Article Text

Download PDFPDF

There's no single endgame
  1. Deborah Arnott
  1. Correspondence to Deborah Arnott, Action on Smoking and Health, Suites 59-63, 6th Floor, New House, 67-68 Hatton Garden, London, EC1N 8JY, UK; deborah.arnott{at}


‘Endgame’ is a term from chess, a complex game with a simple objective: to checkmate the king. Tobacco control is not so simple. We do not have one uniform agreed objective but a multiplicity of goals some of which may be incompatible. We are not playing a global game of chess, but a multiplicity of battles and skirmishes played out with different rules and on different terrains. This paper examines these issues and goes on to summarise the situation in England and what the endgame will mean in our circumstances. In particular, it sets out how harm reduction, as defined by ensuring access to alternative clean nicotine products, has become an integral part of our endgame, while acknowledging that this may not be feasible or relevant for all parts of the world.

  • End game
  • Harm Reduction
  • Nicotine

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: and

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.