Following global examples support the idea of ecological perspective for tobacco control.

WHO Framework Convention for Tobacco Control (FCTC) 2003¹⁵

It was a milestone in tobacco control and provided a powerful and effective legal framework for tobacco control globally. The underpinning basis of FCTC provisions, summed up as ‘MPOWER’ are ecological in nature. 168 countries signed the FCTC and since then there has been a global decrease in tobacco use and smoking.²

Reduction in smoking prevalence in Canada

Due to the integration of ecological approach in tobacco control programs, smoking rates have decreased from a higher level of 25 percent in 1999 to 17 percent in 2010.¹⁶

Reduction in smoking prevalence in United States

“The combination of efforts at all levels of the ecological model contributed to a marked drop in smoking rate among adults in the United States, from 42 percent in 1965 to 21 percent in 2005.”¹⁷

Reduction in smoking prevalence in Turkey

After comprehensive adaptation of ‘MPOWER’ principles, there has been a 13 percent decline in smoking prevalence in Turkey.²