Many governments are making progress in the fight against tobacco, with 5 billion people today living in countries that have introduced smoking bans, graphic warnings on packaging and other effective tobacco-control measures. But a new WHO report shows many countries are still not adequately implementing policies, including helping people quit tobacco, which can save lives from tobacco.

The seventh WHO Report on the tobacco epidemic analyses national efforts to implement the most effective measures from the WHO Framework Convention on Tobacco Control (WHO FCTC) that are proven to reduce demand for tobacco. The focus of the latest report is on the progress countries have made to help tobacco users quit. Dr Tedros Adhanom Ghebreyesus, WHO Director-General, said governments should implement cessation services as part of efforts to ensure universal health coverage for their citizens.

Progress is being made, with 2.4 billion people living in countries now providing comprehensive cessation services (2 billion more than in 2007). The report, funded by Bloomberg Philanthropies, showed that while only 23 countries have implemented cessation support policies at the highest level, 116 more provide fully or partially cost-covered services in some or most health facilities, and another 32 offer services but do not cost-cover them, demonstrating a high level of public demand for support to quit.

Tobacco use has also declined proportionately in most countries, but population growth means the total number of people using tobacco has remained stubbornly high. Currently, there are an estimated 1.1 billion smokers, around 80 per cent of whom live in low- and middle-income countries.

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