
TNFS Summit spotlights KSA's efforts to combat smoking
The summit was organized under the TNFS initiative, a strategic partnership between Badael (a Public Investment Fund company), the Quality of Life Program (a Vision 2030 program), and Smart Health as the summit's scientific partner.
The event brought together more than 100 experts and decision-makers from within the Kingdom and abroad, representing health organizations, regulatory authorities, and leading academic institutions.
Summit sessions reviewed global models for tobacco control, including experiences from Sweden and the UK. Core themes aligned with Saudi Arabia's national strategy included:
•Correcting public misconceptions about nicotine and its role as a lower-risk alternative to tobacco, as part of the solution, not the problem.
•Evaluating the impact of taxation as an effective tool to reduce tobacco consumption. • Showcasing scientific innovations in reduced-risk alternative products.
Official data from the General Authority for Statistics showed that the adult smoking rate in Saudi Arabia dropped from 17.5 percent to 12.4 percent within one year. This decline is attributed to the implementation of comprehensive regulatory policies, tax increases, and the availability of lower-risk alternatives.
Participants emphasized that TNFS is a true transformation platform, one that moves beyond awareness toward real impact on policy and societal behavior — reinforcing the Kingdom's position as a regional model to follow. Organizers announced that the summit would serve as the first in a series of specialized events in this field.
During the summit, Tolga Sezer, CEO of Badael, said: 'We believe harm reduction is the pathway to a smoke-free future. TNFS marks a powerful starting point for Saudi Arabia's national efforts to tackle tobacco use, driven by science, innovation, and supportive legislation.'
Salman Al-Khattaf, adviser to the CEO of the Quality of Life Program, added: 'Health is not a choice but a foundation for a dignified life and a productive society. TNFS supports community health and promotes positive lifestyle choices in line with the Kingdom's goals and bold vision.' He emphasized that success in tobacco harm reduction depends on connecting scientific evidence with practical, applicable policies, a core aim of the TNFS partnership.
Dr. Sara Al-Rashoud, research adviser at Smart Health, noted that the TNFS initiative reflects a shared commitment across sectors to reducing smoking and achieving a smoke-free Saudi Arabia, especially with nearly 4.8 million adult smokers currently in the Kingdom.
Dr. Christopher Russell, a UK-based behavioral scientist specializing in tobacco and nicotine use, estimated that smoking causes approximately 14,200 premature deaths annually in Saudi Arabia. He also predicted that the global end of smoking could be achieved within the next 40 years.
Dr. Konstantinos Farsalinos shared successful international harm reduction models, highlighting Sweden's achievement in reducing smoking rates from 15 percent to 5 percent over 15 years. This shift contributed to a 41 percent drop in cancer incidence and a 39.6 percent decrease in tobacco-related deaths. He called these outcomes a strategic opportunity for the region.
In the session titled 'Tobacco Harm Reduction in the Middle East,' Dr. Abdulrahman Al-Qudhib, a Saudi family physician specializing in noncommunicable diseases and tobacco harm reduction, warned about persistently high smoking rates in countries such as Jordan and Lebanon.
Public health expert Dr. Mohammad Yaman noted that 85 percent of smokers relapse within months, according to Mayo Clinic studies. He therefore considered the TNFS initiative an important step toward reducing smoking, calling for the model to be expanded and for greater regional collaboration.
In closing, participants affirmed that the TNFS Summit 2025 marks a pivotal step in the Kingdom's journey toward a society free from tobacco-related harm. It represents the convergence of political will and scientific knowledge, and strengthens Saudi Arabia's position as a leading model in adopting harm reduction policies and advancing quality of life.
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His appointment as ambassador to the Kingdom came in early 2020 — a pivotal time, not just for Saudi Arabia, but for the world. Almost immediately after landing in Riyadh, Crompton — like the rest of the world — found himself in the midst of the COVID-19 pandemic. 'I have a very vivid memory of how professional and reassuring the Saudi government response was,' he told me. 'The communication was very clear. You've got a good public health system.' He added: 'There was a very important decision by the government that everybody in the Kingdom would be treated the same regardless of nationality, which is very important. So we felt very reassured by that.' When the dust of COVID finally settled, Crompton began to see the transformation Vision 2030 promised, not just on paper but in reality. 'I remember going to Riyadh Boulevard for the first time. And there was a polar bear dancing on the wall to the sound of, 'I Like to Move, Move It,'' he laughed. 'It's just a nice atmosphere, families, grandpas, grandchildren, people out and about.' But of course, the transformation of Saudi Arabia is not limited to opening up and allowing once forbidden forms of entertainment. 'When I met lots of ministers, went to ministries, you could feel the change,' he said. 'You went into ministries and you saw everyone working hard. 'People talked about KPIs. I don't remember hearing the term KPIs 10 years ago. Maybe I was wrong, but everyone was very focused, friendly, and wanted to both advance the Saudi national agenda but work out how they could collaborate with us. 'So it was sort of a mix of social change and then sort of changing corporate ethos. Britons asked me about Vision 2030. I say Vision 2030 was a vision, but now it's a plan, and it's been executed and very successfully.' During Crompton's tenure, three British prime ministers visited the Kingdom — Boris Johnson, Rishi Sunak and, most recently, Keir Starmer. As ambassador, Crompton had numerous interactions with Saudi Arabia's Crown Prince Mohammed bin Salman. But the relationship goes back further. 'The first time I met the crown prince was back in 2015,' Crompton said. 'He's very dynamic, he's on top of his brief. He's always very positive about the relationship with the UK. I think he sort of talks about it as being a strategic partner, but also says, 'you've been a historically reliable friend.' 'And so I think everyone always comes away fired up because he has so much energy and enthusiasm for what he's talking about.' The shared monarchical systems of both nations, according to Crompton, provide a foundation of mutual understanding and respect. 'I think there's a sort of natural affinity between monarchies. We're probably the minority in the world, but I think the royal families tend to know each other. And I think there's a sort of familiarity. 'When Her Majesty the Queen passed, I was very touched by the messages I got from Saudis all over the Kingdom, just saying how sorry they were to see her pass. 'And connections between individual members of the royal families still go on. I know there's constant messaging backwards and forwards, and that's very positive. 'His Majesty King Charles, he's a real expert on Saudi Arabia. I think he's made six official visits. I just met him on a couple of occasions. But each time he'd talk about things he did in the past. You remember he gave a famous speech on Islam and the West. So he's always very interested in interfaith dialogue. 'When Sheikh Mohammed Al-Issa (secretary general of the Makkah-based Muslim World League) visited London, he saw him and he talked about the work that Saudi Arabia was doing in those areas. 'But also, in the few minutes I had with him, he asked: 'Tell me what's going on at AlUla, tell me what's going on at this.' So I think there's a sort of familiarity, and I hope to nurture that.' But while royalty might be well-versed in the Kingdom's transformation, are ordinary Britons keeping pace? 'I think it takes a long time to change perceptions. There's always a time lag,' Crompton said by way of admission. 'Initially, the sort of scale of ambition when we talked about Vision 2030, people said, 'really, can you do all that?' And some people said, well, even if they do 70 percent of that, it would be impressive. 'And actually, my experience … probably 90 percent (can) be done. Saudi GDP has grown by over 70 percent since 2016. New sectors coming along.' If there was one group that quickly closed that gap, however, it was the British business community. 'One of the highlights of my time here was the GREAT Futures trade event we did last year with the Saudi Ministry of Commerce,' said Crompton. 'And for that, 450 British companies came. 'But 60 percent came for the first time, a lot from the creative industries and educational sectors who hadn't been before. And I think they all came away and said, wow. And they met Saudis and established good contacts, and a lot of business and new relationships have flowed from that.' And the numbers speak volumes. 'Bilateral trade has gone up 70 percent since COVID,' Crompton told me. 'Last year, I believe it was $17 billion each way. And we have a commitment … to try and get bilateral trade to $30 billion by 2030. '$30 billion is a magic number. Which I personally think we'll exceed. And I think investment flows each way have increased significantly. And I think in the last five years, we've invested $23 billion in the UK. There's lots of Saudi private investment.' One of Crompton's proudest efforts has been pushing forward the UK-GCC free trade agreement. 'I think we're very close,' he said. 'The negotiations started under the Conservative government, and actually we got quite close, and then we had an election, which just slowed things a little bit. 'Free trade is important to the health of the world economy. I think it's a political signal between the Gulf countries and the UK, a political commitment to growing the relationship. 'This would be one of our first free trade agreements with a developing group of economies. And in the GCC's case it would be the first time you signed a free trade agreement with a G7 country. So I think that would be very important. 'But more importantly, it will reduce tariffs in a number of areas, reduce some of the barriers, or some of the regulatory or bureaucratic obstacles to growing the relationship, and it provides a platform for growing trade.' He added: 'I think it's 90 percent done. 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