Special Report | China’s New Five-Year Plan Highlights “Health-First” Strategy, Providing Policy Context for Tobacco Sector

Industry Insight
Mar.08
Special Report | China’s New Five-Year Plan Highlights “Health-First” Strategy, Providing Policy Context for Tobacco Sector
China’s 2026 “Two Sessions” reviewed the draft Outline of the 15th Five-Year Plan, which proposes implementing a health-first development strategy and strengthening the effectiveness of the Patriotic Health Campaign. Although the document does not address specific industries, this public-health governance framework provides a new policy context for observing the future regulation, product strategies, and market development of China’s tobacco and next-generation nicotine sectors.

Disclaimer

 

This article compiles information and analysis from an industry perspective on China’s “Healthy China” strategy and is intended solely for industry research.

It does not discuss, evaluate or predict Chinese national policies.

Any statements regarding Chinese government policies should be interpreted according to official government releases.

 


 

Key Points

 

  • Policy framework: China’s 2026 “Two Sessions” reviewed the draft 15th Five-Year Plan, which proposes a health-first development strategy and calls for strengthening the Patriotic Health Campaign, highlighting the country’s long-term public-health priorities.

 

  • Public-health governance: The Patriotic Health Campaign remains a longstanding mechanism in China’s public-health system, incorporating health education, smoking restrictions in public places and broader health-promotion measures.

 

  • Industry context: While the plan does not target specific sectors, its emphasis on health-first governance provides a broader policy backdrop for observing the development of the tobacco and next-generation nicotine industries.

 

  • Policy discussion dimension: Within this framework, discussions around tobacco control and the continued reduction of tobacco-related harm—including reducing smoking prevalence, expanding public smoking bans and examining lower-risk alternatives—may be evaluated against clearer public-health priorities.

 


 

2Firsts, March 8, 2026, Shenzhen

 

China’s Government Work Report and the draft Outline of the 15th Five-Year Plan for National Economic and Social Development (2026–2030) released during the country’s annual legislative meetings place a health-first development strategy among the key priorities for public-health governance.

 

While the policy documents do not refer to specific industries, the strategic framework outlined in the plan provides a new policy context for observing potential developments in China’s tobacco and next-generation nicotine sectors.

 

From March 4 to March 12, China convened the fourth session of the 14th National People’s Congress and the fourth session of the 14th Chinese People’s Political Consultative Conference in Beijing—collectively known as the “Two Sessions.”

 

The meetings released the annual Government Work Report and reviewed the draft 15th Five-Year Plan outline. The Two Sessions are widely regarded as an important window into China’s macro-policy direction.

 

Special Report | China’s New Five-Year Plan Highlights “Health-First” Strategy, Providing Policy Context for Tobacco Sector
Photo: The opening meeting of the Fourth Session of the 14th National People’s Congress at the Great Hall of the People in Beijing, March 5, 2026. Photo by Wang Ye, Xinhua News Agency | Source: Chinese Government Website.

 

 

Health-First Strategy in National Planning

 

The draft 15th Five-Year Plan proposes implementing a health-first development strategy, improving the policy framework for health promotion, strengthening the Patriotic Health Campaign and further enhancing the public-health and healthcare systems.

 

These policy directions reflect China’s broader effort to strengthen health governance and place greater emphasis on prevention, health promotion and long-term health management.

 

 

Patriotic Health Campaign and Tobacco Control

 

The Patriotic Health Campaign, referenced in the Government Work Report, is one of China’s longest-running public-health governance mechanisms.

 

Launched in 1952, the campaign initially focused on disease prevention and sanitation improvements. Over time it evolved into a long-term institutional framework covering environmental sanitation, public-health education and broader health-promotion initiatives.

 

In 2015, China’s State Council issued the Opinions on Strengthening Patriotic Health Work in the New Era, which called for expanded health education and health promotion, nationwide fitness programs and the implementation of tobacco-control measures, including comprehensive smoking bans in public places.

 

These policy arrangements indicate that tobacco control has long been incorporated into China’s broader public-health governance framework, with the Patriotic Health Campaign serving as one of its key implementation mechanisms.

 

 

Policy Context for the Tobacco and Nicotine Industry

 

Although the draft Outline of the 15th Five-Year Plan for National Economic and Social Development does not include specific policies targeting tobacco or nicotine products, as China’s top-level development plan for the next five years its policy orientation provides an important context for observing developments in related industries.

 

Alan Zhao, Co-founder and CEO of 2Firsts, said the health-first development strategy provides a higher-level policy framework for observing the future regulation, product positioning and market development of both traditional tobacco and next-generation nicotine products in China.

 

“The 15th Five-Year Plan’s emphasis on a health-first development strategy provides a higher-level policy framework for observing how China’s tobacco and next-generation nicotine industries may evolve in terms of regulation, product strategies and market development,” Zhao said.

 

“Although the document does not propose specific industry measures, the policy language is worth attention because it may encourage deeper discussions around these issues and offer new perspectives for possible institutional or industry adjustments in the future.”

 

Zhao noted that within China’s policy system, development plans across different sectors and industries are typically further refined under the overarching framework of the national Five-Year Plan. As a result, when formulating the “15th Five-Year Plan” for public health and for the tobacco industry itself, how to implement the health-first development strategy within industry development may become an important topic of discussion within the sector.

 

 

He added that the policy language surrounding the health-first strategy and the Patriotic Health Campaign also provides a new perspective for discussions on the regulatory framework and development path of next-generation tobacco products.

 

This does not imply that the current policy documents establish specific industry directions. Rather, they provide a broader framework for policy research and industry discussion.

 

Within this framework, discussions about tobacco control and the continued reduction of tobacco-related harm—including reducing smoking prevalence, expanding public smoking bans and examining the feasibility of lower-risk alternatives—may gain a clearer basis for policy evaluation.

 

At present, official documents released during the Two Sessions do not propose specific regulatory measures targeting tobacco or next-generation nicotine products. From the policy text, these statements should primarily be understood as part of China’s broader public-health governance framework rather than direct policy arrangements for any specific industry.

 

For continued coverage of China’s tobacco regulation, industry developments and market trends, follow 2Firsts.

 

(Cover image generated by AI)

2FIRSTS | 2Firsts Special Report | China’s Two Sessions Revisit Consumption Tax Reform, Prompting Discussion on Tobacco Tax Policy
2FIRSTS | 2Firsts Special Report | China’s Two Sessions Revisit Consumption Tax Reform, Prompting Discussion on Tobacco Tax Policy
China’s 2026 “Two Sessions” again raised the issue of consumption tax reform. As the largest source of consumption tax revenue, the tobacco tax system—its collection stages, tax structure and regional revenue distribution—has re-entered the policy discussion. This article outlines the structure of China’s tobacco consumption tax, past adjustments and key areas of debate, providing international readers with background on one of the country’s most important tax categories.
www.2firsts.com


Disclaimer

This article is provided solely for professional research, industry discussion, and informational purposes. Any references to brands, companies, products, technologies, or policies are made for factual reporting and analytical purposes only, and do not constitute endorsement, recommendation, promotion, or advertising by 2Firsts.

Nicotine-containing products, including but not limited to cigarettes, e-cigarettes, heated tobacco products, and nicotine pouches, carry significant health risks. Readers are responsible for complying with all applicable laws and regulations in their respective jurisdictions, including age restrictions and access limitations.

The information contained in this article should not be regarded as investment, legal, medical, regulatory, or commercial advice. While 2Firsts strives to ensure the accuracy and reliability of its content, it does not assume liability for any direct or indirect loss arising from errors, omissions, inaccuracies, or reliance on the information contained herein.

This article is not intended for individuals below the legal age for accessing tobacco or nicotine-related information in their jurisdiction.

 

Copyright Notice

This article is either original content produced by 2Firsts or content reproduced, translated, summarized, or adapted from third-party sources with attribution where applicable. The intellectual property rights of the original content remain with 2Firsts or the respective original rights holders.

No individual or organization may copy, reproduce, distribute, republish, modify, translate, or otherwise use this content without prior authorization. Any unauthorized use may result in legal action.

For copyright-related inquiries, corrections, or removal requests, please contact: info@2firsts.com.

 

AI-Assisted Translation and Editing Notice

Portions of this article may have been translated, edited, or reviewed with the assistance of artificial intelligence tools to improve efficiency and readability. Due to the limitations of AI-assisted translation and editing, discrepancies, omissions, or inaccuracies may exist when compared with the original source.

Where applicable, readers are advised to refer to the original source for the most complete and accurate information. If you identify any errors or believe that any content infringes upon your rights, please contact us at info@2firsts.com, and we will review and address the matter promptly.

2Firsts Data|China’s Vape-Related Exports Rose 3.3% in August 2026 as UK Shipments Jumped 51.4% and U.S. Exports Fell 12.4%
2Firsts Data|China’s Vape-Related Exports Rose 3.3% in August 2026 as UK Shipments Jumped 51.4% and U.S. Exports Fell 12.4%
China exported $979 million of vape-related products in August 2026, up 3.3% from a year earlier but down 6.4% from July. The UK replaced the U.S. as the main source of growth: UK-bound shipments jumped 51.4% to a 2026 high of $177 million, while exports to the U.S. fell 12.4% to $339 million. Shipments to markets outside the U.S. increased 14.2%, broadening growth beyond the market that had driven July’s rebound.
News
Sep.23 by 2Firsts Perspectives
India Steps Up Nicotine Pouch Enforcement as ZYN, White Fox Circulate and Drug Panel Urges Halt to New Nicotine Formulations
India Steps Up Nicotine Pouch Enforcement as ZYN, White Fox Circulate and Drug Panel Urges Halt to New Nicotine Formulations
India's Ministry of Health and Family Welfare has directed states to step up enforcement against nicotine pouch sales, citing increased availability through online and offline channels and concern about nicotine exposure among children. Reuters reported that international brands including ZYN and White Fox are being sold in India. A study led by ICMR-NICPR found pouches in seven of 10 surveyed locations and identified 68 brands and 445 flavors online. Separately, India's Drugs Technical Advisory Board recommended in August that no new nicotine formulation be approved.
Regulations
Sep.28 by 2Firsts Perspectives
Product | R.J. Reynolds Launches Four Flavored Vuse Pro Pods for Vuse Alto Devices in U.S.
Product | R.J. Reynolds Launches Four Flavored Vuse Pro Pods for Vuse Alto Devices in U.S.
R.J. Reynolds Vapor Company has introduced Vuse Pro prefilled pods in Peach, Berry, Watermelon and Fresh Mint in selected U.S. states. Vuse’s U.S. website says the pods are intended for use with existing Vuse Alto devices. Each contains 2.0 mL of e-liquid at 5.0% nicotine by weight, uses nicotine salts and is offered in two- and four-pod packs. Reynolds said the rollout includes mandatory ID scanning for every purchase, purchase limits, stronger retailer-accountability requirements and strict age-restricted marketing standards. The four pods have not received marketing authorization from the U.S. Food and Drug Administration.
Sep.10
New York’s 75% Wholesale Tax on Nicotine Pouches Takes Effect Sept. 1, With Aug. 31 Inventory Subject to Floor Tax
New York’s 75% Wholesale Tax on Nicotine Pouches Takes Effect Sept. 1, With Aug. 31 Inventory Subject to Floor Tax
New York State will extend its tobacco products tax to “alternative nicotine products,” including tobacco-free nicotine pouches, from September 1, 2026, at a rate of 75% of the wholesale price. Distributors, wholesalers and retailers must also inventory products held as of 11:59 p.m. on August 31 and pay a floor tax. Vapor products are excluded from the new category and remain subject to New York's separate 20% supplemental sales tax on the retail price.
Aug.26
U.S. Customs Plan to Require Foreign Export Declarations Could Deal ‘Devastating’ Blow to China’s Vape Exports, Logistics gl Expert Says
U.S. Customs Plan to Require Foreign Export Declarations Could Deal ‘Devastating’ Blow to China’s Vape Exports, Logistics gl Expert Says
A U.S. Customs and Border Protection proposal to collect foreign export declarations and other overseas customs documents could expose discrepancies in the value, classification and description of China-made vape shipments entering the United States. A veteran Chinese logistics professional told 2Firsts that the measure, if implemented, could undermine the all-inclusive shipping model used by some unauthorized vape exporters and push parts of the trade toward costlier underground channels. The risk extends beyond higher duties: accurately declared products may also be more readily identified as unauthorized e-cigarettes subject to FDA enforcement.
Special Report
Sep.07
Trump Picks White House Health Policy Aide Heidi Overton to Lead FDA, Pending Senate Confirmation
Trump Picks White House Health Policy Aide Heidi Overton to Lead FDA, Pending Senate Confirmation
U.S. President Donald Trump has chosen White House health policy aide Heidi Overton to lead the Food and Drug Administration, Bloomberg reported, citing a person familiar with the matter. Overton currently works on health policy at the White House and previously held a senior role at the America First Policy Institute. If confirmed by the Senate, she would take over an FDA that has experienced months of senior-level turnover. The agency regulates products representing roughly one-fifth of U.S. consumer spending, including e-cigarettes, drugs, vaccines and much of the food supply.
News
Aug.19