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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2008.154559v1 99/7/1170    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Fiore, M. C. Articles by Baker, T. B. PubMed PubMed Citation Articles by Fiore, M. C. Articles by Baker, T. B. Related Collections Smoking Cessation Tobacco Control

Michael C. Fiore, MD, MPH and Timothy B. Baker, PhD

Michael C. Fiore and Timothy B. Baker are with the Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison.

Correspondence: Requests for reprints should be sent to Michael C. Fiore, MD, MPH, Professor of Medicine and Director, University of Wisconsin Center for Tobacco Research and Intervention, 1930 Monroe St, Suite 200, Madison, WI 53711 (e-mail: mcf{at}ctri.medicine.wisc.edu).

Tobacco use in the United States has declined dramatically over the past 50 years, with the prevalence of cigarette smoking falling from about 42% of all adults to less than 20% by 2007. If this rate of decline continues, smoking could be eliminated in the United States by 2047.

Framed in military parlance, we may be halfway through a 100-year war against the leading public health killer of our time. We describe factors that have contributed to progress over the last 50 years and identify policy and other initiatives that can contribute to the elimination of tobacco use in the United States.