Next Article in Journal
Chemical Analysis of Nutritional Content of Prickly Pads (Opuntia ficus indica) at Varied Ages in an Organic Harvest
Next Article in Special Issue
Does Secondhand Smoke Affect the Development of Dental Caries in Children? A Systematic Review
Previous Article in Journal
Degradation of Glyphosate in Soil Photocatalyzed by Fe3O4/SiO2/TiO2 under Solar Light
Previous Article in Special Issue
Intensity and Inhalation of Smoking in the Aetiology of Laryngeal Cancer
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2011, 8(5), 1271-1286; doi:10.3390/ijerph8051271

A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat

Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 627 N. Washington Street, 2nd Floor, Baltimore, MD 21205, USA
Rand Corporation, 1776 Main Street, Room 4369, Santa Monica, CA 90401, USA
Public Health Foundation of India, Second Floor, 4/2, Sirifort Institutional Area, August Kranti Marg, New Delhi, 110016, India
State Tobacco Control Cell, Department of Health & Family Welfare, Government of Gujarat, 3rd Floor, Block No. 5/2, Dr. Jivraj Mehta Bhavan, Sector No. 10, Gandhinagar-Gujarat 382010, India
Author to whom correspondence should be addressed.
Received: 25 March 2011 / Revised: 4 April 2011 / Accepted: 20 April 2011 / Published: 26 April 2011
(This article belongs to the Special Issue Tobacco Smoking: Public Health, Science and Policy)
View Full-Text   |   Download PDF [387 KB, uploaded 19 June 2014]   |  


Tobacco smoking and exposure to secondhand tobacco smoke are associated with disability and premature mortality in low and middle-income countries. The aim of this study was to assess the cost-effectiveness of implementing India’s Prohibition of Smoking in Public Places Rules in the state of Gujarat, compared to implementation of a complete smoking ban. Using standard cost-effectiveness analysis methods, the cost of implementing the alternatives was evaluated against the years of life saved and cases of acute myocardial infarction averted by reductions in smoking prevalence and secondhand smoke exposure. After one year, it is estimated that a complete smoking ban in Gujarat would avert 17,000 additional heart attacks and gain 438,000 life years (LY). A complete ban is highly cost-effective when key variables including legislation effectiveness were varied in the sensitivity analyses. Without including medical treatment costs averted, the cost-effectiveness ratio ranges from $2 to $112 per LY gained and $37 to $386 per acute myocardial infarction averted. Implementing a complete smoking ban would be a cost saving alternative to the current partial legislation in terms of reducing tobacco-attributable disease in Gujarat. View Full-Text
Keywords: cost-effectiveness; public smoking bans; smoke free public places; secondhand smoke; tobacco smoking cost-effectiveness; public smoking bans; smoke free public places; secondhand smoke; tobacco smoking

This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Donaldson, E.A.; Waters, H.R.; Arora, M.; Varghese, B.; Dave, P.; Modi, B. A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat. Int. J. Environ. Res. Public Health 2011, 8, 1271-1286.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top