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It builds up over time without symptoms, increasing the risk of heart disease, heart attacks, and strokes

Data from monitoring become the most important evidence for advocates of stronger policies. Source: WHO report on the global tobacco epidemic, 2008The MPOWER package MPOWERMeasures: Monitor Current Use: Frequency of use (daily versus non-daily) Type of product(s) used Intensity of use (units/day) Brand(s) used Indicators of addiction (time to first smoke/use) Monitor Initiation Patterns: Intention to try Initial trialage at first use Discontinuation after initial trial Transition to established use MPOWER Measures: Protect People from Tobacco Smoke: Exposures at home, in cars, at work, elsewhere Policy at home, work Support for prohibiting smoking in public places Health beliefs regarding exposure to tobacco smoke Offer Help With Quitting: Intention/motivation to quit Self-efficacy Quit attempt Dose management (abrupt cessation versus gradual reduction) Methods (assisted/unassisted) (health care provider) Duration of abstinence among former smokers MPOWER Measures: Warn About the Dangers of Tobacco: Exposure to anti-tobacco media campaigns Package warning labelsmultiple indicators School programs (for adolescent students) Health beliefs Enforce Advertising Bans: Exposure to pro-tobacco advertising and promotions Media receptivity Raise Taxes: Size and venue of last purchase Price paid and brand Important Resources International Agency for Research on Cancer

In the U.S., the market growth is primarily fueled by increasing adoption of premium, flavored, and reduced-risk tobacco products

The variety of options can be overwhelming, to say the least