Global State 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.
GSTHR maps 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 (THR). Explore any country's data on smoking, vaping, snus, HTP - enter a country name in the search box, or find it on the globe.
Our latest Briefing Paper How snus is replacing smoking in Norway: a revolution led by consumers and product innovation is now available to download.
The Global State of Tobacco Harm Reduction 2024: A Situation Report was published in November 2024. Our fourth biennial report uses the latest evidence and new data projections to assess the current global THR situation as well as its potential to rapidly reduce tobacco-related disease and mortality.
Read the latest GSTHR Briefing Papers:
View, download and use GSTHR infographics, charts and graphs:
Read and download major GSTHR reports:
A Situation Report
Global State of Tobacco Harm Reduction 2024
The fourth in our biennial GSTHR series, this report tracks the extent to which safer nicotine products are replacing and substituting for combustible and risky oral tobacco products. It is split into two parts, A Global Perspective and Regional and National Insights.
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.
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”.