Increasing Cigarette Taxes Could Boost Child Survival Rates

Research conducted by the Karolinska Institutet suggests that implementing higher taxes on cigarettes in low- and middle-income countries (LMICs) could significantly reduce child mortality rates, especially among the most impoverished children. Published in The Lancet Public Health, the study titled "Cigarette taxation and socioeconomic inequalities in under-five mortality across 94 low- and middle-income countries" highlights the potential health benefits of such fiscal policies.
The World Health Organization (WHO) recommends that cigarette taxes constitute at least 75% of the retail price; however, many countries fall short of this benchmark. If all 94 countries involved in the study had adopted the WHO’s recommended level, it is estimated that over 280,000 children's lives could be saved annually. Additionally, increasing cigarette taxes could help narrow the socioeconomic disparities in child mortality rates, aligning with the United Nations' sustainable development goals.
The study examined data spanning from 2008 to 2020, sourced from WHO, the World Bank, and the UN Inter-agency Group for Child Mortality Estimation. It analyzed various taxation methods including specific excise duties (fixed amount per pack), ad valorem duties (percentage of product value), import duties, and VAT. Findings indicate that higher cigarette taxes, particularly excise duties, positively influence child survival across different economic groups, reducing mortality differentials between the wealthiest and poorest children.
Lead researcher Olivia Bannon emphasizes that in addition to health benefits, increasing tobacco taxes is a vital policy tool to combat the disproportionate burden of tobacco-related morbidity and mortality among children in LMICs. She highlights the importance of countering tobacco industry tactics aimed at undermining such public health measures.
The study underscores the need for governments to overcome industry interference and other barriers to enforce effective tobacco taxation policies. Collaborative efforts involved researchers from Erasmus MC in the Netherlands, McGill University in Canada, and Imperial College London in the UK.
In conclusion, elevating cigarette taxes is not only a cost-effective strategy to improve child health worldwide but also a means to promote greater health equity among socioeconomic groups.
Source: Medical Xpress
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