It is time for a new conversation to reduce smoking rates

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The World Health Organization estimates that the number of smokers in the world – 1.1 billion – will not materially change by 2025. This tells us that, while a smoker’s best choice will always be to quit nicotine and tobacco altogether, the reality is many will not, writes Marcelo Nico, MD of Philip Morris South Africa*.

Smoking remains a major public health challenge in South Africa, and across the globe. In many countries, smokers are faced with very limited choices – either quitting entirely or continuing to smoke. What about those who fail to quit? Should they just be left to continue smoking?

Philip Morris South Africa (PMSA) does not believe so. It is clearly time for a new conversation on how to reduce smoking rates, and for a common-sense approach.

Science and technology have enabled the creation of better alternatives to smoking. While these products are not risk-free and they contain nicotine, which is addictive, scientific research shows they are a much better choice than continued smoking.

We believe that a smoke-free future is possible for our country, and the world. Not only do we believe in a smoke-free future, we are taking active steps to bring it about with the launch of a local campaign called Unsmoke South Africa.

To ‘unsmoke’ means to rid smoke from your life. The best way to ‘unsmoke’ is to quit cigarettes and nicotine completely. For those who won’t quit, the next best choice is to switch to better, smoke-free alternatives – a choice that deserves to be made on the basis of accurate and non-misleading information.

This has been a central focus for Philip Morris International (PMI). As one of the world’s largest tobacco companies, PMI is focusing its business on smoke-free products to replace cigarettes as soon as possible. The goal is to bring together a community of people committed to making a difference, and accelerating change to the benefit of public health.

‘Unsmoke – Clearing the way for change’

To this end, PMI commissioned a major international study by independent research firm Povaddo. The survey – conducted in 13 countries among adults aged 21 to 74 – sheds light on how societies can work together to address this important global public health issue.

The full report was released in the form of a White Paper titled: Unsmoke – Clearing the way for change”.

The White Paper reveals that, while there is demand for governments to act in bringing down smoking rates, regulation and taxation alone will not succeed in making countries smoke-free.

In total, 83% of respondents believe that a new conversation is needed to reduce smoking rates.

And more than two-thirds of respondents support the idea of tobacco companies working with governments, regulators and public health experts to ensure that smokers have accurate information about alternatives such as e-cigarettes and heat-not-burn tobacco products.

There is a growing body of evidence that we can achieve a public health benefit using traditional tobacco control methods alongside a harm reduction strategy involving smoke-free alternatives.

Harm reduction strategy for SA

So what would such an approach look like in South Africa?

It starts with differentiated regulation for products that are deemed appropriate for the protection of the public health.

The burning of tobacco is responsible for the production and transfer of the vast majority of toxicants that experts agree are the primary cause of smoking-related disease. Combustible tobacco should therefore be subject to the strictest regulation.

By not burning tobacco, smoke-free alternatives don’t create smoke and their aerosols should contain fewer and lower levels of harmful chemicals compared to cigarette smoke. They should be regulated differently from the most harmful forms of tobacco consumption.

This will enable South Africa’s adult smokers to have access to accurate, non-misleading information about less harmful alternatives to smoking.

Combined with ensuring that quality and safety standards are met for these smoke-free alternatives, and youth access is prevented, through this approach we can lay the foundation for a smoke-free future in South Africa – where those who don’t smoke, don’t start. Where those who smoke quit as their best choice. And where those who don’t quit are empowered to switch to better alternatives.

For change like this to happen, it is necessary for governments, consumers and civil society to all play a role. We need to move the needle on reducing smoking rates by taking concerted action.

A smoke-free South Africa is possible, and it’s time to raise the level of conversation on how to achieve this for the sake of millions of South African adult smokers, their friends and families.

Marcelo Nico is Managing Director of Philip Morris South Africa.


* This article is sponsored by Philip Morris South Africa.


PMI White Paper: Unsmoke – Clearing the way for change


Philip Morris International: Delivering a smoke-free future
Philip Morris International (PMI) is leading a transformation in the tobacco industry to create a smoke-free future and ultimately replace cigarettes with smoke-free products to the benefit of adults who would otherwise continue to smoke, society, the company and its shareholders.

PMI is an international tobacco company engaged in the manufacture and sale of cigarettes, as well as smoke-free products and associated electronic devices and accessories, and other nicotine-containing products in markets outside the United States. PMI ships a version of its smoke-free devices and consumables authorised by the US Food and Drug Administration to Altria Group, Inc. for sale in the United States under license.

PMI is building a future on a new category of smoke-free products that, while not risk-free, are a much better choice than continuing to smoke. Through multidisciplinary capabilities in product development, state-of-the-art facilities, and scientific substantiation, PMI aims to ensure that its smoke-free products meet adult consumer preferences and rigorous regulatory requirements. For more information, please visit and


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