The Caribbean has become a focal point for lobbying efforts by groups such as the World Vapers’ Alliance, Smoke Free Sweden, and We Are Innovation, as the region is strategically targeted to weaken tobacco control measures ahead of the 11th Conference of the Parties (COP11) to the World Health Organization Framework Convention on Tobacco Control (WHO FCTC). These campaigns, supported by tobacco and related industries, promote electronic cigarettes, nicotine pouches, and heated tobacco products as ‘harm reduction’ tools, despite evidence highlighting their risks, particularly for youth. Recent articles and social media campaigns in Barbados and Trinidad have attempted to frame these products as safe, ignoring their addictive nature and uncertain long-term health impacts. Nicotine, a key component of these products, is highly addictive and linked to cardiovascular disease, cancers, and impaired brain development in adolescents. The World Health Organization (WHO) has warned that the tobacco industry is using these products to undermine public health policies while aggressively marketing them to children and non-smokers. Dr. Arthur Phillips, Deputy Chief Medical Officer in Barbados, emphasized the vulnerability of Small Island Developing States to the long-term costs of tobacco and nicotine addiction. The Barbados National NCD Commission has also highlighted the rise of vaping as a serious threat, particularly to youth, who are targeted with sweet flavors and bright packaging. Caribbean governments, as parties to the WHO FCTC, must resist industry interference and defend evidence-based tobacco control policies. Mrs. Barbara McGaw of the Heart Foundation of Jamaica urged governments to act urgently, applying WHO’s MPOWER package to counter the spread of electronic nicotine delivery systems. Youth e-cigarette use in the region is alarming, with rates as high as 17.2% in Trinidad and Tobago. Dr. Asante LeBlanc of the Trinidad and Tobago Cancer Society emphasized the importance of campaigns like ‘Clear the Air’ to protect youth from nicotine addiction. As a youth tobacco control advocate, Dorial Quintyne, MPH, called for Caribbean governments to unite at COP11, reject industry interference, and champion effective tobacco control measures.
OP-ED: Big Tobacco calls it harm reduction, Caribbean youth calls it profiting from addiction
