Tobacco smoking is a disease and the leading cause of preventable death in industrialized countries. The control of smoking is a priority for all health professionals. The best measure for counteracting this disease is to promote smoking cessation among current smokers. In fact smoking cessation results not only in an immediate reduction in mortality and morbidity but also a decrease in the disease prevalence and consequently in the probability that youngsters are "infected". A smoking cessation clinic can be an easy and effective way to treat tobacco use and dependence. It gives intensive treatments to smokers motivated to quit, ensuring a higher success rate, but also treats "difficult" patients. Any district authority can start a clinic because it is a "low resource-low budget" structure: its staff is composed of three part-time professionals (a physician, a nurse, a psychologist); it operates with a few, cheap technical instruments and uses only evidence-based treatments. The difficulties concern some existing historical and cultural gaps: so far, health staff have not included this activity in their routine, are poorly trained about smoking cessation and have smoking habits of their own. Moreover, in many countries smoking cessation interventions are not recognized as services covered by the National Health Service or private insurance.

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