COMPARTIR

THR Reports

The Global State of Tobacco Harm Reduction 2024: A Situation Report

The Global State of Tobacco Harm Reduction 2024: A Situation Report is a multi-component publication, grouped into two parts, A Global Perspective and Regional and national insights. The extent to which SNP are replacing and substituting for combustible and risky oral tobacco products is the unifying theme.

A Global Perspective uses the latest evidence and new data projections to report on the current global THR situation and its potential to rapidly reduce the burden of disease and mortality associated with risky tobacco use. Measuring changes in SNP uptake, policy and regulation, it considers how these factors interrelate to support or undermine progress.

  • Chapter One: The global smoking epidemic and the role of tobacco harm reduction
  • Chapter Two: The evidence for tobacco harm reduction
  • Chapter Three: Global progress in tobacco harm reduction
  • Chapter Four: Global regulation and control
  • Chapter Five: The challenges to tobacco harm reduction
  • Chapter Six: Conclusions

Regional and national insights considers the status of tobacco use and THR at the regional or national level. A broader regional focus is applied to Latin America (Section 2) and Eastern Europe and Central Asia (Section 3). Profiles for Japan (S. 4), Aotearoa New Zealand (S. 5), Norway (S. 6), and the UK (S.7) are also available.

Full (Eng) 10286 Documento PDF
Section 1 (Eng) 4295 Documento PDF
Section 2 (Eng) 2900 Documento PDF
Section 3 (Eng) 2844 Documento PDF
Section 4 (Eng) 3292 Documento PDF
Section 5 (Eng) 2937 Documento PDF
Section 6 (Eng) 3108 Documento PDF
Section 7 (Eng) 2752 Documento PDF

O Estado Global da Redução de Danos do Tabaco 2024: Um Relatório de Situação

O Estado Global da Redução de Danos do Tabaco 2024: Um Relatório de Situação é uma publicação de múltiplos componentes, agrupada em duas partes: Perspectivas globais e Percepções regionais e nacionais. O quanto os PNS estão substituindo e servindo como alternativa aos produtos de tabaco combustíveis e ao tabaco oral de alto risco.

Perspectivas globais utilizam as evidências mais recentes e novas projeções de dados para relatar a atual situação global da RDT e seu potencial para reduzir rapidamente a carga de doenças e a mortalidade associadas ao uso arriscado do tabaco. Ao medir as mudanças na adoção de PNS, nas políticas e na regulamentação, considera como esses fatores se inter-relacionam para apoiar ou prejudicar o progresso.

Capítulo Um: A epidemia global do tabagismo e o papel da redução de danos do tabaco
Capítulo Dois: As evidências da redução de danos do tabaco
Capítulo Três: O progresso global na redução de danos do tabaco
Capítulo Quatro: Regulamentação e controle global
Capítulo Cinco: Os desafios da redução de danos do tabaco
Capítulo Seis: Conclusões

Perspectivas regionais e nacionais consideram o status do uso de tabaco e RDT em nível regional ou nacional: relatórios para América Latina, Europa Oriental e Ásia Central estão disponíveis. Quatro países que permitiram que a RDT reduzisse as taxas de tabagismo – Aotearoa (Nova Zelândia), Japão, Noruega e Reino Unido – também são analisados.

S.1: PERSPECTIVA GLOBAL 1057 Documento PDF
S.2: AMÉRICA LATINA 1552 Documento PDF
S.4: JAPÃO 1133 Documento PDF
S.5: AOTEAROA 1183 Documento PDF
S.6: NORUEGA 1089 Documento PDF
S.7: REINO UNIDO 1534 Documento PDF

L’état mondial de la réduction des risques du tabac 2024: un rapport de situation

« L’état mondial de la réduction des risques du tabac 2024 » : un rapport de situation est un document à plusieurs composantes. Cette publication est divisée en deux parties : « Perspectives mondiales » et « Perspectives régionales et nationales ». La mesure dans laquelle les PNRR remplacent et se substituent au tabac oral combustible et à risque en est le thème fédérateur.

« Perspectives mondiales » s’appuie sur les données les plus récentes et les nouvelles projections de données pour rendre compte de la situation actuelle de la RdRT dans le monde et de son potentiel à réduire rapidement la charge de morbidité et de mortalité associée à l’usage du tabac à risque.

Mesurant l’évolution de l’adoption des PNRR, de la politique et de la réglementation, on y examine la manière dont ces facteurs interagissent pour soutenir ou entraver les progrès.

Chapitre 1 : L’épidémie mondiale de tabagisme et le rôle de la réduction des risques du tabac
Chapitre 2 : Les données probantes de la réduction des risques du tabac
Chapitre 3 : Progrès mondiaux en matière de réduction des risques du tabac
Chapitre 4 : Réglementation et contrôle au niveau mondial
Chapitre 5 : Les défis de la réduction des risques du tabac
Chapitre 6 : Conclusions

Les aperçus régionaux et nationaux examinent la situation de l’usage du tabac et de la RdRT au niveau régional ou national. Le document que vous êtes sur le point de lire est consacré à l’Amérique latine. Un rapport équivalent est disponible pour l’Europe de l’Est et l’Asie centrale. Quatre pays qui ont permis à la RdRT de faire baisser les taux de tabagisme – Aotearoa Nouvelle-Zélande, Japon, Norvège et Royaume-Uni – font aussi l’objet d’un profil.

S.1: UNE PERSPECTIVE MONDIALE 584 Documento PDF
S.2: AMÉRIQUE LATINE 1506 Documento PDF
S.4: JAPON 1726 Documento PDF
S.5: AOTEAROA 1236 Documento PDF
S.6: NORVÈGE 1302 Documento PDF
S.7: ROYAUME-UNI 1588 Documento PDF

Estado mundial sobre la reducción del daño del tabaco 2024: Un informe de situación

The Global State of Tobacco Harm Reduction 2024 (Estado mundial sobre la reducción del daño del tabaco 2024): Un informe de situación es una publicación multicomponente, agrupada en dos partes, Perspectivas mundiales y Percepciones regionales y nacionales. La medida en que los productos de nicotina más seguros están reemplazando y sustituyendo los productos de tabaco combustibles y orales riesgosos es la idea central.

Perspectivas mundiales utiliza la evidencia más reciente y los nuevos proyectos de datos para informar sobre la situación mundial actual de la reducción del daño del tabaco y su potencial para reducir rápidamente la carga de la enfermedad y la mortalidad asociada con el consumo de tabaco riesgoso. Midiendo los cambios en la adopción, la política y la regulación de los productos de nicotina más seguros, considera la manera en que estos factores se interrelacionan para apoyar o socavar el progreso.

Capítulo uno: Epidemia mundial de tabaquismo y papel de la reducción del daño del tabaco.
Capítulo dos: Evidencia de la reducción del daño del tabaco.
Capítulo tres: Progreso mundial en la reducción del daño del tabaco.
Capítulo cuatro: Regulación y control mundial.
Capítulo cinco: Retos de la reducción del daño del tabaco.
Capítulo seis: Conclusiones

Percepciones regionales y nacionales considera el estado del consumo del tabaco y la reducción del daño del tabaco a nivel regional o nacional. El documento que está a punto de leer se centra en Latinoamérica; está disponible un informe equivalente para Europa Oriental y Asia Central. También se describen cuatro países que han permitido que la reducción del daño del tabaco disminuya el índice de tabaquismo: Nueva Zelanda, Japón, Noruega y Reino Unido.

Sección 1: Perspectiva mundial 1022 Documento PDF
Sección 2: Latinoamérica 1598 Documento PDF
Sección 4: Japón 2179 Documento PDF
Sección 6: Noruega 1636 Documento PDF
Sección 7: Reino Unido 1490 Documento PDF
Sección 5: Nueva Zelanda 2032 Documento PDF

Глобальное состояние снижения вреда от табака – 2024: Ситуационный отчет

«Глобальное состояние снижения вреда от табака – 2024: Ситуационный отчет» — это многокомпонентная публикация, состоящая из двух частей: «Глобальные перспективы» и «Региональные и национальные аспекты». Тема, объединяющая эти части — это степень, на которую БНП заменяют и замещают сжигаемые и рискованные табачные продукты орального применения.

Глава первая: Глобальная эпидемия курения и роль снижения вреда от табака
Глава вторая: Фактические данные в пользу снижения вреда от табака
Глава третья: Глобальный прогресс в снижении вреда от табака
Глава четвёртая: Глобальное регулирование и борьба
Глава пятая: Трудности снижения вреда от табака
Глава шестая: Заключение

В части «Региональные и национальные аспекты» рассматривается состояние потребления табака и СВТ на региональном и национальном уровнях. Документ «Великобритания, свободная курения? Как исследования, политика и вейпы сократили показатели курения.», с которым вы сейчас ознакомитесь, представляет собой один из четырех обзоров стран, позволивших СВТ снизить показатели курения. Также доступны аналогичные обзоры для Аотеароа – Новой Зеландии, Японии и Норвегии. Более широкое региональное внимание уделено Латинской Америке, Восточной Европе и Центральной Азии.

S.3: ВЕЦА 1111 Documento PDF
S.1: ГЛОБАЛЬНЫЙ ОБЗОР 557 Documento PDF
S.2: ЛАТИНСКАЯ АМЕРИКА 1507 Documento PDF
S.4: ЯПОНИЯ 2304 Documento PDF
S.5: НОВАЯ ЗЕЛАНДИЯ 969 Documento PDF
S.6: НОРВЕГИЯ 1009 Documento PDF
S.7: ВЕЛИКОБРИТАНИЯ 1660 Documento PDF

Tobacco Harm Reduction: A Burning Issue for Asia

Harry Shapiro

The focus of this GSTHR briefing is Asia. Sixty per cent of the world’s smokers live in this region and almost half the global deaths from smoking occur here. Asia is also home to nine in every ten users of smokeless tobacco (SLT), leading to high rates of oral cancer. In a number of countries, public health is severely undermined where governments either control or have a significant stake in domestic tobacco companies. New solutions are needed to tackle the public health threat from smoking and tobacco use - but safer nicotine products are banned in many countries. Would tobacco harm reduction improve public health in Asia? And if so - what are the obstacles that stand in its way?

The formal launch event for the briefing took place online on Sunday 18 April 2021 and was co-hosted with Association of Vapers India.

Inglés 2020 Documento PDF
Inglés 2620 Página del sitio web

Tobacco Harm Reduction and the Right to Health

Ruth Goldsmith (UK) - Knowledge•Action•Change

Tobacco harm reduction and the right to health offers an introduction and overview of key issues in tobacco harm reduction, its public health potential and its relationship with human rights. The report is available in English and 12 other languages: Arabic, Chinese, French, German, Hindi, Indonesian, Japanese, Polish, Portuguese, Russian, Spanish and Swahili.

Español 3264 Documento PDF
Inglés 4171 Documento PDF
Inglés 2038 Página del sitio web
Árabe 4878 Documento PDF
Chino (mandarín) 4733 Documento PDF
Francés 2630 Documento PDF
Alemán 2396 Documento PDF
Hindi 2272 Documento PDF
Indonesio 3080 Documento PDF
Japonés 2929 Documento PDF
Polaco 2628 Documento PDF
Portugués 2330 Documento PDF
Ruso 2515 Documento PDF
Suajili 3785 Documento PDF

Fighting the Last War: the WHO and International Tobacco Control

Harry Shapiro (UK) - K•A•C

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. Untangling the complex narratives underpinning the approach of the World Health Organisation and international tobacco control NGOs, this report aims to shed a light on the often hidden workings of these institutions, and the motivations behind their refusal to accept tobacco harm reduction as a valid approach to reduce the harms associated with high-risk tobacco use. Furthermore, this report argues that “THR has a complementary role to play in tobacco control and reducing cigarette consumption. Its potential can come to fruition if the international tobacco control community, led by the WHO, can disaggregate combustible from non-combustible tobacco products in its policy and legislative deliberations.”

Table of contents:

Chapter 1: Still too many left behind: the context for the report

Chapter 2: Hitting back against Big Tobacco: the background to the Framework Convention on Tobacco Control

Chapter 3: International tobacco control: structure and functions

Chapter 4: Tobacco harm reduction

Chapter 5: Trench warfare: the WHO, allies and funders

Chapter 6: What can be done? New thinking for the 21st century

Chapter 7: Final thoughts

Español 726 Documento PDF
Inglés 4172 Documento PDF
Francés 2342 Documento PDF
Portugués 622 Documento PDF
Ruso 1725 Documento PDF

The Right Side of History: The Global State of Tobacco Harm Reduction 2022

The Right Side of History: The Global State of Tobacco Harm Reduction 2022 does not seek to replicate or revisit the previous GSTHR reports in detail. Instead, it steps back and casts an eye over the history of THR. Where did this history begin? And how has it developed? We bring the story right up to date with a final section that attempts to look into the near future.

The emergence of safer nicotine products, especially vaping, has brought seismic disruption to the commercial, clinical, public health, and legislative landscapes. This disruption has dominated the history of tobacco harm reduction so far. This report emphasises that effective harm reduction interventions, at minimal cost to governments and health agencies, can end smoking within a generation. The alternative is a continuation of approaches that will continue to fail those most in need. The price will be counted in the millions of lives that could have otherwise been saved.

The Right Side of History: The Global State of Tobacco Harm Reduction 2022 is the third of our biennial Global State of Tobacco Harm Reduction (GSTHR) reports. Since 2018, the series has been charting progress in the adoption of tobacco harm reduction (THR), an approach which encourages people who smoke or use risky tobacco to switch to the use of safer nicotine products (SNP). These products include nicotine vapes, Swedish-style snus, nicotine pouches and heated tobacco products.

Table of contents:

Introduction: The threat of disruption
Chapter 1: Dying for a smoke
Chapter 2: The genesis of tobacco harm reduction
Chapter 3: A stuttering evolution towards the quiet revolution
Chapter 4: Community innovation - and commercial expansion
Chapter 5: ‘Fear, Uncertainty and Doubt’
Chapter 6: Follow the money
Chapter 7: Regulating for health
Chapter 8: The right to use and the right to choose
Chapter 9: Future shoot

Español 644 Documento PDF
Inglés 14381 Documento PDF
Chino (mandarín) 2140 Documento PDF
Francés 2115 Documento PDF
Ruso 1674 Documento PDF

Burning Issues: The Global State of Tobacco Harm Reduction 2020 - Executive Summary

Harry Shapiro - Knowledge•Action•Change

A brief summary of our second GSTHR report which documents the development of tobacco harm reduction and use, availability and regulatory responses to safer nicotine products around the world.

Español 2170 Documento PDF
Inglés 2313 Documento PDF
Árabe 2343 Documento PDF
Chino (mandarín) 2892 Documento PDF
Francés 2157 Documento PDF
Hindi 2123 Documento PDF
Indonesio 1903 Documento PDF
Portugués 2124 Documento PDF
Ruso 2251 Documento PDF
Suajili 2270 Documento PDF