South Africa’s vaping tax—a bold move for public health?

Electronic cigarettes, known as e-cigarettes or vapes, pose challenges and opportunities for governments, clinicians, and individuals worldwide. Debate around regulation of the vaping industry is particularly vivid in Africa.Countries such as Ethiopia, the Gambia, and Uganda have implemented comprehensive bans.1 Legislation is perhaps less contentious in these countries because of their low rates of adult tobacco smokers (around 4%, 10%, and 6%, respectively2). Mauritius, with a 21% rate of tobacco use, has also opted for a total ban.1South Africa is a major tobacco market within the continent. In 1993 smoking was prevalent among 32% of the adult population3; by 2014 it had dropped to 17.6%,4 a notable public health achievement. However, that number is now creeping up again, owing to instability in the South African Revenue Service. The period of improvement saw the disbanding of a key unit tasked with investigating the illicit tobacco trade. Consequently, the ability of the…
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