In Tuvalu, smoking is allowed under specific regulations. The sale of cigarettes is legal, and purchasing them online is also permitted. However, buying them from vending machines is banned. Importing cigarettes for trade is allowed but requires an import license. There is a minimum age restriction of 18 years for the purchase of tobacco products and all types of advertising and promotion of tobacco products are banned. Additionally, smoking is restricted in public places to protect non-smokers from exposure. Cigarettes in Tuvalu are subject to a total taxation rate of 35.5% with no specific excise tax rate.
In terms of prevalence, the adult current tobacco smoking prevalence in 2024 was 33.5%, with a notable gender difference; 47.6% of males and 19.2% of females were current smokers. The total number of current smokers in 2024 was estimated to be 2,000 individuals. Data from 2021 show that tobacco smoking led to 17 deaths in Tuvalu. Among these deaths, 12 were among males and 5 were among females. This shows that smoking-related deaths accounted for 15.2% of all deaths in the country in 2021, including 19.73% of male deaths and 9.93% of female deaths.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 37.4% | 1A |
| 2020 | 37% | 1B |
| 2022 | 33.8% | 1C A |
| 2024 | 33.5% | 1D |
- 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
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 22.3% | 1A |
| 2020 | 16.9% | 1B A |
| 2020 | 22.3% | 1C |
| 2022 | 19% | 1D B |
| 2024 | 19.2% | 1E |
- 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. 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-tuv.pdf?sfvrsn=e3e9bd44_3&download=true. Accessed: 11 June 2025.
- 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: Multiple Indicator Cluster Survey (MICS), 2019-20; National, ages 15-49
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 52.5% | 1A |
| 2020 | 48% | 1B A |
| 2020 | 51.4% | 1C |
| 2022 | 48.3% | 1D B |
| 2024 | 47.6% | 1E |
- 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. 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-tuv.pdf?sfvrsn=e3e9bd44_3&download=true. Accessed: 11 June 2025.
- 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: Multiple Indicator Cluster Survey (MICS), 2019-20; National, ages 15-49
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted 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
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- * data is old. Current cigarette smoking status. Source: Population and Housing Census, 2002; National, ages 15+
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-tuv.pdf?sfvrsn=e3e9bd44_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-tuv.pdf?sfvrsn=e3e9bd44_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-tuv.pdf?sfvrsn=e3e9bd44_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-tuv.pdf?sfvrsn=e3e9bd44_3&download=true. Accessed: 11 June 2025.
- Only in some public places such as government facilities, restaurant and public transport.
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-tuv.pdf?sfvrsn=e3e9bd44_3&download=true. Accessed: 11 June 2025.
- Total taxes: 35.5%