Country

Cuba

Cuba has made progress on tobacco control in recent years. However, people continue to die and become sick needlessly, and the costs to society from tobacco use continue to mount.  Cuba can still do more to make the proven tobacco control tools work for its citizens’ wellbeing.

Issues

Tobacco harms the health, the treasury, and the spirit of Cuba. Every year, more than 19400 of its people are killed by tobacco-caused disease. Still, more than 7000 children (10-14 years old) and 1640000 adults (15+ years old) continue to use tobacco each day. Complacency in the face of the tobacco epidemic insulates the tobacco industry in Cuba and ensures that tobacco's death toll will grow every year. Tobacco control advocates must reach out to other communities and resources to strengthen their efforts and create change.

Smoking Deaths

human body

Adult Smoking (15+ Y.O.)

using tobacco daily: 2015

52.7%

More men smoke in Cuba than on average in high-HDI countries.

Children Smoking(10–14 Y.O.)

% using tobacco daily: 2015

1.1%

Even though fewer boys smoke in Cuba than on average in high-HDI countries, there are still more than 3700 boys who smoke cigarettes each day, making it an ongoing and dire public health threat.

coffin

Deaths

% caused by tobacco: 2016

23.5%

More men die in Cuba than on average in high-HDI countries.

human body

Adult Smoking (15+ Y.O.)

% using tobacco daily: 2015

17.8%

More women smoke in Cuba than on average in high-HDI countries.

Children Smoking (10–14 Y.O.)

% using tobacco daily: 2015

1.07%

More girls smoke in Cuba than on average in high-HDI countries.

coffin

Deaths

% caused by tobacco: 2016

16.1%

More women die in Cuba than on average in high-HDI countries.

Smokeless Tobacco

% using tobacco daily: 2013

n/a

n/a

Societal Harms

The economic cost of smoking in Cuba amounts to 3682 million Cuban pesos. This includes direct costs related to healthcare expenditures and indirect costs related to lost productivity due to early mortality and morbidity.

Tobacco Use Also...

Harms Development

n/a

Harms Development

Harms Environment

Cigarette butts are the most commonly discarded pieces of waste worldwide. It is estimated that 1050 tonnes of butts and packs wind up as toxic trash in Cuba each year. This is roughly equivalent to the weight of 210 endangered African elephants.

Harms Environment

Harms Equality

To appeal to more customers, the tobacco industry markets its products aggressively to women and children.

Harms Equality

Harms NCDs

People living with mental illness are nearly twice as likely to smoke as other individuals.

Harms NCDs

Industry

n/a

Growing

There were 19800 metric tons of tobacco produced in Cuba in 2014. However, tobacco growing is only a small fraction of agriculture in Cuba, with only 0.17% of agricultural land devoted to tobacco cultivation.

Production

n/a

Solutions

Current Policy in Cuba

Protect from Smoke

All public places completely smoke-free is the best practice

Smokefree

n/a

HealthCare Facilities

n/a

Educational Facilities

n/a

Universities

n/a

Government Facilities

n/a

Indoor Offices

n/a

Restaurants

n/a

Pubs and Bars

n/a

Public Transport

n/a

All Other Indoor Public Places

n/a

Funds for Smokefree Enforcement

Offer Help

National quit line and both NRT and cessation-services cost-covered is the best practice

Quitting Resources
NRT and/or some cessation services (at least one of which is cost-covered)
National Quitline
Yes

Warn About the Dangers to Tobacco Users on Product Packaging

A plain, standardized pack with a large health warning is the best practice

Type of Warning Label
Text
Percent of Pack Covered
30%
Plain Packaging
No

Warn About the Dangers to the Whole Population in a Media Campaign

Ran a National Anti-Tobacco Campaign in 2014 or 2016
n/a
Appropriate Characteristics
Part Of A Comprehensive Tobacco Control Program
n/a
Pre-Tested With The Target Audience
n/a
Target Audience Research Was Conducted
n/a
Aired On Television And/Or Radio
n/a
Utilized Media Planning
n/a
Earned Media/Public Relations Were Used To Promote The Campaign
n/a
Process Evaluation Was Used To Assess Implementation
n/a
Outcome Evaluation Was Used To Assess Effectiveness
n/a

Enforce Bans on Advertising

Ban on all forms of direct and indirect advertising is the best practice

Number of Direct Ad Bans

0/7

possible bans

Number of Indirect Ad Bans

0/10

possible bans

Ad Ban Compliance Percent

n/a

Direct Bans

  • National TV and radio
  • International TV and radio
  • Local magazines and newspapers
  • International magazines and newspapers
  • Billboard and outdoor advertising
  • Advertising at point of sale
  • Advertising on internet

Indirect Bans

  • Free distribution in mail or through other means
  • Promotional discounts
  • Non-tobacco products identified with tobacco brand names
  • Brand name of non-tobacco products used for tobacco product
  • Appearance in TV and/or films: tobacco brands (product placement)
  • Appearance in TV and/or films: tobacco products
  • Prescribed anti-tobacco ads required for any visual entertainment 
media product that depicts tobacco products, use or images
  • Complete ban on sponsorship
  • Any form of contribution (financial or other support) to any event, activity or individual
  • Ban on the publicity of financial or other sponsorship or support by the tobacco industry of events, activities, individuals

Raise Taxes

Excise Tax as a % of Cigarette Price

WHO Benchmark

Minimum 70%

of Retail Price is Excise Tax

Cuba

70%

of Retail Price is Excise Tax