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Ending the Tobacco Problem: A Blueprint for the Nation (2007)
Board on Population Health and Public Health Practice (BPH)

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. "Summary." Ending the Tobacco Problem: A Blueprint for the Nation. Washington, DC: The National Academies Press, 2007.

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Ending the Tobacco Problem: A Blueprint for the Nation

Recommendation 3: The federal government should substantially raise federal tobacco excise taxes, currently set at 39 cents a pack. Federal excise taxes should be indexed to inflation.

Strengthen Smoking Restrictions

The committee finds that smoking restrictions serve three purposes: (1) they protect nonsmokers from the health effects and the noxious odors of secondhand smoke; (2) they help smokers quit, cut down on their smoking, and avoid relapses; and (3) they reinforce a nonsmoking social norm. Clean air laws have done more to reduce tobacco consumption than any intervention other than cigarette price increases. The committee believes that smoking restrictions are a critical part of any tobacco control strategy. Smoking restrictions should be strengthened and should have broad coverage, including nonresidential indoor locations, health care facilities, correctional facilities, and residential complexes. The committee also believes that local government bans on indoor and outdoor smoking should not be preempted by state laws.

Recommendation 4: States and localities should enact complete bans on smoking in all nonresidential indoor locations, including workplaces, malls, restaurants, and bars. States should not preempt local governments from enacting bans more restrictive than the state ban.

Limit Youth Access to Tobacco Products

A reasonably enforced youth-access restriction is an essential element of modern tobacco control. Age verification, as contained in the 1996 FDA (Food and Drug Administration) Rule, as well as placing product displays behind the counter and banning self-service modes of access to tobacco work effectively to reduce youth access. Although a considerable number of states and localities currently license tobacco sales outlets and impose youth-access restrictions, weak enforcement in many states suggests that the potential deterrent threat of license suspension or revocation is not being realized.

Recommendation 11: All states should license retail sales outlets that sell tobacco products.

The number of Internet tobacco retailers has increased dramatically in recent years, generating concerns about minors accessing tobacco products and consumers evading excise tax payments. Given the inadequacy of current point-of-sale age verification for Internet transactions and the difficulty

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Front Matter (R1-R16)
Summary (1-28)
Introduction (29-38)
PART I BACKGROUND, 1 Epidemiology of Tobacco Use: History and Current Trends (39-76)
2 Factors Perpetuating the Tobacco Problem (77-106)
3 Containing the Tobacco Problem (107-142)
PART II A BLUEPRINT FOR REDUCING TOBACCO USE, 4 Reducing Tobacco Use: A Policy Framework (143-156)
5 Strengthening Traditional Tobacco Control Measures (157-270)
6 Changing the Regulatory Landscape (271-340)
7 New Frontiers of Tobacco Control (341-354)
Index (355-372)
Appendix A Comprehensive Smoking Cessation Policy for All Smokers: Systems Integration to Save Lives and Money (373-422)
Appendix B Clean Air Laws (423-434)
Appendix C Warning Labels and Packaging (435-448)
Appendix D The Long-Term Promise of Effective School-Based Smoking Prevention Programs (449-477)
Appendix E Adolescents' and Young Adults' Perceptions of Tobacco Use: A Review and Critique of the Current Literature (478-494)
Appendix F Interventions for Children and Youth in the Health Care Setting (495-502)
Appendix G Reducing and Preventing Tobacco Use Among Pregnant Women, Parents, and Families (503-515)
Appendix H Smoking in the Movies: Its Impact on Youth and Youth Smoking (516-551)
Appendix I State Statutes Governing Direct Shipment of Alcoholic Beverages to Consumers: Precedents for Regulating Tobacco Retail Shipments (552-577)
Appendix J The Role of Public Policies in Reducing Smoking Prevalence: Results from the SimSmoke Tobacco Policy Simulation Model (578-598)
Appendix K Commissioned Simulation Modeling of Smoking Prevalence as an Outcome of Selected Tobacco Control Measures (599-640)
Appendix L Controlling the Retail Sales Environment: Access, Advertising, and Promotional Activities (641-652)
Appendix M Sales and Marketing of Cigarettes on the Internet: Emerging Threats to Tobacco Control and Promising Policy Solutions (653-678)
Appendix N Media Campaigns and Tobacco Control (679-689)
Appendix O Advocacy as a Tobacco Control Strategy (690-703)
Appendix P Special Populations with Higher Rates of Cigarette Smoking: Identification and Implications for Tobacco Control (704-716)