Post featured image

Tobacco harm reduction: a global health coup…except in Australia

Posted on March 4, 2019

ATHRA is proud to support the Australian launch of 'No Fire, No Smoke, the Global State of Tobacco Harm Reduction', which is being held this week.

ATHRA director Dr Joe Kosterich is speaking at the launch event on Tuesday 5 March at Parliament House in Melbourne and Colin Mendelsohn is addressing the Sydney meeting at NSW Parliament House on Thursday 7 March. Also speaking will be Harry Shapiro, the report author, and Dr Marewa Glover, a leading tobacco harm reduction advocate from New Zealand.

For the first time, the GSTHR report maps the global availability and use of safer nicotine products and the public health potential of tobacco harm reduction. Safer nicotine products include vaporisers, Swedish snus and heated tobacco.

According to the report:

'Safer nicotine products have the potential to be one of the most dramatic public health coups of modern times'

The tobacco cigarette is the most dangerous way of consuming nicotine as it is delivered with thousands of chemicals from burning tobacco. Safer nicotine products deliver nicotine without the smoke. While they are not risk-free, they are far safer than smoking.

Vaping has not been found to cause any serious harm to individuals or society. 'Isn't this just a pleasurable habit?' the report asks, 'and how is that a public health concern? There are no significant short or long-term effects from using nicotine'.

'Quit or die' is no longer the only choice for smokers. Tobacco harm reduction offers an alternative in most countries

But not in Australia. Australia is the only affluent western nation to effectively ban vaping. Vaping is legal and widely available in the UK, US, NZ, Canada and the 27 countries of the European Union.

This effectively denies Australian smokers access to safer alternatives that would help them avoid disease and an early death and would reduce the harm to bystanders caused by smoking.

This is especially unfair as smoking rates are highest and quit rates lowest in population groups that are already disadvantaged, low income groups, people with mental illness or substance use and Indigenous people.

Australian smokers should be free to choose a far less harmful, potentially lifesaving option which harms no-one else and involves no cost to governments

According to the report, in Australia, 'there is an over-cautious approach among many public health and medical professionals who warn against safer nicotine products because there is not enough evidence'. But ‘because we don’t know everything, doesn't mean we don’t know anything’.

It is time Australia caught up with other similar countries and allowed smokers legal access to these lifesaving products.

Posted by Colin Mendelsohn,

Leave a Reply

Your email address will not be published. Required fields are marked *

3 Replies to “Tobacco harm reduction: a global health coup…except in Australia”

Jeannie Cameron

And even where there is scientically accepted evidence in abundance in relation to reduced risk, such as with Swedish Snus, it is ignored by regulators and the safer product banned. Saying more evidence is needed is one thing,, what do governments mean by saying they need more evidence when they ignore it when they have it?


Snus is linked to mouth cancer. It reduces the risk of lung cancer but increases the risk of mouth cancer almost 210 fold. Look at the stats from tobacco-related cancers in Nordic countries. We will never legalize snus (just like smokeless cigarettes) are they are still harmful and our tobacco laws prevent the introduction of any new tobacco product. These laws are common in almost all countries


Might want to revisit this article. Legalization is coming to Australia in Jan 2021, but will be classified as an S4 medicine under the special medicines scheme, until more research comes forward. I quit smoking by using the e-cigg and I work in the health industry and there is a massive amount of research taking place from damage to lungs, to the possible damage to enamel on your teeth. The process is slow, but that's the government. UK trials are the reason we have gone to legalize it as an S4 medication for people wishing to quit smoking.

Social media

Go to Top