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Deaths from smoking

in Latvia

Deaths from smoking

in Latvia



• This presentation provides estimates of the number

of deaths caused by smoking in Latvia



• 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 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

Latvia





Deaths from smoking, 1980 to 2000





• About 93,000 people died from smoking during this

20-year period in Latvia



• About 75% (70,000) 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 (70,000 out of

the 293,000 deaths at ages 35-69)



www.deathsfromsmoking.net

Latvia, year 2000





Annual deaths from smoking





• Smoking kills about 4,200 people a year in Latvia



• About 3,000 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 19 years of life are lost, on average, by those

killed in middle age by smoking





www.deathsfromsmoking.net

Latvia, year 2000





Smoking causes about as many deaths as all

non-medical causes put together



4,200 3,773*

smoking non-medical



Murder / assault Falls

Suicide Drowning

Road accidents Poisoning

Plane crashes Fires

Train crashes Floods / storms

Accidents at work Other natural disasters

Accidents at home Other accidents







*in year 2000





www.deathsfromsmoking.net

Latvia, year 2000





Smoking kills 4,200 people a year,

from many different diseases





1,400

cancer*

2,000

vascular

(heart disease,

stroke and other

300 diseases of the

respiratory arteries and veins)







500

other *includes 900 (87%) of

www.deathsfromsmoking.net the 1,039 lung cancer deaths

Latvia, year 2000





About one in four of all cancer deaths

is due to smoking

1,400 (25%) 5,600

from smoking total cancer deaths







1,300 (43%) 3,000

from smoking male







100 (4%) 2,600

from smoking female







www.deathsfromsmoking.net

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

Latvia, year 2000





About one in three of all deaths in

middle-aged men is due to smoking*









*2,700 (31%) of the

www.deathsfromsmoking.net 8,800 deaths at ages 35-69

Latvia, year 2000





Of 100 men aged 35 years …





• 53 die in middle age*

• 16 of these 53 deaths are from smoking







16 53%







*risks at year 2000

www.deathsfromsmoking.net death rates for ages 35-69

Latvia, 1985-2000





Male death in middle age: changing hazards*



Smoking All causes

1985 18 50%



1990 18 50%





1995 20 62%



2000 16 53%







*risks at period-specific

www.deathsfromsmoking.net death rates for ages 35-69

Latvia, year 2000





Summary for the whole population



In Latvia:



• Smoking kills about 4,200 men and women every year



• About 3,000 die in middle age from smoking



• Smoking causes about 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

• 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 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 Richard Peto, Judith Watt, Jillian Boreham

Project management Sinéad Jones

Advice and support Steve Woodward, Konrad Jamrozik, Lesley Walker, Trish Cotter

Design bwa-design.co.uk



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