By Max Gallien

Africa has become a growth market for the tobacco industry, as people in the global North have started to smoke much less. The prevalence of smoking in Europe since the 1990s has dropped by one-third, and even further in the Americas (44%). Over the same period, smoking levels in Africa have increased by over 50% (Reitsma et al. 2017).1 Africa’s youth, in particular, is overrepresented among new smokers (N. Ramanandraibe and A.E. Ouma 2011; Blecher and Ross 2013). This is part of a wider shift in tobacco consumption from richer to poorer countries – it has been projected that 6.8 million of a global total of 8.3 million tobacco-related deaths will occur in low- and middle-income countries by 2030 (Mathers and Loncar 2006). Africa is not only facing rising health care costs connected to tobacco consumption, but also the loss of lives, particularly men, as a consequence of smoking-related diseases.

Brighton, UK: Institute of Development Studies, Summary Brief Number 22, 2020. 8p.

By Max Gallien , Giovanni Occhiali

Objective: To evaluate the common industry claim that higher tobacco taxation leads to higher levels of smuggling, particularly in a limited state capacity setting. Design:This paper evaluates the effects of a tobacco tax increase in Sierra Leone on smuggling by using gap analyses. Its models are based on multiple rounds of the Demographic and Health Survey and customs data as well as newly collected data on cigarette prices. Results: The paper shows that despite a substantial increase in cigarette taxation, and despite the absence of other formal tobacco control policies, smuggling has not increased in Sierra Leone. Its primary model shows a decrease in cigarette smuggling by 16.74% following the tax increase, alongside a decrease in cigarette consumption more widely and an increase in tax revenue. Conclusions: By presenting a low income and lower enforcement capacity case study, this paper provides novel and critical evidence to the debate on the tax smuggling link. Furthermore, it points to new questions on how states in these contexts can limit cigarette smuggling.

Published Online First: Tobacco Control, 02 June 2022, DOI:10.1136/tobaccocontrol-2021-057163