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Smoking is related to 25% of all cases of malignant diseases globally. In 2020, in EU, 2.7 million people were diagnosed and 1.3 million died from malignant diseases. It is estimated that, in Europe, 1.6 million cases of lung cancer could be prevented with appropriate implementation of evidence-based tobacco control measures. In Serbia, more than 15.000 people die prematurely due to tobacco use every year. In addition, more than 800.000 of current smokers in Serbia will die prematurely if tobacco control measures are not implemented. Thus, tobacco control is of great importance for reducing the burden of malignant diseases. The aim of the article is to gain insight into tobacco control actions in key international and national documents and initiatives aimed at malignant disease prevention. Europe's Beating Cancer Plan includes activities that should decrease the share of the population in EU using tobacco to below 5% by 2040, which would be a significant reduction compared to current 25%. Joint Action "Innovative Partnership for Action Against Cancer", is aimed, among other things, at strengthening cancer prevention and raising awareness of the European Code Against Cancer, which stipulates 12 key recommendations for cancer risk reduction. Among these, two refer to tobacco use and exposure to tobacco smoke. Program for the improvement of cancer control in the Republic of Serbia for 2020-2022 foresees enhanced implementation of the existing tobacco-related legislation and its alignment with the WHO Framework Convention of Tobacco Control (FCTC) and EU acquis, as well as strengthening the network of smoking cessation services. Although many countries are signatories of the WHO FCTC and thus committed to the implementation of evidence-based tobacco control measures, tobacco use prevalence is still high, leading to higher cancer morbidity. Therefore, additional efforts and emphasis on tobacco control are needed within prevention of non-communicable diseases. Current strategic documents in the EU and in Serbia recognize the importance of tobacco control and provide a framework for reduction of tobacco use, but appropriate implementation of these measures is also necessary.

Importance of tobacco control for prevention of malignant disease