The Costs of Tobacco Use in Canada, 2012

The Conference Board of Canada, 174 pages, October 16, 2017
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This report is an update of the mortality and costs of tobacco use in Canada and in all provinces and territories using up-to-date reference information and data from the year 2012.

Document Highlights

Tobacco use is one of the primary causes of preventable morbidity and mortality worldwide. Overall, an estimated 45,464 deaths were attributable to smoking in Canada in 2012, leading to 599,390 potential years of life lost as a result of premature mortality. The total costs of tobacco use were $16.2 billion, with indirect costs accounting for $9.5 billion, direct health care costs accounting for $6.5 billion, and other direct costs responsible for the remainder.

The Costs of Tobacco Use in Canada, 2012 may be used to conduct analyses of avoidable costs to determine where resources should be devoted to obtain the greatest value. It is important to understand Canadian trends in tobacco use and related costs to effectively develop, implement, and evaluate federal, provincial, and territorial policies, programs, and strategies. The findings will help to build the relevant evidence base to be used in the Federal Tobacco Control Strategy in Canada.

Table of Contents

Executive Summary

Chapter 1—Introduction

Chapter 2—Methodology

  • Estimation of Potential Years of Life Lost Due to Smoking
  • Estimation of Direct Health Care Costs Due to Smoking
  • Direct Tobacco Control and Law Enforcement Costs
  • Direct Costs for Prevention and Research
  • Fire Damage Costs
  • Indirect Costs: Lost Production Costs
  • Other Intangible Costs

Chapter 3—Epidemiological Results

  • Smoking-Attributable Number of Deaths
  • Smoking-Attributable PYLL

Chapter 4—Direct Health Care Costs

  • Hospital Care Costs
  • Prescription Drug Costs
  • Physician Care Costs

Chapter 5—Other Direct Costs Due to Tobacco Use

  • Tobacco Control and Law Enforcement Costs
  • Research and Prevention Costs
  • Fire Damage Costs

Chapter 6—Lost Production Costs

  • Lost Production Costs Due to Short-Term Disability
  • Lost Production Costs Due to Long-Term Disability
  • Lost Production Costs Due to Premature Mortality

Chapter 7—Comparison of Results With Previous Cost Study

  • Overview
  • Demographic, Epidemiological, and Mortality Comparisons
  • Premature Mortality
  • Short-Term Disability
  • Long-Term Disability

Chapter 8—Discussion

  • Brief Discussion of National Results
  • Provincial and Territorial Results
  • Research Limitations
  • EBIC

Chapter 9—Conclusion

Appendix A—Bibliography

Appendix B—Conditions, Relative Risks, Smoking Prevalence, and Smoking-Attributable Fractions

Appendix C—Details on Research and Prevention Attributable to Tobacco, Canada 2012

Appendix D—Fire Damage Costs Attributable to Tobacco

Appendix E—Details on Indirect Costs

Appendix F—Detailed Results by Province/Territory

Appendix G—Health Care Costs by Disease Condition, Age Group, and Sex, and Province/Territory, 2012

Appendix H—Indirect Costs by Disease Condition, Age Group, and Sex, and Province/Territory, 2012

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