WHO EMRO Estimation de la fraction attribuable du cancer du poumon liee au tabac au Maroc
The objective of this research was to estimate the attributable fraction (AF) of lung cancer linked to smoking in Morocco. The estimation was based on the SAMMEC (Adult Smoking Attributable Mortality, Morbidity and Economic Costs) method based on the Levin formula to calculate AF linked to tobacco. Data about frequencies, association measures and relative risks were taken from available sources. The AF of lung cancer linked to smoking was about 87% and around 3049 cases of this cancer in men could be avoided if tobacco use could be prevented. About a 10% reduction in smoking prevalence would result in a reduction of 346 lung cancer cases. Our study provides additional important elements for further advocacy to policy makers to implement a tobacco control strategy based on a prevention policy in line with the epidemiological situation which could avoid a huge burden on the country. 1Direction de l'Epidemiologie et de Lutte contre les Maladies, Ministere de la Sante, Rabat (Maroc) (Correspondance a adresser a M. Obtel majdobtel7@yahoo.fr) 2Laboratoire d'Epidemiologie, Recherche Clinique et Sante Publique, Faculte de Medecine et de Pharmacie, Fes (Maroc) 3Departement d'Epidemiologie, Recherche Clinique et Sante Publique, Faculte de Medecine et de Pharmacie, Oujda (Maroc) 4Service de la Prevention et du Controle du Cancer, Division des Maladies non transmissibles, Direction de l'Epidemiologie et de Lutte contre les Maladies, Ministere de la Sante, Rabat (Maroc) 5Axe cancer, INSERM U897 Epidemiologie et Biostatistique, Institut de Sante Publique, d'Epidemiologie et de Developpement (ISPED) Bordeaux (France) Recu 19/11/14 accepte 27/08/15