Malaysia

Malaysia - country profile

Cigarettes in Malaysia

There has been a downwards trend in current smoking prevalence in the general population in Malaysia. Smoking prevalence was 29% in 2000 and declined to 22% in 2015, with a further drop to 19% projected by 2025. For men the prevalence decreased from 54% in 2000 to 44% in 2015, with a further decrease to 38% projected by 2025. For women a low prevalence of 3% in 2000 decreased to 1% in 2015, and is projected to decrease further to 0.5% by 2025. The WHO published prevalence trend estimates in tobacco smoking, as shown here, in their 2018 2nd edition report, which show slightly different smoking prevalence to the WHO country profiles. Data for the estimates were obtained from WHO databases. The trend lines are projections, not predictions, of future attainment. A projection indicates a likely endpoint if the country maintains its tobacco control efforts at the same level that it has implemented them to date. Therefore the impact of recent interventions could alter the expected endpoint shown in the projection. While the methods of estimation used in the first and second editions of the WHO report are the same, the volume of data available for the second edition is larger i.e. 200 more national surveys. The results presented are therefore more robust.

Tobacco smoking prevalence

Number of current smokers:
Adult current tobacco smoking prevalence:
21.8%
A
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Adult current tobacco smoking prevalence (female):
Adult current tobacco smoking prevalence (male):
A
(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/

Smoking-related mortality

Annual number of deaths attributable to tobacco smoking:
Annual number of deaths attributable to tobacco smoking (female):
Annual number of deaths attributable to tobacco smoking (male):
Annual percentage of all deaths attributable to tobacco smoking:
Annual percentage of all deaths attributable to tobacco smoking (female):
Annual percentage of all deaths attributable to tobacco smoking (male):
A
The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.

Nicotine Vaping Devices (E-cigarettes) in Malaysia

Nicotine is classified as a class C poison in Malaysia. The Ministry of Health regulates e-liquids that contains nicotine under the Poisons Act and Control of Drugs and Cosmetics Regulations (1984). The general sale, distribution or importation of unlicensed nicotine-containing e-cigarettes are prohibited, and nicotine-containing e-cigarettes or nicotine e-liquids can only be sold by licensed pharmacies or registered medical practitioners. All devices and nicotine e-liquids must be registered with the Health Ministry. The registration comes under the Sale of Drugs Act 1952. Individuals breaking registration rules can be imprisoned for up to 3 years and/or fined up to RM 25,000. If the offender is a company, the fine can be up to RM 50,000. The Malaysian states of Penang, Kedah, Johor, Kelantan and Terengganu have banned e-cigarettes entirely. Some states allow vaping, and the sale of e-cigarettes - however there are individual state restrictions in other states. Reportedly, the Malaysian authorities have coordinated mass raids across the country, seizing nicotine e-liquids and records of wholesalers. Heavy fines or prison terms have been threatened in some states if public-place vaping restrictions are violated. The Health Minister announced that a bill to control all tobacco related products and e-cigarettes, and to enforce no-smoking zones, would be introduced by the end of 2019.

Prevalence

Adult current e-cigarette vaping prevalence:
3.2%
1
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Ever tried e-cigarette vaping:
A
Ab Rahman, J. et al. (2019) �The Prevalence of E-Cigarette Use Among Adults in Malaysia: Findings From the 2016 National E-Cigarette Survey�, Asia Pacific Journal of Public Health. doi: 10.1177/1010539519834735.
1
A nationwide survey among 4288 Malaysian adults (18 and over) was conducted in 2016 to measure the prevalence and to describe the population characteristics of e-cigarette users. A complex sampling design was used, and data were collected using a face-to-face questionnaire. The prevalence of all type of e-cigarette use was higher in urban than in rural areas. Current e-cigarette users were likely to be younger, males, and with higher education level. Among current e-cigarette users, 74% (95% CI = 64-82) also smoked conventional cigarettes (dual user).

Regulation

Regulatory status:
Allowed
A
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Regulated as medicinal product:
Yes
A
Other options for purchasing - where bans in place:
0.00
A
A
Data cross-referenced where possible using the following sources :1. Vapetrotter website. Available at: https://www.vapetrotter.com/laws/ ; 2. Global tobacco control website. Available at:https://www.globaltobaccocontrol.org/node/14052 ; 3. Tobacco Control Laws website. Available at : https://www.tobaccocontrollaws.org/legislation/

Availability

Legal to sell device:
Yes
Legal to sell nicotine:
Yes
Legal to purchase without prescription:
Yes
healing

Regulations and restrictions

Notifications of new products required:
Yes
Minimum age restrictions on sales:
Legal restrictions on use in public places:
Yes

Perception of harm

Not harmful, or less harmful than cigarettes, % of population (male):
A
Chan, C. M. H., Ab Rahman, J., Guat Hiong, T., Lei Hum, W., Bee Kiau, H., Robson, N. Z. M. H., � Nik Mohamed, M. H. (2019). Perception of Harms and Benefits of Electronic Cigarettes Among Adult Malaysian Men: A Comparison by Electronic Cigarette Use and Smoking Status. Asia Pacific Journal of Public Health. https://doi.org/10.1177/1010539519860730

Snus in Malaysia

There are no comments specific to snus in Malaysia in the database.

Regulation

Regulatory status:
Allowed
A
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A
Information obtained from industry source (2014 data)

Availability

Legal to use product:
Yes

Heated Tobacco Products in Malaysia

Heated tobacco products are regulated under the Control of Tobacco Product Regulation (Amendment) 2015, whereby smoking is defined as inhaling and expelling the smoke or vapor of any tobacco product, and this includes holding or having control over any ignited, heated or vaporised tobacco product. A call has been made to Putrajaya (the Malaysian Government offices), by tobacco control activists, for heated tobacco product refills to be treated similarly to tobacco products in terms of tax, packaging, health warnings, age restrictions, and use in public places.

Regulation

Regulatory status:
Allowed
A
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A
Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system

Availability

Products are marketed:
Yes
A
healing
A
Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system

Nicotine Replacement Therapy in Malaysia

There are no comments specific to nicotine replacement therapy in Malaysia in the database.

Product promotion

Market size:
1.60 million €
A
Market size per smoker:
A
Consumer Health: Euromonitor from trade sources/national statistics. Date Exported: 8/9/2019. (c) Euromonitor International 2019

Availability

Legal to purchase without prescription:
Yes
A
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Products are marketed:
Yes
A
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Place available:
Pharmacy
A
A
WHO Report on the Global Tobacco Epidemic 2019. https://www.who.int/tobacco/global_report/en/ (2019).