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Where else,” wondered tobacco harm reduction advocate David Sweanor, “do we permit a really deadly product, but try to restrict access to safer ones?”

Delegates at the Global Forum on Nicotine (GFN) in Warsaw from June 13-15 were left in no doubt of the scale of challenges facing tobacco harm reduction (THR). Despite the potential of safer nicotine delivery to save more human lives than any other harm reduction initiative, the hostility, lies and bad policies⁠—from punitive taxation to severe restrictions to outright bans⁠—being aimed at THR are daunting.