As of 2019, Bhutan had approximately 55,600 current users of traditional smokeless tobacco, corresponding to an a prevalence rate of 10% among adults. The prevalence was notably higher among men at 14.3%, compared to 3.4% among women. From regulatory perspective, traditional smokeless tobacco is banned in Bhutan, and it is illegal to sell these products.
Prevalence
- 1. 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-btn.pdf?sfvrsn=a7edc125_3&download=true. Accessed: 19 May 2025. 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
- 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-btn.pdf?sfvrsn=a7edc125_3&download=true. Accessed: 19 May 2025.
- Adults survey: STEPS Survey, 2019; National, ages 15-69 World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
- Adults survey: STEPS Survey, 2019; National, ages 15-69
Regulation
- Tobacco Control Laws. Legislation by Country/Jurisdiction Bhutan. Available at: https://www.tobaccocontrollaws.org/legislation/bhutan/sales-restrictions. Accessed: 28 May 2025.
Availability
- Tobacco Control Laws. Legislation by Country/Jurisdiction Bhutan. Available at: https://www.tobaccocontrollaws.org/legislation/bhutan/sales-restrictions. Accessed: 28 May 2025.
Publications
Tobacco Harm Reduction: A Burning Issue for Asia
Harry Shapiro
The focus of this GSTHR briefing is Asia. Sixty per cent of the world’s smokers live in this region and almost half the global deaths from smoking occur here. Asia is also home to nine in every ten users of smokeless tobacco (SLT), leading to high rates of oral cancer. In a number of countries, public health is severely undermined where governments either control or have a significant stake in domestic tobacco companies. New solutions are needed to tackle the public health threat from smoking and tobacco use - but safer nicotine products are banned in many countries. Would tobacco harm reduction improve public health in Asia? And if so - what are the obstacles that stand in its way?
The formal launch event for the briefing took place online on Sunday 18 April 2021 and was co-hosted with Association of Vapers India.
