Country
San Marino
San Marino 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. San Marino can still do more to make the proven tobacco control tools work for its citizens’ wellbeing.
Issues
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Smoking Deaths

Adult Smoking (15+ Y.O.)
using tobacco daily: 2015
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Children Smoking(10–14 Y.O.)
% using tobacco daily: 2015
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Deaths
% caused by tobacco: 2016
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Adult Smoking (15+ Y.O.)
% using tobacco daily: 2015
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Children Smoking (10–14 Y.O.)
% using tobacco daily: 2015
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Deaths
% caused by tobacco: 2016
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Smokeless Tobacco
% using tobacco daily: 2013
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Societal Harms
Although economic costs of smoking in San Marino are not known, the total economic cost of smoking globally amounts to 2 trillion dollars, when adjusted for 2016 purchasing power parity (PPP). 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
Buying tobacco robs families of the resources they may need to rise out of poverty. A smoker in San Marino would have to spend 2.05% of their average income (measured by per capita GDP) to purchase 10 of the most popular cigarettes to smoke daily each year!
Harms Development

Harms Environment
Cigarette butts are the most commonly discarded pieces of waste worldwide. It is estimated that 2.6 million tonnes of butts and packs wind up as toxic trash each year. This is roughly equivalent to the weight of 500 000 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
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Growing
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Production
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Solutions
Current Policy in San Marino
Protect from Smoke
All public places completely smoke-free is the best practice
Smokefree
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HealthCare Facilities
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Educational Facilities
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Universities
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Government Facilities
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Indoor Offices
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Restaurants
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Pubs and Bars
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Public Transport
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All Other Indoor Public Places
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Funds for Smokefree Enforcement
Offer Help
National quit line and both NRT and cessation-services cost-covered is the best practice
Warn About the Dangers to Tobacco Users on Product Packaging
A plain, standardized pack with a large health warning is the best practice

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


Enforce Bans on Advertising
Ban on all forms of direct and indirect advertising is the best practice
Number of Direct Ad Bans
5/7
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
San Marino
74.17%
of Retail Price is Excise Tax
