Although the health hazards of smoking are now generally accepted in m
ost Western countries, the arguments have not had much impact on poore
r nations. A conference on tobacco control held in Harare, Zimbabwe, i
n November last year was the largest to tackle this problem. The confe
rence heard how threats of epidemics of tobacco related disease in the
distant future held little weight with governments of countries that
often already had massive public health problems. More immediate effec
ts needed to be emphasised. Speakers gave three cogent arguments; firs
tly, the loss of capacity for foreign trade in essential goods, since
most African countries are net importers of tobacco; secondly, the ext
ensive deforestation which is occurring to fuel the flue curing of tob
acco; thirdly, evidence from Papua New Guinea that raising taxation on
tobacco provides governments with increased income for many years bef
ore a decrease begins.