In Comoros, smoking is legally allowed but subject to a range of regulations. Cigarettes are regulated under national law and are legally permitted for sale and smoke. They can be purchased in retail outlets, and products can legally be purchased online or through vending machines. The importation of cigarettes for trade is allowed with a valid license. However, health warnings on cigarette packaging are mandatory, the minimum legal age for purchase is 18 years, and there are legal restrictions on smoking in public places such as healthcare and educational facilities. Notably, not all forms of tobacco advertising is banned. Cigarettes in Comoros are subject to an excise value of 0% and a total taxation rate of 73.51%.
The current prevalence of tobacco smoking among adults aged 15 years and older in Comoros was reported to be 6.5% as of 2024, which corresponds to an absolute number of 35,000 individuals. The current smoking prevalence among males was 21.7%, compared to only 2% among females. This contrasts with earlier data from 2020, when the overall adult current smoking prevalence was slightly lower with 11.8%, with a prevalence of 21.4% for males and 2.3% for females. The absolute number of tobacco smokers in 2022 was estimated to be 64,103 individuals, a slight increase from 60,350 in 2020. For reference, the adult daily tobacco smoking prevalence in 2017 was 11.9%, with a prevalence of 20% among males and 3.7% among females.
In terms of smoking-related mortality, data from 2021 indicate that 4.26% of all deaths in Comoros were attributable to tobacco smoking. Gender-specific percentages show that 6.12% of males and 2.19% of females died due to smoking in 2021. This reflects a decrease from earlier years, such as 2016, when the pecentage of deaths among males due to smoking was 7.1%. The number of deaths attributable to smoking in 2021 was 250, with 189 deaths among males and 61 among females. These data illustrate the significant health impacts of tobacco smoking in the Comoros.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 67,937 | 1A |
| 2024 | 35,000 | 1B |
- (1) WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition. (2) Department of Economic and Social Affairs (Ed.). (2019). World Population Prospects 2019 (Online Edition Rev. 1.; Population Division). United Nations. https://population.un.org/wpp/Download/Standard/Population/
- 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
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 13.5% | 1A |
| 2020 | 11.8% | 1B |
| 2022 | 11.9% | 1C A |
| 2024 | 6.5% | 1D |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- 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 |
|---|---|---|
| 2019 | 4.2% | 1A |
| 2020 | 2.3% | 1B |
| 2022 | 2% | 1C A |
| 2024 | 0.7% | 1D |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- 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 |
|---|---|---|
| 2019 | 22.8% | 1A |
| 2020 | 21.4% | 1B |
| 2022 | 21.7% | 1C A |
| 2024 | 12.3% | 1D |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- 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
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
Smoking-related mortality
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 201 | 1A |
| 2021 | 250 | 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 | 45 | 1A |
| 2021 | 61 | 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 | 156 | 1A |
| 2021 | 189 | 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 | 6% | 1A |
| 2021 | 4.26% | 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 | 2.2% | 1A |
| 2021 | 2.19% | 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 | 7.1% | 1A |
| 2021 | 6.12% | 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-com.pdf?sfvrsn=34213287_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-com.pdf?sfvrsn=34213287_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-com.pdf?sfvrsn=34213287_3&download=true. Accessed: 4 December 2025.
- World Integrated Trade Solution. World Bank. Cigarettes containing tobacco imports by country in 2023. Available at: https://wits.worldbank.org/trade/comtrade/en/country/ALL/year/2023/tradeflow/Imports/partner/WLD/product/240220. Accessed: 6 December 2025.
- There are certain restrictions in place.
- An import license is required.
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-com.pdf?sfvrsn=34213287_3&download=true. Accessed: 4 December 2025.
- Restrictions exist in places such as healthcare and educational facilities.
Tax
- 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-com.pdf?sfvrsn=34213287_3&download=true. Accessed: 4 December 2025.
- Total taxation rate: 73.51%