South Africa

South Africa - country profile

Cigarettes in South Africa

There has been a downwards trend in current smoking prevalence in the general population in South Africa. Smoking prevalence was 22% overall in 2000 and declined to 20% in 2015, with a further drop to 19% projected by 2025. For men the prevalence decreased from 35% in 2000 to 33% in 2015, with a further decrease to under 32% projected by 2025. For women prevalence was 11% in 2000; this decreased to around 8% in 2015, and is projected to decrease further to around 7% 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 are not age standardised, and 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:
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 South Africa

If e-cigarettes are marketed as a therapeutic item, they are considered medicinal products, and are therefore regulated by the Medicines Control Council as schedule 3 medicines. However, non-medicinal e-cigarette products are currently unregulated. There are plans being proposed by the South African Government, and challenged by advocacy groups, to implement a common legislative framework for e-cigarettes and tobacco products which would be much stricter. The plans would restrict online sales and advertising, require neutral packaging and age restrictions, and prohibit vaping in public places.

Product promotion

Ban on all advertising:
Yes
1
Advertising is regulated:
Yes
2
1
Banned at place of sale and banned in all media.
2
Allowed or banned at place of sale or allowed or banned in all media.

Regulation

Regulatory status:
Allowed
A
widgets blur_circular
Regulated as medicinal product:
Yes
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 buy device online - personal use:
No
Legal to buy nicotine online - personal use:
No
Legal to sell device:
Yes
Legal to sell nicotine:
Yes
Legal to purchase without prescription:
Yes
healing

Regulations and restrictions

Health warning on packaging required:
Yes
Minimum age restrictions on sales:
Legal restrictions on use in public places:
Yes

Snus in South Africa

There are no comments specific to snus in South Africa in the database.

Regulation

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

Availability

Legal to use product:
Yes

Heated Tobacco Products in South Africa

In South Africa, heated tobacco products are regulated as tobacco products in accordance with the Tobacco products Control Act 83 of 1993 (amended).

Regulation

Regulatory status:
Allowed
1
A
filter_drama widgets
A
Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system
1
IQOS

Availability

Products are marketed:
Yes
1
A
healing
A
Philip Morris International website. Available at: https://www.pmi.com/smoke-free-products/iqos-our-tobacco-heating-system
1
IQOS

Nicotine Replacement Therapy in South Africa

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

Product promotion

Market size:
3.30 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
filter_drama
Products are marketed:
Yes
A
blur_circular
Place available:
Pharmacy
A
A
WHO Report on the Global Tobacco Epidemic 2019. https://www.who.int/tobacco/global_report/en/ (2019).