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Group: soc.culture.hongkong · Group Profile
Author: Philip
Date: Sep 19, 2006 05:16

factsheet no:2

Smoking statistics:

Illness and death

Action on Smoking and Health - August 2005

Illness caused by smoking

Smoking has more than 50 ways of making life a misery through illness
and more than 20 ways of killing you. In general, smokers endure poorer
health than non-smokers. It has been estimated that, in England,
364,000 patients are admitted to NHS hospitals each year due to
diseases caused by smoking. This translates into 7,000 hospital
admissions per week, or 1,000 day. [1] In 1997/98, cigarette smoking
caused an estimated 480,000 patients to consult their GP for heart
disease, 20,000 for stroke and nearly 600,000 for COPD. 1

Half of all teenagers who are currently smoking will die from diseases
caused by tobacco if they continue to smoke. One quarter will die
after 70 years of age and one quarter before, with those dying before
70 losing on average 21 years of life. [2] It is estimated that
between 1950 and 2000 six million Britons, 60 million people worldwide,
would have died from tobacco-related diseases. [3]

Non-lethal illness

Smokers face a higher risk than non-smokers for a wide variety of
illnesses, many of which may be fatal (see "Deaths caused by smoking"
below). However, many medical conditions associated with smoking, while
they may not be fatal, may cause years of debilitating illness or other
problems. These include: [4]

Increased risk for smokers

Acute necrotizing ulcerative gingivitis (gum disease)
Muscle injuries

Angina (20 x risk)
Neck pain

Back pain
Nystagmus (abnormal eye movements)

Buerger's Disease (severe circulatory disease)
Ocular Histoplasmosis (fungal eye infection)

Duodenal ulcer
Osteoporosis (in both sexes)

Cataract (2 x risk)
Osteoarthritis

Cataract, posterior subcapsular (3 x risk)
Penis (Erectile dysfunction)

Colon Polyps
Peripheral vascular disease

Crohn's Disease (chronic inflamed bowel)
Pneumonia

Depression
Psoriasis (2 x risk)

Diabetes (Type 2, non-insulin dependent)
Skin wrinkling (2 x risk)

Hearing loss
Stomach ulcer

Influenza
Rheumatoid arthritis (for heavy smokers) [5]

Impotence (2 x risk)
Tendon injuries

Optic Neuropathy (loss of vision, 16 x risk)
Tobacco Amblyopia (loss of vision)

Ligament injuries
Tooth loss

Macular degeneration (eyes, 2 x risk)
Tuberculosis

Function impaired in smokers

Ejaculation (volume reduced)
Sperm count reduced

Fertility (30%% lower in women)
Sperm motility impaired

Immune System (impaired)
Sperm less able to penetrate the ovum

Menopause (onset 1.74 years early on average)
Sperm shape abnormalities increased

Symptoms worse in smokers

Asthma
Graves' disease (over-active thyroid gland)

Chronic rhinitis (chronic inflammation of the nose)
Multiple Sclerosis

Diabetic retinopathy (eyes)
Optic Neuritis (eyes)

Disease more severe or persistent in smokers

Common cold
Pneumonia

Crohn's Disease (chronic inflamed bowel)
Tuberculosis

Influenza

Deaths caused by smoking

One in two long-term smokers will die prematurely as a result of
smoking - half of these in middle age. The most recent estimates show
that around 114,000 people in the UK are killed by smoking every year,
accounting for one fifth of all UK deaths. [6] Most die from one of the
three main diseases associated with cigarette smoking: lung cancer,
chronic obstructive lung disease (bronchitis and emphysema) and
coronary heart disease. The table below shows the percentage and
numbers of deaths attributable to smoking, based on the latest
available detailed breakdown (2002 data).

Estimated percentages and numbers of deaths attributable to smoking in
the UK by cause

(based on 2002 mortality data) 1, [7]

Deaths from disease estimated to be caused by smoking

Number
As %% of all deaths from disease

Men
Women
Total
Men
Women
Total

Cancer

Lung
18002
10032
28034
89
75
84

Upper respiratory
525
85
610
74
50
66

Oesophagus
3248
1743
4991
71
65
68

Bladder
1521
318
1839
47
19
37

Kidney
788
72
860
40
6
27

Stomach
1385
266
1651
35
11
26

Pancreas
670
923
1593
20
26
23

Unspecified site

Myeloid Leukaemia
264
131
395
19
11
15

Respiratory

Chronic obstructive lung disease
13193
10685
23878
86
81
84

Pneumonia
3162
2900
6062
23
13
17

Circulatory

Ischaemic heart disease
14182
6361
20543
22
12
17

Cerebrovascular disease
3064
3764
6828
12
9
10

Aortic aneurysm
3652
1939
5591
61
52
57

Myocardial degeneration
6670
2936
9606
22
12
15

Atherosclerosis
63
56
119
15
7
10

Digestive

Ulcer of the stomach or duodenum
907
1008
1915
45
45
45

Total caused by smoking
71,296
43,219
114,597

Preventable by smoking * :

Parkinson's
1369
549
1918
55
28
43

Cancer of the endometrium

260
260

17
17

Total prevented by smoking

Deaths from all causes due to smoking (causes less prevented)
69,927
42,410
112,337

* Studies have shown that smoking appears to have a protective effect
against the onset of some diseases such as endometrial cancer.
However, the positive effect is so small in comparison with the
overwhelming toll of death and disease caused by smoking that there is
no direct public health benefit.

Deaths caused by smoking are five times higher than the 22,833 deaths
arising from: traffic accidents (3,439); poisoning and overdose (881);
alcoholic liver disease (5,121); other accidental deaths (8,579);
murder and manslaughter (513); suicide (4,066); and HIV infection (234)
in the UK during 2002. 7 World-wide, almost 5 million die prematurely
each year as a result of smoking. Based on current trends, this will
rise to 10 million within 20 years. [8]

References

[1] Nicotine Addiction in Britain. A report of the Tobacco Advisory
Group of the Royal College of Physicians. RCP, 2000 (for percentage of
smoking-related deaths). Mortality statistics 2002., Office for
National Statistics, 2002; General Register Office for Scotland, 2002;
Registrar General Northern Ireland, Annual Report, Statistics &
Research Agency, 2002.

[2] Peto R. Mortality in relation to smoking: 40 years' observations
on male British doctors. BMJ 1994; 309: 901-911

[3] Peto R et al. Mortality from smoking in developed countries,
1950-2000. Oxford Medical Publications, 1994.

[4] Cigarettes: what the warning label doesn't tell you. American
Council on Science & Health, 1997.

[5] Hutchinson, D et al. Annals of Rheumatic Diseases, 2001; 60: 223-7

[6] Peto, R. et al Mortality from smoking in developed countries
1950-2000 (2nd edition) Oxford University Press, Oxford. View report

[7] Mortality statistics 2002., Office for National Statistics, 2002;
General Register Office for Scotland, 2002; Registrar General Northern
Ireland, Annual Report, Statistics & Research Agency, 2002.

[8] The World Health Report 2003. World Health Organization, 2003.

________________________________________________________________________________

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