Maliheh Ghobadi - Department of Policy Management and Health Economics, School of Health Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran
Mohammad Reza Farrokhi - General Practitioner, Management of Medical Treatment and Medical Documents of the Social Security Organization, Kerman, Iran
Nouzar Nakhaee - Professor, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
Mohammad Jafari-Sirizi - Health Insurance Organization, Kerman, Iran
Mohsen Barouni - Associate Professor, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Background: Cigarette seems to be the least valuable of addictive drugs. It is easily accessible to the public, and its harmful personal and social effects have attracted less attention. Therefore, the present research was carried out with the aim of presenting cost estimations of smoking-related diseases in smokers who aged ۳۵ or higher in Kerman City, Iran, in ۲۰۱۴.Methods: Using the prevalence approach, the direct and indirect costs of smoking-attributable diseases including lung cancer, gastric cancer, myocardial infarction, stroke, and chronic obstructive pulmonary disease (COPD) were estimated. The initial data were obtained from the information in documents of medical document units as well as the ۲۰۱۴ income statements of teaching hospitals of Kerman University of Medical Sciences, Kerman City.Findings: In this research, total economic costs of diseases attributed to smoking were estimated to be ۵۰ million dollars in ۲۰۱۴ in Kerman City, and calculations suggest that this figure accounts for ۰.۰۲% of Iran’s gross domestic product (GDP). Total direct cost of diseases caused by smoking in Kerman City adds up to ۱۷ million dollars, whereas the estimated indirect cost of diseases caused by smoking is ۳۳ million dollars. The yearly per capita cost of any of the selected five diseases is ۲۷۰ dollars.Conclusion: Smoking places a high economic burden on health system and society as a whole. Therefore, stronger intervention measures against smoking should be taken without delay to reduce the health and financial losses caused by smoking.

cost of illness, smoking, Relative risk, Stroke, cancer, Chronic Obstructive Pulmonary Disease, Myocardial Infarction