Heated Tobacco Products (HTPs) are regulated as tobacco products and are allowed by law in Italy. They can be sold and used and are available in specialised retail places. The law allows health benefit claims of HTPs but in the same time requires health warnings on their packaging and puts restrictions on their flavours.
Data show that the number of HTP users in Italy has increased in recent years. The number of HTP users has increased from an estimated 572,000 adult individuals to an estimated 2.3 million adult people in 2024. This means that the prevalence of HTP use has increased from 1.1% to 4.5% in 2024. Likewise, daily use prevalence of HTP has increased from 2.2% in 2020 to 3.7% in 2023. In a survey conducted in 2023, 7% of the participants stated that they had ever tried HTP.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 572,046 | 1A A |
| 2020 | 1.5 million | 1B |
| 2022 | 1.7 million | 1C A |
| 2023 | 2.3 million | 1D |
| 2023 | 1.9 million | 1C A |
| 2024 | 2.3 million | 1C A |
- 1. https://www.epicentro.iss.it/fumo/epidemiologia-italia 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/
- 1. Special Eurobarometer 506: Attitudes of Europeans towards tobacco and electronic cigarettes (v1.00). (2021). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/S2240_506_ENG 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/
- 1. https://pmc.ncbi.nlm.nih.gov/articles/PMC12703631/ 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/
- 1. Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng 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/
- Cohort: 15+. 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/
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 1.1% | 2A A |
| 2020 | 2.9% | 2B |
| 2022 | 3.2% | 2C A |
| 2023 | 4.5% | 2D |
| 2023 | 3.7% | 2C A |
| 2024 | 4.5% | 2C A |
- https://www.epicentro.iss.it/fumo/epidemiologia-italia
- Special Eurobarometer 506: Attitudes of Europeans towards tobacco and electronic cigarettes (v1.00). (2021). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/S2240_506_ENG
- https://pmc.ncbi.nlm.nih.gov/articles/PMC12703631/
- Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng
- Cohort: 15+.
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 1.1 million | 3A A |
| 2023 | 1.9 million | 3B A |
- 1. Special Eurobarometer 506: Attitudes of Europeans towards tobacco and electronic cigarettes (v1.00). (2021). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/S2240_506_ENG 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/
- 1. Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng 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/
- 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/
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 2.2% | 4A |
| 2023 | 3.7% | 4B |
- Special Eurobarometer 506: Attitudes of Europeans towards tobacco and electronic cigarettes (v1.00). (2021). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/S2240_506_ENG
- Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 0.1% | 4A A |
| 2020 | 5% | 4B |
| 2023 | 7% | 4C |
- Global Action to End Smoking. State of Smoking and Health in Italy. Available at: https://globalactiontoendsmoking.org/research/tobacco-around-the-world/italy/. Accessed: 17 July 2025.
- Special Eurobarometer 506: Attitudes of Europeans towards tobacco and electronic cigarettes (v1.00). (2021). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/S2240_506_ENG
- Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng
- 12% male and 8% female
- 1. https://pmc.ncbi.nlm.nih.gov/articles/PMC12703631/ 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/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC12703631/
- 1. Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng 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/
- Special Eurobarometer SP539: Attitudes of Europeans towards tobacco and related products (v1.00). (2024). [Data set]. European Commission, Directorate-General for Communication. https://data.europa.eu/88u/dataset/s2995_99_3_sp539_eng
- Cohort: 15+. 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/
- Cohort: 15+.
- 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/
Product promotion
- Anti Smoking Global Index. Heated Tobacco Products. Available at: https://antismoking.global/world-map. Accessed: 16 July 2025.
Regulation
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | Allowed | 1A A |
| 2023 | Allowed | 1B |
- 1. Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system; 2. WHO (2018) Heated tobacco products (Htps) market monitoring information sheet. Available at: https://www.who.int/tobacco/publications/prod_regulation/htps-marketing-monitoring/en/ 3. BAT harm Reduction report 2018. Available at: https://www.bat.com/group/sites/uk__9d9kcy.nsf/vwPagesWebLive/DO9DCL3P
- Global Tobacco Control. Heated Tobacco. Available at: https://www.globaltobaccocontrol.org/en/policy-scan/heated-tobacco/countries?country=386. Accessed: 10 July 2025.
- 1. IQOS; 2. glo
- Global Tobacco Control. Heated Tobacco. Available at: https://www.globaltobaccocontrol.org/en/policy-scan/heated-tobacco/countries?country=386. Accessed: 10 July 2025.
Availability
- Global Tobacco Control. Heated Tobacco. Available at: https://www.globaltobaccocontrol.org/en/policy-scan/heated-tobacco/countries?country=386. Accessed: 10 July 2025.
- Anti Smoking Global Index. Heated Tobacco Products. Available at: https://antismoking.global/world-map. Accessed: 16 July 2025.
- 1. Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system; 2. WHO (2018) Heated tobacco products (Htps) market monitoring information sheet. Available at: https://www.who.int/tobacco/publications/prod_regulation/htps-marketing-monitoring/en/ 3. BAT harm Reduction report 2018. Available at: https://www.bat.com/group/sites/uk__9d9kcy.nsf/vwPagesWebLive/DO9DCL3P
- 1. IQOS; 2. glo
Regulations and restrictions
- Anti Smoking Global Index. Heated Tobacco Products. Available at: https://antismoking.global/world-map. Accessed: 16 July 2025.
- Only tobacco flavours or NO flavours are allowed.
Tax
- Anti Smoking Global Index. Heated Tobacco Products. Available at: https://antismoking.global/world-map. Accessed: 16 July 2025.