Abstract

A dozen years ago, then—Surgeon General C. Everett Koop called for a smoke-free society by the year 2000. That goal became a rallying cry for legions of health professionals and health advocates who anguished over the harm wreaked by the most important preventable cause of death in our society. Only 4 years remain in this millennium, and society as a whole will not be smoke free in the year 2000. In fact, smoking prevalence among adults in the United States leveled off from 1990 to 1993—at about 25%—after 25 years of consistent decline.<sup>1,2</sup>Moreover, smoking prevalence increased in 1995 for the fourth consecutive year among eighth- and tenthgraders, and for the third consecutive year among high school seniors.<sup>3</sup> On the other hand, much of society is already smoke free— many workplaces, homes, and public transport lines, for example. Public hostility toward the promotion and use of tobacco continues

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