57
The WHO Report on the Global Tobacco Epidemic, 2013 provides essential data on the tobacco epidemic and selected tobacco control measures in 194 participating WHO Member States and 1 territory. Appendix VII provides detailed information about tobacco prevention policies and tobacco economics in the 28 countries that have the largest number of tobacco smokers in the world. Together, these countries represent over 85% of APPENDIX VII: COUNTRY PROFILES the smokers in the world, as measured by their population and WHO-adjusted estimates of prevalence of current tobacco use among adults aged 15 years and older. Most data were collected at the national/ federal level only and, therefore, provide incomplete policy coverage for Member States where subnational governments play an active role in tobacco control. 2 Argentina 6 Bangladesh 10 Brazil 14 China 18 Egypt 22 France 26 Germany 30 India 34 Indonesia 38 Iran (Islamic Republic of) 42 Italy 46 Japan 50 Mexico 54 Myanmar 58 Nepal 62 Nigeria 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 United Kingdom of Great Britain and Northern Ireland 106 United States of America 110 Viet Nam WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

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Page 1: Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

1WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

The WHO Report on the Global Tobacco Epidemic, 2013 provides essential data on the tobacco epidemic and selected tobacco control measures in 194 participating WHO Member States and 1 territory. Appendix VII provides detailed information about tobacco prevention policies and tobacco economics in the 28 countries that have the largest number of tobacco smokers in the world. Together, these countries represent over 85% of

Appendix Vii: Country profiles

the smokers in the world, as measured by their population and WHO-adjusted estimates of prevalence of current tobacco use among adults aged 15 years and older.

Most data were collected at the national/federal level only and, therefore, provide incomplete policy coverage for Member States where subnational governments play an active role in tobacco control.

2 Argentina6 Bangladesh

10 Brazil14 China18 Egypt22 France26 Germany30 India34 Indonesia38 Iran (Islamic Republic of)42 Italy46 Japan50 Mexico54 Myanmar58 Nepal

62 Nigeria66 Pakistan70 Philippines74 Poland78 Republic of Korea82 Russian Federation86 Spain90 Thailand94 Turkey98 Ukraine

102 United Kingdom of Great Britain and Northern Ireland

106 United States of America110 Viet Nam

WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Page 2: Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

2 3WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 25 September 2003

Date of ratification (or legal equivalent): Not ratified

. . . Data not reported/not available.— Data not required/not applicable.

Argentina

SOCIOECONOMIC CONTEXT

Population (thousands) 41 119

Adults 15+ years (thousands) 31 763

Income group Middle

The Americas

ARGENTINA

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 22.7 17.4

Female 25.4 21.5

Total 24.1 19.6Global Youth Tobacco Survey, 2012; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 4.4

Female 3.0

Total 3.7

Global Youth Tobacco Survey, 2012; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 29.4 21.9 29.0 21.9

Female 15.6 12.7 15.5 12.7

Total 22.1 17.1 21.9 17.1

Encuesta Mundial de Tabaquismo en Adultos (Global Adult Tobacco Survey), 2012; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 0.1

Female 0.2

Total 0.2

Global Adult Tobacco Survey, 2012; National, ages 15+

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

National quit line Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices and workplaces Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker No

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

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4 5WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Argentina The Americas

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) ARS 8.00

In international dollars (Purchasing Power Parity) PPP 2.74

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 67.8Specific excise 0Ad valorem excise 46.8value added tax (vAT) 5.3Import duty 0Other taxes 15.7

q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 4

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 280 240

In US$ at official exchange rate 280 240

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 50

% of the principal display area (front) covered by a warning 50 50

% of the principal display area (back) covered by a warning 50 50

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 10 10

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes Yes

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

Warn about the dangers of tobacco

National tobacco control programme

1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § 8

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 5

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

Neuquén 474 000 1

Page 4: Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

6 7WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 14 june 2004

. . . Data not reported/not available.— Data not required/not applicable.

Bangladesh

SOCIOECONOMIC CONTEXT

Population (thousands) 152 409

Adults 15+ years (thousands) 105 502

Income group Low

South-east Asia

BANGLADESH

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold No

bupropion sold No

varenicline sold No

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals No

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § 3

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 9.1 2.9

Female 5.1 1.1

Total 6.9 2.0Global Youth Tobacco Survey, 2007; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.9

Female 4.3

Total 5.3

Global Youth Tobacco Survey, 2007; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 54.8 53.3 37.8 36.8

Female 1.3 1.1 0.2 0.1

Total 26.2 25.4 17.7 17.2

Non-Communicable Disease Risk Factor Survey, 2010; National, ages 25+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 27.2

Female 32.6

Total 30.1

Non-Communicable Disease Risk Factor Survey, 2010; National, ages 25+

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8 9WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Bangladesh South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country BDT 50

In international dollars (Purchasing Power Parity) PPP 1.53

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 71.0

Specific excise 0.0

Ad valorem excise 56.0

value added tax (vAT) 15.0

Import duty 0.0

Other taxes 0.0

q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 2

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 90 000

In US$ at official exchange rate 90 000

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

30 –

% of the principal display area (front) covered by a warning 30 –

% of the principal display area (back) covered by a warning 30 –

law mandates specific warnings Yes –

Number of specific warnings approved by law 6 –

Warnings appear on each package and outside packaging Yes –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour Yes –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic No –

Warning is placed at the top of the principal display area Yes –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes –

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” No –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours No –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling No –

law mandates plain packaging No –

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme . . .

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans Yes

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution Yes

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 51 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

Page 6: Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

10 11WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 3 November 2005

. . . Data not reported/not available.— Data not required/not applicable.

Brazil

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

National toll-free quit line Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SOCIOECONOMIC CONTEXT

Population (thousands) 198 361

Adults 15+ years (thousands) 150 676

Income group Middle

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes*

Educational facilities except universities Yes*

Universities Yes*

government facilities Yes*

Indoor offices Yes*

restaurants Yes*

Cafés, pubs and bars Yes*

Public transport Yes

All other indoor public places No

Compliance score § 8

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker No

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes

* Policy adopted but not implemented by 31 December 2012.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

The Americas

BRAZIL

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male . . . 6.4

Female . . . 6.3

Total . . . 6.3PENSE, 2009; Subnational, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 21.6 18.9 21.5 18.3

Female 13.1 11.5 13.0 11.0

Total 17.2 15.1 17.1 14.5

Global Adult Tobacco Survey, Brazil, 2008; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 0.6

Female 0.3

Total 0.4

Global Adult Tobacco Survey, 2008; National, ages 15+

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12 13WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes*1

local magazines and newspapers Yes

International magazines and newspapers Yes*2

billboards and outdoor advertising Yes

Point of sale Yes*

Internet Yes

Other direct bans No

Compliance score of direct bans § 7

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes*

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 5

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

Brazil The Americas

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country BRL 4.25

In international dollars (Purchasing Power Parity) PPP 2.26

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 63.1

Specific excise 21.2

Ad valorem excise 6.0

value added tax (vAT) 25.0

Import duty 0.0

Other taxes 11.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 25

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEArIn currency reported by country (ISO code) BRL 10 000 000

In US$ at official exchange rate 3 249 417

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

651 ^

% of the principal display area (front) covered by a warning 301 ^

% of the principal display area (back) covered by a warning 100 ^

law mandates specific warnings Yes No

Number of specific warnings approved by law 10 –

Warnings appear on each package and outside packaging Yes No

Warnings describe the harmful effects of tobacco use Yes No

law mandates font style, font size and colour Yes No

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes No

Warnings include a photograph or graphic Yes No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes No

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours Yes Yes

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes No

law mandates plain packaging No No1 The additional text occupying 30% of the lower part of the front surface will be applicable as of 01 January 2016. In the meantime, the law requires 100% of the back only.^ Not specified.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted No

Implementation Campaign was aired on Tv and/or radio No

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness No

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

§ Policy adopted but not yet implemented by 31 December 2012.1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

Page 8: Appendix Vii: Country profiles - WHO · 66 Pakistan 70 Philippines 74 Poland 78 Republic of Korea 82 Russian Federation 86 Spain 90 Thailand 94 Turkey 98 Ukraine 102 ... 106 United

14 15WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

CHinA

WHO FCTC STATUSDate of signature: 10 November 2003

Date of ratification (or legal equivalent): 11 October 2005

. . . Data not reported/not available.— Data not required/not applicable.

China

SOCIOECONOMIC CONTEXT

Population (thousands) 1 353 601

Adults 15+ years (thousands) 1 109 300

Income group Middle

Western pacific

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 3

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker No

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

Hong kong Special Administrative region 7 000 000 1

Macao Special Administrative region 568 700 0

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male . . . . . .

Female . . . . . .

Total . . . . . .

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 52.9 45.4 52.1 44.6

Female 2.4 2.0 2.3 1.9

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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16 17WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

China Western pacific

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE1

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) CNY 5.00

In international dollars (Purchasing Power Parity) PPP 1.18

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 40.8

Specific excise 1.2

Ad valorem excise 21.3

value added tax (vAT) 14.5

Import duty 0.01 Data in this table not approved by the national authorities. q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 27

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) CNY 20 000 000

In US$ at official exchange rate 2 878 257

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

30 –

% of the principal display area (front) covered by a warning 30 –

% of the principal display area (back) covered by a warning 30 –

law mandates specific warnings Yes –

Number of specific warnings approved by law 3 –

Warnings appear on each package and outside packaging Yes –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour Yes –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic No –

Warning is placed at the top of the principal display area No –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations No –

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours No –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling No –

law mandates plain packaging No –

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § 6

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 31 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorshipNone reported.

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18 19WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 17 june 2003

Date of ratification (or legal equivalent): 25 February 2005

. . . Data not reported/not available.— Data not required/not applicable.

Egypt

SOCIOECONOMIC CONTEXT

Population (thousands) 83 958

Adults 15+ years (thousands) 57 302

Income group Middle

eastern Mediterranean

EGYPT

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold No

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals No

Smoking cessation support available in the community No

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 3

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 7.2 5.8

Female 2.8 1.4

Total 5.1 3.7Global School-Based Student Health Survey (GSHS), 2011; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 46.0 44.3 . . . . . .

Female 0.4 0.3 . . . . . .

Total 24.4 23.5 . . . . . .

Egypt NCD Stepwise Survey, 2011; National, ages 25-64

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 4.8

Female 0.3

Total 2.6

Global Adult Tobacco Survey, 2009; National, 15+

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20 21WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Egypt eastern Mediterranean

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) EGP 6.00

In international dollars (Purchasing Power Parity) PPP 2.09

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 72.5

Specific excise 20.8

Ad valorem excise 50.0

value added tax (vAT) 0.0

Import duty 0.0

Other taxes 1.7q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 3

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 30 000

In US$ at official exchange rate 30 000

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 50

% of the principal display area (front) covered by a warning 50 50

% of the principal display area (back) covered by a warning 50 50

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 4 4

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.3 Although the law does not explicitly ban the identification of non-tobacco products with tobacco brand names (brand stretching) and does not provide a definition of tobacco advertising and promotion, we interpret that brand stretching is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.4 Although the law does not explicitly ban the usage of brand names of non-tobacco products for tobacco products (brand sharing) and does not provide a definition of tobacco advertising and promotion, we interpret that brand sharing is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans No

Compliance score of direct bans § 7

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes3

brand name of non-tobacco products used for tobacco products Yes4

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events No

Compliance score of indirect bans § 5

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22 23WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 19 October 2004 AA

AA Approval is an international act, similar to ratification, by which countries that have already signed a treaty/convention formally state their consent to be bound by it.

. . . Data not reported/not available.— Data not required/not applicable.

France

SOCIOECONOMIC CONTEXT

Population (thousands) 63 458

Adults 15+ years (thousands) 54 995

Income group High

europe

FRANCE

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in most

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community . . .

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities *

Indoor offices *

restaurants *

Cafés, pubs and bars *

Public transport *

All other indoor public places NA

Compliance score § . . .

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No

* Separate, completely enclosed smoking rooms are allowed under very strict conditions (refer to Technical Note I for more details).§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco smoking*

Daily tobacco smoking

Male 20.4 15

Female 20.3 14

Total . . . 14Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 37.4 32.4 . . . . . .

Female 30.2 26.0 . . . . . .

Total 33.7 29.1 . . . . . .

Baromètre santé, 2010; National, ages 15-75

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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24 25WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

France europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) EUR 6.20

In international dollars (Purchasing Power Parity) PPP 6.78

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 79.9

Specific excise 8.9

Ad valorem excise 54.6

value added tax (vAT) 16.4

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff . . .

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) EUR 29 988 306

In US$ at official exchange rate 37 235 671

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 40 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme No

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio No

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § . . .

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § . . .

§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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26 27WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 24 October 2003

Date of ratification (or legal equivalent): 16 December 2004

. . . Data not reported/not available.— Data not required/not applicable.

Germany

SOCIOECONOMIC CONTEXT

Population (thousands) 81 991

Adults 15+ years (thousands) 75 451

Income group High

europe

GERMANY

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § 7

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking

Dailytobacco smoking

Male 11.1 4.5

Female 12.4 5.2

Total 11.7 4.8Bundeszentrale für Gesundheitliche Aufklärung: Drogenaffinitätsstudie, 2011; National, ages 12-17

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 30.5 26.4 30.5 26.4

Female 21.2 17.6 21.2 17.6

Total 25.7 21.9 25.7 21.9

Mikrozensus - Fragen zur Gesundheit , 2009; National, ages 15-100

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

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28 29WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Germany europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) EUR 5.26

In international dollars (Purchasing Power Parity) PPP 6.28

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 73.0

Specific excise 35.2

Ad valorem excise 21.9

value added tax (vAT) 16.0

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 4

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) EUR 4 500 000

In US$ at official exchange rate 6 591 719

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 40 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 17 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour No No

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio No

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution No

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 81 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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30 31WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 10 September 2003

Date of ratification (or legal equivalent): 5 February 2004

. . . Data not reported/not available.

India

SOCIOECONOMIC CONTEXT

Population (thousands) 1 258 351

Adults 15+ years (thousands) 874 765

Income group Middle

South-east Asia

INDIA

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants *

Cafés, pubs and bars *

Public transport Yes

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes* Separate, completely enclosed smoking rooms are allowed under very strict conditions (refer to Technical Note I for more details). § A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 19.0 5.8

Female 8.3 2.4

Total 14.6 4.4Global Youth Tobacco Survey, 2009; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 11.1

Female 6.0

Total 9.0

Global Youth Tobacco Survey, 2009; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 24.3 18.3 10.5 6.3

Female 2.9 2.4 0.9 0.6

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 32.9

Female 18.4

Total 25.9

Global Adult Tobacco Survey, 2009; National, ages 15+

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

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32 33WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

India South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) INR 98

In international dollars (Purchasing Power Parity) PPP 4.88

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 43.1

Specific excise 24.4

Ad valorem excise 0.0

value added tax (vAT) 16.7

Import duty 0.0

Other taxes 2.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 100

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) INR 296 100 000

In US$ at official exchange rate 6 475 555

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco1

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

20 20

% of the principal display area (front) covered by a warning 40 40

% of the principal display area (back) covered by a warning 0 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 3 3

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No1 Chewing tobacco is the most common form of smokeless tobacco use in India. Since 2011, chewing tobacco has been banned in India through the Food Safety laws.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

goa 1 457 723 0.1

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans Yes

Compliance score of direct bans § 5

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 5

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34 35WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: Not signed

Date of ratification (or legal equivalent): Not ratified

. . . Data not reported/not available.— Data not required/not applicable.

Indonesia

SOCIOECONOMIC CONTEXT

Population (thousands) 244 769

Adults 15+ years (thousands) 179 545

Income group Middle

South-east Asia

INDONESIA

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community No

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 3

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 41.0 41.0

Female 6.2 3.5

Total 22.5 20.3Global Youth Tobacco Survey, 2009; Subnational, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 3.3

Female 2.3

Total 2.8

Global Youth Tobacco Survey, 2009; Subnational, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 67.0 56.7 67.0 56.7

Female 2.7 1.8 2.7 1.8

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2011; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 1.5

Female 2.0

Total 1.7

Global Adult Tobacco Survey, 2011; National, ages 15+

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36 37WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Indonesia South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) IDR 16 667

In international dollars (Purchasing Power Parity) PPP 2.32

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 51.0

Specific excise 42.6

Ad valorem excise 0.0

value added tax (vAT) 8.4

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 12

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) IDR 300 000 000

In US$ at official exchange rate 30 931

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

40 40

% of the principal display area (front) covered by a warning 40 40

% of the principal display area (back) covered by a warning 40 40

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 5 5

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes1 Yes1

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No1 Regulations are pending.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio No

International Tv and radio No

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § —

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films Yes

Sponsored events No

Compliance score of indirect bans § . . .§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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38 39WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 6 November 2005

. . . Data not reported/not available.— Data not required/not applicable.

Iran (Islamic Republic of)

SOCIOECONOMIC CONTEXT

Population (thousands) 75 612

Adults 15+ years (thousands) 58 546

Income group Middle

eastern Mediterranean

ISLAMIC REPUPLIC OF IRAN

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold No

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals No

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places Yes

Compliance score § 9

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 32.9 5.1

Female 19.5 0.9

Total 26.6 3.0Global Youth Tobacco Survey, 2007; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.4

Female 4.8

Total 5.1

Global Youth Tobacco Survey, 2007; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 24.6 22.2 22.1 20.4

Female 3.3 2.7 1.3 1.0

Total 14.1 12.6 11.8 10.8

Islamic Republic of Iran STEPS survey, 2009; National, ages 15-64

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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40 41WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Iran (Islamic Republic of) eastern Mediterranean

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) IRR 12 000

In international dollars (Purchasing Power Parity) PPP 1.90

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 17.3

Specific excise 0.0

Ad valorem excise 0.0

value added tax (vAT) 10.7

Import duty 0.0

Other taxes 6.6q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 20

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 500 000

In US$ at official exchange rate 500 000

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 50

% of the principal display area (front) covered by a warning 50 50

% of the principal display area (back) covered by a warning 50 50

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 13 13

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

No No

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans Yes

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes3

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 101 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.3 Although the law does not explicitly ban the usage of brand names of non-tobacco products for tobacco products (brand sharing) and does not provide a definition of tobacco advertising and promotion, we interpret that brand sharing is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

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42 43WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 2 july 2008

. . . Data not reported/not available.— Data not required/not applicable.

Italy

SOCIOECONOMIC CONTEXT

Population (thousands) 60 964

Adults 15+ years (thousands) 55 891

Income group High

europe

ITALY

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere . . .

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities *

Educational facilities except universities *

Universities *

government facilities *

Indoor offices *

restaurants *

Cafés, pubs and bars *

Public transport *

All other indoor public places No

Compliance score § —

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes

* Separate, completely enclosed smoking rooms are allowed under very strict conditions (refer to Technical Note I for more details).§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male . . . 19.4

Female . . . 21.6

Total . . . 20.7Global Youth Tobacco Survey, 2010; National ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 27.9 . . . . . . . . .

Female 16.3 . . . . . . . . .

Total 21.9 . . . . . . . . .

ISTAT: Indagine Multiscopo “Aspetti della vita quotidiana”, 2012; National, ages 14+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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44 45WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Italy europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) EUR 5.00

In international dollars (Purchasing Power Parity) PPP 5.84

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 75.2

Specific excise 3.6

Ad valorem excise 54.3

value added tax (vAT) 17.4

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists No

Number of full-time equivalent staff —

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) EUR 1 065 000

In US$ at official exchange rate 1 560 040

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 40 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme No

Campaign was pre-tested with the target audience . . .

research about the target audience was conducted . . .

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning No

Earned media/public relations were used to promote the campaign . . .

Evaluation Process evaluation was employed to assess implementation . . .

Outcome evaluation was employed to assess effectiveness . . .

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans No

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 101 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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46 47WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 9 March 2004

Date of ratification (or legal equivalent): 8 june 2004 A

A Acceptance is an international act, similar to ratification, by which countries that have already signed a treaty/convention formally state their consent to be bound by it.

. . . Data not reported/not available.— Data not required/not applicable.

Japan

SOCIOECONOMIC CONTEXT

Population (thousands) 126 435

Adults 15+ years (thousands) 118 071

Income group High

Western pacific

JAPAN

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § —

National law requires fines for smoking No

Fines levied on the establishment —

Fines levied on the smoker —

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male . . . 1.4

Female . . . 0.9

Total . . . . . .National survey on underage smoking and drinking, 2010; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 32.4 . . . 32.4 . . .

Female 9.7 . . . 9.7 . . .

Total 20.1 . . . 20.1 . . .

Heisei 23-nen kokumin kenkou eiyou tyosa kekka no gaiyou [National Health and Nutrition Survey], 2011; National, ages 20+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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48 49WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Japan Western pacific

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) JPY 410

In international dollars (Purchasing Power Parity) PPP 3.95

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 64.5

Specific excise 55.7

Ad valorem excise 0.0

value added tax (vAT) 4.8

Import duty 0.0

Other taxes 4.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 2

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) JPY 287 653 000

In US$ at official exchange rate 3 276 981

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

30 30

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 30 30

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 8 4

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour No No

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” No No

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No1 No1

law mandates plain packaging No No1 It is mandatory that a website address appears on the package providing information about smoking cessation.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio No1

International Tv and radio No1

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No2

Compliance score of direct bans § —

INDIrECT bANS

Free distribution No

Promotional discounts No3

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § —1 In practice, tobacco brand advertisements have not been broadcast on television and radio since April 1998.2 In practice, tobacco brand advertisements are not conducted on buses, taxis, ships and airplanes.3 No discounted prices are allowed, however promotional gifts or offers are allowed for adults.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

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50 51WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 12 August 2003

Date of ratification (or legal equivalent): 28 May 2004

. . . Data not reported/not available.— Data not required/not applicable.

Mexico

SOCIOECONOMIC CONTEXT

Population (thousands) 116 147

Adults 15+ years (thousands) 83 496

Income group Middle

The Americas

MEXICO

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in most

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities *

Educational facilities except universities Yes

Universities *

government facilities *

Indoor offices *

restaurants *

Cafés, pubs and bars *

Public transport No

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. * Separate, completely enclosed smoking rooms are allowed under very strict conditions (refer to Technical Note I for more details).

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

Federal District (Mexico City) 8 851 080 8

Morelos 1 777 227 2

Tabasco 2 238 603 2

veracruz de Ignacio de la llave 7 643 194 7

Zacatecas 1 490 668 1

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 21.6 15.8

Female 17.7 12.9

Total 19.8 14.6Global Youth Tobacco Survey, 2011; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.9

Female 3.9

Total 4.9

Global Youth Tobacco Survey, 2011; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 24.8 11.8 24.5 11.7

Female 7.8 3.7 7.5 3.7

Total 15.9 7.6 15.6 7.6

Global Adult Tobacco Survey, Mexico, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 0.3

Female 0.3

Total 0.3

Global Adult Tobacco Survey, Mexico, 2009; National, ages 15+

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52 53WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Mexico The Americas

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) MXN 40

In international dollars (Purchasing Power Parity) PPP 4.47

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 66.6

Specific excise 17.5

Ad valorem excise 35.3

value added tax (vAT) 13.8

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 5

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) MXN 200 000

In US$ at official exchange rate 17 970

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

65 65

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 100 100

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 8 8

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes Yes

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § 5

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 5§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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54 55WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 23 October 2003

Date of ratification (or legal equivalent): 21 April 2004

. . . Data not reported/not available.— Data not required/not applicable.

Myanmar

SOCIOECONOMIC CONTEXT

Population (thousands) 48 724

Adults 15+ years (thousands) 36 519

Income group Low

South-east Asia

MYANMAR

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold No

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 30.0 13.0

Female 6.8 0.5

Total 18.6 6.8Global Youth Tobacco Survey, 2011; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 15.2

Female 4.0

Total 9.8

Global Youth Tobacco Survey, 2011; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 44.8 33.6 . . . 9.2

Female 7.8 6.1 . . . 0.1

Total 22.0 16.7 . . . 3.6

Myanmar STEPS survey, 2009; National, ages 15-64

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 51.4

Female 16.1

Total 29.6

Myanmar STEPS survey, 2009; National, 15-64

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56 57WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Myanmar South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) MMK 800

In international dollars (Purchasing Power Parity) PPP 1.59

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 50.0

Specific excise 0.0

Ad valorem excise 50.0

value added tax (vAT) 0.0

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 3

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) MMK 5 000 000

In US$ at official exchange rate 918 873

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

^ –

% of the principal display area (front) covered by a warning ^ –

% of the principal display area (back) covered by a warning ^ –

law mandates specific warnings No –

Number of specific warnings approved by law – –

Warnings appear on each package and outside packaging No –

Warnings describe the harmful effects of tobacco use No –

law mandates font style, font size and colour No –

Warnings are rotating No –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic No –

Warning is placed at the top of the principal display area No –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

No –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” No –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours No –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling No –

law mandates plain packaging No –

^ Not specified.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme No

Campaign was pre-tested with the target audience . . .

research about the target audience was conducted . . .

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign No

Evaluation Process evaluation was employed to assess implementation No

Outcome evaluation was employed to assess effectiveness No

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § 7

INDIrECT bANS

Free distribution Yes

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 5

1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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58 59WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 3 December 2003

Date of ratification (or legal equivalent): 7 December 2006

. . . Data not reported/not available.— Data not required/not applicable.

Nepal

SOCIOECONOMIC CONTEXT

Population (thousands) 31 011

Adults 15+ years (thousands) 19 827

Income group Low

South-east Asia

NEPAL

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold No

bupropion sold No

varenicline sold No

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals No

Smoking cessation support available in offices of health professionals No

Smoking cessation support available in the community No

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 6

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 24.6 5.5

Female 16.4 0.8

Total 20.4 3.1Global Youth Tobacco Survey, 2011; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 19.7

Female 12.9

Total 16.2

Global Youth Tobacco Survey, 2011; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 51.9 . . . 29.8 27.1

Female 13.3 . . . 8.7 . . .

Total . . . . . . . . . . . .

Nepal Demographic and Health Survey , 2011; National, ages 15-49

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 37.9

Female 6.0

Total . . .

Nepal Demographic and Health Survey, 2011; National, ages 15-49

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60 61WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Nepal South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) NPR 45

In international dollars (Purchasing Power Parity) PPP 1.19

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 35.2

Specific excise 23.7

Ad valorem excise 0.0

value added tax (vAT) 11.5

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 4

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) NPR 12 500 000

In US$ at official exchange rate 179 181

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

75 75

% of the principal display area (front) covered by a warning 75 75

% of the principal display area (back) covered by a warning 75 75

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 4 2

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during 2009 or 2010?* Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign No

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans Yes

Compliance score of direct bans § 8

INDIrECT bANS

Free distribution Yes

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names Yes3

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 81 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.3 Although the law does not explicitly ban the identification of non-tobacco products with tobacco brand names (brand stretching) and does not provide a definition of tobacco advertising and promotion, we interpret that brand stretching is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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62 63WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 28 june 2004

Date of ratification (or legal equivalent): 20 October 2005

. . . Data not reported/not available.— Data not required/not applicable.

Nigeria

SOCIOECONOMIC CONTEXT

Population (thousands) 166 629

Adults 15+ years (thousands) 93 505

Income group Middle

Africa

NIGERIA

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community No

Smoking cessation support available elsewhere . . .

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities No

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 19.2 5.6

Female 11.1 1.3

Total 15.4 3.5Global Youth Tobacco Survey, 2008; Subnational, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 10.6

Female 6.8

Total 8.8

Global Youth Tobacco Survey, 2008; Subnational, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male . . . . . . 9.0 . . .

Female . . . . . . 0.2 . . .

Total . . . . . . . . . . . .

Demographic and Health Survey, 2008; National, ages 15-59

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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64 65WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Nigeria Africa

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) NGN 220

In international dollars (Purchasing Power Parity) PPP 2.26

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 20.6

Specific excise 0.0

Ad valorem excise 15.9

value added tax (vAT) 4.8

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 58

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) NGN 5 500 000

In US$ at official exchange rate 43 717

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

^ –

% of the principal display area (front) covered by a warning ^ –

% of the principal display area (back) covered by a warning ^ –

law mandates specific warnings Yes –

Number of specific warnings approved by law 2 –

Warnings appear on each package and outside packaging Yes –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour No –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic No –

Warning is placed at the top of the principal display area No –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

No –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” No –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours No –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling No –

law mandates plain packaging No –^ Not specified.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio No

International Tv and radio No

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § —

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § —§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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66 67WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 18 May 2004

Date of ratification (or legal equivalent): 3 November 2004

. . . Data not reported/not available.— Data not required/not applicable.

Pakistan

SOCIOECONOMIC CONTEXT

Population (thousands) 179 951

Adults 15+ years (thousands) 116 032

Income group Middle

eastern Mediterranean

PAkISTAN

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold No

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information. PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 15.0 9.9

Female 1.9 1.0

Total 9.8 6.3Global School-Based Student Health Survey (GSHS), 2009; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 13.8

Female 7.4

Total 10.8

Global School-Based Student Health Survey (GSHS), 2009; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 32.4 27.3 . . . 17.2

Female 5.7 4.4 . . . 1.5

Total 19.1 15.9 . . . 9.4

World Health Survey, Pakistan, 2003; National, ages 18+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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68 69WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Pakistan eastern Mediterranean

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) PKR 33

In international dollars (Purchasing Power Parity) PPP 0.81

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 60.0

Specific excise 42.5

Ad valorem excise 3.7

value added tax (vAT) 13.8

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 16

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) PKR 5 500 000

In US$ at official exchange rate 90 552

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

40 –

% of the principal display area (front) covered by a warning 40 –

% of the principal display area (back) covered by a warning 40 –

law mandates specific warnings Yes –

Number of specific warnings approved by law 1 –

Warnings appear on each package and outside packaging Yes –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour Yes –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic Yes –

Warning is placed at the top of the principal display area Yes –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” No –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours No –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling No –

law mandates plain packaging No –

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio No

International Tv and radio No

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § —

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 3§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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70 71WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 23 September 2003

Date of ratification (or legal equivalent): 6 june 2005

. . . Data not reported/not available.— Data not required/not applicable.

Philippines

SOCIOECONOMIC CONTEXT

Population (thousands) 96 471

Adults 15+ years (thousands) 62 083

Income group Middle

Western pacific

PHILIPPINES

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community No

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 7

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 18.8 12.9

Female 9.3 5.3

Total 13.7 8.9Global Youth Tobacco Survey, 2011; Nationall, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.8

Female 3.3

Total 4.5

Global Youth Tobacco Survey, 2011; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 47.6 38.2 47.3 38.0

Female 9.0 6.9 8.7 6.7

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 2.8

Female 1.2

Total 2.0

Global Adult Tobacco Survey, 2009; National, ages 15+

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72 73WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Philippines Western pacific

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) PHP 15.00

In international dollars (Purchasing Power Parity) PPP 0.59

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 28.8

Specific excise 18.1

Ad valorem excise 0.0

value added tax (vAT) 10.7

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 3

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) PHP 1 000 000

In US$ at official exchange rate 21 669

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

15 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 0 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 4 4

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour No No

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” No No

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § 7

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 71 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0—10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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74 75WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 14 june 2004

Date of ratification (or legal equivalent): 15 September 2006

. . . Data not reported/not available.— Data not required/not applicable.

Poland

SOCIOECONOMIC CONTEXT

Population (thousands) 38 317

Adults 15+ years (thousands) 34 016

Income group High

europe

POLAND

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § 7

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking*

Dailytobacco smoking

Male 15.7 12

Female 12.1 8

Total . . . 10Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 36.9 33.5 36.7 33.5

Female 24.4 21.0 24.2 20.9

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 1.0

Female 0.1

Total 0.5

Global Adult Tobacco Survey, 2009; National, ages 15+

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76 77WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Poland europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) PLN 11.60

In international dollars (Purchasing Power Parity) PPP 5.85

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 79.6

Specific excise 29.5

Ad valorem excise 31.4

value added tax (vAT) 18.7

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists No

Number of full-time equivalent staff —

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) PLN 1 000 000

In US$ at official exchange rate 415 068

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 40 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes No

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign No

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness No

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans No

Compliance score of direct bans § 5

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 51 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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78 79WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 21 july 2003

Date of ratification (or legal equivalent): 16 May 2005

. . . Data not reported/not available.— Data not required/not applicable.

Republic of korea

SOCIOECONOMIC CONTEXT

Population (thousands) 48 588

Adults 15+ years (thousands) 41 637

Income group High

Western pacific

REPUBLIC OF kOREA

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in most

Smoking cessation support available in the community No

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Dailycigarette smoking

Current cigarette smoking

Male 2.9 9.8

Female 1.2 4.3

Total 2.1 7.2Korea Youth Risk Behavior Web-based Survey, 2012; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 7.2

Female 5.0

Total 6.2

Global Youth Tobacco Survey, 2008; National ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male . . . . . . 47.3 44.7

Female . . . . . . 6.8 5.5

Total . . . . . . 27.0 25.1

National Health and Nutrition Examination Survey, 2011; National, ages 20+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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80 81WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Republic of korea Western pacific

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) KRW 2 500

In international dollars (Purchasing Power Parity) PPP 3.10

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 62.0

Specific excise 52.9

Ad valorem excise 0.0

value added tax (vAT) 9.1

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 5

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) KRW 22 854 000 000

In US$ at official exchange rate 20 737 779

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes No

% of the principal display areas (front and back combined) covered by a warning

30 –

% of the principal display area (front) covered by a warning 30 –

% of the principal display area (back) covered by a warning 30 –

law mandates specific warnings Yes –

Number of specific warnings approved by law 1 –

Warnings appear on each package and outside packaging No –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour Yes –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic No –

Warning is placed at the top of the principal display area No –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” No –

ban on use of figurative or other signs, including colours or numbers No –

ban on packaging and labelling using descriptors depicting flavours Yes –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling Yes –

law mandates plain packaging No –

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio No

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § . . .

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § —§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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82 83WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: Not signed

Date of ratification (or legal equivalent): 3 june 2008A

A Accession is the international act by which countries that have not signed a treaty/convention formally state their consent to be bound by it.

. . . Data not reported/not available.— Data not required/not applicable.

Russian Federation

SOCIOECONOMIC CONTEXT

Population (thousands) 142 703

Adults 15+ years (thousands) 125 249

Income group Middle

europe

RUSSIAN FEDERATION

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold No

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals No

Smoking cessation support available in offices of health professionals No

Smoking cessation support available in the community No

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities No

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § —

National law requires fines for smoking No

Fines levied on the establishment —

Fines levied on the smoker —

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking*

Dailytobacco smoking

Male 19.2 15

Female 15.3 9

Total . . . 12Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.4

Female 2.2

Total 3.8

Global Youth Tobacco Survey, 2004; National ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 60.2 55.0 59.4 54.3

Female 21.7 16.3 21.4 16.2

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 1.0

Female 0.2

Total 0.6

Global Adult Tobacco Survey, 2009; National, ages 15+

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84 85WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Russian Federation europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) RUB 44

In international dollars (Purchasing Power Parity) PPP 1.85

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 40.5

Specific excise 17.7

Ad valorem excise 7.5

value added tax (vAT) 15.3

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff . . .

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) RUB . . .

In US$ at official exchange rate . . .

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

40 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 50 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 13 1

Warnings appear on each package and outside packaging No No

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes No

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes No

Warnings include a photograph or graphic Yes No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” No No

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § . . .

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events No

Compliance score of indirect bans § . . .§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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86 87WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 11 january 2005

. . . Data not reported/not available.— Data not required/not applicable.

Spain

SOCIOECONOMIC CONTEXT

Population (thousands) 46 772

Adults 15+ years (thousands) 41 809

Income group High

europe

SPAIN

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 10

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking*

Dailytobacco smoking

Male 14.8 11

Female 22.6 16

Total . . . 14Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 35.3 31.2 35.3 31.2

Female 24.6 21.3 24.6 21.3

Total 29.9 26.2 29.9 26.2

Encuesta Europea de Salud en España, 2009; National, ages 16+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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88 89WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Spain europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE*

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) EUR 4.20

In international dollars (Purchasing Power Parity) PPP 5.56

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 79.3

Specific excise 9.0

Ad valorem excise 55.0

value added tax (vAT) 15.3

Import duty 0.0

Other taxes 0.0

* Health-competent authorities have not reviewed tax and price data.q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff . . .

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) EUR . . .

In US$ at official exchange rate . . .

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 15

% of the principal display area (front) covered by a warning 30 30

% of the principal display area (back) covered by a warning 40 0

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans No

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 101 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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90 91WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 20 june 2003

Date of ratification (or legal equivalent): 8 November 2004

. . . Data not reported/not available.— Data not required/not applicable.

Thailand

SOCIOECONOMIC CONTEXT

Population (thousands) 69 892

Adults 15+ years (thousands) 56 728

Income group Middle

South-east Asia

THAILAND

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in most

Smoking cessation support available in hospitals Yes in most

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in most

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 7

National law requires fines for smoking Yes

Fines levied on the establishment No

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 26.9 20.1

Female 9.2 3.8

Total 17.9 11.7Global Youth Tobacco Survey, 2009; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 7.3

Female 4.1

Total 5.7

Global Youth Tobacco Survey, 2009; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 46.6 . . . 30.1 . . .

Female 2.6 . . . 1.1 . . .

Total 24.0 . . . 15.2 . . .

Global Adult Tobacco Survey, 2011; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 1.1

Female 5.2

Total 3.2

Global Adult Tobacco Survey, 2011; National, ages 15+

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92 93WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Thailand South-east Asia

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) THB 58.00

In international dollars (Purchasing Power Parity) PPP 3.26

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 70.2

Specific excise 0.0

Ad valorem excise 58.4

value added tax (vAT) 6.5

Import duty 0.0

Other taxes 5.3q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 74

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) THB 161 900 000

In US$ at official exchange rate 5 109 560

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? YesSale is

banned

% of the principal display areas (front and back combined) covered by a warning

55 –

% of the principal display area (front) covered by a warning 55 –

% of the principal display area (back) covered by a warning 55 –

law mandates specific warnings Yes –

Number of specific warnings approved by law 10 –

Warnings appear on each package and outside packaging Yes –

Warnings describe the harmful effects of tobacco use Yes –

law mandates font style, font size and colour Yes –

Warnings are rotating Yes –

Warnings are written in the principal language(s) of the country Yes –

Warnings include a photograph or graphic Yes –

Warning is placed at the top of the principal display area Yes –

Warnings do not remove or diminish the liability of the tobacco industry No –

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes –

Warnings are not obscured in any way, including by required markings such as tax stamps

No –

law requires or establishes fines for violations Yes –

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes –

ban on use of figurative or other signs, including colours or numbers Yes –

ban on packaging and labelling using descriptors depicting flavours Yes –

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No –

Quit line number required to appear on all packaging or labelling Yes –

law mandates plain packaging No –

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign No

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio No

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans No

Compliance score of direct bans § 8

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § 4

§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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94 95WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 28 April 2004

Date of ratification (or legal equivalent): 31 December 2004

. . . Data not reported/not available.— Data not required/not applicable.

Turkey

SOCIOECONOMIC CONTEXT

Population (thousands) 74 509

Adults 15+ years (thousands) 55 133

Income group Middle

europe

TURkEY

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 10

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 14.4 10.2

Female 7.4 5.3

Total 11.9 8.4Global Youth Tobacco Survey, 2009; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 41.4 37.3 . . . . . .

Female 13.1 10.7 . . . . . .

Total 27.0 23.8 . . . . . .

Global Adult Tobacco Survey, 2012; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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96 97WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Turkey europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) TRY 6.50

In international dollars (Purchasing Power Parity) PPP 4.89

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 80.3

Specific excise 0.0

Ad valorem excise 65.0

value added tax (vAT) 15.3

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 8

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) TRY 2 000 000

In US$ at official exchange rate 1 330 806

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

65 65

% of the principal display area (front) covered by a warning 65 65

% of the principal display area (back) covered by a warning 65 65

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area Yes Yes

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes Yes

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience No

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes1

local magazines and newspapers Yes

International magazines and newspapers Yes2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans Yes

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films Yes

Sponsored events Yes

Compliance score of indirect bans § 101 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

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98 99WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 25 june 2004

Date of ratification (or legal equivalent): 6 june 2006

. . . Data not reported/not available.— Data not required/not applicable.

Ukraine

SOCIOECONOMIC CONTEXT

Population (thousands) 44 940

Adults 15+ years (thousands) 40 256

Income group Middle

europe

UkRAINE

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold No

Smoking cessation support available in primary care facilities No

Smoking cessation support available in hospitals No

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices No

restaurants Yes

Cafés, pubs and bars No

Public transport Yes

All other indoor public places NA

Compliance score § . . .

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking*

Dailytobacco smoking

Male 30.8 23

Female 12.9 8

Total . . . 15Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 50.0 45.5 49.7 45.4

Female 11.3 8.9 11.1 8.9

Total . . . . . . . . . . . .

Global Adult Tobacco Survey, 2009; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 0.5

Female 0.0

Total 0.2

Global Adult Tobacco Survey, 2009; National, ages 15+

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100 101WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Ukraine europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) UAH 7.50

In international dollars (Purchasing Power Parity) PPP 1.75

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 67.0

Specific excise 29.5

Ad valorem excise 20.8

value added tax (vAT) 16.7

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 2

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) UAH . . .

In US$ at official exchange rate . . .

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 50

% of the principal display area (front) covered by a warning 50 50

% of the principal display area (back) covered by a warning 50 50

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 11 11

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes Yes

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? No

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme —

Campaign was pre-tested with the target audience —

research about the target audience was conducted —

Implementation Campaign was aired on Tv and/or radio —

Campaign used media planning —

Earned media/public relations were used to promote the campaign —

Evaluation Process evaluation was employed to assess implementation —

Outcome evaluation was employed to assess effectiveness —

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes

local magazines and newspapers Yes

International magazines and newspapers Yes1

billboards and outdoor advertising Yes

Point of sale Yes

Internet No

Other direct bans No

Compliance score of direct bans § . . .

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § . . .

1 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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102 103WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 16 june 2003

Date of ratification (or legal equivalent): 16 December 2004

. . . Data not reported/not available.— Data not required/not applicable.

SOCIOECONOMIC CONTEXT

Population (thousands) 62 798

Adults 15+ years (thousands) 54 488

Income group High

europe

United kingdom of Great Britain and Northern Ireland

UNITED kINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in most

Smoking cessation support available in hospitals Yes in most

Smoking cessation support available in offices of health professionals Yes in most

Smoking cessation support available in the community Yes in most

Smoking cessation support available elsewhere Yes in some

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars Yes

Public transport Yes

All other indoor public places No

Compliance score § 10

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint Yes§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

England 53 012 456 84

Northern Ireland 1 810 863 3

Scotland 5 295 000 8

Wales 3 063 456 5

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currenttobacco smoking*

Dailytobacco smoking

Male 101 61

Female 151 91

Total . . . 81

Health Behaviour in School-aged Children, 2009/2010; National, ages 15-15* “Current” means at least once in the past week.1 Data aggregated from subnational surveys and representative of Great Britain only.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking1

Daily cigarette smoking

Male . . . . . . 21 . . .

Female . . . . . . 19 . . .

Total . . . . . . 20 . . .

General lifestyle survey: smoking and drinking among adults, 2011; National, ages 16+1 Data representative of Great Britain only.

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male . . .

Female . . .

Total . . .

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104 105WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

United kingdom of Great Britain and Northern Ireland europe

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) GBP 6.60

In international dollars (Purchasing Power Parity) PPP 9.79

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 80.1

Specific excise 47.0

Ad valorem excise 16.5

value added tax (vAT) 16.7

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff . . .

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) GBP . . .

In US$ at official exchange rate . . .

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

35 ^

% of the principal display area (front) covered by a warning 30 ^

% of the principal display area (back) covered by a warning 40 ^

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 16 1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes No

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes No

Warning is placed at the top of the principal display area No No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

Yes Yes

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers Yes Yes

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No^ Not specified.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during 2009 or 2010?* Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses

mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes

local magazines and newspapers Yes

International magazines and newspapers No

billboards and outdoor advertising Yes

Point of sale No

Internet Yes

Other direct bans No

Compliance score of direct bans § 9

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes

brand name of non-tobacco products used for tobacco products Yes

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 9

§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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106 107WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 10 May 2004

Date of ratification (or legal equivalent): Not ratified

. . . Data not reported/not available.— Data not required/not applicable.

United States of America

SOCIOECONOMIC CONTEXT

Population (thousands) 315 791

Adults 15+ years (thousands) 262 285

Income group High

USA

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCEIs there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

Yes

Nicotine replacement therapy (NrT) sold Yes

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities Yes in some

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals Yes in some

Smoking cessation support available in the community Yes in some

Smoking cessation support available elsewhere No

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities No

Educational facilities except universities No

Universities No

government facilities Yes

Indoor offices No

restaurants No

Cafés, pubs and bars No

Public transport No

All other indoor public places NA

Compliance score § . . .

National law requires fines for smoking No

Fines levied on the establishment —

Fines levied on the smoker —

Dedicated funds for enforcement No

Complaint system that requires an investigation after a complaint No§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

NAME OF jUrISDICTION Population of jurisdiction

% of national population protected

Iowa 3 074 186 1

Puerto rico 3 667 084 1

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Currentcigarette use

Dailycigarette smoking1

Male 8.2 2.1

Female 7.8 1.6

Total 8.0 1.8National Youth Tobacco Survey, 2011; National, ages 13-151 “Daily use” is defined as use on 20 or more days during the past 30 days.

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male 5.2

Female 1.5

Total 3.4

National Youth Tobacco Survey, 2011; National, ages 13-15

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male . . . 1 . . . 1 21.6 16.4

Female . . . 1 . . . 1 16.5 13.2

Total . . . 1 . . . 1 19.0 14.8

National Health Interview Survey (NHIS), 2011; National, ages 18+1 National Health Interview Survey (NHIS) 2011 data does not include other combustible products at this time. Future NHIS data collection will include alternative combustible tobacco products, including cigars and pipes.

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 6.5

Female 0.4

Total 3.4

National Adult Tobacco Survey, 2010; National, ages 18+

The Americas

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108 109WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

United States of America The Americas

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES*

In currency reported by country (ISO code) USD 6.07

In international dollars (Purchasing Power Parity) PPP 6.07

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 42.9

Specific excise 37.7

Ad valorem excise 0.0

value added tax (vAT) 5.2

Import duty 0.0

Other taxes 0.0

* The price is a sales-weighted average of State prices, the taxes include the Federal taxes and a State tax sales-weighted average.q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff . . .

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 556 578 000

In US$ at official exchange rate 556 578 000

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 30

% of the principal display area (front) covered by a warning 50 30

% of the principal display area (back) covered by a warning 50 30

law mandates specific warnings Yes Yes

Number of specific warnings approved by law 9 4

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour Yes Yes

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic No* No*

Warning is placed at the top of the principal display area Yes No

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” Yes Yes

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling Yes Yes

law mandates plain packaging No No*Policy adopted but not implemented by 31 December 2012. Implementation of the Rules promulgated by the FDA has been delayed.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio No

local magazines and newspapers No

International magazines and newspapers No

billboards and outdoor advertising No

Point of sale No

Internet No

Other direct bans No

Compliance score of direct bans § . . .

INDIrECT bANS

Free distribution No

Promotional discounts No

Non-tobacco goods and services identified with tobacco brand names No

brand name of non-tobacco products used for tobacco products No

Appearance of tobacco brands in Tv and/or films (product placement) No

Appearance of tobacco products in Tv and/or films No

Sponsored events No

Compliance score of indirect bans § —

§ A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with bans on all forms of tobacco advertising, promotion and sponsorship

None reported.

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110 111WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

Data Source: World Health OrganizationMap Production: Public Health Informationand Geographic Information Systems (GIS)World Health Organization

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2009. All rights reserved

WHO FCTC STATUSDate of signature: 3 September 2003

Date of ratification (or legal equivalent): 17 December 2004

. . . Data not reported/not available.— Data not required/not applicable.

Viet Nam

SOCIOECONOMIC CONTEXT

Population (thousands) 89 730

Adults 15+ years (thousands) 69 348

Income group Middle

Western pacific

VIET NAM

Monitor tobacco use and prevention policies

Protect people from tobacco smoke

TrEATMENT OF TObACCO DEPENDENCE

Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country?

No

Nicotine replacement therapy (NrT) sold No

bupropion sold Yes

varenicline sold Yes

Smoking cessation support available in primary care facilities No

Smoking cessation support available in hospitals Yes in some

Smoking cessation support available in offices of health professionals No

Smoking cessation support available in the community No

Smoking cessation support available elsewhere . . .

Offer help to quit tobacco use

SMOkE-FrEE ENvIrONMENTS

SMOkE-FrEE lAWS EXIST IN THE FOllOWINg PlACES:

Health-care facilities Yes

Educational facilities except universities Yes

Universities Yes

government facilities Yes

Indoor offices Yes

restaurants Yes

Cafés, pubs and bars No

Public transport No1

All other indoor public places NA

Compliance score § 5

National law requires fines for smoking Yes

Fines levied on the establishment Yes

Fines levied on the smoker Yes

Dedicated funds for enforcement Yes

Complaint system that requires an investigation after a complaint Yes1 Data not approved by the national authorities. § A score of 0–10, where 0 is low compliance. Please refer to Technical Note I for more information.

Subnational jurisdictions with complete smoke-free legislation in all assessed facilities

None reported.

PrEvAlENCE OF TObACCO USE

YOUTH PrEvAlENCE, CUrrENT SMOkINg (%) Current tobacco use

Current cigarette smoking

Male 6.5 5.9

Female 1.5 1.2

Total 3.8 3.3Global Youth Tobacco Survey, 2007; National, ages 13-15

YOUTH PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users of smokeless tobacco

Male . . .

Female . . .

Total . . .

ADUlT PrEvAlENCE, SMOkINg (%)

Current tobacco smoking

Daily tobacco smoking

Current cigarette smoking

Daily cigarette smoking

Male 47.4 38.7 39.7 . . .

Female 1.4 1.2 1.2 . . .

Total 23.8 19.5 19.9 . . .

Global Adult Tobacco Survey, 2010; National, ages 15+

ADUlT PrEvAlENCE, SMOkElESS TObACCO USE (%) Current users ofsmokeless tobacco

Male 0.3

Female 2.3

Total 1.3

Global Adult Tobacco Survey, 2010; National, ages 15+

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112 113WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2013

Viet Nam Western pacific

Enforce bans on tobacco advertising, promotion and sponsorship

Raise taxes on tobacco

TObACCO TAXATION AND PrICE

PrICE OF MOST SOlD brAND, PACk OF 20 CIgArETTES

In currency reported by country (ISO code) VND 15 000

In international dollars (Purchasing Power Parity) PPP 1.65

TAXES ON THIS brAND (% OF rETAIl PrICE) q

Total taxes 41.6

Specific excise 0.0

Ad valorem excise 32.5

value added tax (vAT) 9.1

Import duty 0.0

Other taxes 0.0q Individual categories of tax may not add to total due to rounding.

Specific national government objectives in tobacco control exist Yes

National agency or technical unit for tobacco control exists Yes

Number of full-time equivalent staff 10

OvErAll NATIONAl bUDgET FOr TObACCO CONTrOl ACTIvITIES – lATEST FUll YEAr

In currency reported by country (ISO code) USD 40 000

In US$ at official exchange rate 40 000

Warn about the dangers of tobacco

National tobacco control programme

HEAlTH WArNINgS ON TObACCO PACkAgES

CigarettesSmokeless

tobacco

Does the law mandate that health warnings appear on tobacco packages? Yes Yes

% of the principal display areas (front and back combined) covered by a warning

50 50

% of the principal display area (front) covered by a warning 50 50

% of the principal display area (back) covered by a warning 50 50

law mandates specific warnings No1 No1

Number of specific warnings approved by law –1 –1

Warnings appear on each package and outside packaging Yes Yes

Warnings describe the harmful effects of tobacco use Yes Yes

law mandates font style, font size and colour No1 No1

Warnings are rotating Yes Yes

Warnings are written in the principal language(s) of the country Yes Yes

Warnings include a photograph or graphic Yes1 Yes1

Warning is placed at the top of the principal display area No1 No1

Warnings do not remove or diminish the liability of the tobacco industry No No

law applies to products whether manufactured domestically, imported, or for duty-free sale

Yes Yes

Warnings are not obscured in any way, including by required markings such as tax stamps

No No

law requires or establishes fines for violations Yes Yes

ban on misleading descriptors such as “low tar”, “light” or “mild” No1 No1

ban on use of figurative or other signs, including colours or numbers No No

ban on packaging and labelling using descriptors depicting flavours No No

ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)

No No

Quit line number required to appear on all packaging or labelling No No

law mandates plain packaging No No1 Regulations are pending.

ANTI-TObACCO MASS MEDIA CAMPAIgNS

Did the country have at least one national mass media campaign during the period*? Yes

Evidence-based planning

Campaign was part of a comprehensive tobacco control programme Yes

Campaign was pre-tested with the target audience Yes

research about the target audience was conducted Yes

Implementation Campaign was aired on Tv and/or radio Yes

Campaign used media planning Yes

Earned media/public relations were used to promote the campaign Yes

Evaluation Process evaluation was employed to assess implementation Yes

Outcome evaluation was employed to assess effectiveness Yes

* A campaign is a communication activity lasting at least one three-week period between January 2011 and June 2012, which uses mass media (TV, radio, print, outdoor billboards, Internet) to inform and educate the public about the harms of tobacco use and second-hand smoke exposure, to increase support for tobacco control policies or laws, to encourage tobacco users to quit, and/or to challenge tobacco industry practices.

bANS ON TObACCO ADvErTISINg, PrOMOTION AND SPONSOrSHIP

DIrECT bANS

National Tv and radio Yes

International Tv and radio Yes*1

local magazines and newspapers Yes

International magazines and newspapers Yes*2

billboards and outdoor advertising Yes

Point of sale Yes

Internet Yes

Other direct bans Yes

Compliance score of direct bans § 10

INDIrECT bANS

Free distribution Yes

Promotional discounts Yes

Non-tobacco goods and services identified with tobacco brand names Yes3

brand name of non-tobacco products used for tobacco products Yes*4

Appearance of tobacco brands in Tv and/or films (product placement) Yes

Appearance of tobacco products in Tv and/or films No

Sponsored events Yes

Compliance score of indirect bans § 5

* Policy adopted but not implemented by 31 December 2012. 1 The law does not explicitly address cross-border advertising. However, given that advertising is banned on TV and radio, it is interpreted that both domestic and international levels are covered by the ban.2 The law does not explicitly address cross-border advertising. However, given that advertising is banned in all magazines and newspapers, it is interpreted that both domestic and international levels are covered by the ban.3 Although the law does not explicitly ban the identification of non-tobacco products with tobacco brand names (brand stretching) and does not provide a definition of tobacco advertising and promotion, we interpret that brand stretching is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.4 Although the law does not explicitly ban the usage of brand names of non-tobacco products for tobacco products (brand sharing) and does not provide a definition of tobacco advertising and promotion, we interpret that brand sharing is covered by the existing ban of all forms of advertising and promotion because this country is a Party to the WHO FCTC and we assume that the WHO FCTC definition applies.