
Chronic Obstructive Pulmonary Disease (COPD) is a lung condition that affects many men and women in Australia. COPD is a term that covers a few lung conditions, including emphysema, chronic bronchitis, and chronic asthma. The prevalence of COPD in Australia has remained steady over the last decade, with approximately 638,000 people or 2.5% of the population affected in 2022. COPD disproportionately impacts older individuals, with one in fourteen people aged 65 and over having the condition. Additionally, Indigenous Australians are 2.2 times more likely to be affected by COPD than other demographic groups.
| Characteristics | Values |
|---|---|
| Number of people with COPD in Australia | 638,000 (2.5%) |
| COPD as a percentage of total disease burden | 3.6% |
| COPD as a percentage of the total burden of respiratory conditions | 50% |
| Expenditure on treatment and management of COPD | $831.6 million |
| Expenditure on treatment and management of COPD as a percentage of total health system expenditure | 0.6% |
| Expenditure on treatment and management of COPD as a percentage of expenditure for all respiratory conditions | 18% |
| Number of deaths with COPD as the underlying cause | 7,691 (29.6 per 100,000 population) |
| Number of hospitalisations with a principal diagnosis of COPD for people aged 45 and over | 53,000 (500 per 100,000 population) |
| Percentage of people with COPD living with one or more other chronic conditions | 87% |
| Prevalence of COPD in people over 65 years | 7.0% |
| Prevalence of COPD in people over 40 | 1 in 13 |
| Prevalence of COPD in Aboriginal and/or Torres Strait Islander people | 1 in 10 |
| Prevalence of COPD in all Australians aged 45 and over | 1 in 20 |
| Prevalence of COPD in people aged 35 and over | 365,000+ |
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What You'll Learn

COPD prevalence in Australia
Chronic Obstructive Pulmonary Disease (COPD) is a lung condition that affects many men and women. It is a long-term condition that covers a range of conditions, including emphysema, chronic bronchitis, and chronic asthma. COPD causes the tubes in the lungs to become narrower, making breathing difficult. While treatments can help, changes to the airways are usually permanent.
Indigenous Australians are 2.2 times more likely to be affected by COPD than non-Indigenous Australians. The condition is also more prevalent among daily smokers, with 8.1% of current daily smokers having COPD compared to ex-smokers. COPD is one of the leading causes of death in Australia, accounting for 4.0% of all deaths in 2022. It was the underlying cause of death in 7,691 cases, representing 29.6 per 100,000 population.
In 2021-22, there were 53,000 hospitalisations with a principal diagnosis of COPD for people aged 45 and over, equating to 500 hospitalisations per 100,000 population. In 2020-21, an estimated $831.6 million was spent on the treatment and management of COPD, representing 0.6% of total health system expenditure and 18% of expenditure for all respiratory conditions. COPD prevalence is monitored by the Australian Institute of Health and Welfare (AIHW) using Australian Bureau of Statistics (ABS) National Health Survey (NHS) data based on self-reported bronchitis or emphysema.
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COPD causes and risk factors
According to the Australian Bureau of Statistics, around 638,000 people (2.5%) in Australia were estimated to be living with COPD in 2022. The prevalence of COPD has remained steady over the last decade, increasing slightly from 2.4% in 2011-12 to 2.5% in 2022. Among those aged 65 and above, one in fourteen (7.0%) people had COPD, which is more than any other age group.
COPD is a progressive lung condition that affects both men and women. It is caused by a complex interaction between genes and the environment. While COPD is often referred to as a "smoker's disease", and smoking is indeed the main risk factor, non-smokers can also develop COPD. About 75% of all COPD cases occur in people with a history of smoking. The chemicals in cigarette smoke weaken the lungs' defence against infections, narrow air passages, cause swelling in air tubes, and destroy air sacs, all contributing factors to COPD. Using other tobacco products like e-cigarettes and cigars also increases the risk of developing COPD.
Other risk factors include exposure to lung irritants such as air pollution, chemical fumes, and dust from the environment or the workplace. Occupational exposures account for 10-20% of respiratory symptoms or lung function impairment consistent with COPD. Long-term exposure to particulate matter PM 2.5 and nitrogen dioxides, primarily from motor vehicles, factories, power plants, wood burning, and wildfires, also increases the risk of COPD. Additionally, people living in poverty and rural areas are more likely to develop COPD, possibly due to increased exposure to indoor and outdoor pollutants and a lack of access to healthcare.
Genetic factors also play a role in the development of COPD. Alpha-1 antitrypsin (AATD) deficiency is a genetic condition that affects the body's ability to produce a protein that protects the lungs. AATD is the most common genetic form of emphysema and can be diagnosed through a blood test. Other genetic or physiological factors may also contribute to the development of COPD, but the specific reasons for differences in COPD prevalence between men and women are not yet fully understood.
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COPD diagnosis and treatment
According to the National Health Survey 2022, around 638,000 people, or 2.5% of the population of Australia, were estimated to be living with COPD in 2022. The prevalence of COPD has remained steady over the last decade, from 2.4% in 2011-12 to 2.5% in 2022. One in fourteen (7%) people aged 65 years and over had COPD, more than any other age group.
COPD is a lung condition that affects many men and women. It is not contagious, but it is progressive and can be overwhelming to live with. The tubes in the lungs (airways) become narrower, making breathing difficult, and air can get trapped in the lungs, causing breathlessness. While there is currently no cure, early diagnosis and treatment can improve quality of life and slow the progression of the disease.
Diagnosis
If you are experiencing symptoms such as persistent shortness of breath, a chronic cough, or frequent tiredness, it is important to see a healthcare provider as soon as possible. A provider will examine you, ask about your health history, and perform tests to diagnose COPD. They may use a stethoscope to listen for abnormal chest sounds and will test how well your lungs are working.
To diagnose COPD, a spirometer is used to measure lung function and may be supplemented with imaging tests and other lung function tests. A chest X-ray is a fast and painless test that can identify other conditions that may interact with COPD. A CT scan provides more detailed images of the lungs and chest, helping to identify the cause of symptoms and detect lung problems.
Treatment
While there is currently no cure for COPD, treatments can help manage symptoms and slow the progression of the disease. It is important to follow the recommendations of your healthcare provider and seek support to improve your quality of life. Pulmonary rehabilitation programs can help you manage your symptoms and improve your wellbeing. Additionally, keeping your lung muscles strong with a personalised plan can help you breathe easier and feel more in control.
COPD can have serious complications, including high levels of carbon dioxide in the blood (hypercapnia), low levels of oxygen in the blood (hypoxemia), respiratory failure, and heart problems. However, with early treatment, many people can live for decades after diagnosis.
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COPD economic impact
Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable lung disease that affects a significant number of people in Australia. In 2022, around 638,000 people, or 2.5% of the population, were estimated to be living with COPD. This prevalence has remained relatively steady over the last decade, with a slight increase from 2.4% in 2011-12. The impact of COPD on Australia's economy is substantial, with the condition contributing to healthcare expenditures and affecting individuals' ability to work and participate in daily activities.
The economic impact of COPD in Australia is significant. In 2020-21, an estimated $831.6 million was spent on the treatment and management of COPD. This amount represented 0.6% of total health system expenditure and 18% of expenditure for all respiratory conditions. Hospital services accounted for the majority of COPD expenditure, with $483.6 million (58%) spent on inpatient care. Primary care also incurred significant costs, totalling $307.8 million (37%) of COPD expenditure. These expenditures have likely grown in recent years, given the increasing prevalence of COPD and the impact of the COVID-19 pandemic on hospitalisation rates.
COPD disproportionately affects older individuals, with one in fourteen (7.0%) people aged 65 and over having the disease. It is also more prevalent among Indigenous Australians, who are 2.2 times more likely to be affected. The condition can interrupt daily activities, sleep patterns, and the ability to exercise, impacting individuals' quality of life and their capacity to work. This, in turn, can lead to indirect economic costs, such as lost productivity and increased social support needs.
Additionally, COPD is often associated with other chronic conditions, further increasing the economic burden. In 2022, 87% of people with COPD were estimated to be living with one or more other chronic conditions, with mental and behavioural health issues being the most common comorbidities. This can result in higher healthcare costs and more complex treatment plans, impacting both the healthcare system and individuals' finances.
The economic impact of COPD in Australia is substantial, with direct healthcare costs exceeding $800 million annually. The indirect costs, including lost productivity and social support needs, further contribute to the overall economic burden. As the prevalence of COPD remains steady, addressing this condition and its risk factors is crucial to alleviate the economic strain on individuals and the healthcare system.
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COPD death rates
Chronic Obstructive Pulmonary Disease (COPD) is a lung condition that affects many men and women in Australia. COPD prevalence has remained steady over the last decade, from 2.4% in 2011–12 to 2.5% in 2022. This equates to around 638,000 people in Australia living with COPD in 2022.
COPD was the underlying cause of death for 7,691 people in Australia in 2022, representing 4.0% of all deaths and 51% of all respiratory deaths. When considering deaths that had an associated cause of COPD, the total number of deaths due to or associated with COPD rises to 19,122, representing 10% of all deaths and 35% of respiratory deaths.
COPD mortality rates as the underlying cause of death were 1.9 times higher for people living in remote and very remote areas compared to those in major cities. Additionally, mortality rates were 2.7 times higher for people living in areas of high disadvantage compared to those in the least disadvantaged areas. The risk of developing COPD is increased by tobacco smoke, with smoking being the main risk factor. The smoking rate of adults in Australia has decreased from 1980 to 2019 for both men and women, which may help reduce the risk of developing COPD.
The prevalence of COPD in Australia has been measured through the Burden of Obstructive Lung Disease (BOLD) Australia study, which used spirometry testing and self-reported symptoms of breathlessness to identify people with COPD between 2006 and 2010. Another method for estimating the prevalence of COPD in Australia is through linked data, which can identify people with diagnosed COPD through their health service use and prescription data.
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Frequently asked questions
In 2022, around 638,000 people in Australia were estimated to be living with COPD, accounting for 2.5% of the population.
COPD affects about 1 in 20 Australians aged 45 and over, and 1 in 14 people aged 65 and over.
COPD affects around 1 in 10 Aboriginal and/or Torres Strait Islander people, with Indigenous Australians being 2.2 times more likely to be affected.











































