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Deaths from smoking in the United States

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Page 1: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Deaths from smoking

in the United States

Page 2: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Deaths from smokingin the United States

• Particular emphasis is given to the number of deathsin middle age (defined as ages 35 to 69)

• Available on www.deathsfromsmoking.net

• This presentation provides estimates of the numberof deaths caused by smoking in the United States

Page 3: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

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

• Uses WHO mortality data for lung cancer and for other diseases, and UN population data

www.deathsfromsmoking.net

• Updated edition of a 1994 book, authored by aninternational 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

Page 4: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Deaths from smoking, 1950 to 2000

• About half (8.5 million) of them were still in middle agewhen they died

• This was about one in four of all the deaths inmiddle age during this period (8.5 million out ofthe 35 million deaths at ages 35-69)

www.deathsfromsmoking.net

United States

• About 15 million people died from smoking during this50-year period in the United States

Page 5: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Annual deaths from smoking

• About 192,000 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

United States, year 2000

• Smoking kills about 512,000 people a year in the United States

Page 6: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Smoking causes about three times as many deaths as all non-medical causes put together

www.deathsfromsmoking.net

United States, year 2000

151,268*non-medical

Murder / assault FallsSuicide DrowningRoad accidents PoisoningPlane crashes FiresTrain crashes Floods / stormsAccidents at work Other natural disastersAccidents at home Other accidents

*in year 2000

512,000smoking

Page 7: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Smoking kills 512,000 people a year,from many different diseases

www.deathsfromsmoking.net

United States, year 2000

*includes 138,000 (89%) ofthe 155,521 lung cancer deaths

185,000 cancer*

144,000vascular(heart disease,stroke and other diseases of the arteries and veins)

108,000respiratory

75,000other

Page 8: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

553,000 total cancer deaths

About one in three of all cancer deathsis due to smoking

United States, year 2000

185,000 (33%)from smoking

286,000male

115,000 (40%)from smoking

267,000female

www.deathsfromsmoking.net

70,000 (26%)from smoking

Page 9: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Male deaths in middle age from smoking

• This pattern is seen first in middle age, then in old age

• The next three slides concentrate on male deathsin middle age

www.deathsfromsmoking.net

• The main pattern of increase and, eventually,decrease in premature deaths from smoking is at a more advanced stage among men than among women

Page 10: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

About one in four of all deaths inmiddle-aged men is due to smoking*

www.deathsfromsmoking.net

United States, year 2000

*118,000 (29%) of the405,000 deaths at ages 35-69

Page 11: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Of 100 men aged 35 years …

www.deathsfromsmoking.net

United States, year 2000

*risks at year 2000death rates for ages 35-69

• 27 die in middle age*

27%

• 8 of these 27 deaths are from smoking

8

Page 12: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Male death in middle age: changing hazards*

www.deathsfromsmoking.net

United States, 1950-2000

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

43%

All causes

42%

43%

43%

43%

39%

36%

31%

30%

27%

34%

6

Smoking

8

10

12

13

13

13

11

10

8

12

Page 13: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Summary for the whole population

• Smoking kills about 512,000 men and women every year

• About 192,000 die in middle age from smoking

• Smoking causes about three times as many deaths as all non-medical causes put together

• About one in three of all cancer deaths is due to smoking

www.deathsfromsmoking.net

United States, year 2000

In the United States:

Page 14: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Messages for the individual smoker

• 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

• The risk is big: about half are killed

Page 15: Deaths from smoking in the United States. Deaths from smoking in the United States Particular emphasis is given to the number of deaths in middle age

Deaths from smoking: an electronic resourcewww.deathsfromsmoking.netPublished by International Union Against Cancer (UICC), Geneva: Switzerland, 2006

Funded byClinical Trial Service Unit & Epidemiological Studies Unit (CTSU), University of OxfordInternational Union Against Cancer (UICC)Fogarty International Center, US NIHUK Medical Research CouncilCancer Research UK

Project team Richard Peto, Judith Watt, Jillian BorehamProject management Sinéad JonesAdvice and support Steve Woodward, Konrad Jamrozik, Lesley Walker, Trish CotterDesign bwa-design.co.uk