North Africa’s stance on alternative nicotine products, such as e-cigarettes and smokeless tobacco, varies by country, but overall, the region is characterized by cautious regulation. However, the introduction of alternative nicotine products has prompted interest in harm reduction, pushing policymakers to consider new regulatory frameworks. These measures aim to control the spread of vaping, particularly among the youth, with the aim of protecting public health. However, Morocco’s Health Minister Khalid Aït Taleb, has recently raised concerns about the escalating use of vapes among teenagers, and pledged to take decisive action to address this pressing public health issue. The tide may be turningOverall, North Africa is navigating the complex landscape of tobacco control and alternative nicotine products with strict measures.