Original Article

Illicit Tobacco Trade in Iran: Policy Implications for a Reform Roadmap

Abstract

Introduction

Illicit trade in tobacco products (ITT) undermines tobacco control, public health, and government revenues. In the Islamic Republic of Iran, illicit tobacco trade remains widespread despite accession to the World Health Organization (WHO) Protocol to Eliminate Illicit Trade in Tobacco Products (ITP), indicating persistent implementation gaps.

Methods

A mixed-methods policy and systems analysis was conducted, including a review of national legislation, policy documents, and WHO reports; two national technical consultative meetings; twelve semi-structured expert interviews; and a comparative review of international experiences in countries that have successfully reduced illicit tobacco trade. Qualitative data were analyzed thematically and mapped against WHO-ITP obligations.

Results

Illicit tobacco trade in Iran is large-scale and structurally embedded, accounting for an estimated 20–30% of cigarette consumption, more than 50% of flavored waterpipe tobacco, and nearly all emerging nicotine products. Key drivers include fragmented governance, absence of a fully government-controlled and industry-independent track-and-trace system, incomplete supply-chain licensing, weak deterrence against organized smuggling networks, and limited protection from tobacco industry interference. Evidence from other countries indicates that enforcement-only approaches are insufficient without integrated governance and supply-chain transparency.

Conclusion

Illicit tobacco trade in Iran reflects systemic governance and policy failures rather than border weaknesses. Comprehensive, WHO-ITP compliant reforms integrating governance restructuring, independent track-and-trace systems, and targeted enforcement are essential. The proposed policies offer a realistic pathway to reduce illicit tobacco trade while strengthening public health and fiscal integrity.

IssueVol 55 No 3 (2026) QRcode
SectionOriginal Article(s)
Keywords
Illicit Tobacco Trade Tobacco Control Policy Governance and Regulation WHO Protocol to Eliminate Illicit Trade in Tobacco Products Iran

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Shoghli A, Valizadeh B, Ostovar A, Mohammadi Amid Abadi S, Ghanbari MK, Amlashi Guilani M, Gholami S, Shoghli N, Raeisi A, Maleki A, Beigrezaee S. Illicit Tobacco Trade in Iran: Policy Implications for a Reform Roadmap. Iran J Public Health. 2026;55(3).