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• W2258909931 abstract "After decades of inertia, resulting in the highest smoking prevalence in the Organisation for Economic Co-operation and Development,1OECDHealth at a glance: Europe 2014. Paris: OECD Publishing.http://dx.doi.org/10.1787/health_glance_eur-2014-enGoogle Scholar Greece finally made a step forward in tobacco control in 2009 by implementing a series of smoking bans and tax increases on tobacco products. Between 2008 and 2011, the prevalence of smoking decreased from 42·6% to 38·1%,2Filippidis FT Schoretsaniti S Dimitrakaki C et al.Trends in cardiovascular risk factors in Greece before and during the financial crisis: the impact of social disparities.Eur J Public Health. 2014; 24: 974-979Crossref PubMed Scopus (50) Google Scholar despite scarce enforcement of smoking bans in public places. However, tobacco control efforts coincided with the recession, which led to a fiscal, political, and health crisis,3Kentikelenis A Karanikolos M Reeves A McKee M Stuckler D Greece's health crisis: from austerity to denialism.Lancet. 2014; 383: 748-753Summary Full Text Full Text PDF PubMed Scopus (284) Google Scholar and were eventually dropped from the headlines. Since the implementation of the tobacco control legislation in July, 2009, five national elections have taken place and, including the Minister of Health who was appointed after elections in September, 2015, ten different Ministers of Health have been in office. None of the past Greek Governments have shown much interest in strengthening tobacco control measures or enforcing smoking bans; on the contrary, a former Greek Prime Minister, while in office, publicly praised the Greek subsidiary of Philip Morris International for its investments in the country.4Athens News Agency–Macedonian Press AgencyPhilip Morris investment a strong vote of confidence to Greek economy, PM says.http://www.amna.gr/english/print.php?id=3679Google Scholar No one can blame Greek authorities for focusing on urgent health issues, such as the increased HIV infections and deteriorating mental health,3Kentikelenis A Karanikolos M Reeves A McKee M Stuckler D Greece's health crisis: from austerity to denialism.Lancet. 2014; 383: 748-753Summary Full Text Full Text PDF PubMed Scopus (284) Google Scholar especially considering the short period that most Ministers of Health stay in office. However, the little interest in tobacco control is surprising, if not suspicious. Thousands of people die in Greece as a result of smoking every year, and more than 10% of the national hospital budget is spent on treatment of diseases attributed to tobacco smoking.5Tsalapati K Vardavas CI Athanasakis K et al.Going up in ashes? Smoking-attributable morbidity, hospital admissions and expenditure in Greece.Eur J Public Health. 2014; 24: 477-479Crossref PubMed Scopus (12) Google Scholar A tax increase of €2 per pack of cigarettes is estimated to raise €1·2 billion in new revenue, prevent 125 000 Greek children from taking up smoking, and prevent 192 000 premature deaths.6Alpert HR Vardavas CI Chaloupka FJ et al.The recent and projected public health and economic benefits of cigarette taxation in Greece.Tob Control. 2014; 23: 452-454Crossref PubMed Scopus (17) Google Scholar Opinion polls showed that 72% of Greeks support this tax increase if new funds are used for health and to curb smoking.7Vardavas CI Filippidis FT Agaku I et al.Tobacco taxation: the importance of earmarking the revenue to health care and tobacco control.Tob Induc Dis. 2012; 10: 21Crossref PubMed Scopus (12) Google Scholar The question that is more pressing than ever is, why don't Greek authorities make tobacco control a priority? Whether because of industry influence or absence of political will, successive Greek Governments have failed to protect the health and economic welfare of the Greek people. Enforcement of smoking bans in public places and a €2 tax increase could not only save thousands of lives, but would also allow the reallocation of much needed funds that could be used to mitigate the effects of the ongoing economic crisis. I declare no competing interests." @default.
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• W2258909931 title "Tobacco control: a victim of political instability in Greece" @default.
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