Nicotine / THR - Statements from Organizations

Safer nicotine wiki Tobacco Harm Reduction
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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
























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

Source


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


House of Commons Science and Technology Committee (UK)


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



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

Therapeutic Goods Administration (Australia)]

Australia and New Zealand

Belgium

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]

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).

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


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

France

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.”

Germany

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.”

Luxembourg


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]

Malaysia



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

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


Philippines


2018


Poland


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


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


United States

US Food & Drug Administration #1 #2 #3

2022


Uruguay


2021


Wales (See Multinational pt. 2/United Kingdom)


Suggestions to add to this page

  • 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.