Tobacco use is one of the major causes of premature and preventable deaths in our country. It is estimated that approximately 100,000 deaths in Pakistan are attributed to tobacco use every year. However despite the high prevalence of tobacco use, the healthcare providers are not well trained to manage this problem effectively. Health professionals need to realize that treating tobacco dependence is much more costeffective than treating diseases caused by tobacco use.
In 2013, Pakistan adopted a new tobacco taxation policy with two specific excise tiers. Then the excise rates were regularly increased in 2014-2016. Cigarette prices increased and, despite the substantial reduction of tobacco affordability, cigarette production almost did not change. Total revenue increased by 50% in nominal terms, or by 30% in real terms in three years.
This scoping study reviews the infrastructure of existing tobacco health and tax regulations in Pakistan, including a review of economic research on the emerging space for HRPs (Harm Reduction Products). The main focus of the study is on understanding the safety, availability, and affordability of HRPs in Pakistan's existing regulatory environment.
The Global State of Tobacco Harm Reduction 2018 was the first in the series of biennial GSTHR reports. Inspired by the drug harm reduction reports of Harm Reduction International, published on a biennial basis since 2006, this landmark publication was the first to document the history and development of tobacco harm reduction, as well as use, availability and regulatory responses to safer nicotine products around the world.
This paper outlines rational, researched-based strategies for phasing out combustible cigarettes, including a nudge approach and logical regulatory actions. Central to this plan are scientifically informed policies regarding THRPs. Unfortunately, the media and public officials have distributed so much misinformation about these products that an increasing numbers of smokers think their health risks are equal to that of combustible cigarettes. This view is not only inaccurate but dangerous, and public officials have an ethical and professional obligation to correct these misperceptions.
Burning Issues: The Global State of Tobacco Harm Reduction 2020 is the second in our biennial GSTHR series which documents the development of tobacco harm reduction and the use, availability and regulatory responses to safer nicotine products around the world. Burning Issues picks up the story after our first GSTHR report, No Fire, No Smoke, published in 2018.
Few have attempted to study the introduction and spread of tobacco cultivation in Asia using an analytical frame, which integrates the imperial economy, local social structures, and the commodity history of tobacco. This is a report on preliminary archival and ethnographic work on the economic and social relationship between tobacco cultivation and imperial expansion in Asia, focusing primarily on British India (today's nation-states of India, Pakistan, and Bangladesh), China, and Japan.
Economic issues play a major role in the fight to eradicate smoking, particularly in an era of major advances in harm reduction. The Economics of Ending Smoking webinar series was conceived by the Foundation for a Smoke-Free World as a means to bring together stakeholders from around the world - particularly in LMIC countries where the need is most critical. Current evidence and key strategies in the fight to eradicate smoking were discussed during weekly online forums held between May and November of 2020.
Electronic nicotine delivery systems exhibit reduced bronchial epithelial cells toxicity compared to cigarette: the Replica Project
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