Smoking in Vietnam is highly common, with an estimated 50% of men and 5% of women using tobacco, an estimated 18 million smokers. 47 million non-smokers in Vietnam are also regularly exposed to tobacco smoke. Vietnam’s Health Education and Communication Center estimates that 40,000 people die annually in Vietnam from first or second hand smoking, and that if nothing is done 10% of the Vietnamese population will have died from smoking by 2030. Smoking is an integral part of Vietnamese culture and exchanging cigarettes is seen as a common greeting.