<p>Tobacco control policy in Germany has stagnated for decades. Although the harmful effects of smoking and the effectiveness of prevention strategies are well-established, policymakers have been reluctant to implement comprehensive tobacco control measures, such as those outlined in the Strategy for a&#xa0;Tobacco-free Germany 2040. While new tobacco and nicotine products, such as tobacco heaters and e‑cigarettes, are becoming increasingly more widespread, there is no agenda in place to effectively reduce consumption of these products. As a&#xa0;result, Germany was among the lowest-ranked countries on the European tobacco control scale in 2021 and smoking rates among adults are still high. In contrast, the Netherlands has introduced effective tobacco control measures, including monitoring, protection from second-hand smoke, support for smoking cessation, warning labels, advertising bans and tax increases. Consequently, the proportion of adults who smoke has fallen from 25.7% in 2014 to 18.2% in 2024. The Netherlands’ experience demonstrates that an agenda, cross-sectoral cooperation and support from the civil society are essential for successful tobacco control. To achieve a&#xa0;comparable outcome, Germany needs an agenda and a&#xa0;mandatory schedule. Most importantly, it requires a strong political will to enforce effective long-term action, regardless of legislative periods and the specific interests of the tobacco industry.</p>

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Tabakkontrollpolitik in Deutschland

  • Sabina Ulbricht,
  • Reiner Hanewinkel

摘要

Tobacco control policy in Germany has stagnated for decades. Although the harmful effects of smoking and the effectiveness of prevention strategies are well-established, policymakers have been reluctant to implement comprehensive tobacco control measures, such as those outlined in the Strategy for a Tobacco-free Germany 2040. While new tobacco and nicotine products, such as tobacco heaters and e‑cigarettes, are becoming increasingly more widespread, there is no agenda in place to effectively reduce consumption of these products. As a result, Germany was among the lowest-ranked countries on the European tobacco control scale in 2021 and smoking rates among adults are still high. In contrast, the Netherlands has introduced effective tobacco control measures, including monitoring, protection from second-hand smoke, support for smoking cessation, warning labels, advertising bans and tax increases. Consequently, the proportion of adults who smoke has fallen from 25.7% in 2014 to 18.2% in 2024. The Netherlands’ experience demonstrates that an agenda, cross-sectoral cooperation and support from the civil society are essential for successful tobacco control. To achieve a comparable outcome, Germany needs an agenda and a mandatory schedule. Most importantly, it requires a strong political will to enforce effective long-term action, regardless of legislative periods and the specific interests of the tobacco industry.