In a world grappling with the devastating consequences of tobacco use, innovative strategies are essential to mitigate its impacts effectively. Among the global community, Sweden stands out as a beacon of success in tobacco harm reduction, demonstrating the effectiveness of the "No Smoke, Less Harm" approach. 

This report delves into Sweden's remarkable journey towards reducing tobacco-related harm by embracing smoke-free alternatives containing nicotine. Compared to other European nations grappling with similar levels of tobacco consumption, Sweden has achieved unparalleled success in improving public health outcomes. 

Sweden Shines as Neighbors Grapple with Smoking Deaths 

Key findings reveal that while the rest of Europe struggles with high rates of smoking-related diseases and deaths, Sweden has made significant strides in reducing these statistics. Remarkably, only 5.6% of Swedish adults are smokers today, representing a staggering 49% decrease from 60 years ago. This remarkable achievement can be attributed to the widespread adoption of smokeless nicotine delivery methods such as snus, vapes, and oral nicotine pouches. 

In return for its proactive approach to harm reduction, Sweden reaps the rewards of significantly lower rates of tobacco-related diseases. Notably, the country boasts a 41% lower cancer rate than the European average, underscoring the tangible benefits of embracing harm reduction strategies. 

Scourge of Smoking Deaths Unleashed by Prohibitionist U.S. Nicotine Policies 

However, the approach in the United States contrasts starkly with Sweden's success story. The U.S. has historically favored a more prohibitionist stance towards tobacco, focusing primarily on abstinence and cessation efforts rather than harm reduction. Regulatory hurdles and stringent restrictions on alternative nicotine products have limited access to alternatives for American smokers. 

Declines in smoking rates have started to stall ; if we're going to help more adults quit combustible cigarettes we have to embrace harm reduction and offer adult smokers modified risk nicotine products that don't have same risks as combusting tobacco 1/2 https://t.co/l3a1zmffqc

— Scott Gottlieb, MD (@ScottGottliebMD) February 26, 2024

Denying adults access to the alternative nicotine products they prefer has resulted in persistently high smoking rates and tobacco-related health burdens in the United States. The release of an FDA commissioned study that found that vape flavor bans increase cigarette sales directly corresponded with renewed efforts at the state level to strip the market of flavored vaping products.