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

Multinational pt. 1/International

World Health Organization EURO Office

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. This 2022 update replaces their 2021 evidence review, based on 61 studies, which found “moderate certainty evidence.”

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

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

The Tobacco Atlas

The Tobacco Atlas is a collaborative publication by Vital Strategies & Tobacconomics at the Institute for Health Research and Policy.
Vital Strategies was formed out of a merger between World Lung Foundation and The Union.
Source

Multinational Pt. 2 - United Kingdom (Or any of the following individually: England, Ireland, Scotland, Wales)

Office for Health Improvement & Disparities (UK)

8th evidence review of nicotine vaping in England

National Institute for Health and Care Excellence

Royal College of General Practitioners (UK)

Royal College of Psychiatrists

Royal Society for Public Health

UK Teratology Information Service

The British Psychological Society #1 #2

Action on Smoking and Health UK

National Centre for Smoking Cessation and Training

UK Centre for Tobacco and Alcohol Studies

House of Commons Science and Technology Committee (UK)

Primary Care Respiratory Society

This document has been endorsed by the following members of the Mental Health and Smoking Partnership

Statement on the dangers posed by e-cigarettes

Drug Science UK

Health Information and Quality Authority (Ireland)

Irish Heart Foundation, Irish Cancer Society +7 Endorsements

National Health Service Scotland +19 Endorsements

Health Service Executive Ireland - #1 and #2

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)

Australia and New Zealand

Royal Australian & New Zealand College of Psychiatrists (RANZCP)

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

England (See Multinational pt. 2/United Kingdom)

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.”

Ireland (See Multinational pt. 2/United Kingdom)

Isle of Man

Scotland (See Multinational pt. 2/United Kingdom)

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

Campaign for Tobacco-Free Kids (CTFK)

"Smoking rates are dropping, thanks to price increases associated with tobacco taxes, smoking bans, and other evidence-based practices outlined in the WHO Framework Convention on Tobacco Control.Even if these practices are scaled up, however, millions of smokers will still suffer death, disease, and disability. Alternative tobacco products, including e-cigarettes, aren’t harmless, but they may be less harmful. We need to understand whether they could change the course of the smoking epidemic without addicting youth.”

2021: The Sheffield Tobacco Control Board Policy Position on electronic-cigarettes (also known as vaping)

2022: Physician's Research Institute

While abstinence from tobacco use is the ideal, the next-best result, for individuals who can’t or don’t want to quit nicotine, is movement down the continuum of risk: away from combusted tobacco to a less harmful product. One possible alternative: E-cigarettes.

Nicotine / THR - Statements from Organizations