Deaths from smoking in Japan. Deaths from smoking in Japan Particular emphasis is given to the number of deaths in middle age (defined as ages 35 to 69)

Deaths from smoking

in Japan

Deaths from smokingin Japan

• 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 Japan

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

Deaths from smoking, 1950 to 2000

• About 40% (1 million) of them were still in middle agewhen they died

• This was about one in fourteen of all the deaths inmiddle age during this period (1 million out ofthe 13.4 million deaths at ages 35-69)


Japan

• About 2.5 million people died from smoking during this50-year period in Japan

Annual deaths from smoking

• About 33,000 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 22 years of life are lost, on average, by those killed in middle age by smoking


Japan, year 2000

• Smoking kills about 113,000 people a year in Japan

Smoking causes more deaths than all non-medical causes put together


Japan, year 2000

73,805*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

113,000smoking

Smoking kills 113,000 people a year,from many different diseases


Japan, year 2000

*includes 42,000 (78%) ofthe 53,724 lung cancer deaths

62,000cancer*

21,000 vascular(heart disease,stroke and other diseases of the arteries and veins)

20,000respiratory

10,000other

295,000total cancer deaths

About one in five of all cancer deathsis due to smoking


Japan, year 2000

62,000 (21%)from smoking

179,000male


116,000female


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


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

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


Japan, year 2000

*29,000 (16%) of the184,000 deaths at ages 35-69

Of 100 men aged 35 years …


Japan, year 2000

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

• 21 die in middle age*

21%

• 3 of these 21 deaths are from smoking

3

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

Male death in middle age: changing hazards*


Japan, 1950-2000

50%

All causes

43%

42%

40%

36%

31%

28%

23%

23%

21%

25%

<1

Smoking

1

2

3

4

4

4

4

4

3

4

Summary for the whole population

• Smoking kills about 113,000 men and women every year

• About 33,000 die in middle age from smoking

• Smoking causes more deaths than all non-medical causes put together

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


Japan, year 2000

In Japan:

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


• The risk is big: about half are killed

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

Documents

Deaths from smoking in Japan. Deaths from smoking in Japan Particular emphasis is given to the number of deaths in middle age (defined as ages 35 to 69)