1. Deaths from smoking in the former Yugoslav Republic of Macedonia

2. Deaths from smoking in the former Yugoslav Republic of Macedonia Particular emphasis is given to the number of deaths in middle age (defined as ages 35 to 69) Available on www.deathsfromsmoking.net This presentation provides estimates of the number of deaths caused by smoking in the former Yugoslav Republic of Macedonia

3. Source of data: “Mortality from Smoking in Developed Countries, 1950–2000” Uses WHO mortality data for lung cancer and for other diseases, and UN population data www.deathsfromsmoking.net Updated edition of a 1994 book, authored by an international team of scientists: –Richard Peto, Professor of Medical Statistics, University of Oxford –Alan Lopez, Professor of Medical Statistics, University of Queensland –Jillian Boreham, Senior Research Fellow, University of Oxford –Michael Thun, Chief of Epidemiology, American Cancer Society

4. Annual deaths from smoking About 1,000 die in middle age from smoking Many of those killed in middle age would have lived on for 10, 20, 30 or more good years About 20 years of life are lost, on average, by those killed in middle age by smoking www.deathsfromsmoking.net FYR Macedonia, year 2000 Smoking kills about 2,000 people a year in the former Yugoslav Republic of Macedonia

5. Smoking causes about three times as many deaths as all non-medical causes put together www.deathsfromsmoking.net FYR Macedonia, year 2000 728* 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 2,000 smoking

6. Smoking kills 2,000 people a year, from many different diseases www.deathsfromsmoking.net FYR Macedonia, year 2000 *includes 500 (83%) of the 599 lung cancer deaths 700 cancer* 800 vascular (heart disease, stroke and other diseases of the arteries and veins) 200 respiratory 300 other

7. 3,000 total cancer deaths About one in four of all cancer deaths is due to smoking www.deathsfromsmoking.net FYR Macedonia, year 2000 700 (23%) from smoking 1,800 male 650 (36%) from smoking 1,200 female 50 (4%) from smoking

8. Male deaths in middle age from smoking This pattern is seen first in middle age, then in old age The next three slides concentrate on male deaths in middle age www.deathsfromsmoking.net FYR Macedonia, year 2000 The main pattern of increase and, eventually, decrease in premature deaths from smoking is at a more advanced stage among men than among women

9. About one in three of all deaths in middle-aged men is due to smoking* www.deathsfromsmoking.net FYR Macedonia, year 2000 *1,300 (33%) of the 4,000 deaths at ages 35-69

10. Of 100 men aged 35 years … www.deathsfromsmoking.net FYR Macedonia, year 2000 *risks at year 2000 death rates for ages 35-69 36 die in middle age* 36% 11 of these 36 deaths are from smoking 11

11. Summary for the whole population Smoking kills about 2,000 men and women every year About 1,000 die in middle age from smoking Smoking causes about three times as many deaths as all non-medical causes put together About one in four of all cancer deaths is due to smoking www.deathsfromsmoking.net FYR Macedonia, year 2000 In the former Yugoslav Republic of Macedonia:

12. Messages for the individual smoker Those killed in middle age lose many years Stopping smoking works –Even in early middle age, those who stop (before they have lung cancer or some other fatal disease) avoid most of their risk of being killed by tobacco –Stopping before middle age works even better www.deathsfromsmoking.net The risk is big: about half are killed

13. Deaths from smoking: an electronic resource www.deathsfromsmoking.net Published by International Union Against Cancer (UICC), Geneva: Switzerland, 2006 Funded by Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), University of Oxford International Union Against Cancer (UICC) Fogarty International Center, US NIH UK Medical Research Council Cancer Research UK Project team Richard Peto, Judith Watt, Jillian Boreham Project managementSinéad Jones Advice and support Steve Woodward, Konrad Jamrozik, Lesley Walker, Trish Cotter Design bwa-design.co.uk