The health case for banning cigarettes is ironclad. As the then head of the World Health Organization, Gro Harlem Brundtland, put it in 2000, “a cigarette is the only consumer product which when used as directed kills its consumer”. Smoking is still the leading cause of preventable death worldwide. Many countries, including the UK, have taken strong measures to restrict and even ban cigarettes and other tobacco products. Over the past two decades, however, tobacco-free nicotine products such as vapes and nicotine pouches, which use a synthetic version of the addictive ingredient, have exploded in popularity.
Regulation has been slow. The nation of Palau has now tasked the WHO expert committee on drug dependence with reviewing nicotine, which will lead to a UN vote – likely to be in 2028 – on banning it worldwide. The case relies partly on deciding whether addiction and dependence themselves – in the absence of other major health consequences – are harmful. There is certainly an argument for that, and smoking taught us that it is often better to stamp out highly addictive habits if consequences may become obvious later. But there is also reason for caution.
