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The Globalization of Tobacco Use: 21 Challenges For The 21st Century

¹Director, Cancer Science and Trends, Director, International Cancer Control, American Cancer Society, Washington, DC
²Chief Executive Officer, American Cancer Society, Atlanta, GA
³Executive Vice President for Research and Medical Affairs, American Cancer Society, Atlanta, GA
⁴National Vice President, International Affairs, American Cancer Society, Atlanta, GA
⁵Strategic Director, International Tobacco Control Research, Surveillance and Health Policy Research, American Cancer Society, Atlanta, GA

Corresponding author: Thomas Glynn, PhD, Cancer Science and Trends, International Cancer Control, American Cancer Society, 901 E Street, NW, Suite 500, Washington, DC 20004; tom.glynn{at}cancer.org

DISCLOSURES: The authors report no conflicts of interest.

The globalization of tobacco began more than 500 years ago, but the public health response to the death, disease, and economic disruption that it has caused is fewer than 50 years old. In this report, the authors briefly trace the history of tobacco use and commerce as it moved from the Americas in the late 15th century and then eastward. They then discuss the wide range of issues that must be addressed, and the equally wide range of expertise that is needed if the global health community is to be successful in reducing, and eventually eliminating, the rising tide of tobacco use, particularly in the low- and middle-income nations that are the target of the multinational tobacco industry. CA Cancer J Clin 2010;60:50–61. © 2010 American Cancer Society, Inc.

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