TobaccoReporter logo

Tag: harm reduction

  • ‘Science Must Lead Policy,’ Say South African Harm-Reduction Experts

    ‘Science Must Lead Policy,’ Say South African Harm-Reduction Experts

    Health and policy leaders at the Progressive Business Forum (PBF) Colloquium on Wellness and Healthy Lifestyles in South Africa called for a science-driven approach to public health, urging the government to prioritize harm reduction over ideology. Former Gauteng Health MEC Dr Gwen Ramokgopa said South Africa must extend harm reduction principles—long used in HIV prevention and road safety—to emerging health risks such as tobacco and substance use. “Harm reduction is not permissiveness, it’s progress,” she said, noting that public health must help people make safer choices rather than impose moral judgments.

    Dr Percy Selepe, Acting COO of the Gauteng Department of Health, said “science must lead policy.” He and other speakers argued that South Africa’s punitive, abstinence-based approach has failed to curb smoking and substance use. Harm reduction advocates, including Professor Monique Marks, criticized the lack of government funding for evidence-based interventions, noting that all existing programs are run by non-profits. Marks stressed that switching from combustible cigarettes to regulated smoke-free products could dramatically reduce health risks and ease the burden on the healthcare system.

    Professors Obedy Mwantembe and Tivani Mashamba-Thompson called for African-led research into nicotine science and integrated harm reduction services addressing HIV and Hepatitis C. They emphasized that compassion and science must work hand in hand to reduce stigma and improve outcomes. If Gauteng’s evidence-first stance becomes national policy, speakers said, South Africa could modernize its public health strategy — replacing bans and punishment with regulation, education, and empathy. “Better health contributes to positive growth,” Ramokgopa said. “Collaboration between science, policy, and society is not optional — it’s essential.”

  • Ireland to Introduce Europe’s Highest Vape Tax

    Ireland to Introduce Europe’s Highest Vape Tax

    Beginning November 1, the Irish government will impose a new €0.50 per milliliter tax on all vaping e-liquids—regardless of nicotine content—making it the highest vape tax in the European Union. The measure comes alongside planned restrictions on flavors, packaging, advertising, and disposable vapes. Officials say the tax aims to curb youth vaping and strengthen prevention efforts following Ireland’s 2023 ban on vape sales to minors. However, public health and harm reduction advocates argue the policy will backfire, driving consumers toward the black market and undermining Ireland’s stalled “Tobacco Free Ireland” goal of reducing smoking to below 5% by 2025.

    Advocates from the New Nicotine Alliance Ireland (NNAI) warn the new tax will make quitting smoking harder for low-income groups, with prices for a typical 10ml e-liquid expected to triple from €3 to €9. They argue vaping has been a key tool in helping smokers quit—38% of quitters in Ireland reportedly used vapes—yet misinformation and punitive taxes have reversed progress. Addiction specialist Dr. Garrett McGovern criticized the policy for equating vaping’s risks with those of smoking, calling it “a dreadful public health policy.” Research shows that vape restrictions and higher costs often lead to increased smoking rates, a trend advocates fear could repeat in Ireland if affordability and access continue to shrink.

  • Philippine Harm Reduction Advocates Push for Smoke-Free Future

    Philippine Harm Reduction Advocates Push for Smoke-Free Future

    Advocates of tobacco harm reduction in the Philippines signed a joint manifesto Wednesday (October 15) calling for multi-sectoral collaboration and greater access to science-based alternatives to help reduce smoking-related harm. The signing, held in Mandaluyong City, brought together representatives from groups including the Nicotine Consumers Union of the Philippines (NCUP), Smokefree Conversations PH, Quit for Good, and the Philippine E-Cigarette Industry Association.

    The manifesto urged policymakers to empower adult smokers with better choices rather than continuing to rely solely on tobacco products, describing harm reduction as a “lifeline” for those unable to quit. It also called for the defense of the country’s Vape Law (RA 11900) that regulates vaporized nicotine and non-nicotine products as a legitimate public health measure.

    Advocates said adult smoking rates rose to 23.3% in 2023, underscoring the need for alternatives. NCUP founder Anton Israel emphasized the importance of educating the public about the difference between traditional tobacco and vaping products, adding that while vaping is not risk-free, it can be a less harmful step toward quitting smoking.

  • Harm Reduction ‘Should be Wake-Up Call’ for Policymakers

    Harm Reduction ‘Should be Wake-Up Call’ for Policymakers

    At the 2025 Asia Forum on Nicotine, Prof. Dr. Rohan Sequeira, Consultant Cardio Endocrinologist, warned that Asia remains the epicenter of the global tobacco epidemic, home to over half of the world’s 1 billion smokers and responsible for 4 million tobacco-related deaths each year. He said traditional control measures—taxation, warning labels, and public campaigns—have done little to reverse rising smoking rates in South and Southeast Asia. What the region needs, he argued, is not more prohibition but a science-based harm reduction approach that recognizes medical evidence.

    “It’s the combustion of tobacco or the use of unprocessed tobacco which causes 7,000 toxic chemicals,” Dr. Sequeira said, emphasizing that nicotine, though addictive, is not the chief cause of tobacco-related disease. “Most of the policies for tobacco harm reduction have been based on good medical science behind it.”

    Presenting data-driven projections, Dr. Sequeira called for urgent policy reform, stating that if China alone were to adopt a national harm reduction framework, up to 30 million lives could be saved over 30 years. He urged policymakers and the medical community to see harm reduction as a moral and scientific imperative. “This should be a wake-up call to policymakers,” he said. “We are fighting the good fight. We’re looking at harm reduction, and we’re looking for people to have a better quality of life.”

  • Australia’s Tobacco Policies Spark Harm and Chaos, Industry Expert Says

    Australia’s Tobacco Policies Spark Harm and Chaos, Industry Expert Says

    In a candid keynote at the Global Tobacco and Nicotine Forum (GTNF), Theo Foukkare, CEO of the Australian Association of Convenience Stores, delivered a scathing assessment of Australia’s tobacco and nicotine policies, saying the country is saddled with “harm and chaos.” Speaking under the theme “The Australian Experience: From Global Leader to Global Failure,” Foukkare outlined how once-successful public health strategies had collapsed under the weight of excessive taxation, poor enforcement, and the rise of organized crime.

    “Australia has become the model of what not to do. By any measure, it’s an absolute failure,” he said. “And believe it or not, our government still claims to have world-leading standards. We’re dealing with an absolute tsunami of illegal nicotine products entering the country. I call it ‘Tobacco Wars.’ It’s actually playing out in real life every day. The illegal nicotine market is now bigger than the next five organized crime categories combined.

    “Through bad policy, we’re actually creating harm,” he said, noting that smoking rates have remained virtually unchanged in the past decade despite mounting taxes and restrictions.

    “We had the most aggressive excise policy any government in the world had undertaken,” Foukkare said, with a legal pack of cigarettes now costing between $45 and $50. “They killed the golden goose, because the consumers said, “Enough is enough. Why would I pay this when there are cheaper options?”

    According to Foukkare, Australia’s extreme excise policies pushed consumers to the black market, eroding legal sales and fueling criminal activity. Organized crime groups, he added, have even begun taking over farms to grow illicit tobacco, while state governments scramble to form task forces.

    “There’s so much threat and intimidation,” he said. “Some store owners are paying $5,000 a month in protection money. Pay or they’ll burn your shop down. One store owner got a handwritten note saying he needed to meet with the [crime] boss. He took the note to the police, the next day, a car drove through the front of the store, and now it’s closed.”

    Foukkare criticized the government for ignoring early warnings about policy failures and dismissing data because it was industry-funded. Now, with estimates suggesting up to 60% of tobacco consumption is illicit, officials are finally acknowledging the scale of the problem. Foukkare also condemned the government’s anti-vaping stance, arguing that public messaging has convinced most Australians that vaping is more dangerous than smoking.

    Despite the creation of new penalties—million-dollar fines, landlord accountability clauses, and police powers to shut down stores—Foukkare said the measures have done little to fix the underlying issue. “We’ve spent a billion dollars and haven’t done anything to reduce smoking or keep people safe,” he said.

  • Clive Bates: WHO Using Tobacco’s History to Poison Good Science

    Clive Bates: WHO Using Tobacco’s History to Poison Good Science

    In a forceful keynote at the Global Tobacco and Nicotine Forum (GTNF) in Brussels, Clive Bates, Director of Counterfactual, called for a fundamental reset in global tobacco control policy, arguing that current frameworks such as the WHO Framework Convention on Tobacco Control (FCTC) have failed to adapt to innovation and evidence.

    “Prevalence is falling, but the global population is rising,” Bates said. “That means the total number of smokers is still going up — and so are the 7.5 million deaths each year caused by smoking.” He emphasized that quitting smoking at any age provides significant health benefits, but argued that international tobacco control remains stuck in the past. “The mission hasn’t changed — stop people from smoking — but the methods are outdated. We have new tools, and ignoring them is indefensible.”

    Bates described alternative nicotine products such as vaping, heated tobacco, and smokeless options as “the disruption the FCTC never anticipated.” He pointed to Sweden’s success as proof of concept: “Sweden has higher nicotine use than Germany but lower cancer rates. That’s what harm reduction looks like.” Yet, he criticized the European Union for maintaining its ban on snus — the very product that helped Sweden virtually eliminate smoking. “What if, instead of banning snus, we promoted it?” he asked. “Why are we still doing things that contradict our stated public health goals?”

    Turning his critique toward the WHO, Bates condemned the organization’s stance that there is “no evidence” reduced-risk products are safer than cigarettes. “That’s shocking,” he said. “Harm reduction is being dismissed as a tobacco industry ploy, using the industry’s reputation to poison good science.”

    He argued that the FCTC has institutionalized a “toxic” anti-industry bias that blocks collaboration and progress. “If the tobacco industry likes it, it must be bad — that’s the logic codified into policy. There’s no room for alignment with that attitude,” he said. Bates noted that several major companies have already shifted dramatically — “PMI now earns 41% of its revenue from smoke-free products” — yet the global framework continues to punish rather than encourage transformation.

    “The WHO gave an award to a man in India for banning reduced-harm products in a country with 100 million smokers,” Bates said. “That’s not leadership — that’s negligence.”

    He concluded with a clear call to action: “If you want better outcomes, get the smoking rate down as fast as possible. The demand for nicotine won’t disappear, but we can make it vastly safer — and we can do it without coercion. Let consumers make informed choices. That’s how we save lives.”

  • Harm Reduction is a Race Where Everyone Can Win

    Harm Reduction is a Race Where Everyone Can Win

    Deborah Binks-Moore, Chief Corporate Affairs Officer at Imperial Brands, delivered an optimistic yet pragmatic keynote at GTNF, urging governments, regulators, and industry leaders to work together to accelerate global harm reduction. Binks-Moore described the moment as an “inflection point” in the global effort to reduce smoking, noting that next-generation products have moved from niche to mainstream in only a few years.

    “Just a few years ago, next-generation products were a small part of the market. Now they are becoming mainstream,” she said. “Our journey to reduce smoking must place the consumer at the heart of everything we do.”

    She celebrated the rapid progress made by the industry but cautioned that success brings new challenges.

    “Our very success is now creating fresh challenges, which will require fresh thinking,” she said. Drawing parallels with other sectors in transition—such as energy—she encouraged policymakers to heed lessons from those industries: transformation succeeds only when science, regulation, and innovation align.

    “Tobacco harm reduction has the potential to prevent the premature deaths of many millions of lives over the long term,” she said. “This means we need an equally long-term approach to policymaking. We need people from different political traditions to work together. We need regulators to collaborate with responsible industry players. And we need central governments to partner closely with local administrations.”

    She called on policymakers in Brussels, WHO delegates, and regulators worldwide to develop “enforceable, sustainable frameworks” built on facts, science, and shared principles.

    Binks-Moore urged all stakeholders—policymakers, scientists, and business leaders alike—to begin with the individual consumer. “We need to understand and respect them for who they are, not who we wish them to be,” she said. “If we follow these principles, harm reduction is a race where everyone can win.”

  • GTNF 2025 Panel: The Complex Picture of Harm Reduction

    GTNF 2025 Panel: The Complex Picture of Harm Reduction

    At the opening session of the 2025 Global Tobacco and Nicotine Forum (GTNF) in Brussels, panelists explored how consumer behavior, regulatory inertia, and scientific innovation intersect in the global harm reduction debate. “Consumers, Combustion, Nicotine – The Complex Picture of Harm Reduction,” brought together Nick Kadysh (CEO, PharmaAla Biotech), Atheer Al Bin Ali (Chief Legal Officer, Badael), Dr. Carolyn Beaumont (Clinician and Tobacco Harm Reduction Educator), Håkan Engqvist (Founder and Chief Science Officer, Emplicure), and Dr. David Utley (President and CEO, Pivot Health Technologies).

    Utley argued that harm reduction must return to its core mission: helping smokers quit. “Expecting a smoker to become smoke-free on their own is like expecting a cancer patient to cure themselves,” he said. Utley, a surgeon-turned-entrepreneur, urged policymakers to focus on the consumer experience, not ideology. “Consumers are smarter than doctors. Smokers have tried to quit twenty times — they’re not hopeless, they’re underserved.” He noted that the stigma around nicotine use is largely because the products come from tobacco companies: “If pharma had made them, this wouldn’t even be controversial.”

    Beaumont echoed the importance of reframing harm reduction in clinical terms. “Doctors are trusted by the community — it should be a no-brainer to have them on board,” she said. Beaumont called Australia’s prescription-only vape model a “monumental failure,” emphasizing that education from credible medical sources is key. “It’s not just a preference for a better product; it’s a preference for a better, healthier life.”

    Kadysh highlighted the public health challenge of dual use, calling it “the bane of our existence.” He stressed that sales data alone can’t explain consumer behavior. “We look at numbers and assume what products people like — but that doesn’t tell the full story.” From his vantage point in biotech, Kadysh said the pharmaceutical sector is only beginning to embrace harm reduction discussions. “It’s still a charged political stance, but the science is catching up.”

    Al Bin Ali brought an international perspective, pointing to Saudi Arabia’s growing interest in harm reduction. “This is a great opportunity if regulators would just have the proper conversations,” he said. “The controversy isn’t about philosophy; it’s about data — where it comes from, and whether it’s reliable.” He emphasized the global implications of evidence-driven policymaking, noting that “one country’s shift can influence many nations.”

    Engqvist underscored the role of science and investment in shaping the harm reduction landscape. “Sweden comes in from a base of science,” he said. “That scientific foundation creates a significant opportunity for innovation and investment.”

    Across the session, a shared message emerged: harm reduction should be guided by science, supported by clinicians, and driven by consumer realities — not paralyzed by politics or ideology. As Utley summed up, “The consumer will win — because the consumer always does.”

  • Trinidad & Tobago Considers Harm Reduction in Tobacco Policy

    Trinidad & Tobago Considers Harm Reduction in Tobacco Policy

    Trinidad and Tobago’s Ministry of Health said it is laying the groundwork for a new approach to tobacco control, with officials confirming they are collecting data to regulate reduced-risk products such as vaping, nicotine pouches, and heat-not-burn devices. The move signals a shift away from policies focused solely on bans and restrictions, toward strategies that emphasize harm reduction.

    Despite years of regulation, smoking rates remain high in the country, with nearly one in five adults still smoking. The absence of laws specific to vaping has left products in a legal grey area, creating uncertainty for smokers looking to switch to less harmful alternatives. Advocates argue that clear regulation could help reduce smoking-related disease and deaths, pointing to examples from Sweden and the U.K.

    Public health voices in Trinidad and Tobago say the country has an opportunity to chart its own course, using evidence-based regulation to give smokers safer choices. “Now is the moment to act,” one health advocate said, urging policymakers to put harm reduction at the center of the nation’s tobacco strategy.

  • South Korea Updates Tobacco Disclosure Rules Amid Criticism

    South Korea Updates Tobacco Disclosure Rules Amid Criticism

    South Korea will begin enforcing its Tobacco Harm Management Act on November 1, requiring manufacturers and importers to disclose harmful components in tobacco products for the first time. The law mandates inspections every two years for existing products and within one month for new launches. Public disclosure of results is expected to begin late next year.

    The Ministry of Food and Drug Safety (MFDS) has identified 44 harmful substances in combustible cigarettes and 20 in liquid e-cigarettes for mandatory disclosure. However, critics say the standards are outdated, based on a 1997 U.S. framework by Dr. Dietrich Hoffmann, and have obvious “gaps” as products containing synthetic nicotine or marketed as “nicotine-free” are excluded. South Korean law defines tobacco only as products made from tobacco leaves.

    In defense, MFDS noted that South Korea’s list already exceeds WHO and ISO requirements and matches Canada in scope. Officials said they will expand the list in the future and are considering whether disclosures will be published by product type, brand, or in aggregate, along with explanations of toxicity and carcinogenicity.