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Int J Environ Res Public Health. 2009 Aug;6(8):2179-92. doi: 10.3390/ijerph6082179. Epub 2009 Aug 6.

Avoidable portion of tobacco-attributable acute care hospital days and its cost due to implementation of different intervention strategies in Canada.

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Public Health and Regulatory Policies, Centre for Addiction and Mental Health, Toronto, Canada.


The impact of four effective population-based interventions, focusing on individual behavioural change and aimed at reducing tobacco-attributable morbidity, was assessed by modeling with respect to effects on reducing prevalence rates of cigarette smoking, population-attributable fractions, reductions of disease-specific morbidity and its cost for Canada. Results revealed that an implementation of a combination of four tobacco policy interventions would result in a savings of 33,307 acute care hospital days, which translates to a cost savings of about $37 million per year in Canada. Assuming 40% coverage rate for all individually based interventions, the two most effective interventions, in terms of avoidable burden due to morbidity, would be nicotine replacement therapy and physicians' advice, followed by individual behavioural counselling and increasing taxes by 10%. Although a sizable reduction in the number of hospital days and accumulated costs could be achieved, overall these interventions would reduce less than 3% of all tobacco-attributable costs in Canada.


cardiovascular disease; health effects; lung cancer; public health; smoking cessation; tobacco consumption reduction; tobacco smoking; tobacco taxation

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