In this issue of the Annals, Fong et al. note that Singapore’s daily smoking prevalence has continued its long-term decline, reaching 8.4% among residents in 2024.1 This progress reflects decades of sustained investment across Singapore’s tobacco control ecosystem, spanning legislation, taxation, smoke-free public spaces, and public education.2 Yet as prevalence falls, the remaining smokers may be harder to reach, and further gains are unlikely to come from conventional measures alone.
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Tan et al. (2026) studied this question.
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