diff --git a/Include/object.h b/Include/object.h
index 5db92db..2eb2b44 100644
--- a/Include/object.h
+++ b/Include/object.h
@@ -568,7 +568,7 @@
  * #ifdefs (we used to do that -- it was impenetrable).
  */
 #ifdef Py_REF_DEBUG
-PyAPI_DATA(long) _Py_RefTotal;
+PyAPI_DATA(Py_ssize_t) _Py_RefTotal;
 PyAPI_FUNC(void) _Py_NegativeRefcount(const char *fname,
 					    int lineno, PyObject *op);
 #define _Py_INC_REFTOTAL	_Py_RefTotal++
diff --git a/Python/pythonrun.c b/Python/pythonrun.c
index 87418d8..3f934d6 100644
--- a/Python/pythonrun.c
+++ b/Python/pythonrun.c
@@ -29,6 +29,16 @@
 #include "windows.h"
 #endif
 
+#ifndef Py_REF_DEBUG
+#  define PRINT_TOTAL_REFS()
+#else /* Py_REF_DEBUG */
+#  if defined(MS_WIN64)
+#    define PRINT_TOTAL_REFS() fprintf(stderr, "[%zd refs]\n", _Py_RefTotal);
+#  else /* ! MS_WIN64 */
+#    define PRINT_TOTAL_REFS() fprintf(stderr, "[%ld refs]\n", _Py_RefTotal);
+#  endif /* MS_WIN64 */
+#endif
+
 extern char *Py_GetPath(void);
 
 extern grammar _PyParser_Grammar; /* From graminit.c */
@@ -382,9 +392,7 @@
 	dump_counts();
 #endif
 
-#ifdef Py_REF_DEBUG
-	fprintf(stderr, "[%ld refs]\n", _Py_RefTotal);
-#endif
+	PRINT_TOTAL_REFS()
 
 #ifdef Py_TRACE_REFS
 	/* Display all objects still alive -- this can invoke arbitrary
@@ -674,9 +682,7 @@
 	}
 	for (;;) {
 		ret = PyRun_InteractiveOneFlags(fp, filename, flags);
-#ifdef Py_REF_DEBUG
-		fprintf(stderr, "[%ld refs]\n", _Py_RefTotal);
-#endif
+		PRINT_TOTAL_REFS()
 		if (ret == E_EOF)
 			return 0;
 		/*
diff --git a/Python/sysmodule.c b/Python/sysmodule.c
index 3219b1c..a33ac26 100644
--- a/Python/sysmodule.c
+++ b/Python/sysmodule.c
@@ -604,7 +604,7 @@
 static PyObject *
 sys_gettotalrefcount(PyObject *self)
 {
-	return PyInt_FromLong(_Py_RefTotal);
+	return PyInt_FromSsize_t(_Py_RefTotal);
 }
 
 #endif /* Py_TRACE_REFS */