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The case for investment in tobacco control: lessons from four countries in the Americas
Open accessAbstract
Objective.: To synthesize learnings from four national tobacco control investment cases conducted in the Americas (Colombia, Costa Rica, El Salvador, Suriname) under the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) 2030 project, to describe results and how national health authorities have used the cases, and to discuss implications for the role of investment cases in advancing tobacco control. Methods.: We draw on findings from four national investment cases that included 1) a cost-of-illness analysis calculating the health and economic burden of tobacco use, 2) a return-on-investment analysis of implementing key tobacco control demand reduction measures, and 3) a subsidiary analysis of one tobacco control topic of national interest (e.g., equity implications of cigarette taxation). Co-authors reported how cases have been used to advance tobacco control. Results.: In Colombia, Costa Rica, El Salvador, and Suriname, tobacco use causes social and economic losses equivalent to between 1.0 to 1.8 percent of GDP. Across these countries, implementing WHO FCTC demand reduction measures would save an average of 11 400 lives per year over the next 15 years. Benefits of the measures would far outweigh the costs of implementation and enforcement. Governments are using the cases to advance tobacco control, including to improve tobacco control laws and their enforcement, strengthen tobacco taxation, prioritize tobacco control planning, coordinate a multisectoral response, and engage political leaders. Conclusions.: National investment cases can help to strengthen tobacco control in countries, including by increasing public and political support for implementation of the WHO FCTC and by informing effective planning, legislation, coordination and financing.
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In Colombia, the investment case included engaging local researchers and leveraging a strong public health communications apparatus to highlight the dangers of tobacco smoke exposure for children.
“In Colombia, for instance, that included engaging local researchers and leveraging a strong public health communications apparatus to highlight the dangers of tobacco smoke exposure for children.27”
From Advancing progress on tobacco control in low-income and middle-income countries through economic analysis (2024) · cites this paper as [27]
The Methods section (page unavailable) says Colombia’s investment case included a literature review on tobacco smoke exposure in children, and the Results section describes the harms it identified. Neither passage says the case engaged local researchers or leveraged a public health communications apparatus to publicize those harms. (LLM, conf=0.84)
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References 27 · Cited by 6
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Metadata
- Authors
- Hutchinson, B., Brispat, F., Calderón Pinzón, L. V., Sarmiento, A., Solís, E., Nugent, R., Mann, N., Spencer, G., Ngongo, C., Black, A., Audera-Lopez, M. C., Ntiabang, T. A., Tarlton, D., Cooke, J., Small, R., Roche, M., & Sandoval, R. C.
- Affiliations
- RTI International (US)
- Ministry of Health, Paramaribo, Suriname
- Ministry of Health and Social Protection, Bogotá, Colombia
- Fondo Solidario para la Salud (Fosalud), San Salvador, El Salvador
- Ministerio de Salud (CR)
- World Health Organization (CH)
- United Nations Development Programme (US)
- World Health Organization Regional Office for the Americas (US)
- Corresponding author
- Hutchinson, Brian
- ORCID
- Venue
- Revista Panamericana de Salud Pública
- Publisher
- Pan American Health Organization
- Published
- 2022-10-06
- Volume
- 46
- Pages
- 1
- ISSN
- 1020-4989 (ISSN-L)
- 1680-5348
- PMC
- PMC9536511
- OpenAlex
- W4302362475
- Cited by
- 6
- References
- 27
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Revista Panamericana de Salud Pública (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
- Funders
- World Health Organization
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- tobacco control, investment case, Framework Convention on Tobacco Control, return on investment, economic burden, tobacco demand reduction, cigarette taxes, tobacco control legislation, health equity, multisectoral coordination, Americas
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