Table of Contents
ISRN Public Health
Volume 2012, Article ID 329721, 8 pages
Research Article

The Czech Republic SimSmoke: The Effect of Tobacco Control Policies on Smoking Prevalence and Smoking Attributable Deaths in the Czech Republic

1Department of Oncology, Georgetown University, Washington, DC 20007, USA
2Pacific Institute for Research and Evaluation, Calverton, MD 20705, USA
3International Tobacco Control Research, American Cancer Society, Atlanta, GA 30303, USA
4Tobacco Dependence Treatment Centre, Charles University, Prague, Czech Republic

Received 4 January 2012; Accepted 24 January 2012

Academic Editors: W. Aekplakorn, J. U. Béria, and S. Siziya

Copyright © 2012 David T. Levy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The Czech Republic has a weak tobacco control record. This paper describes a simulation model examining the effect of future tobacco control policies in the Czech Republic on smoking prevalence and associated future premature mortality. Methods. The model is developed using the SimSmoke simulation model of tobacco control policy. The model uses population, smoking rates and tobacco control policy data for the Czech Republic. It assesses, individually and in combination, the effect of taxes, smoke-free air laws, mass media campaigns, advertising bans, warning labels, cessation treatment, and youth access policies. Results. With a comprehensive set of policies, smoking prevalence can be reduced by as much as 22% in the first year, by 35% in 20 years, and up to 40% in 30 years. By 2040, 5,873 deaths can be averted in that year alone. Without these policies, 113,004 people in the Czech Republic will die prematurely in the next 30 years. Conclusions. The model shows that significant inroads to reducing smoking prevalence and premature mortality can be achieved through tax increases, a high intensity media campaign, a comprehensive cessation treatment program, strong health warnings, stronger smoke-free air laws and marketing bans, and well-enforced youth access laws.