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Despite the sometimes confused, and confusing, media reporting around the safety of e-cigarettes, there is growing consensus around the evidence. While not without some risk, when compared to smoking e-cigarettes are far less harmful.

Surveys of e-cigarette users (vapers) overwhelmingly demonstrate that almost all of them (even up to 99 percent) are smokers or former smokers. After surveying all the available science on health risks of vaping as compared to smoking, both Public Health England and the Royal College of Physicians have estimated that vaping is at least 95 percent safer than smoking.

This report provides an update on the use of harm reduction in tobacco smoking, in relation to all non-tobacco nicotine products but particularly e-cigarettes. It shows that, for all the potential risks involved, harm reduction has huge potential to prevent death and disability from tobacco use, and to hasten our progress to a tobacco-free society.