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radon, although there are differences in the progression of effects with age. GBD also provides information on the illnesses linked to exposure to second-hand smoke (Table 8). The 2,800 deaths estimated by the GBD study for the UK in 2010 18 are clearly much lower than the estimate of around 11,000 deaths made previously for 2003. 19 Reduced prevalence of smoking and legislation against smoking indoors will have had some effect over this period, although the difference is likely to be linked more to the methods used than to trends over the period. Further detailed analysis for the UK specifically would clearly be beneficial in targeting future policies. Deaths by age group DALYs by age group 1,400 1,200 1,000 Deaths by age group (total = 2,791) DALYs by age group (total = 42,600) 800 600 400 200 0 7,000 1,600 8,000 6,000 5,000 4,000 3,000 2,000 1,000 0 0 –6 days 7 –27 days 1– 4 years 28 –364 days 25 –29 years 30 –34 years 35 –39 years 40 –44 years 45 –49 years 50 –54 years 55 –59 years 60 –64 years 65 –69 years 70 –74 years 75 –79 years 80+ years Fig 21. Estimate of deaths and DALYs associated with exposure to second-hand smoke in the UK in 2010, from the GBD Project. 18 © Royal College of Physicians 2016 89 6 The heavy cost of air pollution Table 8. Breakdown of DALYs and deaths from second-hand smoke exposure in the UK in 2010 by type of disease 18 DALYs Deaths Haemorrhagic and other non-ischaemic stroke 4,493 264 Ischaemic heart disease 27,938 1,844 Ischaemic stroke 5,402 513 Lower respiratory infections 1,687 18 Middle ear infection 510 0 Trachea, bronchus and lung cancers 2,569 152 Total (all causes) 42,599 2,791

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