Endit Foundation

Endit Foundation works for Smokefree world.

[Endit Foundation @EnditFoundation]

New research study underscore the potential of harm reduction strategies in #Pakistan. #TobaccoControlReboot #THR

[Dr. Ziauddin Islam 💙 @ziauddinislam]

New research shows harm reduction products could cut Pakistan's smoking rate to 12%, save 700,000 DALYs & $500M yearly via differential taxation. Time to embrace cost-effective tobacco control globally especially in Pakistan. #HarmReduction https://t.co/DsmdReXhMe

[Dr. Ziauddin Islam 💙 @ziauddinislam]

The Gateway Myth Busted
BROMS debunked the Gateway Myth.

Snus initiation alone didn't predict adult smoking. Risk was concentrated in "mixed starters" — those who began young & used multiple products simultaneously.
We need to know if Pakistan has the same profile.
#PAKISTANiSE

[Dr. Ziauddin Islam 💙 @ziauddinislam]

The Swedish Lesson
In 1998, Sweden enrolled 3,020 children aged 11 into the BROMS cohort & followed them for decades.

What they found shattered assumptions.
Longitudinal science doesn't show you where people are. It shows you where they're going.
#PAKISTANiSE #BROMS

[Dr. Ziauddin Islam 💙 @ziauddinislam]

We know how many Pakistanis use tobacco.
We don't know where they're headed.

That single blind spot is costing lives.
It's time to change it.
@EnditFoundation
#PAKISTANiSE #TobaccoControl #PublicHealth
https://t.co/4n2FIEMS7i

[Dr. Ziauddin Islam 💙 @ziauddinislam]

The New Frontier
Nicotine pouches. Vaping devices. Unregulated. Accessible. Spreading fast across Pakistani cities.

Our Vaping Voices research in Lahore shows youth navigating these products with zero longitudinal guidance.
The market won't wait for our research.
#PAKISTANiSE

[Endit Foundation @EnditFoundation]

@ziauddinislam Read the full article 👇
From Snapshots to Trajectories: The Case for a National Longitudinal Cohort Study on Youth Tobacco & Nicotine Use in Pakistan

https://t.co/GcFmna1hXP
#PAKISTANiSE #PublicHealth #TobaccoControl #Pakistan @ziauddinislam #KarolinskaInstitutet

[Endit Foundation @EnditFoundation]

@ziauddinislam The Call to Action
Sweden understood in 1998 — you cannot steer what you cannot track.

Pakistan's tobacco burden is combustible, smokeless & increasingly digital.
It is time we tracked it longitudinally.
#PAKISTANiSE is not an aspiration.
It is a national imperative.

[Endit Foundation @EnditFoundation]

After the cigarette FED hike, 58% of Pakistan's cigarette market went illicit. A prior vaping duty surge drove regulated manufacturers out entirely.
Budget 2026-27 raises e-liquid FED 65%. Again.
Evidence exists. The will to read it must follow.
#448ADay @ziauddinislam

[Endit Foundation @EnditFoundation]

Pakistan collects PKR 1,800,000,000,000 in annual tobacco-related economic losses.Push smokers away from regulated harm reduction unregulated illicit market.
prior vaping duty surge drove regulated manufacturers out entirely.

— https://t.co/TXqKQciDer #GATS2024 #TobaccoPolicy

[Endit Foundation @EnditFoundation]

1,710 vape users surveyed in Lahore.
53% reported significant reduction in cigarette use.
13% reported quitting smoking.
Among those who quit, 94% did so within 6 months.
Message: harm reduction deserves evidence-based consideration. @ziauddinislam
https://t.co/lIaKZvWeUe

[Dr. Ziauddin Islam 💙 @ziauddinislam]

Six in 10 smokers reduced cigarette use, finds Pakistan’s first vaping survey by @EnditFoundation
https://t.co/aUQ2g7Lk8o
#WNDT2026

[Endit Foundation @EnditFoundation]

Every smoker deserves a safer path away from combustible tobacco.

Ending smoking is not about judging smokers — it's about protecting them from the harms caused by smoke. Evidence-based tobacco harm reduction can help millions of adults who struggle to quit nicotine completely

[Endit Foundation @EnditFoundation]

@ziauddinislam Way forward is neither prohibition nor promotion. Pakistan needs evidence-based regulation: protect youth, ensure product standards, improve public understanding of relative risks, and continue investing in independent research that help save lives and reduce burden of diseases,

[Endit Foundation @EnditFoundation]

1,710 vape users surveyed in Lahore.
53% reported significant reduction in cigarette use.
13% reported quitting smoking.
Among those who quit, 94% did so within 6 months.
Message: harm reduction deserves evidence-based consideration. @ziauddinislam
https://t.co/lIaKZvWeUe

[Endit Foundation @EnditFoundation]

@ziauddinislam The study also identified concerns that cannot be ignored. Some respondents reported initiating vaping before age 16, while many cited social influence as a reason for starting. Youth protection must remain a central pillar of any nicotine policy framework.

[Endit Foundation @EnditFoundation]

@ziauddinislam @FCTCofficial We need sovereign, evidence-based policy: risk-proportionate taxation on deadly cigarettes, fully legal #THR products that actually keep smokers off combustion, proper flavors work, and honest public messaging — burn tobacco = death.
Evidence over ideology. #WNTD2026

[Endit Foundation @EnditFoundation]

@ziauddinislam @FCTCofficial Spot on. Pakistan doesn't need more foreign donor cash funneled into useless anti-smoking seminars/ hoteling/ entertainment visits pushing total prohibition lies.
We need sovereign policy: risk-based taxes that hit deadly cigarettes harder, fully legal regulated alternatives.