Bulgaria Ranks Second in EU for Smoking Rates and Heart Disease Deaths

Bulgaria smoking rates

Bulgaria is facing a public health crisis, as recent statistics reveal the country has the second-highest smoking rate in the European Union (EU). This alarming trend has led to Bulgaria also ranking second in the EU for mortality from cardiovascular diseases, highlighting the urgent need for comprehensive tobacco control measures.

In an effort to address this pressing issue, health experts and policymakers are proposing a range of measures aimed at reducing smoking rates and protecting public health. One of the key proposals is to prohibit the indoor use of all tobacco products, including vapes and heating devices.

Professor Ivan Gruev, Chairman of the Bulgarian Society of Cardiologists, emphasizes the need for a broader approach to the problem, stating, “The problem should not be focused only on vapes, because we have a child who died from vaping, thousands of children smoke vapes, then switch to heating devices and as part of some kind of socialization, which in countries like ours happens in an unacceptable way.”

Professor Gruev points to France as an example of effective tobacco control, where tobacco products are sold only in specialized stores, and businesses face severe consequences if caught selling to minors. “In France, tobacco products are sold only in specialized stores, and if they catch someone selling this product to minors, their entire business will be over forever,” he notes.

One of the primary reasons behind Bulgaria’s high smoking rates is the relatively low price of cigarettes compared to other European countries. While a pack of cigarettes in Bulgaria costs around 6-7 leva (approximately €3-3.5), prices in other parts of Europe are often two or even three times higher. Experts stress that education and creating a supportive environment are crucial factors in addressing the smoking epidemic.

In addition to the proposed indoor smoking ban, other measures being considered include a complete ban on tobacco advertising and a significant increase in excise taxes on cigarettes. By making cigarettes less affordable, particularly for young people, health experts hope to discourage smoking initiation and encourage current smokers to quit.

Matthew Ma
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