Amid the WHO’s longstanding hostility to tobacco harm reduction (THR), advocates fear the best result might just be avoiding further policy damage. “They completely disregard the real killer of combustion—it’s a denialism of harm reduction.” A related threat she pointed to is the distortion of what harm reduction means: “If they define that as nicotine-free, then there’s a major problem.”Cullip (who has written for Filter) said the COP11 agenda clearly shows an intent to undermine harm reduction. “It is arguable that the use of nicotine products can reduce [smoking and tobacco] consumption and exposure,” Cullip said. “So this agenda item elevates nicotine addiction above the harms of tobacco.”That agenda item also attacks THR with a reference to “the tobacco industry’s narrative on ‘harm reduction’” as an area of concern. With 38 expert speakers from 22 countries, the event aims to illustrate the wealth of evidence that making safer nicotine products available reduces harm.