1Department of Economics, American University of Beirut, Beirut, Lebanon.
Subst Use Misuse. 2014 May;49(6):735-42. doi: 10.3109/10826084.2013.863937. Epub 2013 Dec 13.
Assess the socioeconomic costs of smoking in Lebanon and understand the tobacco market and identify the winners and losers from the Lebanese tobacco trade.
We take a close look at the market for tobacco and related markets to identify the main stakeholders and estimate the direct costs and benefits of tobacco. We also estimate lower bounds for the costs of tobacco, in terms of lost productivity, the cost of medical treatment, lost production due to premature death, and environmental damage. The paucity of data means our cost estimates are conservative lower bounds and we explicitly list the effects that we are unable to include.
We identify the main actors in the tobacco trade: the Régie (the state-owned monopoly which regulates the tobacco trade), tobacco farmers, international tobacco companies, local distributors, retailers, consumers, and advertising firms. We identify as proximate actors the Ministries of Finance and Health, employers, and patients of smoking-related illnesses. In 2008, tobacco trade in Lebanon led to a total social cost of $326.7 million (1.1% of GDP).
Low price tags on imported cigarettes not only increase smoking prevalence, but they also result in a net economic loss. Lebanese policymakers should consider the overall deficit from tobacco trade and implement the guidelines presented in the Framework Convention on Tobacco Control to at once increase government revenue and reduce government outlays, and save the labor market and the environment substantial costs.
评估吸烟在黎巴嫩造成的社会经济成本,了解烟草市场,并确定黎巴嫩烟草贸易的赢家和输家。
我们仔细研究了烟草及相关市场,以确定主要利益相关者,并估算烟草的直接成本和收益。我们还根据生产力损失、医疗费用、过早死亡导致的生产损失和环境损害,估算了烟草成本的下限。由于数据匮乏,我们的成本估算只是保守的下限,我们明确列出了无法包含的影响。
我们确定了烟草贸易的主要参与者:国家烟草专卖局(监管烟草贸易的国有垄断企业)、烟草种植者、国际烟草公司、当地分销商、零售商、消费者和广告公司。我们将财政部和卫生部、雇主以及与吸烟有关疾病的患者视为间接参与者。2008 年,黎巴嫩的烟草贸易造成了 3.267 亿美元的社会总成本(占 GDP 的 1.1%)。
进口香烟的低价格标签不仅增加了吸烟的流行率,而且还导致了净经济损失。黎巴嫩政策制定者应考虑烟草贸易的整体赤字,并实施《烟草控制框架公约》提出的准则,以增加政府收入、减少政府支出,并为劳动力市场和环境节省大量成本。