2021-12-15-世界卫生组织-Tobacco_Dominican_Republic_2021_country_profile_10页_377kb

Dominican Republic Tobacco Control Summary (WHO 2021 Report)

MPOWER Compliance Score

• Overall Compliance Score: 5/10
• Compliance measured for Monitoring, Smoke-free Environments, Cessation Programmes, Health Warnings, Advertising Bans, and Taxation.
• Data unavailable or insufficient for Media/Mass Advertising.

1. Smoke-free Environments

• Legislation exists prohibiting smoking in most health-care facilities (yes). Compliance limited (no fines for smoking directly in facilities or establishment fines levied).
• No comprehensive smoke-free legislation covering all relevant public places like work environments, educational facilities (except universities), restaurants, cafés, bars, public transport, or all other public places.

2. Cessation Programmes

• No universal health insurance coverage for NRT (Nicotine Replacement Therapy) or cessation services.
• Treatments are available but primarily through pharmacies without professional advice, with no national quit line.

3. Health Warnings

• Mandatory health warnings on cigarette packages (front and rear surface legally mandated at ~20%).
• Warnings include smokeless tobacco and e-cigarettes (ENDS).
• Warnings use standard format but lack plain packaging requirements.
• No figures suggesting "large warnings with all appropriate characteristics".

4. Mass Media Campaigns

• No government-sponsored national anti-tobacco media campaigns aired between July 2018 and June 2020.

5. Advertising Bans

• Complete ban on direct tobacco advertising across all media not upheld. Most advertising types allowed (e.g., TV, radio, print, point-of-sale, internet).
• Limited ban on promotion in some contexts (e.g., free distribution, promotional discounts), but strong indirect promotion restrictions (e.g., product placement) noted.
• Awareness campaigns, subsidies, and CSR activities related to tobacco are permitted.

6. Taxation

• High tobacco tax burden (~44.27% of the retail price of the most popular cigarette brand).
• Overall tax increased between 2010 and 2020, making cigarettes less affordable in the Dominican Peso and relatively.
• Tobacco tax revenues contribute significantly to national government funds (DOP 5.1 billion reported in 2017).
• Earmarking of specific tobacco tax proceeds for health is reported to be absent.