HC Deb 25 February 1994 vol 238 cc517-8W
Mr. Steinberg

To ask the Secretary of State for Health if she will list by region the number of(a) accidents and (b) deaths that were alcohol or drug related since 1990.

Mr. Bowis

The information is shown in the tables.

The figures for alcohol show those cases where cause of death has a clear association with alcohol in England and Wales from 1990 onwards. Other cases have not been included where the evidence of association is less clear.

Alcohol is implicated directly or indirectly in a number of causes of death including accidents, suicide and diseases such as cirrhosis of the liver, stroke, cancers of the mouth, pharynx, larynx and oesophagus. Studies undertaken since 1985 suggest that a reasonable estimate of all alcohol-associated deaths would be around 25,000 per year in England and Wales.

The figures for drugs show those cases where cause of death has a clear association with drugs in England and Wales from 1990 onwards.

Information on accidents which do not lead to death is not available.

Alcohol-related deaths in England and Wales1, regional health authority 1990–1992
1990 1991 1992
England and Wales 1,939 1,971 2,016
Northern 111 137 131
Yorkshire 96 105 110
Trent 117 124 132
East Anglian 68 57 60
North-West Thames 194 202 177
North-East Thames 170 142 145
South-East Thames 131 150 152
South-West Thames 130 123 114
Wessex 83 104 96
Oxford 98 95 111
South-Western 131 102 97
West Midlands 193 209 241
Mersey 117 120 144
North-Western 174 176 186
Wales 120 114 104
1Includes deaths to persons whose usual residence is outside England and Wales. These details are excluded from any subdivision of England and Wales.

The following International Classification of Diseases codes (ICD) were used where the underlying cause of death is linked to alcohol consumption.

ICD 291 Alcoholic psychoses.
ICD 303 Alcoholic dependence syndrome.
ICD 305.0 Non-dependent abuse of alcohol.
ICD 425.5 Alcoholic cardiomyopathy.
ICD 571.0 Alcoholic fatty liver.
ICD 571.1 Acute alcoholic hepatitis.
ICD 571.2 Alcoholic cirrhosis of liver.
ICD 571.3 Alcoholic liver damage, unspecified.
ICD 980 Toxic effect of alcohol.

Drug-related deaths in England and Wales1 regional health authority 1990–1992
1990 1991 1992
England and Wales 2,060 2,097 2,393
Northern 122 110 134
Yorkshire 169 150 177
Trent 136 143 167
East Anglian 72 71 92
North-West Thames 168 186 174
North-East Thames 178 186 208
South-East Thames 206 205 225
South-West Thames 128 117 128
Wessex 104 110 113
Oxford 75 75 88
South-Western 118 91 150
West Midlands 165 161 179
Mersey 98 92 108
North-Western 202 258 286
Wales 87 101 117
1Includes deaths to persons whose usual residence is outside England and Wales. These details are excluded from any subdivision of England and Wales.

The following International Classification of Diseases codes (ICD) were used where the underlying cause of death is linked to drug misuse.

ICD 070 Viral hepatitis.
ICD 292 Drug psychoses.
ICD 304 Drug dependence.
ICD 304.0–304.9, by type of drug, excluding 304.6 (Absinthe addiction and glue sniffing).
ICD 305 Non-dependent abuse of drugs.
ICD 305.2–305.9 by type of drug.
ICD 960–979 Poisoning by drugs, medicaments and biological substances (includes overdose).