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GFN promotes tobacco harm reduction rationales to policy decision makers
Published on: Wed, Jul 30, 2025
By: David Thien Text Size: This year's GFN theme is 'Challenging Perceptions – Effective Communication for Tobacco Harm Reduction', gathered together global experts and stakeholders to forge strategic communication to reshape narratives and support evidence-based approaches to nicotine use and public health. WARSAW: The 12th edition of the Global Forum on Nicotine (GFN 2025) aims to get the right message to decision makers all around the world on the need to have alternative nicotine delivery products for those who could not give up nicotine use to curb smoking-related diseases and deaths. Experts agree that tobacco harm reduction can be a valuable public health strategy for reducing the negative impact of damaging behaviours in individuals who are unable or unwilling to quit smoking. Smoke-free products could reduce exposure to harmful chemicals. Meanwhile, the WHO's Framework Convention on Tobacco Control which was reported to be heavily funded by Michael Bloomberg, continues to promote a one-size-fits-all, abstinence-only model. The result has been restrictive bans on safer products while combustible cigarettes remain widely available. This year's GFN theme is 'Challenging Perceptions – Effective Communication for Tobacco Harm Reduction', gathered together global experts and stakeholders to forge strategic communication to reshape narratives and support evidence-based approaches to nicotine use and public health. The event was held from June 19 to 21, 2025, at the Presidential Hotel (formerly the Marriott) in the CBD heart of Warsaw, Poland to show how global tobacco and nicotine regulation discussions lack consumer representation, disadvantaging smokers and vapers. It was said that the World Conference on Tobacco Control overlooks harm reduction strategies, favouring prohibitionist policies influenced by figures like Michael Bloomberg and the World Health Organization (WHO). The upcoming COP11 and EU regulations could shape future nicotine policies, potentially blocking safer alternatives. Despite successful harm reduction examples in certain countries, for example, the EU is leaning towards restrictive measures like flavour bans and tax hikes. This should be challenged. Advocates emphasize the need for evidence-based, consumer-centric policies to combat smoking-related illnesses. Policymakers face a crucial decision: prioritize public health or maintain outdated ideologies at the expense of consumer well-being. UKM Prof. Dr Sharifa Ezat Wan Puteh, chair of the Malaysia Society for Harm Reduction and a panel speaker at GFN 2025 said: 'We can raise awareness in the community. We can train frontline staff in tobacco harm reduction. But if we don't have the safer nicotine products available, we are not achieving the change we need to achieve. 'In Malaysia, as well as in many other low and middle-income countries, tobacco control is very traditional. It's basically a prohibitionist approach which tries to ban everything under the sun, not only tobacco, but now also alternative nicotine products. 'Coming from an NGO, the Malaysian Society for Harm Reduction, we try to educate and advocate, but most of this falls on deaf ears. We are seen as arms of big tobacco, even though the research we produce is not funded by tobacco companies. 'I think there's a lot of failure stories, but there are a lot of success stories as well on the use of alternative nicotine products all over the world that low and middle-income countries can actually emulate, success stories like Japan, the UK or New Zealand,' said Prof. Dr Sharifa. The progress of tobacco harm reduction is being slowed by a paradox: as the scientific basis steadily consolidates, public perceptions are worsening by government's vilifying propaganda on alternative nicotine delivery products which are overlooked in smoking cessation protocols. At the GFN 2025 session on 'What I Hear vs. What I Know: Battling Misinformation from the Newsroom to the Facebook', panel speaker Maria Papaioannoy-Duic of Canada, said: 'What I've learned is when science doesn't back tobacco control's story, they don't revise the policy, they rewrite the story, not with facts, but with fear, drama and deliberate misinformation. 'In the fight for access to safer nicotine products, the truth isn't just ignored, it's attacked, silenced and mocked. A health official makes a statement, a journalist runs with it, a politician amplifies it, and suddenly it's viral. Meanwhile, we, consumers, advocates, we're in our chat groups, we are sharing sources, correcting headlines and trying to hold the line with science, evidence and facts.' According to Maria Papaioannoy-Duic, who is the founder and spokesperson of Rights 4 Vapers, the misinformation is institutional, not only in Canada, but around the world. Health agencies, regulators, even doctors, often repeat outdated or debunked information, sometimes out of fear, sometimes out of habit, and most times because they just don't have the time to learn. 'And the thing is, tobacco control knows this, and they capitalise on it. No one wants to really defend nicotine, because it's not sexy. But this isn't about being liked, it's about eradicating smoking, and that means telling the truth even when it's uncomfortable.' Maria Papaioannoy-Duic revealed that in 2022, the Canadian Tobacco and Nicotine Survey broke down the numbers on relative risk and beliefs among Canadians and found that 81 per cent of Canadians either misunderstood or had no idea that vaping is safer than smoking. 'And when we look at people who smoke, 79 per cent didn't know that vaping is safer, and among those who smoke but have never tried a vaping product, a staggering 90 per cent believed vaping is as bad or worse. 'These are the very people who stand to benefit the most from switching to safer alternatives, yet misinformation has left them stuck, misled, confused and still smoking. They truly believe, because of where they go to get their information, that smoking that cigarette will keep them alive longer and healthier than switching to a vape. 'My 2009 self would never believe what is happening in 2025. Millions of us who quit smoking with safer alternatives are now being told we're wrong. Instead of tobacco companies being the villains, it's us, people who use safer nicotine products and speak up and out about it, we are cast as the threats. 'Globally, governments are pushing their citizens to break the laws just to access a vape or pouch because the alternative to them is going back to smoking. When it comes to policy, science should take the lead, but in this space, emotion seems to win. Panic spreads faster than peer-reviewed studies. Tobacco Control is a well-oiled and frankly spoiled machine. It has no hesitation to reframe the narrative, to make anyone that goes against them the enemy, including folks who speak up for safer nicotine products. 'To them, we're the enemy, because we're telling the world nicotine isn't the problem, combustion is. So, what do we do? We continue to push back with facts, with strategy and with heart, and most importantly, with action, from rallies to letters, from bus tours to social media, from simple pop ups to emails, we find a way to tell our story. 'When you show up calmly with credible information and lived experience, that's when cracks start to form. When voices come together, when harm reduction meets medicine, meets policy, meets lived experience, that's when we get traction. So, whether you're an advocate, a policy maker, a health professional, someone trying to make a difference in your own circle, facts matter. Continue to share them, because lives depend on them. We are the public health heroes. We're the ones that have to push the narrative and we're the ones that have to keep moving forward,' Maria Papaioannoy-Duic stressed. * Follow us on our official WhatsApp channel and Telegram for breaking news alerts and key updates! * Do you have access to the Daily Express e-paper and online exclusive news? 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Sinar Daily
21 hours ago
- Sinar Daily
Too young, too heavy: Malaysia's rising childhood obesity crisis
KUALA LUMPUR - Like any other teenager, Muhammad Mikhael Qaiser Mohd Yuzaini longs to participate in sports and physical activities. But the 14-year-old tires easily, neither can he stand for extended periods or handle physically demanding tasks. The main reason: his weight. As of early March this year, he weighed in at 103 kilogrammes (kg), a figure considered obese for his height of 168 centimetres (cm). According to the World Health Organisation (WHO), Malaysia has one of the highest childhood obesity rates in Southeast Asia. - Photo illustrated by Sinar Daily "I'm truly determined to lose weight this year because I want to live a healthier and more active life,' declared Muhammad Mikhael Qaiser, who is fondly known as Mikhael and is currently undergoing treatment to reduce his weight. Childhood obesity has become a global health crisis, with poor dietary habits and sedentary lifestyles, fuelled by screen time and lack of physical activity, contributing to this "epidemic'. According to the World Health Organisation (WHO), Malaysia has one of the highest childhood obesity rates in Southeast Asia. Childhood obesity in Malaysia has been on a steady rise over the past 15 years, with over 30 percent of children aged five to 17 classified as overweight or obese in 2022. (Under the United Nations Convention on the Rights of the Child and Malaysia's Child Act 2001, a child is defined as anyone under the age of 18.) Meanwhile, a study titled 'Prevalence of Childhood Overweight and Obesity in Malaysia: A Systematic Review and Meta-analysis' published in November 2024, found that the prevalence of childhood overweight, obesity and excess weight in Malaysia almost doubled over a 26-year period from 1996 to 2022. According to WHO, in 2022, 37 million children under the age of five were overweight; and over 390 million children and adolescents aged five to 19 years were overweight, including 160 million who were living with obesity. Overweight is a condition of excessive fat deposits in the body, while obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity can lead to increased risk of type 2 diabetes and heart disease. It can also affect bone health and reproduction, and increase the risk of certain cancers. Obesity influences the quality of living, such as sleeping or moving. The diagnosis of overweight and obesity is made by measuring people's weight and height and by calculating the body mass index (BMI): weight (kg)/height² (m²). The body mass index is a surrogate marker of fatness and additional measurements, such as waist circumference, can help the diagnosis of obesity. The BMI categories for defining obesity vary by age and gender in infants, children and adolescents. STRUGGLES OF A TEENAGER In 2021, when Mikhael was 11 years old and weighed 70 kg, he was offered the opportunity to participate in a study conducted by paediatric specialists at Universiti Malaya Medical Centre (UMMC) to address his obesity issue. His parents were informed that as part of the study, Mikhael had a 50 percent chance of receiving either an actual weight loss medication or a placebo. Wanting to help their only child shed his excess weight, Mikhael's parents agreed to let him join the study. Over the course of the four-year programme, Mikhael received injection-based treatment. But by the time the programme ended, his weight did not decrease. Instead, it continued to rise, reaching 103 kg by early Ramadan (March) this year. (It was later confirmed that Mikhael had been placed in the placebo group, meaning he did not receive the actual medication throughout the study period. This explained why there was no significant change in his weight despite the structured programme). This concerned his parents, prompting them to refer Mikhael back to the Paediatric Obesity Clinic at UMMC, which has been operating since 2006, for further treatment in hopes that he could eventually reach a healthy weight of around 65 to 70 kg. Starting in April, Mikhael has been advised to take an oral medication, Metformin 500 mg, once daily, and after two weeks, two pills per day to help improve insulin efficiency. He is also required to meet with a doctor every three months for follow-up treatments. Meanwhile, his father Mohd Yuzaini Abu Bakar, 48, who resides with his family in Taman Medan in Petaling Jaya, Selangor, said Mikhael had been cute and chubby since infancy. He said Mikhael loved milk and could finish eight big bottles of formula milk per day until the age of three. Mohd Yuzaini, a medical laboratory technologist at UMMC, said he and his wife began consulting a paediatrician when their son was four years old due to concerns about his rapid weight gain. Since both parents work at UMMC, they were more exposed to health issues and found it easier to access medical support. On Mikhael's eating habits, Mohd Yuzaini said he loves to eat and is not picky about food. "Whether it's home-cooked or food bought outside, he's fine with it, even trendy or viral food and drinks. There was a time when, every time we went out, he insisted on getting a drink from a popular coffee chain, even though we knew it was high in sugar. As parents, sometimes we just couldn't say no to him,' he said. Mohd Yuzaini said on their way to work every morning, they would drop Mikhael off at the babysitter's house before he went to school. "At the babysitter's, he would usually buy nasi lemak or fried noodles from a nearby shop for breakfast… his favourite. "At school, during recess, he would eat nasi lemak or fried noodles again. After school, he would return to the babysitter's house and get ready to go to the religious school (tahfiz school) in the afternoon. His mother would usually pack lunch for him with extra portions, just in case he got hungry later. "At the tahfiz school, food is also provided, and it's common for people to donate meals there. After school ends at around 7 pm, we would all have dinner together,' he said, adding snacks like biscuits and chocolates as well as bread, fruits and instant noodles were readily available at home in case Mikhael got hungry at night. HIDDEN GENETIC RISKS Sharing that Mikhael's obesity is likely not solely due to his diet, Mohd Yuzaini said it may be influenced by genetic factors although no medical tests have been carried out to confirm this. "Many members of my family, including me, have obesity issues,' he said, adding his weight once peaked at 165 kg (his height is 176 cm). "In the past, I used to be active in rugby. When we're involved in sports, we eat and stay active, so we are able to keep our weight under control. But later on, I stopped playing rugby and focused on my job… I became physically less active and started to gain weight.' Mohd Yuzaini, who has six siblings and is the eldest, said his immediate younger sibling passed away due to heart disease caused by obesity. "Another two siblings are also obese, with one of them having had a leg amputated due to diabetes,' he said, adding that in 2007, he decided to undergo bariatric surgery after his doctor warned he would eventually develop diabetes, hypertension and heart disease if he did not undergo the procedure. Mohd Yuzaini experienced weight loss after the surgery and two years later, his weight dropped to 107 kg from 165 kg. "Since then, I've been maintaining my weight and if it increases, it's only slightly. Thankfully, my previous borderline blood pressure (readings) and sugar levels have stabilised,' he said. Commenting on the treatment Mikhael is currently receiving, Mohd Yuzaini said it combines the expertise of three clinics - paediatrics, sports medicine and dietetics - and is administered by the Paediatric Obesity Clinic at UMMC. Doctors at the sports medicine clinic gave several exercise recommendations for Mikhael, such as walking up and down the stairs for 30 minutes daily and using a portable pedal exerciser that can be used anytime and anywhere. Said his father: "We tried it (exercises) during the fasting month (this year) and, thankfully, after the festive season, we saw his weight drop by three kg. "We'll continue with the suggested approach, combining (intermittent) fasting with exercise… we're aiming for Mikhael's weight to drop to 90 kg by the end of this year.' FAMILY DIET CHANGES Mohd Yuzaini said he and his wife Zaliza Mat Som, 58, have also started controlling their son's diet. "We've implemented a kind of intermittent fasting for him… he skips breakfast as advised by the doctor and he is allowed to eat during break time at school. "For his lunch and dinner, we've reduced his portions - he is allowed just a fistful of rice (low glycemic index). We've also cut down on oily and fatty foods, while adding more vegetables and fruits (to his diet),' he added, stressing that dieting is important because Mikhael's current weight puts him at risk for prediabetes. Mohd Yuzaini also said that through changes in his family's eating patterns and by exercising regularly, even his wife has experienced weight loss. "We want to support Mikhael in achieving his ideal weight, so we too have to make changes towards a healthier lifestyle,' he said. Mohd Yuzaini, meanwhile, suggested that health programmes involving nutritionists, fitness trainers and counsellors be conducted more frequently in schools for students as well as their parents, so they are better informed on how to tackle obesity while also raising awareness about obesity-related diseases. "Parents should also be informed of their children's (physical) condition, especially when their schools conduct certain tests like the 'Ujian Standard Kecergasan Fizikal Kebangsaan Untuk Murid Sekolah Malaysia' (SEGAK), which can indirectly help prevent obesity among students,' he added. SEGAK is a mandatory physical fitness test conducted twice a year in all government schools in Malaysia, designed to measure students' physical fitness levels based on health indicators. PARENTS MUST LEAD While Mikhael's family is doing their part, experts say the real change must start at home - and with consistent parental support. Sharing his views, fitness coach Kevin Zahri, popularly known as 'Cikgu Fitness Malaysia', said parents must become role models for their children, not just in terms of behaviour but also lifestyle, personal health and nutrition, and should always practice the principles of 'lead by example' and 'walk the talk'. According to him, being overweight or obese at a young age not only affects physical health but can also impact a child's emotions, self-confidence and mental well-being. "A sedentary and inactive lifestyle is easily carried over into adulthood and difficult to change. Therefore, parents need to help children set boundaries for screen time and video games, and ensure that they are consistently involved in physical activities. "Physical activity or recreational time should not be treated as a 'special occasion' but rather made part of a child's daily routine to nurture their mental, emotional and physical development from an early age,' he said. Touching on his '30-Day Health Challenge' online programme, held monthly throughout the year, Kevin said the response has been very encouraging, with many families participating to support children who struggle with excess weight and obesity. "Many parents initially wanted to enrol only their overweight children in the programme, but I encouraged them to join as a family. This is to prevent the child from feeling ashamed, stressed or having low self-esteem. "It turned out that my approach not only makes the programme more enjoyable for the whole family but they also get to lead a healthier lifestyle. With the 'fit family' concept, it becomes more meaningful as they spend quality time together and support each other,' he said, adding parents should not rely solely on doctors or schools to look into their children's health. Kevin added that while supplements can be used, for example by athletes or to make up for certain nutrient deficiencies, they are not a substitute for real food because what is more important is making healthy food choices to maintain good health. "My daughter is a national tennis player, while my son goes for football training four times a week. They both take supplements, including multivitamins, to support their growth and cover any nutritional gap. "As parents, we must take responsibility in leading our own 'circle of influence', which is our family. Start small, like doing physical activities together every Saturday, such as walking, playing badminton or pickleball,' he said, adding that more information about his programme is available at In conclusion, Mikhael's experience underscores the complex web of factors that contribute to childhood obesity - from possible genetic predisposition and family lifestyle to eating habits and emotional influences. His journey also reflects the harsh reality faced by many Malaysian children whose health is silently shaped by daily routines, social norms and limited physical activity. His story is not unique but rather a wake-up call. If childhood obesity continues to be overlooked or normalised, the long-term consequences on health, well-being and national productivity could be severe. Early intervention, family support and stronger public awareness are crucial to change the narrative - one child, one household at a time. Tomorrow: From type 2 diabetes to fatty liver and sleep apnoea, part two explores the risks of non-communicable diseases (NCDs) in children due to obesity, and highlights the importance of early treatment and public awareness. (This story was produced under the "Communicating Noncommunicable Diseases' Media Fellowship by Probe Media Foundation Inc [PMFI], Reporting ASEAN [RA] and World Health Organization [WHO]. The views and opinions expressed in this piece are not necessarily those of PMFI, RA and WHO.) - BERNAMA


Malaysiakini
a day ago
- Malaysiakini
Mental strain behind breastfeeding
COMMENT | World Breastfeeding Week, observed annually from Aug 1 to 7, is a global initiative supported by the World Health Organization (WHO), United Nations Children's Fund (Unicef) and various ministries of health and civil society partners. It serves as a platform to highlight breastfeeding as a foundation for lifelong health, development, and equity. Breastfeeding remains one of the most effective ways to ensure a child's health and survival. It provides safe, nutrient-rich nourishment packed with antibodies that protect against illness, while also strengthening the emotional bond between mother and infant. While physical breastfeeding challenges are often acknowledged, the emotional and psychological toll remains underdiscussed. For many Malaysian mothers, the experience is deeply emotional, entangled with guilt, stress, and isolation. Breastfeeding in Malaysia is often a mother's determination, supported by encouragement from her partner.


The Sun
2 days ago
- The Sun
European drugmakers drop as Trump pushes for US price cuts
SINGAPORE: Shares of European drugmakers slipped on Friday after U.S. President Donald Trump sent letters to major pharmaceutical firms to cut drug prices in the United States, months after signing a sweeping executive order aimed at lowering prices. The letters were the latest setback for a sector still grappling with the prospect of tariffs outlined in the U.S.-EU trade deal that could cost the pharmaceutical industry between $13 billion and $19 billion. Trump called on 17 drugmakers to provide so-called most-favoured-nation prices to every patient enrolled in the government Medicaid health programme for low-income people, and to guarantee such pricing for new drugs. Shares of European drugmakers Sanofi, AstraZeneca , GSK, Merck KGaA and Novo Nordisk slipped between around 1% and 4% in early trading on Friday. Novo's 4% fall extends a selloff this week that started on Tuesday with a 28% plunge, wiping out $70 billion of its market value after the maker of weight-loss drug Wegovy issued a profit warning and named a new CEO. The companies were all sent letters by Trump, who gave them until September 29 to respond with binding commitments to those terms. U.S. drugmakers including Pfizer, Johnson & Johnson, Eli Lilly and Merck were also sent the letters. The European healthcare index was down 1.4% by 0731 GMT, its lowest since April. 'Trump's directive to the pharma companies will put them on the defensive and adds yet another layer of uncertainty for the sector which could also face import tariffs in time to come,' said Vasu Menon, managing director of investment strategy at OCBC. 'While Trump has set a deadline for these companies to comply, it remains to be seen if this is hard coded or if he will roll back some of his threats if these companies make an effort to engage him and soften his stance.' Analysts, lobbyists and drug pricing experts though said it seemed unlikely that the pharmaceutical companies would comply with Trump's demand to lower U.S. prices. The companies including Pfizer, AbbVie, and German Merck KGaA's U.S. division, EMD Serono, said they were open to working with the Trump administration. Trump's executive order in May directed drugmakers to lower medicine prices to align with what other countries pay, leading to some shift in how drugmakers look to sell their medicines. Swiss drugmaker Roche said last week it was considering selling its prescription medicines in the United States directly to consumers to lower costs for patients as part of talks with the U.S. government. - Reuters