Research / Policy atlas

Tobacco Control Alignment Atlas

A common framework for comparing tobacco and nicotine policy across 71 countries
Roger BateSeptember 2026
Paper (PDF)Download Excel workbookExplore the interactive AtlasOpen the model workbookRead the companion working paper
Tobacco Control Alignment Atlas
71
provisional country profiles
15
product categories assessed
67
countries with supplied WHO smoking series

Purpose. This working edition presents the current interactive Atlas in a downloadable format. It compares national tobacco and nicotine policy across product access, institutional alignment, coercion and scientific contestability. The classifications describe policy orientation rather than national virtue, and remain provisional pending continuing country-level verification.

Current coverage. The Atlas contains 71 assessed country profiles: 10 green, 22 yellow, 27 orange and 12 red. Gray countries on the live map are deliberately unscored.

Evidence status. Legal status is separated from practical availability, and proposed measures are not treated as enacted law. Where a country-specific official source, exact survey year or harmonized prevalence definition has not yet been confirmed, the profile says so explicitly rather than presenting the entry as settled.

Contents

  • Executive summary

  • Classification framework

  • Product framework

  • Country classification table

Country profiles

Explore the country evidence
All 71 country profiles are available in the interactive Atlas and the complete branded PDF. The web article presents the framework, classification table and review points.
  • Review points

Executive summary

The Atlas tests a simple question: where does tobacco policy respond to differences in product risk and observed outcomes, and where does it continue to treat all nicotine products as functionally equivalent? It does not assume that legal access alone produces better outcomes, nor that formal adherence to international orthodoxy proves policy success. Instead, it makes the underlying tradeoffs visible and allows readers to inspect the evidence behind each classification.

The strongest green cases combine broad adult access to non-combustible alternatives with comparatively open policy debate and lower reliance on prohibition. Yellow countries retain substantial access but introduce important compromises. Orange countries are restrictive, internally inconsistent or highly product-selective. Red countries rely heavily on prohibition, narrow legal channels or coercive enforcement. These categories are comparative judgments, not moral rankings.

The central analytical value is the common 15-product matrix. It distinguishes cigarettes, roll-your-own tobacco, cigars, waterpipe tobacco, herbal smoking products, snus, nicotine pouches, chewing tobacco and nasal snuff, several vaping formats, heated tobacco and medicinal nicotine. That prevents a country from being described as broadly supportive of harm reduction merely because one favored category remains legal.

Classification framework

ColorAtlas labelMeaning
GreenEvidence responsiveBroad lower-risk access, comparatively proportionate controls and meaningful room for contestation.
YellowFavorable but compromisedSubstantial lower-risk access, but with material restrictions, institutional tensions or coercive elements.
OrangeRestrictive or product selectiveImportant categories are blocked or policy treats similar-risk products inconsistently.
RedRestrictive orthodoxyProhibition or near-prohibition dominates, with limited lower-risk access and low contestability.

Four scored dimensions

  • Lower risk product access: Whether adults can lawfully obtain major non-combustible nicotine categories.

  • Institutional alignment: Whether domestic policy follows restrictive institutional orthodoxy or makes room for differentiated risk.

  • Policy coercion: The degree to which bans, criminalization, state monopoly or force substitute for regulated choice.

  • Scientific contestability: Whether competing interpretations and outcome evidence can enter policy debate.

The overall score is an equal-weight composite of the four dimensions. Scores are comparative indicators, not estimates of causal effect or population health benefit.

Product framework

NoGroupProduct category
1Burned tobaccoManufactured cigarettes
2Burned tobaccoRoll-your-own tobacco
3Burned tobaccoCigars and cigarillos
4Burned tobaccoPipe and waterpipe tobacco
5Burned productsHerbal smoking products
6Oral / smokelessTobacco snus
7Oral / smokelessNicotine pouches
8Oral / smokelessChewing tobacco and nasal snuff
9VapingRefillable / open-system nicotine vapes
10VapingClosed nicotine pods
11VapingNicotine disposable vapes
12VapingNicotine e-liquids
13VapingNicotine-free vapes / liquids
14Heated productsHeated tobacco products
15Medicinal nicotinePatches, gum, lozenges and sprays

Country classification table

The table reports the published composite and four dimension scores. Readers should consult the country profiles for legal detail, outcome measures, caveats and sources.

CountryColorOverallAccessAlignmentCoercionContestability
AlbaniaOrange5650505075
AlgeriaYellow6375507550
AngolaOrange4450505025
ArgentinaYellow6375505075
AustraliaRed252525050
AustriaYellow6375505075
BangladeshOrange3850252550
BoliviaYellow6375505075
Bosnia and HerzegovinaOrange5675257550
BrazilRed19002550
BulgariaYellow6375505075
CanadaYellow6375505075
ChadOrange4450505025
ChinaOrange4450505025
ColombiaYellow6375505075
CroatiaGreen6975507575
CzechiaGreen6975755075
Democratic Republic of the CongoOrange4450505025
EgyptYellow6375507550
EstoniaYellow6375505075
EthiopiaRed3125252550
FranceOrange4450252575
GermanyOrange5050505050
GreeceGreen6975507575
HungaryOrange5675502575
IndiaRed192525025
IndonesiaOrange5075505025
IranRed3125252550
JapanOrange5650505075
KazakhstanRed3125252550
KenyaOrange5675505050
LatviaOrange5675502575
LibyaOrange4450505025
LithuaniaOrange5675502575
MaliOrange4450505025
MauritaniaOrange4450505025
MexicoRed13250025
MoldovaYellow6375505075
MongoliaYellow6375507550
MontenegroYellow6375507550
NamibiaOrange5050505050
New ZealandYellow6375505075
NigerOrange4450505025
NigeriaYellow63100257550
North MacedoniaYellow6375507550
NorwayOrange5650505075
PakistanGreen69100507550
PanamaRed2525252525
PeruYellow6375505075
PhilippinesGreen69100505075
PolandOrange5675502575
PortugalGreen6975507575
RomaniaGreen6975507575
RussiaOrange4450502550
Saudi ArabiaYellow6375505075
SerbiaYellow6375507550
SingaporeRed2525252525
SlovakiaGreen6975507575
SloveniaOrange5675502575
South AfricaYellow6375505075
SpainYellow6375505075
SudanOrange5675507525
SwedenGreen69100505075
SwitzerlandGreen69100505075
TanzaniaOrange4450505025
ThailandRed2525252525
UkraineYellow6375505075
United KingdomYellow6375505075
United StatesOrange5675255075
VenezuelaRed2525252525
VietnamRed2525252525

Country profiles

Explore the country evidence
All 71 country profiles are available in the interactive Atlas and the complete branded PDF. The web article presents the framework, classification table and review points.

Review points

This draft is ready for substantive review. The most useful review questions are whether the country classifications are directionally fair, whether any material product category has been mischaracterized, whether outcome measures need greater harmonization, and whether the four dimensions capture the policy differences that matter most.

The Atlas should remain explicit about uncertainty. Legal availability is not the same as effective access; illicit availability is not legal access; enacted rules should be distinguished from proposals; and smoking measures should not be compared without attention to age ranges, daily versus current use, survey years and modeled versus observed estimates.

Interactive version: https://cgha-tobacco-alignment-atlas.rogernbate.chatgpt.site

Citation. Bate, Roger (2026). Tobacco Control Alignment Atlas. Center for Global Health Accountability, September working edition.