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The successful implementation of a range of tobacco control programmes has been crucial in the reduction in smoking prevalence and cigarette consumption evident in many high-income countries, including Australia.22 23 The findings from this study confirmed that historical patterns in tobacco smoking are a strong predictor of mortality rates for smoking-related cancers.3 The earliest research that revealed the link between smoking and cancer was published in the 1950s4 5 and eventually initiated the introduction of tobacco control interventions internationally.3 4 In Australia, mandatory health warnings on all cigarette packs were first implemented in 1973, and all cigarette advertising on radio and television was banned in 1976 with more comprehensive advertising and promotion bans in subsequent decades.24 More recent tobacco control measures in Australia include media campaigns, plain packaging, a 25% increase in tobacco excise in 2010 and an annual 12.5% increase in tobacco excise implemented from 2013 to 2020.24 All these measures have resulted in decreases in the prevalence of smoking, beginning in the 1950s for Australian men and in the 1980s for Australian women.3 Despite the success of tobacco control in Australia, the most recently published estimates of smoking prevalence in Australia show that over 11% of Australians aged 18 years and over are daily smokers and that an additional 1% smoke less frequently (noting that these data have been collected during the COVID-19 pandemic and may not be directly comparable to previous estimates).25 Data have also shown considerable differences in smoking behaviour across sociodemographic groups in Australia, with higher smoking rates observed for those of lower socioeconomic status or with a lower level of education26 and also among Aboriginal and Torres Strait Islander peoples and other priority populations.2729 The estimates presented demonstrate the effects of business as usual and show that continuing current tobacco control efforts are likely to result in relatively slow declines in cancer rates and in increasing deaths over time

J Toxicol Environ Health, 35(1): 63-76

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