Despite aspirations to be smoke-free, Malaysia struggles with high smoking rates and lacks clear harm reduction strategies, unlike successful models like Sweden and the UK. Embracing proven harm reduction tools, such as vaping, could help Malaysia combat smoking-related deaths and health costs. By focusing on science-based and compassionate approaches, policymakers can lead the country towards a healthier, smoke-free future. It's crucial to shift the narrative around alternatives like vaping, enforce regulations, educate the public, and support smokers in quitting. Following successful international examples, Malaysia can make progress in reducing smoking prevalence and improving public health outcomes.

The concept of the "blank slate" from Stephen Pinker's book questions if human nature is determined by genetics or environment. The text critiques the overemphasis on extrinsic factors in behavioral health research, neglecting intrinsic factors like risk tolerance or personal preferences. Examples in tobacco control and health policy illustrate the bias towards modifiable external influences. The focus on extrinsic factors leads to incomplete science, ineffective public health strategies, and undermines personal agency. Acknowledging both intrinsic and extrinsic factors is crucial for a comprehensive understanding of behavior and designing successful interventions.

Vaping, marketed as a safer alternative to smoking, poses risks, especially for young people. Columbia doctors emphasize vaping's impact on lungs, heart, and brain, noting potential long-term consequences. The addictive nature of nicotine in e-cigarettes alters the brain's reward system, increasing susceptibility to substance abuse. Parents are advised to initiate open discussions with children about vaping, addressing the dangers and addiction potential. Monitoring subtle cues and maintaining ongoing dialogue can help prevent vaping initiation among teens.

The text discusses the Generational Tobacco and Vapes Bill in the House of Lords and questions the need for the proposed ban on smoking among young people. Data shows a significant decline in smoking rates among the youth due to factors such as increased prices of tobacco and the popularity of vape products. The ban is deemed unnecessary as smoking rates are already decreasing, and the shift towards harm reduction products like vapes is increasing. Enforcing the ban would be costly and potentially ineffective, as evidenced by rising black market activity. Overall, the ban is criticized as unnecessary and costly, given the existing decline in smoking rates.

Nicotine vapes are more effective at helping people quit smoking than traditional nicotine replacement products. A scientific review analyzed 104 studies involving over 30,000 participants and found that vaping with nicotine is more successful in smoking cessation. There were no significant differences in side effects among the groups. Regulated nicotine vapes showed no evidence of serious harm; however, longer-term studies are needed for further evaluation. Public health agencies support nicotine vapes as a harm-reduction measure for adult smokers, emphasizing proper regulation and cautioning against non-smoker use, particularly by young individuals. Future research will focus on addressing gaps in evidence and ensuring safety in vaping practices.

Veterans have high smoking rates, leading to increased healthcare costs and mortality. Although the VA offers smoking cessation programs, many veterans struggle to quit, especially those with PTSD. Despite FDA support for harm reduction with e-cigarettes and nicotine pouches, the VA has been slow to endorse these options. Some veterans are independently turning to reduced-risk products to quit smoking. Experts within the VA are advocating for harm reduction strategies, citing success in reducing smoking rates. Official VA guidance on harm reduction is lacking, but embracing reduced-risk products could further reduce smoking rates, save lives, and cut costs, benefiting veterans' health and well-being.

The World Health Organization is no longer just fighting smoking—it’s waging an ideological war against nicotine itself. In this blistering interview, former WHO official Professor Tikki Pang exposes how the global health establishment has become evidence-blind, influenced by Bloomberg funding, and driven by a moral crusade that erases the distinction between smoking and safer alternatives. From “harm is harm” rhetoric to regulatory capture, Pang warns that WHO’s stance is fueling misinformation, stifling science, and putting millions of lives at risk.