Data sourced:
2024.
Page updated:
2025-10-30
In Lesotho, the prevalence of tobacco smoking among adults has shown significant variations over recent years. As of 2024, the adult current smoking prevalence was estimated to be 21.3%, with a marked gender disparity: 42.7% among males and 1.5% among females. This represents a slight increase from 2020, when the overall current prevalence was 19.1%, 38.6% among males, and 0.4% among females. The number of smokers aged 15 and older was approximately 323,000 in 2024, whereas in 2020 it was 269,025. For reference, the adult daily smoking prevalence in 2017 was 20.6%, with 41.6% among males and 30% among females.
Smoking-related mortality also poses a significant public health challenge, with 2,168 deaths recoreded in 2021, corresponding to 5.73% of all deaths. This includes 1,675 male deaths and 493 female deaths, reflecting gender-specific mortality rates of 8.35% for males and 2.77% for females. These statistics underscore the persistent challenge of tobacco smoking in Lesotho, highlighting the need for targeted public health interventions to reduce its health impacts.
Prevalence
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 371,661 | 1A |
| 2024 | 323,000 | 1B |
References:
- (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
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 26.2% | 1A |
| 2020 | 19.1% | 1B |
| 2022 | 19.3% | 1C A |
| 2024 | 21.3% | 1D |
References:
- 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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 0.6% | 1A |
| 2020 | 0.4% | 1B |
| 2022 | 0.4% | 1C A |
| 2024 | 1.5% | 1D |
References:
- 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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 51.7% | 1A |
| 2020 | 38.6% | 1B |
| 2022 | 39.2% | 1C A |
| 2024 | 42.7% | 1D |
References:
- 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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
281,190
2
A
20.6%
2
A
30%
2
A
41.6%
2
A
1%
2
A
References:
- 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/
Comments:
- 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
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 2,540 | 1A |
| 2021 | 2,168 | 1B A |
References:
- 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/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 560 | 1A |
| 2021 | 493 | 1B A |
References:
- 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/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 1,980 | 1A |
| 2021 | 1,675 | 1B A |
References:
- 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/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 9.62% | 1A |
| 2021 | 5.73% | 1B B |
References:
- 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/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 3.7% | 1A |
| 2021 | 2.77% | 1B B |
References:
- 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/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 11.3% | 1A |
| 2021 | 8.35% | 1B B |
References:
- 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/
Comments:
- 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.
References:
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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