“Saving lives requires bold action. Let us unite in our commitment to a smoke-free future – one where harm reduction leads the way.” – Dr Derek Yach
In April, the World Health Organisation (WHO) was implored to adopt cigarette alternatives that could save the lives of 100 million current smokers.
Global health consultant Dr Derek Yach – tobacco harm reduction (THR) advocate and head of the WHO’s Tobacco Free Initiative when the Framework Convention on Tobacco Control (FCTC) was developed – noted the concerning fact that the FCTC has not kept pace with scientific and technological advancements.
More than 120 million smokers worldwide employ safer alternatives (such as e-cigarettes, oral nicotine pouches and heated tobacco products) in their efforts to avoid smoking combustible cigarettes. According to the WHO report on the global tobacco epidemic, 2023, these alternatives are more effective in quitting attempts than traditional nicotine-replacement therapy.
Unfortunately, the FCTC’s emphasis on bans, prohibitions and regulations frustrates effective quit attempts by hindering millions of tobacco users in their access to safer alternatives. “It is time to recognise their potential and prioritise harm reduction,” urges Dr Yach.
Writing to The Lancet in response to the 2023 article, The 20th anniversary of the WHO Framework Convention on Tobacco Control: hard won progress amid evolving challenges, Dr Yach proposes a three-point plan to potentially prevent 100 million premature tobacco-related deaths between 2025 and 2060:
- Incorporate THR: The FCTC should not only recognise the role of safer alternatives in reducing harm but also promote them.
- Balanced regulation: Regulation should not stifle innovation or limit access to safer products.
- Science-based policies: To foster independence and informed choices, evidence must form the basis of government policy.
Dr Yach emphasises, “The WHO must adapt swiftly to the changing landscape of tobacco use and embrace innovative strategies to protect public health.”
