A key measure of Market development in each Country is per capita consumption.

The following charts are based on RISI data:

Per capita consumption of Tissue by World region, 2009

Top 30 Countries per Capita Tissue Consumptions, 2007

Eastern Europe per Capita Tissue Consumptions, 2007

It may be iteresting to observe the correlation between Tissue Cosnsumpiton by Country and Life expectancy.
It  is fair to observe that an overall improved life quality and hygiene conditions are probably the common factor behind this correlation.
In any case the Use of Tissue is part of this improved life quality and hygiene conditions.
Comparison Tissue Consumption – Life Expectancy

Read more on RISI World Tissue Business Monitor