In a Perspective in the April 12, 2007 issue of The New England Journal of Medicine (NEJM), researchers from the Harvard School of Public Health (HSPH) and the Association of European Cancer Leagues describe the growing momentum for indoor smoking bans in countries across the globe. They identify Ireland's pioneering 2004 comprehensive indoor smoking ban as a likely tipping point for fundamental change in social norms and public health worldwide. Since 2004, in only a few years, more than a dozen other countries have also adopted national indoor smoke-free policies that are being implemented or will be implemented in the near future. Lead author Dr. Howard Koh, Professor and Associate Dean of Public Health Practice at HSPH said: "The 21st century is witnessing a paradigm shift, once considered impossible, whereby entire countries are declaring themselves smoke-free in indoor public places. Such mounting progress across the globe is making smoking history worldwide." The Perspective is accompanied by a world map showing countries, states and provinces that have passed smoke-free policies applying broadly to indoor workplaces and other indoor public places.[Permission to reprint the map can be obtained through the NEJM media center (

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