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Policies that promote smoking cessation are highly cost-effective, and
are more cost-effective than many other government-financed health
interventions.Research indicates that the cost per life year saved of smoking
cessation interventions and policies are small compared to other health
care interventions. The World Bank suggests that health interventions
that can be delivered for less than a country's average per capita
gross domestic product (GDP) per life year saved are cost-effective.
This decision rule supports policies that cost USD $765 or less in
low-income countries. In high-income countries, the cost-effectiveness
of smoking cessation has been established. Higher taxes leading to 10%
price increases would cost between US $18 and $151 per DALY
(disability-adjusted life year), where the costs are those associated
with implementation and enforcement. Non-price interventions including
wider access to NRT are also cost-effective measures, ranging from $140
to $2,805 per DALY. According to the World Health Organization,
combining tax increases with other tobacco control measures is a very
cost-effective way to improve population health. Tobacco control
measures (with the exception of tax increases) when implemented in
isolation are less cost effective. The interventions leading to smoking
cessation are cost-effective relative to other health interventions
(e.g. child immunization cost is about $25 per DALY). - Krumholz HM, Weintraub WS, Bradford WD,
.Heidenreich PA, Mark DB, Paltiel AD. Task Force #2--the cost of
prevention: can we afford it? Can we afford not to do it? J Am Coll
Cardiol 2002; 40(4): 603-615
http://content.onlinejacc.org/cgi/reprint/40/4/603
- Ranson MK, Jha P, Chaloupka FJ, Nguyen SN. The
effectiveness and cost-effectiveness of price increases and other
tobacco control policies. In Jha P, Chaloupka FJ, eds. Tobacco control
in developing countries, 2000; pp.427-447 (Section V, Chapter 18).
http://www1.worldbank.org/tobacco/tcdc/427TO448.PDF
- Godfrey C, Parrott S. Cost effectiveness of
smoking cessation interventions. In: Syrigos NK, Nutting CM, Roussos C
(eds). Tumors of the Chest: Biology, Diagnosis, and Treatment. Springer
Berlin Heidelberg 2006, pp641-648 http://www3.who.int/whosis/cea/,
http://www.springerlink.com/content/r1x724881117n487
- World Bank World Development Report 1993:
Investing in Health.
http://www-wds.worldbank.org/external/default/main?pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000009265_3970716142319
- Novotny TE, Cohen JC, Yurekli A, Sweanor S, de
Beyer J. Smoking cessation and nicotine-replacement therapies . In Jha
P, Chaloupka FJ Tobacco Control in Developing Countries, Section III,
Chapter 12, 2000.
http://www1.worldbank.org/tobacco/tcdc/287TO308.PDF
- Rasmussen SR, Prescott E, Sørensen TIA, Søgaard J.
The total lifetime health cost savings of smoking cessation to society.
Eur J Public Health 2005; 15, (6): 601-606.
http://eurpub.oxfordjournals.org/cgi/reprint/15/6/601
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