Paying more attention to the 'elephant in the room'

Tob Control. 2017 Mar;26(e1):e35-e36. doi: 10.1136/tobaccocontrol-2016-053150. Epub 2016 Jun 29.


This commentary argues that a nicotine reduction strategy for tobacco control is a secondary strategy to the wider availability of low toxin forms of nicotine to give smokers a viable alternative to cigarettes. Failure to confront the likely reality of continued nicotine use and to make it as low in harm as possible may prolong the tobacco epidemic.

Keywords: Addiction; Electronic nicotine delivery devices; End game; Harm Reduction; Nicotine.

MeSH terms

  • Harm Reduction
  • Humans
  • Nicotine / administration & dosage*
  • Nicotine / adverse effects
  • Smoking / adverse effects
  • Smoking / epidemiology*
  • Tobacco Products*


  • Nicotine