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Malnutrition

Volume 494: debated on Thursday 18 June 2009

To ask the Minister for the Cabinet Office how many people died of each malnutrition condition, identified by its ICD-10 code, in each strategic health authority area in each year since 1997. (279247)

The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.

Letter from Karen Dunnell, dated June 2009:

As National Statistician, I have been asked to reply to your recent question asking how many people died of each malnutrition condition, identified by its ICD-10 code, in each strategic health authority area in each year since 1997-98. (279247)

The attached tables provide the numbers of deaths where (a) malnutrition was the underlying cause of death (Table /), (b) malnutrition was mentioned anywhere on the death certificate (Table 2), and (c) effects of hunger was mentioned anywhere on the death certificate (Table 3), for persons resident in each strategic health authority in England, for the years 1997 to 2008 (the latest year available).

‘Effects of hunger’, as the effects of malnutrition may be reported on a death certificate, is never recorded as the underlying cause of death, because it is defined by the International Classification of Diseases as a secondary cause only.

Figures in Table 2 include those reported in Table 1. Tables 2 and 3 include deaths where malnutrition and effects of hunger respectively were a complication of a different underlying cause (for example cancer of the stomach).

Table 1: Deaths where malnutrition was the underlying cause of death1, strategic health authorities in England2, 1997 to 20083,4

Deaths (persons)

Strategic health authority

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

North East

3

3

2

2

5

6

6

1

3

5

7

1

North West

5

5

3

6

9

9

9

12

6

4

8

9

Yorkshire and the Humber

10

1

7

6

3

4

6

6

3

5

9

5

East Midlands

6

14

8

8

4

5

8

2

1

7

8

4

West Midlands

11

9

7

9

9

10

11

3

7

8

9

9

East of England

5

4

7

2

7

4

3

5

11

8

7

10

London

6

5

6

6

7

7

8

5

5

6

9

11

South East Coast

2

5

4

5

3

4

1

1

4

4

6

3

South Central

5

2

4

4

1

4

3

6

11

6

4

5

Southwest

10

18

8

10

4

8

4

11

7

6

6

4

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 for the years 1997 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 for 2001 onwards. The introduction of ICD-10 in 2001 means that the numbers of deaths from each cause before 2001 are not completely comparable with later years.

2 Based on boundaries as of 2009.

3 Figures are for deaths registered in each calendar year.

4 Figures for deaths registered in 2008 are provisional.

Table 2: Deaths where malnutrition was mentioned on the death certificate1, strategic health authorities in England2, 1997 to 20083,4

Deaths (persons)

Strategic health authority

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

North East

23

17

20

23

22

25

24

14

19

28

19

20

North West

35

37

31

30

28

33

33

38

39

32

43

43

Yorkshire and the Humber

33

26

31

26

21

22

31

19

15

25

29

34

East Midlands

16

31

29

33

16

21

23

22

28

30

28

18

West Midlands

62

40

55

46

35

50

40

44

24

37

45

47

East of England

25

28

38

25

30

33

19

23

36

30

30

41

London

36

38

42

31

23

22

27

16

16

25

29

36

South East Coast

18

18

22

25

17

18

15

21

15

22

23

23

South Central

21

16

20

16

8

21

17

19

26

36

25

25

Southwest

51

54

36

46.

26

25

25

36

31

36

29

36

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 for the years 1997 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 for 2001 onwards. Deaths were included where any of these codes were mentioned anywhere on the death certificate. The introduction of ICD-10 in 2001 means that the numbers of deaths from each cause before 2001 are not completely comparable with later years.

2 Based on boundaries as of 2009.

3 Figures are for deaths registered in each calendar year.

4 Figures for deaths registered in 2008 are provisional.

Table 3: Deaths where effects of hunger was mentioned on the death certificate1, strategic health authorities in England2, 1997 to 20083,4

Deaths (persons)

Strategic health authority

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

North East

0

0

0

0

0

0

0

1

0

0

0

0

Northwest

2

0

0

0

0

1

0

1

0

0

0

1

Yorkshire and the Humber

0

0

1

0

0

0

0

0

1

1

0

0

East Midlands

1

0

0

1

0

0

0

0

0

1

1

2

West Midlands

3

0

0

0

0

0

1

1

4

2

1

0

East of England

1

0

0

1

2

1

0

1

0

1

1

1

London

0

0

1

2

0

0

0

1

0

0

1

0

South East Coast

0

0

0

0

0

0

1

0

0

0

0

0

South Central

1

1

0

1

1

0

0

0

0

0

2

2

South West

0

0

0

1

0

0

0

1

1

1

0

2

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) code E904.1 for the years 1997 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) code T73.0 for 2001 onwards. Deaths were included where these codes were mentioned anywhere on the death certificate. The introduction of ICD-10 in 2001 means that the numbers of deaths from each cause before 2001 are not completely comparable with later years.

2 Based on boundaries as of 2009.

3 Figures are for deaths registered in each calendar year.

4 Figures for deaths registered in 2008 are provisional.