Introduction:
The future of the nation is determined by the nation's qualified young generation. Qualified young people are the productive age population who are healthy, strong and free from the dangers of smoking. Cigarettes cause death threats for Indonesia's young generation. Every year, more than 225700 Indonesians are killed by tobacco-related diseases. However, more than 469000 children (10-14 years old) and 6402700 adults (15+ years old) continue to use tobacco every day. Indonesian basic health research data in 2018 shows that smoking behavior trends have increased significantly in adolescence at 9.1 percent compared to 2013 basic health research at 7.2 percent.

Objectives:
This study aims to calculate the burden of diseases caused by smoking at productive age in Indonesia from both an epidemiological perspective and an economic perspective in 2017

Methods:
The research design is a cross-sectional study. The data source used is Indonesia burden of disease data in 2017.

Results:
The results of the study showed that the 5 highest cigarette-related diseases that contribute to causing death at productive age in Indonesia are cardiovascular diseases, respiratory infections and tuberculosis, neoplasms, chronic respiratory diseases and diabetes and kidney diseases. While, 10 cigarette-related diseases of productive age with the highest DALYs ranking were cardiovascular diseases, respiratory infections and tuberculosis, diabetes and kidney diseases, musculoskeletal disorders, neoplasms, chronic respiratory diseases, sense organ diseases, transport injuries, digestive diseases and unintentional injuries. The country's economic losses due to 10 cigarette-related diseases in the productive age during 2017 are 59.2 trillion IDR, or 56.9% of Indonesia's total national health budget in 2017.

Conclusion(s):
Smoking behavior at productive age in Indonesia needs to be controlled because it has a high potential to harm the country in a significant amount