State-specific smoking-attributable chronic obstructive pulmonary disease -- United States, 1986

Article Abstract:

There are substantial differences in the rates of death that is caused by smoking-attributable chronic obstructive pulmonary disease (SA-COPD) in the U.S. The highest rates of SA-COPD are in the West, based on 1986 state-specific smoking prevalence rates. The rates were analyzed by the Center for Chronic Disease to account for variations in states. Current smokers are defined as person who have smoked at least 100 cigarettes and who continue to smoke; former smokers as persons who have smoked 100 cigarettes but who no longer smoke; and ever smokers as current and former smokers combined. Statistics indicate that Utah had the lowest current smoking prevalence rate (10 percent), while Alaska had the highest current smoking prevalence rate (35 percent). SA-COPD mortality rates ranged from a low of 28.0 per 100,000 in Hawaii, to a high of 87.4 per 100,000 in Wyoming. Current smokers tend to die younger than never smokers or former smokers. The high age-adjusted mortality rates for stroke, coronary heart disease, and lung cancer in the East and South approximates the distribution of higher current smoking prevalence.

Causes of, Lung diseases, Obstructive, Chronic obstructive lung disease, Respiratory tract diseases

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Chronic disease reports: deaths from lung-cancer - United States, 1986

Article Abstract:

In 1986 126,000 persons in the U.S. died from trachea, bronchus or lung cancer. Between 1979 and 1986, lung cancer deaths increased 15 percent overall and lung cancer deaths among women increased 44 percent. Lung cancer mortality increases with age: 62 percent of lung cancer deaths occurred in persons aged 65 years or older. More than 80 percent of lung cancer deaths are believed to be caused by cigarette smoke. It is estimated that each year 3,800 lung cancer deaths are attributable to passive smoking. Environmental and occupational risks that are associated with lung cancer include radon emission and exposure to asbestos fibers. Radon exposure in the home is associated with 5,000 to 20,000 lung cancer deaths each year, with an estimated 85 percent of these deaths due to combined exposure to radon and cigarette smoke. Asbestos-related lung cancer accounted for about 5,500 deaths in the U.S. in 1987. Reduction of cigarette smoking remains the primary means by which the rate of lung cancer can be controlled in the U.S.

Statistics, Radon, Asbestos, Etiology (Medicine), diseases

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Chronic obstructive pulmonary disease mortality -- United States, 1986

Article Abstract:

Chronic obstructive pulmonary disease (COPD) affected 71,099 persons in the U.S. in 1986. Blacks and the elderly have higher rates of COPD, also known as 'chronic bronchitis' or 'chronic airway obstruction.' Cigarette smoking is the risk factor most often associated with the development of COPD. After age is taken into account, the rates for this disease are higher in the western states (except for Utah and Hawaii) than elsewhere in the U.S. High COPD rates are also found in Kentucky, West Virginia, and Maine. Although the prevalence of smoking has decreased since 1965, the rate of COPD has climbed by 33 percent. This may be accounted for by the long latency period between smoke exposure and development of the disease. COPD rates are lower in the East; however, it is believed that many persons with incipient chronic lung disorders move to the western U.S., where the disease manifests itself and is recorded in epidemiological databases.

Patient outcomes, Lung diseases, Bronchitis, Emphysema, Pulmonary, Emphysema

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