Nicotine / THR - Statements from Organizations

"Tobacco Harm Reduction = SAFER than smoking"
The items list below may also be found on this Google Doc

Multinational / International

World Health Organization EURO Office

• Source

International Agency for Research on Cancer

• Source

European Parliament

• Source

SCENIHR - European Commission Directorate-General, Health & Consumer Protection

• Source

Cochrane systematic evidence review

• Source / 78 scientific studies (including >34 randomized control trials) involving 22,052 participants in a dozen countries.

15 past presidents of the Society for Research on Nicotine and Tobacco (SRNT)

• Source NOTE: This is not a statement by the SRNT.

World Heart Federation

• Source

The Tobacco Atlas

• Source / Vital Strategies was formed out of a merger between World Lung Foundation and The Union.

Bill and Melinda Gates Foundation

• Source

European Respiratory Society

• Source

Center For Black Equity

• Source

Region: England, Ireland, Scotland, and Wales

UK Department of Health, Towards a Smokefree Generation - A Tobacco Control Plan for England

• Source

Office for Health Improvement & Disparities

• (Source)

Public Health England

• Source

Royal College of Physicians

• Source

British Medical Association

• Source

Cancer Research UK

• Source

British Lung Foundation

• Source

Asthma + Lung UK

• Source

Primary Care Respiratory Society

• Source

Roy Castle Lung Cancer Foundation

• Source

British Thoracic Society

• Source

British Heart Foundation

• Source

The British Psychological Society

• Source

UK National Institute for Health and Care Excellence (NICE)

• Source

Royal College of General Practitioners

• Source

Royal Society for Public Health

• Source

UK Parliament - Science, Innovation and Technology Committee

• Source

Stroke Association

• Source

Royal College of Occupational Therapists

• Source

Action on Smoking and Health UK (ASH)

• Source

National Centre for Smoking Cessation and Training (NCSCT)

• Source

Royal college of Psychiatrists

Source

Faculty of Public Health

• Source

Royal Pharmaceutical Society

• Source

Royal College of Midwives

• Source

Chartered Institute of Environmental Health

• Source

LGBT Foundation

• Source

UK Teratology Information Service

• Source

Centre for Mental Health

• Source

London Fire Brigade

• Source

UK National Fire Chiefs Council

• Source

Association of Directors of Public Health North East

• Source

Rethink Mental Illness

• Source

UK Centre for Tobacco and Alcohol Studies

• Source

Royal College of Nursing

• Source

Heart UK

• Source

Association of Directors of Public Health

• Source

College of Mental Health Pharmacy

• Source

Fresh North East

• Source

Healthier Futures

• Source

Mental Health Foundation

• Source

Mental Health Nurses Association

• Source

London Tobacco Alliance

• Source

Mental Health Providers Forum

• Source

Stop Smoking London

• Source

Public Health Action

• Source

North East North Cumbria ICB Smokefree

• Source

Smokefree Sheffield

• Source

Smokefree Yorkshire & Humber

• Source

Hertfordshire County Council

Source

Camden and Islington Public Health

• Source

Sheffield Clinical Commissioning Group

• Source

Unite the Union in Health

• Source

Public Health Nottinghamshire County

• Source

Sheffield City Council

• Source

Tobacco Control Collaborating Centre

• Source

York Mental Health & Addictions Research Group

• Source

Sheffield Children’s

• Source

Oral Health Foundation

• Source (Formerly known as the British Dental Health Foundation)

Drug Science UK

• Source

Men's Health Forum UK

• Source

Community Pharmacy Sheffield

• Source

Sheffield Teaching Hospitals

• Source

Zest Community Centre

• Source

Sheffield Health and Social Care

• Source

diva Sheffield

• Source

Scottish Government

• Source

Scottish Directors of Public Health

• Source

Scottish Health Promotion Managers

• Source

National Health Service Scotland

• Source

Action on Smoking and Health Scotland

• Source

NHS Lothian

• Source

NHS Ayrshire and Arran - Scotland

• Source

NHS Glasgow and Clyde - Scotland

• Source

Scottish Collaboration for Public Health Research and Policy

• Source

Chest Heart & Stroke Scotland

• Source

NHS Tayside

• Source

Royal College of Physicians and Surgeons of Glasgow

• Source

Royal College of Physicians of Edinburgh

• Source

Royal Environmental Health Institute of Scotland

• Source

Scottish Consultants in Dental Health

• Source

Scottish Thoracic Society

• Source

University of Edinburgh

• Source

University of Stirling

• Source

Health Information and Quality Authority (Ireland)

• Source

Irish Cancer Society

• Source

The Chartered Institute of Personnel and Development

• Source

Irish Heart Foundation

• Source

Health and Safety Executive

• Source

ASH Ireland

• source

Health Service Executive

• Source

Men’s Development Network

• source

Dental Health Foundation - Ireland

• Source

Mental Health Ireland

• Source

[

Irish Pharmacy Union

• Source

Men's Health Forum - Ireland

• Source

Public Health Wales

• Source

Action on Smoking and Health (ASH) Wales Cymru

• Source

Yorkshire Cancer Research

• Source

South East Tobacco Control Network

• Source

Healthy Surrey

• Source

Australia (See Also: "Australia and New Zealand")

Therapeutic Goods Administration (Australia)]

• Source

The Royal Australian College of General Practitioners +14 Endorsements

Commonwealth Scientific and Industrial Research Organisation (Australia)

Cancer Council - Victoria

• Source
• E-cigarettes may be beneficial for individuals who smoke and use them to quit smoking completely.
• E-cigarette aerosols contain considerably lower amounts of harmful and toxic chemicals compared to conventional cigarette aerosols. An extensive study from 2021 tested carbonyl compounds (including aldehydes such as acetaldehyde and formaldehyde, Section 12.4.3.2) and polycyclic aromatic hydrocarbons (PAHs, Section 12.4.3.6) levels in e-cigarette compared to conventional cigarette and heated tobacco products aerosols. Among the 19 carbonyl compounds tested, 17 were lowest in e-cigarette aerosols. Among the 22 PAHs that were detected, 21 were lowest in e-cigarette aerosols compared to conventional cigarette and heated tobacco products. When comparing average levels of all the compounds in each class, e-cigarettes had a 99% reduction per puff of carbonyl compounds compared to conventional cigarettes, and a 98% reduction per puff of PAHs, many of which are known causes of cancer.

Australia and New Zealand

Royal Australian & New Zealand College of Psychiatrists (RANZCP)

• Source
• NOTE: New Statement 2023 (current graphic from old statement) E-cigarettes and vaporisers

Royal Australasian College of Physicians

Drug and Alcohol Nurses of Australasia

Belgium

Belgian Superior Health Council

• Source

“Yes, the e-cigarette has its risks, but is clearly less harmful than a traditional tobacco cigarette. According to the Council, the e-cigarette can therefore be a tool to give up tobacco completely.” [Google Translate]

Canada

Government of Canada

Health Canada

• Source

“If you are an adult that currently smokes, switching completely to vaping is a less harmful option than continuing to smoke. …Vaping is not known to cause Popcorn lung.” (January 2023) “While vaping products are not harmless, vaping exposes people who smoke to lower levels of harmful chemicals than continuing to smoke.” Statement from Minister of Health (January 16 2023).

Canadian Heart & Stroke Foundation

Centre for Addiction and Mental Health +3 organizations - Canadian Lower-Risk Nicotine Use Guidelines (LRNUG)

• Source

“​​Funded by Health Canada’s Substance Use and Addictions Program, the LRNUG has developed several resources to help guide people who use, or are thinking about using nicotine, on how to lower the risk associated with these products. ...E-cigarettes with nicotine may be an effective cessation aid for people who use combustible tobacco. People who switch from combustible tobacco to e-cigarettes will reduce their exposure to numerous toxicants and carcinogens.” Quick Tips: “Using tobacco in forms that don’t burn, like smokeless tobacco or heat-not-burn products, will reduce your exposure to harmful combusted chemicals including carbon monoxide. [You can] further reduce your risk by switching to products that don’t have tobacco like NRT [e.g., nicotine patches or nicotine gum] or e-cigarettes.” Statement by: CAMH - Centre for Addiction and Mental Health, Pharmacists for a Smoke-free Canada, The Ontario Tobacco Research Unit, Centre for Effective Practice

Canadian Cancer Society

Canadian Lung Health Foundation

France

French National Academy of Medicine

French National Cancer Institute

French High Council for Public Health

French National Academy of Pharmacy

Collège de la médecine générale (College of General Medicine)

• Source

“Concerning the electronic cigarette, we consider it as a risk reduction tool and believe that we should not discourage the smoking patient who is learning to vape with a view to weaning [reducing smoking] by indicating to him that it is necessary to avoid the use concomitant cigarette/e-cigarette.”

Germany

German Federal Institute for Risk Assessment

German Society of Addiction (Deutsche Suchtgesellschaft – Dachverband der Suchtfachgesellschaften)

• Source

“In general, one can assume that the vapor from an e-cigarette is much less harmful than conventional cigarette smoke and that the e-cigarette can be used for nicotine withdrawal if guideline-based psychotherapeutic and/or drug treatments for nicotine withdrawal are ineffective or unwanted.”

Isle of Man

Public Health Isle of Man

• Source and Source #2

“E-cigarettes can be a particularly helpful way to stop smoking tobacco especially when combined with a specialist face to face support. Although experts say they are not entirely risk free, they are at least 95% less harmful than tobacco.”

Luxembourg

Fondation Cancer

• Source

“The electronic cigarette … does not contain tobacco. The vapor produced does not contain carbon monoxide or carcinogenic substances in significant quantities. Despite a lack of long-term scientific studies, it probably presents a reduced risk compared to tobacco (if not combined with cigarettes). …In general, we recommend that you vape with the most concentrated liquid possible, in order to reduce your consumption of liquid and therefore your exposure to inhaled substances.” [emphasis in original] [Google Translate]

Malaysia

Federation of Private Medical Practitioners' Associations, Malaysia

New Zealand (See Also: "Australia and New Zealand")

New Zealand Ministry of Health

Official New Zealand Ministry of Health Position Statement

• Source

“Vaping is not harmless but it is much less harmful than smoking. Vaping has the potential to help people quit smoking and contribute to New Zealand’s Smokefree 2025 goal.” Organizations that support this statement include: Health Promotion Agency/Te Hiringa Hauora (HPA), Hāpai te Hauora/Māori Public Health, New Zealand Medical Association (NZMA), Action for Smokefree 2025 (ASH), National Training Service (NTS), All District Health Boards, Pharmacy Guild of New Zealand, New Zealand Heart Foundation, New Zealand College of Midwives, Parents Care Centre

New Zealand Medical Association

New Zealand Pharmacy Council

Cancer Society of New Zealand

New Zealand Heart Foundation

Asthma & Respiratory Foundation NZ

Health Navigator NZ

Quitline NZ

Philippines

House of Representatives Philippines

2018

United States

Center for Critical Public Health

American Association of Public Health Physicians

American College of Preventive Medicine

American Academy of Otolaryngology-Head and Neck Surgery

American Society of Addiction Medicine

Substance Abuse and Mental Health Services Administration

US National Academies of Sciences, Engineering and Medicine

US Food & Drug Administration #1 #2 #3

National Institute on Drug Abuse

US Centers for Disease Control

Truth Initiative

Campaign for Tobacco-Free Kids (CTFK)

American Association for Cancer Research and American Society of Clinical Oncology

American Cancer Society

American Heart Association

Eau Claire, WI Health Department

2022

Uruguay

Uruguayan Council of Ministries

2021

Wales (See Multinational pt. 2/United Kingdom)

Important! Instructions to page editors:

1 meme for each org, with a link saved on wayback machine of the source so anyone can verify it was said.

Updated information e.g. better quotes to use may be left in the suggestions section below:

Suggestions to add to this page

2023: In Italy banning smoking has not worked. How crucial are new nicotine-delivery devices in reducing tobacco-related health risk?

• Many European authorities, such as the German Federal Risk Assessment Institute and the

Federal Centre for Health Education in Germany, the National Institute for Public Health and the Environment (Netherlands), and the UK Committees of Toxicity, Mutagenicity, and Carcinogenicity of Chemicals in Food, Consumer Products, and the Environment, focused on the importance of e-cigarettes and heated tobacco as a safe alternative compared to burning cigarettes.

2023: Page 3 of this email from FDA screenshot included below, as well as PDF of the full mail (preserving blue links to the FDA website)

FDA email screenshot

FDA facts about e-cigs email sent 19 sept 2023 particularly page 3