HC Deb 07 November 1986 vol 103 cc651-2W
Mr. Pawsey

asked the Secretary of State for Social Services what has been the change in the death rate from cervical cancer since 1965; and what was the equivalent change between 1960 and 1965.

Mrs. Currie

The table shows the age-specific mortality rates per million population for malignant neoplasm of cervix uteri for England and Wales for 1960, 1965 and 1985, and the average annual percentage change in these rates between 1960 and 1965, and between 1965 and 1985.

Age-specific mortality rates per million population for Malignant Neoplasm of Cervix Uteri (ICD1(7) 171, (9) 180), 1960, 1965, 1985; average annual percentage change 1960–65, 1965–85, England and Wales
Age-group Year
1960 Rate2 1965 Rate2 1985 Rate2 1960–65 Average annual percentage change 1965–85 Average annual percentage change
15–24 0.3 0.9 1.3 27.3 1.9
25–34 21 11 32 - 7.9 9.1
35–44 109 105 68 - 0.6 -1.7
45–54 183 192 93 0.8 -2.5
55–64 192 198 158 0.5 -1.0
65–74 279 217 195 - 3.7 -0.5
75–84 356 272 197 - 3.9 -1.3
85 and over 370 344 206 - 1.2 - 1.9
1 International Classification of Diseases 7th, 9th revisions.
2 per million population.

Mr. Pawsey

asked the Secretary of State for Social Services if he will publish a table showing the number of deaths from cervical cancer for each year since 1973 to the present time.

Mrs. Currie

The information is shown in the table.

Number of deaths with underlying cause as Malignant Neoplasm of Cervix Uteri (ICD1(8, 9) 180) 1973–1985
England and Wales
Year Number of deaths
1973 2,249
1974 2,068
1975 2,143
1976 2,206
1977 2,145
1978 2,153
1979 2,087
1980 2,068
1981 2,017
1982 1,932
1983 1,959
1984 1,899
1985 1,957
1 International Classification of Diseases 8th, 9th revisions.

Mr. Pawsey

asked the Secretary of State for Social Services what has been the change in the rate of positive smears for cervical cancer since 1973.

Mrs. Currie

The information requested is given in the table.

Cervical Cytology England and Wales
Year Positive smears per thousand examined Index (1973 = 100)
1973 4.3 100
1974 4.7 109
1975 4.8 112
1976 5.2 121
1977 5.9 137
1978 6.3 147
1979 6.3 147
1980 6.8 158
1981 7.1 165
1982 7.6 177
1983 7.8 181
1984 8.9 207
1985 9.2 214

Mr. Pawsey

asked the Secretary of State for Social Services what is the cost of the present cervical cancer smear test campaign; and what assessment he has made of the cost of providing for screening at three-yearly intervals.

Mrs. Currie

Expenditure on cervical cancer screening is not separately identified in health authority accounts. It is estimated that the current cost is in the range of £20 million to £30 million. A change to three-yearly screening for all women aged 20–64 years might increase expenditure by some £10 million to £15 million.

Mr. Pawsey

asked the Secretary of State for Social Services (1) what is the anticipated annual change in cervical cancer cases between the current time and 1996;

(2) what is the estimated number of deaths from cervical cancer for each year between the current time and 1996.

Mrs. Currie

I regret that the information requested is not available. We are pursuing vigorously policies to reduce the rate of incidence and of deaths from cervical cancer.