<?xml version="1.0" encoding="utf-8" standalone="yes"?><rss version="2.0" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Public Health on Farsalinos</title><link>https://farsalinos.github.io/en/tags/public-health/</link><description>Recent content in Public Health on Farsalinos</description><generator>Hugo -- gohugo.io</generator><language>en</language><copyright>© 2026 K. Farsalinos, MD, MPH, PhD | Science &amp; Public Health</copyright><lastBuildDate>Mon, 14 Sep 2026 11:50:35 +0300</lastBuildDate><atom:link href="https://farsalinos.github.io/en/tags/public-health/index.xml" rel="self" type="application/rss+xml"/><item><title>Australia's Tobacco Tax Experiment Has Failed. Europe is at risk of a similar failure.</title><link>https://farsalinos.github.io/en/science-deep-dives/australia-illicit-op-en/</link><pubDate>Sat, 12 Sep 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/australia-illicit-op-en/</guid><description>&lt;p&gt;Australia has spent more than a decade taxing cigarettes on the theory that pain at the checkout would eventually get people to quit. It hasn&amp;rsquo;t. What it has actually built, according to the &lt;strong&gt;federal opposition’s June 2026 report&lt;/strong&gt;, is one of the most lucrative black markets in the country&amp;rsquo;s history, plus a public health establishment that still can&amp;rsquo;t bring itself to call the policy a failure.&lt;/p&gt;&#10;&lt;p&gt;&lt;strong&gt;Bottom line up front:&lt;/strong&gt; Australia&amp;rsquo;s decade-long strategy of taxing cigarettes toward abstinence has not reduced nicotine consumption — it has handed 60–80% of the market to organized crime, according to the figures in the Coalition Taskforce&amp;rsquo;s June 2026 report, while tobacco excise revenue collapses from its $16 billion peak toward an expected $2 billion by 2029–30. The entire market for reduced-risk nicotine products is in the hands of the black market. The policy has failed on every metric it was designed to move, and Australia&amp;rsquo;s public health peak bodies are still defending it. Europe, through the new legislation it is preparing — based on the excessive taxation of everything — risks making the same mistake. With the same disastrous results.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/australia-illicit-op-en/feature.en.jpg"/></item><item><title>The Global Regulatory Paradox of Cannabis Versus Nicotine</title><link>https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/</link><pubDate>Sun, 06 Sep 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/</guid><description>&lt;p&gt;A new &lt;a href="https://link.springer.com/article/10.1186/s12954-026-01517-8" target="_blank" rel="noreferrer"&gt;&lt;em&gt;Harm Reduction Journal&lt;/em&gt; paper&lt;/a&gt; by Konstantinos Farsalinos argues that global drug policy has become internally inconsistent, and the application of double standards is becoming the new “norm”.&lt;/p&gt;&#10;&#10;&lt;h2 class="relative group"&gt;Key Takeaways&#10; &lt;div id="key-takeaways" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#key-takeaways" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;ul&gt;&#10;&lt;li&gt;Cannabis, a psychoactive substance linked to real risks of psychosis and cognitive decline, is rolling out globally under the promise of personal freedom.&lt;/li&gt;&#10;&lt;li&gt;At the same time, non-combustible nicotine products—like vapes, pouches, and snus, which don’t intoxicate and carry far lower toxicological risks than smoking—are getting banned or criminalized in dozens of countries.&lt;/li&gt;&#10;&lt;li&gt;This contradiction has been labeled a “regulatory paradox.” In both cases, it’s the combustion, not the drug itself, that drives most of the harm, yet policy treats them as opposites.&lt;/li&gt;&#10;&lt;li&gt;From a toxicological standpoint, smoke is smoke; cannabis smoke shares carcinogens and toxic pathways with tobacco smoke and may even deliver more tar per puff. Yet the restrictions focus on nicotine’s non-combustible forms while leaving cannabis smoking largely unchecked.&lt;/li&gt;&#10;&lt;li&gt;Neurocognitively, nicotine acts as a non-intoxicating stimulant with proven cognitive benefits like sharpened attention and working memory, whereas THC carries a well-documented, dose-dependent link to acute psychosis and cognitive impairment.&lt;/li&gt;&#10;&lt;li&gt;A double standard protecting youth runs through both markets: flavor bans and “gateway theory” fears are weaponized against vapes and pouches, while flavored, youth-appealing THC edibles and vapes proliferate with little regulatory pushback.&lt;/li&gt;&#10;&lt;li&gt;Sociologically, the “Iron Law of Prohibition” is playing out again: Australia’s 2024 e-cigarette restrictions coincided with an estimated 95.7% of its vape market going illicit—the same black-market dynamic regulators previously accepted as a lesson from cannabis and alcohol prohibition.&lt;/li&gt;&#10;&lt;li&gt;Bioethically, cannabis legalization is defended through “cognitive liberty” and adult autonomy, while nicotine regulation has swung toward “hard paternalism,” treating addiction as negating free will and denying smokers access to lower-risk substitutes. The comparison of dependence also contradicts the policy trend.&lt;/li&gt;&#10;&lt;li&gt;While nicotine has a higher capture rate among first-time users, cannabis use disorder is more prevalent at a population level and includes a clinically validated withdrawal syndrome, undercutting the idea that cannabis is simply the “safe” substance and nicotine the dangerous one.&lt;/li&gt;&#10;&lt;li&gt;Economically and in criminal-justice terms, the paper argues nicotine bans reproduce the very costs cannabis liberalization was meant to avoid: lost tax revenue, destroyed legitimate businesses, and enforcement resources funneled into policing a black market instead of advancing public health.&lt;/li&gt;&#10;&lt;/ul&gt;&#10;&#10;&lt;figure&gt;&#10; &lt;img&#10; class="my-0 rounded-md w-[400px]"&#10; loading="lazy"&#10; decoding="async"&#10; fetchpriority="auto"&#10; alt=""&#10; width="900"&#10; height="506"&#10; src="https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/slide2.en_hu_ac17fff7e591a9d6.jpg"&#10; srcset="https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/slide2.en_hu_ac17fff7e591a9d6.jpg 800w,/en/science-deep-dives/nic-freeze-en/slide2.en_hu_79048e54069c5663.jpg 1280w"&#10; sizes="(min-width: 768px) 50vw, 65vw"&#10; data-zoom-src="https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/slide2.en.jpg"&#10; /&gt;&#10; &#10; &#10; &lt;/figure&gt;&#10;&#10;&lt;h2 class="relative group"&gt;The Core Claim, Up Front&#10; &lt;div id="the-core-claim-up-front" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#the-core-claim-up-front" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;p&gt;The argument is straightforward: if you separate THC and nicotine from their &lt;em&gt;traditional&lt;/em&gt; delivery systems—smoked cannabis and combustible cigarettes—the toxicology simply doesn’t support current policy. Combustion, not the drug itself, is the primary driver of harm in both scenarios. Yet policy has moved in opposite directions: cannabis is heading toward liberalization, while nicotine is facing prohibition of exactly the products—e-cigarettes, snus, and pouches—that remove combustion from the equation.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/nic-freeze-en/feature.en.jpg"/></item><item><title>How Australia has Lost Control of the Nicotine Market?</title><link>https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/</link><pubDate>Sun, 30 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/</guid><description>&lt;p&gt;&lt;strong&gt;“When Best Practice Falls Short.”&lt;/strong&gt; Australia has long been praised as a world leader in tobacco regulation, shaping global standards via plain packaging and strong public‑health initiatives. Yet this image hides a serious strategic misstep. By rigidly following WHO‑endorsed “best practice” measures—namely heavy excise taxes and a medical‑only framework for nicotine vapes—Australia has unintentionally sparked a sovereignty crisis. The government has effectively abandoned its duty to oversee the market, handing control over to criminal networks.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/feature.en.jpg"/></item><item><title>The Global State of Tobacco Harm Reduction 2026</title><link>https://farsalinos.github.io/en/news/gsthr-2026-en/</link><pubDate>Sat, 29 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/news/gsthr-2026-en/</guid><description>&lt;p&gt;&lt;em&gt;A 91-page situation report from Knowledge•Action•Change was recently released,&lt;/em&gt; &lt;em&gt;&lt;strong&gt;the Global State of Tobacco Harm Reduction (GSTHR) 2026,&lt;/strong&gt; covering tobacco harm reduction (THR) developments from January 2025 into early 2026.&lt;/em&gt; This report represents a single synthesis of data on smoking prevalence, safer nicotine product use, regulation, pricing, science and policy across more than 200 countries, and is released approximately every 2 years.&lt;/p&gt;&#10;&#10;&lt;h2 class="relative group"&gt;The Core Findings&#10; &lt;div id="the-core-findings" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#the-core-findings" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;p&gt;Five findings define this edition:&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/news/gsthr-2026-en/feature.en.jpg"/></item><item><title>The Global Paradox</title><link>https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/</link><pubDate>Mon, 24 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/</guid><description>&lt;p&gt;&lt;strong&gt;Why Cigarettes Are Everywhere But Non-Combustible Nicotine Alternatives Are Banned?&lt;/strong&gt;&#10;Here’s something that should make you stop and think: In 2026, you can walk into almost any store worldwide and buy a pack of cigarettes - a product that kills up to half of its long-term users. But try to buy a vape or nicotine pouch to help quit smoking, and you might be breaking the law.&lt;/p&gt;&#10;&#10;&lt;figure&gt;&#10; &lt;img&#10; class="my-0 rounded-md w-[400px]"&#10; loading="lazy"&#10; decoding="async"&#10; fetchpriority="auto"&#10; alt=""&#10; width="800"&#10; height="450"&#10; src="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en_hu_4326caf0593234d2.jpg"&#10; srcset="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en_hu_4326caf0593234d2.jpg 800w,/en/science-deep-dives/thr-paradox-en/slide2.en_hu_bc19e99145a3b28d.jpg 1280w"&#10; sizes="(min-width: 768px) 50vw, 65vw"&#10; data-zoom-src="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en.jpg"&#10; /&gt;&#10; &#10; &#10; &lt;/figure&gt;&#10;&lt;p&gt;This is a global pattern that defies logic and costs lives.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/feature.en.jpg"/></item></channel></rss>