投书观点》世界卫生组织应拥抱菸草减害以拯救生命 https://reurl.cc/eLjXkj 作者：前世卫高级官员 德瑞克·亚克(Former senior WHO official Derek Yach) 发表日期：2024年4月6日 DOI：https://doi.org/10.1016/S0140-6736(24)00245-9 发型期刊单位：《柳叶刀/刺胳针》（The Lancet） (左)前世卫高级官员德瑞克 亚克，(右)美国前总统比尔 柯林顿。/照片来源：BizNews, Alec Hogg。 https://i.imgur.com/utcQ26z.jpeg 李凯莉(Kelley Lee)及其同事描述了世界卫生组织 菸草控制框架公约（WHO FCTC）的艰 难取得的进展。作为从FCTC的构思到采纳的一员，我提供了一些见解，强调了这一公约如 何未能适应科学和技术进步，注定将更多使用有毒菸草产品的人生命缩短，生活更不健康 。 李凯莉及其同事承认结束吸烟的进展缓慢，但他们主张采取更多目前的FCTC行动，而不考 虑减少菸草危害。尽管FCTC行动的持续将耗费逾4000亿美元，他们必须知道这一数字是无 法实现的。相反，我们应该问问可以做些什麽不同的事情。 减少菸草危害(Tobacco harm reduction)是FCTC对菸草控制的定义的一部分，但它却强调 禁令、禁止和规定，这些会削弱数百万人对更安全的代用产品（如电子尼古丁传递装置和 尼古丁袋）的接触。其中一些替代品已获得美国食品和药物管理局的销售与行销授权并得 到各国政府的支持。至关重要的是，有超过1.2亿人使用这些代用品，似乎与尼古丁替代 疗法相比改善了戒烟尝试。 李凯莉及其同事将跨国菸草公司定性为纯粹旨在扩大市场，但未考虑到广泛谈判的复杂性 和微妙性；这导致除美国和印尼外的所有主要菸草生产商成为FCTC的签署方。相反，我建 议李凯莉及其同事考虑这些遗留公司如何随着技术的演进而远离可燃菸草向更安全的代用 品发展。 此外，跨国菸草公司正被新的高度创新的菸草减害公司加入和推动。我们无需等待神奇的 4000亿美元来加速结束吸烟。在严格监管下，行业的力量可以确保成年吸烟者有机会使用 更安全的产品作为戒烟途径。 是的，转型并提供更安全代用品的菸草公司会获利，但这种利润可能会带来2025年至2060 年间潜在减少1亿死亡的可能性。 DY曾担任世界卫生组织无烟倡议(Tobacco Free Initiative, WHO)的首任主任。他创立并 领导了无烟世界基金会，并在菸草控制方面花费了35年时间。 英文内文： Kelly Li and colleagues describe the difficult progress made on the World Health Organization Framework Convention on Tobacco Control (WHO FCTC). As a member of the FCTC from its conception to its adoption, I provide insights that highlight how this treaty has failed to adapt to scientific and technological advances, dooming more people to live shorter and less healthy lives using toxic tobacco products. Kelly Lee and colleagues acknowledge that progress toward ending smoking has been slow, but they advocate for more current FCTC actions without considering tobacco harm reduction. Although continued FCTC actions will cost more than $400 billion, they must know that this number is unattainable. Instead, we should ask what could be done differently. Tobacco harm reduction is part of the FCTC’s definition of tobacco control, but it emphasizes bans, prohibitions and regulations that undermine millions of people’s access to safer alternatives such as electronic nicotine delivery devices and nicotine pouches. Some of these alternatives have received sales and marketing authorization from the U.S. Food and Drug Administration and support from various governments. Crucially, these substitutes, used by more than 120 million people, appear to improve quit attempts compared with nicotine replacement therapy. Kelly Lee and her colleagues characterized multinational tobacco companies as purely aiming to expand their markets, but failed to take into account the complexities and subtleties of the extensive negotiations; this resulted in all major tobacco producers except the United States and Indonesia becoming signatories to the FCTC. Instead, I suggest Kelly Lee and colleagues consider how these legacy companies may evolve away from combustible tobacco and toward safer alternatives as technology evolves. In addition, multinational tobacco companies are being joined and promoted by new, highly innovative tobacco harm reduction companies. We don’t need to wait for the magic $400 billion to accelerate the end of smoking. Under strict regulation, the power of industry can ensure that adult smokers have access to safer products as a route to quitting. Yes, tobacco companies that pivot and offer safer alternatives will profit, but that profit could come with the potential to prevent 100 million deaths between 2025 and 2060. DY served as the first director of the World Health Organization’s Smoke-Free Initiative. He founded and led the Foundation for a Smoke-Free World and spent 35 years working on tobacco control. 延伸阅读： 维基百科：https://en.wikipedia.org/wiki/Derek_Yach 世卫前官员批WHO反烟20年失败:全球逾10亿人吸烟 https://www.peopo.org/news/545924 菸害防制被政治绑架 Derek Yach:应由科学证据决策 https://reurl.cc/prQLKa 心得：从世界卫生组织这祸源就有很大问题，一路往下卫福部 国健署， 整个走筋走得超严重，还拿菸捐搞认知作战，无药可救！ 推动菸害防制与国际接轨-电子菸/加热菸/尼古丁袋合法抽税纳管 https://www.zeczec.com/projects/tthra https://i.imgur.com/wzABBEG.jpeg 吸菸有害身体健康，请勿吸菸 -- https://i.imgur.com/621ia33.jpg https://i.imgur.com/PPmqCOI.jpg https://i.imgur.com/0YO0JoW.jpg https://i.imgur.com/iCELafr.jpg https://i.imgur.com/R6j4v1C.png WHO FCTC 菸草减害专家 王郁扬Danny(Yu-Yang) Wang https://i.imgur.com/xnVyBc9.jpg https://i.imgur.com/2Fi1w1C.jpg 台湾禁菸联盟 ABC#TAIWAN、无烟台湾基金会FSFT、台湾菸草减害协会TTHRA。 台湾威卜 菸草减害网路媒体 VAPE TAIWAN https://vapetaiwan-media.com/ --

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