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United States of America

2023
2021
2020
2019
Rank 82 from a survey of 90 countries
Global Tobacco Index Score
80

Indicators

Indicator 1: Level of Participation in Policy Development
15
Indicator 2: Tobacco Industry’s Corporate Social Responsibility Activities
5
Indicator 3: Benefits to the Tobacco Industry
10
Indicator 4: Unnecessary Interaction between Government and Industry
9
Indicator 5: Measures for Transparency
8
Indicator 6: Preventing Conflicts of Interest
10
Indicator 7: Measures that Prevent Industry Influence
19
Rank 68 from a survey of 80 countries
Global Tobacco Index Score
76

Indicators

Indicator 1: Level of Participation in Policy Development
15
Indicator 2: Tobacco Industry’s Corporate Social Responsibility Activities
5
Indicator 3: Benefits to the Tobacco Industry
9
Indicator 4: Unnecessary Interaction between Government and Industry
7
Indicator 5: Measures for Transparency
5
Indicator 6: Preventing Conflicts of Interest
12
Indicator 7: Measures that Prevent Industry Influence
19
Rank 41 from a survey of 57 countries
Global Tobacco Index Score
66

Indicators

Indicator 1: Level of Participation in Policy Development
15
Indicator 2: Tobacco Industry’s Corporate Social Responsibility Activities
5
Indicator 3: Benefits to the Tobacco Industry
9
Indicator 4: Unnecessary Interaction between Government and Industry
3
Indicator 5: Measures for Transparency
5
Indicator 6: Preventing Conflicts of Interest
10
Indicator 7: Measures that Prevent Industry Influence
19
Rank 25 from a survey of 33 countries
Global Tobacco Index Score
72

Indicators

Indicator 1: Level of Participation in Policy Development
13
Indicator 2: Tobacco Industry’s Corporate Social Responsibility Activities
0
Indicator 3: Benefits to the Tobacco Industry
9
Indicator 4: Unnecessary Interaction between Government and Industry
14
Indicator 5: Measures for Transparency
7
Indicator 6: Preventing Conflicts of Interest
10
Indicator 7: Measures that Prevent Industry Influence
19

While the USA signed the WHO Framework Convention on Tobacco Control (WHO FCTC) in 2004, it has not ratified the treaty and is therefore not a Party to the Convention. Despite this, some tobacco control measures exist at the local level. However, the tobacco industry has a strong lobby: nationwide, all 50 states have at least one lobbyist registered to represent a tobacco company.