The small country of North Macedonia is among the leaders in the world with respect to tobacco consumption. Smoking prevalence is approximately 40 percent; there is a high intensity of smoking at 28.2 packs per month per household, which places the country well above the EU average in terms of tobacco consumption. For comparison, smoking prevalence in 2014 ranged from 8.7 percent in Sweden to 27 percent in Greece and Bulgaria, while only 6 percent of the EU population over the age of 15 consumed at least 20 cigarettes per day, and around 13 percent consumed less than 20. Projections from the World Health Organization (WHO) suggest that 139,000 tobacco-related deaths will occur in the next 40 years if the current levels of tobacco consumption continue. The WHO Framework Convention on Tobacco Control recommend significant increases in tobacco taxes and prices as the most effective way to reduce tobacco use and its devastating health consequences. Price and tax increases on tobacco can be effective in improving people’s health, reducing healthcare costs, and at the same time, increasing government revenue.
The responsiveness of smoking prevalence and cigarette consumption to changes in price and income in North Macedonia - download here.