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Methods Study design This study is based on an economic model developed as part of a collaborative project between academic institutions, researchers and decision-makers from 12 Latin American countries (of which eight were selected for this project based on their population size and/or availability of required data).4 9 The model is a state transition or Markov probabilistic microsimulation of individuals (first-order Monte Carlo technique) that considers the natural history, direct medical costs, indirect costs such as productivity loss, and quality-of-life losses associated with the main tobacco-attributable diseases (coronary and non-coronary heart disease, cerebrovascular disease, chronic obstructive pulmonary disease (COPD), pneumonia, influenza, lung cancer, mouth and pharynx cancer, oesophageal cancer, stomach cancer, pancreatic cancer, kidney cancer, larynx cancer, acute myeloid leukaemia, bladder cancer and cervical cancer)