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Unfortunately, few countries have banned retailer incentive programmes and many countries continue to engage with the tobacco industry.2 In 2019, British American Tobacco, which serves over 180 markets globally, strengthened relationships with retailers and distributors with loyalty and incentive programmes,3 Japan Tobacco International increased their retail presence in key markets4 and the major tobacco manufacturers in the USA spent US$7.6 billion on marketing, with most of this spending ($5.7 billion) allocated to price discounts.5 Often, underlying the promotion of tobacco products are secretive contractual agreements, contracts hereafter, between international tobacco manufacturers and tobacco retailers

Mortality rates for four cancer subtypes are publicly available at WHO Cancer Mortality Database (URL: A longer term of mortality rate for liver cancer can be obtained from the Australian Cancer Database at the Australian Institute of Health and Welfare (AIHW) (URL: Please note that the Australian Cancer Mortality data in WHO Cancer Mortality Database were provided by AIHW

High school smoking rates in Needham, Massachusetts plunged 47 percent after they raised the purchasing age to 21 years

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