Nicotine / THR - Statements from Organizations

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"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

International Agency for Research on Cancer

European Parliament

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

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

The Tobacco Atlas

Bill and Melinda Gates Foundation

European Respiratory Society

Center For Black Equity

Region: England, Ireland, Scotland, and Wales

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

Office for Health Improvement & Disparities

Public Health England

Royal College of Physicians

British Medical Association

Cancer Research UK

British Lung Foundation

Asthma + Lung UK

Primary Care Respiratory Society

Roy Castle Lung Cancer Foundation

British Thoracic Society

British Heart Foundation

The British Psychological Society

UK National Institute for Health and Care Excellence (NICE)

Royal College of General Practitioners

Royal Society for Public Health

UK Parliament - Science, Innovation and Technology Committee

Stroke Association

Royal College of Occupational Therapists

Action on Smoking and Health UK (ASH)

National Centre for Smoking Cessation and Training (NCSCT)

Royal college of Psychiatrists


Faculty of Public Health

Royal Pharmaceutical Society

Royal College of Midwives

Chartered Institute of Environmental Health

LGBT Foundation

UK Teratology Information Service

Centre for Mental Health

London Fire Brigade

UK National Fire Chiefs Council

Association of Directors of Public Health North East

Rethink Mental Illness

UK Centre for Tobacco and Alcohol Studies

Royal College of Nursing

Heart UK

Association of Directors of Public Health

College of Mental Health Pharmacy

Fresh North East

Healthier Futures

Mental Health Foundation

Mental Health Nurses Association

London Tobacco Alliance

Mental Health Providers Forum

Stop Smoking London

Public Health Action

North East North Cumbria ICB Smokefree

Smokefree Sheffield

Smokefree Yorkshire & Humber

Hertfordshire County Council

Camden and Islington Public Health

Sheffield Clinical Commissioning Group

Unite in Health

Public Health Nottinghamshire County

Sheffield City Council

Tobacco Control Collaborating Centre

York Mental Health & Addictions Research Group


Sheffield Children’s

Oral Health Foundation

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

Drug Science UK

Men's Health Forum UK

Community Pharmacy Sheffield

Sheffield Teaching Hospitals

Zest Community Centre

Sheffield Health and Social Care

diva Sheffield

Scottish Government

Scottish Directors of Public Health

Scottish Health Promotion Managers

National Health Service Scotland

Action on Smoking and Health Scotland

NHS Lothian

NHS Ayrshire and Arran - Scotland

NHS Glasgow and Clyde - Scotland

Scottish Collaboration for Public Health Research and Policy

Chest Heart & Stroke Scotland

NHS Tayside

Royal College of Physicians and Surgeons of Glasgow

Royal College of Physicians of Edinburgh

Royal Environmental Health Institute of Scotland

Scottish Consultants in Dental Health

Scottish Thoracic Society

University of Edinburgh

University of Stirling

Health Information and Quality Authority (Ireland)

Irish Cancer Society

The Chartered Institute of Personnel and Development

Irish Heart Foundation

Health and Safety Executive

ASH Ireland

Health Service Executive

Men’s Development Network

Dental Health Foundation - Ireland

Mental Health Ireland

Irish Medical Organisation

Irish Pharmacy Union

Men's Health Forum - Ireland

Public Health Wales

South East Tobacco Control Network

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

Therapeutic Goods Administration (Australia)]

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 and polycyclic aromatic hydrocarbons (PAHs, Section 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)

Royal Australasian College of Physicians

Drug and Alcohol Nurses of Australasia


Belgian Superior Health Council

“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]


Government of Canada

Health Canada

“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)

“​​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

England (See Region: England, Ireland, Scotland, and Wales)


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)

“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.”


German Federal Institute for Risk Assessment

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

“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.”

Ireland (See Region: England, Ireland, Scotland, and Wales)

Isle of Man

Public Health Isle of Man

“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.”


Fondation Cancer

“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]


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

“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


House of Representatives Philippines



2023: Polish Psychiatric Association

Scotland (See Region: England, Ireland, Scotland, and Wales)

United Kingdom (See Region: England, Ireland, Scotland, and Wales)

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



Uruguayan Council of Ministries


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

British Society of Periodontology and Implant Dentistry

2023: Association of Directors of Public Health North East Position Statement on Nicotine Vaping September 2023

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 email screenshot
The FDA regulates the manufacture, distribution, and marketing of tobacco products, such as cigarettes, cigars, and e-cigarettes (sometimes called “vapes”). The FDA has the legal authority to regulate tobacco products containing nicotine from any source, including synthetic nicotine. Here are some facts to help dispel common myths about ecigarette use, which is commonly referred to as “vaping.” Fact: In general, different types of tobacco products pose different levels of risk to people’s health. More Information: Tobacco products that are smoked – such as cigarettes – generally pose the greatest risk to your health. Cigarette smoke contains more than 7,000 chemicals, about 70 of which are linked to cancer. Tobacco products that are not smoked generally contain lower levels of harmful chemicals linked to cancer. Bottom Line: While e-cigarette aerosol generally contains lower levels of harmful chemicals than cigarette smoke, no tobacco products are safe. Fact: E-cigarettes contain nicotine, which is highly addictive and can disrupt adolescent brain development. More Information: The younger a person is when they start using tobacco products, the more likely they are to become addicted. Because their brains are still developing, young people have a higher risk of becoming addicted to the nicotine in tobacco products than adults. Bottom Line: Youth should not use any tobacco product, including e-cigarettes. Fact: The FDA does not “approve” tobacco products for sale in the U.S. More Information: To legally sell or distribute a new tobacco product in the U.S., manufacturers must receive authorization from the FDA. A marketing authorization does not indicate that the tobacco product is either safe or “approved.” It means that the manufacturer has complied with the requirements under the law to bring its product to market. Bottom Line: There is no such thing as a safe tobacco product, so the FDA’s safe and effective standard for evaluating medical products does not apply to tobacco products. Fact: In general, transitioning completely from using cigarettes to an e-cigarette would reduce the risk of exposure to harmful chemicals. More Information: Switching completely to e-cigarettes can reduce health risks among adults who smoke. But continued use of both products (“dual use”) does not meaningfully reduce one’s risk. Bottom Line: For an adult who smokes to benefit from ecigarette use, they have to transition completely from cigarettes to e-cigarettes.
FDA facts about e-cigs email sent 19 sept 2023 particularly page 3