The global push for tobacco harm reduction (THR) is gaining momentum, with countries like Pakistan advocating for the use of nicotine pouches to reduce smoking rates, drawing inspiration from Sweden and New Zealand. The UK plans to ban single-use vapes by 2025, sparking concerns that former cigarette smokers might revert to smoking due to the absence of regulated alternatives. In Australia, pharmacies can now sell vapes without prescriptions, although flavor restrictions aim to reduce youth addiction. Meanwhile, New York is working on legislation and research grants to curb teen vaping through interventions like apps. These international efforts highlight a commitment to reducing nicotine dependency while addressing vaping and smoking challenges. The initial focus on the rise of fentanyl exposure in Nashville has been omitted in favor of a broader look at tobacco-related issues.