In Palau, the sales of cigarettes are legal and smoking is allowed. They can also be imported for trade, and health warnings on packaging are not required. However, there are still some restrictions in place. It is not legal to buy cigarettes online or from vending machines. There is a minimum age of 21 years for purchase and there are legal restrictions on smoking in public places. The total taxation rate on cigarettes is 0.74. Prevalence data from 2024 indicate that 17.7% of adults were current smokers, including 7.7% of females and 26.2% of males. Smoking-related mortality data from 2021 show 26 deaths attributable to tobacco smoking, including 6 female deaths and 20 male deaths. This shows that tobacco smoking accounted for 13.5% of all deaths in the country in 2021, with 7.17% female deaths and 18.29% male deaths.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 20.4% | 1A A |
| 2019 | 18.6% | 1B |
| 2020 | 18.1% | 1C |
| 2022 | 17% | 1D B |
| 2024 | 17.7% | 1E |
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 9.7% | 1A A |
| 2019 | 8.7% | 1B |
| 2020 | 8.1% | 1C |
| 2022 | 7.3% | 1D B |
| 2024 | 7.7% | 1E |
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 30.9% | 1A A |
| 2019 | 28.5% | 1B |
| 2020 | 28% | 1C |
| 2022 | 26.3% | 1D B |
| 2024 | 26.2% | 1E |
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 13.3% | 2A A |
| 2016 | 13.7% | 2B A |
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 6.2% | 2A A |
| 2016 | 5.3% | 2B A |
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 19.6% | 2A A |
| 2016 | 22% | 2B A |
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
- 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. 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- Adults survey: Palau Hybrid Survey, 2016; National, ages 18-97
Smoking-related mortality
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- There are certain restrictions to consider.
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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- 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: 2 July 2025.
- There are certain restrictions to consider.
- 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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
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-plw.pdf?sfvrsn=5b2c41ba_3&download=true. Accessed: 11 June 2025.
- Total taxes: 74.07%