RT Journal Article SR Electronic T1 Counting 15 million more poor in India, thanks to tobacco JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 349 OP 352 DO 10.1136/tc.2010.040089 VO 20 IS 5 A1 Rijo M John A1 Hai-Yen Sung A1 Wendy B Max A1 Hana Ross YR 2011 UL http://tobaccocontrol.bmj.com/content/20/5/349.abstract AB Objective To quantify the impact of tobacco use and the related medical expenditure on poverty in India.Methods Tobacco expenditure and associated medical expenditure attributable to tobacco use were subtracted from the household monthly consumption expenditure in order to derive an appropriate measure of household disposable income. The 2004 National Sample Survey, a nationally representative survey of Indian households, was used to estimate the true level of poverty.Results Our estimates indicate that accounting for direct expenditure on tobacco would increase the rural and the urban poverty rates by 1.5% (affecting 11.8 million people) and 0.72% (affecting 2.3 million people), respectively. Similarly, the out-of-pocket costs of tobacco-attributable medical care result in 0.09% higher poverty rates in rural areas (affecting 0.7 million people) and in 0.07% higher poverty rates in urban locations (affecting 0.23 million people).Conclusions Tobacco consumption impoverishes roughly 15 million people in India. Hence tobacco control measures would not only improve public health, but would also reduce poverty in India.