The health toll to Sheffield residents of smoking and drinking is being spelt out in a new report.
Smoking is still the biggest reversible cause of ill health and early death in Sheffield as well as nationally. It claims the lives of about 900 people a year in the city and costs the public purse about £137m.
An estimated 20.5% of the local adult population smokes, slightly higher than the national average.
The report - by the new Sheffield Clinical Commissioning Group, which has taken over responsibility for many health services - also highlights the impact of alcohol abuse.
Sheffield has a higher estimated proportion of people aged over 16 who drink than any of the UK big cities, with 51,000 thought to be at “high risk”. Alcohol-related hospital admissions in Sheffield are increasing in Sheffield - currently 6,500 a year.
About 37% of young men and 33% of young women are thought to be drinking more than the recommended safe levels - 14,000 young men and 12,000 young women. “A particular local concern arising from these figures the unplanned, unprotected, regretted and abusive sexual activity linked to alcohol abuse.” Alcohol-related costs to the city are described as “huge.”
They include £12m a year to the health services and £15.3m to the criminal justice system. Around 250,000 working days are lost, and is estimated that 7,900 children are affected by their parents’ drinking.
En cur aging healthier lifestyles, including better diet to reduce the risk of obesity, is among the priorities of the SCCG, it will tell councillors on Wednesday.
Other key issues are improving child and maternal health, reducing the number of people with long term conditions, such as heart disease, and improving mental health.
A familiar theme in addressing health problems is the reflection of economic and social differences.