Pakistan faces an escalating smoking crisis, with millions at risk due to its adverse consequences. Addressing this urgent issue, a prominent advocacy group recently organized its fourth round-table discussion in Karachi. The event brought together public health officials, researchers, NGOs, medical associations, media representatives, and local community members to discuss innovative strategies for reducing smoking-related risks through Tobacco Harm Reduction (THR).

The discussion centered on the pressing need for Pakistan to adopt modern harm reduction strategies. Renowned researcher and policy advisor, Dr. Muhammad Rizwan Junaid, emphasized the transformative potential of less harmful products, such as oral nicotine pouches. “Modern oral nicotine products provide a less risky alternative for smokers who are unable or unwilling to quit completely. By reducing their exposure to harmful chemicals released during combustion, these products can significantly improve the well-being of millions of people,” Dr. Junaid stated.

Participants drew inspiration from global success stories, particularly from Sweden and New Zealand, where harm reduction approaches have significantly reduced smoking rates. These examples underscore the effectiveness of combining traditional tobacco control measures with innovative harm reduction strategies.

Building on these international examples, a leading Pakistani endocrinologist recently published a report estimating that an integrated approach could save 1.2 million lives in Pakistan by 2060. The report highlighted how expanded access to THR could yield life-saving benefits, not just locally but globally.

The round table concluded with a consensus on the need for a multi-pronged approach to tackle Pakistan’s smoking epidemic. By leveraging proven global policies and prioritizing less harmful alternatives like oral nicotine pouches, heated tobacco products (HTPs), and vapes, Pakistan can protect the well-being of its smokers and citizens. As Dr. Junaid remarked, “The number of lives that could be saved through expanding access to THR is substantial and likely exceeds almost any other single health intervention governments can implement.”

By embracing science-based solutions, Pakistan can address its smoking crisis and create a more sustainable future.