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Economics of Smoking Cessation Summary

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1. Smoking imposes a huge economic burden on society— currently up to 15% of total healthcare costs in developed countries.
2. The Benefits of smoking cessation:
a. Improvements in life expectancy and prevention of disease, improvement in individuals’ and passive smokers quality of life after stopping smoking, b. economic benefits to individuals and society.
3. Economic burden of smoking:
In US economic cost is 0.6% to 0.85% GDP, $50bn a year for the treatment of smoking related diseases, in addition to an annual $47bn in lost earnings and productivity. Smoking related fires cause about £151m of damage each year in England and Wales.
4. Cost effectiveness of cessation programs: Clear evidence exists that smoking cessation interventions are effective. Face to face cessation interventions provide excellent value for money compared with other medical interventions. Cessation program tends to be more effective as its intensity increases; increased intensity is associated with increased costs, therefore increasing both sides of the cost effectiveness ratio. In the United Kingdom Using PREVENT simulation model which includes four interventions: a basic intervention of three minutes of opportunistic brief advice; brief advice plus self help material; brief advice plus self help material and nicotine replacement products; and brief advice plus self help material. The most cost effective intervention was the brief advice alone, in US the Agency for
Healthcare Research and Quality’s clinical guidelines found the most intensive interventions were calculated to be more cost effective than the briefer therapies. Therefor carful consideration of time and country specific are highly dependent on the healthcare system in question.
5. Pharmacological interventions: by using nicotine replacement therapy (NRT) or bupropion therapy, Bupropion does seem more cost effective than

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