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. 2017 Jan 30;27(1):58–64. doi: 10.1136/tobaccocontrol-2016-053305

Table 3.

The economic cost of smoking-attributable diseases, PPP international dollars

Direct Cost
Indirect Cost
Total Cost
SAHE THE Disability Mortality Total GDP
(PPP$ mn) Per cent (PPP$ mn) (PPP$ mn) (PPP$ mn) Per cent
High-Income 369 002 6.5 275 097 478 833 1 122 932 2.2
Upper-Middle-Income 75 031 4.0 74 456 205 091 354 578 1.2
Lower-Middle-Income 21 236 3.9 91 447 246 365 359 048 1.7
Low-Income 2011 4.0 5272 8300 15 583 1.2
World 467 279 5.7 446 273 938 589 1 852 141 1.8
Africa 4566 3.5 5571 9317 19 454 1.0
Americas 239 559 6.7 159 445 226 886 625 890 2.4
Eastern Mediterranean 6583 2.0 13 291 24 807 44 680 0.6
Europe 141 787 6.6 134 552 339 503 615 843 2.5
Southeast Asia 15 299 4.1 83 880 220 320 319 499 1.8
Western Pacific 59 485 3.8 49 534 117 756 226 775 0.9

GDP, gross domestic product; THE, total health expenditure; PPP, purchasing power parity; SAHE, smoking- attributable health expenditure