OBJECTIVE: To estimate the direct and indirect costs of active smoking in Vietnam. METHOD: A prevalence-based disease-specific cost of illness approach was utilised to calculate the costs related to five smoking-related diseases: lung cancer, cancers of the upper aerodigestive tract, chronic obstructive pulmonary disease, ischaemic heart disease and stroke. Data on healthcare came from an original survey, hospital records and official government statistics. Morbidity and mortality due to smoking combined with the average per capita income were used to calculate the indirect costs of smoking by applying the human capital approach. The smoking-attributable fraction was calculated using the adjusted relative risk values from phase II of the American Cancer Society Cancer Prevention Study (CPS-II). Costs were classified as personal, governmental and health insurance costs. RESULTS: The total economic cost of smoking in 2011 was estimated at 24 679.9 billion Vietnamese dong (VND), equivalent to US$1173.2 million or approximately 0.97% of the 2011 gross domestic product. The direct costs of inpatient and outpatient care reached 9896.2 billion VND (US$470.4 million) and 2567.2 billion VND (US$122.0 million), respectively. The government's contribution to these costs was 4534.3 billion VND (US$215.5 million), which was equivalent to 5.76% of its 2011 healthcare budget. The indirect costs (productivity loss) due to morbidity and mortality were 2652.9 billion VND (US$126.1 million) and 9563.5 billion VND (US$454.6 million), respectively. These indirect costs represent about 49.5% of the total costs of smoking. CONCLUSIONS: Tobacco consumption has large negative consequences on the Vietnamese economy.

Department of Economics University of Illinois at Chicago Chicago Illinois USA

Department of Health Economics Hanoi School of Public Health Hanoi Vietnam

HealthBridge Foundation of Canada Hanoi Vietnam

SALDRU Research Affiliate University of Cape Town Cape Town South Africa International Clinical Research Center Research Affiliate St Anne's University Hospital Brno Czech Republic

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Quah E, Tan KC, Saw SL, et al. . The social cost of smoking in Singapore. Singapore Med J 2002;43:340–4. PubMed

Kang HY, Kim HJ, Park TK, et al. . Economic burden of smoking in Korea. Tob Control 2003;12:37–44. PubMed PMC

Kyaing NN. Tobacco economics in Myanmar. Washington DC: International Bank for Reconstruction and Development: World Bank, 2003.

Yang MC, Fann CY, Wen CP, et al. . Smoking attributable medical expenditures, years of potential life lost, and the cost of premature death in Taiwan. Tob Control 2005;14(Suppl 1):i62–70. PubMed PMC

World Health Organization. Tobacco-related illnesses: impact of in Bangladesh. New Delhi: Regional Office for South East Asia, 2007.

Sung HY, Wang L, Jin S, et al. . Economic burden of smoking in China, 2000. Tob Control 2006;15(Suppl 1):i5–11. PubMed PMC

McGhee SM, Ho LM, Lapsley HM, et al. . Cost of tobacco-related diseases, including passive smoking, in Hong Kong. Tob Control 2006;15:125–30. PubMed PMC

John RM, Sung HY, Max W. Economic cost of tobacco use in India, 2004. Tob Control 2009;18:138–43. PubMed PMC

Luong NK. Healthcare costs of some smoking related diseases in Vietnam in 2007. J Applied Med 2011;759:3.

Ross H, Trung DV, Phu VX. The costs of smoking in Vietnam: the case of inpatient care. Tob Control 2007;16:405–9. PubMed PMC

Alwan A. WHO global report: mortality attributable to tobacco. World Health Organization; 2011.

World Health Organization. World Health Organization economics of tobacco toolkit. Assessment of the Economic Costs of Smoking, 2011.

Tisayaticom K, Tangcharoensathien V, Patcharanarumol W. Hospital Costing Manual: an application for Vietnamese setting, 2007.

Ministry of Health. Health Statistics Yearbook. Hanoi: Ministry of Health of Vietnam, 2011.

Ezzati M, Henley SJ, Thun MJ, et al. . Role of smoking in global and regional cardiovascular mortality. Circulation 2005;112:489–7. PubMed

Ezzati M, Henley SJ, Lopez AD, et al. . Role of smoking in global and regional cancer epidemiology: current patterns and data needs. Int J Cancer 2005;116:963–71. PubMed

Oza S, Thun MJ, Henley SJ, et al. . How many deaths are attributable to smoking in the United States? Comparison of methods for estimating smoking-attributable mortality when smoking prevalence changes. Prev Med 2011;52:428–33. PubMed

Norman RE, Vos T, Barendregt JJ, et al. . Mortality attributable to smoking in Vietnamese men in 2008. Prev Med 2013;57:232–7. PubMed

Gu D, Kelly TN, Wu X, et al. . Mortality attributable to smoking in China. N Engl J Med 2009;360:150–9. PubMed

2014. The Surgeon General report. http://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html.

General Statistics Office. Result of the Vietnam household living standards survey 2010. Statistical Publishing House, 2011.

Peto R, Lopez AD, Boreham J, et al. . Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet 1992;339:1268–78. PubMed

Centers for Disease Control Prevention. Smoking-attributable mortality, years of potential life lost, and productivity lossesUnited States, 2000–2004. MMWR Morb Mortal Wkly Rep 2008;57:1226–8. PubMed

Nhung NTT, Long TK, Linh BN, et al. . Viet Nam Burden of Disease and Injury Study 2008. Hanoi: The Evidence Base for Health Policy in Viet Nam Project (VINE Project), 2011.

Max W, Rice DP, Sung HY, et al. . The economic burden of smoking in California. Tob Control 2004;13:264–7. PubMed PMC

Max W, Rice DP, Sung HY, et al. . Valuing Human Life: estimating the present value of lifetime earnings: Center for Tobacco Control Research and Education, 2004.

2010. Labour and Work Survey 2010 Secondary Labour and Work Survey 2010. http://www.gso.gov.vn/default_en.aspx?tabid=515&idmid=5&ItemID=11229.

Yang L, Sung HY, Mao Z, et al. . Economic costs attributable to smoking in China: update and an 8-year comparison, 2000–2008. Tob Control 2011;20:266–72. PubMed PMC

Mathers C, Stevens G, d'Espaignet ET, Wolfenden L. WHO Global Report: Mortality Attributable to Tobacco. World Health Organization, 2012.

Social Costs of Smoking in the Czech Republic