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Kenneth E. Warner, PhD

Kenneth E. Warner is with the University of Michigan School of Public Health, Ann Arbor.

Correspondence: Requests for reprints should be sent to Kenneth E. Warner, PhD, Department of Health Management and Policy, School of Public Health, University of Michigan, 109 S Observatory, Ann Arbor, MI 48109-2029 (e-mail: kwarner{at}umich.edu).

The future of the tobacco-produced disease epidemic rests in low- and middle-income countries, where cigarette sales are growing—the result of rising incomes, trade liberalization, liberalization of the treatment of women, and the introduction of Western-style advertising.

Research on disease causation, epidemiology, and educational and policy interventions has contributed significantly to reducing smoking rates in developed countries. A similar contribution is needed in less affluent nations, but severe challenges are involved in implementing a robust research program in such countries.

In an attempt to understand these challenges and begin to conceptualize an approach to overcoming them, I examine the need for and methods to achieve a program of meaningful research on tobacco and health, as well as health policy, in the developing world.

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