42481 - Alcohol is the main cause of the high rates and...

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Alcohol is the main cause of the high rates and rapid fluctuations of premature adult mortality in Russia Richard Peto CTSU, University of Oxford, UK Source: David Zaridze et al in Moscow, with collaborators in Lyon and Oxford
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UK & US (& China): prospective studies find smoking causes far more deaths than drinking does Russia is different
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Female Male Accidents, suicide NB. 5/1000 means ~10% die at 35-54
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Female Male “Vascular” (mostly a peculiarly Russian ICD group, I-24: IHD, not MI)
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The large apparent fluctuations in Russian vascular mortality may be due mainly to fluctuations in alcoholic heart damage or poisoning mis-certified as vascular disease
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Russia, 1988-94: adverse trends in mortality are NOT seen for - lung cancer mortality - other cancer mortality - childhood mortality (0-4) - mortality in old age (75-9)
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Frozen social history: Russian Federation in 1988 and in 2003 Female population by birth year
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Born 1917
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Born 1917 Born 1933-4
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Born 1917 Born 1933-4 Born 1943-4
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Born 1917 Born 1933-4 Born 1943-4 1937-8↓
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42481 - Alcohol is the main cause of the high rates and...

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