Lessons learned on the road to a smoke-free Italy.

I. Croghan, M. Muggli, V. Zagà, N. Lockhart, J. Ebbert, G. Mangiaracina, R. Hurt

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


In the face of strong and protracted opposition by the Tobacco Industry (TI) and its allies, Italy's national smoke-free legislation came into force in 2005 prohibiting smoking in all indoor public places and workplaces including offices, bars, and restaurants. Using internal TI documents made public through US litigation, we reveal the industry's nearly 40-year effort to influence health policy related to secondhand smoke, including attempts to block Italy's national smoke-free legislation. Strategies included manipulating hospitality groups and establishing front organizations, manipulating journalists and media, and manipulating the science and direct lobbying against smoking restrictions. The TI's extensive plan to thwart smoke-free efforts in Italy can be used to inform other countries about the industry's tactics and Italy's experience in overcoming them by ultimately implementing a comprehensive workplace smoke-free law.

Original languageEnglish (US)
Pages (from-to)125-136
Number of pages12
JournalAnnali di igiene : medicina preventiva e di comunità
Issue number2
StatePublished - Mar 2011

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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