According to the World Health Organization (WHO), tobacco use is one of the chief preventable causes of death.1 It attributes 5 million deaths to tobacco annually and by 2020, the figure is expected to exceed 10 million with approximately 70% of these deaths occurring in developing countries. 2. In 1999, the Global Youth Tobacco Survey (GYTS) was initiated by WHO, Centers for Disease Control and Prevention (CDC), and the Canadian Public Health Association (CPHA) to monitor tobacco use, attitudes about tobacco use, and exposure to second-hand smoke (SHS) among students aged 13--15 years. Since 1999, the survey has been conducted in 140 countries and 11 territories and across all six WHO regions.3 A key goal of GYTS is for countries to repeat the survey every 4 years.