Hungry for tobacco: an analysis of the economic impact of tobacco consumption on the poor in Bangladesh

Objective-To investigate the extent of tobacco expenditures in Bangladesh a nd to compare those costs with potential investment in food and other essen tial items. Design-Review of available statistics and calculations based thereon. Results-Expenditure on tobacco, particularly cigarettes, represents a major burden for impoverished Bangladeshis. The poorest (household income of les s than $24/month) are twice as likely to smoke as the wealthiest (household income of more than $118/month). Average male cigarette smokers spend more than twice as much on cigarettes as per capita expenditure on clothing, ho using, health and education combined. The typical poor smoker could easily add over 500 calories to the diet of one or two children with his or her da ily tobacco expenditure. An estimated 10.5 million people currently malnour ished could have an adequate diet if money on tobacco were spent on food in stead. The lives of 350 children could be saved each day. Conclusion-Tobacco expenditures exacerbate the effects of poverty and cause significant deterioration in living standards among the poor. This aspect of tobacco use has been largely neglected by those working in poverty and t obacco control. Strong tobacco control measures could have immediate impact on the health of the poor by decreasing tobacco expenditures and thus sign ificantly increasing the resources of the poor. Addressing the issue of tob acco and poverty together could make tobacco control a higher priority for poor countries.