Public Health France publishes in its latest Weekly Epidemiological Bulletin this Tuesday an analysis of the causes of death in France. Although the death rate has been falling since the 2000s, cancer has become the leading cause of death in France in the wake of cardiovascular disease.
Increased mortality from AIDS, traffic accidents and cardiovascular disease "Especially reduced" for sixteen years in metropolitan France, according to a study of trends in the causes of death, covering the years 2000 to 2016.
At the same time, women have increased sharply for lung cancer, the effect of smoking and more moderate for both sexes for pancreatic and brain cancer, according to the latest Weekly Epidemiological Bulletin (BEF). of Public Health France, announced on Tuesday.
Mortality rate down
"These general results highlight successes and gaps" in prevention and care, Gregoire Ray, Director of Hepidoc-Inserm (which determines medical causes of death) and colleagues, the authors of this trend analysis between 2000-2007 and 2008-2016.
Overall, the rate of deaths for all reasons has continued to decline since the 2000s, most likely as a result of advances in medicine and prevention.
The risk of dying of cancer decreases, even if the number of people affected increases. Cancer is the leading cause of death in France for both sexes in 2004 before cardiovascular disease."The big downward trend in mortality is pretty reassuring"Mr Ray told AFP.
In 2016, deaths from death, tumor (29%) and cardiovascular disease (24.2%) were prevalent. The proportion of premature deaths (before age 65) of all causes in men remains higher than that observed in women (22.6% vs. 11.3%).
HIV / AIDS-related mortality, following its first decline in the 1990s, has continued to decline in the last 16 years as a result of advances in prevention and in particular treatment. In 2016 there are 300 AIDS deaths, compared to 4,800 in 1994.
Suicide deaths are also declining: nearly 8,500 deaths in 2016 compared to 11,400 ten years earlier. However, since the 1980s, they still surpass the deaths caused by traffic accidents.
The latter, falling from 2002-2003, dropped from about 8,000 deaths in 2000 to 3,000 in 2016. The sharp reduction in traffic fatalities over the past sixteen years can be attributed in particular to camera speeds.
Cardiovascular deaths are fewer: mortality rates have fallen by a quarter between the two study periods. This is thanks to the development of interventional cardiology techniques (to remove clots, stents …) in stroke and the development of specialized neurovascular units for stroke management, the authors note.
In women, where cardiovascular disease is the leading cause of death, stroke death exceeds brain death, unlike men.
'Warning Points' "Women have increased lung cancer as well as those in the brain and pancreas," says Ray.
Pancreatic cancer increased for sixteen years for both sexes, and brain cancer increased during the second period, 2008-2016, at "Context of the Boom in Radio Frequency Technologies". Research is needed to explain why, according to this specialist.
In addition, melanoma mortality increases in men and remains stable in women while prevention of this skin cancer is known, the authors suggest.
Finally, the trend towards increased dementia, which has been significant since the 2000s, appears to be slowing or even changing in men, possibly as a result of a decrease in cardiovascular risk factors (hypertension, smoking, diabetes, etc.). they say
Cancer, heart disease, suicide: what is the French dying for?Ouest-France.fr