SAFEGUARDING THE FUTURE
Posted_Date
Image
Body
Myanmar’s Comprehensive Ban on E-Cigarettes for Public Health
Continued From yesterday
The Ministry of Health of the Republic of the Union of Myanmar issued Order 8/2026 on 18 February 2026 (3rd Waxing Day of Taboung, 1387 ME) to impose a comprehensive ban on electronic cigarettes. Exercising the authority conferred under Section 4 (a) of the Essential Supplies and Services Law, the Ministry enacted this notification in accordance with Section 9 of the said Act. The order strictly prohibits the importation, exportation, sale, possession, storage, distribution, and consumption of e-cigarettes, e-shisha, and related accessories to protect public health and prevent toxic substance addiction among young people.
The order 8/2026 now completes the architecture of Myanmar’s ENDS prohibition, adding a clear, enforceable import and export ban that gives customs officers unambiguous authority to seize prohibited products at borders and ports of entry.
Essential Contents of Myanmar’s Order 8/2026
The scope and technical precision of the order No. 8/2026 distinguish it from many earlier bans globally. Rather than a broad definitional prohibition susceptible to definitional loopholes, the Order enumerates in granular detail every product category and component part subject to the ban:
Category (a) — Electronic Cigarettes and ENDS: Mouthpieces; e-liquid containers (reservoirs, cartridges, tanks, pods); atomizers; microprocessors; batteries; chargers; charging cables; pre-filled and refillable e-liquids, including natural organic substitutes; carrying cases; cleaning tools; and all related accessories.
Category (b) — Heated Tobacco/Smoking Devices (HTPs): Holders containing heating elements and their casings; batteries; microprocessors; heating blades; heating coils; heating ovens; e-liquids and natural organic substitutes; carrying cases; cleaning tools; chargers; charging cables; and all related accessories.
Category (c) — Electronic Shisha: Mouthpieces; hoses; vases; grommets; e-liquid containers; pre- filled and refillable e-liquids, molasses, and natural organic substitutes; atomizers; microprocessors; flow sensors; batteries; chargers; charging cables; carrying cases; cleaning tools; and all related accessories.
The Order prohibits all listed items from: importation, exportation, transit, transhipment, re- exportation, storage, display, and sale — encompassing the full range of customs-related commercial activities at all border entry points throughout Myanmar.
Benefits for Myanmar’s Youth and General Public
Protecting Brain Development and Preventing Addiction
The most profound benefit of Myanmar’s e-cigarette ban is the protection it offers to the developing brains of adolescents and young adults. Nicotine is acutely neurotoxic during the critical period of brain development that extends into the mid-twenties. Nicotine exposure during adolescence permanently alters the architecture of the prefrontal cortex — the region governing decision-making, impulse control, and executive function — through its action on nicotinic acetylcholine receptors. Studies have demonstrated measurable reductions in attention, learning capacity, working memory, and impulse regulation among adolescent nicotine users. These are not temporary effects; they are permanent structural changes that disadvantage affected individuals throughout their lives.
By removing the primary supply channel of affordable, appealing nicotine products from the market, the ban directly reduces the probability that Myanmar’s young people will initiate nicotine use — and therefore protects the cognitive development and academic potential of the next generation of Myanmar’s citizens.
Preventing the Gateway to Conventional Smoking
The gateway effect of e-cigarettes is among the most robustly evidenced phenomena in tobacco research. Young people who use e-cigarettes are approximately three times more likely to transition to regular cigarette smoking than non-users. For Myanmar — already carrying a conventional tobacco burden that kills nearly 57,000 people annually — this pipeline effect would compound an existing crisis. The ban interrupts this pathway at the point of initiation, protecting Myanmar from a future in which the brief e- cigarette epidemic creates a new generation of long-term conventional smokers.
Respiratory and Cardiovascular Health Protection
The aerosol produced by e-cigarettes causes measurable respiratory and cardiovascular harm even in the short term. Ultrafine particles in the aerosol penetrate to the deepest airways, triggering inflammatory responses that, with repeated exposure, can lead to chronic bronchitis, decreased lung function, and increased susceptibility to respiratory infections, including influenza and COVID-19. Nicotine’s acute cardiovascular effects — elevated heart rate, increased blood pressure, endothelial dysfunction — elevate cardiovascular risk with every puff. The removal of these products from Myanmar’s market will prevent a cohort of respiratory and cardiovascular diseases that would otherwise have materialized in the coming decades.
Economic and Social Benefits
The economic burden of tobacco-related disease on Myanmar’s healthcare system and economy is already substantial. Every person who never initiates nicotine use through e-cigarettes represents savings in future healthcare expenditure, preserved workforce productivity, and reduced family suffering. For a health system with limited resources, prevention through supply restriction is among the most cost- effective public health interventions available. The social benefits of denormalizing vaping — reversing the re-glamorization of nicotine use that the industry engineered — are equally significant, as social norms powerfully shape youth behaviour.
Making the Ban Effective: What Must Follow
The issuance of Order 8/2026 is a necessary but not sufficient condition for effective e-cigarette prohibition. The experiences of Thailand, Singapore, and India — countries that have operated comprehensive bans for a decade or more — provide clear lessons on what transforms a policy declaration into an on-the-ground reality.
Comprehensive Legislation
The order governs border entry and exit but does not explicitly address domestic manufacture, internal trade, possession, or use. Myanmar needs dedicated ENDS legislation — ideally as an amendment to the existing Control of Smoking and Consumption of Tobacco Products Law — that covers the complete product lifecycle within the country. This legislation should specify criminal penalties, establish clear enforcement responsibilities across multiple agencies (customs, police, health inspectors, local authorities), and include provisions for asset forfeiture in large-scale trafficking cases.
Enforcement Capacity Building
Myanmar’s borders — particularly informal crossing points with China, Thailand, and India — represent the most vulnerable points for contraband vaping product entry. Investment in customs officer training, detection equipment, and intelligence-sharing arrangements with neighbouring countries’ enforcement agencies is essential. The Ministry of Commerce and the Customs Department should establish dedicated ENDS enforcement units with clear key performance indicators. Market surveillance in urban retail and online environments must be systematic, not reactive.
Online Platform Regulation
The primary marketplace for e-cigarettes in Myanmar is not the physical shop but Facebook, TikTok, Telegram, and other social media platforms. A ban that does not address online sales and promotion will be substantially undermined. Regulatory authority must be extended to require platform operators to remove ENDS listings and advertising, with penalties for non-compliance. This requires both legal authority and the technical capacity to monitor and enforce.
Public Education and Demand Reduction
Supply restriction through border control addresses availability but not demand. A comprehensive public health communication campaign — designed specifically for adolescents and young adults, delivered through the channels they actually use, and employing messages that resonate with youth values of autonomy, authenticity, and peer respect — is essential to reduce demand. The campaign should specifically counter the industry’s marketing narratives: that vaping is harmless, that it is a lifestyle choice rather than an addiction, and that it is socially desirable. Schools, universities, monasteries, community health workers, and healthcare providers all have roles to play in this communication effort.
Cessation Support for Existing Users
An unknown but significant number of Myanmar residents are already nicotine-dependent through e- cigarette use. A ban without parallel investment in cessation services will either drive these individuals towards conventional cigarettes or towards the contraband market — outcomes that undermine the public health rationale for the ban. Evidence-based cessation support — nicotine replacement therapy, brief behavioural counselling, and telephone quitlines — must be made accessible through the existing township health system.
Monitoring and Accountability
The effectiveness of the ban must be measured, not assumed. A national surveillance system — building on the existing STEPS and Global Youth Tobacco Survey frameworks — should be established to track ENDS prevalence annually among youth and adults, monitor contraband market activity, and evaluate the impact of enforcement and education interventions. This evidence base will be essential for adaptive management and for reporting to the WHO FCTC Secretariat.
Conclusion
Myanmar’s Order 8/2026 is a landmark public health measure — a decisive, comprehensive, and technically thorough prohibition on the importation, exportation, and trade in all forms of electronic smoking devices and their components. It places Myanmar firmly alongside India, Thailand, Singapore, Cambodia, and Laos in the most protective tier of global e-cigarette regulation, fulfilling Myanmar’s obligations under the WHO FCTC and acting on the urgent call of COP11.
The order arrives after years in which Myanmar’s young people were exposed to an unregulated flood of nicotine products, and after a period in which Myanmar’s robust achievements on conventional tobacco control — its globally-ranked pictorial health warning requirements and its progression towards plain packaging — were undermined by the absence of ENDS-specific measures. The ban corrects this inconsistency and restores the integrity of Myanmar’s comprehensive tobacco control framework.
But as this article has argued, the order is the beginning of a journey, not its destination. Thailand, Singapore, and India demonstrate that comprehensive bans are most effective when supported by strong domestic legislation, well-resourced enforcement, targeted public education, and accessible cessation services. Myanmar now has the policy declaration. The measure of success will be whether the institutions, resources, and political will are marshalled to make that declaration real.
E-cigarettes are not an escape from nicotine addiction. They are its newest and most seductive gateway. Myanmar has taken the right step in closing that gateway. Let us ensure the door remains firmly shut — for the health, the futures, and the freedom of Myanmar’s next generation.
The author is a public health specialist and WHO Guest Adviser who attended the WHO FCTC COP11 Conference in Geneva, November 2025.
References
1. World Health Organization. WHO Framework Convention on Tobacco Control (WHO FCTC) — Report of the Conference of the Parties, Eleventh Session (COP11). Geneva: WHO; November 2025. Available at: https://fctc.who.int/
2. World Health Organization. The global prevalence of e-cigarettes in youth: A comprehensive systematic review and meta-analysis. Geneva: WHO; 2025.
3. Myint HS, Hlaing SH, Htay N. Prevalence of e-cigarette use among tobacco smokers in six states and regions of Myanmar. Myanmar Health Sciences Research Journal. 2020.
4. Global Youth Tobacco Survey (GYTS) 2016 Data. Prevalence and determinants of tobacco use among youth in Myanmar. Atlanta: CDC/WHO; 2016.
5. Singapore Ministry of Health. FAQs on E-Cigarettes, Vapourizers and Heat-Not-Burn Tobacco Products. Singapore: MOH; 2018.
6. Republic of the Union of Myanmar, Ministry of Health, Order 8/2026: Nay Pyi Taw: 18February 2026.
7. The author. E-Cigarette Danger: A Growing Global and National Burden. Global New Light of Myanmar. Yangon: GNLM; 20 December 2025.
gnlm
