Burning Issues: The Global State of Tobacco Harm Reduction 2020

Harry Shapiro - Knowledge•Action•Change

Burning Issues: The Global State of Tobacco Harm Reduction 2020 is the second in our biennial GSTHR series which documents the development of tobacco harm reduction and the use, availability and regulatory responses to safer nicotine products around the world. Burning Issues picks up the story after our first GSTHR report, No Fire, No Smoke, published in 2018.

Central to this report is the universal right to health for those who for whatever reason continue to engage in risky behaviours. Harm reduction refers to a range of policies that reduce the risks associated with these behaviours, or encourage less risky behaviours, thereby enabling people to survive and live better – in this case through access to safer nicotine products (SNP) aimed at encouraging people to switch away from cigarettes, one of the most dangerous ways of consuming nicotine.

Despite a more globally hostile environment for THR, our exclusive survey of global prevalence of safer nicotine products, included in this report, estimates that the overall figure stands at approximately 98m, of whom 68m are vapers. While from a public health perspective this is good news, it still means that after more than a decade of product availability, there are only nine users of SNP for every 100 smokers.

Table of contents:

About the report

Forewords

Introduction

Chapter 1: Smoking: the slow-burning killer

Chapter 2: Market forces: products and consumers

Chapter 3: Not just the nicotine: consumers speak

Chapter 4: Clearing the smoke: safer nicotine products and health

Chapter 5: Project fear: the war against nicotine

Chapter 6: The politics of health: SNP regulation and control

Chapter 7: The right to health and the people left behind

Chapter 8: Burning issues: conclusions and recommendations

Annex: Estimation of the global number of vapers

English 5048 PDF Document
Chinese (Mandarin) 3184 PDF Document
English 2850 Website page
French 2775 PDF Document
Spanish 2596 PDF Document
Russian 2579 PDF Document

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

Harry Shapiro - Knowledge•Action•Change

Executive Summary of "No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018". The executive summary is available in Arabic, English, French, Hindi, Indonesian, Japanese, Mandarin, Polish, Portuguese, Russian and Spanish.

English 1928 PDF Document
Arabic 2041 PDF Document
Chinese (Mandarin) 2100 PDF Document
French 1893 PDF Document
Hindi 1947 PDF Document
Indonesian 2065 PDF Document
Japanese 2143 PDF Document
Polish 2158 PDF Document
Portuguese 2068 PDF Document
Russian 2145 PDF Document
Spanish 2874 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 2585 PDF Document
Chinese (Mandarin) 3231 Document
English 1448 PDF Document
Chinese (Mandarin) 1735 PDF Document
Chinese (Mandarin) 1625 PDF Document