Pakistan's Struggle to Regulate Alternative Tobacco Products

• Pakistan lacks comprehensive regulation for alternative tobacco products.
• There is a regulatory gap on the supply side, despite demand-side measures.
• Many countries have implemented bans or restrictions on e-cigarettes and related products.
• Pakistan has seen a rise in vape shops and imports, often through unofficial channels.
• Establishing a legal framework and safety standards is crucial for Pakistan.
• Public education and healthcare provider training are essential for harm reduction.
• Learning from international best practices can guide Pakistan's policy development.

Effective regulation of alternative tobacco products is vital for protecting public health, especially among youth who are attracted to flavored and accessible options.

Without proper policies, there is a risk of increased tobacco use and related health issues, making it a critical public health concern for Pakistan.

Regulating alternative tobacco products is essential to prevent youth initiation, reduce overall tobacco consumption, and minimize health risks associated with vaping and nicotine use.

Public health efforts must focus on education, harm reduction, and establishing safety standards to mitigate potential harms.

Developing comprehensive policies that include regulation, enforcement, and public education is crucial for Pakistan to control the spread of alternative tobacco products.

Learning from international examples can help shape effective legislation and harm reduction strategies.

This is an easy explainer based on available article information, highlighting Pakistan's current challenges and potential strategies for regulating alternative tobacco products to protect public health.

Pakistan has been unable to come up with regulation regarding alternative tobacco products – electronic cigarettes and nicotine pouches. There have been calls to ban these alternative tobacco products. The Punjab government did ban the outlets selling electronic cigarettes, but the Lahore High Court overturned the ban. 

It called for immediate closure of all vaping centers across the province. A bill has been submitted in the Senate, the upper house of parliament, which calls for extending prohibitions in the 2002 tobacco ordinance to Electronic Nicotine Delivery Systems. It also calls for the use of ENDS in public places and vehicles, restricting and regulating their sale to minors, banning advertisements inconsistent with prescribed guidelines, and prohibiting storage, sale, or distribution near educational institutions. 

Since 2015, Pakistan has witnessed a steady increase in the sale and use of electronic cigarettes and a significant increase in the sale and use of nicotine pouches. Unlike rest of the countries globally, Pakistan has not taken any concrete steps to regulate the use of alternative tobacco products. 

Pakistan enforces demand-side measures—such as prohibiting sales to minors, banning single-stick sales, and mandating health warnings—there remains a significant regulatory gap on the supply side. This vacuum is especially evident with emerging products like flavoured vapes, which are designed to attract younger users and have witnessed rapid market expansion in the absence of targeted legislation.

As of mid-2025, 46 countries have implemented comprehensive bans on the sale and distribution of electronic cigarettes (e-cigarettes or vapes). However, these bans vary in scope—some prohibit only sales, while others also restrict possession and use. On the other hand, 87 countries all sales but impose restrictions. These include age restrictions, flavor bans, advertising and sponsorship prohibitions, public use limitations, and packaging and labeling requirements.  Seventy four countries have no specific regulations on e-cigarettes, often due to legislative gaps or enforcement challenges. 

Notably, some bans are partial or region-specific.  Malaysia bans nicotine-containing vapes in most states but has a thriving market for non-nicotine products, while Australia allows nicotine vapes only via prescription. UK plans to ban disposable vapes by 2025, not all e-cigarettes. 

The mushrooming of vape shops in the metropolitans such as Karachi, Lahore, Islamabad, and Rawalpindi is becoming a source of concern, and hence the calls for banning them. Though there are no exact estimates are available on the number of vape shops, estimates show more than 800 outlets across Pakistan. 
 
According to the Pakistan Bureau of Statistics, Pakistan legally imported 750,590 e-cigarettes and vaporizers between July 2023 and June 2024, with primary shipments originating from China, Hong Kong, Malaysia, the United Kingdom, and Russia. These figures reflect only documented imports—unofficial channels, particularly from China, are believed to account for a substantial volume of additional devices brought into the country through smuggling. 

First things first, Pakistan needs to establish a clear legal framework for the sale and use of alternative tobacco products. This legal framework should be sensibly regulating these products, mainly relying on the continuum of risks associated with these products. Currently, the alternative products are used in a policy vacuum. There is a need for defining these products and their categories. Differentiate between e-cigarettes, nicotine pouches, heated tobacco, and oral tobacco. This should be followed by requiring importers, manufacturers, and retailers to register and comply with safety standards. Age restrictions should be finalized and implemented strictly. The minimum age for the purchase and use of these products should be 18+. 

The next important step is quality control. There should be mandatory testing for nicotine concentration, contaminants, and labeling accuracy. Packaging regulations such as health warnings, usage instructions, and child-resistant features should be introduced and implemented. The most critical aspect is monitoring the imports and sale of these products. The availability of customs data and retail audits will help monitor legal and illicit flows. 

Apart from these measures, there is an urgent need for educating the public about these products to clarify the risks and relative harm of vaping vs. smoking. To ensure that these products are used sensibly, healthcare providers should be trained. There is a need to equip doctors and counselors to guide smokers toward safer alternatives. Most importantly, Pakistan needs to study the experiences of the UK, Sweden, and New Zealand. These countries have successfully integrated harm reduction into tobacco control.