Recently, David Sweanor, a tobacco harm reduction expert and chairman of the Advisory Committee of the Centre for Health Law, Policy and Ethics at the University of Ottawa in Canada, made a speech at the 4th Asian Harm Reduction Forum. He listed the progress of tobacco control in Canada, Japan, Iceland, Sweden and other countries, and confirmed that promoting harm reduction products such as e-cigarettes to smokers will have a positive impact on reducing tobacco sales and smoking rates.

Many experts and scholars participating in the forum are supporters of the tobacco harm reduction strategy, that is, through the promotion of harm reduction products such as e-cigarettes, to provide smokers with the opportunity to quit smoking, reduce harm, and reduce the harm of tobacco.

According to David Sweanor, the Canadian government has adopted a tobacco harm reduction strategy to promote domestic tobacco control progress. The official website of the Canadian government cited a number of authoritative research reports detailing the smoking cessation and harm reduction potential of e-cigarettes, and clearly pointed out that switching to e-cigarettes for smokers will reduce exposure to harmful substances and improve overall health. At the same time, the website also emphasized that there is conclusive evidence that e-cigarettes can greatly improve the success rate of smokers to quit smoking.

According to the Canadian Tobacco and Nicotine Survey, the smoking rate of Canadians aged 20 to 30 dropped from 13.3% to 8% from 2019 to 2020 since the government adopted a tobacco harm reduction strategy and popularized e-cigarettes among the public.

In addition to Canada, David Sweano has previously led a survey report on changes in cigarette sales in Japan. The survey compared the trend of cigarette sales in Japan from 2011 to 2019. The results showed that before 2016, the decline rate of cigarette sales in Japan was "slow and stable", and at the end of 2015, after the popularity of heat-not-burn and other harm reduction products in Japan , the rate of decline in cigarette sales increased fivefold.

David Sweano sees the change as a sign of Japan's success in reducing the harm of tobacco. "Cigarette sales in Japan fell by a third in a very short period of time. And this was not done through coercive measures, just because smokers had a viable alternative to harm reduction."

For some countries that are opposed to harm reduction products such as e-cigarettes, David Sweanor suggested that these countries can learn more from countries such as the United Kingdom and Sweden.

In the UK, e-cigarettes are the most popular smoking cessation and harm reduction products. The government is promoting the inclusion of e-cigarettes in health insurance to ensure that smokers of different incomes and classes can use the products to quit smoking. Similarly, Sweden, Norway, and Iceland have been working on promoting smokers to switch to harm reduction products in recent years. Among them, after Iceland allowed the sale of e-cigarette products, the smoking rate has dropped by about 40% in just three years.

"As we all know, people smoke for nicotine, but die from tar. Now that safer nicotine products have emerged, if the regulatory policies of various countries can be oriented to persuade smokers to switch to harm reduction products such as e-cigarettes, to ensure that harm reduction products are Normal sale will hopefully greatly improve the public health environment through this science and technology." David Sweanor said.

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