In the 40 years since Professor Michael Russell, a South African scholar and specialist in the field of smoking behaviour, pioneered the logic that smokers smoke for nicotine but are killed by tar, the assertion has largely remained incontrovertible despite the opposition to it in some quarters. This logic has served as a pivot for the concept of tobacco harm reduction and the arguments in favour of it.
A review by Public Health England on e-cigarettes in January 2018 concluded that “based on current knowledge, stating that vaping is at least 95% less harmful than smoking remains a good way to communicate the large difference in relative risk unambiguously so that more smokers are encouraged to make the switch from smoking to vaping.”
Notably, the last couple of decades have seen a proliferation of tobacco products that have the potential to serve as a means of reducing the health impact of tobacco consumption. These products have come to be known as reduced-risk products. In the case of THR, the underlying concept is that in addition to interventions aimed at preventing and promoting smoking cessation, it is about providing reduced risks products for those who cannot quit. While some experts believe that RRPs will reduce the health impact of tobacco consumption, for those who completely switch to them; others caution that RRPs pose the risk of getting non-smokers to use and become addicted to nicotine and tobacco products.
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