In Karachi, a youth development organization has turned the lens of tobacco prevention inward — toward the home. Rather than relying solely on regulation or retail enforcement, EYDS launched its Youth Access Prevention Initiative with a quiet but consequential argument: that parents and caregivers, through awareness and open conversation, may be among the most powerful forces standing between a young person and their first encounter with tobacco or nicotine. It is a reminder that public health is not only a matter of policy, but of presence.