Most of the widely known international brands, including Sampoerna, Bentoel, Nojorono, Djarum, Gudang Garam, and Wismilak originate from Indonesia.
[4] Kreteks often serve as a base for Indonesian herbal cigarettes manufactured by small local brands, by adding various herbs in addition to clove spice.
Djamhari sought a means of achieving a deeper relief and smoked his hand-rolled cigarettes after adding dried clove buds and rubber tree sap.
In those years, the locals used to hand-roll kreteks to sell on order without any specific brand, packing, or limits on ingredients used in production.
Unlike other manufacturers, Nitisemito, who first created the Bal Tiga brand in 1906, enjoyed great success by implementing unprecedented marketing techniques, such as using embossed packs or offering free-of-charge promotional materials.
One of the largest income sources of Indonesia, the kretek industry comprises 500 large and small manufacturers employing a total of around 10 million people.
[citation needed] The venous plasma nicotine and carbon monoxide levels from 10 smokers were tested after smoking kreteks and were found to be similar to non-clove brands of cigarettes, such as Marlboro.
[10] The eugenol in clove smoke causes a numbing of the throat which can diminish the gag reflex in users, leading researchers to recommend caution for individuals with respiratory infections.
[12] A study by the U.S. Centers for Disease Control found kreteks account for a relatively small percentage of underage smoking, and their use was declining among high school students.
[citation needed] However, Kretek International Inc., importer of the Djarum brand, continued to offer the clove and tobacco products as little cigars, which have lower taxes (in some U.S. states) and looser restrictions than cigarettes.
On April 12, 2010 Indonesia filed a formal complaint with the World Trade Organization stating the ban on kreteks in America amounts to discrimination because menthol cigarettes are exempt from the new regulation.
Claims of discrimination are enhanced when noting that 99% of kreteks were imported from countries other than the United States (chiefly Indonesia), while menthol cigarettes are produced almost entirely by American tobacco manufacturers.
In Europe only smaller packs and thinner cigarettes were sold to adhere to the EU established maximum amount of nicotine and tar levels.