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Smoking, vaping, HTP, NRT and snus in Lesotho

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  2. Global Smoking and Tobacco Harm Reduction Database
  3. Smoking, vaping, HTP, NRT and snus in Lesotho
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Profile
Lesotho Flag
Cigarettes
Traditional Smokeless
HTP
E-cigarettes
Snus
Pouches
NRT
Lesotho Background
Profile
Lesotho Flag
Cigarettes
Traditional Smokeless
HTP
E-cigarettes
Snus
Pouches
NRT

21.3% of the adult population are current smokers

There are approximately 323,000 current smokers in Lesotho

42.7% of men are current smokers but only 1.5% of women

Country profile
Data sourced: 2025.   Page updated: 2025-10-30

Smoking in Lesotho

There has been an upwards trend in current smoking prevalence in the general population in Lesotho. In 2000 the prevalence was estimated to be 17%; this increased to 25.5% in 2015, with a projection to increase to 33.5% by 2025. This increase in prevalence has been driven entirely by men's smoking, which increased from 36% to 52% between 2000 and 2015 and is projected to increase further to 67% by 2025 according to WHO trend data. Women's smoking during the same period remained low in comparison, at around 0.6% in 2000, decreasing to 0.3% projected into 2025. The WHO published prevalence trend estimates in tobacco smoking, as shown here, in their 2018 2nd edition report, which show slightly different smoking prevalence to the WHO country profiles. Data for the estimates are not age standardised, and were obtained from WHO databases. The trend lines are projections, not predictions, of future attainment. A projection indicates a likely endpoint if the country maintains its tobacco control efforts at the same level that it has implemented them to date. Therefore the impact of recent interventions could alter the expected endpoint shown in the projection. While the methods of estimation used in the first and second editions of the WHO report are the same, the volume of data available for the second edition is larger i.e. 200 more national surveys. The results presented are therefore more robust.

2,168

Deaths

In Lesotho, 2,168 people die each year due to tobacco smoking.

21.3%

tobacco smoking

Adult tobacco smoking prevalence is 21.3%.

Details & datasheet on smoking in Lesotho

Nicotine Vaping Devices

in Lesotho

In Lesotho, there is no specific law regulating vaping. It is unclear whether e-cigarettes can be imported for personal use based on online references.
Some online sources claim that e-cigarettes are available, but it is uncertain how common they are. There are no data on restrictions for vaping in public places, but it is encouraged to use them only in private spaces.
If you have firsthand experience with vaping in Lesotho, please share your insights with the GSTHR team.

Details & datasheet on vaping in Lesotho

Heated Tobacco Products

in Lesotho

Lesotho does not have specific laws regarding Heated Tobacco Products (HTPs), including their sale, purchase, or importation for personal use. If you have any relevant and accurate information, please share it with the GSTHR team.

Details & datasheet on HTP in Lesotho

Nicotine Replacement Therapy

in Lesotho

Nicotine Replacement Therapy (NRT) is banned by law in Lesotho, and its products are neither regulated as medicinal products nor included on the country's essential drugs list. Therefore, it is illegal to sell NRT products. It is not clear whether these products can be imported for personal use, so it is advised to keep the prescription or purchase documents with you. The sale of NRT is banned.

Details & datasheet on NRT in Lesotho

Snus

in Lesotho

There are no online sources providing information on specific regulations regarding snus in Lesotho. However, information obtained from an industry source in 2014 shows that snus is permitted in the country. If you have any relevant or firsthand information, please share it with the GSTHR team.

Details & datasheet on snus in Lesotho

Pouches

in Lesotho

Nicotine pouches are a relatively new product which can provide users of high-risk tobacco with an alternative that poses fewer risks to their health. Read more about nicotine pouches in our briefing paper

Details & datasheet on pouches in Lesotho
The GSTHR database is updated regularly by our team. However, please be aware that the information we provide does not constitute legal advice. We cannot guarantee that the information is up to date or accurate, as the regulatory status of different product categories can change at short notice and with little publicity. If you wish to check the legal status of use or possession of any safer nicotine product in a specific country or region, you should verify the information independently. If you have reason to think that the information supplied on the GSTHR is inaccurate, please contact us with details and any references and we will rectify any errors.
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