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Tobacco smoking in Lithuania

Lithuania Background
Data sourced: 2025.   Page updated: 2026-09-03

In Lithuania, smoking is legally allowed but regulated under a comprehensive tobacco control framework. Cigarettes are classified as tobacco products which may be sold through retail outlets, while online sales and vending machine purchases are not allowed. Importation of cigarettes for trade is permitted with a license. However, health warnings on packaging are mandatory, the minimum legal age for purchase is 18 years, and smoking in public places restricted. Also, a complete ban on all forms of tobacco advertising including cigarettes is in place. Cigarettes in Lithuania are taxed at a total rate of 76.13%, including an excise tax component of 33.77%.

Despite these regulations, smoking remains a significant public health concern in Lithuania. In 2024, the number of current smokers was 603,000, representing an overall adult smoking prevalence of 24.9% that year. In the same year, smoking prevalence was considerably higher among males (36.2%) than among females (15.1%). This prevalence was 25.1% in 2022. In 2023, the adult daily tobacco smoking prevalence was 21.8%, with an estimated 710,080 daily smokers. Mortality data indicate that in 2021, smoking led to 4,020 deaths in Lithuania, including 3,452 deaths among males and 568 deaths among females. Overall, smoking resulted in 8.51% of all deaths in the country in 2021, with 15.23% of all male deaths and 2.31% of all female deaths. These statistics show the continuing health burden of smoking in Lithuania which require more concerted efforts.

Prevalence

Year Value Reference/Comment
2019 646,158 1A
2024 603,000 1B
References:
  1. (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/
  2. 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 27.1% 1A
2020 23.9% 1B
2022 25.1% 1C A
2023 29% 1D B
2024 24.9% 1E
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. 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
  3. 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
  4. European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
  5. 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:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
  2. Smoking cigarettes, cigars, cigarillos or a pipe
Year Value Reference/Comment
2019 19% 1A
2020 14.2% 1B
2022 14.8% 1C A
2024 15.1% 1D
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. 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
  3. 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
  4. 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:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
Year Value Reference/Comment
2019 35.3% 1A
2020 35.6% 1B
2022 37% 1C A
2024 36.2% 1D
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. 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
  3. 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
  4. 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:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
710,080
2 A
Year Value Reference/Comment
2017 or earlier 28% 3A A
2023 21.8% 3B B
References:
  1. Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. 2017. Available at :http://data.europa.eu/euodp/en/data/dataset/S2146_87_1_458_ENG
  2. European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
Comments:
  1. Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
  2. Boxed cigarettes
17%
2 A
39%
2 A
References:
  1. 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
  2. Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. 2017. Available at :http://data.europa.eu/euodp/en/data/dataset/S2146_87_1_458_ENG
  3. European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
Comments:
  1. Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
  2. Boxed cigarettes

Smoking-related mortality

Year Value Reference/Comment
2016 5,147 1A
2021 4,020 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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 887 1A
2021 568 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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 4,260 1A
2021 3,452 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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 18.64% 1A
2021 8.51% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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 4.4% 1A
2021 2.31% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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 21.6% 1A
2021 15.23% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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:
  1. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. 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.
  2. 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

References:
  1. 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-ltu.pdf?sfvrsn=57b88d8e_5&download=true. Accessed: 26 November 2025.

Regulation

References:
  1. 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-ltu.pdf?sfvrsn=57b88d8e_5&download=true. Accessed: 26 November 2025.
Comments:
  1. There are certain restrictions in place.

Availability

References:
  1. 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-ltu.pdf?sfvrsn=57b88d8e_5&download=true. Accessed: 26 November 2025.
  2. 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: 27 November 2025.
Comments:
  1. There are certain restrictions in place.
  2. An import license is required.

Regulations and restrictions

References:
  1. 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-ltu.pdf?sfvrsn=57b88d8e_5&download=true. Accessed: 26 November 2025.
Comments:
  1. Complete smoke-free law exists in most public places such as healthcare and educational facilities.

Tax

0.34
1 A
2023
0.76
1 A
2023
References:
  1. 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-ltu.pdf?sfvrsn=57b88d8e_5&download=true. Accessed: 26 November 2025.
Comments:
  1. Specific excise: 33.77%
  2. Total taxation rate: 76.13%

Publications

Retail volume of cigarette and HTP markets in selected countries

Heated tobacco product (HTP) sales have seen significant growth since 2016, in Asia Pacific and Western and Eastern Europe. In many countries, this has coincided with a drop in cigarette sales. Data on retail volume sales of cigarettes and HTP are both measured in sticks, but one HTP stick may not be a perfect substitute for people who smoke, as it contains a lower dose of nicotine than one cigarette. Nevertheless, retail volume sales figures do suggest varied substitution effects in the following countries:

  • approximately one–to-one substitution of HTP sticks for cigarettes: Hungary, South Korea, Italy, Germany.
  • cigarette sales drop faster than HTP sales increase: Slovakia, Czech Republic, Russia, Japan, Greece.
  • cigarette sales drop slower than HTP sales increase: Kazakhstan, Lithuania, Portugal.

See "The Global State of Tobacco Harm Reduction 2024: A Situation Report" for more information.


The European Union (EU) Tobacco Products Directive (TPD) 2016 Changes to the EU TPD

- No Fire, No Smoke: The Global State of Tobacco Harm Reduction

The TPD is a Directive of the EU which means that all EU countries must ‘transpose’ or incorporate the TPD requirements into their national laws. The only flexibility permitted is the ability to enact additional regulations. The current Directive entered into force on 19th May 2014 and became applicable in the EU Member States on 20th May 2016.

In 2014 a revised Tobacco Products Directive known as TPD 2 was issued by the EU to update the 2001 Tobacco Products Directive. TPD2 regulates all tobacco products in the European Union and its scope is wide. It covers product regulation in terms of reporting obligations of ingredients and emissions for all tobacco products. It includes product packaging and labelling including the size and appearance of products, traceability features to be fixed onto packaging as well as health warnings. It covers cross-border advertising of tobacco products; it reinforces the ban on oral tobacco products (snus), but importantly it provides for the placing on the market of e-cigarettes and refill containers, as well as making provision for notification of novel tobacco products. It also provides for herbal cigarettes.

See also p. 96 of the report: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 — Global State of Tobacco Harm Reduction (gsthr.org)


Prevalence of Daily Smoking in EU

- No Fire, No Smoke: The Global State of Tobacco Harm Reduction

Sweden now has the lowest level of smoking among men than for any other country in Europe. According to the European Commission’s Eurobarometer 2017 report, only five percent of Swedish men now smoke. This is only one fifth of the EU average of 24 percent. The Eurobarometer report indicates that all other EU countries have a smoking prevalence three to seven times greater than Sweden. So, something is clearly different about Sweden – and the clear difference is that snus is allowed in Sweden yet banned in the other 27 EU countries.

See also p. 49 of the report: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 — Global State of Tobacco Harm Reduction (gsthr.org)

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.