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. 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 is A smokefree UK? How research, policy and vapes have cut smoking rates.
Recently published Briefing Papers:
Read our reports online, or download PDF versions
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:
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”.