AMAM, FPMPAM urges the unity government to implement inclusive policies

THE Addiction Medicine Association Malaysia (AMAM) and the Federation of Private Medical Practitioners’ Associations Malaysia (FPMPAM), the national bodies representing doctors in private practise in Malaysia, have once again urged the Health Ministry (MOH) to consider the science of harm reduction to reduce smoking prevalence instead of just pushing for harsh policies such as the generation endgame (GEG).

AMAM and FPMPAM made this call after culminating their two-day Joint Scientific Meeting where data on harm reduction was shared and discussed amongst medical practitioners in Malaysia.

Dr Steven Chow

“In our experience with engaging with smokers, we have learnt that many want to quit, but do not have the right support or tools to aid their journey.

“We are also cognisant of the fact that smokers who are not ready to quit or insistent on a cigarette will find access to the products they need by any means necessary,” said AMAM president Dr Steven Chow and FPMPAM president Dr Shanmuganathan Ganesan.

According to them, smokers need a more supportive approach, not one that is focused mainly on prohibition, if we want to reduce the incidence of smoking in Malaysia.

“There are many credible studies that have highlighted the science behind harm reduction. Public Health England and the Royal College of Physicians are two key reports that have shared overwhelming scientific data that harm reduction efforts can work with proper regulatory framework in place.”

The two doctors also pointed out that the field of tobacco harm reduction is in urgent need of research and a regulatory framework, particularly in Malaysia, and we must take the time to explore this option.

Moreover, experts have noted that the GEG will not curb smoking but instead drive smokers to unregulated or black channels. Instead, what is needed immediately is a regulatory framework to control vaping, vaping solutions and vaping devices. The constant focus on the GEG is distracting policymakers and lawmakers from this urgent task.

“If indeed the MOH envisions a healthier nation, then it must consider harm reduction strategies. It is too simplistic to envision that a country can be free from cigarettes and vaping without effective measures that support smokers. A prohibition-focused policy does not help and certainly does not support smokers to quit smoking,” noted both doctors.

“Furthermore, GEG is not all inclusive and does not provide for measures to address unregulated channels which we know plague our country.

“Introducing GEG and excluding harm reduction from the policy would be a missed opportunity, as we may be losing out on a viable solution that can have a meaningful impact on the tobacco epidemic. Our experience with opiate harm reduction since 2002 is a clear example of what can be successfully achieved with inclusive harm reduction policies.” — May 17, 2023

 

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