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Cigarette tax increases are the most cost-effective method for
promoting smoking cessation.Because of their relatively large effect on smoking cessation and low
costs of implementation and enforcement, increases in cigarette taxes
are highly cost effective. A study examining the world cohort of
smokers alive in 1995 found that tax increases that would raise the
real price of cigarettes by 10% worldwide would cause about 42 million
of these smokers to quit. This price increase would prevent a minimum
of 10 million tobacco-related deaths. This intervention could cost
US$4-34 per DALY saved in low-income and middle-income countries and
US$83-2771 per DALY saved in high-income countries. This level of
cost-effectiveness compares favorably with numerous established
interventions in public health. For example, the package for the
integrated management of the sick child cost between US$30 and US$50
per DALY in low-income countries, and between US$50 and US$100 in
middle-income countries (WHO, 1996). The most cost-effective
primary-care intervention for reducing coronary risk factors in a
high-income country (UK) cost £310-930 (approximately US $496-1488) per
year of life gained for men and £1100-3460 (approximately US
$1760-5536) for women.- 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; Section V, Chapter 18,
pp.427-447.
http://www1.worldbank.org/tobacco/tcdc/427TO448.PDF
- World Health Organization. Investing in Health
Research and Development, Report of the Ad Hoc Committee on Health
Research Relating to Future Intervention Options (Document
TDR/Gen/96.1.). 1996.
http://www.who.int/tdr/publications/publications/investing_report.htm
- Field K, Thorogood M, Normand C, O'Neill C, Muir
J. Strategies for reducing coronary risk factors in primary care: which
is most cost effective. BMJ 1995; 310: 1109-1112.
http://bmj.bmjjournals.com/cgi/content/full/310/6987/1109
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