Global State of

Tobacco Harm Reduction

Mapping the global, regional and national availability and use of safer nicotine products, regulatory responses to them, and the public health potential of tobacco harm reduction. Switching to safer nicotine products could be a life-saving intervention for millions of people currently using high-risk tobacco products like combustible cigarettes.

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

The most recently published GSTHR Briefing Paper, Cigarette sales halved: heated tobacco products and the Japanese experience, is available in 12 languages. Find all the translations here.

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Read our reports online, or download PDF versions

GSTHR2022 RSH Cover
The Right Side of History
Global State of Tobacco Harm Reduction 2022

The third report in our biennial GSTHR series documents the search for safer ways to use nicotine and charts the history of tobacco harm reduction with the emergence of new safer nicotine products.

Burning Issues
Global State of Tobacco Harm Reduction 2020

The second in our biennial GSTHR series, this report focuses on the benefits to public and individual health of having available, affordable, appropriate and acceptable safer alternatives to combustible tobacco products.

No Fire, No Smoke
Global State of Tobacco Harm Reduction 2018

The first in the series of biennial GSTHR reports, this landmark publication was the first to document the development of tobacco harm reduction, use, availability and regulatory responses to safer nicotine products around the world.

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

This 2021 report from K∙A∙C’s Global State of Tobacco Harm Reduction argues that “tobacco control policy is frozen in time” while “innovative non-combustible nicotine technology and supporting evidence have moved forwards”.