Overview to tobacco taxation [631040]

9Chapter  2
Overview  to  tobacco  taxation
Introduction
Taxes   are   usually   raised   to  
provide   revenues   for   government  
expenditure.  These  taxes  take  many  
forms—for   example,   income   taxes,  
payroll  taxes,  customs  duties,  excise  
taxes,   sales   taxes   or   value-­added  
taxes   (VAT).   Indirect   taxes   are  
taxes   levied   on   the   consumption   of  
specific   goods   (for   example,   excise  
taxes   on   tobacco   or   alcohol)   or   on  
practically   all   goods   (VAT).   The  
interest  in  raising  taxes  on  products  
such   as   tobacco   is   based   on   their  
potential   to   raise   large   amounts   of  
revenues   relatively   easily,   but   also  
because   they   enable   correcting   for  
the   negative   externalities   tobacco  
use   generates   (negative   health  
impact  of  both  tobacco  consumption  
and   exposure   to   tobacco   smoke)  
and   discourage   its   use   because   of  
its  destructive  impact.  The  rationale  
behind   raising   taxes   on   products  
such  as  tobacco  lies  in  the  particular  
aspects  of  the  product:  i)  production  
is   dominated   by   a   few   companies,  
which   makes   supervision   and  
tax   collection   by   the   government  
relatively   easy;;   ii)   the   demand   for  
this   product   is   relatively   inelastic   –  
tobacco   users   are   addicted   to   the  
products   and   therefore   have   little  
sensitivity   towards   a   price   change;;  
iii)   the   product   is   not   considered   a  
basic   necessity;;   and   iv)   the   product  produces   negative   externalities  
(McCarten  and  Stotsky  1995;;  World  
Health  Organization,  2010).
This   chapter   provides   an  
introduction  to  the  different  types  of  
taxes   applied   on   tobacco   products,  
with  a  special  focus  on  excise  taxes.  
The   reasons   behind   levying   such  
taxes   are   then   discussed,   including  
the   political,   social   and   economic  
arguments   often   used   against  
tobacco   tax   increases   when   the  
issue  is  discussed  by  policymakers.  
The   different   approaches   to   excise  
taxation   are   then   reviewed,   with   a  
description  of  the  structures  applied  
on  tobacco  products  and  the  pros  and  
cons  of  each  one  of  them.  The  impact  
of   taxes   on   the   price   of   tobacco  
products   is   also   considered   briefly.  
An   overview   is   made   of   the   levels  
of   taxation   globally   (with   a  focus  on  
cigarettes  because  of  better  availability  
of   data).   The   issue   of   earmarking  
or   dedicating   tobacco   taxes   for  
specific   programmes,   particularly  
health-­related   programmes,   is   also  
discussed.   Finally,   the   last   section  
highlights  the  main  issues  covered  in  
the  chapter.
Description  of  taxes
Taxes   on   tobacco   products   can  
be   classified   into   two   general  categories:   consumption   taxes   and  
customs  duties.
Consumption  taxes
Consumption   taxes   are   taxes   on  
spending   on   goods   and   services.  
The  term  refers  to  a  tax  system  with  
a  taxable  base  of  consumption.  The  
main   consumption   taxes   are   value  
added  tax  (VAT)  or  retail  sales  taxes  
and  excise  duties.  These  are  indirect  
taxes,   meaning   that   they   are   not  
levied   directly   on   the   income   of   the  
consumer  or  earner.  These  taxes  are  
due  to  the  revenue  authorities  by  the  
supplier   of   the   goods   or   services;;  
however  they  are  ultimately  borne  by  
the   final   consumer.   They   are   called  
regressive   because   they   are   not  
based  on  the  ability-­to-­pay  principle.
Consumption   taxes   apply   to   all  
supplies  or  releases  for  consumption  
on  the  territory  of  a  jurisdiction  and,  
normally,  also  to  imports  of  tobacco  
products.  Tobacco  products  that  are  
exported  are  normally  not  subject  to  
consumption  taxes.
VAT,  retail  sales  taxes  and  excise  
duties  have  different  characteristics:  
Value   added   tax   is   a   general  
consumption   tax   that   applies,  
in   principle,   to   all   commercial  
activities   involving   the   production  
and   distribution   of   goods   and   the

IARC  Handbooks  of  Cancer  Prevention
10provision  of  services.  It  is  charged  as  
a  percentage  of  price,  which  means  
that   the   actual   tax   burden   is   visible  
at  each  stage  in  the  production  and  
distribution   chain.   It   is   collected  
fractionally,   via   a   system   of   partial  
payments   whereby   taxable   persons  
(i.e.   VAT-­registered   businesses)  
deduct   from   the   VAT   they   have  
collected   the   amount   of   tax   they  
have   paid   to   other   taxable   persons  
on   purchases   for   their   business  
activities.   This   mechanism   ensures  
that   the   amount   of   tax   will   be   the  
same,  independent  of  the  number  of  
intermediate  transactions  before  the  
final   supply   to   the   consumer.   VAT  
is  due  to  the  revenue  authorities  by  
the   seller   of   the   goods,   who   is   the  
“taxable   person,”   but   it   is   actually  
paid  by  the  buyer  to  the  seller  as  part  
of  the  price.
VAT   is   a   multistage   sales   tax  
that  applies  at  several  stages  of  the  
production/distribution   chain   for   a  
product   or   service.   However,   a   few  
countries   have   single-­stage   sales  
taxes   that   apply   only   at   one   stage.  
The  most  common  single-­stage  tax  is  
the  retail  sales  tax  which  is  charged  
only  on  the  sale  of  an  item  to  its  final  
end  user  (e.g.  the  United  States).
Multistage   taxes   ease   the  
enforcement   of   higher   tax   levels  
(rates),   as   the   taxes   are   collected  
fractionally.   Norway,   Denmark,  
Sweden   and   Hungary   have   the  
highest   VAT   rate   at   25%   (http://
ec.europa.eu/taxation_customs/
taxation/vat/how_vat_works/rates/
index_en.htm).   More   and   more,  
conventional   sales   taxes   are   being  
replaced   by   more   broadly-­based  
value  added  taxes.
Most   countries   around   the  
world   levy   a   VAT   or   another   broad-­
based   consumption   tax   on   tobacco  
products.  Only  a  few  countries  do  not  
apply  such  a  tax  on  tobacco  products  
(e.g.   Yemen,   Egypt,   Maldives,  
Fiji,   the   Comoros,   and   Grenada)  (World   Health   Organization,   2010).  
In   contrast   to   VAT,   excise   duties  
are   usually   levied   at   the   stage   of  
production   or   importation—and   not  
distribution—and   they   target   the  
consumption   or   the   use   of   specific  
products.  The  most  commonly  applied  
excise  duties  are  those  on  alcoholic  
beverages,   manufactured   tobacco  
products  and  energy  products  (motor  
fuels  and  heating  fuels,  such  as  petrol  
and  gasoline,  electricity,  natural  gas,  
coal  and  coke).
Excisable   goods   have   the  
following   common   characteristics:  
demand  is  price  inelastic;;  production,  
distribution  and  sales  can  be  closely  
supervised   by   the   government;;  
and   they   are   associated   with  
negative  externalities  (e.g.  health  or  
environmental)   or   are   considered  
luxury  goods.
There   are   two   types   of   excise  
duties  on  tobacco  products:  specific  
and   ad   valorem .   A   specific   excise  
duty   is   a   fixed   monetary   amount   of  
tax   per   quantity,   volume,   or   weight  
of  tobacco   products  (e.g.  per  piece,  
pack,   carton,   kilogram).   An   ad  
valorem   excise   duty,   on   the   other  
hand,   is   levied   as   a   percentage   of  
some  measure  of  value  of  the  tobacco  
products   (e.g.   the   manufacturer’s  
price  or  the  retail  selling  price).
Excises   on   tobacco   are   levied  
in   most   countries   around   the   world.  
Only  a  few  countries  do  not  levy  an  
excise   on   tobacco   products   (e.g.  
Benin,  Cook  Islands,  Maldives,  Saudi  
Arabia,   Grenada)   (World   Health  
Organization,   2009).   However,   the  
type   (specific   versus   ad   valorem ),  
rates   and   base   of   the   tax   vary  
considerably  across  countries.
Other,   supplementary   taxes  
on   tobacco   products   are   named  
differently   in   different   countries;;  
however   they   may   act   as   excise  
duties   despite   their   names   (e.g.   the  
stamp  duty  in  Brazil).  Some  countries  
levy   several   additional   taxes   on  tobacco  products.  Often  they  aim  to  
finance  various  programmes  through  
earmarking   but   nonetheless   act  
as   excises   (e.g.   the   health   tax   on  
tobacco  products  in  Romania).
Customs  duties
Customs  duties   (also  called  tariffs)  
are  taxes  levied  on  imports  of  goods  
(and,  sometimes,  on  exports)  by  the  
customs   authorities   of   a   country,  
mainly   to   raise   state   revenue,   and/
or   to   protect   domestic   industries  
from   more   efficient   or   predatory  
competitors  from  abroad.  Again,  the  
duty  may  be  specific  or   ad  valorem .  
Specific   customs   duties   are   based  
upon   the   weight,   dimensions,   or  
some   other   criteria   of   the   item  
(such   as   the   size   of   the   engine   in  
the   case   of   automobiles).   The   ad  
valorem   customs   duties   are   levied  
on   importer’s   CIF   (cost,   insurance  
and   freight)   value,   as   opposed   to  
ad   valorem   excise   duties   which   are  
levied  on  the  manufacturer’s  price  or  
the  retail  selling  price.  Consequently  
the  impact  of  a  customs  duty  on  the  
final   consumers’   price   will   be   less  
than  that  of  an  excise  duty,  because  
the  CIF  value  at  importation  can  be  
considerably  lower  than  the  e.g.  the  
final  retail  selling  price.  For  example,  
total  tax  as  percentage  of  retail  price  
is  50%  in  Saudi  Arabia,  Bahrain,  and  
Qatar   despite   100%   import   duties  
(World  Health  Organization,  2010).
Almost  all  countries  levy  –  usually  
an  ad   valorem   –   tariff   on   imported  
tobacco  products.  Again,  the  practice  
varies  greatly  among  countries,  with  
rates  for  example  of  100%  in  Guyana  
and   83%   in   Egypt   (World   Health  
Organization,  2010).
Customs   duties   aim   to   raise  
state   revenue,   and/or   to   protect  
domestic   industries   and   not   to  
influence   the   consumers’   price/
behaviour.   Moreover,   relying   on  
higher   import   duties   as   a   way   of

11Overview  of  tobacco  taxationgenerating   revenues   or   increasing  
the   price   of   tobacco   products   may  
not   be   an   appropriate   policy   given  
the   trade   liberalization   and   the  
bilateral,   multilateral   or   global   trade  
agreements   which   provide   for   a  
phasing  out  of  such  duties.
Description  of  taxed  products
In  principle,  excise  duties  are  levies  
on  manufactured  tobacco  and  not  on  
raw   tobacco   leaves.   Manufactured  
tobacco  includes  products  which  are  
entirely   or   partly   made   of   tobacco  
for  the  purpose  of  smoking,  sniffing,  
sucking  or  chewing.  It  includes  rolls  
of  tobacco  such  as  cigarettes;;  bidis,  
kreteks,   cigars   and   cigarillos;;   loose  
smoking   tobacco   such   as   fine-­cut  
tobacco,  pipe  and  water  pipe  tobacco,  
as   well   as   smokeless   tobacco   such  
as  snus  (for  sucking),  nasal  snuff  (for  
sniffing)  and  chewing  tobacco.
In   most   countries,   the   various  
categories  of  manufactured  tobacco  
carry   different   levels   of   taxation,  
reflecting   differences   in   the   fiscal  
policy   objectives   as   well   as   in   the  
perceived   tax-­bearing   capacity   of  
the   different   product   categories.  
In   particular,   hand-­made   or  
more   labour   intensive   products,  
products   made   mainly   by   small-­  
and   medium-­sized   enterprises,   as  
well   as   products   predominantly  
consumed  by  consumers  in  the  lower  
income   groups,   often   benefit   from  
preferential   tax   treatment   (World  
Health  Organization,  2010).
Rolls  of  smoking  tobacco
Cigarettes   are   basically   rolls   of  
tobacco   wrapped   in   paper   tubes  
capable  of  being  smoked  as  they  are.  
Manufacturing  cigarettes  is  a  capital-­
intensive,   fast-­paced   and   highly  
automated   process.   Machines   may  
produce   between   8000   and   20   000  
cigarettes  every  minute.Cigarettes   are   the   most  
consumed   tobacco   product.  
Worldwide   cigarette   consumption  
accounts   for   approximately   80%  
or   more   of   the   total   production   of  
tobacco   leaves   (http://www.fao.org/
docrep/006/Y4956e/y4956e04.htm).  
In   the   European   Union,   cigarettes  
account   for   approximately   92%   of  
the   total   sales   of   tobacco   products  
(European   Commission,   2010a).  
However,   in   some   areas   such   as  
southeastern   Asia,   substitutes  
like   bidis   and   kreteks   have   a   more  
important  market  share.
Bidis  are  the  Indian-­southeastern  
Asian  version  of  cigarettes.  They  are  
made  by  rolling  a  dried,  rectangular  
piece   of   tendu   or   temburni   leaf  
(plants   native   to   Asia)   with   sun-­
dried,  flaked  tobacco  (approximately  
0.2–0.3  g)  into  a  conical  shape  and  
tied  with  a  piece  of  thread.  The  bidi  
industry  has  a  large  number  of  small-­
scale   industries,   with   a   significant  
share   of   bidis   being   handmade.  
Bidis  account  for  around  85%  of  total  
smoking   tobacco   consumption   in  
India,   with   the   remainder   consisting  
of  cigarette  consumption  (John   et  al. ,  
2010).   Historically,   excises   on   bidis  
have  been  close  to  zero.  A  lobbying  
argument  of  the  bidis  industry  is  that  
a  tax  increase  will  affect  employment  
and   tobacco-­related   trade   (Ray   and  
Gupta,  2009).
Kreteks,  sometimes  referred  to  as  
clove  cigarettes,  are  the  Indonesian  
version   of   cigarettes   and   by   far   the  
most  widely-­smoked  form  of  tobacco  
in   Indonesia.   They   typically   contain  
a  mixture  of  approximately  60–80%  
tobacco,   20–40%   ground   cloves,  
clove  oil  and  other  additives.
Cigars   and   cigarillos   are   rolls  
of   tobacco   with   an   outer   wrapper  
of   natural   tobacco   or   rolls   with   a  
threshed,   non-­cut,   blend   filler   and  
with  an  outer  wrapper  of  the  normal  
colour   of   a   cigar,   of   reconstituted  
tobacco,  covering  the  product  in  full.  Cigars   are   handmade   or   machine  
made  but  at  lower  speed  and  higher  
cost   compared   to   cigarettes.   This  
is   reflected   in   the   taxation   regime,  
whereby   cigars   or   cigarillos   are  
often   taxed   at   a   considerably   lower  
level   than   cigarettes.   However,  
new   products   have   appeared   over  
the   last   years   (e.g.   “eco   cigarillos”  
in   the   EU,   “small   cigars”   in   the   US)  
which  are  manufactured  at  low  cost  
and   marketed   as   alternatives   for  
cigarettes  but  taxed  at  a  sometimes  
considerably,  lower  rate.
Loose  smoking  tobacco
Fine-­cut   tobacco   is   loose   tobacco  
which   consumers   primarily   use   to  
make  cigarettes,  either  by  rolling  it  by  
hand   into   cigarette   paper   (roll-­your-­
own,   RYO)   or   using   fabricated   filter  
tubes   and   a   making   device   (make-­
your-­own,  MYO).
Although   worldwide   fine-­cut  
tobacco  (together  with  pipe  tobacco)  
is   estimated   to   be   only   around  
1%   to   2%   of   the   tobacco   market,  
in   some   regions   it   has   a   more  
important  market  share  (Euromonitor  
International,   2009).   Fine-­cut  
tobacco  comprises  approximately  8%  
of  the  total  sales  of  tobacco  products  
in   the   European   Union   (European  
Commission,   2010a).   The   core  
markets  in  the  EU  are  Germany,  the  
Netherlands,   Belgium,   Luxembourg,  
France   and   the   United   Kingdom,  
covering   in   volume   80%   of   the   EU  
fine-­cut   market.   In   Luxembourg  
and   the   Netherlands,   fine-­cut   even  
accounts  for  more  than  50%  of  total  
consumption   of   tobacco   (European  
Commission,  2010a).
The   fine-­cut   tobacco  
manufacturing   process   is   relatively  
labour-­intensive   as   compared   to  
cigarettes.   There   are   many   small-­  
and   medium-­sized,   often   family-­
owned,   enterprises   producing   fine-­
cut   tobacco.   In   addition,   fine-­cut

IARC  Handbooks  of  Cancer  Prevention
12tobacco  is  predominantly  consumed  
by   consumers   in   the   lower   income  
groups.   Historically,   it   has   been  
taxed   at   a   significantly   lower   level  
than  cigarettes.
Pipe   tobacco   is   loose   tobacco  
processed   in   a   different   way   to  
make   it   capable   of   being   burned  
in   a   pipe.   In   many   countries,   it   is   a  
niche   market   product   with   low   and  
steadily  declining  volumes.  Because  
of   its   generally   more   traditional   and  
more  labour  intensive  manufacturing  
processes,  inter  alia,  it  often  has  an  
even   lower   tax   level   than   fine-­cut  
tobacco.     Pipe   tobacco   is   taxed   as  
«other  smoking  tobacco»  (European  
Commission,   2010a).   As   a   result,  
also   in   this   market,   new   products  
have   appeared   which   are   taxed   as  
pipe   tobacco,   but   are   marketed   as,  
and  in  direct  competition  to,  fine-­cut  
tobacco.
Water   pipe   tobacco   is   another  
form  of  smoking  tobacco  widely  used  
in  southwestern  Asia  and  the  eastern  
Mediterranean   area.   However,   its  
consumption   is   increasing   in   other  
regions,  such  as  the  EU  (Unpublished  
data   from   Internal   Reports   from  
Member  States  to  the  EC;;  Knishkowy  
and   Amitai,   2005).   Recent   data  
published   by   the   Eurobarometer  
indicate   that   9%   of   smokers   use  
water   pipes   occasionally   (European  
Commission,   2010b).   Little  
information  is  available  with  regards  
to   excises   on   tobacco   products   for  
water   pipes.   The   tax   rates   seem   to  
vary  widely,  from  2%  of  the  producer  
price   in   Libyan   Arab   Jamahirya,   to  
15%  in  Syrian  Arab  Republic,  to  58%  
of  retail  price  in  Turkey  and  108%  in  
Lebanon  (World  Health  Organization,  
2010).  In  the  EU,  water  pipe  tobacco  
is  taxed  like  pipe  tobacco  (European  
legislation   Directive   2010/12;;  
see   «other   smoking   tobacco»   in  
European  Commission,  2010a).Smokeless  tobacco  products
Taxation   of   smokeless   tobacco  
products  has  received  comparatively  
little   attention   in   most   countries.  
Smokeless   tobacco   is   a   major  
consumer’s  choice  in  some  markets  
such  as  Sweden,  Norway  and  India,  
and  is  widespread  in  countries  such  
as  the  USA  (IARC,  2007).  Basically,  
there   are   three   major   forms   of   oral  
smokeless  tobacco  products:
Tobacco  alone  with  aroma  and  
flavouring   includes   products   that  
are   sucked,   chewed   or   both.   For  
example,  snuff,  which  is  chopped  into  
particles   like   large   coffee   grounds  
and   moistened,   is   used   by   holding  
between   gum   and   cheek.   Swedish  
snus,   which   is   a   variant   of   snuff  
processed   differently   and   typically  
moister,   is   sucked.   Snus   exists   in  
two   packaging   formats,   loose   snus  
and   portion-­packed   snus.   Chewed  
products,   shredded   like   short   cut  
grass,   generally   mildly   acidic,   are  
intended   to   be   chewed   throughout  
the   day   as   desired,   for   example  
loose-­leaf.
Tobacco  with  other  components  
includes   products   that   contain   lime,  
sodium   bicarbonate,   ash   or   other  
additives   and   which   can   be   either  
chewed  or  sucked,  for  example  chimó  
and  shammah.
Betel  quid  with  tobacco  includes  
areca  nut,  slaked  lime,  catechu,  and  
tobacco,   and   comprises   products  
that   can   be   chewed   or/and   sucked,  
such  as  gutka.
The   tax   treatment   of   smokeless  
tobacco   differs   widely   among  
countries;;  often  it  is  not  taxed,  while  
some  countries  apply  differential  rates  
for,   e.g.,   snuff   and   chewing   tobacco  
(World  Health  Organization,  2010).
Smokeless   tobacco   is   becoming  
a   more   important   policy   issue  
because   of   the   appearance   of   new  
smokeless  tobacco  products.  These  
new   smokeless   products   include  a   variety   of   dissolvable   tobacco  
products   and   snus,   in   addition   to  
the  more  traditional  moist  snuff  and  
chewing   tobacco   products.   The  
issue  of  how  to  tax  all  these  products  
remains  an  open  question  for  further  
study.
Finally,   to   avoid   loopholes,  
countries   may   also   tax   other  
manufactured   tobacco,   such   as  
tobacco  refuse  put  up  for  retail  sale  
or  all  other  tobacco  which  has  been  
cut,   split,   twisted   or   pressed   and   is  
capable   of   being   smoked   without  
further  industrial  processing.
Objectives  of  tobacco  taxation
In   many   countries   tobacco   is   taxed  
more  heavily  than  other  goods.  There  
are  at  least  three  reasons  for  this.
Revenue  objectives
Historically,   revenue   generation  
has   been   the   primary   aim   of  
tobacco   taxation   of   most,   if   not   all  
governments.   Taxes   on   tobacco  
products  are  a  very  efficient  revenue  
raiser  given  the  large  sales  volumes,  
the   relatively   inelastic   demand  
(consumers   are   not   price-­sensitive  
due   to   addiction)   and   the   lack   of  
close   substitutes.   They   satisfy  
the   so-­called   “Ramsey   Rule”   for  
economically   efficient   consumption  
taxes—because   of   the   relative  
inelasticity   of   demand,   they   can  
generate   considerable   revenues  
while  creating  fewer  distortions  in  the  
market  than  would  result  from  taxes  
on   goods   and   services   with   more  
elastic  demand.  Moreover,  given  the  
small   number   of   producers   and   the  
large   sales   volumes,   tobacco   taxes  
are   relatively   easy   to   collect,   at   low  
administration  and  enforcement  cost,  
in  particular  as  compared  to  general  
consumption   taxes   and   income  
taxes.  Table  2.1  shows  the  share  of  
excises  on  tobacco  as  a  percentage

13Overview  of  tobacco  taxationof   total   tax   revenues   in   countries   in  
the  EU.
Given   the   size   of   total   revenues  
in   some   countries,   even   a   share   of  
1–2%  represents  a  significant  source  
of   revenue   in   absolute   monetary  
amounts.   However,   to   date,   and  
in   particular   in   more   developed  
economies,   VAT   and   other   general  
sales  taxes  have  the  capacity  to  raise  
much   larger   revenues   from   a   more  
widely   spread   tax   base.   Therefore  
the   retention   and   the   increase   of  
excise   duties   on   tobacco   products  
are   also   justified   by   reasons   other  
than  budgetary.
Health  objectives
To  discourage  consumption  
of  the  product
Tobacco  use  is  the  leading  cause  of  
preventable  death,  and  is  estimated  
to   kill   more   than   5   million   people  
each   year   worldwide.   If   current  
trends  persist,  tobacco  will  kill  more  
than   8   million   people   worldwide   by  
the   year   2030,   with   80%   of   these  
premature  deaths  in  low-­  and  middle-­
income   countries   (World   Health  
Organization,  2008).  It  is  the  biggest  
single   form   of   avoidable   death   and  
one  of  the  leading  causes  of  illness  
and  mortality.
Taxation  forms  part  of  an  overall  
strategy   of   tobacco   use   prevention  
and   dissuasion   that   also   includes  
other   measures   intended   to   reduce  
demand,   such   as   protection   from  
exposure   to   tobacco   smoke,  
advertising   bans,   regulation   of   the  
contents,   etc.   Price   increases   of  
tobacco   are   considered   to   be   the  
most   effective   and   cost-­effective  
single   measure   to   prevent   and  
reduce   tobacco   use.   Over   one  
hundred   studies   have   examined   the  
impact   of   tobacco   taxes   and   prices  
on  overall  tobacco  use.  While  these  
studies  have  produced  a  wide  range  Country Share  of  tobacco  excise
Sweden 0.7%
Slovenia 0.8%
Denmark 0.9%
Finland 1.2%
Netherlands 1.5%
Belgium 1.8%
Lithuania 1.8%
Ukraine 1.8%
Austria 2.0%
France 2.1%
United  Kingdom 2.2%
Italy 2.3%
Latvia 2.3%
Ireland 2.6%
Germany 2.8%
Spain 2.9%
Hungary 3.2%
Estonia 3.4%
Cyprus 3.6%
Portugal 3.7%
Slovakia 4.0%
Czech  Republic 4.0%
Poland 4.8%
Malta 4.9%
Greece 5.6%
Romania 5.8%
Bulgaria 6.8%
Luxembourg 7.3%
Indonesia  (2007) 8.4%Table  2.1.    The  share  of  excises  on  tobacco  as  a  percentage  of  total  tax  
revenues  in  the  EU  Member  States  and  two  other  selected  countries  in  2005
Source:  European  Commission  (2008a)   (SEC/2008/2266) ;;  see  tobacco  products  legislation;;  impact  assessment
of  estimates  of  the  magnitude  of  the  
effects   of   price   on   overall   tobacco  
consumption,   it   is   clear   that   a   price  
increase   will   lead   to   a   reduction  
in   consumption   (see   Chapter   4   for  
the   value   of   these   estimates).   More  
importantly,   the   impact   of   higher  
prices  is  likely  to  be  greatest  on  young  
people,   who   are   more   responsive  
to   price   rises   than   older   people.  
In   addition,   price   increases   are   an  
effective  policy  tool  to  prevent  people  from   taking   up   smoking   (especially  
among   young   people),   encourage  
smoking   cessation,   reduce   the  
number   of   ex-­smokers   who   resume  
the  habit,  and  reduce  in  the  long  run  
the   average   cigarette   consumption  
among  continuing  smokers.
Article   6   of   the   World   Health  
Organization’s   Framework   Convention  
on   Tobacco   Control   (WHO   FCTC)  
recommends   tax   policies   so   as   to  
contribute  to  health  objectives  aimed

IARC  Handbooks  of  Cancer  Prevention
14at   reducing   tobacco   consumption  
(World   Health   Organization,  
2005).   More   and   more   countries   or  
jurisdictions  are  using  tobacco  taxes  
as  a  way  to  promote  public  health  by  
reducing  tobacco  use  and  the  death  
and   disease   it   causes   (e.g.   the   EU,  
Norway,  New  York  and  California  in  
the  United  States,  Pakistan,  etc.).  A  
health-­driven   taxation   policy   aims  
to  increase  the  overall  tax  and  price  
levels  of  tobacco  products,  increase  
in  particular  the  tax  and  price  levels  
of   the   cheaper   brands,   and   reduce  
the   price   gap   between   low-­priced  
and   premium   brands   to   discourage  
down-­trading   (smokers   switching   to  
cheaper  brands  as  a  result  of  tax  and  
price  increases).
To  recoup  what  economists  call  
“negative  externalities.”
Negative   externalities   are   the   costs  
borne   by   society   collectively,   or   by  
individuals   other   than   the   individual  
tobacco   consumer.   Theories  
suggest   that   these   external   costs  
associated   with   the   consumption   of  
tobacco,   such   as   the   costs   to   treat  
smoking-­related   diseases,   warrant  
supplementary   taxes   on   tobacco.  
Generally,   these   costs   are   not  
reflected  in  the  price  of  the  tobacco  
products.  The  purpose  of  externality  
taxation  is  to  confront  the  individual  
decision-­maker   with   the   external  
costs  of  their  decision,  on  the  same  
basis   as   if   these   costs   were   private  
costs   (so-­called   “internalisation”).  
Because   the   consumer   pays   for  
the   societal   cost,   he   is   assumed   to  
make   a   more   economically   efficient  
decision  on  whether  and  how  much  
tobacco  to  consume.
Negative   externalities   fall   into  
three   broad   categories.   The   first  
consists   of   direct   externalities  
experienced   by   other   individuals,  
including   the   adverse   health   effects  
experienced   by   those   exposed  to   environmental   tobacco   smoke  
(passive   smoking).   The   second  
comprises   collectively-­borne   costs,  
such   as   the   cost   of   publicly-­funded  
medical   treatment   for   smoking-­
related   conditions,   and   other  
public   expenditure   costs.   The   third  
category  of  externalities  is,  in  effect,  
a   tax   revenue   externality,   namely  
the  loss  of  income  and  consumption  
taxes  as  a  result  of  reduction  in  the  
consumer’s  income  and  expenditure,  
especially   through   premature  
death  and  a  higher  rate  of  sickness  
absence.   The   consequences   or   the  
costs   for   the   individual   consumer’s  
own  health,  income,  and  so  on,  are  
no  externalities.
Most   estimates   distinguish  
between  the  gross  costs  of  smoking  
(higher   costs   of   medical   treatment,  
etc.,  as  a  result  of  conditions  caused  
by   smoking),   and   the   net   costs,  
which  offset  against  the  gross  costs  
a   range   of   cost   savings   (mainly  
public   expenditure   effects,   such   as  
savings   on   retirement   pensions)  
arising   because   of   the   premature  
death   of   smokers.   Some   literature  
suggests  that  in  high  taxing  countries  
smokers   pay   their   way—in   other  
words,  that  the  supplementary  taxes  
on   tobacco   overcompensate   the  
net   external   cost   (Cnossen,   2006;;  
Manning   et   al. ,   1989).   However,  
this   is   a   controversial   area,   inter  
alia,   because   of   the   treatment   of  
costs   borne   by   family   members.  
Family   members   of   a   smoker   may  
experience   considerable   costs,  
including   ill   health,   and   pain   and  
distress  as  a  result  of  the  illness  and  
premature  death  of  the  smoker.  This  
harm   inflicted   on   family   members—
which  is  hardly  quantifiable—is  often  
not   considered   as   an   external   cost  
(Smith,   2007),   as   family   members  
are  assumed  to  care  for  each  other’s  
welfare  to  the  extent  that  the  welfare  
of  the  household  can  be  considered  
as  a  single  entity.Political,  social  and  economic
considerations
In  principle,  the  three  aforementioned  
objectives   are   complementary.  
Increases  in  tobacco  taxes  aiming  to  
raise  additional  revenue  will  contribute  
to   a   reduction   in   consumption   and  
in  the  external  cost  of  smoking.  Vice  
versa,  given  the  inelastic  demand  and  
the  high  share  of  the  tax  in  the  retail  
price,  tax  policies  aimed  at  reducing  
tobacco  consumption  or  at  recouping  
externalities  will,  all  other  things  being  
unchanged,  entail  revenue  increase .
Nonetheless,   when   determining  
their   taxation   policy   governments  
will   take   into   account   other,   at  
times   competing,   considerations.  
This   section   does   not   aim   to   list  
exhaustively   all   political,   social   or  
economic  considerations  that  may  be  
taken   into   account   in   determining   a  
taxation  policy,  but  focuses  briefly  on  
the  most  frequently  used  arguments  
against  tax  increases.
Poverty
Concerns   about   the   affordability   of  
cigarettes,  in  particular  for  the  poor,  
are  arguments  for  those  who  oppose  
tobacco  tax  increases.  Consumption  
taxes   are   regressive   because  
they   are   not   based   on   the   ability-­
to-­pay   principle.   Assuming   equal  
consumption  patterns,  tobacco  taxes  
will   account   for   a   greater   share   of  
income  for  the  poor  than  for  the  rich  
(see  Chapter  7).  This  regressivity  will  
be   more   pronounced   in   countries  
where   the   tobacco   consumption   is  
greater   among   lower   than   among  
higher   incomes.   A   “pro-­poor   policy”  
can   keep   taxes   on   tobacco   low   in  
general,  but  can  also  keep  taxes  low  
on  the  products/brands  most  widely  
used  by  the  poor  while  more  heavily  
taxing   more   expensive   products   or  
brands  (e.g.  fine-­cut  tobacco  versus  
cigarettes).

15Overview  of  tobacco  taxationHowever,   a   policy   aimed   at  
keeping  tobacco  affordable  for  lower  
incomes   is   likely   to   end   up   with   a  
disproportionate  share  of  the  health  
and   economic   burden   of   tobacco  
consumption   on   the   poor.   On   the  
other   hand,   although   the   initial   tax  
is   regressive,   tax   increases   can   be  
progressive  (Chaloupka   et  al. ,  2000).  
To  the  extent  that  lower  incomes  are  
more   sensitive   to   price   increases  
than   higher   incomes,   tax   increases  
will   entail   a   higher   reduction   in  
consumption   among   this   population  
while   having   less   of   an   impact  
on   higher-­income   populations.  
Consequently,   the   burden   of   the  
actual  supplementary  taxes  paid  as  a  
result  of  a  tax  increase  will  be  greater  
on  those  with  higher  incomes.  In  the  
long   run   the   poor   benefit   from   an  
increase  in  the  quality  of  their  health  
and  economic  welfare.
Inflation
Consumption   taxes   may   have   an  
inflationary   effect.   At   times   the  
inflationary   impact   of   increases  
of   tobacco   taxes   is   raised   as   an  
argument   to   oppose   increase   of  
tobacco   taxes,   in   particular   where  
government  policy  is  to  keep  inflation  
low.   However,   as   opposed   to   broad-­
based  consumption  taxes,  the  relative  
weight   of   expenditure   on   cigarettes  
in   the   consumer   price   index   should  
not  be  overestimated,  and  in  general  
the  impact  on  inflation  of  an  increase  
of   tobacco   taxes   will   be   relatively  
small   (see   Chapter   9).   To   the   extent  
that   concerns   about   the   impact   on  
inflation  are  a  barrier  to  tax  increases,  
excluding  tobacco  products  from  the  
baskets  of  goods  used  in  developing  
key   price   indices   used   for   the  
indexation   of   wages   and   pension  
payments,   such   as   for   instance   in  
France,   Belgium   and   Luxembourg,  
would  greatly  reduce  these  concerns  
(World  Health  Organization,  2010).Employment
In   general,   only   jobs   in   tobacco  
farming,  leaf  processing,  warehousing  
and   manufacturing   are   fully  
dependent  on  tobacco.  Other  sectors,  
such   as   retailers   who   sell   tobacco  
among  many  other  products  are  only  
partly  and  indirectly  involved.  To  date,  
tobacco   manufacturing   is   a   capital-­
intensive   sector   and   is   relatively  
small  in  terms  of  numbers  of  people  
employed,   e.g.   60  000   in   the   EU-­25  
in   2003   (Commission   Staff   Working  
Document   Impact   Assessment  
Accompanying   the   Proposal   for   a  
Council   Directive   amending   Council  
Directive   95/59/EC,   92/79/EEC   and  
92/80/EEC  on  the  structure  and  rates  
of  excise  duty  applied  to  manufactured  
tobacco  (SEC/2008/2266)).
In   general,   any   tobacco-­
dependent   job   lost   in   response   to  
the   reduced   demand   for   tobacco  
products   will   be   offset   by   new   jobs  
in  other  sectors  because  the  money  
spent   on   tobacco   will   be   shifted   to  
more   labour-­intensive   goods   and  
services  (see  Chapter  9).  To  address  
employment   concerns   in   tobacco-­
dependent   sectors,   programs   have  
been  adopted  to  ease  the  transition  to  
another   economic   activity,   e.g.   crop  
diversification  for  tobacco  farmers  or  
product  diversification  for  retailers.  At  
times,  the  employment  argument  has  
been  used  to  justify  reduced  rates  on  
products  other  than  cigarettes,  which  
are  perceived  as  being  more  labour  
intensive   (e.g.   handmade   kreteks;;  
bidi  rolling,  fine  cut  tobacco).
Protection  of  domestic  tobacco  
growers  and  manufacturers
Some  countries  levy  a  lower  tax  on  
local   tobacco   products   to   protect  
domestic   tobacco   growers   and  
tobacco  manufacturers  from  outside  
competitors.   This   can   be   done   by  
directly   applying   different   excise  rates  to  tobacco  products  depending  
on   the   source   or   type   of   tobacco  
contained  in  the  product  or  on  other  
product   characteristics,   or   indirectly  
by   applying   an   ad   valorem   excise  
duty  where  foreign  brands  are  more  
expensive   than   local.   This   can   be  
an   infringement   of   Article   III   (2)   of  
the   General   Agreement   on   Tariffs  
and   Trade   legal   text   referred   to   as  
GATT,   1947   (http://www.wto.org/
english/docs_e/legal_e/gatt47_01_e.
htm#articleIII),  now  embedded  in  the  
World  Trade  Organization,  according  
to   which   internal   taxes   shall   not  
be   applied   to   protect   domestic  
production,   or   of   similar   provisions  
laid   down   in   regional   free   trade  
arrangements.
Other  constraints  for  tax  and  price  
increases
As  aforementioned,  the  health  and  
budgetary   objectives   are   to   a   large  
extent   complementary.   Decision-­
makers  will  also  take  into  account  other  
considerations,  such  as  the  impact  on  
inflation,   employment,   affordability  
and   the   interests   of   the   domestic  
tobacco  growers  and  manufacturers.  
However,   the   ability   to   increase  
prices  and  revenues  by  means  of  tax  
increases   has   certain   constraints,  
as   any   tax   increase   may   entail   a  
change   in   other   variables   affecting  
the   expected   revenue   increase   or  
reduction   in   consumption.   The   most  
pertinent  ones  are  the  manufacturers’  
pricing   policy,   the   consumers’  
behaviour  and  the  share  of  the  non-­
domestic   duty   paid   consumption   in  
total  domestic  consumption.
The  share  of  the  non-­domestic  duty  
paid  consumption  (NDDP):  
tax  evasion  and  tax  avoidance
A   part   of   the   tobacco   market   will  
escape   domestic   taxation   because

IARC  Handbooks  of  Cancer  Prevention
16of   illicit   trade   and   cross-­border  
shopping.   Cross-­border   shopping   in  
neighbouring   low-­taxing   countries  
or   jurisdictions   is   legal   as   long   as  
the   quantitative   restrictions   laid  
down  in  the  traveller  allowances  are  
respected.  Illicit  trade  covers  mainly  
smuggling,   illicit   manufacturing  
and   counterfeit.   Smuggling   refers  
to   products   illegally   traded   across  
borders.   Large-­scale   organized  
smuggling   involves   the   illegal  
transportation,   distribution   and   sale  
of   large   consignments   of   cigarettes  
and   other   tobacco   products.   Small-­
scale   smuggling   involves   the  
purchase,   by   individuals   or   small  
groups,  of  tobacco  products  in  low-­tax  
jurisdictions  in  amounts  that  exceed  
the  limits  set  by  customs  regulations,  
for   resale   or   just   use   in   high-­tax  
jurisdictions.   Illicit   manufacturing  
refers   to   the   production   of   tobacco  
products   contrary   to   taxation   laws  
or   other   laws   (such   as   licensing   or  
monopoly-­related   laws)   that   restrict  
the  manufacture  of  tobacco  products.  
Counterfeit   tobacco   production   is   a  
form  of  illegal  manufacturing  in  which  
the   manufactured   products   bear   a  
trademark  without  the  consent  of  the  
owner  of  the  trademark.  Counterfeit  
and   illegally   manufactured   products  
can  be  sold  on  the  domestic  market  
or  smuggled  into  another  jurisdiction  
(see  Chapter  8).
Significant   differences   in   taxes  
and   prices   of   tobacco   products  
between   countries   and   jurisdictions  
have   created   an   environment   for  
tax-­induced   cross-­border   shopping  
and  illicit  trade.  Worldwide  illicit  trade  
is   estimated   at   11.6%   of   the   global  
cigarette   market   in   2007   (Joossens  
et  al. ,  2009).
Manufacturers’  pricing  policy
Manufacturers   may   absorb   the  
tax   increase,   partly   or   completely,  
by   reducing   their   profit   margin.  Consequently,   the   tax   increase  
will   not   result   in   the   expected   price  
increase   and   related   reduction   of  
consumption.   Moreover,   in   the   case  
of  ad   valorem   duties,   this   may   even  
affect  the  expected  revenue  increase  
(see  further  and  Chapter  3).
Consumer  behaviour
As  cigarettes  may  be  sold  at  different  
price   points   (low,   medium-­priced,  
premium),   consumers   may   switch  
to   cheaper   cigarettes   or   to   other  
tobacco   products   (e.g.   fine-­cut  
instead   of   cigarettes)   as   a   result  
of   a   tax   increase.   For   example,   a  
Klynveld   Peat   Marwick   Goerdeler  
(KPMG,   2005)   study   commissioned  
by   the   European   Commission  
concluded   that   the   market   share   of  
cheap  cigarettes  has  soared  in  most  
EU  Member  States  as  a  result  of  tax  
hikes  triggering  less  tax  revenue  and/
or  mitigating  the  downward  the  effect  
on   the   consumption   of   cigarettes.  
Again,   an   ad   valorem   structure   will  
make   price   and   tax   policies   more  
vulnerable   to   changes   in   consumer  
behaviour  (see  further).
Structure  of  the  taxes
There  are  two  types  of  excise  taxes:  
specific   and   ad   valorem .   A   specific  
excise  tax  is  a  fixed  monetary  amount  
of  tax  per  quantity,  volume,  or  weight  
of   tobacco   products.   An   ad   valorem  
excise   tax   is   levied   as   a   percentage  
of  the  price  of  the  tobacco  products.  
Countries   may   have   either   an   ad  
valorem   or   a   specific   structure.  
Specific   and   ad   valorem   taxes   have  
different   effects   on   prices,   profits  
and  competitive  positions  of  tobacco  
producers,  tax  revenues,  quality  and  
variety   of   products,   administration  
and   distribution   of   income.   They   will  
contribute   in   a   different   way   to   the  
achievement   of   health   objectives.  
The   relative   merits   depend   on   the  objective   that   a   country   wants   to  
achieve  with  the  tobacco  tax,  and  in  
part   on   whose   perspective   is   being  
used  to  evaluate  their  effects  (revenue,  
health,   manufacturers,   consumers).  
To  have  the  best  elements  of  both,  it  
is  possible  to  combine  an   ad  valorem  
with  a  specific  tax.  A  so-­called  mixed  
structure   applies   an   ad   valorem   and  
specific  duty  to  all  tobacco  products.  
Mixed  systems  can  give  preference  to  
more   ad  valorem  or  to  more  specific  
duties   depending   on   the   desired  
effects.
Ad  valorem  excise  duties  can  also  
be  combined  with  a  minimum  tax  floor.  
Minimum  excise  duties  are  similar  to  
specific  excise  duties,  and  are  a  fixed  
monetary   amount   per   quantity   or  
volume  that  applies  if  the   ad  valorem  
excise  falls  below  a  minimum  floor.  In  
other   words   the   ad   valorem   cannot  
be   less   than   the   minimum   tax   floor;;  
lower-­priced  products  will  be  taxed  at  
the  specific  minimum  rate,  and  higher-­
priced  products  will  be  taxed  at  the   ad  
valorem  rate.  The  effects  of  a  minimum  
tax  floor  are  similar  to  those  of  specific  
duties.  Finally,  more  complex  taxation  
systems  may  even  combine  a  mixed  
structure  with  a  minimum  duty.
In   summary,   this   leads   to   five  
structures:
1)  Purely  specific;;  with  a  tax  base  
per  unit,  e.g.  per  1000  cigarettes;;  per  
1  kg  tobacco.
2)   Purely   ad   valorem ;;   the   tax  
base  is  the  value  of  the  products  (e.g.  
ex  factory  price;;  retail  price).
3)   Mixed;;   a   combination   of   both  
ad  valorem  and  specific  duty.
4)  A  combination  of  an   ad  valorem  
duty   for   medium-­priced   and/or  
premium  brands  and  a  specific  duty  
for  cheaper  brands.  The   ad  valorem  
excise   applies   on   the   value   of   the  
products;;  however,  if  the   ad  valorem  
excise  falls  below  a  minimum  floor,  a  
specific  tax  applies.
5)   A   combination   of   a   mixed  
duty   for   medium   priced   and/or

17Overview  of  tobacco  taxationpremium  brands  and  a  specific  duty  
for   cheaper   brands.   A   mixed   excise  
applies;;  however  if  the  mixed  excise  
falls  below  a  minimum  floor,  a  specific  
tax  applies.
Only   55   countries   rely   on  
specific   duties   only;;   most   (108)  
apply   at   least   to   some   extent   an  
ad   valorem   duty   (see   Table   2.2)  
(World   Health   Organization,   2009).  
No   complete   data   are   available   as  
concerns   the   number   of   countries  
applying   a   minimum   tax.   Twenty-­
four   EU   Member   States   (European  
Commission,   2010a)   as   well   as  
the   Russian   Federation   and   the  
Ukraine   combine   a   mixed   structure  
with   a   minimum   tax.   Turkey   applies  
an  ad   valorem   system   combined  
with   a   minimum   tax   (World   Health  
Organization,  2010).
The  preference  of  countries  for  a  
particular  structure  shows  similarities  
by  income  groups.  Most  low-­income  
countries   rely   on   ad   valorem   taxes.  
Conversely,   almost   all   high-­income  
countries   apply   purely   specific   or  
mixed   systems.   Within   the   high-­
income   countries,   the   European  
Region   (except   Norway)   relies   on  
a   mixed   system,   and   almost   all  
other   countries   on   a   purely   specific  system  (inter  alia,  the  United  States  
of  America,  Canada,  Australia,  New  
Zealand,  Japan,  Singapore).
There   are   also   similarities   by  
region.   Most   countries   in   Latin  
America   and   the   Caribbean   region  
as   well   as   in   Africa   apply   purely   ad  
valorem   systems.   North   America  
and   a   large   number   of   countries   in  
the   East   Asian   and   Pacific   region  
rely   on   purely   specific   systems.  
Mixed   systems   are   mainly   applied  
in   Europe,   and   in   China,   Indonesia,  
Pakistan,   Malaysia   and   Thailand  
(World  Health  Organization,  2009).
Countries   applying   a   mixed  
structure   may   rely   mainly   on   ad  
valorem  or  mainly  on  specific  duties.  
In   the   EU,   Member   States   must  
apply   a   mixed   structure   (Fig.   2.1).  The  specific  component  may  not  be  
less   than   5%   or   more   than   55%   of  
the   amount   of   the   total   tax   burden  
(proportional   and   specific   excise  
duty   plus   VAT).   As   from   1   January  
2011,  the  specific  component  of  the  
excise   duty   on   cigarettes   may   not  
be   more   than   76.5%   of   the   amount  
of   the   total   tax   burden   and   as  
from   1   January   2014,   the   specific  
component   of   the   excise   duty   on  
cigarettes  may  not  be  less  than  7.5%  
(Council   Directive   2010/12/EU   of   16  
February   2010   amending   Directives  
92/79/EEC,   92/80/EEC   and   95/59/
EC   on   the   structure   and   rates   of  
excise  duty  applied  on  manufactured  
tobacco  and  Directive  2008/118/EC).  
The  upper  limit  has  been  increased,  
allowing  Member  States  relying  more  
on   specific   duties   in   the   context  Table  2.2.  Excise  structure  for  cigarettes  in  2008
Structure Number  of  countries  (total  182)
Purely  specific  system 55
Purely   ad  valorem  system 60
Mixture  of  both  excises 48
No  excise 19
Source:  World  Health  Organization  (2009).  WHO  report  on  the  Global  Tobacco  Epidemic  2009:  implementing  smoke-­
free  environments.  Geneva,  World  Health  Organization
Figure  2.1.  Share  of   ad  valorem   and  specific  taxes  in  total  excise  duties:  EU27
Figure  generated  by  the  Working  Group  based  on  data  published  in  the  excise  duty  tables  in  European  Commission  (2010a).  Excise  duty  tables  2010,  Part  III-­  Manufactured  Tobacco.  
Brussels,  European  Commission.   http://ec.europa.eu/taxation_customs/taxation/excise_duties/tobacco_products/rates/index_en.htm) .  Abbreviations:  AT,  Austria;;    BE,  Belgium;;  BG,  
Bulgaria;;  CY,  Cyprus;;  CZ,  Czech  Republic;;  DE,  Germany;;  DK,  Denmark;;  EE,  Estonia;;  EL,  Greece;;  ES,  Spain;;  FI,  Finland;;  FR,  France;;  HU,  Hungary;;  IE,  Ireland;;  IT,  Italy;;  LT,  Lithuania;;  
LU,  Luxembourg;;  LV,  Latvia;;  MT,  Malta;;  NL,  Netherlands;;  PL,  Poland;;  PT,  Portugal;;  RO,  Romania;;  SE,  Sweden;;  SI,  Slovenia;;  SK,  Slovakia;;  UK,  United  Kingdom.

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18of   a   health-­driven   taxation   policy.  
To   maintain   a   minimum   level   of  
harmonization   of   the   tax   structure,  
the  lower  limit  should,  in  theory,  have  
been   increased   to   the   same   extent.  
However,   due   to   strong   opposition  
of   several   countries   applying   high  
ad   valorem   duties,   a   compromise  
was   reached   at   only   7.5%.   As   a  
consequence,   there   is   flexibility  
resulting  in  widely  differing  practices,  
reflecting   the   differing   objectives  
that  the  countries  want  to  achieve  by  
means  of  tobacco  taxation.
Within  these  systems  different  tax  
rates  may  apply  for  different  products  
(e.g.  filtered  and  unfiltered  cigarettes,  
cigarettes   versus   fine-­cut   tobacco)  
which  render  the  tax  structures  very  
complex.
There  are  many  factors  that  can  
influence  the  choice  of  one  structure  
over  another.  Regulators  will  consider  
the   effects   on   tax   revenues,   prices,  
profits   and   competitive   positions  
of   tobacco   producers,   quality   and  
variety   of   products   as   well   as   the  
ability  to  administer  the  tax.
Because   specific   duties   are   the  
same  for  all  cigarettes,  independent  
of   the   price,   they   will   reduce   the  
relative   price   differentials   between  
high-­  and  low-­taxed  cigarettes.  This  
may   lead   consumers   to   switch   to  
higher-­priced   cigarettes,   assuming  
that   more   expensive   cigarettes   are  
considered  to  be  of  a  higher  quality  
(and   thus   more   appealing).   They  
have  an  upgrading  effect  that  favours  
high   quality,   which   may   lead   to   a  
higher  average  price.
Ad   valorem   duties   are   a  
percentage  of  the  price  of  cigarettes  
and  will  maintain  the  relative  (pre-­tax)  
price  differentials  between  high-­  and  
low-­taxed   cigarettes.   Consequently  
there  will  be  more  price  competition  
under  an   ad  valorem  system,  which  
may   entail   a   lower   average   price.  
They   have   a   multiplier   effect   that  
favours  low  quality.Specific  duties  may  have  several  
merits   as   concerns   their   impact   on  
prices,  consumption  and  revenues.
Changing  an   ad  valorem  structure  
to  a  more  specific  structure
Objectives   may   change   over   time.  
Where  an   ad  valorem  structure  was  
preferred  in  the  past,  specific  duties  
may  now  fit  better  to  achieve  revenue  
and   health   objectives.   However,   a  
change  from  an   ad  valorem  structure  
into  a  specific  will  have  a  certain  cost:  
the   tax   burden   on   the   lower-­priced  
cigarettes   would   be   increased,   but  
the  change  to  specific  taxation  would  
result  in  a  reduction  of  the  tax  burden  
on  higher  priced  brands.  This  might  
have  undesired  effects  on  consumer  
prices  of  premium  brands  and  on  the  
profits   and   competitive   positions   of  
tobacco   manufacturers.   Producers  
of   premium   brands   would   get   a   tax  
subsidy,   while   their   competitors  
would   potentially   face   a   significant  
increase   of   the   tax   burden   on   their  
products.   To   avoid   these   effects,   a  
switch  to  a  more  specific  tax  structure  
could   be   done   in   the   context   of   tax  
increases,   i.e.   by   increasing   the  
specific  element  while  leaving  the   ad  
valorem   unchanged.   Another   option  
is  the  introduction  of  a  minimum  tax  
floor   that   does   not   affect   the   tax  
burden  on  higher  priced  brands.
Tax  rates
Overview
Tax   rates   vary   greatly   across  
countries,   ranging   from   countries  
with   no   excise   imposed   on   tobacco  
products   (e.g.   Benin,   Cook   Islands,  
Grenada,  Maldives,  Saudi  Arabia)  to  
an  excise  tax  representing  more  than  
75%  of  the  retail  price  of  a  pack  of  the  
most   sold   brand   of   cigarettes   (e.g.  
Cuba,   Fiji,   Poland   and   Seychelles)  
(World   Health   Organization,   2010).  However,  rates  do  cluster  by  income  
groups,  and  some  common  features  
can   be   seen   on   an   average   level  
when   moving   from   one   income  
group   to   another.   Figure   2.2   shows  
the   average   levels   of   the   price,   tax  
amount  and  tax  share  of  the  price  of  
the   most-­sold   brands   of   cigarettes  
by   income   groups   based   on   World  
Bank   classification   in   2008   (http://
data.worldbank.org/about/country-­
classifications/country-­and-­lending-­
groups).   There   is   a   clear   downward  
trend   in   the   tax   and   price   level   as  
the  level  of  income  of  countries  goes  
down.   At   the   extremes   the   total   tax  
rate  for  low-­income  groups  is  almost  
40%  lower  than  the  tax  rate  of  high-­
income  groups.
Figures  2.3  and  2.4  show  details  
of  tax  levels  by  countries  and  by  WHO  
region.  The  rates  shown  in  Figure  2.3  
apply   to   the   most-­sold   brand;;   those  
rates  of  course  vary  within  a  country  
when   price   differentials   are   large  
among  brands  and  particularly  when  
differential  excise  tax  rates  are  applied  
on  different  brands  and  products.  For  
example,  in  Bangladesh,  the  total  tax  
share  of  the  retail  price  is  47%  for  the  
cheapest  brand  pack  of  20  cigarettes  
and   87%   for   a   pack   of   Marlboro  
cigarettes.  In  the  Philippines  the  total  
tax  share  of  the  cheapest  brand  pack  
of  cigarettes  is  54%,  and  goes  up  to  
76%   for   the   Marlboro   brand   (World  
Health  Organization,  2010).
Differential  taxation  between  
tobacco  products
Most   countries   apply   different   rates  
on  tobacco  products,  either  to  protect  
their   domestic   industry   (e.g.   India  
where  much  lower  taxes  are  applied  
on   bidis   compared   with   cigarettes),  
or   because   of   the   perception   that  
the  products  are  of  a  different  nature  
(e.g.   cigars,   water   pipe   tobacco,  
chewing   tobacco   versus   cigarettes).

19Overview  of  tobacco  taxation
Figure  2.2.  Price  and  tax  average  for  a  pack  of  the  most-­sold  brand  of  cigarettes  by  income  groups,  2008§
Source:  Adapted  from  World  Health  Organization  (2009).  WHO  report  on  the  Global  Tobacco  Epidemic  2009:  implementing  smoke-­free  environments.  Geneva,  World  Health  Organization.
§July  2008  World  Bank  classification  of  countries  by  income
Figure  2.3.  Cigarette  price,  excises,  and  other  taxes  as  in  2008,  by  region
WHO  African  Region  (AFRO)

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20
WHO  Region  of  the  Americas  (AMRO)
WHO  Eastern  Mediterranean  Region  (EMRO)
WHO  South-­East  Asia  Region  (SEARO)

21Overview  of  tobacco  taxation
Source:  World  Health  Organization  (2009).  WHO  report  on  the  Global  Tobacco  Epidemic  2009:  implementing  smoke-­free  environments.  Geneva,  World  Health  Organization.
Notes:  Price  of  the  most  sold  brand  in  the  country  converted  into  US  dollars  using  official  (principal  or  market)  exchange  rates  at  end  of  time  period;;  total  tax  share  includes  specific  
excise,  ad  valorem  excise,  value  added  tax  (VAT),  imported  tax  duty  (if  the  most  popular  brand  in  the  country  is  imported),  and  others  (if  applicable);;  un-­weighted  arithmetic  average.WHO  Western  Pacific  Region  (WPRO)
WHO  European  Region  (EURO)

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22Little   data   is   collected   on   the   tax  
rates   applied   on   products   other   than  
cigarettes   on   a   global   scale.   Data  
collected  by  the  WHO  Reports  on  the  
Global  Tobacco  Epidemic  can  provide  
some  examples  of  tax  rates  for  some  
countries  and  some  tobacco  products  
(World   Health   Organization,   2009).  
Table   2.3   provides   tax   rates   of   roll-­
your-­own  (RYO)  tobacco  and  chewing  
tobacco   as   well   as   cigarettes   for  
selected   countries   (where   data   was  
available).  For  comparison  purposes,  
the  tax  rate  was  applied  for  the  price  
of  20  g  of  RYO  and  chewing  tobacco,  
assuming  that  a  pack  of  20  cigarettes  
would  weigh  20  g  (1  g  of  tobacco  per  
cigarette).  For  RYO,  tax  rates  seem  to  
be   similar   to   those   for   cigarettes   but  
can  also  vary  widely,  with  the  rates  on  
cigarettes  being  higher  (e.g.  Georgia,  
Mongolia,   Thailand   and   the   United  
Kingdom).   In   the   EU,   the   minimum  
rates   for   fine-­cut   are   around   50%   of  
the  minimum  rates  for  cigarettes.  The  
gap   between   the   level   of   taxation   of  
cigarettes  and  fine-­cut  tobacco  gives  
Figure  generated  by  the  Working  Group  based  on  data  published  in  the  excise  duty  tables  in  European  Commission  (2010a).  Excise  duty  tables  2010,  Part  III-­  Manufactured  Tobacco.  
Brussels,  European  Commission  (data  from  2010  used  to  produce  the  graph  available  upon  request);;
http://ec.europa.eu/taxation_customs/taxation/excise_duties/tobacco_products/rates/index_en.htm).  
Abbreviations:  AT,  Austria;;    BE,  Belgium;;  BG,  Bulgaria;;  CY,  Cyprus;;  CZ,  Czech  Republic;;  DE,  Germany;;  DK,  Denmark;;  EE,  Estonia;;  EL,  Greece;;  ES,  Spain;;  FI,  Finland;;  FR,  France;;  
HU,  Hungary;;  IE,  Ireland;;  IT,  Italy;;  LT,  Lithuania;;  LU,  Luxembourg;;  LV,  Latvia;;  MT,  Malta;;  NL,  Netherlands;;  PL,  Poland;;  PT,  Portugal;;  RO,  Romania;;  SE,  Sweden;;  SI,  Slovenia;;  SK,  
Slovakia;;  UK,  United  Kingdom.Figure  2.4.  Taxes  on  cigarettes  in  the  European  Union  -­   1  January  2010
rise   to   product   substitution.   Mainly  
as  a  result  of  increased  taxation,  the  
quantities   of   cigarettes   released   in  
the  EU-­251  decreased  by  around  14%  
between  2002  and  2008.  Conversely,  
the   quantities   of   fine-­cut   tobacco  
increased   in   the   same   period   by  
around  18%  (European  Commission,  
2010a).
Moreover,   in   contrast   to   ready-­
made   cigarettes,   which   are   taxed  
on   a   per-­stick   basis,   specific   duties  
on   fine-­cut   tobacco   are   levied   on   a  
per-­kilogram   basis.   The   conversion  
rate   between   kilogram   and   sticks   is  
a   controversial   issue.   Traditionally,   1  
kg  is  supposed  to  correspond  to  1000  
sticks.  However,  the  average  weight  of  
a  cigarette  is  estimated  to  be  around  
0.75   gr.   Moreover,   new   products  
called  “volume  tobacco”  have  gained  
a   significant   market   share.   Each   kilo  
of  “volume  tobacco”2    used  can  yield  a  
savings  of  at  least  a  half-­kilo  of  cut  filler.  
Consequently,  the  real  tax  burden  as  
well  as  the  increase  in  volumes  of  fine-­
cut  tobacco  may  be  underestimated.On   the   other   hand,   chewing  
tobacco   is   almost   always   taxed   at   a  
significantly  lower  rate  than  cigarettes  
(e.g.  Algeria,  Bangladesh,  Guatemala,  
Nigeria,  Pakistan,  Sri  Lanka  and  the  
Bolivarian   Republic   of   Venezuela).  
To  the  extent  that  these  products  can  
be  substituted  for  cigarettes,  tobacco  
taxation   can   be   rendered   ineffective  
if   other   products   remain   taxed   at   a  
much  lower  rate.
Differential  taxation  within  the  
same  tobacco  products
Several   countries   also   apply  
differential  tax  rates  within  the  same  
tobacco  product.  For  example,  about  
20%   of   countries   that   collect   excise  
taxes   on   cigarettes   impose   different  
rates   on   the   cigarettes   consumed  
in   the   local   market.   The   differential  
rates   vary   depending   on   different  
characteristics   of   cigarettes:   this   is  
usually  the  retail  price  level,  but  can  
also   be   the   production   volume,   the  
sales   volume,   the   type   of   cigarette  
1  No  full  data  available  for  RO  and  LT
2  In  contrast  to  classical  fine-­cut  tobacco,  the  raw  material  undergoes  an  expansion  process  which  leads  to  an  increase  of  the  tobacco  volume.  One  expansion  process  is  called  
DIET  (dried  ice  expanded  tobacco),  but  there  are  other  processes/patents  (IMPEX,  IMCON)  with  comparable  effects  on  the  volume  of  the  tobacco.  All  expansion  processes  fall  
under  the  generic  term  “volume  tobacco.”

23Overview  of  tobacco  taxationTable  2.3.  Tax  share  of  the  price  of  20g  of  RYO,  chewing  tobacco  
and  20  cigarettes,  selected  countries,  2008
Country Cigarettes RYO  (20g) Chewing  tobacco  (20g)
Paraguay 19% 19%
El  Salvador 31% 61%
Nigeria 32% 32% 5%
Mongolia 37% 13%
Malaysia 48% 46%
Pakistan 52% 14%
Georgia 55% 15%
Eritrea 55% 55%
India 55% 33%
Guatemala 57% 11%
Australia 62% 67%
Swaziland 62% 20%
Samoa 63% 64%
Japan 63% 20%
Thailand 64% 15%
Thailand 64% 25%
Canada 65% 24%
Uruguay 66% 77%
Bangladesh 67% 15%
Madagascar 67% 44%
Algeria 68% 15%
New  Zealand 69% 68%
Sri  Lanka 72% 13%
Norway 73% 78%
Italy 75% 45%
Myanmar 75% 25%
Netherlands 76% 38%
Venezuela 78% 8%
Czech  Rep 79% 77%
UK 80% 55%
Source:  World  Health  Organization,  unpublished  data
(with   or   without   filters,   hand   or  
machine   made),   the   packaging  
(hard/soft),   the   cigarette   length,   etc.  
(World   Health   Organization,   2010).  
Tax   rates   can   vary   substantially.   For  
example,  in  Indonesia  tax  rates  vary  
by   tobacco   product   but   also   within  
the   same   product   depending   on   the  
retail  price  and  production  capacity  of  
manufacturers.  In  the  case  of  kreteks  (machine-­   and   hand-­made),   the   rate  
varied  between  65  to  310  Rupiahs  per  
stick  in  2010.  In  Brazil,  the  excise  tax  
varied  between  0.764  to  1.397  Reals  
per   pack   of   20   cigarettes   depending  
on  the  size  of  the  cigarettes  and  the  
type   of   package   (unpublished   data  
received  from  governments  reporting  
their  tax  rates).  These  differential  rates  
lead  to  price  gaps  within  the  same  type  of  products  and  can  easily  encourage  
substitution   of   consumption   to  
lower-­taxed   products   when   a   tax  
is   increased   instead   of   reduction  
in   consumption   or   quitting,   thereby  
defeating  the  purpose  of  tax  policies  
from  a  public  health  perspective.  From  
a   tax   administration’s   perspective,  
applying   differential   tax   rates   to  
the   same   type   of   product   is   not  
advisable   because   it   makes   it   more  
difficult   for   tax   collectors   to   assess  
the  manufacturer’s  tax  liability,  and  it  
provides  incentives  for  manufacturers  
to  avoid  taxation  by  making  sure  their  
products   fall   in   the   lower   end   of   the  
tax  rate.  
The  impact  of  tax  rates  and  tax  
structure
Impact  on  prices
If   public   health   is   a   concern   in   the  
tobacco  tax  policy,  policy-­makers  need  
to  know  if  the  tax  increase  will  actually  
lead   to   a   price   increase   and   to   a  
consequent  reduction  in  consumption.
Under   perfect   competition   the  
consumer   price   cannot   increase   by  
more  than  the  amount  of  tax  increase.  
However,  under  imperfect  competition  
taxes   may   be   under   or   over-­shifted;;  
that   is,   the   consumer   price   may   rise  
by  less  or  more  than  the  amount  of  the  
tax.  While  either  specific  or   ad  valorem  
may  be  over-­shifted,  this  is  more  likely  
to  happen  with  specific  (Delipalla  and  
Keen,   1992).   For   empirical   evidence,  
see  Chapter  3.
The   tobacco   industry   works   like  
an   oligopoly   with   a   large   number   of  
consumers   and   a   few   producers.  
Seventy  percent  of  the  world’s  cigarette  
market  is  controlled  by  4  multinationals  
(Euromonitor   International,   2009).  
In   China,   however,   the   market   is  
controlled   by   only   one   company  
owned   by   the   governme nt.   In   these  
non-­competitive   markets,   instead  
of   absorbing   a   tax   increase   and

IARC  Handbooks  of  Cancer  Prevention
24reducing   its   profits,   the   industry  
can   easily   pass   it   on   to   consumers  
(leading   to   an   increase   in   price)  
without   fears   that   this   would   lead  
to   a   switching   to   cheaper   products  
offered   by   a   competitive   company.  
In  addition,  with  the  growing  support  
to   tobacco   control   policies   and   the  
expected   decrease   in   consumption  
in   the   future,   some   suggest   that  
the  industry  will  tend  to  raise  prices  
now   and   save   its   profits   instead   of  
keeping  prices  low  to  stimulate  future  
consumption  (Becker   et  al. ,  1994).
Of   course,   such   industry  
behaviour   leads   to   larger   increases  
in   the   price   of   cigarettes,   which   is  
good  for  public  health.  However,  this  
means  more  revenues  and  power  to  
the   tobacco   industry,   revenues   that  
would   be   more   useful   if   they   ended  
up   in   the   coffers   of   the   government  
instead.
In  the  case  of  the  China  National  
Tobacco   Co.   (CNTC)   government-­
owned   monopoly,   the   relation  
between   taxes   and   prices   is   very  
different.   The   tax   policy   is   not   used  
as   an   instrument   to   influence   price,  
since   the   government   determines  
both  the  tax  and  price  levels.
If  we  compare  data  at  the  global  
level,  the  average  price  of  a  pack  of  
the   most-­sold   brand   of   cigarettes  
is   higher   in   countries   relying   only  
on   specific   excise   (2.46   US$)   than  
in   countries   relying   only   on   ad  
valorem   (1.29   US$).   The   same   is  
true   for   countries   applying   a   mixed  
system   but   relying   more   on   specific  
(3.87   US$)   than   on   ad   valorem  
(3.14   US$).   Similar   conclusions  
hold   also   if   we   account   for   the  
income   level   of   countries   (World  
Health   Organization,   2010).   This   is  
not   meant   to   hold   as   an   empirical  
justification  for  the  above  statement,  
but   it   indicates   that   specific   excises  
seem  to  lead  to  higher  prices.Impact  on  revenues  (budgetary
stability)
Both   excises   may   have   an   impact  
on   prices;;   increases   in   ad   valorem  
duties   are   likely   to   decrease   prices,  
and   vice   versa   for   specific   duties.  
Since  specific  duties  are  independent  
of   changes   in   price,   they   generally  
produce   a   more   stable   stream   of  
revenue.   Revenue   from   ad   valorem  
duties   is   dependent   on   prices,   and  
may  vary  over  time  depending  on  the  
consumer   and   producer   behaviour.  
Moreover,  forecasting  revenue  in  an  
accurate   way   may   be   very   difficult  
as   one   must   predict   changes   in  
consumer  and  producer  behaviour.
In  conclusion,  specific  duties  may  
entail  higher  prices  and  more  stable  
revenues   but   tend   to   favour   higher  
priced  and  more  appealing  brands.
Conversely,   ad   valorem   taxes  
have  several  merits  concerning  their  
impact  on  product  quality  and  variety,  
the   share   of   tax   in   the   retail   price,  
and   their   ability   to   keep   pace   with  
inflation.
Chapter   9   provides   an   in-­depth  
analysis  of  the  impact  of  tax  rates  on  
tax  revenues.
Adjustment  of  taxes  for  inflation
The   real   value   of   a   specific   tax   will  
be  eroded  by  inflation  and  therefore  
must   be   periodically   adjusted.  
Conversely,  as  they  are  value-­based,  
the  real  value  of   ad  valorem  taxes  will  
be  preserved,  as  the  tax  will  increase  
to   the   extent   that   tobacco   prices  
follow   inflation.   An   advantage   of   a  
minimum   tax   floor   (which   is   similar  
to   a   specific   duty)   is   that   it   will   be  
automatically  adjusted  for  inflation  if  
it  is  set  as  a  percentage  of  the  excise  
due   on   a   premium   price   category  
subject   to   ad   valorem   taxation   (e.g.  
the   most   popular   price   category  
(MPPC)  in  most  EU  Member  States).Impact  on  variety  of  products
Specific  duties  provide  incentives  for  
more   appealing   and   higher-­priced  
products  as  well  as  a  greater  variety  
of   products.   Upgrading   effects  
of   specific   taxes   will   reduce   the  
relative   tax   burden   on   high   quality  
products,   which   provides   incentives  
for   higher   quality   and   greater  
variety   of   products.   Conversely,   the  
multiplier   effect   under   ad   valorem  
duties   provides   a   disincentive   to  
costly   quality   improvements.   From  
a   tobacco   control   and   prevention  
perspective,   a   higher   quality   and  
greater   variety   of   products   are   not  
desirable,   as   these   increase   the  
attractiveness  of  tobacco  products.
Industry  profits  and  the  share  
of  taxes  in  the  retail  price
The   theory   suggests   that   profits  
are   relatively   higher   under   specific  
taxation  (Delipalla  and  Keen,  1992).  
Specific  duties  will  entail  a  relatively  
lower  tax  burden  on  premium  brands  
as   compared   to   cheaper   brands.  
Ad  valorem  duties  ensure  the  same  
tax   burden   for   all   price   categories.  
In   particular   in   premium   markets,  
specific   duties   may   entail   a   lower  
average   price/tax   ratio.   In   high-­
income   countries   with   similar   price  
levels,   countries   relying   on   specific  
duties  have  on  average  a  lower  share  
of  tax  in  the  retail  price.  On  average,  
the   pre-­tax   prices   are   in   all   income  
groups  the  highest  in  countries  with  
specific   duties   only,   and   the   lowest  
in   countries   with   mixed   systems.  
Countries   with   mixed   systems  
have,   apart   from   the   low-­income  
economies,  the  highest  share  of  tax  
in  the  retail  prices.
Tax   authorities   may   prefer   ad  
valorem  duties  to  maximize  the  share  
of   tax   in   the   retail   price.   Assuming  
identical  price  levels,  this  would  lead  
to   higher   tax   revenues.   However,

25Overview  of  tobacco  taxationad  valorem  duties  may  render  price  
and   tax   policies   more   vulnerable   to  
industry  pricing  policies  and  changes  
in  consumer  behaviour.
Other  considerations:  
industry  characteristics
Specific   duties   tend   to   favour   more  
expensive   products.   Conversely   ad  
valorem   duties   will   entail   a   higher  
absolute  amount  of  tax  for  premium  
market   segments   as   compared   to  
cheaper   brands.   The   relative   price  
differentials   between   pre-­tax   prices  
will   under   ad   valorem   systems   be  
better   reflected   in   the   tax-­inclusive  
consumer   prices.   Depending  
on   the   industry   characteristics,  
governments   may   prefer   one   tax  
over  the  other.  In  particular  in  highly  
concentrated  markets,  where  around  
80%   of   the   price   of   cigarettes  
consists   of   tax   (excise   and   VAT)  
and  where  there  is  to  a  large  extent  
a   ban   on   product   advertising,   a  
certain   level   of   ad   valorem   duties  
will  contribute  to  a  more  competitive  
environment,   usually   translated   into  
lower  pre-­tax  prices.  To  balance  the  
tax   burden   on   the   different   market  
segments,   countries   may   opt   for   a  
mixed  system.
However,   the   appropriate  
balance   is   a   very   controversial  
issue.  In  some  countries   ad  valorem  
duties   are   advocated   to   protect   the  
cheaper   domestic   brands   against  
more   expensive   but   more   attractive  
international   brands.   Others  
countries   with   plants   manufacturing  
international  brands  will  for  a  similar  
reason   prefer   specific   duties.  
Moreover,   the   current   tax   structure  
is  often  a  holdover  from  a  past  when  
tobacco  manufacturing  played  a  more  
important  role  (e.g.  the  southern  EU  
Member  States  still  rely  mainly  on   ad  
valorem  duties,  although,  apart  from  
Greece,  the  domestic  production  has  
disappeared  over  time).Administration  and  enforcement
If   the   administrative   capacity   of   a  
country  is  weak,  specific  duties  may  
have   the   advantage   that   it   is   easier  
to   determine   the   physical   quantity  
(number   of   cigarettes,   weight   of  
the   tobacco)   than   the   value   of   the  
products.   Ad  valorem  duties  require  
some   monitoring   of   prices   for  
reasons   of   tax   collection.   In   some  
countries   (e.g.   Philippines   and   the  
Russian   Federation),   ad   valorem  
duties   have   involved   valuation  
problems   because   manufacturers  
had  the  potential  to  sell  their  products  
to   a   related   wholesale   company   at  
artificially  low  prices  (transfer  pricing)  
to  reduce  excise  duties  (World  Health  
Organization,   2010).   However,   in  
these   countries   ad   valorem   duties  
were   levied   on   ex   factory   prices.   In  
the  EU,  where   ad  valorem  duties  are  
levied  on  the  maximum  retail  selling  
price   to   the   final   consumer,   such  
problems  have  not  been  reported.
On  the  other  hand,  under  specific  
taxation   the   manufacturer   can  
manipulate  the  length  of  the  cigarette  
or   the   size   of   the   pack   to   reduce  
the   excise   duties.   For   example,   in  
the   EU,   to   reduce   the   excise   duties  
on   cigarettes,   new   products   have  
been   marketed   consisting   of   rolls  
of   18   cm   and   separate   filter   tubes  
(Commission   of   the   European  
Communities,   COM(2008)   460/2)  
(European  Commission,  2008b).  The  
rolls  are  subsequently  cut  into  three  
pieces  by  the  consumer  and  inserted  
in  the  filter  tubes;;  as  for  tax  purposes  
the  maximum  length  of  cigarettes  is  9  
cm,  three  cigarettes  are  taxed  as  two.  
Moreover  in  many  countries,  in  reply  
to  tax  increases,  manufacturers  have  
reduced  the  number  of  cigarettes  per  
pack  (e.g.  17,  18  or  19  instead  of  20  
pieces)   to   maintain   the   same   price  
per  pack  (unpublished  data:  Internal  
Reports   from   EU   Member   States   to  
the  EC).The   choice   between   ad   valorem  
duties  and  specific  duties  is  a  long-­
standing  and  controversial  issue.  To  
have  the  best  elements  of  both,  it  is  
possible   to   combine   an   ad   valorem  
with  a  specific  tax.  A  so-­called  mixed  
structure   applies   an   ad   valorem  
and   a   specific   duty   to   all   tobacco  
products.   Mixed   systems   can   give  
preference   to   more   ad   valorem   or  
to   more   specific   duties   depending  
on   the   desired   effects.   The   more  
the   structure   relies   on   the   specific  
duties,  the  more  the  upgrading  effect  
will   come   into   play.   The   more   the  
structure  relies  on   ad  valorem  duties,  
the  more  the  multiplicator  effect  will  
come  into  play  and  the  more  excise  
duties  will  be  automatically  adjusted  
for  inflation.
Ad   valorem   excise   duties   or  
mixed   excise   duties   can   also   be  
combined  with  a  minimum  tax  floor.  
Minimum   excise   duties   are   similar  
to   specific   excise   duties   and   are   a  
fixed   monetary   amount   per   quantity  
or   volume   that   ensures   a   minimum  
tax   floor.   The   effects   of   a   minimum  
tax  floor  are  similar  to  specific  duties;;  
however   they   tend   to   apply   only   to  
lower-­   and   medium-­priced   brands.  
Premium   brands   will   remain   taxed  
at   the   ad   valorem   rate   or   mixed  
rate,   which   ensures   a   higher   tax  
burden   as   compared   to   a   purely  
specific  system  and  a  disincentive  for  
quality   improvements.   Over   the   last  
decade,  24  EU  Member  States  have  
introduced  such  a  minimum  tax  floor.  
In  most  cases  they  are  a  percentage  
(in  general  between  95%  and  105%)  
of   the   taxes   due   on   the   weighted  
average  price  or  on  the  most  popular  
price   category   (unpublished   data:  
Internal   Reports   from   EU   Member  
States  to  the  EC).  If  these  reference  
prices  change,  the  minimum  tax  floor  
will   be   adjusted.   As   the   ad   valorem  
duty   will   apply   to   these   reference  
prices,  the  minimum  tax  floor  will  at  
least  partly  be  adjusted  for  inflation.

IARC  Handbooks  of  Cancer  Prevention
26In  conclusion,  provided  the  minimum  
tax  floor  is  set  at  an  appropriate  level,  
this  structure  will  combine  a  high  price  
and  tax  level  for  lower-­  and  medium-­
priced   brands   with   a   relatively   high  
tax  price  ratio  for  premium  brands.
Table   2.4   summarizes   the  
differences   between   structures   of  
excise  duties  and  their  impact.
Earmarking  of  tobacco  tax  
revenues
With   the   challenges   governments   of  
low-­   and   middle-­income   countries  
face  to  finance  their  health  systems,  
and   the   additional   problems   the  
recent   financial   crisis   has   imposed,  
developing   innovative   means   of  
financing   has   become   an   essential  
issue   to   address   to   ensure  
sustainability  and  autonomy  of  health  
care.   Earmarking   or   dedicating  
tobacco  taxes  for  health  programmes  
is  a  promising  efficient  way  of  raising  
resources  internally.
Earmarked   taxes   are   general   or  
special  taxes  committed  to  support,  or  
fully   fund,   pre-­specified   expenditure  
items   (Gwilliam   and   Shalizi,   1996).  
Earmarking   can   be   weak   (purely  
a   formal   undertaking   to   make   the  
system   more   transparent   and   to   inform  
the  taxpayer  of  the  cost  of  a  service)  
or   strong   (revenue   determines  
expenditure),  wide  (covering  a  whole  
spending   programme)   or   narrow  
(specific  project  within  a  programme)  
(Wilkinson,  1994).
Countries   around   the   world  
earmark   part   or   all   of   their   tobacco  
taxes   to   a   specific   programme  
or   activities   (e.g.   Ecuador,   Egypt,  
Estonia,  Finland,  Korea  and  Thailand).  
This   is   also   the   case   for   several  
US   states   like   Arizona,   California,  
Massachusetts   and   Oregon.   More  
than   20   countries   specifically  
use   their   tobacco   taxes   for   health  
programmes,   mainly   for   tobacco  
control  or  health  promotion.  Chapter  9  provides  an  overview  of  studies  of  
the   effectiveness   of   earmarking   on  
tobacco  use  and  health  improvement.
Recently,   the   Taskforce   on  
Innovative  International  Financing  for  
Health   Systems—established   from  
2008  to  2009  and  chaired  by  United  
Kingdom   Prime   Minister   and   World  
Bank   President—recommended  
exploring   the   technical   viability   of  
solidarity  levies  on  tobacco.  Assuming  
that  a  broad  range  of  countries  would  
participate  in  the  increase  of  tobacco  
taxes,   the   revenues   generated  
would   be   substantial   (Taskforce   on  
Innovative   International   Financing  
for   Health   Systems,   2009).   This  
demonstrates  the  increasing  political  
support  for  such  type  of  financing  and  
the   importance   of   tobacco   taxation,  
particularly  for  countries  with  limited  
resources.   The   benefit   of   such  
practices   will   be   double:   reducing  
consumption   and   funding   health  
systems,   both   leading   to   improved  
public  health.
Conclusions
Worldwide   different   types   of   taxes  
apply   to   tobacco   products,   with  
different  tax  levels  (rates)  contributing  
to   significant   price   differentials.  
Historically,   revenue   generation   has  
been   the   primary   aim   of   tobacco  
taxation.  However,  more  and  more  the  
retention   and   the   increase   of   excise  
duties   on   tobacco   products   aims   to  
improve   public   health   by   reducing  
tobacco  consumption  and  the  external  
cost   of   smoking.   Nonetheless,  
when   determining   taxation   policy,  
governments   will   take   into   account  
other,   at   times   competing,   political,  
social   or   economic   considerations.  
These   considerations   are   often  
reflected   in   the   applicable   tax  
structure  and  rates.
Moreover,   the   tax   levels   are  
in   general   directly   related   to   the  
income   levels,   with   high-­income  countries  having  high  taxes  and  vice  
versa.   Simultaneously,   high-­income  
countries   tend   to   favour   specific  
excise  tax  structures,  while  low-­  and  
middle-­income   countries   rely   more  
on  ad  valorem  excise  taxes.
Given   the   structure   of   tobacco  
market  globally,  specific  excise  taxes  
generally   result   in   higher   tobacco  
product   prices.   In   these   markets,  
specific   excises   can   increase  
tobacco   companies’   pricing   power,  
raise   profits   and   increase   market  
concentration.
Some   countries   have   designed  
more  complex  taxation  structures  in  
an  attempt  to  find  a  balance  between  
budgetary,   health   and   competition  
objectives.
About  75%  of  the  world’s  tobacco  
product   market   is   accounted   for  
by   cigarettes.   However,   in   some  
countries   tobacco   products   other  
than   cigarettes   have   an   important,  
sometimes  significant,  market  share.  
Tax   levels   are   often   much   lower  
on   these   products   as   compared  
to   cigarettes.   Differential   rates   are  
applied  on  different  tobacco  products  
and  even  sometimes  within  the  same  
product   category,   resulting   in   price  
gaps   and   opportunities   for   product  
substitution  to  lower-­taxed  products.  
Applying   a   similar   tax   level   would  
reduce   the   incentive   for   substitution  
and   increase   the   effectiveness   of  
taxation   policy   in   reducing   tobacco  
use.
Given   their   important   revenue-­
generating   potential,   in   some  
countries,  parts  or  all  of  tobacco  tax  
revenues   have   been   used   to   fund  
health   or   tobacco   control   activities.  
This   practice   can   be   adopted   in  
low-­resource   countries   as   a   way   to  
strengthen   existing   health   systems,  
as   proposed   by   the   Taskforce   on  
Innovative  International  Financing  for  
Health  Systems  (2009).

27Overview  of  tobacco  taxationTable  2.4.    Comparison  of  structures  for  excise  duties
Effect  on  prices Specific  excise Ad    valorem MixedAd    valorem  with  a  specific  
minimum  floor  Mixed  with  a  specific  
minimum  floor
Tax/price  structure  
Impact  on  prices Tends  to  entail  relatively  
higher  prices
Tax  increases  may  lead  to  
“over  shifting”  or  upwards  
product  substitutabilityRelatively  lower  prices  
compared  to  specific
Tax  increases  may  entail  
down  trading  or  price  
reductions  (“under  shifting”)The  effect  will  depend  on  
which  element  ( ad  valorem  or  
specific)  prevailsThe  minimum  tax  functions  as  a  specific  duty  and  ensures  
a  relatively  higher  price  level  for  low-­  (and  medium-­)  priced  
products
Inflation Real  value  will  be  eroded  by  
inflation,  unless  adjusted  in  
line  with  inflationThe  real  value  will  be  
preserved  as  prices  increase  
to  the  extent  that  tobacco  
prices  follow  inflationReal  value  of  the  specific  
element  will  be  eroded  by  
inflationReal  value  of  the  minimum  
floor  will  be  eroded  by  
inflationReal  value  of  the  specific  tax  
and  the  minimum  floor  will  be  
eroded  by  inflation
The  minimum  floor  may  be  (partly)  adjusted  for  inflation  if  it  is  
a  percentage  of  the  excise  due  on  WAP  or  of  a  premium  price  
category  subject  to  ad  valorem  taxation  (e.g.  the  MPPC  in  
most  EU  Member  States).
Consumers:  
quality  and  varietySpecific  excise Ad    valorem MixedAd    valorem  with  a  specific  
minimum  floor  Mixed  with  a  specific  
minimum  floor
Impact  on  product  quality  and  
variety  Upgrading  effects  tend  to  
reduce  the  relative  tax  on  
high  quality  products,  which  
provide  an  incentive  for  
higher  quality  and  greater  
variety  of  productsThe  multiplier  effect  provides  
a  disincentive  to  costly  quality  
improvementsThe  effect  will  depend  on  
which  element  ( ad  valorem  or  
specific)  prevailsThe  multiplier  effect  of  the   ad  
valorem  element  provides  a  
disincentive  to  costly  quality  
improvementsThe  multiplier  effect  of  the   ad  
valorem  element  provides  a  
disincentive  to  costly  quality  
improvements
Revenue   Specific  excise Ad    valorem MixedAd  valorem  with  a  specific  
minimum  floorMixed  with  a  specific  
minimum  floor
Budgetary  stability/  ability  to  
forecast  More  stable  as  compared  to  
ad  valorem .  Easy  to  forecastVulnerable  to  changes  in  
consumers  and  producers’  
behaviour  Difficult  to  forecastMore  specific  or  a  minimum  tax  floor  will  entail  more  budgetary  stability
The  real  value  of  taxes  and  
pricesThe  excise  needs  to  be  
periodically  adjusted  for  
inflationThe  excise  may  have  to  be  
periodically  adjusted  for  down  
trading  or  price  reductionsThe  excise  may  have  to  be  
periodically  adjusted  for  
inflation,  down  trading  or  
price  reductionsThe  excise  may  have                        
to  be  periodically  adjusted  
for  inflation,  down  trading  or  
price  reductionsThe  excise  may  have  to  be  
periodically  adjusted  for  
inflation,  for  down  trading  or  
price  reductions

IARC  Handbooks  of  Cancer  Prevention
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Revenue   Specific  excise Ad  valorem MixedAd  valorem  with  a  specific  
minimum  floorMixed  with  a  specific  
minimum  floor
The  more  the  structure  relies  on  specific  or  minimum  duties  the  less  vulnerable  it  becomes  for  
down  trading  or  price  reductions;;  but  the  more  the  tax  can  be  eroded  by  inflation
Reduction  of  tax  induced  
cross-­border  operations  
(private  imports  and  illicit  
trade)With  the  same  tax  level  at  WAP,  a  situation  of  purely  specific  
taxation  in  one  country/jurisdiction  and  purely   ad  valorem  
taxation  in  a  neighbouring  country  could  result  in  cross-­
border  flow  for  premium  brands  from  one  country  to  a  second  
country,  with  cheap  brands  flowing  in  the  opposite  directionMixed  tax  structures  and  tax  structures  including  a  minimum  floor  are  less  vulnerable  to  cross-­
border  flow  induced  by  the  tax  structure
Administrative  requirements                                                                                      Low  as  compared  to  other  indirect  taxes  (e.g.  VAT,  sales  tax).
No  price  monitoring  required  
for  tax  purposes;;  only  the  
volume  or  weight  has  to  be  
ascertainedRequires  price  monitoring Requires  price  monitoring Requires  price  monitoring Requires  price  monitoring
Manufacturers Specific  excise Ad  valorem MixedAd  valorem  with  a  specific  
minimum  floorMixed  with  a  specific  
minimum  floor
Impact  of  taxes  on  the  profits  
of  the  tobacco  producersWill  entail  a  higher  tax/price  
ratio  for  cheaper  market  
segments  and  higher  profits  
for  the  manufacturerWill  entail  a  higher  absolute  
amount  of  tax  for  premium  
market  segments,  because  
any  increase  in  the  producer  
price  will  be  taxedThe  gap  between  tax/price  
ratio  for  the  cheaper  and  the  
premium  market  segments  
will  be  smaller  as  compared  
to  a  purely  specific  systemThe  minimum  may  ensure  a  
high  absolute  amount  of  tax  
and  consequently  a  high  tax/
price  ratio  for  cheaper  market  
segments.
The   ad  valorem  ensures  the  
desired  tax/price  ratio  for  
premium  market  segments  
(equal  to  the   ad  valorem  rate)The  minimum  floor  ensures  
a  high  tax/price  ratio  for  
cheaper  market  segments.
The   ad  valorem  element  will  
apply  to  premium  market  
segments
Market  shares  –  Protection  of  
domestic  producersTends  to  favour  premium  
brandsMay  protect  the  cheaper  
domestic  brands  against  
more  expensive  international  
brandsMore  specific  or  a  minimum  tax  floor  tend  to  favour  more  expensive  brands
WAP:  Weighted  Average  Price;;  MPPC:  Most  Popular  Price  CategoryTable  2.4.    Comparison  of  structures  for  excise  duties

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