ASANDA GCOYI | Why harm reduction in smoking matters in policymaking
May 06, 2026 by sowetan.co.za
ASANDA GCOYI | Why harm reduction in smoking matters in policymaking
Harm reduction is widely used across public policy, yet it remains underutilised in tobacco regulation. In South Africa, the approach is already applied in areas such as road safety, public health and environmental policy to manage risk rather than eliminate behaviour. The same principle could be extended to smoking, where reducing harm may be more effective than relying solely on abstinence-based strategies. Evidence suggests that policies recognising behavioural realities tend to achieve better public health outcomes. At the same time, current debates often fail to distinguish between different nicotine products and their relative risks. A more balanced, risk-proportionate approach could improve outcomes by aligning regulation with scientific evidence and real-world behaviour.
23.30% of the adult population are current smokers. There are approximately 10.9 million current smokers in South Africa 39.30% of men are current smokers but only 8.50% of women.
SOURCE: GSTHR
