 The health impacts of smoking are well documented and in North Korea the high prevalence of smoking has a significant impact on the health of the population.Some 34.3% of men and 22.3% of women are reported to die as a result of smoking, the highest smoking mortality figures in the world, and in total tobacco-caused illness kills 55,600 North Koreans annually.Tobacco is only sold at designated shops at a fixed price set by the government.