Global State of Tobacco Harm Reduction

GSTHRSwitching to safer nicotine products could be a life-saving intervention for millions of people currently using high-risk tobacco products like combustible cigarettes.

Global State of Tobacco Harm Reduction (GSTHR) maps the global, regional and national availability and use of safer nicotine products, regulatory responses to them, and the public health potential of tobacco harm reduction (THR).

THR reports
Global State of Tobacco Harm Reduction 2024: A Situation Report was published in November 2024. GSTHR’s fourth biennial report uses the latest evidence and new data projections to assess the current global THR situation as well as its potential to rapidly reduce tobacco-related disease and mortality.

View all THR reports here

Briefing papers
The latest briefing paper, How snus is replacing smoking in Norway: a revolution led by consumers and product innovation, was published in January 2025 and is now available to download.

View all briefing papers here

The GSTHR is a project run by Knowledge•Action•Change (K•A•C), a company dedicated to the promotion of harm reduction to improve health.

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