Supplementary Appendix

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Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Jha P, Peto R. Global effects of smoking, of quitting, and of taxing tobacco. N Engl J Med 2014; 370:60-8. DOI: 10.1056/NEJMra1308383

Global Effects of Smoking, of Quitting and of Taxing Tobacco Prabhat Jha, Richard Peto 2 Jan 2014 Web-appendix: UK, US and Poland - National trends from 1950s to 2010 in tobacco attributed mortality. References: 1. Peto R, Lopez AD, Boreham J, Thun M. Mortality from smoking in developed countries, 1950 2010. (Accessed August 4, 2013 at http://www.ctsu.ox.ac.uk/~tobacco). 2. Peto R, Lopez AD, Boreham J, Thun M, Heath C Jr. Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet. 1992 23;339:1268 78. 3. Peto R, Lopez AD, Boreham J, Thun M, Heath C Jr. Mortality from smoking in developed countries, 1950 2000. 1st edition. Oxford: Oxford University Press, 1994. 4. Thun M, Peto R, Boreham J, Lopez AD. Stages of the cigarette epidemic on entering its second century. Tobacco Control 2012; 21:96 101.

Webfig 1. UK, 1950 2010. Total cancer mortality rates at ages 0-34 & 35-69, with the rates at 35-69 subdivided into parts attributed, and not, to smoking Sources: WHO mortality data and UN population estimates. The rate for a 35-year period is the mean of the 7 annual death rates in the component 5-year age ranges. (Hence, without other causes of death, a rate of R per 100,000 would imply a 35-year risk of 1-exp[-35R/100,000].) The mortality attributed to smoking is estimated indirectly from the national mortality statistics, using the absolute lung cancer rate as a guide to the fraction of the deaths from other causes, or groups of causes, attributable to smoking (Peto, Lopez et al, 1992,1994).

Webfig 2. UK, 1950-2010. Probabilities of death at ages 0-34 (left) & 35-69, with probabilities of death from smoking shaded Most of those killed by smoking would otherwise have survived beyond age 70, but a minority (shaded area to right of dotted line) would have died by 70 anyway. Sources: WHO mortality data and UN population estimates. The mortality attributed to smoking is estimated indirectly from the national mortality statistics (Peto, Lopez et al, 1992,1994).

30 46/ 130 11/ 141 57/ 301 / 24 4.9/ 97 1.4/ 168 6.3/ 289 23 55/ 130 20/ 153 75/ 306 / 17 5.7/ 91 2.2/ 183 8.0/ 290 23 62/ 135 28/ 151 90/ 309 / 15 7.2/ 88 4.7/ 191 12/ 295 23 69/ 146 35/ 155 104/ 323 / 15 11/ 89 6.0/ 201 17/ 305 20 70/ 151 44/ 163 114/ 334 / 13 13/ 90 12/ 218 25/ 321 17 62/ 142 52/ 176 114/ 335 / 10 15/ 85 15/ 232 30/ 327 15 54/ 130 55/ 187 109/ 332 / 9.1 17/ 79 19/ 241 36/ 329 13 46/ 117 59/ 202 105/ 332 / 7.5 17/ 73 29/ 259 46/ 339 13 37/ 107 52/ 195 89/ 315 / 6.9 16/ 68 32/ 252 48/ 327 11 28/ 93 49/ 206 78/ 311 / 6.0 13/ 60 40/ 269 53/ 335 10 21/ 83 42/ 197 63/ 290 / 5.3 11/ 54 39/ 259 51/ 318 9.1 18/ 78 37/ 190 55/ 277 / 4.9 11/ 51 42/ 249 53/ 306 8.0 16/ 75 35/ 188 51/ 271 / 4.6 11/ 50 39/ 236 50/ 291 / 0.7M 2.2/ 5.8M 2.3/ 9.3M 4.6/ 16M / 0.4M 0.7/ 3.6M 1.3/ 12M 2.0/ 16M *Estimated as 10 times the sum of the annual numbers for 1995 & 2005

Webfig 3. US, 1950 2010. Total cancer mortality rates at ages 0-34 & 35-69, with the rates at 35-69 subdivided into parts attributed, and not, to smoking Sources: WHO (& 2009-10 US NCHS) mortality data and UN population estimates. The rate for a 35-year period is the mean of the 7 annual death rates in the component 5-year age ranges. (Hence, without other causes of death, a rate of R per 100,000 would imply a 35-year risk of 1- exp[-35r/100,000].) The mortality attributed to smoking is estimated indirectly from the national mortality statistics, using the absolute lung cancer rate as a guide to the fraction of the deaths from other causes, or groups of causes, attributable to smoking (Peto, Lopez et al, 1992,1994).

Webfig 4. US, 1950-2010. Probabilities of death at ages 0-34 (left) & 35-69, with probabilities of death from smoking shaded Most of those killed by smoking would otherwise have survived beyond age 70, but a minority (shaded area to right of dotted line) would have died by 70 anyway. Sources: WHO (& 2009-10 US NCHS) mortality data and UN population estimates. The mortality attributed to smoking is estimated indirectly from the national mortality statistics (Peto, Lopez et al, 1992,1994).

122 62/ 398 8.2/ 308 70/ 828 / 85 0.0/ 248 0.0/ 292 0.0/ 625 119 83/ 403 17/ 350 99/ 873 / 79 0.7/ 241 0.0/ 336 0.7/ 656 123 109/ 439 30/ 413 139/ 976 / 81 3.6/ 254 0.0/ 401 3.6/ 736 118 131/ 460 47/ 458 178/ 1035 / 74 12/ 265 0.8/ 454 13/ 793 119 154/ 482 66/ 477 220/ 1078 / 68 27/ 276 6.5/ 498 34/ 843 109 155/ 457 83/ 485 238/ 1051 / 56 40/ 262 15/ 524 55/ 842 110 156/ 439 103/ 526 259/ 1075 / 54 54/ 261 36/ 600 90/ 915 98 154/ 425 123/ 575 277/ 1098 / 48 66/ 261 65/ 680 131/ 989 103 149/ 415 134/ 595 283/ 1113 / 48 72/ 257 101/ 730 173/ 1035 93 138/ 423 148/ 657 286/ 1173 / 44 75/ 262 140/ 833 214/ 1139 74 119/ 405 152/ 699 271/ 1178 / 38 73/ 268 169/ 920 242/ 1226 77 113/ 432 148/ 699 261/ 1208 / 39 73/ 284 179/ 918 251/ 1240 70 104/ 455 137/ 708 241/ 1233 / 36 70/ 300 172/ 901 243/ 1236 / 4.9M 6.9/ 22M 5.5/ 29M 12/ 56M / 2.6M 2.7/ 13M 4.0/ 34M 6.6/ 50M *Estimated as 10 times the sum of the annual numbers for 1965, 1975, 1985, 1995 & 2005

Webfig 5. Poland, 1965 2010. Total cancer mortality rates at ages 0-34 & 35-69, with the rates at 35-69 subdivided into parts attributed, and not, to smoking Sources: WHO mortality data and UN population estimates. The rate for a 35-year period is the mean of the 7 annual death rates in the component 5-year age ranges. (Hence, without other causes of death, a rate of R per 100,000 would imply a 35-year risk of 1-exp[-35R/100,000].) The mortality attributed to smoking is estimated indirectly from the national mortality statistics, using the absolute lung cancer rate as a guide to the fraction of the deaths from other causes, or groups of causes, attributable to smoking (Peto, Lopez et al, 1992,1994).

Webfig 6. Poland, 1955-2010. Probabilities of death at ages 0-34 (left) & 35-69, with probabilities of death from smoking shaded Most of those killed by smoking would otherwise have survived beyond age 70, but a minority (shaded area to right of dotted line) would have died by 70 anyway. Sources: WHO mortality data and UN population estimates. The mortality attributed to smoking is estimated indirectly from the national mortality statistics (Peto, Lopez et al, 1992,1994).

5........................ 54 6.8/ 50 1.3/ 32 8.1/ 136 / 40 0.2/ 41 0.1/ 45 0.3/ 126 34 9.5/ 50 3.2/ 32 13/ 117 / 24 0.3/ 38 0.3/ 46 0.6/ 107 24 13/ 58 3.2/ 39 17/ 121 / 15 0.5/ 41 0.2/ 55 0.7/ 111 22 19/ 67 6.8/ 52 26/ 141 / 13 0.9/ 42 0.7/ 71 1.6/ 126 22 22/ 72 10/ 64 33/ 158 / 11 1.5/ 42 1.3/ 85 2.9/ 139 23 30/ 83 15/ 83 45/ 189 / 11 2.7/ 44 2.2/ 106 4.9/ 161 20 37/ 89 17/ 94 54/ 202 / 9.8 3.8/ 46 3.3/ 124 7.1/ 179 18 45/ 105 15/ 87 60/ 209 / 7.8 5.1/ 52 4.4/ 120 9.5/ 179 13 43/ 105 17/ 87 61/ 206 / 5.9 5.6/ 49 5.2/ 125 11/ 180 10 37/ 95 20/ 90 57/ 195 / 4.0 5.9/ 44 5.8/ 124 12/ 173 9.1 34/ 92 22/ 95 56/ 197 / 3.4 6.5/ 40 6.7/ 128 13/ 171 8.2 30/ 91 21/ 101 51/ 200 / 2.8 7.8/ 40 7.9/ 136 16/ 179 / 0.9M 1.5/ 4.2M 0.7/ 3.8M 2.2/ 8.8M / 0.5M 0.2/ 2.2M 0.2/ 5.2M 0.3/ 7.8M *Estimated as 10 times the sum of the annual numbers for 1965, 1975, 1985, 1995 & 2005