Progressive regulation of THR products: A path to a smoke-free Pakistan

Progressive regulation of smokeless products such as oral nicotine pouches, Heated Tobacco Products (HTPs), and vapes has emerged as a powerful tool in the global fight against smoking.

Countries like Sweden and the United Kingdom have demonstrated how adopting harm-reduction strategies can lead to significant declines in smoking rates.

For Pakistan, where smoking-related illnesses claim over 160,000 lives annually, these examples offer a blueprint for a transformative approach to tobacco control.

Countries that have embraced Tobacco Harm Reduction (THR) strategies have reaped remarkable outcomes. New Zealand, for instance, initially pursued its smoke-free goal through an all-out ban strategy but saw limited success.

It was only after incorporating THR products into its framework that the country made significant progress. By adopting a comprehensive, risk-proportionate approach, New Zealand reduced adult daily smoking from 13.3% in 2017-2018 to 6.8% in 2022-2023 – a staggering 49% decrease in just five years.

Sweden stands out as the world’s first smoke-free country, with a smoking prevalence of just 4.5%. This achievement is attributed to its widespread adoption of snus and oral nicotine pouches, both regulated as part of a broader harm reduction strategy.

Sweden’s progressive policies have not only reduced smoking rates but also established a global benchmark for effective tobacco control.

Japan provides another compelling case study. By promoting informed decision-making and providing access to Heated Tobacco Products, the country has successfully supported adult smokers in transitioning away from smoking.

This approach has contributed to a 44% reduction in smoking rates within five years, underscoring the potential of THR strategies when backed by strong regulatory frameworks.

For Pakistan, a science-based regulatory framework tailored to the country’s unique needs could make smoke-free alternatives widely accessible. Such a framework would ensure that adult smokers have practical options to reduce harm, helping to alleviate the economic and health burdens caused by smoking.

Key regulatory measures should include quality control, strict age restrictions, and comprehensive consumer education.

By modeling its regulations after successful examples, Pakistan can modernize its tobacco control policies. This progressive approach has the potential to save lives.