Global State of Tobacco Harm Reduction - Home

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.

Burning Issues: The Global State of Tobacco Harm Reduction 2020 - the second in our GSTHR series documents the development of tobacco harm reduction and use, availability and regulatory responses to safer nicotine products around the world.

Burning Issues: The Global State of Tobacco Harm Reduction 2020

What is tobacco harm reduction?

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. Harm reduction does not focus exclusively on the eradication of products or behaviours.

Tobacco harm reduction, using safer nicotine products, offers new choices to millions of people worldwide who want to switch away from smoking, but have been unable to with the options previously available.

There is substantial international, independent evidence that the safer nicotine products that are available today – including nicotine vaping devices (e-cigarettes), heated tobacco products and Swedish-style oral snus – are demonstrably and significantly safer than smoking tobacco.


For an introduction to the topic, download Tobacco harm reduction and the right to healthavailable in 12 languages


For an in depth analysis, download  No fire, no smoke: The Global State of Tobacco Harm Reduction 2018

English Chinese

Executive summary of No fire, no smoke is available in 11 languages

English Chinese Russian French Spanish Arabic Japanese Polish German Hindi Indonesian