RESUMEN
Objective The paper aims to leavn the direct non-medical costs of the major diseases associated with smoking in Hangzhou. Methods We investigated four general hospitals and a cancer hospital in Hangzhou by typical sampling method. The survey included fee of transportation, nutrition, care, travel and so on. Six major Smoking-related diseases were identified through literature review, and the attributable risk (AR) and the price index were obtained. Results In 2013, the direct non-medical costs of tobacco-related diseases in Hangzhou were as follows: lung cancer, gastric cancer, breast cancer, cerebrovascular diseases cost 427.1, 243.1, 71.6 , 1564.6 thousand yuan, respec tively and coronary heart disease cost 92632.3 thousand yuan and COPD cost 11252.0 thousand yuan. Conclusion The direct non-medical cost contributed by smoking is an important part of the burden of Smoking-related diseases and should be taken seriously.