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For more than 2 decades, the California Tobacco Control Program (CTCP) has served the people of California with a comprehensive, integrated approach to tobacco use prevention and control that has demonstrated effectiveness and impact. Moreover, the CTCP has contributed directly and indirectly to the success of other state, federal and international efforts to control what continues to be a leading preventable cause of death and disability worldwide. This Tobacco Control supplement presents a review of the history and key features of the CTCP, and illustrates selected outcomes achieved by the programme. These articles build on the key papers already published in the scientific literature, as well as other accessible documents (see http://www.cdph.ca.gov/programs/tobacco).
In their overview paper, Roeseler and Burns review the ‘programme ideology’ that has long guided the design and implementation of CTCP policy and programme activities.1 Central to this ideology is the use of a social normative approach to address the political, social, economic and media environments that surround all Californians. Although the early battles to implement this ideology—with its emphasis on countering pro-tobacco influences through policy and regulatory changes, mobilisation of local coalitions of public health practitioners, advocates and concerned citizens, and deglamorisation of tobacco use through a hard-hitting media campaign—have receded from …
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