for an effective programme are highly qualifiedprofessional expertise, strong pressure groups, dedicated bureaucrats and energetically involved politicians.Canada has the most advanced programme at present. Norway's efforts compared favourably in the 1970s,but slowed down in the 1980s. Per capita tobacco consumption increased up to about 1975, but has sincedeclined. The same applies to the percentage of smokers in the lower secondary schools. The prevalence of dailysmoking has declined among men; little change has been observed in women, except in the youngest age group,where smoking has decreased.Developments in the poor countries of the world give greatest cause for concern. Norwegian politiciansshould actively urge the United Nations to adopt an international convention on tobacco control.
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