Stories

A new randomised controlled trial involving 1,170 adults has found that e-cigarettes can help smokers quit even without specialist behavioural support.

Published in NEJM Evidence, the study found that 11.3% of participants receiving e-cigarettes alone stopped smoking for six months, compared with 6.4% receiving automated NHS cessation messages. Adding telephone counselling increased the quit rate to 21.1%.

The findings reinforce the role of vaping as an effective smoking cessation tool, while highlighting the additional benefits of behavioural support. Making both options accessible could help more adults move away from combustible tobacco.

The scale of Britain's illicit cigarette market is under renewed scrutiny, with Action on Smoking and Health (ASH) challenging industry-funded estimates that suggest 45% of cigarettes consumed are illegal, compared with HMRC's estimate of 12%.

ASH argues that illicit cigarette consumption has declined substantially despite rising tobacco taxes, while critics question the reliability of official figures.

The disagreement highlights the importance of transparent, independent data in tobacco policy. Effective regulation must address illicit trade while supporting smoking cessation and ensuring that adults retain access to regulated, lower-risk nicotine alternatives.

Arizona's adult smoking rate has fallen to a historic low of 7.7%, while vaping now exceeds smoking among adults for the first time. At the same time, youth vaping has declined substantially over the past decade, according to newly released survey data.

These trends suggest that declining youth nicotine use and greater adoption of smoke-free alternatives among adults can occur simultaneously, although they do not establish a causal relationship.

As Arizona considers further nicotine regulations, the findings highlight the importance of protecting young people while recognising the potential role of vaping in helping adults move away from combustible cigarettes.

Scientific research on smoke-free nicotine products continues to advance, even in countries where these products face restrictions or outright bans.

Singapore, Thailand and Australia continue to examine consumer behaviour and regulatory outcomes, while research from Japan and the United States is contributing to a better understanding of toxicant exposure and potential health effects.

For Vietnam, these international experiences highlight the importance of ongoing scientific evaluation. Distinguishing between nicotine products, assessing relative risks and monitoring real-world outcomes can support more informed tobacco control policies without overlooking the uncertainties surrounding long-term health effects.

Ireland's proposed vape flavour restrictions have cleared their final Seanad stages, despite warnings from retailers and former smokers about their potential consequences.

The legislation would restrict permitted flavour names to tobacco and unflavoured, with an amendment to retain menthol defeated. Combined with a planned 40% increase in e-liquid duty from January 2027, the measures could make vaping less affordable and appealing to adults who have already quit smoking.

While preventing youth uptake remains essential, policymakers must also consider the risk of smoking relapse and the potential impact on independent vape retailers. Effective tobacco control should protect young people without undermining progress towards a smoke-free society.

The EU's latest tobacco tax proposal could introduce a minimum excise duty on nicotine pouches more than four times Sweden's current rate by 2032.

Under the draft agreement, taxation would increase progressively from 2028, potentially affecting the affordability of smoke-free nicotine alternatives across Europe. Sweden has raised objections, arguing that taxation should reflect differences in product risk.

The proposal raises important questions for tobacco harm reduction. Higher taxes on lower-risk products could weaken financial incentives for smokers to switch, highlighting the need for a risk-proportionate approach to nicotine taxation.

Belgium has postponed its planned ban on smoking and vaping on café and restaurant terraces, originally scheduled for January 2027, following objections from the Council of State and concerns raised by the hospitality sector.

The delay gives policymakers an opportunity to reconsider how restrictions on smoking and vaping are applied. Protecting people from second-hand smoke remains an important public health objective, but regulation should also recognise differences in exposure and risk between combustible cigarettes and smoke-free alternatives. A proportionate approach can support smoke-free environments without overlooking tobacco harm reduction.

Youth vaping in Hawaii declined by 66% between 2019 and 2025, while cigarette smoking among high school students reached its lowest recorded level. Meanwhile, more adults now report vaping than smoking, according to newly released survey data.

Despite these trends, Hawaii is introducing further restrictions on vaping products, including tighter authorisation requirements and limits on disposable devices.

The findings highlight the importance of balancing youth protection with adult access to lower-risk alternatives, particularly as policymakers consider the potential effects of additional restrictions on smoking cessation and tobacco harm reduction.

Animal studies investigating children's exposure to residual vaping aerosol have come under scrutiny for using experimental conditions that may not reflect real-world exposure.

Researcher Roberto Sussman questions the relevance of mouse studies that expose animals to heavily contaminated materials, highlighting the lack of evidence for comparable exposure levels in everyday environments where children live.

The analysis reinforces the importance of realistic exposure assessment and scientifically valid comparisons between vaping and smoking. Reliable tobacco harm reduction research must distinguish laboratory findings from risks demonstrated under real-world conditions.

Only around 10% of smokers in England recognised vaping as less harmful than smoking in 2025, compared with approximately 40% in 2014, according to the latest Smoking Toolkit Study data.

The findings reveal a significant gap between public perceptions and scientific evidence, despite strong research showing that nicotine vapes can help adults quit smoking.

Persistent misconceptions about relative risk may discourage smokers from considering lower-risk alternatives, highlighting the need for clearer, evidence-based public health communication.