In Afghanistan, smoking is allowed, but tobacco products including cigarettes are subject to specific legal control measures. Based on these regulations, a comprehensive ban on all tobacco advertising, including cigarettes, is strictly enforced. Health warnings on their packaging are required, and smoking is restricted in public places such as healthcare and educational facilities. There is also a minimum age restriction on sales of 18 years. However, retail sale is allowed, and products can legally be purchased online or through vending machines.
In terms of statistics, Afghanistan had approximately 2,1 million tobacco smokers aged 15 years and older, based on crude prevalence estimates, as of 2024. The adult current smoking prevalence rate was reported to be 8.7%, with a significant difference between genders: 15.8% among males and 1.6% among females. This represents a decrease from previous years, as in 2020, the prevalence among males was 17.7% and females 2.1%. In 2019, the adult daily tobacco smoking prevalence was estimated to be 7.6%, with considerable difference between genders: 12.6% among males and 2.2% among females.
The total number of deaths attributable to tobacco smoking was 9,151 in 2021, including 6,555 male deaths and 2,596 female deaths. This indicates that the tobacco smoking-related deaths constituted 3.36% of all deaths in the country, with a higher impact on males at 4.27%, compared to females at 2.18%. These figures highlight the ongoing public health challenge posed by tobacco smoking in Afghanistan, demonstrating the need for continued and enhanced public health measures to mitigate smoking-related morbidities and mortalities in the country.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 10.1% | 1A |
| 2022 | 9.2% | 1B A |
| 2024 | 8.7% | 1C |
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 2.1% | 1A |
| 2022 | 1.8% | 1B A |
| 2024 | 1.6% | 1C |
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 17.7% | 1A |
| 2022 | 16.6% | 1B A |
| 2024 | 15.8% | 1C |
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- STEPS Survey 2019; ages 18-69; national. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
- Prevalence of daily tobacco smoking from the latest survey.
Smoking-related mortality
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 26,997 | 1A |
| 2021 | 9,151 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 10,888 | 1A |
| 2021 | 2,596 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 16,109 | 1A |
| 2021 | 6,555 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 9.07% | 1A |
| 2021 | 3.36% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 7.7% | 1A |
| 2021 | 2.18% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 10% | 1A |
| 2021 | 4.27% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Product promotion
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-afg.pdf?sfvrsn=bb219526_3&download=true. Accessed: 4 December 2025.
Regulation
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-afg.pdf?sfvrsn=bb219526_3&download=true. Accessed: 4 December 2025.
- There are certain restrictions in place.
Availability
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-afg.pdf?sfvrsn=bb219526_3&download=true. Accessed: 4 December 2025.
- There are certain restrictions in place.
Regulations and restrictions
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-afg.pdf?sfvrsn=bb219526_3&download=true. Accessed: 4 December 2025.
- Restrictions exist in places such as healthcare and educational facilities.