Lifecycle Management as a Roadmap to the Tobacco Endgame

Table 1.

Views and Viewpoints of the U.S. TobaccoControl Enterprise Using Zachman Interrogatives

Lifecycle Phase What (Data / Elements / Products) How (Processes / Functions) Where (Locations / Networks) Who (Stakeholders / Actors) When (Timeframes / Events) Why (Goals / Motivations)

1. Conception & Initiation Epidemiological data, mortality statistics, cost-of-smoking studies, FCTC provisions, draft mission statement Situational analysis, stakeholder mapping, advocacy planning Federal policy circles (Congress, HHS), state health departments, public health summits CDC Office on Smoking and Health, FDA CTP, Surgeon General, advocacy NGOs, tribal health leaders Initial policy momentum periods, post-Surgeon General reports, pre-election cycles Build mandate for tobacco control, align with WHO FCTC, secure funding and political commitment
2. Policy & System Design Draft legislation, regulatory frameworks, taxation policy drafts, organizational charts, performance metric templates Legislative drafting, regulatory impact analysis, organizational design, budget allocation Capitol Hill, state legislatures, federal agencies, state DOHs Federal lawmakers, state legislators, public health lawyers, economic analysts, advocacy coalitions Legislative sessions, budget cycles, FCTC reporting deadlines Create enforceable, evidence-based laws and structures for tobacco control
3. Implementation & Operation Public campaign materials, Quitline infrastructure, NRT stock, inspection reports, compliance databases Campaign deployment, cessation service delivery, retailer inspections, tax collection enforcement Community health centers, schools, retail outlets, enforcement field offices Public health educators, Quitline staff, enforcement officers, local NGOs Annual public health campaign launches, quarterly compliance sweeps, continuous cessation service availability Reduce smoking initiation, support quitting, ensure compliance with laws
4. Evaluation & Adaptation Surveillance datasets, program evaluation reports, illicit trade detection data, vaping prevalence surveys Data analysis, policy review, stakeholder feedback collection, regulatory adjustment National data repositories, research institutions, policy workshops Epidemiologists, academic researchers, policymakers, advocacy leaders Annual CDC surveys (e.g., NHIS, YRBSS), biennial program evaluations Improve program effectiveness, respond to emerging products and threats
5. Consolidation & Endgame Transition Endgame policy packages (smokefree generation law, nicotine reduction regs, sinking lid supply quotas), cross-border enforcement agreements Intensive cessation targeting, final supply reduction, global coordination National enforcement hubs, customs checkpoints, international treaty meetings Federal agencies (FDA, CBP), WHO FCTC Secretariat, neighboring country regulators Final push period before prevalence <5%, synchronized international enforcement Eliminate commercial tobacco use, prevent cross-border leakage
6. Sustainment / Sunset Post-endgame monitoring systems, cultural norm education materials, illicit trade intelligence systems Long-term surveillance, preventive education, resource reallocation to other public health areas Local community health networks, schools, customs & border patrol Sustained public health teams, community educators, law enforcement Continuous post-endgame monitoring cycles Prevent relapse, maintain tobacco-free norms, safeguard public health gains