§ Mr. SimmondsTo ask the Secretary of State for Health if he will publish the statistics on the incidence rate of breast cancer for(a) Lincolnshire and (b) each county in England, Wales and Northern Ireland in each of the last 10 years for (i) men and (ii) women. [74922]
§ Ruth KellyI have been asked to reply.
The answer requested falls within the responsibility of the National Statistician. I have asked him to reply.
Letter from Mr. Cook to Mr. Mark Simmonds dated 28 October 2002:
651WAs National Statistician I have been asked to reply to your recent question on the incidence rate of breast cancer in (a) Lincolnshire and (b) each county in England, Wales and Northern Ireland in each of the last 10 years for (i) men and (ii) women. (74922)Incidence rates of breast cancer in women are given in the first table, for each county in England, and for the whole of Wales. The most recent period for which these data are available in the form requested is the nine years from 1991 to 1999. Figures by county in Wales cannot be produced for a similar period because of changes to local government boundaries. The equivalent figures for Northern Ireland are not readily available.For men, the number of cases of breast cancer is too small to allow reliable calculation of incidence rates. Consequently, the annual numbers of newly registered cases of breast cancer in men, for the whole of England and for Wales, are given in the second table.
Table 1: Age standardised incidence rate for breast cancer1, females, English counties2 and Wales, years of registration 1991 to 1999. Rate per 100,000 population3 Area 1991 1992 1993 1994 1995 1996 1997 1998 1999 Isle of Wight4 107 114 97 131 114 156 171 152 135 Kent4 110 116 94 103 107 107 119 113 117 Lancashire4 102 107 98 111 104 97 105 108 110 Leicestershire4 98 110 107 94 89 86 98 98 113 Lincolnshire 114 119 95 106 107 98 97 125 117 Merseyside (Metropolitan county) 105 97 95 101 104 101 100 104 103 Norfolk 110 104 111 107 110 115 117 107 125 North Yorkshire4 104 104 86 100 103 108 116 115 120 Northamptonshire 115 127 100 119 112 127 117 116 126 Northumberland 94 97 98 75 65 69 62 107 107 Nottinghamshire4 99 107 109 92 100 104 101 103 99 Oxfordshire 126 141 124 132 115 126 117 127 145 Shropshire4 110 128 115 110 112 113 102 108 125 Somerset 114 116 138 97 93 100 108 118 143 South Yorkshire (Metropolitan county) 108 106 97 97 91 92 98 96 111 Staffordshire4 105 98 98 94 109 98 110 105 103 Suffolk 105 99 101 119 109 108 110 118 120 Surrey 105 109 110 107 119 113 130 115 125 Tees Valley less Darlington 87 87 91 93 100 105 107 104 100 The Humber 100 94 101 97 107 102 105 94 108 Tyne and Wear (Metropolitan county) 95 99 83 87 80 91 95 109 104 Warwickshire 106 111 102 115 101 93 116 116 112 West Midlands (Metropolitan county) 109 106 101 99 101 101 100 112 110 West Sussex 94 96 93 105 114 114 118 127 114 West Yorkshire (Metropolitan county) 95 103 104 100 98 96 108 110 110 Wiltshire4 100 136 132 113 116 128 130 119 136 Wales 97 117 120 124 105 105 110 102 120 1 For years 1991 to 1994, International Classification of Diseases, Ninth Revision (ICD-9), code 174. For years 1995 to 1999, International Classification of Diseases, Tenth Revision (ICD-10), code C50. 2 Data are presented for English counties, and former counties, based on boundaries as at 1 April 2002. 3 Rates are based on mid-year population estimates produced following the 1991 Census. 4 Former county of. Note:
Age standardisation is to the European Standard Population.
Source:
Office for National Statistics
Table 2: Number of new cases of breast cancer1, males, England and Wales, years of registration 1991 to 1999 Number Year England Number Wales 1991 189 13 1992 178 13 1993 224 20 1994 166 18 1995 212 19 1996 192 23 1997 230 12 1998 265 13 1999 272 19 1 For years 1991 to 1994, International Classification of Diseases, Ninth Revision, code 175. For years 1995 to 1999, International Classification of Diseases, Tenth Revision, code C50. Source:
Office for National Statistics
§ Mr. SimmondsTo ask the Secretary of State for Health what was the death rate from breast cancer in(a) Lincolnshire and (b) each county in England, Wales and Northern Ireland in each of the last 10 years for (i) men and (ii) women. [74923]
652W
§ Ruth KellyI have been asked to reply. The information requested falls within the responsibility of the National Statistician. I have asked him to reply.
Letter from Len Cook to Mr. Mark Simmonds dated 28 October 2002:
653WAs National Statistician I have been asked to reply to your recent question on the death rate from breast cancer in (a) Lincolnshire and (b) each county in England, Wales and Northern Ireland in each of the last 10 years for (i) men and (ii) women. (74923)Death rates from breast cancer in women are given in the first table, for each county in England, and for the whole of Wales. The most recent ten year period for which these data are available is 1992 to 2001. Figures by county in Wales cannot be produced for a ten year period because of changes to local government boundaries. The equivalent figures for Northern Ireland are not readily available.For men, the number of deaths from breast cancer is too small to allow reliable calculation of death rates. Consequently, the annual numbers of deaths from breast cancer in men, for the whole of England and for Wales, are given in the second table.
Table 1: Age standardised mortality rate for deaths with an underlying cause of breast cancer1, females, English counties2 and Wales, 1992 to 2001 3 Rate per 100,000 population Area 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 Bedfordshire 38 35 40 39 34 34 34 27 25 32 Berkshire 42 40 35 44 34 35 39 33 32 33 Bristol/Bath area 41 38 36 36 32 34 34 32 34 33 Buckinghamshire 45 39 37 41 31 34 41 37 35 38 Cambridgeshire 41 45 44 41 30 36 37 29 35 31 Cheshire 43 39 38 32 34 32 32 32 27 32 Cornwall (and Isle of Scilly) 36 37 33 43 36 37 31 30 32 28 Cumbria 36 33 32 35 35 33 34 36 37 29 Derbyshire 41 43 41 41 38 37 31 29 30 33 Devon 40 40 39 37 36 33 33 27 33 32 Dorset 42 34 38 38 26 35 33 30 33 25 Durham 34 36 35 33 38 35 29 30 28 29 East Sussex 35 37 40 38 34 37 36 31 32 32 Essex 40 41 38 41 38 32 37 32 34 30 Gloucestershire 37 34 38 41 36 40 34 35 35 32 Greater London (Metropolitan County) 40 39 37 34 36 35 32 32 33 32 Greater Manchester (Metropolitan County) 38 38 37 37 36 33 31 35 32 32 Hampshire 41 38 36 34 36 36 36 36 33 30 Herefordshire and Worcestershire 40 39 37 38 37 37 32 38 33 29 Hertfordshire 33 39 38 42 35 36 41 36 35 35 Isle of Wight 39 33 35 27 21 34 34 37 23 27 Kent 43 44 40 37 33 31 33 33 32 33 Lancashire 34 36 37 39 33 33 32 31 29 32 Leicestershire 36 39 40 42 33 33 27 28 31 28 Lincolnshire 43 40 39 41 34 37 32 32 32 35 Merseyside(Metropolitan County) 37 36 36 35 36 38 35 35 32 31 Norfolk 36 37 36 35 36 37 37 34 33 29 North Yorkshire 40 36 29 30 38 30 31 34 36 30 Northamptonshire 40 39 42 40 38 33 36 33 34 31 Northumberland 42 34 46 27 36 29 34 31 28 33 Nottinghamshire 46 36 40 38 37 36 37 33 27 35 Oxfordshire 39 36 33 37 33 30 40 33 33 28 Shropshire 40 41 36 38 36 43 35 33 36 30 Somerset 36 40 37 36 36 35 32 30 31 29 South Yorkshire (Metropolitan County) 38 39 44 36 39 35 31 33 29 32 Staffordshire 40 40 40 42 40 31 36 34 32 27 Suffolk 42 44 43 39 33 37 36 32 31 29 Surrey 40 42 39 33 29 34 28 34 29 29 Tees Valley less Darlington 39 37 41 35 34 36 32 27 33 30 The Humber 38 38 38 35 43 33 33 30 29 29 Tyne and Wear (Metropolitan County) 41 40 40 35 31 37 37 33 31 30 Warwickshire 48 37 36 39 42 31 35 29 31 27 West Midlands (Metropolitan County) 40 37 39 35 37 37 33 34 32 28 West Sussex 39 36 36 33 36 27 38 32 34 30 West Yorkshire (Metropolitan County) 35 35 34 34 31 30 28 29 28 28 Wiltshire 38 41 37 38 41 39 35 35 28 32 Wales 39 40 39 36 36 35 34 34 34 32 1 For years 1992 to 2000, International Classification of Diseases, Ninth Revision (ICD-9), code 174 For 2001, International Classification of Diseases, Tenth Revision (ICD-10), code C50 2 Data are presented for English counties, and former counties, based on boundaries as at 1st April 2002. 3 The introduction of ICD-10 for coding cause of death in 2001 means that the number of deaths for this year are not comparable with data for earlier years. Research has shown that the Introduction of ICD-10 led to an apparent increase of 2.7 per cent, in the number of deaths coded to female breast cancer. Rates for the years 1993 to 2000 have therefore been adjusted by 2.7 per cent, to produce comparable trends for this period. Data for 1992 are not adjusted because of coding changes introduced in 1993. 4 Rates for 2001 are based on mid-year population estimates produced following the 2001 Census. Rates for earlier years are based on mid-year population estimates produced following the 1991 Census. There is therefore a discontinuity in this time series. ONS will publish revised sub-national population estimates for 1991 to 2000 in February 2003. Age-standardisation is to the European Standard Population Source:
Office for National Statistics
654W655W
Table 2: Number of deaths with an underlying cause of breast cancer1. males, England and Wales, 1992 to 20012 Number Year England Number Wales 1992 85 7 1993 81 6 1994 82 5 1995 74 6 1996 63 4 1997 65 2 1998 73 2 1999 63 2 2000 68 3 2001 77 3 1 For years 1992 to 2000, International Classification of Diseases, Ninth Revision (ICD-9), code 175.For 2001, International Classification of Diseases, Tenth Revision (ICD-10), code C50 2 The introduction of ICD-10 led to an apparent increase of 10 per cent, in the number of deaths coded to make breast cancer. The figures should therefore be interpreted with caution. Source:
Office for National Statistics
§ Mr. WrayTo ask the Secretary of State for Health how much has been spent on raising awareness of breast cancer since 1997; what progress has been made in cutting the number of deaths from breast cancer since 1997; and what care is available to people who suffer emotionally from the removal of a breast after treatment for breast cancer. [74406]
§ Ms Blears5: We congratulate the charities that work together on breast cancer awareness month and their efforts to raise awareness of the disease. In addition to these efforts, the Government have spent approximately £10,000 on a breast awareness teaching kit for primary care in conjunction with the European Community and the cancer research campaign. £38,500 has also been spent nationally on "Be Breast Aware" leaflets and £131,000 on information leaflets for women about breast screening.
There has been a 6 per cent. reduction in deaths from breast cancer between 1997 and 2000. The annual numbers of deaths in England has decreased from 11.240 in 1997 to 10,609 in 2000. Over the same period the age standardised death rate for breast cancer has fallen by 7.7 per cent. from 1997 to 2000.
The National Institute for Clinical Excellence (NICE) is due to publish guidelines on supportive and palliative care in October 2002. This will include guidance on information, communication and psychological and social support. The NICE guidance is now available for consultation on the NICE website at www.nice.org.uk.
The Patient Cancer Survey 1999–2000 found that women with breast cancer reported generally positive experiences of breast cancer services.