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Health Statistics

Volume 448: debated on Tuesday 11 July 2006

To ask the Chancellor of the Exchequer what the rate was of (a) cancers and (b) stroke in West Suffolk in each of the past five years. (82729)

The information requested falls within the responsibility of the National Statistician who has been asked to reply.

Letter from Colin Mowl, dated 10 July 2006:

The National Statistician has been asked to reply to your recent Parliamentary Question asking what the rate was of (a) cancers and (b) stroke in West Suffolk in each of the past five years. I am replying in her absence. [82729]

A: Cancers—incidence

The latest available rates for newly diagnosed cases of cancer (incidence) are for the year 2003. Incidence rates are not available centrally for parliamentary constituencies. Cancer incidence rates for all malignant cancers excluding non-melanoma skin cancer for the years 1999-2003 are given in Table 1 below for the Forest Heath and St. Edmundsbury local authorities.

B: Stroke—incidence

There is no complete register of stroke cases. Information is available centrally on emergency admission to hospital from the NHS Hospital Episode System (HES), and on death registrations.

Figures on emergency admissions to hospital for strokes can be found on the Clinical and Health Outcomes Knowledge Base website: http://www.nchod.nhs.uk/. (Table reference numbers: 10C_5281SR7CM_04-V2 (males) 10C_5281SR7CF_04-V2 (females)). Figures are available for England, Government Office Regions, Strategic Health Authorities, Local Authorities and Primary Care Organisations. The latest year for which data are available is for the financial year 2003/04.

C: Cancers and Stroke—mortality

Mortality rates for parliamentary constituencies cannot be provided because population estimates are not available for these areas. Figures in Table 2 below are provided for the local authorities making up the requested constituency. The figures for 2000 have been adjusted to take account of revisions to the International Classification of Diseases where appropriate.

The introduction of ICD-10 for coding cause of death in England and Wales in 2001 means that data for cancer are not completely comparable with data for years before this date. The effect of the change in classification in 2001 on deaths from these causes is described in a report published in May 2002: “Office for National Statistics. Results of the ICD-10 bridge coding study, England and Wales, 1999. Health Statistics Quarterly 14 (2002), 75-83”.

For cancer (malignant neoplasms) the introduction of ICD-10 caused an increase of 2.3 per cent. in the number of deaths coded to these conditions in England and Wales. Deaths in 2000 from these causes have been adjusted to provide rates which are comparable with those for 2001-2004.

The local authority of Forest Heath falls wholly within West Suffolk parliamentary constituency. The local authority of St. Edmundsbury comprises parts of West Suffolk, South Suffolk and Bury St. Edmunds parliamentary constituencies.

Table 1: Incidence rates1 per million population for all malignant cancers2, by sex, registered in the local authorities of Forest Heath and St. Edmundsbury, 1999-2003

All cancers excluding nmsc

Male

Female

1999

3,849

3,671

2000

3,611

3,432

2001

3,706

3,295

2002

4,040

3,500

2003

4,430

3,495

1 Rates per million population standardised to the European Standard Population.

2 “All malignant cancers” are defined by codes C00-C97 excluding non-melanoma skin cancer (nmsc) code C44 in the International Classification of Diseases, Tenth Revision (ICD 10).

Source:

Office for National Statistics.

Table 2: Death rates1 for cancer and stroke2 for the local authorities of Forest Heath and St. Edmundsbury3, 2001-04

Death rates cancer

Death rates stroke

Forest Heath

St. Edmundsbury

Forest Heath

St. Edmundsbury

2000

1,961

1,590

510

601

2001

1,447

1,723

767

679

2002

2,145

1,676

610

664

2003

2,095

1,845

560

553

2004

1,609

1,815

541

464

1 Rates per 1,000,000 population standardised to the European Standard Population.

2 The cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9), 2000 and Tenth Revision (ICD-10), 2001-2004. The codes used are: Cancer ICD9 140-208, ICD10 C00-C97 and Stroke ICD9 430-438, ICD10 160-169. Deaths were selected using the original underlying cause.

3 Usual residents of this area.

4 Deaths registered in each calendar year..

To ask the Chancellor of the Exchequer what the rate of infant mortality was in West Suffolk in each of the past five years. (82730)

The information requested falls within the responsibility of the National Statistician who has been asked to reply.

Letter from Karen Dunnell, dated 10 July 2006:

As National Statistician I have been asked to reply to your recent question asking what the rate of infant mortality was in West Suffolk in each of the past five years. (82730)

The infant mortality rates for West Suffolk parliamentary constituency from 2000 to 2004 (the most recent year for which figures are available) are given in the table below.

Infant mortality rate1 for West Suffolk parliamentary constituency2, 2000-04

Number

2000

4.5

2001

5.9

2002

2.3

2003

5.2

2004

7.0

1 Deaths aged under one year per 1,000 live births.

2 West Suffolk parliamentary constituency boundary based on May 2006 All Fields Postcode File.

To ask the Chancellor of the Exchequer what the (a) perinatal and (b) infant mortality rates were in each health authority in England in each of the last five years for which figures are available. (83198)

The information requested falls within the responsibility of the National Statistician who has been asked to reply.

Letter from Karen Dunnell, dated 10 July 2006:

As National Statistician I have been asked to reply to your recent question asking what the (a) perinatal and (b) infant mortality rates were in each health authority in England in each of the last five years. (83198)

The perinatal and infant mortality rates for the health authorities in England from 2000 to 2004 (the most recent year for which figures are available) are given in the attached table.

Perinatal mortality ratel, England health authorities2, 2000-04

Strategic health authority

2000

2001

2002

2003

2004

England

8.2

8.0

8.4

8.5

8.1

Norfolk, Suffolk and Cambridgeshire

6.9

6.6

6.6

7.3

6.4

Bedfordshire and Hertfordshire

7.0

8.3

7.8

7.5

8.4

Essex

7.2

6.0

8.5

7.1

8.1

North West London

8.6

8.8

9.4

8.3

8.6

North Central London

8.4

9.9

9.0

8.5

9.3

North East London

10.1

9.3

9.4

10.9

9.5

South East London

9.6

9.5

10.2

11.6

9.7

South West London

8.3

6.9

8.0

7.6

7.0

Northumberland, Tyne and Wear

7.8

7.8

8.5

7.6

7.3

County Durham and Tees Valley

9.2

8.0

7.8

7.9

8.0

North and East Yorkshire and Northern Lincolnshire

8.2

6.0

7.7

7.0

7.6

West Yorkshire

10.6

8.4

10.3

10.1

9.4

Cumbria and Lancashire

8.6

8.4

7.8

9.4

7.2

Greater Manchester

9.1

9.4

8.8

9.7

8.9

Cheshire and Merseyside

7.9

8.2

8.5

8.1

8.2

Thames Valley

6.9

8.3

7.4

7.3

7.3

Hampshire and Isle of Wight

6.7

7.0

6.3

6.5

6.7

Kent and Medway

6.2

6.8

6.8

7.9

7.0

Surrey and Sussex

6.5

5.1

6.9

6.3

6.8

Avon, Gloucestershire and Wiltshire

6.9

7.8

6.9

6.2

7.1

South West Peninsula

6.1

6.5

7.1

8.3

8.5

Dorset and Somerset

6.7

6.6

6.5

6.9

5.7

South Yorkshire

9.4

8.0

8.5

9.1

8.7

Trent

7.3

7.8

7.9

9.7

7.9

Leicestershire, Northamptonshire and Rutland

8.4

8.1

9.3

9.0

8.7

Shropshire and Staffordshire

9.2

9.2

8.3

9.3

7.6

Birmingham and the Black Country

10.8

10.0

11.8

12.1

11.3

Coventry, Warwickshire, Herefordshire and Worcestershire

8.1

7.1

8.6

7.2

7.9

1 Stillbirths and deaths aged under one week per 1,000 live and stillbirths.

2 Health authority boundaries based on May 2006 All Fields Postcode File.

To ask the Chancellor of the Exchequer what the most recent infant mortality rate was in (a) Stoke-on-Trent, (b) the west midlands and (c) England. (80606)

The information requested falls within the responsibility of the National Statistician, who has been asked to reply.

Letter from Colin Mowl, dated 10 June 2006:

The National Statistician has been asked to reply to your recent question asking what the most recent infant mortality rate was in (a) Stoke-on-Trent, (b) the West Midlands and (c) England. I am replying in her absence. (80606)

The table below gives the infant mortality rate for the most recent year available.

Infant mortality rate1, Stoke-on-Trent, West Midlands and England, 2004

Rate

Stoke-on-Trent

7.7

West Midlands

6.3

England

5.0

1 Rate per 1,000 live births.