[The economic impact of tobacco consumption in Africa].
The economic contributions from tobacco cultivation and sales of products are often noted - jobs and incomes for farmers and employees, tax revenues for governments and enormous profits for cigarette companies, and for some countries, foreign exchange from net exports and foreign investment These are of course important. But set against these economic gains, there are also large economic losses that are less visible and less talked about, but also need to be counted. Many of these economic losses arise from the adverse health effects of tobacco use, but there are others too that affect a much wider group of citizens, and in particular, may exacerbate poverty among smokers and their families. This paper looks at the economic impact of tobacco use from the perspective of families, and at national level, for developing countries, providing a framework for considering the specific situations in Francophone African countries. Set against the economic benefits from tobacco, there are substantial economic costs. Annual health care costs are higher for smokers, and the burden of these costs falls on families, the public purse and employers/insurers. Earnings and productivity losses because of tobacco-related illness and premature death can be huge, and are borne by employers and employees. Illness is a major precipitating cause of poverty. Lit cigarettes cause thousands of fires and lost lives. Environmental damage to the soil from tobacco growing, pesticides and fertilizer, and deforestation resulting from firewood use to cure tobacco, can impose high economic losses. And there is the insidious, often overlooked cost of harm to the well-being of poor families whose scarce resources are used for cigarettes and other tobacco products instead of food and other necessities. We conclude that reducing tobacco use is good for health, good economics, and good for development
de Beyer
Joy
J
Banque Mondiale World Bank, Washington DC 20433, USA. jdebeyer@worldbank.org
D000349:Africa / Q000453:epidemiology; D004777:Environment; D017048:Health Care Costs; D006801:Humans; D011203:Poverty; D019460:Tobacco Industry / Q000191:economics*; D014029:Tobacco Use Disorder / Q000191:economics* / Q000453:epidemiology