List of Countries

United States of America

Global Tobacco Index Score
66
Indicator 1 (I1): The industry's participation in policy development
15
Indicator 2 (I2): Tobacco industry-related corporate social responsibility activities
5
Indicator 3 (I3): Benefits given to the tobacco industry
9
Indicator 4 (I4): Unnecessary interaction between government and industry
3
Indicator 5 (I5): Measures for transparency
5
Indicator 6 (I6). Preventing conflicts of interest
10
Indicator 7 (I7). 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.