By Michael Landl, Director of the World Vapers’ Alliance
Barbados has made impressive progress in reducing smoking rates—the lowest in the Caribbean region—but there is still work to do. The stark difference between men’s and women’s smoking rates shows that targeted, practical solutions could push smoking down even further. As the global tobacco control community prepares for COP11, Barbados has a unique chance to push for smarter policies that reflect real-world success and science.
Harm reduction offers an alternative to the traditional all-or-nothing approach. Instead of demanding everyone quit nicotine altogether, which many struggle to do, harm reduction provides safer options like vaping, nicotine pouches and heat-not-burn products. These alternatives avoid burning tobacco, which produces the harmful smoke that leads to cancer, heart disease, and other deadly illnesses. The science is clear: remove the smoke, reduce the harm.
Worldwide, places that have embraced harm reduction—like Sweden, the UK, New Zealand and Japan—have rapidly cut smoking rates. Millions of smokers have successfully switched to these safer choices. Yet, despite this evidence, global tobacco control institutions often dismiss harm reduction as unproven or risky, ignoring the voices of consumers and smaller countries whose needs differ from those of wealthier nations. Instead, large donors and entrenched interests dominate the agenda.
Barbados should not accept being overlooked. The country’s experience and perspective are vital. COP11 presents the chance to lead, demanding a working group focused on tobacco harm reduction, mirroring Barbados’s recent global leadership on biodiversity. This group would ensure ongoing, evidence-based discussions, allow like-minded countries to collaborate, and prevent one-size-fits-all policies that ignore science and real lives.
Supporting harm reduction means rejecting blanket bans on less harmful products, tailoring rules to reflect true risk, and insisting on transparent negotiations where consumers who have benefited from these tools are heard. Tobacco control must evolve to put outcomes over ideology.
Barbados already has strong tobacco control laws and a balanced approach to vaping regulation. Promoting cessation support and harm reduction will build on this foundation, saving lives and accelerating progress. With an already low smoking rate of 6.4%, Barbados can follow Sweden and become the next smoke-free nation.
Speaking up at COP11 will set Barbados apart as a leader among smaller countries demanding science, fairness, and inclusion in global policy. The world needs voices like Barbados’s that prioritise people over politics.
The global health community faces a crucial choice: resist change and prolong suffering, or embrace proven, compassionate strategies that reduce harm. Barbados can help tip the scale toward progress. This moment calls for courage and clarity. Barbados can show leadership by backing harm reduction and making sure its people have access to safer choices. The world is watching. Now is the time for Barbados to act.
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