This is a list of countries by annual per capita consumption of tobacco cigarettes.

Cigarettes are smoked by over 1.1 billion people. While smoking rates have leveled off or declined in developed nations, in developing nations tobacco consumption continues to rise at a rate of around 3.4% per annum. citation needed

Smoking rates in the United States have dropped by half from 1965 to 2006 falling from 42% to 20.8% of adults, 1 with further significant decline to 18 percent by 2012. 2 There are large regional differences in smoking rates, with Kentucky, West Virginia, Oklahoma and Mississippi topping the list, and Idaho, California and Utah at significantly lower rates. 3

In Australia the incidence of smoking is in decline, with figures from 2011 13 showing 16.1% of the population (over 18) to be daily smokers, a decline from 22.4% in 2001. Young adults are the most likely age group to smoke, with a marked decline in smoking rates with increasing age. The prevalence of smoking is strongly associated with socioeconomic disadvantage low earners , with over double the rate in the most disadvantaged quintile of the population as compared to the least. 4

List edit Ranking Country Number of cigarettes
per adult per year 1 Serbia 2,869 2 Bulgaria 2,822 3 Greece 2,795 4 Russia 2,786 5 Moldova 2,479 6 Ukraine 2,401 7 Slovenia 2,369 8 Bosnia and Herzegovina 2,278 9 Belarus 2,266 10 Montenegro 2,157 11 Lebanon 2,138 12 Czech Republic 2,125 13 South Korea 1,958 14 Republic of Macedonia 1,934 15 Kazakhstan 1,934 16 Azerbaijan 1,877 17 Japan 1,841 18 Kuwait 1,812 19 Spain 1,757 20 Switzerland 1,722 21 China 1,711 22 Austria 1,650 23 Tunisia 1,628 24 Croatia 1,621 25 Armenia 1,620 26 Cyprus 1,620 27 Poland 1,586 28 Estonia 1,523 29 Hungary 1,518 30 Italy 1,475 31 Belgium 1,455 32 Denmark 1,413 33 Romania 1,404 34 Slovakia 1,403 35 Turkey 1,399 36 Malta 1,378 37 Jordan 1,372 38 Cuba 1,261 39 Albania 1,116 40 Portugal 1,114 41 Trinidad and Tobago 1,106 42 Egypt 1,104 43 Indonesia 1,085 44 Tajikistan 1,046 45 Germany 1,045 46 Argentina 1,042 47 Georgia 1,039 48 Monaco 1,038 49 Israel 1,037 50 Australia 1,034 51 United States 1,028 52 Syria 1,013 53 Ireland 1,006 54 Vietnam 1,001 55 Kyrgyzstan 942 56 Luxembourg 928 57 Iraq 864 58 Chile 860 59 France 854 60 Oman 852 61 Philippines 838 62 Libya 818 63 Canada 809 64 Saudi Arabia 809 65 Lithuania 804 66 Netherlands 801 67 Mauritius 787 68 Latvia 785 69 Andorra 784 70 Algeria 775 71 Uruguay 770 72 Brunei 751 73 United Kingdom 750 74 Sweden 715 75 Finland 671 76 Papua New Guinea 670 77 Bahrain 661 78 Iran 657 79 North Korea 650 80 Nauru 626 81 Paraguay 619 82 United Arab Emirates 583 83 Comoros 583 84 New Zealand 579 85 Seychelles 565 86 Thailand 560 87 Mongolia 555 88 Singapore 547 89 Malaysia 539 90 Namibia 534 91 Norway 534 92 Fiji 530 93 Costa Rica 529 94 Brazil 504 95 Gabon 501 96 Morocco 500 97 Venezuela 496 98 Iceland 477 99 Pakistan 468 100 South Africa 459 101 Cambodia 452 102 Uzbekistan 449 103 Laos 435 104 Nepal 420 105 Angola 414 106 Colombia 412 107 Yemen 402 108 Senegal 398 109 Equatorial Guinea 391 110 Nicaragua 377 111 Antigua and Barbuda 375 112 Mexico 371 113 Belize 367 114 Saint Vincent and the Grenadines 351 115 Barbados 344 116 Cape Verde 339 117 Dominica 339 118 Botswana 336 119 Djibouti 309 120 Togo 307 121 Swaziland 303 122 The Bahamas 288 123 Saint Kitts and Nevis 287 124 Jamaica 283 125 Qatar 281 126 Madagascar 260 127 Saint Lucia 249 128 Guatemala 235 129 Dominican Republic 234 130 Grenada 229 131 Ecuador 227 132 Honduras 217 133 El Salvador 209 134 Mozambique 200 135 Panama 197 136 Sri Lanka 195 137 Myanmar 189 138 Zimbabwe 189 139 Bolivia 179 140 Sierra Leone 177 141 Maldives 170 142 Bangladesh 154 143 Ivory Coast 148 144 Kenya 144 145 Burundi 137 146 Peru 137 147 Turkmenistan 135 148 Tanzania 132 149 Mali 127 150 Bhutan 120 151 Nigeria 116 152 Liberia 113 153 Burkina Faso 109 154 Democratic Republic of the Congo 105 155 Central African Republic 102 156 Haiti 100 157 Guinea Bissau 97 158 India 96 159 Rwanda 94 160 Cameroon 93 161 Chad 86 162 Mauritania 86 163 Gambia 85 164 Sudan 75 165 Eritrea 74 166 Zambia 74 167 Benin 71 168 S o Tom and Pr ncipe 69 169 Somalia 67 170 Lesotho 62 171 Afghanistan 61 172 Suriname 57 173 Niger 52 174 Nbc4 investigates: hazards of e-cigarettes – wcmh: news, weather, and sports for columbus, ohio

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COLUMBUS, Ohio Electronic cigarettes have become a wildly popular alternative to smoking, but an NBC4 investigation has uncovered a hidden hazard in e cigarettes that some experts said can be deadly especially for young children.

While the vapor based, battery powered e cigarettes are getting attention, few have paid attention to the liquid nicotine at the center of the device. That liquid can be dangerously concentrated and comes in flavors from chocolate to bubble gum.

Experts said the liquid could deliver a deadly dose of nicotine to a child.

NBC4‘s Duane Pohlman “If a toddler is mobile enough and gets his hands on one of these bottles and ingests it, that could kill them?”

Henry Spiller, director of the Central Ohio Poison Center “That would be our worst case scenario, yes.”

To understand the danger, it’s important to understand how the e cigarette operates.

The electronics are designed to heat up a liquid and deliver about the same dose of nicotine as you would get from inhaling from a real cigarette.

But the amount of nicotine in the liquid especially in some refillable vials has experts worried.

“It’s the dose. These are quite concentrated. The liquid can be up to 20 milligrams to 100 milligrams per milliliter,” Spiller said.

At the highest concentration, that equals the amount of nicotine in six packs of cigarettes.

“It’s nicotine, and nicotine is quite toxic,” Spiller said. “Basically, nicotine is a nerve poison.”

The liquid nicotine comes in a seemingly endless number of flavors, including bubble gum, cherry, and chocolate that are irresistible to children.

“When you’re 2 and 3 years old, it’s very attractive. You just smell it. I mean, it is bubble gum. It depends on how much they ingest and if they ingest a lot, we’re frightened,” Spiller said.

Even if the child doesn’t drink the liquid, nicotine can be absorbed directly through the skin.

At the Central Ohio Poison Center, Spiller said calls from people suffering the effects of high levels of nicotine exposure from e cigarettes are starting to increase.

The numbers increased from six in 2011, to seven in 2012, and then eight in 2013.

Already in January 2014, there were four calls on the exposure.

“We’ve had four go to the hospital. Three were discharged, one was admitted. They’re stumbling because it is a nerve toxin. They’re vomiting and have abdominal pain,” Spiller said.

There are no laws to keep the liquid away from kids, but some e cigarette establishments, like AltSmoke, a high end store on High Street, are taking every precaution.

There are child proof caps on the vials and restrictions on ages for purchasing. Only adults over 18 years old can buy the items.

They also keep doses of nicotine to a maximum of 24 mg, and warn customers to keep the liquid out of reach.

“We tell people to keep them away from their pets and children,” said Frank Cahall, of AltSmoke.

But not all outlets are as responsible, and that worries Spiller, who said the liquid nicotine is a tragic accident waiting to happen.

“We’re concerned that as these spread, as more and more of these are available in the home, the next one could be unintentional, could be a child,” Spiller said.

NBC4 spoke to Scientific Director of the Consumer Advocates for Smoke free Alternatives Association Dr. Carl V. Phillips.

While Phillips said the lethal dose of nicotine is actually higher than what many experts claim, he acknowledged that e cigarettes can be harmful if mishandled.

Phillips released the following statement to NBC4