SHARE

Tobacco smoking in Romania

Romania Background
Data sourced: 2025.   Page updated: 2026-04-10

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
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 18.7% 1A A
2019 25.5% 1B
2020 25.7% 1C
2022 27% 1D B
2023 34% 1E C
2024 26% 1F
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-per.pdf?sfvrsn=965d129_3&download=true. Accessed: 11 June 2025.
  2. 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.
  3. 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
  4. 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
  5. European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
  6. 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. Adults survey: European Health Interview Survey , 2019; National, ages 15+
  2. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
  3. 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
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-per.pdf?sfvrsn=965d129_3&download=true. Accessed: 11 June 2025.
  2. 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.
  3. 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
  4. 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
  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. Adults survey: European Health Interview Survey , 2019; National, ages 15+
  2. 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
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-per.pdf?sfvrsn=965d129_3&download=true. Accessed: 11 June 2025.
  2. 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.
  3. 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
  4. 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
  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. Adults survey: European Health Interview Survey , 2019; National, ages 15+
  2. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
4.9 million
2 A
Year Value Reference/Comment
2017 or earlier 27% 3A A
2023 32% 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
37%
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 36,615 1A
2021 29,482 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 9,360 1A
2021 6,191 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 27,255 1A
2021 23,291 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 17.35% 1A
2021 8.82% 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 7.6% 1A
2021 3.87% 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 20.7% 1A
2021 13.38% 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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.

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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
Comments:
  1. There are certain restrictions to consider.

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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
  2. 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.
Comments:
  1. There are certain restrictions.
  2. There are certain restrictions to consider.
  3. 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-per.pdf?sfvrsn=965d129_3&download=true. Accessed: 11 June 2025.

Tax

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-rou.pdf?sfvrsn=586a30b9_3&download=true. Accessed: 10 April 2026.
Comments:
  1. 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)

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.