The Bhutan We Think We Know

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Paradox #60

Tobacco Banned, Vapes Imported

→ The country with one of the world's most ambitious tobacco prohibitions is now seeing its vaping market explode — by 18× in just two years. The 2010 framework is no longer fit for purpose, and 91.2% of youths still smoke traditional tobacco.

Referenced as sidebar in Chapter Seven

Bhutan was one of the first countries in the world to ban tobacco sale (2010 Tobacco Control Act)

Largely successful at the time

for traditional cigarettes

Vaporizing devices/electronic cigarettes imported into Bhutan

25,533 units in 2023 → 448,086 units in 2025 (~18× growth in 2 years)

The full numbers

Bhutan was one of the first countries in the world to enact a near-total ban on tobacco sale through the Tobacco Control Act of 2010. The Act was a global benchmark for prohibitive tobacco regulation. It was subsequently amended in 2014, then again in 2021 (after COVID-19 forced regulation due to the surge in illegal imports), and revised in 2024.

The 2026 reality (per National Health Survey 2023 and import statistics):

The Tobacco Amendment Act of 2026 (currently in Social and Cultural Affairs Committee deliberation, scheduled for 15 June 2026) attempts to bring vapes, e-cigarettes, electronic nicotine delivery systems, heat-not-burn products, and e-hookah devices under the existing regulatory framework. Recommendations include strengthening Section 11(b), adding Section 60(s) defining “Novel and Emerging Nicotine and Tobacco Products.”

Imagine this

A 16-year-old in Thimphu has never seen a Bhutanese-produced cigarette pack in a legitimate store. The Tobacco Control Act has worked at the level of traditional cigarettes — they’re banned. But the same 16-year-old has multiple vaping devices in his backpack, ordered through the same network that smuggles tobacco. Vapes are cheaper, more colourful, easier to conceal from his parents, and easier to bring to school than traditional cigarettes. He is one of the 20.2% of his cohort using emerging products. He is also probably one of the 91.2% using traditional tobacco — the two are not mutually exclusive. The 2010 prohibition was a regulatory triumph at the time. In 2026, vape imports have grown 18× in two years to nearly half a million units annually — and the regulatory framework that succeeded against traditional cigarettes has been outflanked by product innovation in the global tobacco market.

Where this came from

The 2010 Tobacco Control Act was designed for the tobacco-product technology landscape of 2010. It addressed:

It did not, and could not, anticipate:

The 2014, 2021, and 2024 amendments tried to update the framework but never fundamentally addressed the structural shift from combustible to vaporized tobacco products.

Why this matters now

The vaping market in Bhutan is at a critical inflection:

What it should be

How others do it

The question we should be sitting with

The 2010 Tobacco Control Act was rightly celebrated as one of the world’s most ambitious prohibitions. But in 2026, with 91.2% of youth smoking traditional tobacco and vape imports up 18× in two years, the policy outcome has clearly failed. Do we double down on prohibition (and what enforcement structure could match the import flow)? Or do we shift to a regulated framework? And what does the answer say about Bhutan’s broader theory of public-health policy?