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. 2021 Sep 2;32(e1):e37–e44. doi: 10.1136/tobaccocontrol-2021-056604

Table 1.

Smoking and NVP prevalence, smoking and vaping-attributable deaths, life-years lost and public health impact for both genders combined, age 18 and above, 2021–2060

Status quo scenario
Category Category/year 2021 2026 2060 Cumulative impact*
Prevalence Menthol smoker 5.4% 4.5% 2.4% −55.7%
Non-menthol smoker 7.1% 5.7% 2.7% −62.6%
Total smokers† 12.6% 10.2% 5.1% −59.6%
Former smoker 19.4% 18.4% 9.2% −52.7%
Exclusive NVP user‡ 3.5% 4.7% 5.8% 64.4%
Former NVP user 0.2% 0.6% 4.6% 1972.5%
Smoking and vaping-attributable deaths§ Menthol smoker 77 455 74 136 39 418 2 402 279
Non-menthol smoker 122 242 106 124 37 923 2 909 245
Former smoker 175 798 189 490 192 368 8 500 851
Exclusive NVP user‡ 5031 7296 11 032 392 107
Former NVP user 0 0 1717 12 811
Total 380 525 377 046 282 457 14 217 294
Life-years lost Menthol smoker 1 335 250 1 242 012 556 131 37 846 630
Non-menthol smoker 1 949 502 1 655 744 581 810 45 122 020
Former smoker 1 323 247 1 404 460 1 050 414 53 496 563
Exclusive NVP user 86 635 122 874 181 241 6 494 346
Former smoker-NVP user 85 815 117 704 50 734 4 246 249
Former NVP user 0 2 32 110 278 716
Total 4 694 635 4 425 092 2 401 706 143 238 275
Menthol ban scenario
Category Category/year 2021 2026 2060 Cumulative impact*
Prevalence Menthol smoker 5.4% 0.3% 0.1% −98.5%
Non-menthol smoker 7.1% 8.4% 4.2% −40.9%
Total smokers† 12.6% 8.7% 4.3% −65.7%
Former smoker 19.4% 19.1% 9.2% −52.4%
Exclusive NVP user‡ 3.5% 5.7% 7.4% 108.0%
Former NVP user 0.2% 0.6% 5.6% 2418.0%
Smoking and vaping-attributable deaths§ Menthol smoker 77 455 6792 2557 271 469
Non-menthol smoker 122 242 151 299 55 379 4 157 520
Former smoker 175 798 191 098 195 744 8 620 599
Exclusive NVP user 5031 10 768 12 859 499 475
Former smoker-NVP user 5011 10 640 6815 413 819
Former NVP users 0 0 1895 14 010
Total 380 525 359 958 268 435 13 563 073
Life-years lost Menthol smoker 1 335 250 111 678 30 555 4 174 157
Non-menthol smoker 1 949 502 2 403 756 841 520 64 926 659
Former smoker 1 323 247 1 424 993 1 065 194 54 531 402
Exclusive NVP user‡ 86 635 122 874 181 241 6 494 346
Former smoker-NVP user 85 815 168 033 56 050 5 418 265
Former NVP user 0 2 35 817 306 840
Total 4 694 635 4 113 651 2 182 890 131 927 198
Difference between menthol status quo and menthol ban scenario
Relative reduction in prevalence Menthol smoker −92.5% −96.5%
Non-menthol smoker 47.4% 58.0%
Total smokers† −14.7% −15.1%
Total NVP users‡ 22.6% 26.5%
Gain Averted deaths 17 088 14 022 654 221
Averted life-years lost 311 441 218 817 11 311 077

*The cumulative impact is measured in terms of the relative change from 2021 to 2060 for prevalence rates (ie, (2060–2021)/2021) and the sum of the smoking and vaping-attributable deaths or life-years lost over the years 2021 through 2060.

†Total smokers include menthol and non-menthol smokers.

‡Exclusive NVP users include de novo exclusive NVP users and former smokers now using NVPs.

§The number of smoking and vaping-attributable deaths and life-years lost is rounded to the nearest integer.

¶The difference between the Status quo and Menthol ban scenarios includes the comparisons for prevalence in relative terms and for health gains in absolute terms. Relative reduction in prevalence is measured as the relative difference between the status quo scenario and the menthol ban scenario (ie, (postban–preban)/preban) in years 2026 and 2060; the health gain is measured as the change in averted deaths and life-years lost from the Status quo scenario and the Menthol ban scenario.

NVP, nicotine vaping product.