Health
Dutch Health Agency Calls for New Measures to Curb Cross-Border Tobacco Purchases
The Dutch public health agency is urging the government to tighten regulations on cross-border tobacco purchases, warning that the country’s high tobacco taxes are increasingly being undermined by smokers sourcing cheaper products from abroad.
Following a significant hike in tobacco taxes in 2024 — 24% on cigarettes and 45% on rolling tobacco — the Netherlands now ranks among the highest-taxed countries for tobacco in the European Union. The measure was welcomed by health advocates as a step toward reducing smoking rates.
However, new research by the Dutch public health agency shows that while the tax hike led to some positive outcomes — with 7% of smokers quitting and another 22% cutting down — a large number of smokers responded by purchasing tobacco outside the Netherlands. According to the study, cross-border tobacco purchases surged to 60% in 2024, up from 40% in 2023 and 30% in 2020.
“Policy must focus on reducing purchases of tobacco products made abroad,” the agency stated, noting that easy access to cheaper tobacco in neighboring countries is threatening the effectiveness of domestic anti-smoking policies.
To address the issue, the agency has recommended introducing stricter limits on the quantity of tobacco products that individuals can bring into the country. It also called for the implementation of excise duties on e-cigarettes to discourage youth from taking up vaping, which it warned could serve as a gateway to traditional smoking.
The situation highlights the broader challenge facing high-income, geographically compact nations, where borders can be crossed with relative ease. While the World Health Organization (WHO) endorses tobacco taxation as one of the most effective public health tools — recommending a minimum tax rate of 75% — its impact is lessened when consumers can easily circumvent high prices.
A study published last year indicated tobacco tax increases led to a 9% drop in cigarette use in low-income countries between 2014 and 2020, compared to just 6% in wealthier nations, where cross-border purchasing is more feasible.
The Dutch agency cautioned that unless regional prices are aligned, the proportion of people attempting to quit smoking could decline. It pointed to ongoing discussions at the European Commission level, where proposals are being considered to dramatically raise tobacco taxes across the EU — potentially by 139% on cigarettes and 258% on rolling tobacco.
In 2024, the Netherlands, along with 15 other EU member states, urged the Commission to adopt bloc-wide tax reforms, arguing that disparities — ranging from €1.92 per pack in Bulgaria to €9.92 in Ireland — were distorting the single market. Currently, the Netherlands has the second-highest tobacco tax in the EU, at €7.66 per 20-pack.
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
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