Adv Saidur Rahman: Bangladesh, like many countries, faces a long-standing battle against high smoking rates and their associated health risks. Taking inspiration from Japan's successful introduction of Heated Tobacco Products (HTPs) and their significant impact on reducing cigarette smoking, Bangladesh can explore a similar path to achieve a substantial decline in smoking rates and move towards a healthier future.

Japan's history with tobacco dates back to the 16th century, with cigarettes becoming popular in the late 19th century. Despite this long-standing tobacco culture, smoking rates began to fall significantly with the introduction of HTPs in 2014. As with Bangladesh today, Japan back then had a high smoking rate, creating a large potential market for HTPs.

Bangladesh has a high smoking prevalence, with a significant portion of the population using tobacco products. Similar to Japan's situation, this presents a large potential market for HTPs. This country can consider creating a regulatory framework that supports the introduction and use of HTPs while maintaining strict controls on conventional cigarettes. Learning from Japan, where the government has a stake in the tobacco industry, Bangladesh can ensure that policies are conducive to a shift towards HTPs.

In order to promote the health benefits and social acceptability of HTPs, educational campaigns need to be launched. These campaigns should inform the public about the potential harm reduction of HTPs compared to traditional cigarettes. Emphasize the benefits of lower exposure to toxicants and carcinogens. Social campaigns can also highlight the social benefits of HTPs, such as reduced secondhand smoke and improved hygiene. The idea that using HTPs is a considerate choice for the community should be promoted.

Capitalizing on the technological appeal of HTPs can add value to the whole campaign. Just as Japan's tech-savvy population embraced HTPs, Bangladesh can promote these products as modern, innovative alternatives to smoking.

Support programs can be established for smokers who switch to HTPs. These programs should provide resources to help them eventually quit all forms of tobacco use, offering necessary counseling and support.

Ongoing research is crucial to monitor the impact of HTPs on smoking rates and public health. This data can be used to refine policies and programs moving forward. Implementing regulations that balance control and support is important. For instance, allowing HTPs while maintaining strict advertising controls can prevent targeting non-smokers, especially youth.

Differential taxation needs to be considered. HTPs could be taxed lower than cigarettes but still priced high enough to deter non-smokers from starting. This can encourage smokers to switch without making HTPs a gateway for new users.

Engagement with international health organizations and countries that have successfully implemented HTPs can provide valuable insights and support. Working with local health organizations, community leaders, and the public can ensure the introduction of HTPs is well-received and effective.

Bangladesh has a unique opportunity to reduce its smoking rates by adopting strategies from Japan's successful implementation of heated tobacco products. By creating a supportive regulatory environment, promoting the health and social benefits of HTPs, leveraging technology, ensuring balanced regulation, and prioritizing smoking cessation programs, Bangladesh can take a significant step towards improving public health. The transition to HTPs, combined with robust support for quitting all tobacco use, can pave the way for a healthier future for all Bangladeshis.

Writer: Lawyer at Dhaka Judge Court and vice President at Bangladesh Law Education & Legal Aid Center, Dhaka