The burden of smoking-related diseases in Brazil: mortality, morbidity and costs

PINTO MT; ANDRES PICHON RIVIERE; BARDACH A

CADERNOS DE SAúDE PúBLICA

CADERNOS SAUDE PUBLICA

Lugar: Rio de Janeiro; Año: 2015

0102-311X

Advances in tobacco control in Brazil can be reflected in the decrease in prevalence over the past two decades. Death statistics and theoccurrence of events and direct costs attributable to tobacco-related diseases have not beenfrequently estimated in the country. The goal ofthis article is to estimate the burden of smoking in 2011 regarding mortality, morbidity and medical care costs of the main tobacco-relateddiseases. A probabilistic microsimulation health economic model was built. The model incorporates the natural history, costs and quality of life of all the tobacco-related adultspecific diseases. Smoking was accountable for 147,072 deaths, 2.69 million years of life lost, 157,126 acute myocardial infarctions, 75,663 strokes, and 63,753 cancer diagnoses.The direct cost for the health system was of BRL 23.37 billion. The monitoring of tobaccorelated burden is an important strategy to guidedecision-makers and to strenghten health public policies.Cost of Illness; Smoking; Potential Years of Life Lost; Mortality