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Premature mortality from non-communicable diseases (Indicator 1)

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Overall mortality from cancer, cardiovascular disease, diabetes and chronic respiratory disease, in the age group 30 to 69 years, age-standardised.

This indicator is part of Target (1): 33 per cent reduction in overall mortality from cancer, cardiovascular disease, diabetes and chronic respiratory disease.  

For sufferers of diabetes or chronic respiratory disease, the cause of death is often stated as cardiovascular disease or cancer, so the significance of these two types of disease may be underestimated when the Cause of Death Registry is used as a source. The combination of these four diseases as cause of death is however a good indicator.

Results

The proportion of adults dying prematurely (defined here as death between ages 30 and 69) from NCDs has declined during the period 2015-2023 from 212 to 169 deaths per 100 000 population. The decline is seen for both sexes. A higher proportion of men than women die early from non-communicable diseases. This is mainly due to higher mortality from cardiovascular diseases in men. This is shown by data from the Cause of Death Registry, see Figures 1, 2 and 3.

Graph over ncd deaths
Figure 1. Mortality rate from the non-communicable diseases (NCDs) cancer, cardiovascular disease, chronic obstructive pulmonary disease (COPD) and diabetes in Norway, 2005-2023, for the age group 30-69 years. Deaths per 100 000 population, age-standardised. Source: Norwegian Cause of Death Registry, Norwegian Institute of Public Health. See Table 1.
Table 1 accompanying Figure 1
 Both sexes

Cancer

Cardiovascular

COPD

Diabetes

Sum

2005

175

90

14

8

287

2006

169

86

16

7

278

2007

170

85

16

7

278

2008

163

81

17

6

267

2009

160

76

17

6

259

2010

163

73

15

6

257

2011

154

69

15

5

243

2012

148

70

15

7

240

2013

150

64

16

5

235

2014

144

58

14

6

222

2015

135

58

15

4

212

2016

138

53

16

5

212

2017

132

52

15

4

203

2018

126

50

14

4

194

2019

120

47

12

4

184

2020

116

46

11

5

178

2021

113

47

11

5

176

2022

113

50

12

6

181

2023

107

46

11

4

169

 

Graph over ncd deaths men
Figure 2. Mortality rate from the non-communicable diseases (NCDs) cancer, cardiovascular disease, chronic obstructive pulmonary disease (COPD) and diabetes in Norway, 2005-2023, for men aged 30-69 years. Deaths per 100 000 population, age-standardised. Source: Norwegian Cause of Death Registry, Norwegian Institute of Public Health. See Table 2
Table 2 accompanying Figure 2
Men

Cancer

Cardiovascular

COPD

Diabetes

Sum

2005 

183 

134 

15 

12 

343 

2006 

181 

127 

18 

10 

337 

2007 

180 

127 

16 

9 

333 

2008 

170 

121 

16 

8 

315 

2009 

171 

112 

17 

8 

308 

2010 

173 

106 

15 

9 

303 

2011 

162 

99 

16 

7 

284 

2012 

154 

102 

15 

9 

281 

2013 

156 

93 

16 

8 

273 

2014 

150 

84 

15 

7 

257 

2015 

144 

83 

15 

7 

249 

2016 

144 

77 

15 

6 

242 

2017 

138 

74 

15 

6 

234

2018 

129 

72 

13 

6 

221 

2019 

127 

68 

12 

6 

212 

2020 

119 

68 

11 

7 

206

2021 

113 

71 

11

7 

201 

2022

118

70

11

9

208

2023

109

64

12

6

191

 

Graph over ncd deaths women
Figure 3. Mortality rate from the non-communicable diseases (NCDs) cancer, cardiovascular disease, chronic obstructive pulmonary disease (COPD) and diabetes in Norway, 2005-2023, in women aged 30-69 years. Deaths per 100 000 population, age-standardised. Source: Norwegian Cause of Death Registry, Norwegian Institute of Public Health. See Table 3.
Table 3 accompanying Figure 3
Women

Cancer

Cardiovascular

COPD

Diabetes

Sum

2005 

167 

47 

14 

4 

233 

2006 

158 

46 

15 

3 

222 

2007 

161 

43 

16 

4 

224 

2008 

156 

42 

18 

4 

220 

2009 

149 

40 

17 

4 

210 

2010 

154 

38 

15 

3 

210 

2011 

146 

38 

15 

3 

202 

2012 

141 

37 

16 

4 

198 

2013 

144 

34 

16 

2 

197 

2014 

138 

32 

14 

4 

188 

2015 

127 

32 

14 

2 

175 

2016 

131 

30 

17 

4 

181 

2017 

126 

30

14 

2 

172 

2018 

122 

27 

15 

3 

167 

2019 

114 

26 

13 

3 

156 

2020 

113 

24 

11 

4 

151 

2021 

113 

24

11 

3 

151 

2022

108

30

12

3

154

2023

106

27

11

3

146

Read more in the Public Health Report (in Norwegian): 

Data source: Norwegian Cause of Death Registry 

The data source for this indicator is the Norwegian Cause of Death Registry at the Norwegian Institute of Public Health. A description and definitions follow below.

Description 

The cause of death statistics are compiled on the basis of death certificates completed by public sector doctors. In addition, information is obtained from the Norwegian Cancer Registry, the Medical Birth Registry, hospital autopsy results and forensic examinations.

The following ICD-10 diagnosis codes are included: Cancer C00-C97, cardiovascular disease I00-I99, diabetes E10-E14, COPD/emphysema/asthma/chronic bronchitis J40-J47.

Effect measure

Number of deaths per 100 000 population, age-standardised.

Standardised values are recommended when looking at trends over time. The purpose of standardisation is to reduce the effect of different age compositions when comparing groups in time and space. The method employed is direct standardisation with a fixed standard population taken as the reference population. The European standard population in 2013 is used as the standard population (ESP 2013, Eurostat)

Data quality

The data quality is deemed to be generally good. However, the number of autopsies being performed is declining steadily, making quality assurance of diagnoses difficult. 

National adaptation to global indicators

WHO’s definition:

Indicator 1. Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases, total mortality. 

National adaptation:

National data from the Cause of Death Registry is reported annually to Eurostat from where WHO will obtain the figures. WHO processes the data, using a life table method and its own standard population, presenting probability of dying.  

The national mortality data are here presented as mortality rates per 100 000 person years in line with other national databanks, and are age-standardised using the European standard population defined by Eurostat. 

Due to different processing methods, there may be some divergence between the data presented above and the data presented by WHO. 

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