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35
SPECIAL COMMUNICATION
.......................
Correspondence to:
G Emmanuel Guindon,
World Health
Organization, Tobacco
Free Initiative, Avenue
Appia 20, 1211 Geneva
27, Switzerland;
guindone@who.int
Manuscript received 30
March 2001 and revision
requested 20 June 2001.
Accepted
30 November 2001
.......................
Background: Increasing the price of tobacco products is arguably the most effective method of curbing the prevalence and consumption of tobacco products. Price increases would reduce the global burden of disease brought about by tobacco consumption.
Objectives: To compare cigarette price data from more than 80 countries using varying methods,
examine trends in prices and affordability during the 1990s, and explore various policy implications
pertaining to tobacco prices.
Design: March 2001 cigarette price data from the Economist Intelligence Unit are used to compare
cigarette prices across countries. To facilitate comparison and to assess affordability, prices are
presented in US dollars, purchasing power parity (PPP) units using the Big Mac index as an indicator
of PPP and in terms of minutes of labour required to purchase a pack of cigarettes. Annual real percentage changes in cigarette prices between 1990 and 2000 and annual changes in the minutes of labour
required to buy cigarettes between 1991 and 2000 are also calculated to examine trends.
Results: Cigarette prices tend to be higher in wealthier countries and in countries that have strong
tobacco control programmes. On the other hand, minutes of labour required to purchase cigarettes
vary vastly between countries. Trends between 1990 and 2000 in real prices and minutes of labour
indicate, with some exceptions, that cigarettes have become more expensive in most developed countries but more affordable in many developing countries. However, in the UK, despite recent increases
in price, cigarettes are still more affordable than they were in the 1960s.
Conclusions: The results suggest that there is ample room to increase tobacco prices through taxation.
In too many countries, cigarette prices have failed to keep up with increases in the general price level
of goods and services, rendering them more affordable in 2000 than they were at the beginning of the
decade. Opportunities to increase government revenue and improve health through reduced consumption brought about by higher prices have been overlooked in many countries.
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Table 1
37
Marlboro*
LCU
LCU
$US
Table 1
Local brand
Marlboro*
LCU
$US
LCU
$US
6.28
11.58
38
25
3.20
1.40
4.87
0.77
6.78
3.00
13.03
30
40
3.46
1.70
0.90
1.57
3.85
1.23
250
4.10
8.78
6.00
24.50
1600
6.20
8350
2.09
1.08
3.69
1.85
0.51
1.26
3.52
0.57
280
4.30
8.83
6.00
32.00
1900
6.90
10500
2.34
1.13
3.71
1.85
0.67
1.50
3.92
0.72
WHO-EURO
Western Europe
Austria
Belgium
Denmark
Finland
France
Germany
Greece
Iceland
Ireland
Israel
Italy
Luxembourg
Netherlands
Norway
Portugal
Spain
Sweden
Switzerland
Turkey
UK
44.90
127.00
32.00
21.40
19.35
5.77
600
389
3.80
7.90
4000
82.40
6.04
57.00
380.00
205.00
35.50
4.65
8000000
4.25
3.04
2.93
4.00
3.35
2.75
2.75
1.64
4.53
4.47
1.91
1.93
1.90
2.56
6.48
1.77
1.15
3.64
2.80
0.89
6.25
48.90
127.00
32.00
23.80
22.00
5.90
750
380
3.80
13.30
5600
97.00
6.60
57.00
400.00
385.00
36.50
4.65
11000000
4.25
3.31
2.93
4.00
3.73
3.13
2.81
2.05
4.43
4.47
3.22
2.70
2.24
2.80
6.48
1.86
2.16
3.75
2.80
1.23
6.24
Eastern Europe
Czech Republic
Hungary
Poland
Romania
Azerbaijan
Russian Federation
Ukraine
Uzbekistan
Croatia
Yugoslavia
42.00
219
4.50
24.00
1500
17.00
750
11.00
18.00
1.13
0.77
1.13
0.88
0.33
0.59
1.11
1.33
0.28
52.90
310
6.00
27.50
4000
28.00
4.35
17.00
60.00
1.42
1.09
1.51
1.01
0.88
0.98
0.80
2.06
0.94
$US
WHO-AFRO
Cameroon
Cte dIvoire
Gabon
Kenya
Nigeria
Senegal
South Africa
Zimbabwe
700
500
860
70
100
200
10.40
36.00
0.99
0.71
1.22
0.90
0.86
0.28
1.34
0.65
1000
650
930
120
100
500
10.40
63.40
1.42
0.92
1.32
1.55
0.86
0.71
1.34
1.15
WHO-PAHO
Northern America
Canada
USA
4.46
3.60
2.88
3.60
5.27
3.71
3.40
3.71
1.50
1.65
850
1460
240
1.30
7.50
12.00
1.20
3500
4.70
18.00
900
1.50
0.80
1.43
0.64
0.75
1.30
0.97
1.24
1.20
0.93
1.34
1.42
1.28
1.70
1.75
1000
2340
240
1.90
10.00
15.00
1.20
4150
5.00
2.50
40.00
1000
1.70
0.85
1.69
1.03
0.75
1.90
1.29
1.55
1.20
1.10
1.42
2.50
3.14
1.42
WHO-EMRO
Bahrain
Egypt
Iran (Islamic Republic of)
Jordan
Kuwait
Libyan Arab Jamahiriya
Morocco
Pakistan
Saudi Arabia
Syrian Arab Republic
Tunisia
United Arab Emirates
4.50
3800
700
1.00
14.50
32.00
3.50
30.00
4.75
1.16
0.46
0.98
1.82
1.36
0.53
0.93
0.56
1.29
0.50
4.50
8000
1450
0.34
2.50
28.00
50.00
4.87
60.00
2.70
6.50
1.32
1.16
0.96
2.04
1.10
4.55
2.63
0.83
1.30
1.12
1.96
1.77
WHO-SEARO
Bangladesh
India
Indonesia
Sri Lanka
Thailand
45.00
42.50
6250
140
30.00
0.83
0.91
0.62
1.66
0.69
68.00
57.50
6250
150
47.00
1.26
1.24
0.62
1.78
1.08
Continued
WHO-WPRO
Australia
Brunei Darussalam
Cambodia
China
China, Hong Kong SAR
China, Province of
Taiwan
Japan
Malaysia
New Zealand
Papua New Guinea
Philippines
Republic of Korea
Singapore
Viet Nam
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8
7
7.12
6.23
5.74
5.42
5
4.02 3.86
3.71
3.02 2.94
2.72 2.58
2.48 2.42 2.42 2.40
1.23 1.08
hi
na
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on
g
K
N on
ew g
Ze SAR
Un A ala
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d tra
Ki li
Un
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St
at
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Am en
er
ic
C a
hi
na
Si Ita
ng ly
a
De por
nm e
a
Fr rk
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So er m e
ut an
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Af y
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Po ca
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Sp d
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Ja n
C M pa
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Re ysia
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Fe aila
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7.38
7
6
5
6.04
5.50 5.49
4.63
4
3
2
3.87
3.61 3.51
3.14 3.02
2.67 2.61
2.48
1.04 0.90
hi
na
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on
g
K
N on
Un ew g S
ite Ze AR
d ala
Ki n
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Au dom
Si stra
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Un
ap
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C ore
St
an
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of we a
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De ric
nm a
a
C rk
G hi
So er m na
ut a
h ny
Af
ri
Fr ca
M anc
al e
ay
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Ita
Sw Ja ly
itz pa
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C
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Re lan
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of hil
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Ta ia
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an
RESULTS
Table 1 presents March 2001 cigarette prices in LCUs and in US
dollars for 87 countries, provinces, and territories. As
expected, cigarette prices are higher in wealthier countries
and in countries that have strong tobacco control programmes
such as the UK, Norway, Hong Kong Special Administrative
Region of China, New Zealand, and Australia.
Figures 1 and 2 presents Marlboro and local brand price
data in terms of their domestic affordability calculated from
prices in local currencies weighted by the Big Mac implied PPP
conversion factors. As expected, countries in which tobacco
taxes were used as a pubic health instruments, such as Hong
Kong Special Administrative Region of China, the UK,
Sweden, New Zealand, and Ireland, appear towards the top of
the index while countries like Switzerland and Japan where
the household incomes are very high and tobacco control
policies poor show up towards the bottom of the scale.
Table 2 presents cigarette affordability in terms of minutes
of labour required to buy one pack of cigarettes in 56 cities. In
order to also allow us to assess the affordability of cigarettes
within countries, these results are presented alongside
minutes of labour required to purchase one Big Mac, 1 kg of
www.tobaccocontrol.com
39
Table 2 Minutes of labour required to buy a pack of cigarettes (Marlboro or local brand) compared with a Big Mac,
bread, and rice: 2000
Minutes of labour
Country
City
Argentina
Australia
Austria
Bahrain
Belgium
Brazil
Buenos Aires
Sydney
Vienna
Manama (Bahrain)
Brussels
Rio de Janeiro
Sao Paulo
Montral
Toronto
Santiago de Chile
Shanghai
Taipei
Hong Kong
Bogota
Copenhagen
Helsinki
Paris
Berlin
Frankfurt
Athens
Budapest
Mumbai
Jakarta
Dublin
Tel Aviv
Milan
Tokyo
Nairobi
Luxembourg
Kuala Lumpur
Mexico city
Amsterdam
Auckland
Oslo
Panama
Manila
Warsaw
Lisbon
Seoul
Moscow
Singapore
Johannesburg
Barcelona
Madrid
Stockholm
Geneva
Zurich
Bangkok
Istanbul
Abu Dhabi
London
Chicago
Houston
Los Angeles
New York
Caracas
Canada
Chile
China
China, Province of Taiwan
China, Hong Kong SAR
Colombia
Denmark
Finland
France
Germany
Greece
Hungary
India
Indonesia
Ireland
Israel
Italy
Japan
Kenya
Luxembourg
Malaysia
Mexico
Netherlands
New Zealand
Norway
Panama
Philippines
Poland
Portugal
Republic of Korea
Russian Federation
Singapore
South Africa
Spain
Sweden
Switzerland
Thailand
Turkey
United Arab Emirates
UK
USA
Venezuela
Marlboro*
21
28
22
18
22
22
17
19
21
38
62
11
27
25
23
29
20
18
17
24
71
102
62
31
29
26
9
158
12
21
49
19
35
38
81
42
56
26
27
71
43
20
21
21
28
12
11
35
30
20
40
18
17
20
18
29
Local brand
15
24
20
20
18
17
16
17
33
56
7
27
16
23
27
18
19
17
17
54
77
62
30
17
19
8
92
10
20
40
17
33
38
81
32
40
26
17
43
40
20
11
11
27
12
11
23
22
11
40
18
15
20
18
29
Big Mac
29
13
16
27
21
45
36
14
13
62
55
20
9
57
19
25
19
17
16
20
82
105
146
16
42
21
9
178
15
22
66
16
15
21
41
75
54
32
25
74
22
19
20
21
19
16
15
43
52
37
18
13
13
11
12
93
Bread (1 kg)
23
13
13
29
13
52
27
12
10
19
103
22
15
29
12
28
17
10
9
10
25
34
85
8
16
22
14
64
11
20
49
10
9
14
32
52
21
15
25
25
31
11
9
9
18
9
10
23
13
15
6
9
15
18
15
62
Rice (1 kg)
22
7
11
26
17
13
11
9
11
25
47
12
7
15
11
26
20
11
18
10
42
79
28
18
13
22
15
109
14
25
25
10
7
15
15
46
23
13
22
152
14
9
9
9
23
11
7
14
31
19
8
8
8
8
9
19
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Viet Nam
Iran (Islamic Republic of)
Egypt
Russian Federation
Poland
Hungary
Czech Republic
Costa Rica
Philippines
Gabon
Slovenia
Uruguay
d'Ivoire
Cote
Kenya
Turkey
Indonesia
Nigeria
Jordan
Tunisia
China, Province of Taiwan
Bangladesh
China
Senegal
Kuwait
Denmark
Morocco
Thailand
Bahrain
India
Austria
Argentina
Cameroon
Canada
Portugal
Guatemala
Germany
Panama
Ecuador
Japan
Puerto Rico (assoiciate member)
Venezuela (Bolivarian Republic of)
Greece
Malaysia
Saudi Arabia
Italy
Chile
Sweden
Netherlands
Switzerland
Finland
Belgium
Israel
Luxembourg
Mexico
Norway
Spain
South Africa
Ireland
Paraguay
United States of America
New Zealand
France
China, Hong Kong SAR
Singapore
United Kingdom
Pakistan
Australia
Zimbabwe
Republic of Korea
(9.80)
(9.00)
(8.69)
(8.45)
(6.84)
(6.65)
(6.45)
(6.37)
(5.11)
(4.41)
(3.89)
(3.76)
(3.66)
(3.63)
(3.61)
(2.99)
(2.87)
(2.71)
(2.69)
(1.61)
(1.47)
(1.41)
(1.27)
(1.27)
(0.88)
(0.80)
(0.67)
(0.58)
(0.48)
(0.45)
(0.41)
(0.36)
(0.22)
(0.09)
15 10
(0.03)
0.00
0.69
0.93
0.96
1.04
1.04
1.21
1.55
1.75
1.78
1.98
2.46
2.52
2.52
2.69
2.80
2.81
3.01
3.39
3.39
3.73
3.98
4.02
4.56
4.65
5.15
5.15
5.23
5.45
5.63
6.36
6.70
9.00
9.35
10
(9.06)
(7.82)
(6.19)
(6.03)
(4.52)
(4.36)
(3.59)
(3.40)
(3.32)
(2.92)
(1.22)
(1.04)
(0.86)
(0.76)
(0.76)
(0.69)
(0.52)
(0.07)
(0.03)
15 10
15
DISCUSSION
0.50
0.67
0.69
0.73
0.75
0.89
1.04
1.43
1.79
1.88
1.92
2.29
2.32
2.39
2.49
2.56
2.63
2.64
2.73
2.87
2.89
3.23
3.25
3.43
3.44
3.71
3.89
4.12
4.33
4.49
4.62
4.67
4.76
5.49
5.51
5.69
6.12
6.32
6.54
7.44
8.26
8.63
8.85
9.25
9.35
10
15
Policy implications
The data presented above, combined with the price data available for pipe tobacco (not shown here), suggests that in many
countries there are wide discrepancies in changes in cigarette
www.tobaccocontrol.com
Table 3
41
Country
City
Argentina
Australia
Austria
Bahrain
Belgium
Brazil
Buenos Aires
Sydney
Vienna
Manama (Bahrain)
Brussels
Rio de Janeiro
Sao Paulo
Montral
Toronto
Santiago de Chile
Shanghai
Taipei
Hong Kong
Bogota
Copenhagen
Helsinki
Paris
Berlin
Frankfurt
Athens
Budapest
Mumbai
Jakarta
Dublin
Tel Aviv
Milan
Tokyo
Nairobi
Luxembourg
Kuala Lumpur
Mexico city
Amsterdam
Auckland
Oslo
Panama
Manila
Warsaw
Lisbon
Seoul
Moscow
Singapore
Johannesburg
Barcelona
Madrid
Stockholm
Geneva
Zurich
Bangkok
Istanbul
Abu Dhabi
London
Chicago
Houston
Los Angeles
New York
Caracas
Canada
Chile
China
China, Province of Taiwan
China, Hong Kong SAR
Colombia
Denmark
Finland
France
Germany
Greece
Hungary
India
Indonesia
Ireland
Israel
Italy
Japan
Kenya
Luxembourg
Malaysia
Mexico
Netherlands
New Zealand
Norway
Panama
Philippines
Poland
Portugal
Republic of Korea
Russian Federation
Singapore
South Africa
Spain
Sweden
Switzerland
Thailand
Turkey
United Arab Emirates
UK
USA
Venezuela
Marlboro *
20.5
28.4
21.8
17.6
22.0
21.8
17.2
19.4
20.7
38.4
61.8
11.4
27.4
24.9
23.0
28.7
20.5
18.4
17.3
24.0
71.4
102.5
61.7
30.6
29.3
26.0
8.9
157.6
12.0
20.7
49.4
18.5
35.3
38.5
81.4
41.8
55.7
26.2
26.6
71.3
42.6
19.5
21.1
21.4
27.6
12.5
11.1
35.0
30.0
19.7
39.7
18.0
16.9
20.0
17.6
28.5
Local
brand
15.4
24.0
20.0
20.4
18.4
17.2
15.5
17.5
32.6
56.2
7.1
27.4
16.0
23.0
26.7
18.2
18.7
17.3
17.1
54.5
76.8
61.7
30.3
17.4
18.6
7.9
91.9
10.2
19.8
39.5
17.0
33.4
38.5
81.4
32.0
40.2
26.2
16.6
42.8
39.9
19.5
10.9
11.1
26.8
12.5
11.1
23.3
22.3
11.1
39.7
18.0
14.6
20.0
17.6
28.5
Marlboro*
19.5
13.3
23.8
15.9
8.5
8.0
22.2
22.4
12.5
17.2
24.4
19.7
14.3
15.7
16.2
116.2
27.4
24.2
17.8
9.0
119.8
8.5
31.9
30.0
15.1
26.6
24.4
73.0
33.0
12.0
37.4
15.0
12.4
33.2
7.8
7.8
24.6
12.1
16.5
10.4
11.4
13.0
Local
brand
15.3
12.8
17.2
13.8
6.3
7.6
22.6
22.4
8.9
12.5
23.9
18.8
9.6
14.9
10.4
83.6
26.8
12.1
11.6
8.2
36.3
9.1
29.5
26.0
12.8
27.1
24.4
34.9
33.0
7.5
37.4
9.5
7.2
31.7
7.8
6.5
24.6
12.1
16.5
10.4
11.1
13.0
Annual change
19912000 (%)
Marlboro*
0.58
8.77
0.96
3.68
11.05
8.93
1.48
0.88
1.01
5.29
0.65
4.31
4.07
1.14
4.45
1.38
1.25
2.15
4.31
0.14
3.09
3.89
4.68
5.69
2.34
4.17
14.33
6.02
2.54
9.24
1.44
2.97
6.23
2.04
5.43
3.97
5.46
4.46
0.25
7.55
4.90
9.16
Local
brand
0.07
7.28
1.67
4.40
12.69
9.51
4.06
2.70
2.47
9.08
0.45
3.96
7.34
1.69
5.73
0.94
1.36
4.16
5.40
0.43
10.87
1.27
4.34
4.76
3.15
3.99
14.33
0.95
2.54
9.24
0.71
8.34
4.98
1.85
5.43
6.02
5.46
4.46
1.36
7.55
5.26
9.16
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Regional cooperation
As indicated earlier, discrepancies in tobacco prices between
countries can create an incentive to smuggle. However, neighbouring countries can minimise the incentive to smuggle by
harmonising taxes on tobacco products. The EU adopted three
directives in October 1992 (92/78/EEC, 92/79/EEC, and 92/80/
EEC) that aimed at decreasing tobacco price disparities
between EU member countries. The first directive defined the
taxation structure of tobacco products while the latter two
fixed a minimum tax level of at least 70% of the retail price.
These three directives have been in force since 1 January 1993.
A new directive was adopted in 1995 (95/59/CE) and directive
92/78/EEC was amended to harmonise further this process.
In 1996, the six nation Gulf Cooperation Council (GCC)
agreed to increase gradually customs duty on tobacco and
related products to 100% by 2000 from less than 30% in the
1980s. Saudi Arabia, Bahrain, Qatar and Oman have already
increased tobacco duty to 100% while the United Arab Emirates
increased it to 90% in 1999 and Kuwait to 70% in 1997.33 However, these achievements are at risk. The tobacco industry is
pressuring the GCC members to lower their duties, stressing
that their fiscal revenue from tobacco duties will soon begin to
fall because of increased smuggling.17 In early 2000, Lithuania,
Latvia, and Estonia announced plans to harmonise their
respective tobacco fiscal policies as they are required to raise
their rates in order to qualify for membership in the EU.34 The
EU should continue its efforts to harmonise tobacco prices, and
countries of economic groups such as the Commonwealth of
Independent States (CIS), Latin American Economic System
(SELA), Caribbean Community (Caricom), and South Asian
Association for Regional Cooperation (SAARC) should follow
suit.
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ACKNOWLEDGEMENTS
We would like to thank Joy de Beyer, Karen Klimowski and two
anonymous reviewers for their comments, and Helen Green for her
editing assistance. We alone are responsible for the remaining errors
in this paper.
.....................
Authors affiliations
G E Guindon, World Health Organization, Tobacco Free Initiative,
Geneva, Switzerland
S Tobin, Organisation for Economic Co-Operation and Development,
Paris, France
D Yack, World Health Organization, Noncommunicable Diseases and
Mental Health, Geneva, Switzerland
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doi: 10.1136/tc.11.1.35
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Notes