Friday, November 21, 2025

Regulated Access Over Prohibition: Lessons for Sri Lanka’s Public Health Strategy

Sri Lanka stands at a critical crossroads in public health policy as lawmakers debate whether to implement a complete ban on vape products or pursue regulated access. This decision carries significant implications for the nation's approach to harm reduction, youth protection, and evidence-based policymaking.

The Current Debate: Ban vs Regulation

The primary concern driving discussions around vape regulation centers on protecting children from potential health risks. However, public health experts increasingly argue that outright prohibition may create more problems than it solves. Countries worldwide have demonstrated that well-designed regulatory frameworks can effectively protect minors while providing safer alternatives for adult smokers seeking to quit traditional cigarettes.

Sri Lanka's policymakers must consider the unintended consequences of prohibition, including the emergence of black markets, loss of quality control, and reduced government oversight. When products are banned entirely, consumers often turn to unregulated sources, potentially exposing themselves to greater health risks.

International Evidence for Regulated Access

Several countries have successfully implemented comprehensive vape regulations that prioritize public health while maintaining legal access for adults. The United Kingdom, often cited as a model, treats vaping as a smoking cessation tool within its healthcare system. Their approach includes strict age verification, advertising restrictions, product quality standards, and taxation policies that maintain vaping as a less expensive alternative to smoking.

New Zealand's regulatory framework provides another compelling example. Their system includes licensing requirements for retailers, restrictions on flavors that might appeal to children, and mandatory health warnings. These measures have contributed to declining smoking rates while maintaining controlled access for adults.

Australia initially pursued prohibition but has since moved toward regulated access, recognizing that complete bans often prove ineffective and counterproductive. Their experience demonstrates that policy flexibility and evidence-based adjustments are crucial for successful public health outcomes.

Youth Protection Through Smart Regulation

Protecting children remains the cornerstone of any effective vape policy. However, evidence suggests that comprehensive regulation, rather than prohibition, offers superior protection for minors. Effective youth protection measures include robust age verification systems, restrictions on marketing and advertising, limits on appealing flavors, and penalties for retailers who sell to underage customers.

Educational programs targeting both youth and parents about the risks of vaping can complement regulatory measures. Countries with successful youth protection records emphasize prevention through education rather than relying solely on prohibition.

Economic and Regulatory Considerations

A regulated vape market can generate significant tax revenue for Sri Lanka while ensuring product safety through quality control standards. Taxation policies can be designed to make vaping less attractive to youth while maintaining affordability for adult smokers seeking to quit. Additionally, licensing fees and compliance costs create sustainable funding streams for regulatory oversight and enforcement.

Regulation also enables government agencies to monitor usage patterns, track health outcomes, and adjust policies based on emerging evidence. This data-driven approach allows for responsive policymaking that can address new challenges as they arise.

Implementation Framework for Sri Lanka

Should Sri Lanka choose regulated access, several key components would ensure effective implementation. First, establishing minimum age requirements of 21 years, consistent with international best practices, would provide stronger youth protection than the typical 18-year threshold.

Second, implementing strict advertising and marketing restrictions would prevent targeting of minors while allowing adult consumers to access product information. Third, mandatory product registration and quality standards would ensure consumer safety and enable effective market oversight.

Fourth, retailer licensing and training programs would create accountability throughout the supply chain. Finally, regular policy review mechanisms would allow for adjustments based on emerging evidence and changing circumstances.

Public Health Integration

Integrating vape regulation into Sri Lanka's broader public health strategy requires coordination between multiple government agencies and healthcare providers. Training healthcare professionals to provide evidence-based guidance on vaping as a smoking cessation tool could enhance the country's tobacco control efforts.

Monitoring systems should track both intended outcomes, such as smoking cessation rates, and potential unintended consequences, including youth uptake and long-term health effects. This comprehensive approach ensures that policy decisions remain grounded in evidence rather than ideology.

Moving Forward

Sri Lanka's decision on vape regulation will set an important precedent for evidence-based public health policy in South Asia. By choosing regulated access over prohibition, the country can protect youth while providing adult smokers with safer alternatives, generate revenue for public health programs, and maintain policy flexibility for future adjustments.

The international evidence strongly supports regulated access as the most effective approach to balancing public health protection with individual choice and harm reduction. Sri Lanka has the opportunity to implement a world-class regulatory framework that serves as a model for other developing nations facing similar policy decisions.