Latest issue
Sent: January 30, 2026
Global Action Community Newsletter
Guest Contributor: David MacKintosh, Knowledge·Action·Change
Most people know quitting smoking can transform their health. Data from multiple countries and communities consistently shows that many want to give up or reduce combustible tobacco use. Yet quitting is the New Year’s resolution tens of millions don’t keep, year after year.
By now, it’s clear this isn’t a problem of willpower or motivation. Instead, people need better support. While traditional nicotine replacement therapies, pharmaceuticals, and counselling may work for some adults, others may still not be able to quit. In these cases, tobacco harm reduction—or the use of reduced-risk nicotine products—may be helpful.
The good news is that some countries are leading the way in making smoking a relic of the past. In In Sweden, Norway, New Zealand and the United Kingdom, declines in smoking rates have been accelerating, approaching or even falling below the five percent prevalence, which is often the target public health officials aim for when setting goals to eliminate smoking.
In part, some of these declines in smoking are related to restrictions, effective tax regimes, and cessation support for adults who want to quit. But the countries with the most success in lowering smoking rates also have widespread consumer uptake of one or more safer nicotine products.
We can definitely say that tobacco harm reduction is happening. Our next challenge is to ensure that it’s accessible to every adult who needs it.
Effective public health is built on a solid foundation of evidence, and there’s already plenty of science backing the efficacy of tobacco harm reduction. At Knowledge·Action·Change (KAC), we have been committed to gathering and disseminating this information since 2018, when we created our Global State of Tobacco Harm Reduction project. With support from Global Action, we’ve told the tobacco harm reduction story in landmark biennial reports and regular thematic Briefing Papers in 13 languages.
The Global State of Tobacco Harm Reduction project makes this information available to all, including the people leading public health efforts in low-and middle-income countries, which shoulder a disproportionate amount of the disease and death caused by smoking. We update this project regularly with the newest data about smoking prevalence, associated mortality, and the accessibility of nicotine replacement therapy across 198 countries. We also map the availability, regulatory status and use of less-risky nicotine products, information overlooked by most sources.
In 2026, KAC will continue providing comprehensive, evidence-based information about smoking cessation, including tobacco harm reduction. Tobacco harm reduction offers adults who smoke hope for a life after combustible tobacco. Broader understanding of this fact would be a huge win for global health, helping millions make their new year’s resolution to quit one that sticks.
All my best,
David MacKintosh
Director, Knowledge· Action·Change Programmes
By the numbers
This survey was conducted in 2020 and included more than 3,000 adults in Australia, Canada, England, and the United States. Read more about the study here. Global Action is not affiliated with this work.
Global action answers your questions
I want to quit smoking, but I’ve never been able to stop for more than a few weeks at a time. Where should I start over?
It’s clear from your question that you are well on your way to making a lasting change. You are already determined to quit smoking, and through your past attempts to quit you have taken tangible steps in that direction. Congratulations on your progress!
Finding the right combination of tools and support to quit smoking can be a trial-and-error process. During this process, you are likely to experience false starts that feel like failures. But the truth is that each attempt is a chance to learn more about what will or won’t work for you. Each attempt moves you closer to long-term cessation.
With that in mind, it might make sense to decide your next steps by reflecting on your past quit attempts. Ask yourself: What tools and support systems did you use? What proved to be the most helpful to you? When were your cravings the strongest, and what would have helped you in those moments?
There has never been a better time to quit smoking. There are more evidence-based cessation tools, therapies, and alternative nicotine products than there have ever been before. It’s never too late to speak with your primary care provider about all the ways you can quit or join a cessation program for support.
Keep going, and don’t forget to recognize small wins along the way. With each one you are building a healthier future for yourself.
Learn more about all the ways you can quit here.
get to know our grantees: movimiento Pro-vecino
“If we want to achieve our goals in smoking cessation, we have to really consider the role of alternative products.”
— Fernando Briseño, Principal Investigator, Movimiento Pro-Vecino
Thank you for your support
Give the gift of a healthier tomorrow.
Global Action is proud to take bold action to find global solutions to end death and disease caused by tobacco, particularly combustible cigarettes. We are one of the only public health groups to embrace tobacco harm reduction as a means of meeting adults who smoke where they are, showing them empathy and respect in their individual cessation journeys, and helping them—if they cannot or will not quit—to reduce their risks of death or disease from combustible cigarettes.
Your support increases the impact our grantees’ work can have on this cause. Together, we can build a future where no one suffers from tobacco-related disease.
Thank you for your support in the fight against smoking.
Get to Know Global Action
Global Action has awarded more than 175 grants to institutions that support the work of over 100 scientists, covering 46 countries on four continents.
Our organization is an independent, U.S. nonprofit 501(c)(3) grantmaking organization whose mission is to end combustible tobacco use, which remains the leading preventable cause of death globally. Through September 2023, Global Action received charitable gifts from PMI Global Services Inc. Global Action does not seek or accept funding from companies that produce tobacco or non-medicinal nicotine products.
To learn more about our work, visit our website.
Disclaimer: This newsletter does not provide medical advice. The information, including but not limited to, text, graphics, images and other material contained in this newsletter are for informational and educational purposes only and does not constitute providing medical advice or professional services. No material in this newsletter is intended to be a substitute for diagnosing or treating a health problem or disease. Those seeking personal medical advice should consult with a licensed physician or other qualified health care provider. Always seek the advice of your licensed physician or other qualified health care provider regarding a medical condition or with any questions you may have regarding treatment and before undertaking a new health care regimen. Never disregard professional medical advice or delay in seeking it because of something you read in this newsletter. No physician-patient relationship is created by this newsletter. Global Action doesn’t make representations, express or implied, with respect to the information provided here.
Sign up to receive
our monthly newsletter
Newsletter Archive
Issue #15 – December 2, 2025:
Issue #14 – October 31, 2025:
Issue #13 – September 30, 2025:
Issue #10 – June 30, 2025:
Issue #9 – May 30, 2025:
Issue #8 – April 28, 2025:
Not all nicotine products carry the same health risks
Issue #7 – March 28, 2025:
Tobacco Harm Reduction Helps People Quit
Issue #6 – February 28, 2025:
Smart Nicotine Policy is a Social Justice Issue
Issue #5 – January 31, 2025:
You’re making progress.
Issue #4 – December 20, 2024:
Advancing science to help people who smoke quit.
Issue #3 – November 26, 2024:
Public Health has to Embrace Complexity to Move Forward
Issue #2 – October 24, 2024:
Read Science like a Scientist
Issue #1 – September 23, 2024:
Welcome to our Community Newsletter