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Harm Reduction Alliance, Ghana joins harm reductionists across the World to celebrate World Vape Day on 30th May 2023. The occasion which precedes the celebration of World No Tobacco Day highlights the bene cial e ects of reduced-risk products in tobacco control.

According to the Global State of Tobacco Harm Reduction Report, there are 5.012 deaths yearly attributable to tobacco smoking with approximately 644,429 current smokers in Ghana. This fact was reiterated by the Minister

By Eugene Davis

of Health, Dr Kwaku AgyemanManu during the launching of the World Health Organization (WHO) Framework Convention for Tobacco Control (FCTC) 2030 project in Accra recently.

The Minister further stated that tobacco smoking is prevalent among young people and Ghana was faced with a dual burden of disease with the upsurge of non-communicable diseases such as hypertension, diabetes and a wide array of cancers and the project was timely for the eradication of emerging tobacco control challenges.

This was contained in a press statement signed by Mr. Samuel C.D. Hanu of Harm Reduction Alliance, Ghana.

The statement attributing the minister of health added that, though Ghana had made signicant progress in tobacco control with the inclusion of tobacco-speci c provisions in the Public Health Act, 2012, the passage of the tobacco control regulations in 2016 (L.I.2247) and the introduction of graphic health warnings, Ghana still has a long way to go in the pursuit of attaining a tobacco-free country. Fortunately, Ghana need not re-invent the wheel. Good examples abound and Ghana can learn, for instance, the success story of Sweden.

The European Union (EU) in 2021 targeted the year 2040 for Member States to be ‘Tobacco-free’. This is de ned to be a smoking rate below six (6) percent. Two years on, Sweden is on course to achieve a ‘tobacco-free’ society 17 years ahead of the 2040 deadline. Sweden's health authorities had implemented a tobacco control policy for the past 50 years where the traditional tobacco control measures recommended by the EU run alongside an openness to alternative reduced-risk products. Sweden had achieved this remarkable feat of reducing the smoking rate by a whopping 80 percent despite a 30 percent spurt in population growth.

The Swedes began the journey to a smoke-free society with the introduction of snus, a smokeless oral tobacco product usually held in the mouth between the lips and gums which brought the smoking rate down by 55 percent.

Furthermore, policymakers in the country had embraced a new generation of alternative risk nicotine products such as vaping and nicotine pouches which had facilitated a further decline in smoking rates, especially among the female population.

The e ects of these tobacco harm reduction e orts had led Sweden to save more than 3,400 lives yearly. It is projected that; the EU could save about 2.84 million lives should they follow Sweden's example. Furthermore, compared to the rest of the EU, Sweden has 44% fewer tobacco-related deaths, 41 percent lung cancer rates and 38 percent fewer cancer-related deaths.

Ghana can adopt and localise the Sweden example by embracing tobacco harm reduction (THR) interventions such as friendlier approaches in regulating reduced-risk products i.e., heated tobacco, nicotine pouches and vapes.

This could be implemented alongside the traditional tobacco control measures and education making the country safer for all and attractive to investors.

Tobacco Harm Reduction just like harm reduction in general works on the principle that there are public health interventions which are less costly but e ective in achieving health targets and Ghana as a country must not be oblivious to the bene ts of reduced-risk products.

On World vape day, Harm Reduction Alliance, Ghana would want to be associated with the comments made by the Finance Minister of Sweden in April 2022 – Mikael Damberg –“Tobacco and nicotine taxes are […] structured today so that products are generally taxed based on risk. […] Products that are judged to be more harmful to health have a higher tax.”

On this note, Harm Reduction

Alliance, Ghana would like to urge policymakers in Ghana to follow the science and not to be persuaded to make policies based on morality and ideologies. By following the example of Sweden, Ghana could save lives, improve public health outcomes, and alleviate the burden on healthcare resources.

Through education and regulation of traditional tobacco and the provision of safer alternatives, Ghana can empower its citizens and other people living in Ghana to make informed choices and transition from traditional combustible tobacco products.