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From priority to endgame: the Region of Peel Living Tobacco-Free strategy


Tobacco use presents a tremendous burden on population health and remains the leading preventable cause of morbidity and mortality worldwide. Building on tobacco control successes to date, public health agencies are increasingly aligning with the international “Tobacco Endgame” initiative targeting decreases in tobacco use to less than 5% by the year 2025. The local implementation of this initiative follows a decade of work at Region of Peel-Public Health (RoP-PH), a local health department in Ontario, Canada, which made “Living Tobacco-Free” (LTF) a strategic priority in 2009 with a tactical framework encompassing Research, Protection, Prevention, and Cessation. This commentary provides an overview of the results observed by this local health department’s decision to make LTF a strategic priority and discusses the department’s next steps in developing a Theory of Change to systematically align continuing efforts to the call for a “Tobacco Endgame”.


Le tabagisme constitue un fardeau énorme pour la santé des populations et demeure la principale cause évitable de morbidité et de mortalité dans le monde. En se fondant sur les succès remportés jusqu’à maintenant dans la lutte antitabac, les organismes de santé publique s’alignent de plus en plus sur l’initiative internationale de Tobacco Endgame (« sortie du tabac ») qui vise à réduire le taux de tabagisme à moins de 5 % d’ici 2025. Au Bureau de santé de la région de Peel, en Ontario (Canada), on y travaille depuis 10 ans : Living Tobacco Free (« vivre sans tabac ») est en effet une priorité stratégique du bureau depuis 2009, dotée d’un cadre tactique qui englobe la recherche, la protection, la prévention et l’arrêt du tabac. Dans ce commentaire, nous présentons un sommaire des résultats observés à la suite de la décision de ce bureau de santé local de faire de « vivre sans tabac » une priorité stratégique et nous expliquons que le bureau élabore maintenant une théorie du changement pour harmoniser systématiquement ses efforts en réponse à l’appel à « sortir du tabac ».

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We acknowledge the contributions of Stephanie Gee.

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Correspondence to Lawrence C. Loh.

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Steer, K.J.D., Brown, K., Doncaster, H. et al. From priority to endgame: the Region of Peel Living Tobacco-Free strategy. Can J Public Health 110, 633–637 (2019).

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  • Tobacco
  • Smoking
  • Public health
  • Canada
  • Ontario


  • Tabac
  • Fumer
  • Santé publique
  • Canada
  • Ontario