Researchers estimate that without safer nicotine alternatives, smoking-related male mortality would have been 70 percent higher. A new report from the Smoke Free Sweden movement, The Safer Nicotine Revolution: Global Lessons, Healthier Futures, shows that Sweden is not alone. What unites these examples is the principle of tobacco harm reduction – giving smokers access to safer alternatives. At COP10, St Kitts and Nevis showed leadership by proposing the creation of a Tobacco Harm Reduction working group. By supporting harm reduction within the COP framework, Caribbean governments can begin to secure the same gains for their people.