3.1 Tobacco—a leading preventable cause of death and disease

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Smoking is one of the leading preventable causes of death and disease in Australia, responsible for about 15,000 deaths annually.[2]6, 7 In 2003, tobacco caused more than one in every 10 deaths in Australia, and taking into consideration sickness and disability as well as deaths, tobacco caused more disease and injury in Australia than any other single risk factor (Table 3.1).6 Tobacco is also responsible for most (90%) of all drug-caused deaths. In 2004–05, smoking caused 14 times as many deaths as alcohol, and 17 times the number of deaths due to illicit drug use7 (see Table 3.5).

Table 3.1
Deaths attributable to leading selected risk factors in Australia, 2003

Risk factor

Number of deaths

Percentage of
total deaths
from all causes

Percentage of
total burden of
disease and injury

High blood pressure

22,504

17.0

7.6

Tobacco

15,511

11.7

7.8

High blood cholesterol

15,351

11.6

6.2

Physical inactivity

13,491

10.2

6.6

High body mass

9525

7.2

7.5

Alcohol**

1084

0.8

2.3

** Net effects, ie offsetting beneficial effects against harmful effects.

Source: compiled from Begg et al.6

It has been conservatively estimated that smoking kills about one half of all persistent users.2 Over the decades, the death toll from tobacco use has been vast. In the 50 years from 1950 (when the initial reports identifying smoking as a cause of lung cancer were published) to 2000, smoking is estimated to have killed 679,000 Australians.8

Tobacco use is also responsible for a growing global pandemic of death and disease, and is the cause of more than 10% of premature deaths worldwide9 (see Section 3.36).

[2]The two most recent estimates for deaths due to tobacco are by Begg et al (AIHW, 2007)6 and Collins and Lapsley (DoHA, 2007)7. The DoHA estimates 14,901 deaths and the AIHW report estimates 15,511 deaths. The differences in estimates are due to differing methodologies and reference years. See Section 3.30 for further information.

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