Global State of

Tobacco Harm Reduction

The GSTHR maps the global, regional and national availability and use of safer nicotine products (SNP), the regulatory responses to these products, and the public health potential of tobacco harm reduction.


Explore any country's data on smoking, vaping, snus, HTP - enter a country name in the search box, or find it on the globe.


Fighting the Last War:
The WHO and International Tobacco Control -

Watch the launch of the latest GSTHR report, which took place on Wednesday 27 October 2021 - and read the full report.

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Read our reports online, or download PDF versions

Tobacco Harm Reduction
Burning Issue for Asia

Asia has the highest number of smokers (743 million) in the world and the highest number of SLT users (261 million). Over half of the smokers who die every year die in Asia. There is a huge disparity in the region between the number of people who smoke and the number of people who use vaping products. Yet Asia has been at the forefront of a number of tobacco harm reduction success stories.

Tobacco Harm Reduction
And the Right to Health

A GSTHR introductory briefing paper, Tobacco harm reduction and the right to health offers an overview of key issues in tobacco harm reduction, its public health potential and its relationship with human rights. Harm reduction is a range of pragmatic policies, regulations and actions that either reduce health risks by providing safer forms of products or substances, or encourage less risky behaviours - it does not focus exclusively on the eradication of products or behaviours.

Available in English and 12 other languages: Arabic, Chinese, French, German, Hindi, Indonesian, Japanese, Polish, Portuguese, Russian, Spanish and Swahili.

Global State of Tobacco Harm Reduction
Burning Issues

The second in our GSTHR series which documents the development of tobacco harm reduction and use, availability and regulatory responses to safer nicotine products around the world, and comes two years after No Fire, No Smoke, our first GSTHR report (2018).

Fighting the Last War:
the WHO and International Tobacco Control

The latest report from K∙A∙C’s Global State of Tobacco Harm Reduction (GSTHR) argues that “tobacco control policy is frozen in time” while “innovative non-combustible nicotine technology and supporting evidence have moved forwards”. The status quo keeps adult smokers smoking rather than switching to safer nicotine, favouring the tobacco industry.