Technology key in reducing smoking harm - experts

Technology and alternatives will play key role in reducing effects of cigarette smoking in Africa.

This as reports show e-cigarette market is expected to grow at fastest pace in next five years. 

According to a market research study published by Facts and Factors, the demand analysis of Global E-Cigarette Market size & share revenue was valued at around $17.4 billion in 2021 and is estimated to grow about $43 billion by 2028, at a CAGR of approximately 16.20 per cent between 2022 and 2028. 

In Kenya and East Africa, the market is expected to expand at 17 per cent. 

Speaking during the second Harm Reduction Exchange conference for African journalists held in Nairobi, experts said media has a critical role to inform smokers on the availability and benefits of alternative, potentially lower-risk products to cigarettes. 

Traditional cessation and smoking prevention norms are not the only ways that smokers who cannot or don’t want to quit can make healthier choices that cause less harm to themselves and those around them.

Integra Africa Principal Tendai Mhizha emphasized the role that journalists and media houses should play in handling misinformation and disinformation in tobacco harm reduction discourse that is actually perpetuating the death and disease.

“There has been a lot of disinformation surrounding the topic of nicotine and the alleged negative effects that e-cigarettes have on public health. This has led to policies that disfavour risk reduces products and narratives that completely deny their benefits.

"The media have the difficult responsibility to curb the scourge of disinformation and misinformation on harm reduction just like on other socio-political stances that are prescriptive and do not uphold consumers’ right to healthier lifestyle choices,” Mhizha said.

The Harm Reduction Exchange cast a spotlight on alternative ways to reduce harm among tobacco smokers.

Held under the theme Harm Reduction: Making a difference in Africa, the conference focused on the progress being made through harm reduction strategies in all fields related to public health. 

A wide array of harm reduction strategies and initiatives that are deployed towards reducing unnecessary deaths through non-communicable diseases were presented and discussed.  

On his part, Prof. Abdoul Kassé, an Oncologist and a Professor of surgery at the Cancer Institute in Senegal, said that harm reduction is a powerful public health tool that has the potential to reduce cancer by 30 per cent and should be at the centre of all public health development strategies.

Harm reduction, he said, has already benefited many people in public health and is the most viable alternative in tobacco control.

It applies to areas where there is a need to reduce the harm associated with a practice or consumption of a substance that is overused in society leading to increased morbidity and mortality. 

 “Innovative Harm Reduction initiatives will help to keep more Africans alive.

Tobacco Harm Reduction initiatives, including the use of popular e-cigarettes, nicotine patches and chewing gums, have continued to generate a lot of misunderstanding in both the public health community and in the media.

However, there is evidence that the use of potentially less harmful alternatives than cigarettes for those who are not willing or cannot give up smoking with currently approved methods may be a solution, not necessarily the best for everyone but by far better than continuous smoking.

"Where cessation repeatedly fails, switching to less harmful products is expected to result in benefits for many smokers,” Abdoul Kassé said. 

Similarly, views were expressed by Kenya’s Vivian Manyeki who said tobacco harm reduction has a solid scientific and medical basis, and it has a lot of promise as a public health measure to assist millions of smokers.

“Many smokers are unable, or at least unwilling, to achieve cessation through complete nicotine and tobacco abstinence. They continue smoking despite the very real and obvious adverse health consequences and against the multiple public health campaigns,"Manyeki said.

Tobacco Harm Reduction was introduced to mitigate the damage caused by cigarette smoking—the most dangerous form of tobacco use, and the leading cause of preventable diseases, including cardiovascular disease, lung cancer, and chronic obstructive pulmonary disease.

According to Kgosi Letlape, the president of the Association of Medical Councils of Africa, nicotine has an addictive potential but plays a minor role in smoking-related morbidity and mortality.

Across the world, there is growing interest among experts in novel approaches towards tobacco control and there is an ongoing discussion that reducing the negative effects of smoking can be also achieved by tobacco harm reduction,” Letlape said.

 Moreover, the use of innovations in smoking products has been currently adopted by several smokers to reduce the health risks of smoking. 

In the same way these alternative technologies can reduce tobacco harm and accelerate the journey to a smoke-free world as they reduce exposure to toxicants,” Bernice Apondi, A Policy manager at Voices of Community Action and Leadership Kenya (VOCAL-Kenya), said. 

During the conference,  journalists debated and set forth several resolutions in regards to the present and future as well as the challenges and progress made in Harm Reduction,and science-led regulation.