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Table 303: Under 75 standardised mortality ratios for COPD for Hull and comparators,
2006-2008
Area Under 75 COPD SMR 2006-2008 (95% CI)
Males Females Persons
England 100 (98, 102) 100 (98, 102) 100 (99, 101)
Hull 170 (137, 209) 188 (148, 235) 178 (152, 207)
Y&H SHA 116 (110, 122) 120 (113, 128) 118 (113, 123)
Indust Hinterlands 133 (125, 141) 163 (154, 173) 146 (140, 152)
Wolverhampton 139 (109, 174) 92 (66, 126) 118 (98, 142)
Salford 164 (129, 204) 246 (198, 303) 199 (170, 232)
Derby 88 (64, 118) 116 (85, 156) 100 (81, 123)
Stoke-on-Trent 131 (102, 166) 152 (117, 194) 141 (118, 166)
Coventry 157 (127, 192) 159 (126, 198) 158 (135, 183)
Plymouth 94 (70, 124) 131 (100, 169) 111 (91, 134)
Sandwell 162 (132, 197) 134 (104, 170) 149 (128, 174)
Middlesbrough 166 (123, 220) 201 (148, 267) 182 (147, 222)
Sunderland 128 (103, 159) 171 (138, 210) 147 (126, 171)
Leicester 174 (140, 215) 125 (93, 165) 153 (128, 181)
Average above 10 139 (129, 150) 150 (138, 162) 144 (136, 152)
North East Lincolnshire 189 (148, 238) 145 (106, 195) 170 (140, 203)
The trends in the directly standardised mortality rates (DSRs) for COPD for Hull and
comparator areas are given per 100,000 men and women in Figure 225 and Figure
226. This figure refers to deaths for all ages as 84% of COPD deaths are preventable in
that this is the estimated number directly caused by smoking (see Table 96). The
underlying data are given in the APPENDIX on page 927 and page 927.
For males, the mortality rate for COPD was slightly higher for the most recent period
2006-2008 compared to the Industrial Hinterlands and the average of the 10
comparators. The mortality rate had decreased by 29% between 1993-95 and 2006-08
which is similar or slightly lower than that for the Industrial Hinterlands (31%) and the
average of the 10 comparators (35%). The rate decreased by 37% for England over the
same period.
For women for 2006-2008, Hull had the 6 th highest mortality rate for COPD with
Tameside & Glossop (39.5), Middlesbrough (40.3), Salford (42.6), Liverpool (45.6) and
Knowsley (50.0) having higher mortality rates per 100,000 women. Between 1993-95
and 2006-08, the mortality rate in Hull decreased by 8% compared to 3% for England
and an increase of 4% for the Industrial Hinterlands and 3% for the average of the 10
comparators. However, despite an overall reduction since 1993-95 in the last four
periods the mortality rate in Hull has increased. The mortality rate was highest in the
mid-1990s being 45.0 per 100,000 women for 1995-1997 decreasing to a minimum of
31.8 per 100,000 women for 2002-2004, but has since increased to 38.9 per 100,000
women for 2006-2008 which is slightly lower than the rate in 2005-2007 (40.1 per
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