Surveillance of tobacco retail density in Beirut, Lebanon using electronic tablet technology

BACKGROUND Lebanon has alarmingly high rates of tobacco use. The objective of this study is to examine the density of tobacco retail outlets and distance to schools as well as to survey retail pricing in a large district of Beirut, Lebanon. FINDINGS We observed 100 tobacco retail outlets and collected data using iPad® technology. Store locations were recorded with Global Positioning System coordinates. The distances between all pairs of tobacco retail outlets and all schools were calculated. For 52% of tobacco outlets, the nearest distance to other tobacco retail outlets was < 50 meters and 17% were within a 100-meter radius of a school. We found a high proportion of tobacco retailers with close proximity to schools. The overall retailer density was 1.25 stores per 1,000 people. CONCLUSIONS These findings call for additional regulation including the establishment of strict density standards.