For those of us who cared for patients with AIDS during the 1980s and 1990s, when death was rampant and around every corner, how wonderful it is it to read that human immunodeficiency virus (HIV) treatment has improved so much that HIVinfected persons who take their medicines but smoke cigarettes are at greater risk of dying of lung cancer than of dying of AIDS.1 Believe me when I say that death from lung cancer due to tobacco use was not high on our list of worries during those dark years. But in the face of such rapid progress in developing therapies against the deadly HIV virus, discovered only a little more than 30 years ago, how sad that our efforts on preventing the harms of tobacco are stagnant. Tobacco remains the number 1 cause of preventable death in the United States and in the world. For all of our patients who smoke—including those with HIV—at the top of our agenda must be helping them to stop smoking through the use of quit lines, nicotine replacement therapy, and prescriptions for bupropion and varenicline. Studies show that we underuse these evidence-based treatments.2 Compared with arresting the replication of HIV, can it really be beyond our abilities to arrest the harms of tobacco?

中文翻译：

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如果我们足够聪明，可以阻止艾滋病病毒的复制，为什么我们不能帮助人们戒烟？

对于我们这些在 1980 年代和 1990 年代照顾艾滋病患者的人来说，当死亡猖獗且无处不在时，读到人类免疫缺陷病毒 (HIV) 的治疗已经有了很大的改善，以至于 HIV 感染者接受了他们的治疗，真是太棒了。药物但吸烟比死于艾滋病的风险更大。1 请相信我，当我说在那些黑暗的岁月里，由于烟草使用导致的肺癌死亡在我们的担忧清单上并不高。但是，面对仅在 30 多年前发现的针对致命的 HIV 病毒的疗法的快速进展，我们在预防烟草危害方面的努力停滞不前是多么可悲。烟草仍然是美国和世界上可预防死亡的第一大原因。对于我们所有吸烟的患者（包括 HIV 患者），我们的首要任务必须是通过使用戒烟热线、尼古丁替代疗法以及安非他酮和伐尼克兰处方帮助他们戒烟。研究表明我们没有充分利用这些循证治疗。2 与阻止艾滋病毒的复制相比，阻止烟草的危害真的超出了我们的能力吗？