Rygning koster NHS fem gange så meget som tidligere antaget, forskere har beregnet.
Behandling af sygdomme er direkte forårsaget af rygning producerer medicinske regninger på mere end £ 5bn om året i Storbritannien.
I 2005, rygning tegnede sig for næsten en ud af fem af alle dødsfald og en betydelig mængde af handicap, Oxford University team sagt.
British Heart Foundation, der finansierede forskning sagde strammere regler var behov for salg af tobak.
Tidligere skøn har sat byrde af rygning på NHS på £ 1,4 mia £ 1.7bn, forskerne rapporteret i Tobacco Control.
"Det er penge, der blev drænet ud af NHS som et direkte resultat af noget, vi har magt til at forhindre"
Betty McBride, British Heart Foundation
Men disse var baseret på data fra 1991, og fordi sådanne undersøgelser er kompliceret at gennemføre, er den ikke blevet opdateret.
For den seneste analyse forskere tog hensyn til data fra Verdenssundhedsorganisationen undersøgelse af hvor stor en del af en sygdom forårsaget af risikofaktorer såsom rygning, NHS omkostninger og UK dødsfald som følge af tobaksrelaterede sygdomme.
De beregnet, at i 2005, rygning var ansvarlig for 27% af dødsfald blandt mænd og omkring en ud af 10 blandt kvinder, et tal, der ikke har ændret sig meget i det seneste årti.
Når man ser på udgifterne til NHS, er de beregnet, at behandling af kræft forårsaget af rygning omkostninger 0.6bn et år og hjerte-kar-sygdomme koster 2.5bn et år.
Langsigtet lunge betingelser koster £ 1,4 mia.
Undervurdere
Denne årlige omkostninger er stadig forventes at være en undervurdering, siger de, fordi det omfatter ikke indirekte omkostninger, såsom tabt produktivitet og uformel pleje, omkostningerne til behandling af sygdomme forårsaget af passiv rygning, eller det fulde spektrum af betingelserne i forbindelse med rygning.
Undersøgelse leder Dr. Steven Allender, sagde den øgede omkostninger i høj grad var på grund af stigende udgifter til behandling på NHS med bedre behandling og teknologier.
"Historien er ikke så meget de fem gange stigning men at £ 5bn er et enormt antal uanset.
Dødsfald som følge af RYGNINGEngland – 90.000 Wales – 6000 Nordirland 2500 Skotland – 11.000
"Der 's to forskellige måder at anskue dette – den ene er, hvis ingen røget vi ville spare £ 5bn men alternative synspunkt er dette er et enormt sundhedsproblem og bør flyttes tilbage indtil den politiske dagsorden."
Trække på deres tidligere arbejde på andre livsstilsrelaterede spørgsmål, tilføjede han, at rygning koster fem gange mere end mangel på fysisk aktivitet, det dobbelte af omkostningerne ved fedme og omtrent det samme som en usund kost.
En separat papir udgivet af holdet i Journal of Public Health konstateret, at forbruget af alkohol koster UK NHS £ 3bn.
Betty McBride, politik og kommunikation direktør i British Heart Foundation, sagde: "Det er penge, der blev drænet ud af NHS som et direkte resultat af noget, vi har magt til at forhindre.
"Men den virkelige tragedie i denne uhyrlige tal er liv, der er forkortet eller ødelagt som følge af rygning.
"Denne undersøgelse viser præcist, hvorfor vi har brug for det stærkest mulige foranstaltninger til at kontrollere salget af tobak."
Men Simon Clark, fra ryger 's lobby gruppe Skov, sagde tal i rapporten var en tasken, og skal behandles med foragt.
Hr. Clark sagde, at det var absurd at antyde, at omkostningerne i forbindelse med rygning til NHS steget kraftigt, som rygning satser havde været faldende i 50 år.
Han sagde: "Selv hvis det var sandt, rygere stadig bidrage dobbelte beløb til statskassen i tobak og moms.
"Langt fra at være en byrde for samfundet, rygere gøre en enorm økonomisk støtte."
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