In San Marino, smoking is allowed and cigarettes are legally sold, purchased online and through vending machines. Tobacco advertising is regulated, but not all forms of advertising are banned. There is no requirement for health warnings on cigarettes packaging, but the minimum legal age for their sales is 18 years, and there are also legal restrictions on smoking in public places. The total taxation rate for cigarettes is 74.17%, with no excise tax component.
In terms of statistics and health impact, prevalence data are not available but there were about 7,000 current smokers in San Marino in 2024. 21 deaths in 2021 were attributed to smoking, including 16 deaths among males and 5 deaths among females. This shows that, tobacco smoking accounted for 8.07% of all deaths in San Marino in 2021, including 11.59% of all male deaths and 4.05% of all female deaths.
Prevalence
- 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
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-smr.pdf?sfvrsn=5617b868_3&download=true. Accessed: 26 November 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-smr.pdf?sfvrsn=5617b868_3&download=true. Accessed: 26 November 2025.
- There are certain restrictions in place.
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-smr.pdf?sfvrsn=5617b868_3&download=true. Accessed: 26 November 2025.
- There are certain restrictions in place.
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-smr.pdf?sfvrsn=5617b868_3&download=true. Accessed: 26 November 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-smr.pdf?sfvrsn=5617b868_3&download=true. Accessed: 26 November 2025.
- Total taxation rate: 74.17%