Quebec Expands Smoking Cessation but Excludes Vapes
The Coalition des droits des vapoteurs du Québec (CDVQ) has challenged the Quebec government for expanding access to pharmaceutical nicotine therapies while continuing to exclude vaping from provincial smoking cessation programs. The provincial initiative follows recommendations issued by the Institut national d’excellence en santé et en services sociaux (INESSS), an agency reporting directly to the Ministry of Health and Social Services.
While the CDVQ supports broader access to cessation tools, the group highlighted a sharp policy contradiction: the government actively promotes nicotine-based gums, patches, and lozenges, yet refuses to recognize vaping as a valid alternative for adult smokers.
Questioning the Inconsistency in Nicotine Policy
Valérie Gallant, spokesperson for the CDVQ, questioned the rationale behind promoting some non-combustible nicotine delivery systems while treating others as contraband or public health threats.
“We agree with the goal of helping people quit smoking,” Gallant stated. “How can the government facilitate access to gums, patches, and lozenges, which all contain nicotine, while refusing to recognize the role of vaping in cessation strategies? For many smokers, vaping was the solution that finally allowed them to leave cigarettes behind. Why this difference in treatment?”
The coalition emphasized that the primary public health enemy is the combustion of tobacco, not nicotine itself. By failing to differentiate between smoke and vapor, provincial policies risk keeping smokers tethered to combustible cigarettes.
Health Canada’s Scientific Assessment Versus Provincial Restrictions
Federal health guidance stands in contrast to Quebec’s regulatory posture. Health Canada explicitly recognizes that vaping is less harmful than smoking when an adult smoker transitions completely. Federal data also indicates that e-cigarettes are an effective tool for smoking cessation.
Despite these findings, Quebec authorities have implemented restrictive policies, including flavor bans and product access curbs. The CDVQ argues that these barriers discourage smokers from transitioning to reduced-risk products and push former smokers back toward cigarettes.
“Combustion products are responsible for the vast majority of tobacco-related damage,” Gallant noted. “It is time to ask whether certain public health directions are based on a balanced analysis of scientific data or on dogmatic positions.”
Calling for Policy Reform Under New Health Leadership
The CDVQ is urging the newly appointed Minister of Health, Prevention, and Seniors, Marie-Karlynn Laflamme, to reassess Quebec’s approach to harm reduction. The coalition warned against relying solely on guidance from the Institut national de santé publique du Québec (INSPQ), which advocates describe as overly ideological.
According to Gallant, the transition in ministerial leadership presents an opportunity to reset provincial tobacco control policies:
“We invite the new minister to avoid repeating the mistakes of her predecessors, who were guided by ideological stances rather than evidence. She now has the chance to look at this issue with fresh eyes, step back from these entrenched positions, and rely on scientific data. Continuing an unjustified campaign against vaping harms adult smokers who are trying to quit.”
Advocates Outline Core Regulatory Demands
To establish a balanced public health framework, the CDVQ outlined specific actions for the Quebec government:
- Formal Recognition: Acknowledge vaping as a legitimate option for adult smokers, particularly those who have failed to quit using traditional therapies.
- Clear Distinction: Establish regulatory policies that clearly separate combustible tobacco from non-combustible vapor products.
- Proportionate Access: Avoid market restrictions that restrict adult access to effective smoking cessation alternatives.
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