Preview Abstract - Harm Reduction International
Preview Abstract - Harm Reduction International
PREVIEW ABSTRACT
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Type of submission: Oral
Conference track: Advocacy
Presenting author/submitted by: Rohan Savio Sequeira
Presenting author biography:
Prof.Dr.RohanSavio Sequeira, a Cardio-Endocrinologist with 25 of Clinical experience. He is involved in Regulatory Affairs of HarmReduction Strategies in the field of THR
and NCD. He is the founder and Director of SOMHRA dedicated to providing safer alternatives for Harm reduction in Tobacco, Alcohol and Food & Nutrition.
Created: 22nd Aug 2024, 06 06 21am (GMT +0100)
Last update: 22nd Aug 2024, 06 37 52am (GMT +0100)
Primary topic: Building Indigenous harm reduction responses
Secondary topic: Person-centred, integrated harm reduction
Will you agree to present this submission as a poster, if not accepted for an oral session? YES
TOBACCO HARM REDUCTION IN A SOUTH ASIAN LMIC PERSPECTIVE
Rohan Savio Sequeira
Body
Tobacco harm reduction (THR) strategies are increasingly recognized as crucial public health interventions, particularly in South Asian Low- and Middle-Income
Countries (LMICs) where tobacco use remains a major health challenge. This abstract explores the current landscape of THR strategies within this context, highlighting
key approaches, challenges, and opportunities. South Asian LMICs, such as India, Bangladesh, Pakistan, and Nepal, have high tobacco consumption rates,
predominantly through smokeless tobacco products like gutka and khaini, in addition to cigarettes. The adoption of THR strategies, including nicotine replacement
therapies (NRT), electronic nicotine delivery systems (ENDS), and smokeless tobacco alternatives, is emerging as a potential means to reduce tobacco-related
morbidity and mortality.
However, the implementation of these strategies faces significant barriers. These include regulatory challenges, lack of public awareness, cultural attitudes toward
tobacco use, and the limited availability of affordable and effective cessation aids. Moreover, economic constraints and fragmented healthcare systems in these
countries further complicate the widespread adoption of THR approaches. Despite these challenges, there is growing evidence supporting the effectiveness of THR
methods in reducing harm among smokers and tobacco users.
Opportunities for advancing THR in South Asian LMICs include strengthening regulatory frameworks, increasing accessibility to THR products, and enhancing public
education campaigns. Collaborative efforts between governments, non-governmental organizations, and international health bodies are essential to overcome existing
obstacles and promote the widespread adoption of harm reduction strategies. Tailoring these strategies to local contexts and addressing socio-cultural factors will be
pivotal in improving public health outcomes and reducing the burden of tobacco-related diseases in the region.
In conclusion, while the path to effective THR in South Asian LMICs is fraught with challenges, targeted interventions and strategic partnerships offer promising
avenues for reducing tobacco harm and improving health outcomes across these diverse and densely populated countries.
Scholarship application
Applying for assistance with:
Registration fee
Travel
Accommodation
Per Diem
I have been working in the NCD and THR space since many years in India. Considering the strict local regulatory bans and inability to generate proper funds for THR
advocacy in this region, primarily due to Local regulations, it is important to share and contribute to the THR cause in such regions. While I am self funded (via my clinical
practise) attending and presenting at such far off places becomes financially compromising. The experience gathered by incorporating best practises from across the
world in such conferences helps us in forming proper strategies in over coming local regulations and proving an innovative approach within the bounds of local regulatory
guidelines in LMIC countries to help Local Governments address the lacunae of Tobacco Harm Reduction with high risk users in South Asian LMIC countries. The
scholarship provided will help in bring back better approaches to help local authorities include THR in Tobacco control policies.
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