Deaths from smoking in the Netherlands Deaths from

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Deaths from smoking in the Netherlands

Deaths from smoking in the Netherlands

Deaths from smoking in the Netherlands • This presentation provides estimates of the number

Deaths from smoking in the Netherlands • This presentation provides estimates of the number of deaths caused by smoking in the Netherlands • Particular emphasis is given to the number of deaths in middle age (defined as ages 35 to 69) • Available on www. deathsfromsmoking. net

Source of data: “Mortality from Smoking in Developed Countries, 1950– 2000” • Updated edition

Source of data: “Mortality from Smoking in Developed Countries, 1950– 2000” • Updated edition of a 1994 book, authored by an international team of scientists: – Richard Peto, Professor of Medical Statistics, University of Oxford – Alan Lopez, Professor of Medical Statistics, University of Queensland – Jillian Boreham, Senior Research Fellow, University of Oxford – Michael Thun, Chief of Epidemiology, American Cancer Society • Uses WHO mortality data for lung cancer and for other diseases, and UN population data www. deathsfromsmoking. net

Netherlands Deaths from smoking, 1950 to 2000 • About 880, 000 people died from

Netherlands Deaths from smoking, 1950 to 2000 • About 880, 000 people died from smoking during this 50 -year period in the Netherlands • About half (438, 000) of them were still in middle age when they died • This was about one in four of all the deaths in middle age during this period (438, 000 out of the 1. 7 million deaths at ages 35 -69) www. deathsfromsmoking. net

Netherlands, year 2000 Annual deaths from smoking • Smoking kills about 26, 000 people

Netherlands, year 2000 Annual deaths from smoking • Smoking kills about 26, 000 people a year in the Netherlands • About 10, 000 die in middle age from smoking • Many of those killed in middle age would have lived on for 10, 20, 30 or more good years • About 23 years of life are lost, on average, by those killed in middle age by smoking www. deathsfromsmoking. net

Netherlands, year 2000 Smoking causes about five times as many deaths as all non-medical

Netherlands, year 2000 Smoking causes about five times as many deaths as all non-medical causes put together 26, 000 smoking 5, 169* non-medical Murder / assault Suicide Road accidents Plane crashes Train crashes Accidents at work Accidents at home *in year 2000 www. deathsfromsmoking. net Falls Drowning Poisoning Fires Floods / storms Other natural disasters Other accidents

Netherlands, year 2000 Smoking kills 26, 000 people a year, from many different diseases

Netherlands, year 2000 Smoking kills 26, 000 people a year, from many different diseases 6, 000 vascular (heart disease, stroke and other diseases of the arteries and veins) 11, 000 cancer* 3, 000 other 6, 000 respiratory www. deathsfromsmoking. net *includes 7, 500 (88%) of the 8, 559 lung cancer deaths

Netherlands, year 2000 About one in four of all cancer deaths is due to

Netherlands, year 2000 About one in four of all cancer deaths is due to smoking 11, 000 (29%) from smoking 38, 000 total cancer deaths 9, 000 (43%) from smoking 2, 000 (12%) from smoking 21, 000 male 17, 000 female www. deathsfromsmoking. net

Male deaths in middle age from smoking • The main pattern of increase and,

Male deaths in middle age from smoking • The main pattern of increase and, eventually, decrease in premature deaths from smoking is at a more advanced stage among men than among women • This pattern is seen first in middle age, then in old age • The next three slides concentrate on male deaths in middle age www. deathsfromsmoking. net

Netherlands, year 2000 About one in three of all deaths in middle-aged men is

Netherlands, year 2000 About one in three of all deaths in middle-aged men is due to smoking* www. deathsfromsmoking. net *7, 000 (32%) of the 22, 000 deaths at ages 35 -69

Netherlands, year 2000 Of 100 men aged 35 years … • 24 die in

Netherlands, year 2000 Of 100 men aged 35 years … • 24 die in middle age* • 8 of these 24 deaths are from smoking 8 24% www. deathsfromsmoking. net *risks at year 2000 death rates for ages 35 -69

Netherlands, 1950 -2000 Male death in middle age: changing hazards* Smoking All causes 1950

Netherlands, 1950 -2000 Male death in middle age: changing hazards* Smoking All causes 1950 6 30% 1955 8 1960 10 1965 31% 32% 34% 13 1970 15 1975 15 36% 35% 14 1980 32% 13 1985 11 1990 1995 10 2000 8 31% 28% 26% 24% www. deathsfromsmoking. net *risks at period-specific death rates for ages 35 -69

Netherlands, year 2000 Summary for the whole population In the Netherlands: • Smoking kills

Netherlands, year 2000 Summary for the whole population In the Netherlands: • Smoking kills about 26, 000 men and women every year • About 10, 000 die in middle age from smoking • Smoking causes about five times as many deaths as all non-medical causes put together • About one in four of all cancer deaths is due to smoking www. deathsfromsmoking. net

Messages for the individual smoker • The risk is big: about half are killed

Messages for the individual smoker • The risk is big: about half are killed • Those killed in middle age lose many years • Stopping smoking works – Even in early middle age, those who stop (before they have lung cancer or some other fatal disease) avoid most of their risk of being killed by tobacco – Stopping before middle age works even better www. deathsfromsmoking. net

Deaths from smoking: an electronic resource www. deathsfromsmoking. net Published by International Union Against

Deaths from smoking: an electronic resource www. deathsfromsmoking. net Published by International Union Against Cancer (UICC), Geneva: Switzerland, 2006 Funded by Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), University of Oxford International Union Against Cancer (UICC) Fogarty International Center, US NIH UK Medical Research Council Cancer Research UK Project team Project management Advice and support Design Richard Peto, Judith Watt, Jillian Boreham Sinéad Jones Steve Woodward, Konrad Jamrozik, Lesley Walker, Trish Cotter bwa-design. co. uk