Nicotine Science and Policy

By Harry Shapiro April 21, 2026

Harry’s blog 130: Follow the science not the money

For the sake of public health, end virtue signalling about THR funding

I arrived into the world of tobacco harm reduction (THR) from drugs and HIV harm reduction in 2015. I was invited into KAC by two valued colleagues from my previous world who were perfectly up front (and have never hidden the fact) that the funding for the organisation came from the Foundation for a Smoke Free World which in turn was funded by Philip Morris International. And the reason that they were prepared to use this money to further the cause of THR was that no other prospective funders for a harm reduction project were interested. Nobody back in the day was excited by the fact that if you could separate nicotine use from combustion the relative risk was massively reduced and the potential health gains enormous.

April 24, 2026 by planetofthevapes.co.uk

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Public Health Madness

Concerns over public health policies are intensifying as critics question the direction of nicotine regulation. A controversial report has been accused of misrepresenting scientific evidence on nicotine and its effects. Experts argue that key claims—such as equating vaping with smoking risks—are unsupported or misleading. The debate highlights tensions between regulatory approaches and harm reduction strategies, particularly in Europe. At its core lies a broader question of whether current policies are driven by evidence or ideology.


World map

9.30% of the adult population are current smokers. There are approximately 100.2 million current smokers in India 16.70% of men are current smokers but only 1.40% of women.
SOURCE: GSTHR

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April 24, 2026 by tobaccoreporter.com

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Iowa Senate Passes 5-Cent Tax on Vapes, Nicotine Products

Lawmakers in Iowa are moving to introduce a new tax on alternative nicotine products, signaling a shift in how these categories are regulated. The proposal sets a 5-cent levy on nicotine pouches and a per-milliliter tax on e-liquids used in vaping products. The measure would apply broadly across both disposable devices and refill systems, creating a more uniform approach to taxation. Supporters argue the policy is aimed at generating funding for pediatric cancer research rather than significantly reducing usage. Critics, however, question whether such a modest tax can meaningfully influence consumer behaviour or public health outcomes.


World map

14.10% of the adult population are current smokers. There are approximately 39.8 million current smokers in United States 17.10% of men are current smokers but only 11.10% of women.
SOURCE: GSTHR


April 24, 2026 by snusforumet.se

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Swedes still face 400% tax hike on pouches with EU’s latest TED revision

A newly proposed EU Tobacco Excise Directive revision suggests a 400% tax increase on Swedish nicotine pouches. Despite being lower than previous proposals, it remains a significant hike. The Swedish government and manufacturers argue that the tax treats pouches like cigarettes instead of considering their lower harm. While the compromise aims to modernize regulations for various tobacco products, Sweden's successful harm-reduction model could be compromised. Concerns about the impact on consumers and illicit trade have stalled negotiations. Swedish stakeholders are urged to resist these tax increases, emphasizing the need for a risk-based tax framework.


World map

9.90% of the adult population are current smokers. There are approximately 867,000 current smokers in Sweden 11.70% of men are current smokers but only 8.10% of women.
SOURCE: GSTHR

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April 24, 2026 by nber.org

Consumer Tobacco Product Choices in China: The Impact of a Ban on Flavored E-cigarettes

Restrictions on flavoured e-cigarettes are reshaping how consumers engage with nicotine products. Data analysed by the National Bureau of Economic Research, with a focus on China, illustrates how limits on non-tobacco flavours influence user behaviour and product choices. The findings suggest that such policies can significantly alter consumption patterns, often producing unintended effects. In some cases, reducing access to flavored alternatives may lead users back to traditional cigarettes. These insights contribute to the ongoing global debate on regulation and harm reduction strategies.


World map

24.40% of the adult population are current smokers. There are approximately 288.3 million current smokers in China 46.40% of men are current smokers but only 1.90% of women.
SOURCE: GSTHR

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April 24, 2026 by consideratepouchers.org

Fantastic Lives and Where to Ban Them: Europe’s War on Harm Reduction

Across Europe, the debate over harm reduction is becoming increasingly polarised, especially around nicotine pouches and other smoke-free alternatives. Advocates argue that these products offer real-life benefits to smokers trying to quit, pointing to examples like Sweden’s declining smoking rates. Critics, particularly within EU institutions and some national governments, are pushing for stricter regulations or outright bans. The clash highlights a deeper divide between policy-makers and consumers, with accusations that regulations ignore lived experiences and practical outcomes. At stake is not only public health strategy, but also the question of whether innovation in nicotine alternatives should be encouraged or restricted.



Blogs

Harry’s blog 130: Follow the science not the money

For the sake of public health, end virtue signalling about THR funding

I arrived into the world of tobacco harm reduction (THR) from drugs and HIV harm reduction in 2015. I was invited into KAC by two valued colleagues from my previous world who were perfectly up front (and have never hidden the fact) that the funding for the organisation came from the Foundation for a Smoke Free World which in turn was funded by Philip Morris International. And the reason that they were prepared to use this money to further the cause of THR was that no other prospective funders for a harm reduction project were interested. Nobody back in the day was excited by the fact that if you could separate nicotine use from combustion the relative risk was massively reduced and the potential health gains enormous.

Harry’s blog 129: Prohibition: the lessons we never learn

Australia’s unnecessary nicotine war lights up,

As reported on the website of ALIVE, the Australian vaping advocacy movement, “Australia's ongoing battle against tobacco has led to some of the strictest regulations in the world, particularly concerning vaping and cigarette pricing. While the government has framed these policies as necessary for public health, the unintended consequences have sparked a growing crisis.”

Harry’s blog 128: Behind the smoke and mirrors: the continuing challenge of tobacco harm reduction.

“If you assume that there is no hope, you guarantee there will be no hope”. Noam Chomsky

I recently returned from the 12th annual Global Forum on Nicotine (GFN) conference in Warsaw. My first visit was 2015 when I had just entered the tobacco harm reduction (THR) space after over thirty years spent with UK NGOs advocating for drug and HIV harm reduction – a space I still inhabit.