1. II Working Meeting on Adult Premature Mortality in European Union, 16-17 October 2006, Warsaw, Poland Poland country report

2. History

3. Influence of Overall Mortality Trend in children Aged 0-14 and Males aged 15-64 in Life Expectancy at age 15+ in Poland in 1950 - 1991 Increase of Premature Mortality Decrease of Life expectancy

4. Cardiovascular diseases mortality, males aged 20-64 Poland vs. Finland 1963-1990 Lung cancer mortality, males aged 20-64 Poland vs. UK 1963-1990 Injuries rates, males aged 20-64 Poland vs. UK 1963-1990

5. Mortality rates from all causes Poland and UK 1964-1991 Males 0-14 Males 20-64

6. Democracy is healthier.

7. Life expectancy at birth Poland, 1963 – 2002, males

8. Live expectancy in Poland 1991 vs. 2002 4.3 years 3.5 years

9. Mortality rates from all causes Poland and UK 1964-2002 Males 0-14Males 20-64

10. Overall mortality – trends in age groups

11. Overall mortality rates, Poland 1963-2002, age group 20-44

12. Overall mortality rates, Poland 1963-2002, age group 45-64

13. Overall mortality rates, Poland 1963-2002, age group 65+

14. Overall mortality rates, Poland 1963-2002, age group 0+

15. Tobacco

16. Adults (>15 years) smoking trends in Poland 1974-2004

17. Lung cancer mortality – trends in age groups

18. Lung cancer rates, Poland 1963-2002, age group 20-44

19. Lung cancer rates, Poland 1963-2002, age group 45-64

20. Lung cancer rates, Poland 1963-2002, age group 65+

21. Lung cancer rates, Poland 1963-2002, age group 0+

22. Lung cancer mortality rates, 20-44 Poland vs. EU15

23. Lung cancer mortality rates, 45-64 Poland vs. EU15

24. Lung cancer mortality rates, 65+ Poland vs. EU15

25. Smoking causes about three times as many deaths as all non-medical causes put together www.deathsfromsmoking.net Poland, year 2000 25,763* non-medical Murder / assault Falls SuicideDrowning Road accidentsPoisoning Plane crashesFires Train crashesFloods / storms Accidents at work Other natural disasters Accidents at homeOther accidents *in year 2000 69,000 smoking

26. Smoking kills 69,000 people a year, from many different diseases www.deathsfromsmoking.net Poland, year 2000 *includes 18,000 (90%) of the 20,002 lung cancer deaths 27,000 cancer* 26,000 vascular (heart disease, stroke and other diseases of the arteries and veins) 7,000 respiratory 9,000 other

27. Tobacco-attributable deaths in 2002, age group 20-64 * without Greece, Ireland, Luxembourg

28. Tobacco-attributable deaths in 2002, age group 20-64 * without Greece, Ireland, Luxembourg

29. Main causes of death attributed to tobacco, Poland 2002, age group 20-64 Number of tobacco- attributable deaths % of tobacco- attributable deaths Males20269100.0% Lung cancer628331.0% Ischemic heart disease480923.7% Cerebrovascular diseases227911.2% Other cardiovascular diseases17348.6%8.6% Other causes of tobacco-attributable deaths516425.5% Females5163100.0% Lung cancer157830.6% Cerebrovascular diseases124624.1% Ischemic heart disease90417.5% Other cardiovascular diseases3005.8%5.8% Other causes of tobacco-attributable deaths113522.0%

30. Alcohol

31. Consumption of alcohol in Poland, 1961 – 2001 (litres pure alcohol per capita) 15 years age group Alcohol consumption increase 1961 – 1980 was 84%

32. Liver cirrhosis mortality – trends in age groups

33. Liver cirrhosis rates, Poland 1963-2002, age group 20-44

34. Liver cirrhosis rates, Poland 1963-2002, age group 45-64

35. Liver cirrhosis rates, Poland 1963-2002, age group 65+

36. Liver cirrhosis rates, Poland 1963-2002, age group 0+

37. Liver cirrhosis mortality, 20-64 Poland vs. EU15

38. Liver cirrhosis mortality, 20-44 Poland vs. EU15

39. Liver cirrhosis mortality, 45-64 Poland vs. EU15

40. Sudden deaths – trends in age groups

41. Sudden deaths rates, Poland 1963-2002, age group 20-44

42. Sudden deaths rates, Poland 1963-2002, age group 45-64

43. Sudden deaths rates, Poland 1963-2002, age group 65+

44. Sudden deaths rates, Poland 1963-2002, age group 0+

45. Alcohol-attributable death rates at ages 20-64 per 100,000 population, 2002

47. Main causes of death attributed to alcohol, Poland 2002, age group 20-64 Number of alcohol- attributable deaths % alcohol- attributable deaths Males9923100.0% Liver cirrhosis170817.2% Traffic injuries147114.8% Mental and behavioural disorders due to use of alcohol99810.1% Suicides99510.0% Other alcohol-attributable causes of death475147.9% Females1032100.0% Liver cirrhosis35534.4% Traffic injuries17617.0% Breast cancer14013.6% Suicides12311.9% Other alcohol-attributable causes of death23823.1%

48. Cardiovascular diseases

49. Cardiovascular mortality – trends in age groups

50. Cardiovascular rates, Poland 1963-2002, age group 20-44

51. Cardiovascular rates, Poland 1963-2002, age group 45-64

52. Cardiovascular rates, Poland 1963-2002, age group 65+

53. Cardiovascular rates, Poland 1963-2002, age group 0+

54. Cardiovascular mortality rates, 20-44 Poland vs. EU15

55. Cardiovascular mortality rates, 45-64 Poland vs. EU15

56. Cardiovascular mortality rates, 65+ Poland vs. EU15

57. Consumption of vegetable oils in Poland, years 1970-1996 (kg/capita/year) Alpha-linolenic acids deficiency, Poland years 1970-1996 (g/capita/day)

58. Fruit supply in Europe in 2002 kg/capita/year

59. Trends of overweight in Poland

60. Trends of obesity in Poland

61. Inequalities in access to health in European Union

62. Difference in life expectancy at birth, Poland vs. EU15, 2002 ~6 years 3 years

63. Difference in life expectancy at birth Poland vs. EU15, 2002 Distribution by age, males Age groupContribution to life expectancy difference (years) % contribution to life expectancy difference 0-190.366% 20-440.9517% 45-642.6246% 65+1.7331% Total5.7100%

64. Difference in life expectancy at birth Poland vs. EU15, 2002 Distribution by causes of death, males Age groupCardiovascular diseases Malignant neoplasm Sudden deaths Infectious disease Other causes 20-641.280.620.880.000.79 %36%17%25%0%22% total2.610.620.880.000.79 %46%17%18%0%18%

65. Difference in life expectancy at birth Poland vs. EU15, 2002 Distribution by age, females Age groupContribution to life expectancy difference (years) % contribution to life expectancy difference 0-190.289% 20-440.124% 45-640.8728% 65+1.8159% Total3.1100%

66. Difference in life expectancy at birth Poland vs. EU15, 2002 Distribution by causes of death, females Age groupCardiovascular diseases Malignant neoplasm Sudden deaths Infectious diseases Other causes 20-640.380.370.08-0.010.17 %38%37%8%-1%17% total2.300.470.17-0.030.17 %75%15%5%-1%6%

67. Difference in life expectancy at birth due to tobacco and alcohol, Poland vs. EU15, males Tobacco-attributable burden Age group s difference (years) Difference due to tobacco TAF (years) %Age groups difference (years) Difference due to tobacco TAF (years) % 20-643.571.1532%0+5.672.0636% Alcohol-attributable burden Age group s difference (years) Difference due to tobacco AAF (years) %Age groups difference (years) Difference due to tobacco AAF (years) % 20-643.570.5215%0+5.670.458%8%

68. Difference in life expectancy at birth due to tobacco and alcohol, Poland vs. EU15, females Tobacco-attributable burden Age group s difference (years) Difference due to tobacco TAF (years) %Age groups difference (years) Difference due to tobacco TAF (years) % 20-640.980.2930%30%0+3.070.3913% Alcohol-attributable burden Age group s difference (years) Difference due to tobacco AAF (years) %Age groups difference (years) Difference due to tobacco AAF (years) % 20-640.98-0.07-7%0+3.07-0.59-19%

69. Male overmortality

70. Difference in life expectancy between males and females, Poland 2002 8.5 years

71. Difference in life expectancy between males and females, Poland 2002 – distribution by age Age groupContribution to life expectancy difference (years) % contribution to life expectancy difference 0-190.324% 20-441.6920% 45-643.6343% 65+2.8233% Total8.5100%

72. Difference in life expectancy between males and females, Poland 2002 Distribution by causes of death Age group Cardiovascular diseases CancerSudden deaths Infectious diseases Residual causes 20-641.650.741.540.071.31 %31%14%29%1%25% Total2.791.791.810.091.98 %33%21% 1%23%

73. Mortality by education

74. Poland All deaths, males aged 20-64

75. Poland All deaths, females aged 20-64