Pakistan faces a severe smoking crisis, with 31 million smokers and over 160,000 annual deaths from smoking-related illnesses. Despite strict tobacco control policies, smoking rates remain high. Tobacco harm reduction (THR) offers a practical solution for smokers unwilling to quit by reducing health risks through alternative products. Globally, 144 million people have switched to better alternatives. Proper regulation of these new products ensures effectiveness, accurate labeling and prevents consumers from turning to unregulated options. Many counties have already adopted this approach
Sadly, in my opinion, Pakistan is not one of them. While products like oral nicotine pouches, heated tobacco products (HTPs), and vapes exist in Pakistan, restrictive measures hinder their acceptance. Many groups overlook evidence that it is combustion and not nicotine that causes the most harm. Eliminating combustion significantly reduces exposure to harmful substances. A scientifically informed approach could help Pakistan address its smoking crisis more effectively.
Syed Muhammad Hani
Karachi
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