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Malnutrition

Cabinet Office written question – answered on 18th June 2009.

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Photo of Stephen O'Brien Stephen O'Brien Shadow Minister (Health)

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.

Photo of Angela Smith Angela Smith Minister of State (Third Sector), Cabinet Office, Minister of State (Cabinet Office) (Third Sector)

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 death( 1) , strategic health authorities in England( 2) , 1997 to 2 008( 3,4)
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 certificate( 1) , strategic health authorities in England( 2) , 1997 to 2008( 3,4)
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 certificate( 1) , strategic health authorities in England( 2) , 1997 to 2008( 3,4)
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.

—continued

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