§ Mr. MacKenzieasked the Secretary of State for Social Services how many hospital beds were taken up by patients suffering from diseases normally associated with tobacco smoking in the last calendar year for which figures are available.
§ Mrs. CurrieThe available information for the main diseases associated with smoking is given in the table. Smoking is a major, but not the sole, cause of illness from these diseases; in particular, ischaemic heart disease has a number of other important contributory factors.
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Estimated average daily number of beds occupied by patients with elected main diagnoses. NHS hospitals in England 1984 Main diagnosis 1CD1 code Estimated average number of beds occupied daily Malignant neoplasm Trachea, bronchus and lung 162 1,700 Lip, oral cavity and pharynx 140–149 265 Oesophagus 150 316 Larynx 161 156 Diseases of the circulatory system Ischaemic heart disease 410–414 5,830 Chronic pulmonary heart disease 416 130 Aortic aneurysm 441 167 Diseases of the respiratory system Bronchitis and emphysema 490–492 1,080 Chronic airways obstruction, not elsewhere classified 496 1,180 1 International Classification of Diseases 9th revision.
§ Mr. MacKenzieasked the Secretary of State for Social Services how many deaths were recorded from diseases normally associated with tobacco smoking in the last calendar year for which figures are available.
§ Mrs. CurrieIt is not possible to be precise. Most deaths associated with cigarette smoking arise from three diseases: lung cancer, chronic bronchitis and "heart attacks" due to obstruction of the arteries of the heart. However, the proportion of deaths atttributable to smoking from each of these diseases varies. Furthermore, smoking is also implicated in certain other conditions where no estimate of the numbers of the deaths caused by smoking is available—for example, obstruction of the arteries of the lower limbs.
It is estimated that at least 90 per cent. of deaths from cancers of the lung, lip, oesophagus and larynx, and 90 per cent. of deaths from chronic bronchitis, obstructive lung disease, chronic pulmonary heart disease and aortic aneurysm are attributable to smoking. The total number of deaths from these conditions involved is given in the table.
England and Wales—1985 ICD 1code Number 162 Malignant neoplasm of trachea, bronchus and lung 35,792 140–149 Malignant neoplasm of lip, oralcavity and pharynx 1,697 150 Malignant neoplasm of oesophagus 4,570 161 Malignant neoplasm of larynx 835 416 Chronic pulmonary heart disease 781 441 Aortic aneurysm 7,656 490–492, 496 Bronchitis and emphysema, chronic airways obstruction, not else where classified 28,118 In 1983, the Royal College of Physicians in its report "Health or Smoking" estimated that perhaps 20 per cent. of deaths due to obstruction of the arteries of the heart were related to smoking. The medical term for this condition is "ischaemic heart disease"', but it is commonly often referred to as "coronary heart disease". The total number of deaths from this condition for England and Wales is as follows, but the proportion directly attributable to smoking is less certain as this is only one of a number of causes that give rise to obstruction of the arteries of the heart.
England and Wales—1985 ICD 1code Number 410–414 Ischaemic heart disease 163,104 1 International Classification of Diseases 9th revision.
§ Mr. MacKenzieasked the Secretary of State for Social Services how many working days were lost in England, Scotland and Wales by people suffering from diseases normally associated with tobacco smoking during the last calendar year for which figures are available.
§ Mrs. CurrieInformation in the form requested is not available. The table shows days of certified incapacity for sickness and invalidity benefit for the main diseases associated with smoking. The statistics exclude periods of incapacity covered by statutory sick pay (in 1984–85 normally a maximum of eight weeks in a tax year) and working days lost by certain groups of workers who do not claim these benefits. They do include days of incapacity for106W which invalidity benefit was claimed by men aged 65–69 and women aged 60–64. Persons in these age groups accounted for some 15–20 per cent. of the total days of incapacity shown in the table.
Days of certified incapacity due to sickness and invalidity in the period 2 April 1984 to 30 March 1985: Great Britain Causes ICD1 code Million days Malignant neoplasm Trachea, bronchus and lung 162 0.3 Lip, oral cavity and pharynx 140–149 0.1 Oesophagus 150 2 Larynx 161 0.2 Diseases of the circulatory system Ischaemic heart disease 410–414 35.3 Chronic pulmonary heart disease 416 0.2 Aortic aneurysm 441 0.2 Diseases of the respiratory system Bronchitis and emphysema 490–492 19.0 Chronic airways obstruction, not elsewhere classified 496 3.3 1 International Classification of Diseases 9th revision. 2 Less than 100,000 days.