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Respiratory disease

Last Modified 20/06/2017 14:09:25 Share this page

Introduction

Respiratory disease is one of the top causes of death in England in people aged under 75 years. Two of the most common lung diseases are asthma and chronic obstructive pulmonary disease (COPD). Smoking is the chief cause of COPD and the Public Health Outcomes Framework1 indicator on premature mortality from respiratory disease focuses public health attention on the prevention of smoking and other environmental factors that contribute to people getting respiratory disease.

Facts and figures

Across Blackpool in the three year period 2013-15:

      • 857 (15%) deaths were from respiratory disease, approximately 285 per year,
      • 252 deaths in the three year period were in people aged under 75 years,
      • The under 75 mortality rate was significantly higher than the national average

Mortality from respiratory disease in people aged under 75 has been significantly higher in Blackpool than in the North West and England over the last 15 years (figure 1). The main contributor to this is the high levels of smoking in the town. When compared to other upper tier local authorities, Blackpool's mortality rate is the third highest in the country (figure 2).

Figure 1: Trend in mortality rate from respiratory disease, persons aged under 75 years, Blackpool, the North West and England

Source: PHE Public Health Outcome Framework, Indicator 4.07i

Figure 2: Mortality from respiratory disease in persons aged under 75 years, Blackpool compared to upper tier local authorities, 2013-15

Respiratory disease u75 mortality funnel
Source: PHE Public Health Outcome Framework, Indicator 4.07i

While there is a clear difference in deaths from respiratory disease between males and females (figure 3), the mortality rate between Blackpool males and females is not significantly different, however, at a national level mortality in males is significantly higher than female mortality. Blackpool mortality rates are also two times higher than national rates for both sexes.

Figure 3: Mortality from respiratory disease in persons aged under 75 years, males and females in Blackpool, the North West and England, 2013-15

Source: PHE Public Health Outcome Framework, Indicator 4.07i

Preventable mortality

The basic concept of preventable mortality is that deaths are considered preventable if, in the light of the understanding of the determinants of health at the time of death, all or most deaths from the underlying cause (subject to age limits if appropriate) could potentially be avoided by public health interventions in the broadest sense.

    • In Blackpool 146 (58%) of the deaths from respiratory disease in people aged under 75 are considered preventable

    • This is slightly higher than the national average of 54%

    • The difference between males and females in Blackpool is considerable, with 51% of male deaths considered preventable compared to 67% of female deaths

    • By comparison, 52% of male deaths and 57% of female deaths are considered preventable across England.

National and local strategies

Everything NICE has produced on the topic of respiratory conditions: general and other. It includes any related guidelines, NICE Pathways, quality standards and advice.

PHE Guidance, Respiratory disease: applying All Our Health

 


[1] PHE, Public Health Outcomes Framework, Healthcare and premature mortality