1. Setting the Scene Kevin Molloy Global Tobacco Harm Reduction Scholarship Manager KAC

2. Overview Knowledge Action Change – Who we are
What we do - Work-streams
Why are we here?
What is Harm Reduction?
How is Harm Reduction relevant to smoking and tobacco?

3. Knowledge Action Change – Who we are.
K•A•C: promoting health through harm reduction
We focus on harm reduction as a key public health strategy. ‘Harm reduction’ refers to policies, regulations and actions that focus on reducing health risks, usually by providing safer forms of hazardous products or encouraging less risky behaviours, rather than solely focussing on eradication of products or behaviours. Harm reduction is a key public health strategy grounded in human rights. We have over forty years of experience of work on drug use, HIV, smoking, sexual health, and prisons. We undertake a wide range of events and communications. We aim to include all stakeholders. Our ethos is to link knowledge transfer and policy development to achieve impact at individual, organisational, community, national and international levels.

4. Marriott Hotel, Warsaw, Poland
Work-streams - GFN
13-15 JUNE 2019
Marriott Hotel, Warsaw, Poland
Global Forum on Nicotine (GFN)
Policy Makers, Academics, Medical Professionals, Consumers, Public Health Officials
Nudging the conversation

5. Work-streams - Annual stock take of Tobacco Harm Reduction Worldwide.
More of this later in the Programme………

6. Work-streams – Global THR Scholarship
The scholarships are intended to:
build research capacity in the field of tobacco harm reduction;
develop and promote the evidence base;
raise awareness of research and its implications for public health policy;
enable consumers to make more informed personal health choices;
improve the implementation and understanding of tobacco harm reduction;
In its second year.

7. Work-streams – Nicotine Science and Policy https://nicotinepolicy.net/
An online daily digest of all the latest news, research, press coverage and opinion pieces concerning all aspects of tobacco harm reduction

8. Work-streams – City Health International https://cityhealthinternational.org/
Founded in 2012 City Health International is a network of individuals and organisations engaged in the study of and response to structural health issues and health behaviours in the urban environment.

9. Why are we here? Linking two work-streams
No Fire, No Smoke – The Global State of Tobacco Harm Reduction – Roadshows
Global Scholarship – Building research and information sharing capacity
Malawi Scholars – Project event
Last year 2 scholars were from Africa (Malawi)
This year:
5 from Malawi
2 from Kenya
2 from Nigeria
1 from Ghana

10. What is Harm Reduction?
Has uses in all areas of life and the ongoing development of policy and legislation
A pragmatic response
Recognising that people will engage in risky behaviours for a variety of reasons
Seat belts
Hard helmets on building sites
Speed limits
Global Emergence of Drugs and HIV/AIDS Harm Reduction in the 1980’s:
MMT
Syringe exchange
Naloxone
Condom Distribution
Tobacco harm reduction (E cigarettes, snus, chewing tobacco, gum, patches, sprays etc – more later)

11. The Harm Reduction Continuum
Harm/Chaos
Reducing Harm
Safety/Abstinence

12. Harm Reduction and tobacco
Nicotine is not the problem, smoking is
Not carcinogenic
Fairly innocuous
Analogous to the way we use caffeine
A variety of options – Such as:
Electronic devices (e cigarettes, IQOS – most closely resemble the experience of smoking, and most preferred by consumers)
Snus
Chewing tobacco
Gum
Patches
Sprays
95% safer than smoking
Recognises that there are people that cannot or will not quit smoking
Saves lives

13. Thanks for your time