Category: Harm Reduction

  • No Added Harm from Vape Substitution: Study

    No Added Harm from Vape Substitution: Study

    Photo: fedorovacz

    A new systematic review conducted by the Center of Excellence for the acceleration of Harm Reduction on the available scientific research showed no difference in respiratory parameters in human clinical tests on the respiratory effects of electronic nicotine delivery systems (ENDS) use in participants who smoke tobacco cigarettes. 

    In their study “Respiratory health effects of e-cigarette substitution for tobacco cigarettes: a systematic review,” the researchers analyzed 16 studies from 20 publications. They found that the large majority of the studies showed no difference in respiratory parameters. According to the authors, this indicates that electronic nicotine delivery systems substitution for smoking likely does not result in additional harm to respiratory health.

    One of the problems the researchers found during their evaluation is that many studies were not of sufficient duration for observing any harmful or beneficial effects because these may take time to manifest. In fact, the researchers observed a general low quality of the studies included in the review, with 10 of 16 studies rated at high risk of bias. 

    In light of the findings of no change in respiratory function plus the presence of reporting spin bias, the researchers call for long term studies that include diverse participants and to assess smoking behavior and history. Furthermore, they note that exclusive ENDS use and dual use with cigarettes should be identified as separate categories for analysis and findings. They also stressed that additional studies are necessary to assess the potential benefits or risks of e-cigarette substitution for tobacco cigarette smoking.

  • Quit for Good Signs THR Statement

    Quit for Good Signs THR Statement

    Lorenzo Mata Jr. | Photo: Quit for Good

    Quit for Good, a public health advocacy group based in the Philippines, has joined other scientific organizations and associations across the world in calling for the adoption of tobacco harm reduction (THR) to save smokers and help improve people’s lives.

    “We endorse the consensus statement of SCOHRE—the International Association on Smoking Control and Harm Reduction—to remind the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) Conference of the Parties of the growing support and scientific basis for THR strategies that it continues to ignore,” said Lorenzo Mata Jr., president of Quit for Good.

    “The THR approach, which the Philippines acknowledged when it approved the vape law in 2022, provides smokers with better options, such as smoke-free alternatives, when quitting is not achievable,” said Mata, a Filipino doctor.

    Quit For Good is one of the 14 scientific organizations on four continents that support the consensus statement of SCOHRE that the WHO FCTC should no longer ignore the evidence in support of THR. It is also one of the two organizations based in the Philippines that signed the statement, the other being the Harm Reduction Alliance of the Philippines (HARAP).

    SCOHRE, an international scientific association of independent experts who promote a new approach to smoking control policies, issued the statement as the WHO FCTC prepares to convene the 10th session of the Conference of the Parties (COP10) Nov. 20–25, 2023, in Panama.

    “Rather than viewing them [THR products] as a threat to public health, the WHO FCTC should look at them as tools that can help more than a billion smokers around the world quit smoking. It has been well documented that it is the smoke, and not nicotine, that causes serious diseases among smokers,” said Mata.

    Mata said the U.K. and Sweden models prove that harm reduction works. He said providing safer nicotine products to reduce harm for smokers is common sense as smokers are already offered nicotine-replacement therapy (NRT) to quit or reduce harm.

    “NRTs, however, are largely ineffective in making smokers quit. Why not give them highly successful and innovative products that are at least 95 percent less harmful than cigarettes?” said Mata, referring to smoke-free products such as vapes. “These products are much better than confining smokers to a lifetime of smoking without any viable alternatives. Other doctors should explore these options if they really care about their patients.”

    Mata said the COP10 meeting in Panama should focus on scientific evidence that there are safer nicotine products and that restrictive and prohibitionist policies that penalize smokers only lead them to continue smoking and suffer from the lack of better alternatives.

    The consensus statement of SCOHRE noted the mounting scientific evidence that THR strategies can contribute to reducing the detrimental effects of smoking and that switching to less harmful products will have a tremendously positive effect for many people who smoke cigarettes.

    “Healthcare and public health professionals need to continuously raise awareness to every person who smokes cigarettes and to the overall population about the adverse effects of smoking and that they can be also limited by tobacco harm reduction, i.e., with novel safer alternatives to cigarettes. We need to increase the knowledge that empowers people to pursue better health,” according to the consensus statement.

    Aside from Quit for Good and HARAP, other groups that supported the SCOHRE consensus statement are the European Medical Association, New Nicotine Alliance in Ireland, Platform for the Reduction of Harm due to Tobacco Consumption in Spain, Indonesian Tar Free Coalition (KABAR), DIRETA in Brazil, Tunisian Society of Tobaccology and Addictive Behaviors, Associazione Nazionale Consumatori Vaporizzatori Personali (ANPVU) in Italy, Densaulyk Harm Reduction Association in Kazakhstan, Polish Society of Public Health, New Nicotine Alliance in the U.K., UKVIA and the Hungarian Scientific Association for Harm Reduction and Environmental Diseases.

  • Western Australia: New School Vaping Policies

    Western Australia: New School Vaping Policies

    Image: steheap

    The government of Western Australia (WA) has introduced new school behavior policies to prevent students from vaping.

    Students caught vaping will risk being unable to attend school events, such as balls, graduations and other extra-curricular activities. The new rules also include mandatory programs for students in years five to seven that teach them about the dangers of vaping; new teaching and learning resources for prevention education for students in years eight to 10; and a trial of vape detectors in up to 10 schools across the state.

    “The prevalence of vapes in our community is a serious issue,” said Tony Buti, WA’s education minister. “The biggest misunderstanding is they are harmless compared to cigarettes—this is not true—vapes are not safe, and they are contributing to a new generation of nicotine dependency.”

    It’s illegal in WA to sell e-cigarettes and nicotine vaping products to anyone without a doctor’s prescription. These devices are only allowed for smoking cessation purposes and must be obtained from a pharmacy.

    Youth often purchase vapes online, from retail stores or from friends and contacts, according to the WA Department of Education. More than 70 percent of participants in an October survey of over 3,000 individuals aged 12 to 18 found it easy for a young person to “get a vape,” and many respondents stated that the products are prolific, especially in schools. The survey was used in a report on vaping by Jacqueline McGowan-Jones, WA commissioner for children and young people.

  • Documentary Celebrates ‘Swedish Miracle’

    Documentary Celebrates ‘Swedish Miracle’

    We Are Innovation (WAI), an activist group, will pre-screen the documentary How Sweden Quit Smoking to a select audience on Nov. 15, 2023, at RSA House in London.

    Directed by award-winning Polish filmmaker Tomasz Agencki, the documentary explores how Sweden managed to reduce smoking to levels unrivaled in the European Union and elsewhere.

    According to its makers, How Sweden Quit Smoking highlights the determination, innovation and creativity that drove the Swedes toward a milestone unparalleled in contemporary times. The documentary features the perspectives of scholars, doctors, innovators and activists while demonstrating the interplay of science, politics, history and personal responsibility at the center of this journey.

    “We are incredibly thrilled to bring this important documentary to the broad audience,” said WAI CEO Federico Fernandez in a statement. “How Sweden Quit Smoking will inspire stakeholders, decision-makers, activists and the general public to pursue innovation and creativity toward a better future for all. This event is a must-attend for anyone looking to stay ahead of the curve in leveraging effective innovation methodologies to help transform the world’s most pressing problems.”

    “The goal of this documentary is to generate a positive impact on society,” said Agencki. “Through the journey of Sweden toward becoming a smoke-free nation, I hope to inspire people worldwide to embrace innovation, personal responsibility and to work toward a better society.”

    Registration is available through Eventbrite.

  • Surprising Successes

    Surprising Successes

    Image: chokniti

    The uncelebrated triumphs of tobacco harm reduction

    By Cheryl K. Olson

    U.S. smokeless tobacco users are no more likely to die from cancer than people who never touched tobacco products. This unexpected news comes courtesy of the National Longitudinal Mortality Study. Compared to those who never used tobacco, current users of smokeless products do not have elevated mortality risks from all cancers combined.

    This was just one happy fact I ran across when writing articles for doctors summarizing alternative nicotine product risks and benefits. I felt a similar “Wow! Really?” writing recently for this magazine about today’s astonishingly low youth smoking rates. 

    It’s time to stop, notice and give a cheer for good news about tobacco harm reduction (THR) that doesn’t get enough attention. Interesting evidence from research studies, natural experiments and everyday life observations ought to be shared.

    This is not just about raising smiles. The accumulated weight of these bits of information can change mindsets. They can influence how future studies are framed and which policies are proposed and implemented.

    I asked colleagues involved in harm reduction to suggest examples to celebrate. They include:

    • reduced-risk options that knocked down smoking in a particular nation or subgroup;
    • unexpected positive shifts in behavior, such as people who try vaping and notice one day that they no longer smoke;
    • harmful behaviors we were worried about that, to our relief, don’t seem to be happening (i.e., vaping as a gateway to youth smoking);
    • and finally, personal observations about the effects of THR.

    Transforming the Map

    We can’t say it often enough: cigarette smoking is still the leading preventable cause of disease and death in the U.S. It kills millions worldwide every year. Preventing cigarette use and helping people who don’t quit to consider lower-harm alternatives are medical and moral imperatives.

    As pioneering nicotine researcher Karl Fagerstrom has said, “Realistically, no single alternative nicotine product category will be able to reduce smoking rates and the associated disease burden.” Individuals and nations will find different options appealing and acceptable. His article “Can Alternative Nicotine Products Put the Final Nail in the Smoking Coffin?” highlights five nations’ successes. In the U.K., Sweden, Norway, New Zealand and Japan, higher uptake of alternative nicotine products has meant lower smoking rates compared to their neighbors.

    According to the Associated Press, “Sweden, which has the lowest rate of smoking in the Europe Union, is close to declaring itself ‘smoke-free’—defined as having fewer than 5 percent daily smokers in the population.” As of 2022, they had reached 5.6 percent. Thanks in large part to snus, Sweden has the lowest tobacco-related mortality among men in Europe.

    David Sweanor of the Centre for Health Law, Policy and Ethics at the University of Ottawa regularly monitors tobacco company behavior. When Japan Tobacco released their second-half results in July, he noted the “extraordinary” shift in Japan’s tobacco use.

    “Overall, the cigarette market has declined by half since heated products were introduced,” Sweanor says. “It is important to note that Japan has achieved this dramatic decline in cigarette smoking without policies actively encouraging the change.” 

    Roberto Sussman of the National Autonomous University of Mexico UNAM challenges us to look at the inverse proposition. “In the last 20 years, is there one case—a country, a subpopulation—of a significant reduction in smoking prevalence in which any effect or influence from usage of noncombustible products can be absolutely ruled out?” he asks. “I doubt there is a single case.” 

    Natural experiments created by bans on e-cigarettes in some U.S. states offer added noteworthy support for vaping as an effective substitute for smoking. Compared to “control” states with no full or partial e-cigarette bans, the states of Massachusetts, Washington and Rhode Island saw increased cigarette sales.

    Inadvertent Quitting

    Personal stories and research have shown that taking up vaping can mean putting down cigarettes—for people who initially had no plans to quit. This includes analyses by Karin Kasza and colleagues of widely respected ongoing studies such as the Population Assessment of Tobacco and Health (PATH) and the International Tobacco Control Four Country Smoking and Vaping surveys (of the U.S., Canada, Australia and England).

    A recent systematic review by Elias Klemperer and colleagues found little evidence that conventional smoking cessation methods induce quit attempts among those without plans to do so. “The optimal treatment (or treatment combination) for this population remains unclear,” the authors state.

    “No one ever ‘quit by accident’ with a nicotine patch, nicotine gum, nicotine lozenges, nicotine inhalers, Chantix/Campix, bupropion or smoking cessation counseling,” says Charles A. Gardner of Harm Reduction Strategies. “But millions of smokers who had no intention to quit have ‘quit by accident’ with nicotine vapes.”

    Gardner believes this point deserves more attention. “If 75 percent of smokers claim they want to quit, then obviously 25 percent have no intention to quit,” he says. “No approved smoking cessation intervention will ever reach them. Nicotine vapes do.”

    A related finding that deserves notice: Researchers at the U.S. Food and Drug Administration’s Center for Tobacco Products published evidence that mint/menthol ENDS users were more likely to switch and quit than tobacco-flavored e-cigarette users. The authors refer to additional research that identified better switching odds with nontobacco-flavored products.

    Gateway or Diversion?

    I previously reported on the unanticipated and little-lauded plunge in U.S. youth smoking rates (“Where’s the Parade?,” Tobacco Reporter, March 2023). The 2022 National Youth Tobacco Survey found that one in 10 (10.9 percent) high school students had ever tried a cigarette. Just 2 percent reported smoking in the past 30 days.

    Although youth vaping is down from its 2019 peak, e-cigarettes are the most common nicotine product used by teens. Past-month use stands at 14.1 percent. Concerns have persisted among researchers and policymakers that vaping could lead youth who wouldn’t otherwise smoke to start.

    Recently, more sophisticated assessments have challenged that connection. PATH study analyses by Kenneth Warner of the University of Michigan and colleagues show that few teens become established smokers regardless of previous e-cigarette use. When other known risk factors for youth smoking are taken into account, it turns out that ever-use of e-cigarettes makes a trivial difference. 

    Rather than leading teens down a path to smoking, e-cigarettes seem more likely to divert teens away. A new article by Christine Delnevo and Andrea Villanti of Rutgers University does a deep dive into national trends in high school student smoking since 1991. They found that “the most rapid declines in cigarette prevalence have occurred in the past decade, when e-cigarettes emerged as a popular product among youth.”

    THR in Daily Life

    A scientist who has worked in harm reduction inside and outside of industry points to an under-praised behavior shift in one important subgroup: people who work in nicotine product companies. At both the offices of a large e-cigarette maker and at a legacy multinational tobacco company, “I’ve never seen or known someone to smoke,” they said. “Even at a bar or outside of the office. But plenty of people vape or use other alternatives. And most, if not all, were former smokers.”

    Their conclusion? “Reduced-risk product availability and a culture of acceptance actually change behavior.”

    Christopher Greer, CEO of TMA and president of The GTNF Trust, described how tobacco harm reduction principles benefited his health in unexpected ways. “When I met my wife, I was very heavy—coming up on 260 pounds. I had a dependency on food for stress relief, and a stressful job.” He found that the typical advice from health professionals (e.g., cut out junk foods and fast food) didn’t fit his situation. Nor did a pharmaceutical option.

    “Utilizing principles I knew from THR, I crafted a risk reduction plan for my eating,” Greer says. For example, he identified and targeted situations that put him at high risk for overeating. “It was incredibly difficult, but a decade later, I’m a much healthier, stable weight.”

    Greer likens his transformation to transitioning to reduced-risk tobacco products: “another form of people finding agency in their own health decisions, when standard treatment isn’t working.”

    Citations

    Chang JT et al. (2023). Characteristics and patterns of cigarette smoking and vaping by past-year smokers who reported using electronic nicotine-delivery systems to help quit smoking in the past year: Findings from the 2018–2019 Tobacco Use Supplement to the Current Population Survey. Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntac199

    Delnevo CD & Villanti AC (2023). Dramatic reductions in cigarette smoking prevalence among high school youth from 1991 to 2022 unlikely to have been undermined by e-cigarettes. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph20196866

    Fagerstrom K (2022). Can alternative nicotine products put the final nail in the smoking coffin? Harm Reduction Journal. https://doi.org/10.1186/s12954-022-00722-5

    Kasza KA et al. (2021). Association of e-cigarette use with discontinuation of cigarette smoking among adult smokers who were initially never planning to quit. JAMA Network Open. https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2787453

    Kasza KA et al. (2023). Associations between nicotine vaping uptake and cigarette smoking cessation vary by smokers’ plans to quit: longitudinal findings from the International Tobacco Control Four Country Smoking and Vaping Surveys. Addiction. https://onlinelibrary.wiley.com/doi/10.1111/add.16050

    Klemperer EM et al. (2023). A systematic review and meta-analysis of interventions to induce attempts to quit tobacco among adults not ready to quit. Experimental and Clinical Psychopharmacology. https://psycnet.apa.org/doi/10.1037/pha0000583

    Sun R et al. (2023). Association of electronic cigarette use by U.S. adolescents with subsequent persistent cigarette smoking. JAMA Network Open. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2802764

    Sun R et al. (2022). Is adolescent e-cigarette use associated with subsequent smoking? A new look. Nicotine & Tobacco Research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8962683/

    Timberlake DS et al. (2017). A longitudinal study of smokeless tobacco use and mortality in the United States. International Journal of Cancer. https://onlinelibrary.wiley.com/doi/10.1002/ijc.30736

    Xu Y et al. (2022). The impact of banning electronic nicotine-delivery systems on combustible cigarette sales: Evidence from U.S. state-level policies. Value in Health. https://doi.org/10.1016/j.jval.2021.12.006

    Cheryl K. Olson is a California-based public health researcher who specializes in behavioral health issues and consults on tobacco product behaviors via McKinney Regulatory Science Advisors. She spent 15 years on the faculty of Harvard Medical School.
  • New Report Touts THR Benefits

    New Report Touts THR Benefits

    Photo: Bacho | Dreamstime

    Significant numbers of lives can be saved through the widespread adoption of tobacco harm reduction (THR) and related measures in Kazakhstan, Pakistan, South Africa and Bangladesh, according to a new report released by experts in the field.

    Titled “Lives Saved—Integrating harm reduction into tobacco control,” the report analyzed the current smoking rates and quitting rates in four low-income and middle-Income countries– Kazakhstan, Pakistan, South Africa, and Bangladesh—where 350,000 people die prematurely from tobacco use each year.

    The report aims to provide policymakers and public health experts with estimates of the potential benefit of THR, improved cessation, and better access to lung cancer diagnostics and treatment on reducing premature deaths.

    The study’s key findings indicate that significant numbers of lives can be saved in these countries through the widespread adoption of THR and related measures. For instance, Kazakhstan could prevent 165,000 premature deaths in the next four decades, while South Africa, Bangladesh and Pakistan could save 320,000, 920,000, and 1.2 million lives, respectively.

    This document marks a key milestone in the fight against smoking-related deaths. I urge decisionmakers worldwide and particularly those of low- and middle-income countries—where the total number of lives claimed by the smoking epidemic is still too high—to carefully review this document.

    Riccardo Polosa, co-author

    “Calculating the potential lives of adult smokers that can be saved by improving tobacco control and complementing it with harm reduction strategies is a critical exercise in public health,” said Riccardo Polosa, founder of the Center of Excellence for the acceleration of Harm Reduction (CoEHAR) and one of the paper’s contributors, in a statement.

    “This document marks a key milestone in the fight against smoking-related deaths. I urge decisionmakers worldwide and particularly those of low- and middle-income countries—where the total number of lives claimed by the smoking epidemic is still too high—to carefully review this document.

    “In these countries, the failure and the current stagnation in the calculation of lives saved from smoking are palpable due to the adoption of strategies that are no longer effective. The evidence is clear, wide adoption of combustion-free nicotine products can potentially save hundreds of thousands of human lives, even up to 1 million in Pakistan alone.”

    Polosa urges policymakers to consider tailor-made interventions that foster a culture of health through educational and prevention programs. This approach, he notes, should incorporate lessons learned from countries with extensive histories of tobacco control, encompassing both their successes and failures.

    The report demands several actions. “The adoption of combustion-free nicotine products presents a viable alternative, but its success hinges on the development of a strategy that thoughtfully incorporates scientific evidence” said Polosa

    “This strategy should seamlessly integrate the evidence into established healthcare approaches to maximize outcomes, which are currently at a standstill. To make a meaningful impact, maximum cooperation is imperative, particularly at the level of healthcare policies. This involves educating the medical community about the relative harms associated with different methods of nicotine consumption and providing comprehensive health education to the end consumer.”

  • Nearly Half of Alto Users Quit Smoking: Study

    Nearly Half of Alto Users Quit Smoking: Study

    Nearly 45 percent of participants who use Vuse Alto in a study completely switched away from cigarettes, according to the interim results of research conducted by Reynolds American Inc. (RAI).

    The proportion of Vuse users who reported completely switching was higher for young adults aged 21–29 versus those who were 30 years or older; the proportion of Vuse users who reported completely switching was higher among minority demographics versus those who identified as non-Hispanic white; and the proportion of Vuse users who reported completely switching was higher among those who use menthol-flavored Vuse products versus those who use tobacco-flavored Vuse products.

    For adults who smoke and had yet to switch completely, there was a greater reduction in cigarettes smoked per day for participants who used menthol-flavored Vuse products than those who used tobacco-flavored Vuse products.

    The findings are part of a 24-month study, termed the Longitudinal Tobacco Use and Transitions Survey (LTTS), in support of RAI’s premarket tobacco product application for Vuse Alto.

    Reynolds presented a summary of the interim results through the first year of the LTTS at the Food and Drug Law Institute Tobacco and Nicotine Regulatory Product Science Symposium on March 30, 2023, to an audience that included senior officials from the U.S. Food and Drug Administration’s Center for Tobacco Products as well as several prominent public health researchers.

    James Murphy, global director of research and science, and Chris Junker, vice president of science and regulatory affairs, provided an overview of the study’s importance and interim results in a video.

    In early October, the U.S. Food and Drug Administration issued marketing denial orders (MDO) for six flavored Vuse Alto-branded products. At the request of Reynolds, an appeals court stayed the order, allowing Reynolds to continue offering Vuse Alto menthol products pending review of the company’s formal challenge of the order.

  • WHO Urged to Follow Sweden’s Example

    WHO Urged to Follow Sweden’s Example

    Image: weyo

    The World Health Organization should look at Sweden for inspiration when deciding how to effectively reduce smoking-related deaths, according to the Institute for Tobacco Studies (ITS).

    In a paper published on Qeios, ITS’ principal investigator, Lars M. Ramstroem, says Sweden provides a prime example of how products that don’t burn tobacco can benefit public health. Sweden has the lowest smoking prevalence among men in the European Union and consequently the lowest tobacco-related mortality.

    The “WHO needs to apply all science-based strategies to reduce tobacco-related deaths,” Ramstroem said in a statement.

    “The meeting of the world’s health leaders in Panama in November, the COP10, represents a unique opportunity to take a fresh look at the most recent evidence with an open mind. After all, if Sweden had followed WHO’s advice from 20 years ago and banned snus, tobacco-related deaths in Sweden would have been much higher, and the only unintended beneficiary profiting from such advice would be the cigarette industry,” Ramstroem and his colleagues write in the paper.

    “[I]ncreasing number[s] of scientists and national governments believe that these new products represent an opportunity that can accelerate the demise of smoking. Because they don’t burn tobacco, they are estimated to be far less harmful than smoking. To the extent that they can act as a substitute and displace smoking, thereby improving public health.”

    Ramstroem said most “tobacco-related” deaths are in fact “smoking-related” deaths caused by repeated inhalation of smoke emitted when tobacco is lit on fire.

    “When burning is taken out of the equation, the harm can be dramatically reduced. We have known for decades that people smoke for nicotine but die from the tar,” the paper says.

    If Sweden had followed WHO’s advice from 20 years ago and banned snus, tobacco-related deaths in Sweden would have been much higher.

    Lars M. Ramstroem, principal investigator, ITS

    In addition to citing the experience of Sweden, the paper urges policymakers to study the examples of Norway, Japan or New Zealand. “Norway is now following a similar trajectory as Sweden, with daily smoking being at record-low levels and virtually on the brink of extinction among some population groups, largely due to snus,” the paper’s authors wrote.

    In Japan, a large number of smokers have switched to heated-tobacco products, contributing to a decline in smoking from around 20 percent in 2014 to 13 percent in 2019, while in New Zealand, vaping helped reduce daily smoking to 8 percent and contributed to rapid fall in smoking rates even among Pacific and Maori populations where traditional interventions have been failing.

    The paper also calls on the delegates to the COP10 to look at the real-world scientific evidence in making decisions during the meeting.

    “When it comes to smoking, the WHO doesn’t need to reinvent the wheel: Just follow the science (and Sweden) this time, for the sake of 1 billion smokers who aren’t lucky enough to live in Sweden,” the paper says.

  • Call for Applications to THR Scholarship

    Call for Applications to THR Scholarship

    Photo: zimmytws

    Knowledge Action Change (KAC) is inviting students to apply for its tobacco harm reduction scholarship program (THRSP). 

    Successful candidates will receive a 12-month bespoke mentoring program to undertake a tobacco harm reduction-related project of their own design plus $12,000 in financial support. New scholars are also invited to the Global Forum on Nicotine in Warsaw, Poland, where they will learn more about tobacco harm reduction and meet leading figures from the field.

    Applications for the 2024–2025 program close on Nov. 30, with 25 places available. On completion of the first scholarship, graduates of the THRSP potentially have access to up to a further three years of funded support from KAC through the one-year enhanced scholarship program and the two-year Kevin Molloy fellowship.

    Potential scholars must complete a short online course and quiz about tobacco harm reduction at the applications portal before submitting their project ideas.

    They can apply by following this link.

  • PMI: COP10 Missed Opportunity

    PMI: COP10 Missed Opportunity

    Image: PMI

    Philip Morris International is concerned that participants in the upcoming Conference of the Parties to the World Health Organization Framework Convention on Tobacco Control (FCTC) will promote prohibitionist policies for noncombustible tobacco products, according to an article in The Guardian.

    “The agenda and meeting documents have been made public for the main part,” PMI Senior Vice President of External Affairs Gregoire Verdeaux wrote in an email. “Unfortunately, they reconfirmed every concern we had that this conference may remain as the biggest missed opportunity ever in tobacco control’s history … WHO’s agenda is nothing short of a systematic, methodical, prohibitionist attack on smoke-free products.”

    Without “reasonable, constructive outcomes,” Verdeaux wrote, the “WHO will have irreversibly compromised the historic opportunity for public health presented by the recognition that smoke-free products, appropriately regulated, can accelerate the decline of smoking rates faster than tobacco control combined.”

    While tobacco companies are not invited to the Conference of the Parties to the FCTC, Verdeaux said he will be in Panama “to publicly denounce the absurdity of being excluded from it while PMI today [is] undoubtedly the most helpful private partner WHO could have in the fight against smoking.”

    Last year, PMI made $10.19 billion in revenue from products like heated-tobacco and electronic cigarettes.