One-third of world's tobacco users in Southeast Asia; prevalence of smokeless tobacco use high: WHO

Between 2000 and 2022, tobacco use among adult men and women in the region declined from 68.9% to 43.7%, and from 33.5% to 9.4% respectively, she said.
According to WHO, Southeast Asia is the epicentre of the global tobacco epidemic
According to WHO, Southeast Asia is the epicentre of the global tobacco epidemic
Updated on
3 min read

NEW DELHI: With one-third of the world’s tobacco users, Southeast Asia is the epicentre of the global tobacco epidemic, said the WHO on the occasion of World No Tobacco Day on Friday.

Most concerning is the prevalence of smokeless tobacco use, with the Region accounting for over 280 million users, or 77% of the global total, the World Health Organisation said.

“Tobacco use remains the single most preventable cause of death worldwide and is a leading risk factor for noncommunicable diseases (NCDs) such as heart disease, cancer, diabetes, and chronic respiratory illness,” said Saima Wazed, Regional Director for the WHO South-East Asia Region.

She said the Region, which includes India, continues to bear a mammoth share of the global tobacco burden, with some 411 million adult tobacco users across the eleven countries.

Yet, she said, there is a reason to be hopeful.

Between 2000 and 2022, tobacco use among adult men and women in the region declined from 68.9% to 43.7%, and from 33.5% to 9.4% respectively, she said.

“These significant reductions are the result of sustained, evidence-based tobacco control efforts led by governments, civil society, and public health advocates. Our collective resolve is paying off. We are on track to meet the NCD Global Target of a 30% relative reduction in tobacco use prevalence by 2025 among people aged 15 years and older, compared to 2010 levels. In fact, we are projected to achieve a 34% reduction, a rare and remarkable accomplishment,” she said.

However, these gains must not breed complacency, she said.

“Tobacco remains an ever-evolving and formidable threat. We now face aggressive industry marketing of new and emerging nicotine and tobacco products (NENTPs) — such as electronic cigarettes, heated tobacco products, and flavoured nicotine pouches. These are being disguised as safer alternatives and deliberately targeted at children and adolescents. An estimated 11 million adolescents aged 13–15 years are already addicted to tobacco products in our region, nearly 30% of the global total in this age group,” she pointed out.

The theme of World No Tobacco Day 2025 urges us to unmask these dangerous industry ploys, she said. 

“This year’s theme, “Unmasking the Appeal” compels us to expose the deceptive marketing tactics and manipulative strategies employed by the tobacco industry, especially those targeting our youth and women,” she said.

“Flavoured nicotine and tobacco products, attractive packaging, influencer endorsements on social media, and misleading health claims are tools of manipulation designed to recruit new users and keep existing users addicted,” she said.

Wazed called on all the members to take bold actions, including strengthening implementation of the WHO Framework Convention on Tobacco Control (FCTC) and MPOWER provisions; enforcing comprehensive bans on NENTPs;  expanding quality tobacco cessation services; protecting health policies from tobacco industry interference in line with Article 5.3 of the WHO FCTC; countering surrogate advertising and misleading promotion of smokeless tobacco and arecanut products, and investing in youth-led campaigns, peer education, and school health programs to build tobacco resistance and prevent initiation.

She also urged the members to invest in disaggregated data collection, strengthening research on local tobacco trends and their determinants, and enhancing the enforcement of tobacco control laws on the ground to close regulatory loopholes and stay ahead of evolving industry malpractices.

“Tobacco use not only kills prematurely - it deepens poverty, damages the environment, and burdens families and health systems. This World No Tobacco Day is a call for vigilance and action. Let us work together to “unmask the appeal” of tobacco in all its forms and reveal its true face: disease, death, and despair,” she further added.

She said together “we can create a future where our children live free from the shadow of tobacco and enjoy healthier, longer lives.”

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