Reconsidering the meaning of tobacco harm reduction

Definitions of THR have evolved since the late 70s and more recently includes targeting people who cannot or don’t want to quit nicotine. Those who cannot or do not want to quit nicotine tends to be people with mental health and substance use problems, but also those in routine and manual occupations, those living in social housing and in certain geographical locations.  There are several challenges and opportunities relating to THR and this presentation will highlight a few of these, such as the need to reconsider how we measure THR, how we incorporate and prioritise what outcomes matter most to people who smoke or vape. The discourse around THR needs to evolve and expand rather than be constricted or silenced.