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BMJ Study Reinforces Combustion as the Key Risk

A study published in the BMJ has reinforced the understanding ... Read more

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18th September 2025


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K Futur

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A study published in the BMJ has reinforced the understanding that it is combustion, not nicotine itself, that is responsible for most of the harm caused by tobacco use. Researchers concluded that while nicotine is addictive and can affect the cardiovascular system, the greatest dangers arise from inhaling smoke produced by burning tobacco.

The study compared combustible tobacco products with non-combustible alternatives such as nicotine pouches, heated tobacco, and e-cigarettes. It found that although these alternatives are not risk-free, they expose users to significantly fewer toxic substances. This reduction could translate into major public health benefits if smokers transition away from cigarettes.

The timing of the report is significant. European Union officials are currently considering new tax rules that would impose heavy excise duties on all nicotine products, treating them in a similar way to cigarettes. Critics argue that such an approach ignores the evidence and risks discouraging smokers from switching to safer options.

The study suggests that regulators should adopt proportional measures. By applying stricter rules and higher taxes to combustible products while creating a more favourable environment for non-combustible alternatives, governments can encourage smokers to make the switch. This strategy aligns regulation with relative risk and could save countless lives over the coming decades.

For the United Kingdom and other European nations, the findings serve as a reminder to base policy on science rather than ideology. As debates over nicotine continue, the BMJ report adds authoritative weight to the argument that combustion remains the central problem.

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