RT Journal Article SR Electronic T1 Illicit cigarette trade in the cities of Pakistan: comparing findings between the consumer and waste recycle store surveys JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 635 OP 641 DO 10.1136/tobaccocontrol-2020-056386 VO 31 IS 5 A1 Amina Khan A1 Fiona Dobbie A1 Kamran Siddiqi A1 Saeed Ansaari A1 S M Abdullah A1 Romaina Iqbal A1 Zohaib Khan A1 Salman Sohail A1 Mona Kanaan A1 Rumana Huque A1 Ziauddin Islam A1 Melanie Boeckmann A1 Hana Ross YR 2022 UL http://tobaccocontrol.bmj.com/content/31/5/635.abstract AB Background Concerns about the magnitude of illicit cigarette trade have prevented the Government of Pakistan from increasing tobacco taxes. We estimated the proportion of illicit cigarettes sold in Pakistani cities. Moreover, we compared two methods for collecting cigarette packs and investigated if the illicit cigarette trade equates to tax evasion.Method We analysed cigarette packs collected from 10 cities of Pakistan using two methods: consumer survey based on a two-stage random sampling strategy to recruit adult smokers and photograph their cigarette packs and waste recycle store survey to purchase used cigarette packs. Cigarettes were considered illicit if any one of the following was absent from their packs: text and pictorial health warning, underage sale prohibition warning, retail price and manufacturer’s name. From the consumer survey, we also estimated the proportion of smokers who purchased loose cigarettes (illegal) and packs below the minimum retail price. Taxation officers (n=4) were consulted to assess their level of confidence in judging tax evasion using the above criteria.Results Out of 2416 cigarette packs in the consumer survey, 454 (17.8%; 95% CI 15.4% to 20.2%) were illicit. Similarly, out of 6213 packs from waste recycle shops, 1046 (16.8%; 95% CI 15.9% to 17.7%) were illicit; the difference was not statistically significant (p=0.473). Among consumers, 29.5% bought loose cigarettes and 13.8% paid less than the minimum retail price. The taxation officers considered the manufacturer’s name and retail price on cigarette packs as the most relevant criteria to detect tax evasion.Conclusions One in six cigarette packs consumed in Pakistan could be illicit. These figures are far less than those propagated by the tobacco industry. Collecting packs from waste recycle stores is an efficient and valid method to estimate illicit cigarette trade.Data are available upon reasonable request.