THR Reports


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.

English 2246 PDF Document
Arabic 1614 PDF Document
Chinese (Mandarin) 1767 PDF Document
French 1446 PDF Document
Hindi 1383 PDF Document
Indonesian 739 PDF Document
Portuguese 1488 PDF Document
Russian 1570 PDF Document
Spanish 1525 PDF Document
Swahili 1936 PDF Document

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

Harry Shapiro - Knowledge•Action•Change

No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 was the first in the series of biennial GSTHR reports. Inspired by the drug harm reduction reports of Harm Reduction International, published on a biennial basis since 2006, this landmark publication was the first to document the history and development of tobacco harm reduction, as well as the use, availability and regulatory responses to safer nicotine products around the world. This GSTHR report mapped for the first time the global, regional and national availability and use of safer nicotine products, the regulatory responses to these products, and the public health potential of tobacco harm reduction. This report explores in detail the potential of safer nicotine products to unlock a public health revolution, if and when these products are embraced globally.

The GSTHR report series is founded on the principle of harm reduction. Harm reduction refers to policies, regulations and actions focussed on reducing health risks, usually by providing safer forms of hazardous products or encouraging less risky behaviours, rather than simply banning products or behaviours. Harm reduction is a proven public health strategy.

You can find an Executive Summary of this report, containing its key findings and conclusions, at this link.

Table of contents:

Chapter 1: Introduction: tobacco harm reduction

Chapter 2: The continuing global epidemic of cigarette smoking

Chapter 3: Safer nicotine products: a global picture

Chapter 4: Consumers of safer nicotine products

Chapter 5: Safer nicotine products and consumer health

Chapter 6: Regulation and control

Chapter 7: Human rights, public health and tobacco harm reduction advocacy

The "vaping timeline" infographic can be downloaded here.

The full report is available in English and Mandarin.

English 2807 PDF Document
Chinese (Mandarin) 3299 Document
English 501 PDF Document
Chinese (Mandarin) 529 PDF Document
Chinese (Mandarin) 541 PDF Document

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.

English 2007 PDF Document
English 2037 Website page