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Dublin: 17 °C Wednesday 19 June, 2013

Millions more spent on tobacco illnesses than quit services

The Irish Heart Foundation is calling on the State to start spending more money on quit services as National No Smoking Day is marked today.

TODAY IS NATIONAL No Smoking Day – and the Irish Heart Foundation is calling on the State to start spending more on helping people quit smoking.

It said that the State spends 100 times more on tobacco-related illnesses than quit services, and that this needs to change.

IHF Head of Advocacy, Chris Macey, said that by putting more resources into quit services, the Government could significantly reduce the daily toll of 14 deaths from tobacco-related illness and the rate of 36,000 smokers who are admitted to hospital each year with tobacco related illness, whilst also saving money on a huge scale.

Illness

Currently, tobacco-related illnesses cost the State up to €2 billion a year – €2,000 for every smoker in Ireland. However, the IHF estimates that less than €15 million euro is spent on helping Ireland’s one million smokers to quit. That’s €15 per person.

The vast majority of this money goes towards medications. Macey told TheJournal.ie:

We’re not that sure why there is a disparity. The effect is the impact of smoking on health is absolutely massive. If you take it in context, smoking kills more than the next six biggest causes of preventable deaths put together.

He described it as a “health catastrophe on an enormous scale” that is costing a lot of money.

The system is waiting until after the health crisis for the individual happens before it deals with the problem. It is dealing with it too far down the road. All we are saying is some of that spending should be moved forward and if you do that you can save lives on a big scale. The point is smoking cessation services at least double the chances of a person quitting.

According to Macey, most smokers want to quit, but people need support. He said that smoking cessation services around the ocuntry are “patchy”, being good in some places but poor or non-existent in others.

Frontline issue

“What we want is to try and urge the Government to develop standardised services to treat this as a frontline issue,” said Macey.

The suspicion we have is spending on things like smoking cessation is one of the first things to go when cutbacks are made. What we need is we need a recognition of that. We need it to have the same protection that frontline services have.

Macey said that GPs and other health professionals could have a bigger impact on smoking cessation in Ireland, and that money needs to be spent in this area. He said that the system for smoking cessation, which is delivered through hospitals by the HSE, needs to be developed and the network needs to be stronger.

There is also a big role for advertising, and the IHF would like to see more money spent in this area.

If you are thinking about quitting, the National Quitline is run by the HSE and the Irish Cancer Society, at 1850 201 203. The website www.quit.ie also contains information on how to quit and where to access support during this time.

Read: How can Ireland reduce lifestyle-related cancer rates?>

Read: Graphic images to appear on cigarette packets from today>

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Comments (18 Comments)

  • Barry 13/02/13 #

    Tobacco tax takes in around 1.5billion a year so before anyone claims the state are in it for the money, no they are not! Source for this is: http://www.irishexaminer.com/ireland/tax-take-goes-up-in-smoke-200835.html

    Unfortunately tobacco is not something you can just ban outright in the morning as that will cause it to go into the black market and in the meantime (say next decade or two) the HSE will still be spending an awful lot of money on health issues related to smoking.

    Making them more expensive and less attractive (pack designs) is a good way of stopping new people taking up smoking though,

    Reply
  • The first time a person is admitted to hospital suffering from a smoking related illness they should get the very best treatment to cure them combined with every support to quit smoking. After that however if they continue to smoke and have to be re-admitted to hospital they should then be charged a fee in line with the amount they spend on cigarettes each week. So if they smoke 40 a day they should be made hand the equivalent monetary value over to the to pay for their treatment. I am sick of seeing the same people showing up time and time again (usually with medical card in hand ) in our local hospital looking for help with their copd or other smoking related illness and 2/3 days later these same people are standing outside the front door puffing away. It’s the already hard pressed tax payers who are paying for their selfishness. If they can afford their expensive habit they can afford to pay for the consequences.

    Reply
  • Debedo 13/02/13 #

    Is today really National No Smoking Day? Its getting hardly any media attention other than here and 98FM.
    Very poor coverage.

    Reply
  • ahh you cant beat a nice cuppa and a fag reading the journal.

    Reply
  • HIQA, which is responsible for hospital admissions, have already admitted that they do not keep a record of who smokes and who does not. So the hospitals have no hard numbers on smokers.

    Added to this is the fact that there is no illness or condition that is exclusive to smoking, so whether something is caused by smoking or not, is a matter of conjecture. Diet, exercise, stress, alcohol and hereditary factors as well as smoking, can combine to cause many complications. This is not to deny the risks with smoking, rather to point out that these are hundreds more risks with just living every day, and factoring out a single risk is almost impossible, so blaming it for all ills does not make for a good diagnosis.

    The HSE is a basket case and as such, their figures on anything would have to be hopelessly unreliable. I have read, only two weeks ago, that smoking costs the HSE €1bn and not the €2bn that Chris claims in this article. It sounds speculative but the numbers from Customs & Excise are actual and they represent real money, all €1.5bn a year in tax from tobacco. If the claim by Chris is to be taken seriously, I suggest he provide us with a link to any study that proves his €2bn claim.

    Finally, his figure of 14 smokers a day dying in the State should be seen in light of the fact that 80 people a day, (on average) die from all causes each day in Ireland, most from what is known as ‘natural causes’.

    Reply
  • According to the above, smokers health issues can cost up to 2 billion a year, yet they do contribute 1.5 billion to that just by paying tax on cigarettes (according to that Examiner article). This tax take is lower than it should be and is decreasing as more and more give up and others resort to buying black market smokes. If we really have 2 million smokers in this country and put a conservative average of 15 smokes a day on each this would approximate to about 3.8 billion in tax if all smokes were bought legit.
    A simple equation is to say smokers cost the state 500 million is not good enough TBF. The average smoker will die younger than a non smoker. That in effect means that over the life-time of a smoker the state pays less out to smokers in pensions than non smokers. So in a dark way the state benefits economically to the shorter life span of a smoker. Further to this a lot of people have private health insurance which they pay for themselves (although recent hikes are reducing this) and so many smokers will actually not be a burden on the state finances, as the will rely on insurance to pay for their care. This of course contributes to higher premiums for all. But, I mention this all to highlight that the economics of smoking is not that simple. Yes it would be great if no one smoked but economically there is very much an argument that smoking is and very much has been a net contributor to the exchequer.

    Reply
  • I’m Sorry but they spend more on in because smokers pay A LOT of tax. If everyone quit smoking the government would have less money than they already do

    Reply
    • Barry 13/02/13 #

      Thomas, look at the numbers, there is no benefit to the government.

      HSE costs are 2 billion, tax take is 1.5 billion. Smokers are not paying for the HSE costs, there is still a 500 million shortfall.

      Reply
    • That’s before we take into account economic losses.

      Reply
    • TP, several smoking friends of mine have died, no non smoking one yet. One heavy smoker died at 48. He left a family of 11. He was highly qualified and earned about €100,000+ per year. He and his families loss of income is about €1,700,000 between his death and retirement alone. His life insurance and mortgage had to pay out and the state probably has to subsidise his family. Have you included that? Another friend dropped dead with a heart attack at 51. Similar loss to his family and society. How do you measure the loss of your father at 48 or 51?

      Reply

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