El tabaquismo sigue siendo un importante problema de salud pública en Macedonia. En 2017, el país registró un estimado de 786,800 fumadores actuales, con una alta prevalencia de tabaquismo en adultos del 46%. La prevalencia en adultos fue notablemente mayor en hombres (54.1%) en comparación con las mujeres (33.3%). En 2021, se estimó que el número anual de muertes atribuibles al tabaquismo fue de 4,100, incluidas 2,800 entre hombres y 1,300 entre mujeres. Se informó que la mortalidad por tabaquismo representó el 12.66% de todas las muertes en Macedonia, siendo del 15.9% entre los hombres y del 8.75% entre las mujeres. Los esfuerzos para controlar el consumo de tabaco en Macedonia se implementan mediante varias medidas regulatorias. Existe una prohibición total de toda publicidad de tabaco. La venta y el consumo de cigarrillos están permitidos, incluida la compra en línea; sin embargo, la adquisición a través de máquinas expendedoras está prohibida. Además, es obligatorio que los paquetes lleven advertencias sanitarias y la edad mínima legal para comprar cigarrillos es de 18 años. También existen restricciones legales para fumar en lugares públicos y se aplica una tasa total de impuestos de 0.77 a los cigarrillos.
Prevalencia
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 | 46% | 1A A |
| 2024 | 39.9% | 1B |
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
- 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: General population survey on drugs in the Republic of Macedonia, 2017; National, ages 15-64
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 | 33.3% | 1A A |
| 2024 | 36.7% | 1B |
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
- 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: General population survey on drugs in the Republic of Macedonia, 2017; National, ages 15-64
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 | 54.1% | 1A A |
| 2024 | 43.4% | 1B |
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
- 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: General population survey on drugs in the Republic of Macedonia, 2017; National, ages 15-64
- 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
Mortalidad
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 4,051 | 1A |
| 2021 | 4,146 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 1,147 | 1A |
| 2021 | 1,297 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 2,904 | 1A |
| 2021 | 2,849 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 21.16% | 1A |
| 2021 | 12.66% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- 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 | 11.2% | 1A |
| 2021 | 8.75% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- 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 | 25.1% | 1A |
| 2021 | 15.9% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- 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.
- 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.
Promoción de productos
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
Regulación
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
- There are certain restrictions to consider.
Disponibilidad
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 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.
Regulaciones y restricciones
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
Impuesto
- 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-mkd.pdf?sfvrsn=5cd39762_3&download=true. Accessed: 10 June 2025.
- Total taxes: 76.99%
Publicaciones
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)
