Tobacco harm reduction strategies and products can help adult smokers prevent tobacco-related disease and premature death and greatly improve their quality of life.
This website advocates for the World Health Organization and governments worldwide to seize the opportunity to distinguish between smoked and smoke-free products, the key differentiator for policy purposes.
THR is probably the best-kept secret in individual and population health. By introducing risk-based, proportionate regulation for smoke-free alternative nicotine products, millions of lives can be saved.
Evidence is growing that THR products are effective in helping people to quit smoking:
Cochrane Database Systematic Reviews: Hartmann-Boyce et al., showed “there is evidence that e-cigarettes help smokers to stop smoking in the long term compared with placebo e-cigarettes.”read more
Evidence from randomised controlled trials, notably, Hajek et al., showed vaping to be about twice as effective as NRT. “E-cigarettes were more effective for smoking cessation than nicotine-replacement therapy, when both products were accompanied by behavioural support.”read more
Thousands of testimonials by users who have struggled to quit using other methods. See, for example, CASAA testimonials.read more
Observational studies (examining what happens when people use e-cigarettes) for example, Jackson et al, show that “use of e-cigarettes and varenicline are associated with higher abstinence rates following a quit attempt in England.”read more
Population data (unusually rapid reductions in smoking prevalence and cigarette sales), for example, Zhu S-H et al., indicated: “The substantial increase in e-cigarette use among US adult smokers was associated with a statistically significant increase in the smoking cessation rate at the population level. These findings need to be weighed carefully in regulatory policy making regarding e-cigarettes and in planning tobacco control interventions.”read more
This shows a positive trend that especially e-cigarettes are displacing smoking. If one adds common sense, surely an alternative way of taking nicotine – with a fraction of the health risk and stigma and combined with other attractive features – should be expected to replace smoking as technology evolves. It would require strong evidence for the notion that ENDS somehow increases smoking or leaves it unchanged. No such evidence currently exists.
THR products can prevent tobacco-related deaths, by replacing cigarettes:
David Levy et al. projected that a strategy of replacing cigarette smoking with vaping e-cigarettes would yield substantial life years gained, even under pessimistic assumptions regarding cessation, initiation and relative harm.read more
Ken Warner and Mendez concluded that potential life years gained as a result of vaping-induced smoking cessation are projected to exceed potential life-years lost. In the most likely of several simulations they ran, nearly 3.3 million life-years could be saved by the year 2070read more
Anecdotal evidence from thousands of ex-smokers confirms how their quality of life improved once they quit smoking, with the help of THR products.
Smoking cessation provides clear economic benefits.
Tobacco Harm Reduction can lead to a range of economic benefits.