Key Tobacco Control Milestones in ASEAN

The Atlas does not just track the tobacco epidemic; it is a challenge and a call to countries in the region to step up action - now.

Brunei

Brunei

FCTC Ratification: 3 June 2004

Tobacco Control Law Enacted:Tobacco Order 2005 and its Regulations

Key tobacco control milestones
1991

Mandatory textual health warnings on cigarette packs

1994

All government buildings declared smoke-free

200% increase in tobacco tax

1998

Royal Brunei Airlines became smoke-free

2002

Schools declared smoke-free

2004

Ratified WHO FCTC (3 June)

Haram fatwa on smoking issued

2005

Tobacco Order 2005 (S49/05) passed

  • Sale of single sticks of cigarettes banned
  • Kiddie pack (less than 20-stick) ban
  • Smoking cessation clinics established
2007

Tobacco Regulations 2007 legislated

2008

Tobacco Control Unit established

Tobacco retail licensing enforced

2009

National Committee on Tobacco Control established

Pictorial health warnings (PHWs) implemented (Top 50% front and back)

2010

New tobacco tax and price (cigarettes – BND 0.25 per stick)

Pack display ban

Additional requirements for tobacco retail license

2012

100% smoke-free airport

Expansion of smoke-free areas

PHWs (2nd rotation) – warning size increased to 75%

2014

No more licensed tobacco retailer (since May 2014)

Smoking cessation clinics expanded to all health centres nationwide and one hospital

2015

Increased in licensing fee for importer and retailer

2017

Increased in tobacco tax by 100% (Cigarettes – BND 0.50 per stick)

2019

Prime Minister’s Office circular for civil servants on involvement with tobacco industries was endorsed and distributed

2023

Excise tax for e-liquid, juice/gel BND3.00/ml effective on 17 May 2023

Adult smoking prevalence in Brunei

1997, 2011- adult aged 19 years and over

2014- adult aged 15 years and over

2016- adult aged 18 and over

Youth smoking prevalence in Brunei


Cambodia

Cambodia

FCTC Ratification: 15 Nov 2005

Tobacco Control Law Enacted: Tobacco Control Law 2015

Key tobacco control milestones
2000

Regulation on banning smoking in educational, health, religious and tourism facilities and some workplaces but not binding

2001

Inter-ministerial committee on education and reduction of tobacco use established

Strategic plan on tobacco education and reduction phase 1 developed (2001–2005)

2005

Ratified WHO FCTC

2009

Sub-decree on textual health warning on cigarette packages

2011

Comprehensive ban of tobacco advertising, promotion and sponsorship (TAPS) (Sub-decree)

Expansion of smoke-free workplaces (Prakas)

2014

Sales and imports of shisha and e-cigarette ban

Smoking ban at workplaces and public places (Circular)

2015

Tobacco Control Law legislated

  • Kiddie pack (less than 20-stick) ban
  • TAPS via internet ban
  • Point-of-sale (POS) advertising ban
  • POS pack display (Allow 1 pack per brand)
  • False or misleading descriptors ban
2016

Pictorial health warnings (PHWs) implemented (Top 55% front and back)

Smoking ban at workplaces and public places (Sub-decree)

2017

Tobacco control committee established

Sub-decree on establishment and functioning of the CFTC legislated

2018

PHWs (2nd rotation)

490 Tobacco Control Inspection Officers established

Strategic plan on tobacco education and reduction phase 2 adopted (2021–2026)

2021

Ban all forms of partnerships with tobacco industry among educational facilities

Ban the use, sale, and importation of HTPs (in addition to a ban on e-cigarette and shisha since 2014)

2022

Ministry of Education, Youth and Sports (MoEYS)

Circular on banning the use of e-cigarettes and heated tobacco products in educational facilities

2024

PHWs (4th rotation)

Adult smoking prevalence in Cambodia

2005- adult aged 18 and over

2011, 2014- adult aged 15 years and over

Youth smoking prevalence* in Cambodia

*The data is based on the current use of any tobacco product at any time during the past 30 days.


Indonesia

Indonesia

FCTC Ratification: Has not signed the FCTC

Tobacco Control Law Enacted: Under National Health Law No. 36/2009

Key tobacco control milestones
1999

Apply single message of textual warning of 5 health related diseases on cigarette packs and smoke-free public places policy

2012

Local SF Area (KTR) became the key TC policy measure to be spread out nationwide

2013

No new license issued for false or misleading descriptors on cigarette packs

2014

Pictorial health warnings (PHWs) implemented (Top 40% front and back)

2016

Guideline for managing conflict of interest with the tobacco industry in the Ministry of Health

2017

Point-of-sale (POS) pack display ban in Bogor SF Regulation No 12/2009 began implemented and expanded to 14 other cities

2018

PHWs (2nd rotation)

2023

New Omnibus Health Law legislated

  • Regulating electronic smoking devices (e-cigarettes and heated tobacco products)
  • Regulating the addictive substances
  • Mandating health warnings on all tobacco products (including electronic cigarettes)
  • Requiring managers of smoke-free areas to provide designated smoking areas in limited places

Adult smoking prevalence in Indonesia

2023- 29.7% refers to smoking prevalence among adults aged 15 years and over. The 2023 National Health Survey also estimated 27.1% smoking prevalence among population aged 10 years and over, 52.4% (male), and 1.1% (female).

Youth smoking prevalence in Indonesia

2019- The data refers to currently smoked tobacco.

2023- The data refers to youths aged 10-18 years old who currently smoked cigarettes.


Lao PDR

Lao PDR

FCTC Ratification: 6 Sep 2006

Tobacco Control Law Enacted: Tobacco Control Law (2009); Tobacco Control Law (Amended) 2022

Key tobacco control milestones
2001

National Tobacco Control Policy approved by the Health Minister

  • Increase tobacco tax
  • Control cigarettes smuggling
  • Ban on tobacco advertising
  • Smoke free
  • Ban selling cigarettes to minors (<18)
  • Health Education on tobacco harms
  • Government budget support
  • Establish the National Tobacco Control Committee
2005

Established Tobacco Control Task Force Committee (10 representatives from Ministries)

2006

Ratified WHO FCTC

Minister of Health Regulation required 30% text warning

2009

Tobacco Control Law

Sale of single sticks of cigarettes banned

Kiddie packs ban (<20 sticks per pack)

2010

TAPS ban

TAPS via internet ban

False or misleading descriptors ban

100 LAK per pack of Specific Tax

2011

Specific Tax increased to 500 LAK per pack

2013

Lao PDR Tobacco Control Fund established

2015

Excise tax rate 45% of wholesale (Excise Tax Law 2015)

2016

Pictorial health warnings implemented (Top 75% front and back)

Corporate Social Responsibility (CSR) ban

2018

MOH code of conduct on article 5.3 between health sector and tobacco industry

Prime Minister Order banning all types of heated tobacco products, e-cigarettes, shisha and water pipe

Specific Tax increased to 600 LAK per pack

2019

Prime Minister Decree penalties on implementation of Tobacco Control Law and Regulations

Excise tax rate increased to 50% of wholesale (Excise Tax Law 2019)

2021

Excise tax rate increase to 57% of wholesale (some of article Tax law amended in 2021)

Tobacco Control Law (Amended) legislated

  • Protecting public health policies from all forms of tobacco industry interference
  • Establishment of new tobacco factories is not allowed
  • Tobacco industry to submit a written report on ingredients, constituent, production volume, marketing, etc.
  • Licensing of tobacco retailers and wholesalers
  • E-cigarette ban (production, import, export, transit and consume)
  • Cigarette pack display ban at point-of-sale
  • Removal of all designated smoking areas to outdoor public places
2022

Minister of Public Security Order on comprehensive e-cigarette ban with fines for violations

2023

Presidential resolution on tobacco tax increased from 57% to 72%

Order for police inspections to sanction violations of e-cigarettes ban

2024

Standardised tobacco packaging regulation legislated in May and full implementation in December

Adult smoking prevalence in Lao PDR (Aged 15 years and over)

The trend of youth smoking prevalence in Lao PDR


Malaysia

Malaysia

FCTC Ratification: 16 September 2005

Tobacco Control Law Enacted: Control of Smoking Products for Public Health Act (2024)

Key tobacco control milestones
2004

Control of Tobacco Products Regulation 2004 under the Food Act 1983

  • Direct and indirect tobacco, advertising, promotion and sponsorship ban
  • TAPS via internet ban
  • Kiddie pack (less than 20 sticks per pack) ban*
  • Sales of single stick ban

*The kiddie pack ban was delayed and came into force in 2010.

2005

Ratified WHO FCTC

2006

Malaysian Health Promotion Board (MySihat) established and abolished in 2018

2009

Pictorial health warnings (PHWs) implemented – Top 40% front and 60% back

False or misleading descriptors ban

2014

PHWs (2nd rotation) – Top 50% front and 60% back

2018

Expansion of smoke-free places (23 places)

Expansion of smoke-free cities (5 cities)

2020

Minimum retail price for cigarette increased to MYR 12 (USD 2.90)

PHWs apply on all tobacco products

2021

Amendment of CTPR 2004 for other tobacco and smoking products on

  • Packaging and labelling
  • Pictorial Health Warning
  • Notification requirement on the product specification and emission standard
2024

The Control of Smoking Products for Public Health Act legislated

Adult smoking prevalence in Malaysia

Youth smoking prevalence in Malaysia

2022- The data is based on youth aged between 13 and 17.


Myanmar

Myanmar

FCTC Ratification: 21 Apr 2004

Tobacco Control Law Enacted: Control of Smoking and Consumption of Tobacco Product Law (2006)

Key tobacco control milestones
2000

Designated health facilities, all basic education schools and sports fields and grounds as tobacco-free

2002

Prohibition of TAPS from all electronic media, billboards, print media

2003

Training of health personnel for tobacco control activities

2004

Ratified WHO FCTC

2006

The Control of Smoking and Consumption of Tobacco Product Law legislated

  • Smoking prohibited in educational, health care facilities and public transportation
  • Total ban of tobacco advertising, promotion and sponsorship
  • Restriction of access to tobacco products by legal minors
  • Sales of single stick ban
  • Text warning on tobacco product packages
2010

Offer cessation service

2014

Notification on posting signage for no smoking area issued

2016

Pictorial health warnings implemented (Top 75% front and back) on all tobacco products (2016–2017)

False or misleading descriptors ban

2017

2nd rotation of PHWs (1 image only)

2018

3rd rotation of PHWs (1 image only)

2019

4th rotation of PHWs (1 image only)

2020

5th rotation of PHWs (1 image only)

2021

Standardised Packaging Notification on tobacco products approved, 6th rotation of PHWs, effective 10 Apr 2022, postponed to 31 Dec 2024

Adult smoking prevalence in Myanmar

Youth smoking prevalence in Myanmar


Philippines

Philippines

FCTC Ratification: 6 June 2005

Tobacco Control Law Enacted: Tobacco Regulation Act 2003 (RA 9211), Sin Tax Reform Law (RA 10351), Graphic Health Warnings Law (RA 10643)

Key tobacco control milestones
2003

Tobacco Regulation Act 2003 (RA 9211) legislated

2005

Ratified WHO FCTC

2010

CSC-DOH Joint Memorandum Circular 2010-01 for protecting the bureaucracy against tobacco industry interference

2012

RA 10351 Sin Tax Law legislated

2014

RA 10643 Graphic Health Warning on Tobacco Products Law legislated

AQ-2014-0008 FDA Rules and Regulations on ENDS

2016

Pictorial health warnings implemented (Bottom 50% front and back)

False or misleading descriptors ban

2017

RA 10963 TRAIN Law legislated (additional excise tax on tobacco)

Executive Order 26 “Smoke Free Environment”

2018

2nd rotation of PHWs (Bottom 50% front and back)

2019

RA 11346 (increase in excise taxes for tobacco; levied new taxes on ENDS and heated products)

DOH AO 2019-0009 (3rd set of pictorial health warnings for 2020)

2020

Executive Order 106 “Smoke-Free, Vape-Free Environment”

RA 11467 (increase in excise taxes for ENDS and heated products)

AO 2020-0055 (regulation on Vapor Products and Heated Tobacco Products under FDA)

2021

DOH AO 2021-0030 (4th PHW set for 2022)

2022

RA 11900 (Vaporized Nicotine and Non-Nicotine Products Regulation Act)

DOH AO 2022-0003 (National Policy on Prevention and Control of Tobacco, Vapor and Heated Products)

DOH AO 2022-0047 (1st PHWs for vaporized nicotine and novel tobacco products)

2023

DOH AO 2023-0012 (5th set of pictorial health warnings for 2024)

Adult smoking prevalence in Philippines

2001- adult aged 18 years and over

2003- adult aged 20 years and over

2009, 2015- adult aged 15 and over

Youth smoking prevalence in Philippines


Singapore

Singapore

FCTC Ratification: 14 May 2004

Tobacco Control Law Enacted: Smoking (Prohibition in Certain Places) Act (1992), Tobacco (Control of Advertisements and Sale) Act (1993) and its Notifications and Regulations

Key tobacco control milestones
2001

TAPS via internet ban

Singapore Health Promotion Board established

2002

Sales of single stick ban

Kiddie packs (less than 20 sticks per pack) ban

2004

Ratified WHO FCTC

Tobacco (Control of Advertisements and Sale) Act

Pictorial health warnings implemented (Top 50% front and back)

2006

2nd rotation of PHWs (Top 50% front and back)

2013

3rd rotation of PHWs (Top 50% front and back)

False or misleading descriptors ban

2014

Ban on emerging tobacco products (smokeless cigars, smokeless cigarillos and smokeless cigarettes; dissolvable tobacco or nicotine)

10% tobacco tax increase in all tobacco products

2017

Point of Sale pack display ban

2018

Ban on the possession and use of ENDS

10% tobacco tax increase in all tobacco products

2019

Minimum Legal Age for the purchase, use and possession of tobacco increased to 19

Smoking ban on Orchard Road

2020

Minimum Legal Age for the purchase, use and possession of tobacco increased to 20

Standardised packaging for all tobacco products, 4th rotation of PHWs and increased warning size to 75% front and back

2021

Minimum Legal Age for the purchase, use and possession of tobacco increased to 21

2022

Extension of smoking ban to recreational beaches, parks and gardens

2023

15% tobacco tax increase on all tobacco products

Adult smoking prevalence in Singapore

Youth smoking prevalence in Singapore

Youth smoking prevalence (8%) is a consolidated figure from three different surveys among youth aged 13-20 between 2011 and 2013.

Youth smoking prevalence (4%) is a consolidated figure from three different surveys among youth aged 13-20 between 2014 and 2016.


Thailand

Thailand

FCTC Ratification: 8 Nov 2004

Tobacco Control Law Enacted: Tobacco Products Control Act B.E. 2535 (1992), Non-Smokers’ Health Protection Act B.E. 2535 (1992) and Tobacco Products Control Act (2017)

Key tobacco control milestones
1991

Tobacco Control Office in MOPH

1992

Tobacco Products Control Act and Non-smoker’s Health Protection Act

2000

Ban on smoking scenes on television

2001

ThaiHealth established

Excise tax 75% of factory price

2004

Ratified WHO FCTC

2005

Pictorial health warnings implemented (Top 50% front and back)

POS pack display ban

2006

Excise tax 80% of factory price

2007

2nd rotation of PHWs (Top 55% front and back)

False or misleading descriptors ban

Excise tax 79% of factory price

2008

Smoking ban in pub/bar/discotheques

2009

Excise tax 85% of factory price

2010

3rd rotation of PHWs (Top 55% front and back)

2012

Excise tax 87% of factory price

2012

Excise tax 87% of factory price

2014

4th rotation of PHWs (Top 85% front and back)

2015

Ban on sales and imports of shisha and E-cigarettes

2016

Excise tax 90% of factory price

2017

Tobacco Products Control Act 2017

  • Minimum age requirements (20 years old)
  • Minimum age for purchase (18 years old)
  • Restrictions on sale and promotions (including CSR)
  • Disclosure and reporting
2018

Criteria, methods and conditions on

  • Display of text or message that may mislead or motivate consumption on labels of cigarette, cigar, tobacco or blended/flavoured tobacco
  • Display of names, prices and points of sale of tobacco products

Appearance and methods for displaying no-smoking signs and smoking area signs

Identification of types or names of public places, work places and vehicles, entirely or in part, as non-smoking areas or smoking areas

2019

Standardized packaging for cigarette and 5th rotation PHWs, effective on 10 September 2019

2020

Standardised packaging for shredded tobacco and 5th PHW rotation PHWs

2021

Tobacco tax structure was revised

  • Ad Valorem rate of suggested retail price (SRP) increased from THB 60 to THB 72
  • Ad Valorem rate for the lower tier increased from 20% to 25%, and upper tier from 40% to 42%
2022

National Tobacco Control Action Plan, 3rd Edition (2022–2027)

Adult smoking prevalence in Thailand

Youth smoking prevalence in Thailand


Vietnam

Vietnam

FCTC Ratification: 17 Dec 2004

Tobacco Control Law Enacted: Tobacco Control Law (2012)

Key tobacco control milestones
2000

National Strategy on Tobacco Harm Prevention and Control (2000–2010) approved by the Prime Minister

2004

Ratified WHO FCTC

2012

Tobacco Control Law legislated

2013

Vietnam Tobacco Control Fund established

Pictorial health warnings implemented (Top 50% front and back)

False or misleading descriptors ban

POS advertising ban (Display of any 1 pack, box or carton per brand)

TAPS via Internet ban

National Strategy on Tobacco Harm Prevention and Control till 2020 approved by the Prime Minister

2014

Revision of Law on Excise Tax passed (tobacco excise tax rate increased to 70% effective on 1 Jan 2016 and 75% on 1 Jan 2019)

2016

Kiddie packs (less than 20 sticks per pack) ban

2018

Restricting the use of tobacco in theatrical and film works

2019

Prohibition of smoking and drinking alcohol at schools

2020

Penalties increased for violations on smoke-free policy, TAPS, display cigarette packs at POS, sell/provide cigarette to people under 18 years old

New penalty for violating health warning on tobacco packaging and labelling

2021

Prescribing penalties for administrative violations involving cultural and advertising activities (Decree No. 38/2021/ND-CP)

2023

Regulating the implementation of smoke-free establishments and smoke-free awards National Strategy on Tobacco Harm Prevention and Control to 2030

Adult smoking prevalence in Vietnam

Youth smoking prevalence in Vietnam

2019- The data is based on youth aged between 13 and 17 who currently smoke cigarettes.

Human resources for tobacco control

  • Number of smokers per one full time tobacco control staff >
  • ≤ 100,000
  • 100,001 - 300,000
  • 300,001 - 500,000
  • 500,001 - 700,000
  • >700,001
COUNTRY Number of government staff (MOH) working on tobacco control Number of smokers per one full time tobacco control staff Number of NGOs working on tobacco control
Full-time Part-time
Myanmar 3 18 5,800,000 1
Lao PDR N/A 1 274,672*** 1
Vietnam 25 4 634,308 6
Philippines N/A 46**** 328,260 15
Thailand 41 N/A 242,357 20*****
Cambodia 7 N/A 250,130 23
Brunei 11 28 3,548 N/A
Malaysia 10 N/A 478,640 23
Singapore 33 N/A 8,714 2
Indonesia 24* 57** 2,630,769 101

* Full-time tobacco control staff from Tobacco-Related Disease Control unit, Ministry of Health and Food and Drugs Association (FDA) Indonesia.

** Part-time tobacco control staff from Directorate of Health Promotion and Human Development, Ministry of Health Indonesia.

*** The ratio estimate based on number of part-time tobacco control staff.

**** Department of Health officers from Substance Abuse Prevention Unit (include tobacco control) and health promotion officers across the region in the Philippines.

***** About half of the NGOs in Thailand are not solely working on tobacco control issues but on other health-related ones as well.

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