Smoking is allowed in Romania with specific restrictions around tobacco products. The sale and import of cigarettes for trade are legal, and consumers can legally purchase them online. However, sales through vending machines are prohibited. Health warnings on packaging are mandatory and the minimum age for purchase is 20 years. There are also restrictions on smoking in public places. In terms of prevalence, the number of current smokers was estimated to be 4.1 million as of 2024. The adult current smoking prevalence was 26% in 2024, including 16.6% among women and 36.2% among men in 2024. Tobacco smoking was led to 29,500 deaths in 2021, including 6,200 female and 23,300 male deaths. This shows that smoking accounted for 8.82% of all deaths that year—3.87% among women and 13.38% among men.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 4.2 million | 1A |
| 2024 | 4.1 million | 1B |
- (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
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 18.7% | 1A A |
| 2019 | 25.5% | 1B |
| 2020 | 25.7% | 1C |
| 2022 | 27% | 1D B |
| 2023 | 34% | 1E C |
| 2024 | 26% | 1F |
- 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-per.pdf?sfvrsn=965d129_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
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- 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: European Health Interview Survey , 2019; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
- Smoking cigarettes, cigars, cigarillos or a pipe
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 7.7% | 1A A |
| 2019 | 15.8% | 1B |
| 2020 | 17.1% | 1C |
| 2022 | 17.5% | 1D B |
| 2024 | 16.6% | 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-per.pdf?sfvrsn=965d129_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: European Health Interview Survey , 2019; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 30.4% | 1A A |
| 2019 | 35.2% | 1B |
| 2020 | 34.9% | 1C |
| 2022 | 37.4% | 1D B |
| 2024 | 36.2% | 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-per.pdf?sfvrsn=965d129_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: European Health Interview Survey , 2019; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 27% | 3A A |
| 2023 | 32% | 3B B |
- 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
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
- Boxed cigarettes
- 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
- 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
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
- Boxed cigarettes
Smoking-related mortality
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 36,615 | 1A |
| 2021 | 29,482 | 1B A |
- 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/
- 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 | 9,360 | 1A |
| 2021 | 6,191 | 1B A |
- 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/
- 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 | 27,255 | 1A |
| 2021 | 23,291 | 1B A |
- 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/
- 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 | 17.35% | 1A |
| 2021 | 8.82% | 1B A |
- 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/
- 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 | 7.6% | 1A |
| 2021 | 3.87% | 1B A |
- 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/
- 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 | 20.7% | 1A |
| 2021 | 13.38% | 1B A |
- 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/
- 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.
- 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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
- 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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
- 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.
- 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-per.pdf?sfvrsn=965d129_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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
- Total taxes: 69.06%
Publications
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)
Death Rate per 100,000 Attributable to Tobacco, All Causes of Death, Men 30 Years and Older
Lars Ramström - Institute for Tobacco Studies
This figure illustrates what percentage of all deaths are tobacco-related across Europe – which gives an indication of the chances of dying of a tobacco related disease. Using more recent data from the Global Burden of Disease study, it is calculated that in Sweden 11 percent of male and 12 percent of female deaths are tobacco-related. In all EU countries the percentage is higher: for example, in Greece 26 percent of male deaths are tobacco related; 23 percent in Spain, Belgium and the Netherlands; 21 percent in Italy and Denmark; and 20 percent in the UK and Luxembourg.
Dr Lars Ramström calculated the potential future premature deaths that could be avoided in the EU if the ban on the marketing of snus is revoked: “If snus is made available by lifting of the current ban in the EU, and truthful public education encourages substitution of snus for cigarettes as in Sweden, then around 320,000 premature deaths per year can conceivably be prevented among men 30 years and older in the current EU countries”.
See also p. 50 of the report: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 — Global State of Tobacco Harm Reduction (gsthr.org)