“Few in the world could rival the astonishing contribution Dr Mark Tyndall has made to improving the lives of the most vulnerable and disadvantaged in our communities and his commitment to human rights. In this powerful book he uses the same values and relentless logic to make an incontrovertible case for tobacco harm reduction. Dr Tyndall explains why the controversy over tobacco harm reduction is in reality a ‘no-brainer’. The evidence is clear that vaping is an effective, safe and cost-effective way to quit smoking. This is an excellent and up to date book on this controversial subject”
Emeritus Consultant, Alcohol and Drug Service, St Vincent’s Hospital, Sydney, Australia
Tobacco Harm Reduction Adviser to the Harm Reduction Australia Board
“Vaping: Behind the Smoke and Fears is a compelling and timely book. Mark Tyndall argues that vaping nicotine is “one of the most significant public health breakthroughs of our time,” with the potential to save millions of lives. Yet this opportunity is being blocked by fear, entrenched ideology, misinformation, and moral panic—especially about youth vaping. Tyndall makes a strong case for reframing the narrative and adopting a pragmatic harm reduction approach. It is a must-read for policymakers, health professionals and anyone concerned with public health.”
Former, Vice President of the Australian Association of Tobacco Cessation Professionals.
Author: Stop Smoking, Start Vaping.
“For decades, nicotine was synonymous with smoking deadly tobacco products. In this excellent book, Dr. Tyndall explains that much safer nicotine sources are now available to consumers. This presents a huge opportunity to decrease the disease, disability, and death caused by combustible tobacco. However, healthcare charities and public health organizations have failed to recognize this opportunity. Dr Tyndall calls upon his extensive personal experiences in harm reduction to add authenticity and human interest to the narrative. This book is a must-read for journalists, politicians, healthcare workers, and by individuals who are looking for an alternative to deadly smoked tobacco products for themselves or for people they care for.”
Anesthesiologist, Smoking Cessation Activist
Former, Assistant Professor, University of Toronto
“A billion people globally still smoke cigarettes. The cigarette is a dirty and toxic nicotine delivery system, and smoking is the world’s number one killer. But there is a simple solution. This highly readable book shows how vaping can replace cigarettes: people who can’t or don’t want to stop using nicotine can switch to much safer, non-combustible nicotine products. This is harm reduction. Yet, paradoxically, many experts and health organizations obstruct this potential public health revolution. This book unpacks the myths, panics, fears, uncertainties and doubts about vaping. A must read for all those who want to see an end to the suffering caused by the combustible cigarette.”
Emeritus Professor Imperial College London, United Kingdom
“Tobacco harm reduction is highly controversial. It’s also common sense, grounded both in science and the lived experiences of millions of people who have quit smoking cigarettes by switching to vaping nicotine. This book is straightforward, honest and wise. And the author, who has been at the cutting edge of illicit drug harm reduction in Canada, is courageous to write it.”
Founder and former executive director, Drug Policy Alliance, USA
“Vaping: Behind the Smoke and Fears arrives at a critical time. This books cuts through the misinformation that surrounds vaping with clear, accessible language. Dr. Mark Tyndall, a leading expert in harm reduction, unpacks the myths with evidence-based insights, real-world experience, and the latest research. Whether support or oppose vaping, this book is essential reading because understanding the truth starts with learning the facts. And there is no one better than Dr. Tyndall to teach you.”
Founder Rights 4 Vapers, Canada
“This is a personal and highly readable book from an infectious disease doctor who is astonished that so many in the medical, research, and public health communities—as well as politicians—oppose vaping. Mark has a long-standing commitment to harm reduction, and to him, vaping is a powerful, scientifically proven tool that helps people stop smoking. His perspective is compelling, urgent, and grounded in evidence. Anyone wondering why government policy so often fails to follow the science—especially when millions of lives could be saved—should read this.”
Director, Centre of Research Excellence: Indigenous Sovereignty & Smoking
New Zealand
“The global battle against the smoking epidemic is at a crossroads. This thoughtful new contribution from the harm reduction pioneer Dr. Mark Tyndall offers an insightful map to innovative new approaches to accelerating the end of this public health calamity. His highly accessible book identifies major barriers to scaling up far safer nicotine products to replace cigarettes and recommends practical and workable solutions. Dr. Tyndall’s prominence in the world of traditional harm reduction, buttressed by his unwavering adherence to scientific evidence and clinical understanding, makes VAPING: BEHIND THE SMOKE AND FEARS an indispensable contribution to the field. It is an essential read for everyone who is committed to saving the lives of the more than 1 billion people who smoke today.”
CEO, Global Action to End Smoking
“This is a gripping account of a technological solution to one of the world’s greatest public health problems, tobacco smoking, running into hurricane-force headwinds from the very people who should welcome it. Coming from the perspective of a champion of harm reduction in the illicit drugs field, Tyndall applies his insights to the challenge of reducing tobacco-related harm. He leads the reader through the science, policy and politics of vaping and on to the engineered moral panics and perverse, unintended consequences of ill-conceived policies. Ultimately, the outlook is optimistic, but we are left to lament how much effort has gone into slowing down the migration from smoking to vaping and other safer products and how much more could have been achieved if public health professionals had grasped the ideas in this book.”
Director, Counterfactual
Former Director Action on Smoking and Health (UK), London
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