Pakistan

Project and Country Background

Browse packs from Pakistan

Pakistan has a population of 220.9 million people; 14.5 percent of the adult population (15+, age standardized) and 7.2 percent of the youth population (13-15 years old) smoke tobacco products.¹ ² ³ An estimated 134,298 people died in Pakistan in 2019 from diseases caused by smoking.⁴

TPackSS worked with in-country collaborators to purchase cigarettes and bidis in three major cities: Islamabad, Karachi and Lahore. Within each city, packs were collected from a sample of 12 economically and socially diverse neighborhoods. Data collectors purchased one of every unique cigarette and bidi pack available from vendors selected in each neighborhood. From November 25 to December 4, 2013, data collectors purchased 394 unique cigarette and bidi packs. Then from December 9, 2019 to January 9, 2020, data collectors purchased 185 unique cigarette and bidi packs.  

The tobacco packaging and labeling requirements in effect at the time of data collection were used to assess each tobacco pack’s compliance with the requirements.  

Suggested Citation for Information on this Page: Tobacco Pack Surveillance System (TPackSS). Pakistan: Project and Country Background. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health. http://globaltobaccocontrol.org/tpackss/country/pakistan [Insert Last Updated Date].

The TPackSS website and resources will provide us with valuable data for further research, and provide evidence and information on available tobacco products. This will eventually help us have stronger tobacco control regulations in our country.

Dr. Amina Khan, The Initiative CEO and Public Health Consultant

Packaging and Labeling Requirements Summary

Data collection dates Type of warning Warning label size and layout Number of warnings to be displayed Rotation Rules for misleading descriptors Other requirements

Nov. 25 to Dec. 4, 2013

[394 unique packs collected]

Picture and Text

40% of front, 40% of back

1

Intended to be changed every year

None

None

Dec 9, 2019 to Jan. 9, 2020 

[185 unique packs collected] 

Picture and Text 

60% of front, 60% of back

1

Intended to be changed every year

None

None

Tobacco packaging and labeling in Pakistan is regulated under the Cigarettes (Printing of Warning) Ordinance. The Cigarettes (Printing of Warning) Ordinance was passed in 1979 and updated in 2009 with SRO86 (KE)/2009 and SRO87 (E)/2009. SRO86 (KE)/2009 and SRO87 (E)/2009 establish standards for warning texts and images.⁵


  1. WHO report on the global tobacco epidemic, Country profile Pakistan. (2021). Retrieved April 18, 2022  from https://www.who.int/publications/m/item/tobacco-pak-2021-country-profile
  2. WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Web Annex 10 WHO prevalence estimates. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. from https://www.who.int/publications/i/item/WHO-HEP-HPR-TFI-2021.10
  3. WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Web Annex 11.3 Youth surveys-tobacco use and smoking. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. from https://www.who.int/publications/i/item/WHO-HEP-HPR-TFI-2021.11.3
  4. Global Burden of Disease Study 2019 (GBD 2019) Results by Location, Cause, and Risk Factor. Retrieved April 18, 2022 from https://vizhub.healthdata.org/gbd-compare/
  5. Tobacco Control Laws Country Details for Pakistan: Packaging and Labeling. (2020). Retrieved April 18, 2022 from http://www.tobaccocontrollaws.org/legislation/country/pakistan/pl-health-warnings