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Perspectives from around the world on tobacco harm reduction, public health, policy, science, and lived experience.

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Why Consumer Voices Matter: The Missing Evidence in Public Debate
FeaturedTHR Global OriginalConsumer Perspectives

3 July 2026

Why Consumer Voices Matter: The Missing Evidence in Public Debate

Public debate is strongest when scientific evidence, professional expertise and lived experience are considered together. Discover why consumer voices matter, how ordinary people have shaped policy throughout history, and why their absence can lead to unintended consequences—especially in tobacco harm reduction.

Kurt Yeo • Consumer Perspectives • Global

Latest Articles

Commentary, analysis, and perspectives from the THR community.

South Africa’s Next Generation of Nicotine Addicts? Before We Accept That Narrative, Let’s Examine the Evidence.
THR Global OriginalScience & Evidence

17 June 2026

South Africa’s Next Generation of Nicotine Addicts? Before We Accept That Narrative, Let’s Examine the Evidence.

The headline is alarming. The reality is more complicated. While youth vaping deserves attention, the evidence behind claims of a “new generation of nicotine addicts” is far less certain than readers are led to believe. Missing data, selective sampling and South Africa’s broader public health realities paint a very different picture.

Kurt YeoScience & EvidenceAfricaSouth Africa

The Future of Harm Reduction Will Depend on Whether Health Systems Can Operate Beyond Criminalisation Frameworks
THR Global OriginalPolicy & Regulation

1 June 2026

The Future of Harm Reduction Will Depend on Whether Health Systems Can Operate Beyond Criminalisation Frameworks

This article argues that harm reduction cannot reach its full potential while health systems remain intertwined with punitive drug control frameworks. It explores how criminalisation creates invisible barriers to care, discourages service utilisation, fragments continuity of care, and embeds stigma into health system operations. Ultimately, it contends that the future of harm reduction depends not only on expanding services, but on creating healthcare environments that can operate independently of enforcement logic and prioritise health outcomes over punishment.

Melody OkerekePolicy & RegulationGobalNigeria

The Great Decoupling: Engineering Smoke-Free Nicotine
THR Global OriginalPublic Health Debate

17 March 2026

The Great Decoupling: Engineering Smoke-Free Nicotine

As we decouple nicotine from the lethal toxicity of smoke, are we finally entering an era where the world’s leading cause of preventable death can be engineered out of existence? The history of the last sixty years suggests that through technology and pragmatic policy, a smoke-free world is finally within our sight.

Kurt YeoPublic Health DebateGlobal10 min read

Why HIV Responses Must Focus on Harm Reduction and Move Beyond Treatment Access
THR Global OriginalPublic Health Debate

19 August 2026

Why HIV Responses Must Focus on Harm Reduction and Move Beyond Treatment Access

A person who fears being labelled may choose not to test. Someone who worries about disclosure may delay treatment. A community that feels judged may avoid healthcare programmes altogether. These challenges are not simply individual problems. They reflect the need for health systems to become more responsive and inclusive.

Melody OkerekePublic Health DebateAfricaNigeria