Home > Living and Working Well > Health Conditions > Respiratory disease

Respiratory disease

Last Modified 12/08/2021 14:06:15 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 five year period  2015 to 2019 there were 1,560 deaths from respiratory disease, approximately 312 per year. In the three-year period 2017 to 2019:

      • 314 deaths in the 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 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

Trend in mortality rate from 2001 to 2019 shows Blackpool rate is significantly higher than England average and rising

 
Source: PHE Public Health Outcome Framework, Indicator E07a

Figure 2: Mortality from respiratory disease in persons aged under 75 years, Blackpool compared to upper tier local authorities, 2017-19

Respiratory disease mortality funnel for under 75s shows Blackpool had the highest rate of any upper tier local authority between 2017 and 2019

Source: PHE Public Health Outcome Framework, Indicator E07a

There is a clear difference in deaths from respiratory disease between males and females (figure 3), with male mortality significantly higher than female mortality. Blackpool mortality rates are over 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, 2017-19

Respiratory male female 17-19

 
Source: PHE Public Health Outcome Framework, Indicator E07a

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 168 (53.5%) of the deaths in the period 2017-19 from respiratory disease in people aged under 75 are considered preventable

    • This is slightly lower than the national average of 58.3%

National and local strategies

National Institute for Health and Care Excellence: 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