Increased Tobacco Taxes Linked to Improved Child Survival Rates

Wed 30th Apr, 2025

Recent research indicates that raising cigarette taxes in low and middle-income countries (LMICs) could significantly enhance child survival rates, particularly among economically disadvantaged populations. A study conducted by researchers from Karolinska Institutet and published in The Lancet Public Health highlights the potential benefits of implementing higher tobacco taxes.

The World Health Organization (WHO) advocates for a minimum tax of 75% on retail cigarette prices, yet many nations fall short of this recommendation. The study's findings suggest that if the 94 countries analyzed had adopted the WHO's suggested tax rate, over 280,000 children's lives could have been preserved in just one year. This approach not only aims to reduce child mortality but also strives to close the socioeconomic disparities in health outcomes, aligning with the United Nations' sustainable development goals.

The research team examined data sourced from the WHO, World Bank, and UN Inter-agency Group for Child Mortality Estimation (UN IGME), covering the years from 2008 to 2020. They explored the relationship between various forms of cigarette taxation--such as specific excise taxes, ad valorem taxes, import duties, and value-added taxes (VAT)--and child mortality rates among different income groups.

The analysis revealed that elevated cigarette taxes could improve survival rates for children across all socioeconomic strata while simultaneously diminishing the gaps between the wealthiest and the poorest families. The study found that specific excise duties had the strongest positive impact.

According to the lead researcher, smoking-related health issues among children are disproportionately severe in LMICs. Therefore, increasing cigarette taxes emerges as a crucial public health strategy to enhance children's health, especially for vulnerable populations.

Furthermore, the report emphasizes the challenges posed by the tobacco industry, which often employs various strategies to obstruct effective tobacco control measures, including tax increases. The researchers assert that their findings provide robust evidence for governments to confront these obstacles and implement higher tobacco taxes effectively.

This study was carried out in collaboration with experts from Erasmus MC in the Netherlands, McGill University in Canada, and Imperial College London in the UK, underscoring a comprehensive international effort to address this pressing health issue.

In conclusion, the call for increased cigarette taxation is not merely a financial measure; it is a vital step towards safeguarding the health and future of millions of children in low and middle-income countries.


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