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This statistical atlas presents key health

figures for the WHO European Region.


They cover basic data on populations, births,
deaths, life expectancy and diseases, lifestyle
and environmental indicators such as
drinking, smoking and traffic accidents,
and types and levels of health care.
Each indicator is presented as a map to show
overall regional variations, a bar chart to
indicate country rankings and a time chart to
show trends over time in three main country
groupings. Using the WHO Regional Office
for Europes unique Health for All database,
combined with the best alternative sources
of data around the Region, this atlas offers
the most comprehensive overview of health in
Europe. In a handy size, this atlas is designed
to be an easily accessible resource at all times,
in the office or on the road.

ISBN 978-92-890-1410-6
World Health Organization
Regional Office for Europe
Scherfigsvej 8
DK-2100 Copenhagen
Denmark
Tel.: +45 39 17 17 17
Fax: +45 39 17 18 18
E-mail: postmaster@euro.who.int
Web site: www.euro.who.int

9 789289 014106

2nd edition 2008

Member States
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Israel
Italy
Kazakhstan
Kyrgyzstan
Latvia
Lithuania
Luxembourg
Malta
Monaco
Montenegro
Moldova
Netherlands
Norway
Poland
Portugal
Romania
Russian Federation
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Tajikistan
The former Yugoslav
Republic of Macedonia
Turkey
Turkmenistan
Ukraine
United Kingdom
Uzbekistan

ATLAS OF HEALTH IN EUROPE

Atlas of health in Europe

The World Health


Organization (WHO) is a
specialized agency of the United
Nations created in 1948 with
the primary responsibility for
international health matters
and public health. The WHO
Regional Office for Europe is
one of six regional offices
throughout the world, each with
its own programme geared to the
particular health conditions of
the countries it serves.

Atlas
of health
in Europe

2nd edition 2008

The World Health Organization was established in 1948 as the specialized


agency of the United Nations serving as the directing and coordinating
authority for international health matters and public health. One of
WHOs constitutional functions is to provide objective and reliable
information and advice in the field of human health. It fulfils this
responsibility in part through its publications programmes, seeking to
help countries make policies that benefit public health and address their
most pressing public health concerns.
The WHO Regional Office for Europe is one of six regional offices
throughout the world, each with its own programme geared to the
particular health problems of the countries it serves. The European
Region embraces some 880 million people living in an area stretching
from the Arctic Ocean in the north and the Mediterranean Sea in the south
and from the Atlantic Ocean in the west to the Pacific Ocean in the east.
The European programme of WHO supports all countries in the Region
in developing and sustaining their own health policies, systems and
programmes; preventing and overcoming threats to health; preparing
for future health challenges; and advocating and implementing public
health activities.
To ensure the widest possible availability of authoritative information
and guidance on health matters, WHO secures broad international
distribution of its publications and encourages their translation and
adaptation. By helping to promote and protect health and prevent and
control disease, WHOs books contribute to achieving the Organizations
principal objective the attainment by all people of the highest possible
level of health.

Atlas of health
in Europe
2nd edition 2008

Atlas of health
in Europe
2nd edition 2008

WHO Library Cataloguing-in-Publication Data


Atlas of health in Europe/2nd edition 2008
1. Health surveys statistics atlases 2. Health status
3. Morbidity statistics 4. Mortality statistics 5. Europe
ISBN 978 92 890 1410 6 (print)
ISBN 978 92 890 1411 3 (ebook)

(NLM Classification : WA 17)

ISBN 978 92 890 1410 6 (print)

Address requests about publications of the WHO Regional Office for


Europe to:

Publications

WHO Regional Office for Europe,

Scherfigsvej 8, DK-2100 Copenhagen , Denmark
Alternatively, complete an online request form for documentation, health
information, or for permission to quote or translate, on the Regional
Office web site (http://www.euro.who.int/pubrequest).

World Health Organization 2008


All rights reserved. The Regional Office for Europe of the World Health Organization welcomes
requests for permission to reproduce or translate its publications, in part or in full.
The designations employed and the presentation of the material in this publication do not
imply the expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or concerning
the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate
border lines for which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers products does not imply that
they are endorsed or recommended by the World Health Organization in preference to others
of a similar nature that are not mentioned. Errors and omissions excepted, the names of
proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify the
information contained in this publication. However, the published material is being distributed
without warranty of any kind, either express or implied. The responsibility for the interpretation
and use of the material lies with the reader. In no event shall the World Health Organization
be liable for damages arising from its use. The views expressed by authors, editors, or expert
groups do not necessarily represent the decisions or the stated policy of the World Health
Organization.
Printed in Denmark

Contents
Foreword...............................................................................................viii
Technical notes......................................................................................... 1
1. Demography...................................................................... 5
Notes.........................................................................................................5
Population
Mid-year population, 2006................................................................ 7
Natural population growth........................................................... 89
Young population (014 years) and old population
(65+ years)............................................................................. 911
Age pyramid, 2005.......................................................................... 12
Births
Birth rate.................................................................................... 1314
Low-weight births, under 2500 g.............................................. 1415
Births to young mothers (under 20 years)...................................... 16
Births to older mothers (35+ years)................................................ 16
Abortions
Abortions...........................................................................................17
2. Life and death..................................................................19
Notes....................................................................................................... 19
Life expectancy
Conventional and estimated life expectancy...................................23
Life expectancy at birth (years).......................................................24
Life expectancy at age 65 (years)..................................................... 25
Percentage of life lived in good health
or free of disability, 2002..........................................................26
Life expectancy at birth ................................................................... 27
Deaths
Deaths from all causes ..............................................................2729
Infant deaths .............................................................................3031
Infant, neonatal and postneonatal deaths....................................... 31
Perinatal deaths................................................................................32
Maternal deaths . ...................................................................... 3334
Causes of death
Main causes of death by age group.................................................. 35
Deaths from:
diseases of the circulatory system.......................................3637

vi

ischaemic heart disease...................................................... 3839


pulmonary and other heart diseases.................................. 3940
cerebrovascular diseases.....................................................4142
selected cancers.................................................................. 4243
cancer.................................................................................. 4446
lung cancer.......................................................................... 4748
female breast cancer and cervical cancer .......................... 4950
cancer of the colon and anus............................................... 5152
prostate cancer....................................................................5253
external causes of injury and poisoning..............................5455
motor vehicle traffic accidents............................................5657
suicide..................................................................................5758
diseases of the respiratory system..................................... 5960
diseases of the digestive system..........................................6162
chronic liver diseases and cirrhosis................................... 6364

3. Diseases.......................................................................... 65
Notes.......................................................................................................65
Some infectious diseases
New cases of:
tuberculosis......................................................................... 6768
hepatitis B........................................................................... 6970
syphilis ................................................................................ 7172
clinically diagnosed AIDS....................................................7374
HIV infection.......................................................................7475
Some noncommunicable diseases
Prevalence of diabetes mellitus....................................................... 76
New cases of and deaths from lung cancer..................................... 77
New cases of and deaths from female breast cancer....................... 78
New cases of and deaths from cervical cancer................................ 79
Hospitalization
Hospital discharges for:
cancer................................................................................. 8081
diseases of the circulatory system......................................8182
diseases of the respiratory system..................................... 8384
diseases of the digestive system........................................ 8485
diseases of the musculoskeletal system............................. 8687
injury and poisoning.......................................................... 8788
Teeth
Decayed, missing or filled teeth in 12-year-olds............................89

vii

4. Lifestyles and environment..............................................91


Notes....................................................................................................... 91
Smoking
Smokers among adults......................................................................93
Regular daily smokers, 15+ years.....................................................94
Overweight and obesity
Prevalence of overweight among adults...........................................95
Prevalence of obesity among adults.................................................96
Traffic accidents
Injuries and deaths from motor vehicle traffic accidents................ 97
Road traffic accidents involving alcohol...........................................98
Alcohol
Total alcohol consumption...................................................... 99100
Consumption of spirits and wine.....................................................101
Consumption of spirits, wine and beer........................................... 102
Work accidents
Deaths from work-related accidents......................................102104
5. Health care.....................................................................105
Notes..................................................................................................... 105
Health personnel

Number of:
physicians........................................................................107108
dentists............................................................................108109
nurses .............................................................................. 110111
Hospitals
Hospital beds............................................................................111112
Psychiatric hospital beds.................................................................113
Hospital beds and length of stay.....................................................114
Length of stay in hospital........................................................ 115116
Inpatient hospital admissions................................................. 116117
Some procedures
Children vaccinated against measles and diphtheria.....................118
Caesarean sections................................................................. 119120
Health expenditure
Total health expenditure as a percentage of GDP.................. 120121
Total health expenditure per person...................................... 122123
References ......................................................................... 125

viii

Foreword
Decisions on public health are based on evidence and profound
understanding of a wide range of factors, including health data and
statistics. Policy-makers take into consideration all available data
about health and its determinants in their countries and, on this basis,
shape their policies and design their actions. To facilitate the decisionmaking process, however, they also need to have synthetic yet simple
ways to review and compare information, such as the graphics and
maps used in this atlas. Contrasting national with international health
data allows a broader picture of public health: statistical figures backed
by subsequent in-depth analyses can be a powerful resource for health
authorities in identifying failures and successes, constraints and good
practices.
The WHO Regional Office for Europe presents the second edition of this
publication to a wide range of public health and medical professionals,
as well as broader audiences. New data on relevant health issues in
the WHO European Region have been incorporated in this edition to
better reflect the new challenges confronting public health. Rich and
elaborate data from various sources have been gathered, systematized,
grouped and reformatted to help readers to go through them and
gain an overall picture of health in the Region, to the extent it can be
expressed in figures.
We at the Regional Office hope that this statistical publication will
be useful to those committed to work for the improvement of public
health throughout the Region, and stimulate review and discussion of
its contents.
Marc Danzon
WHO Regional Director
for Europe

Technical notes
This publication contains basic health-related statistics for the
53 Member States in the WHO European Region. The data cover the
main aspects of health and its determinants: that is, basic demographic
data, health status in terms of mortality and morbidity, and some
indicators on lifestyles, environment and health care resources and their
utilization. The period covered runs from 1980 at the earliest to 2006 at
the latest, depending on the data available in countries.
Most of the data used in this publication come from countries
themselves, usually from statistical units of health ministries or public
health institutions, and national statistical institutions. These data are
systematically collected by WHO technical staff (at the Regional Office for
Europe or in headquarters) or by WHO collaborating centres. All these
data, and more, are available in databases accessible on the Regional
Office and headquarters web sites (1,2). For the sake of completeness,
some publicly available data collected and published by other international
organizations the Statistical Office of the European Community
(EUROSTAT), the International Labour Organization (ILO), the United
Nations Economic Commission for Europe (UNECE), the Organisation
for Economic Co-operation and Development (OECD), the Food and
Agriculture Organization of the United Nations (FAO) have also been
included when appropriate, with the information source acknowledged.
Data were compiled, validated and processed in a uniform way to improve
the international comparability of statistics. Nevertheless, many factors
such as variations in national definitions, incomplete registration
in some countries or other national specificities in data recording and
processing may influence the accuracy and comparability of the
national statistics. Statistics, particularly in international comparisons,
should therefore always be interpreted with caution. The same applies to
statistics for countries with very small populations, where figures tend to
jump up and down purely because of the small numbers registered. On
the other hand, the statistical noise from possible data inaccuracies or
random fluctuations due to small figures is usually not high enough to
mask completely what the statistics show.
Most of the data in this publication are presented in three standard
graphic forms.

Atlas of health in Europe

The ranked bar chart shows the relative position of each country in
relation to other countries according to the latest data available. As the
timing of data reporting to WHO varies a lot, data from different years
often have to be used. When more recent data are provided, rankings
may change.
The map aims to reveal specific geographical patterns in the data, such
as the eastwest mortality gradient. Again, data from different years
may have to be used, although 2005 and 2006 are the most common
years.
The line chart shows health trends for the last 25 years in two parts
of the Region. Technically, it is difficult to present trends separately for
each of the 53 countries on one line chart. On the other hand, had only
the average trends for the whole Region been given, some important
subregional differences in health trends would not have been visible.
Subregional population-weighted averages for each indicator are
therefore calculated for two groups of countries:

Eur-A, comprising 27 countries in the WHO European Region with


very low child and adult mortality: Andorra, Austria, Belgium,
Croatia, Cyprus, the Czech Republic, Denmark, Finland, France,
Germany, Greece, Iceland, Ireland, Israel, Italy, Luxembourg,
Malta, Monaco, the Netherlands, Norway, Portugal, San Marino,
Slovenia, Spain, Sweden, Switzerland and the United Kingdom;
and

Eur-B+C, comprising 26 countries in the Region: Eur-B (17


countries with low child and adult mortality: Albania, Armenia,
Azerbaijan, Bosnia and Herzegovina, Bulgaria, Georgia, Kyrgyzstan,
Montenegro, Poland, Romania, Serbia, Slovakia, Tajikistan, the
former Yugoslav Republic of Macedonia, Turkey, Turkmenistan
and Uzbekistan) and Eur-C (9 countries with low child but high
adult mortality: Belarus, Estonia, Hungary, Kazakhstan, Latvia,
Lithuania, Moldova, the Russian Federation and Ukraine).

The names used for countries are those that were correct at the time of
going to print.
Unless otherwise stated, death rates are age-standardized death rates
(SDR): the number of deaths per 100 000 people in a standard
population. This facilitates international comparability by removing
differences in rates caused by different population age structures

Technical notes

between countries. The European standard population (see the table


below) was used to calculate the SDR.
The mortality rates used cover all age groups: those aged under 65 years
(so-called premature mortality) or aged 2564 (representing the working
age) in most cases. Readers interested in other, or more detailed age
groups may consult the European Health for All or mortality databases
(1,3).
The European standard population structure
Age (years)

Percentage of
population

Age (years)

Percentage of
population

1.6

4549

14

6.4

5054

59

5559

1014

6064

1519

6569

2024

7074

2529

7579

3034

8084

3539

85

4044

All ages

100

1. Demography
Notes
Population (p. 7)
In mid-2006, the population of the 53 countries in the WHO European
Region totalled 881.5 million. The six largest countries (the Russian
Federation, Germany, Turkey, France, the United Kingdom and Italy)
make up more than half of the Regions population.

Natural population growth (pp. 89)


In the 1990s, the decline in the number of births and the increase in the
number of deaths reached a cross-over point for several countries, mostly
in the central and eastern part of the European Region. Nevertheless,
there are now again more births than deaths in the Region as a whole.

Age structure (pp. 912)


In general, European countries have ageing populations. Every seventh
person is aged 65 years or more, and this proportion is growing while the
proportion of children is declining. The ageing process is more advanced
in Eur-A countries: the western part of the Region. The graphs are based
on population data by age, as most recently reported by countries to
WHO and EUROSTAT.

Births (pp. 1316)


Live birth rates were declining in the Region until the beginning of the 21st
century, and this decline was particularly sharp in Eur-B+C countries.
This was most likely due to the profound socioeconomic changes in this
group and the economic crises in some of the countries.
The proportion of infants with low birth weight (below 2500 g) is on
average higher in Eur-A countries than in Eur-B+C countries, and is
growing in the former. Low-weight births, however, may be high but
underreported in some countries of the eastern part of the Region.

Atlas of health in Europe

While births to young mothers are most common in the eastern part of
the Region, births to mothers aged over 35 years are most frequent in
western countries.

Abortions (p. 17)


The legal requirements for abortion vary between countries. In general,
the average rates of abortion are higher in countries in the eastern and
central parts of the Region than in the western part.

Demography

Population

Mid-year population, 2006


Russian Federation
Germany
Turkey
France
United Kingdom
Italy
Ukraine
Spain
Poland
Uzbekistan
Romania
Netherlands
Kazakhstan
Greece
Portugal
Belgium
Czech Republic
Hungary
Belarus
Sweden
Azerbaijan
Austria
Bulgaria
Serbia
Switzerland
Israel
Tajikistan
Denmark
Slovakia
Finland
Kyrgyzstan
Turkmenistan
Norway
Croatia
Georgia
Ireland
Bosnia and Herzegovina
Moldova
Lithuania
Armenia
Albania
Latvia
MKDa
Slovenia
Estonia
Cyprus
Montenegro
Luxembourg
Malta
Iceland
Andorra
Monaco
San Marino

82 716
72 974
60 723
59 847
58 942
46 607
43 379
38 132
26 980
21 584
16 346
15 308
11 149
10 545
10 437
10 109
10 071
9 733
9 070
8 485
8 282
7 671
7 412
7 264
7 054
6 591
5 446
5 401
5 262
5 164
4 899
4 643
4 440
4 398
4 240
3 912
3 585
3 394
3 221
3 147
2 288
2 040
2 009
1 344
771
624
473
403
304
80
32
27
0

50 000

100 000

Population (thousands)
a

The International Organization for Standardization (ISO) abbreviation for the former Yugoslav Republic of
Macedonia is used throughout this book.

142 537

150 000

Population

Atlas of health in Europe

Natural population growth


Tajikistan (2005)
Israel (2003)
Uzbekistan (2005)
Turkmenistan (1998)
Kyrgyzstan (2005)
Turkey (2006)
Azerbaijan (2005)
Kazakhstan (2006)
Iceland (2005)
Ireland (2005)
Albania (2004)
France (2004)
Luxembourg (2005)
Cyprus (2004)
Armenia (2003)
Norway (2005)
Netherlands (2004)
San Marino (2005)
Montenegro (2005)
United Kingdom (2005)
MKD (2003)
Finland (2005)
Belgium (2006)
Spain (2005)
Malta (2005)
Denmark (2006)
Switzerland (2004)
Georgia (2006)
Sweden (2004)
Portugal (2004)
Greece (2006)
Austria (2006)
Slovenia (2006)
Bosnia and Herzegovina (2006)
Slovakia (2005)
Italy (2006)
Poland (2005)
Czech Republic (2005)
Germany (2004)
Moldova (2006)
Romania (2006)
Croatia (2006)
Estonia (2005)
Hungary (2005)
Lithuania (2005)
Serbia (2006)
Latvia (2006)
Bulgaria (2004)
Belarus (2005)
Russian Federation (2005)
Ukraine (2006)

10

22.0

15.0
15.0
14.8
14.2
12.4
10.9
9.4
8.3
8.1
8.1
4.3
3.9
3.8
3.6
3.4
3.1
2.8
2.4
2.3
2.2
1.9
1.9
1.8
1.8
1.7
1.7
1.3
1.1
0.6
0.6
0.4
0.4
0.2
0.2
0.0
0.1
0.6
1.4
1.6
1.8
2.0
2.2
3.8
3.9
4.3
4.7
5.2
5.3
5.9
6.4

10

15

20

Rate per 1000 population


Note. Data for Italy, Belgium, Denmark, Bosnia and Herzegovina, Turkey and Georgia are from EUROSTAT.

Rate per 1000 population

25

Demography

Population

Natural population growth

12

Rate per 1000 population

Eur-A
Eur-B+C
9

1980

1985

1990

1995

2000

2005

Year

Young population (014 years) and


old population (65+ years)
30

Natural population growth, 19802005

Percentage of population

25

20

15

10
Young, Eur-A

Old, Eur-A
Young, Eur-B+C
Old, Eur-B+C

1980

1985

1990

1995
Year

Young population (014 years)


and

2000

2005

10

Population

Atlas of health in Europe

Young population (014 years)

40
30
20
18
15
No data
% of population

Old population (65+ years)

19
17
14
11
7
No data
% of population

Demography

Population

Old population (65+ years)


19.8
18.5
18.3
17.2
17.2
17.1
17.1
17.0
17.0
16.9
16.8
16.7
16.6
16.4
16.3
16.0
15.9
15.8
15.8
15.8
15.7
15.2
15.2
14.8
14.7
14.5
14.3
14.2
14.1
13.9
13.8
13.4
13.2
12.6
11.9
11.7
11.7
11.2
11.2
10.6
10.1
9.9

Italy (2006)
Greece (2006)
Germany (2004)
Serbia (2006)
Sweden (2004)
Bulgaria (2004)
Belgium (2006)
Croatia (2006)
Latvia (2006)
Portugal (2004)
Spain (2005)
Austria (2006)
Estonia (2005)
France (2004)
Ukraine (2006)
United Kingdom (2005)
Finland (2005)
San Marino (2005)
Switzerland (2004)
Slovenia (2006)
Hungary (2005)
Lithuania (2005)
Denmark (2006)
Romania (2006)
Norway (2005)
Belarus (2005)
Luxembourg (2005)
Georgia (2001)
Czech Republic (2005)
Netherlands (2004)
Russian Federation (2005)
Malta (2005)
Poland (2005)
Montenegro (2005)
Cyprus (2004)
Slovakia (2005)
Iceland (2005)
MKD (2006)
Ireland (2005)
Armenia (2005)
Moldova (2006)
Israel (2003)
Albania (2004)
Kazakhstan (2006)
Azerbaijan (2005)
Bosnia and Herzegovina (1991)
Kyrgyzstan (2005)
Uzbekistan (2005)
Tajikistan (2005)
Turkey (1986)
Turkmenistan (1998)

8.2
7.9
7.0
6.3
5.6
4.5
4.4
4.2
3.8
0

10

15

20

Population (thousands)
Note. Data for Belgium, Denmark, Italy, and the former Yugoslav Republic of Macedonia are from EUROSTAT.

11

12

Population

Atlas of health in Europe

Age pyramid, 2005


Males

Females
Eur-A

85+

Eur-B+C

8084
7579
7074
6569
6064
Age group (years)

5559
5054
4549
4044
3539
3034
2529
2024
1519
1014
59
04
21 000

15 000

9000

3000 0
3000
Population (thousands)

9000

15 000

21 000

Births

Demography

Birth rate
26.2

Tajikistan (2005)
Kyrgyzstan (2005)
Turkmenistan (1998)
Israel (2005)
Uzbekistan (2005)
Kazakhstan (2006)
Turkey (2005)
Azerbaijan (2005)
Ireland (2005)
Iceland (2005)
Albania (2004)
France (2004)
Norway (2005)
United Kingdom (2005)
Denmark (2004)
Montenegro (2005)
Luxembourg (2005)
Armenia (2005)
Netherlands (2005)
Belgium (2005)
Sweden (2005)
MKD (2005)
Finland (2005)
Cyprus (2005)
Spain (2005)
Georgia (2005)
Estonia (2005)
Andorra (2005)
Moldova (2005)
Portugal (2005)
Russian Federation (2005)
Romania (2006)
Slovakia (2005)
San Marino (2005)
Greece (2006)
Czech Republic (2005)
Ukraine (2006)
Switzerland (2005)
Latvia (2006)
Hungary (2005)
Serbia (2006)
Malta (2005)
Poland (2005)
Italy (2005)
Slovenia (2006)
Austria (2006)
Croatia (2006)
Belarus (2005)
Bulgaria (2005)
Lithuania (2005)
Bosnia and Herzegovina (2005)
Germany (2005)

21.5
21.1
20.8
20.4
19.7
18.9
16.9
14.8
14.5
13.8
12.7
12.3
12.0
11.9
11.8
11.8
11.7
11.5
11.3
11.2
11.0
11.0
10.9
10.8
10.7
10.7
10.5
10.5
10.4
10.2
10.2
10.1
10.1
10.1
10.0
9.9
9.8
9.8
9.7
9.6
9.6
9.6
9.5
9.4
9.4
9.3
9.2
9.2
9.0
8.8
8.3
5

10

15

20

Live births per 1000 population


Note. Data for Bulgaria and Germany are from EUROSTAT.

25

13

Births

Atlas of health in Europe

Birth rate
22

Eur-A
Eur-B+C

Per 1000 population

19

16

13

10
1980

1985

1990

1995

2000

2005

Year

Low-weight births, under 2500 g


8

Birth rate
Percentage of live births

14

Eur-A
Eur-B+C

4
1980

1985

1990

1995
Year

Low-weight births, under 2500 g

2000

2005

Births

Demography

Low-weight births, under 2500 g


MKD (2003)
Andorra (2005)
Bulgaria (2006)
Greece (2003)
Hungary (2006)
Israel (2006)
Romania (2006)
France (2003)
Armenia (2006)
United Kingdom (2001)
Portugal (2005)
Spain (2004)
Azerbaijan (2006)
Slovakia (2006)
Czech Republic (2006)
Austria (2006)
Italy (2004)
Germany (2006)
Malta (2006)
Kyrgyzstan (2006)
Switzerland (1999)
Belgium (1997)
Poland (2005)
Slovenia (2006)
Russian Federation (2006)
Tajikistan (2006)
Ireland (2004)
Kazakhstan (2006)
Serbia (2006)
Norway (2006)
Georgia (2006)
Belarus (2006)
Ukraine (2006)
Montenegro (2006)
Croatia (2006)
Denmark (2005)
Luxembourg (2003)
Albania (2006)
Uzbekistan (2005)
Moldova (2006)
Lithuania (2006)
Latvia (2006)
Turkmenistan (2006)
Iceland (2006)
Estonia (2006)
Finland (2006)
Sweden (2004)
Turkey (2006)

26.2
13.0
9.3
8.6
8.3
8.2
8.1
8.0
7.9
7.5
7.5
7.4
7.3
7.3
7.1
7.1
6.9
6.8
6.7
6.5
6.3
6.1
6.1
5.9
5.9
5.7
5.7
5.6
5.5
5.4
5.3
5.2
5.1
5.0
4.9
4.9
4.9
4.7
4.6
4.6
4.6
4.6
4.5
4.4
4.4
4.3
4.2
1.9
0

10

15

Percentage of live births

20

25

15

16

Births

Atlas of health in Europe

Births to young mothers (under 20 years)

15
12
9
5
2
No data
% of all births

Births to older mothers (35+ years)

26
21
16
11
6
No data
% of all births

Demography

Abortions

Abortions

1100
900
600
400
200
No data
Per 1000 live births

Abortions per 1000 live births

17

19

2. Life and death


Notes
Life expectancy (pp. 2327)
Life expectancy, or the average number of years that a newborn baby
can expect to live if mortality patterns remain unchanged, is one of the
most common measurements of a populations health. As it is calculated
using mortality statistics, its accuracy depends on the accuracy and
completeness of official national mortality data. The table on p. 23
shows two different estimates of life expectancy. One is the conventional
life expectancy based on reported official mortality statistics. The other
estimate is calculated using special demographic techniques to counteract
possible underreporting of deaths (see The world health report 2006
(4) for details on methodology). Countries with the largest differences
between these two estimates most probably have life expectancy well
below the level calculated from official statistics. This problem occurs
mainly in countries in central Asia, the Caucasus and the Balkans. These
were affected by armed conflict and severe socioeconomic difficulties
during the 1990s and many countries national vital statistics systems
(registration of marriages, births and deaths) were damaged. This should
be kept in mind when making comparisons between life expectancy in
these areas and in other countries.
The trends in life expectancy show a still growing gap between western
and eastern parts of the Region. The average trend for Eur-B+C countries
is particularly complex, as it reflects the effects of both the anti-alcohol
campaigns introduced in the USSR in 1985 and the deep socioeconomic
crises of the 1990s in some countries. The trends in cause-specific
mortality show the same pattern. Nevertheless, life expectancy showed a
remarkable increase in several Eur-B+C countries since the mid-1990s.
Disability-adjusted life expectancy (often called healthy life expectancy)
shows the estimated number of years of life expected to be lived in full
health, while taking account of years lived in less than full health due to
disease and/or injury. WHO calculated these estimates by using special
techniques developed to maximize comparability across populations

20

Atlas of health in Europe

(see The world health report 2004 (5) for details on methodology). The
bar chart shows what percentage of expected length of life that a child
born in 2002 could expect to live in good health.

Deaths from all causes (pp. 2729)


Mortality gradually increases from the western to the eastern part of the
Region. The level of premature mortality (deaths in people aged below
65 years) varies particularly dramatically in relative terms. Eastwest
differences in mortality of the elderly population (those aged 65 years
and over) are relatively less pronounced.
Excess male mortality is presented as a percentage of the excess of male
over female death rates on the left side of the bar charts. Particularly high
premature male mortality in some eastern countries makes the largest
contribution proportionally to the eastwest gap in total mortality.

Infant deaths (pp. 3031)


Infant mortality shows the number of deaths of children below 1 year
of age per 1000 live births. Unfortunately, some countries are not able
to ensure complete registration of infant deaths and live births or to
report them according to the WHO definition. Infant mortality rates
reported by those countries are therefore lower than the actual rates,
and intercountry comparisons should be treated with caution. For that
reason, the bar chart with reported infant mortality rates also presents
the most recent (2006) estimated infant mortality rates, which are based
on the work of the Inter-agency Group for Child Mortality Estimation,
which includes the United Nations Childrens Fund (UNICEF), WHO,
the World Bank and the United Nations Population Division (6).
Levels of underregistration are particularly high in countries in central
Asia and the Caucasus and in some other countries, such as Albania and
Bosnia and Herzegovina.
Infant mortality is higher in the eastern part of the Region, with the
highest levels in some south-eastern countries. Taking into account the
above-mentioned underregistration, the real infant mortality in these
countries is likely to be even higher.

Perinatal deaths (pp. 3132)

The rate shows the number of deaths of fetuses weighing 1000 g or more
and of newborn babies aged 06 full days per 1000 births (live and

Life and death

stillborn). Where weight-specific data were not available, calculations


were based on the data provided by countries, whatever the national
criteria. For that reason and owing to possible incomplete registration of
perinatal deaths in the countries where infant mortality is incomplete,
intercountry comparisons should be treated with caution.

Maternal deaths (pp. 3334)


A maternal death is the death of a woman while pregnant or within 42
days of the end of a pregnancy, from any cause related to or aggravated
by the pregnancy or its management. The maternal mortality ratio
(deaths per 100 000 live births) was calculated using mortality data
from routine vital statistics reported to WHO and hospital data reported
by health ministries, taking the larger figure where they differed.
Even in countries with good vital statistics systems, however, maternal
mortality is believed to be higher than reported. For that reason, the bar
chart with the reported maternal mortality ratios also presents the most
recent (2005) estimated maternal mortality ratios, which are based
on the work of WHO, UNICEF, the United Nations Population Fund
(UNFPA) and the World Bank (7).

Deaths by cause and age (p. 35)


The importance of specific causes of death differs significantly in the
different phases of the lifespan. Respiratory and some other diseases are
leading causes of death in childhood, replaced by accidents and other
external causes of death among adolescents and young adults. Cancer
and diseases of the circulatory system become leading causes of death
in older age groups.

Deaths from diseases of the circulatory system (pp. 3642)


The average trends in mortality from cardiovascular diseases are declining in Eur-A countries. The average rates for Eur-B+C countries do
not show improvement; they are stable in females and still rising in males.
Nevertheless, this group of countries is not homogeneous; mortality
trends have been declining in a number of them, while increasing in
others, for several years. A clear eastwest gradient contributes a large
part of the eastwest difference in total mortality and life expectancy.
The pattern of trends and differences in death rates from ischaemic heart
disease and cerebrovascular diseases are similar to those for all diseases

21

22

Atlas of health in Europe

of the circulatory system, while average death rates for pulmonary heart
disease and other heart diseases in Eur-B+C countries show a striking
increase.
Deaths from cancer (pp. 4253)
Trends in cancer death rates show some general improvement in the
European Region. The average cancer mortality in western countries
is relatively low in younger age groups and relatively high among the
older population. The opposite is true in the eastern part of the Region,
although mortality is relatively low in both the younger and older age
groups in some central Asian countries and Georgia. In the central part
of the Region, cancer mortality is high in both younger and older age
groups.
Female mortality from lung cancer is steadily increasing in Eur-A
countries; in Eur-B+C as a whole, there is no progress in reducing deaths
from colorectal cancer among older people, breast cancer in older women
and cancer of the cervix uteri in younger women.
Deaths from external causes of injury and poisoning (pp. 5458)
External causes of death from injury and poisoning include accidents,
homicide, suicide and other causes that are not diseases. The remarkable
increase in mortality from these causes in Eur-B+C in the first half of the
1990s is attributable to the combined effect of the end of the anti-alcohol
campaigns that started in the USSR in 1985 and the socioeconomic crises
of the 1990s. The excess mortality in Eur-B+C in relation to mortality in
the Eur-A group is striking, especially in males.
Deaths from diseases of the respiratory system (pp. 5960)
In general, deaths from respiratory conditions are declining in both
groups of countries. While mortality in males is higher in Eur B+C than
in Eur-A, rates for females show little difference.
Deaths from diseases of the digestive system (pp. 6164)
Deaths from chronic liver disease and cirrhosis are responsible for about
a half of all deaths from diseases of the digestive system. Mortality is
steadily declining in Eur-A countries, but increasing in the Eur-B+C
group.

Life and death

Life expectancy

Conventional and estimated life expectancy


Males
Country (year)

Albania (2004)
Andorra
Armenia (2003)
Austria (2006)
Azerbaijan (2004)
Belarus (2005)
Belgium (1997)
Bosnia and Herzegovina (1991)
Bulgaria (2004)
Croatia (2006)
Cyprus (2004)
Czech Republic (2005)
Denmark (2001)
Estonia (2005)
Finland (2005)
France (2004)
Georgia (2004)
Germany (2005)
Greece (2006)
Hungary (2005)
Iceland (2005)
Ireland (2005)
Israel (2003)
Italy (2002)
Kazakhstan (2006)
Kyrgyzstan (2005)
Latvia (2006)
Lithuania (2005)
Luxembourg (2005)
Malta (2005)
Moldova (2006)
Monaco
Montenegro (2005)
Netherlands (2004)
Norway (2005)
Poland (2005)
Portugal (2004)
Romania (2006)
Russian Federation (2005)
San Marino (2005)
Serbia (2006)
Slovakia (2005)
Slovenia (2006)
Spain (2005)
Sweden (2004)
Switzerland (2004)
Tajikistan (2005)
MKD (2003)
Turkey (2002)
Turkmenistan (1998)
Ukraine (2006)
United Kingdom (2005)
Uzbekistan (2005)

Conventional
life expectancy
(years)

73.7
70.0
77.3
69.3
62.9
74.2
69.5
69.1
72.6
77.0
73.0
75.1
67.3
75.8
76.9
69.3
76.6
77.5
68.8
79.5
77.3
77.6
77.3
60.7
63.8
65.4
65.4
77.0
77.2
64.6
71.4
77.0
78.0
70.8
74.9
69.2
59.0
78.9
70.8
70.3
74.6
77.1
78.3
78.8
71.2
71.1
67.9
62.5
62.3
77.1
68.2

Females

Estimated life
expectancy,
2004 (years)

69.0
77.0
65.0
76.0
63.0
63.0
75.0
70.0
69.0
72.0
77.0
73.0
75.0
66.0
75.0
76.0
70.0
76.0
77.0
69.0
79.0
75.0
78.0
78.0
56.0
59.0
66.0
66.0
76.0
76.0
64.0
78.0
77.0
77.0
71.0
74.0
68.0
59.0
79.0
70.0
73.0
77.0
78.0
78.0
62.0
69.0
69.0
56.0
62.0
76.0
63.0

Conventional
life expectancy
(years)

Estimated life
expectancy,
2004 (years)

78.9

74.0
83.0
72.0
82.0
68.0
74.0
81.0
77.0
76.0
79.0
82.0
79.0
80.0
78.0
82.0
83.0
77.0
82.0
82.0
77.0
83.0
81.0
82.0
84.0
67.0
67.0
76.0
78.0
81.0
81.0
71.0
85.0

75.9
82.9
74.0
75.1
80.8
76.0
76.3
79.4
82.2
79.3
79.5
78.2
82.8
84.0
76.7
82.0
82.1
77.2
83.6
81.8
81.7
83.3
72.0
71.9
76.4
77.4
82.2
81.4
72.4
76.9
81.7
82.9
79.4
81.6
76.2
72.4
83.2
76.2
78.2
82.0
83.8
82.7
83.9
76.3
76.1
72.2
69.8
73.8
81.4
73.0

81.0
82.0
79.0
81.0
76.0
72.0
84.0
78.0
81.0
83.0
83.0
83.0
64.0
76.0
73.0
65.0
73.0
81.0
69.0

23

24

Life expectancy

Atlas of health in Europe

Life expectancy at birth (years)


Iceland (2005)
San Marino (2005)
Switzerland (2004)
Sweden (2004)
Norway (2005)
Israel (2003)
Greece (2006)
Ireland (2005)
Austria (2006)
Italy (2002)
Malta (2005)
United Kingdom (2005)
Spain (2005)
Netherlands (2004)
Luxembourg (2005)
Cyprus (2004)
France (2004)
Germany (2005)
Finland (2005)
Denmark (2001)
Portugal (2004)
Slovenia (2006)
Belgium (1997)
Albania (2004)
Czech Republic (2005)
Croatia (2006)
Montenegro (2005)
Tajikistan (2005)
MKD (2003)
Serbia (2006)
Poland (2005)
Slovakia (2005)
Armenia (2003)
Bosnia and Herzegovina (1991)
Azerbaijan (2004)
Georgia (2004)
Romania (2006)
Bulgaria (2004)
Hungary (2005)
Uzbekistan (2005)
Turkey (2002)
Estonia (2005)
Latvia (2006)
Lithuania (2005)
Moldova (2006)
Kyrgyzstan (2005)
Belarus (2005)
Turkmenistan (1998)
Ukraine (2006)
Kazakhstan (2006)
Russian Federation (2005)

83.6
83.2
83.9
82.7
82.9
81.7
82.1
81.8
82.9
83.3
81.4
81.4
83.8
81.7
82.2
82.2
84.0
82.0
82.8
79.5
81.6
82.0
80.8
78.9
79.3
79.4
76.9
76.3
76.1
76.2
79.4
78.2
75.9
76.0
74.0
76.7
76.2
76.3
77.2
73.0
72.2
78.2
76.4
77.4
72.4
71.9
75.1
69.8
73.8
72.0
72.4
90

80

70
Females

79.5
78.9
78.8
78.3
78.0
77.6
77.5
77.3
77.3
77.3
77.2
77.1
77.1
77.0
77.0
77.0
76.9
76.6
75.8
75.1
74.9
74.6
74.2
73.7
73.0
72.6
71.4
71.2
71.1
70.8
70.8
70.3
70.0
69.5
69.3
69.3
69.2
69.1
68.8
68.2
67.9
67.3
65.4
65.4
64.6
63.8
62.9
62.5
62.3
60.7
59.0
60

50

60

70
Males

80

90

Life and death

Life expectancy

Life expectancy at age 65 (years)


Iceland (2005)
Switzerland (2004)
France (2004)
Greece (2006)
Sweden (2004)
Austria (2006)
Israel (2003)
San Marino (2005)
Spain (2005)
Norway (2005)
United Kingdom (2005)
Italy (2002)
Luxembourg (2005)
Finland (2005)
Ireland (2005)
Germany (2005)
Cyprus (2004)
Netherlands (2004)
Portugal (2004)
Malta (2005)
Slovenia (2006)
Denmark (2001)
Belgium (1997)
Albania (2004)
Azerbaijan (2004)
Tajikistan (2005)
Czech Republic (2005)
Poland (2005)
Croatia (2006)
Montenegro (2005)
Bosnia and Herzegovina (1991)
Romania (2006)
Serbia (2006)
Slovakia (2005)
Hungary (2005)
MKD (2003)
Bulgaria (2004)
Estonia (2005)
Lithuania (2005)
Georgia (2004)
Uzbekistan (2005)
Latvia (2006)
Armenia (2003)
Turkmenistan (1998)
Kyrgyzstan (2005)
Ukraine (2006)
Moldova (2006)
Belarus (2005)
Kazakhstan (2006)
Russian Federation (2005)

21.1
21.7
22.3
19.6
20.8
20.8
19.8
21.3
21.4
21.0
19.8
21.2
20.4
21.1
20.1
20.2
19.5
20.0
19.8
19.5
20.1
18.5
19.6
17.8
16.6
17.8
17.8
18.6
17.8
16.5
15.7
16.5
15.7
17.3
17.2
15.5
16.3
18.1
17.7
15.7
15.0
17.4
15.4
14.9
15.2
15.6
14.4
16.1
15.1
15.4
25

20

15

18.4
18.3
17.8
17.6
17.6
17.5
17.4
17.4
17.3
17.3
17.1
17.1
17.1
17.0
16.9
16.8
16.6
16.4
16.3
16.3
16.0
15.4
15.2
14.9
14.7
14.5
14.5
14.4
14.3
14.1
13.9
13.7
13.5
13.4
13.4
13.4
13.3
13.1
13.1
13.0
13.0
12.7
12.7
12.4
12.2
11.7
11.4
11.3
11.3
11.0
10

Females

10
Males

15

20

25

26

Life expectancy

Atlas of health in Europe

Percentage of life lived


in good health or free of disability, 2002
Sweden
Norway
Germany
Italy
Iceland
Spain
San Marino
Finland
Malta
Netherlands
Denmark
Belgium
Luxembourg
Ireland
Switzerland
Slovenia
France
Israel
Greece
United Kingdom
Czech Republic
Bulgaria
Estonia
Georgia
Andorra
Monaco
Austria
Portugal
Belarus
Russian Federation
Slovakia
Turkey
Hungary
Bosnia and Herzegovina
Croatia
Latvia
Romania
MKD
Kazakhstan
Moldova
Poland
Ukraine
Lithuania
Armenia
Azerbaijan
Albania
Cyprus
Uzbekistan
Turkmenistan
Tajikistan
Kyrgyzstan

90.6
90.1
90.7
90.6
90.0
90.7
90.4
90.2
90.0
89.5
89.4
89.9
90.2
89.6
90.4
89.8
89.5
88.8
89.9
89.6
89.8
88.7
89.5
88.8
89.1
89.0
89.4
89.1
87.4
89.2
88.6
87.0
88.8
86.9
88.2
89.1
86.9
86.6
86.1
87.2
87.0
87.2
87.2
85.8
85.6
85.4
86.6
86.0
85.5
Females
84.8
Males
84.8
92

90

88

86

92.2
92.2
92.1
92.1
92.0
91.9
91.8
91.8
91.8
91.7
91.7
91.6
91.6
91.5
91.5
91.5
91.3
91.2
91.2
91.2
91.0
91.0
90.9
90.9
90.9
90.9
90.7
90.6
90.4
90.4
90.3
90.1
89.9
89.9
89.9
89.8
89.7
89.7
89.6
89.4
89.4
89.0
89.0
88.7
88.6
88.4
88.3
88.3
87.8
87.1
86.4
84

82

80

82

84

86

88

90

Percentage of years of life expectancy at birth

92

94

Life and death

Life expectancy/Deaths

Life expectancy at birth


80

Years

75
Males, Eur-A
Females, Eur-A
Males, Eur-B+C
Females, Eur-B+C

70

65

60
1980

1985

1990

1995

2005

2000

Year

Deaths from all causes

1600
1300
1000
800
600
No data
Per 100 000

Life expectancy at birth, Eur-A and Eur-B+C

27

28

Deaths

Atlas of health in Europe

Deaths from all causes, 064 years


Russian Federation (2005)
Kazakhstan (2006)
Turkmenistan (1998)
Ukraine (2006)
Belarus (2005)
Kyrgyzstan (2005)
Moldova (2006)
Latvia (2006)
Lithuania (2005)
Uzbekistan (2005)
Estonia (2005)
Azerbaijan (2004)
Hungary (2005)
Tajikistan (2005)
Romania (2006)
Bulgaria (2004)
Serbia (2006)
Poland (2005)
Slovakia (2005)
Armenia (2003)
Montenegro (2005)
MKD (2003)
Georgia (2001)
Czech Republic (2005)
Croatia (2006)
Slovenia (2006)
Belgium (1997)
Denmark (2001)
Finland (2005)
Albania (2004)
Portugal (2004)
France (2004)
Germany (2004)
United Kingdom (2005)
Luxembourg (2005)
Austria (2006)
Netherlands (2004)
Ireland (2005)
Spain (2005)
Israel (2003)
Greece (2006)
Italy (2002)
Norway (2005)
Sweden (2004)
Malta (2005)
Cyprus (2004)
Switzerland (2004)
Iceland (2005)
San Marino (2005)

206
162

782.2
701.0
629.7
629.3
603.7
591.0
581.7
525.8
503.3
455.7
431.4
427.3
420.6
395.4
387.2
383.3
342.5
335.6
332.4
328.0
323.4
314.2
294.3
266.9
265.9
237.0
233.7
233.2
222.3
221.3
219.9
204.8
198.0
191.9
191.5
182.5
181.3
177.6
176.7
172.8
170.9
170.1
165.7
162.4
160.4
158.7
156.2
140.7
135.8

83
192
217
105
109
183
226
64
206
64
153
47
126
138
103
164
161
110
104
89
132
127
148
154
90
52
125
90
134
120
97
61
95
107
48
58
144
75
133
96
58
54
50
117
84
67
18
200
Excess mortality,
males compared
to females (%)

200

400
Per 100 000
population

600

800

Life and death

Deaths

Deaths from all causes, 65+ years


Moldova (2006)
Kazakhstan (2006)
Russian Federation (2005)
Armenia (2003)
Ukraine (2006)
Turkmenistan (1998)
Kyrgyzstan (2005)
Belarus (2005)
MKD (2003)
Uzbekistan (2005)
Bulgaria (2004)
Serbia (2006)
Romania (2006)
Montenegro (2005)
Slovakia (2005)
Latvia (2006)
Hungary (2005)
Lithuania (2005)
Azerbaijan (2004)
Albania (2004)
Estonia (2005)
Croatia (2006)
Czech Republic (2005)
Tajikistan (2005)
Poland (2005)
Denmark (2001)
Georgia (2001)
Belgium (1997)
Cyprus (2004)
Malta (2005)
Portugal (2004)
Slovenia (2006)
Netherlands (2004)
Greece (2006)
Ireland (2005)
United Kingdom (2005)
Israel (2003)
Germany (2004)
Luxembourg (2005)
San Marino (2005)
Sweden (2004)
Finland (2005)
Norway (2005)
Italy (2002)
Austria (2006)
Spain (2005)
Iceland (2005)
Switzerland (2004)
France (2004)

7738
7524
7398
7194
7064
7005
6992
6940
6856
6760
6502
6481
6195
6073
5901
5857
5829
5761
5729
5575
5543
5505
5455
5351
5125
4924
4704
4655
4502
4432
4349
4268
4266
4225
4158
4152
4115
4113
4008
3878
3849
3845
3844
3819
3809
3738
3607
3463
3443

41
54
67
35
52
35
36
70
32
22
39
25
36
30
54
66
53
65
21
42
77
50
46
39
60
42
14
67
44
43
50
62
54
21
44
36
32
46
49
72
46
61
53
60
49
61
37
50
67

2000 1000

Excess mortality,
males compared
to females (%)

1000 2000 3000 4000 5000 6000 7000

8000

Per 100 000


population

Excess mortality, males compared to females (%)

Per 100 000 population

29

30

Deaths

Atlas of health in Europe

Infant deaths
Azerbaijan (2004)
Tajikistan (2005)
Turkmenistan (1998)
Uzbekistan (2005)
Kyrgyzstan (2005)
Georgia (2005)
Kazakhstan (2006)
Turkey (2004)
Armenia (2006)
Ukraine (2006)
Romania (2006)
Moldova (2006)
MKD (2006)
Albania (2006)
Russian Federation (2005)
Bosnia and Herzegovina (2005)
Bulgaria (2006)
Belarus (2005)
Montenegro (2005)
Latvia (2006)
Serbia (2006)
Slovakia (2005)
Lithuania (2005)
Poland (2005)
Hungary (2005)
Malta (2005)
Estonia (2005)
Croatia (2006)
United Kingdom (2005)
Belgium (1997)
Israel (2003)
Switzerland (2006)
Netherlands (2004)
Ireland (2005)
Italy (2004)
Germany (2006)
Denmark (2006)
Spain (2005)
Greece (2006)
Austria (2006)
France (2006)
Luxembourg (2005)
Liechtenstein
Andorra (1999)
Monaco (1999)
Portugal (2004)
Czech Republic (2005)
Slovenia (2006)
Finland (2005)
Cyprus (2006)
Norway (2005)
Sweden (2006)
San Marino (2005)
Iceland (2005)

28.0
26.0
24.0
21.0
20.0
16.0
16.0
15.0
15.0
14.0
13.0
12.0
12.0
9.0
8.0
7.0
7.0
7.0
6.0
6.0
5.0
5.0
5.0
5.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
3.0
3.0
3.0
3.0
3.0
3.0
3.0
3.0
3.0
3.0
3.0
2.0
0

10

20

30

38.0
36.0

45.0

73.0

56.0

Estimated 2006
Latest year reported

40

Per 1000 live births

50

60

70

Life and death

Deaths

Infant deaths

33
20
15
10
5
No data
Per 1000 live births

40

Infant, neonatal and postneonatal deaths


Infant, Eur-A
Neonatal, Eur-A
Postneonatal, Eur-A
Infant, Eur-B+C
Neonatal, Eur-B+C
Postneonatal, Eur-B+C

Per 1000 live births

30

20

10

0
1980

1985

1990

1995

Year

2000

2005

31

32

Deaths

Atlas of health in Europe

Perinatal deaths
Kyrgyzstan (2006)
Turkey (2006)
Georgia (2006)
Armenia (2006)
16.6
MKD (2006)
15.2
Tajikistan (2006)
15.1
Kazakhstan (2006)
13.6
Albania (1992)
11.5
Bulgaria (2006)
10.7
Moldova (2006)
10.5
Azerbaijan (2006)
10.2
Romania (2006)
10.0
Ukraine (2006)
9.0
Montenegro (2006)
9.0
Russian Federation (2006)
9.0
Uzbekistan (2005)
8.8
Turkmenistan (2006)
8.3
United Kingdom (2004)
8.1
Ireland (2004)
7.9
Switzerland (2006)
7.6
Latvia (2006)
7.4
Belgium (1997)
7.4
Belarus (2006)
7.3
Serbia (2006)
6.9
France (2001)
6.9
Netherlands (2006)
6.0
Slovakia (2006)
5.6
Germany (2006)
5.6
Croatia (2006)
5.3
Poland (2005)
5.3
Luxembourg (2005)
5.0
Greece (2006)
4.9
Hungary (2006)
4.9
Israel (2005)
4.7
Spain (2005)
4.7
Italy (2003)
4.6
Lithuania (2006)
4.6
Portugal (2005)
4.2
Estonia (2006)
4.2
Sweden (2004)
3.9
Czech Republic (2006)
3.6
Norway (2006)
3.6
Slovenia (2006)
3.5
Denmark (2005)
3.3
Austria (2006)
3.2
Finland (2006)
3.0
Iceland (2005)
1.9
Malta (2006)
1.8
Andorra (2005) 0.0
0

10

15

Per 1000 live births

24.8
22.7
19.6

20

25

Life and death

Deaths

Maternal deaths
Tajikistan (2005)
Kyrgyzstan (2005)
Kazakhstan (2005)
Turkmenistan
Albania
Azerbaijan (2005)
Armenia (2005)
Georgia (2005)
Turkey
44.0
Russian Federation (2004)
28.0
Estonia (2005)
25.0
Uzbekistan (2004)
24.0
Romania (2005)
24.0
Moldova (2005)
22.0
18.0
Ukraine (2005)
18.0
Belarus (2005)
12.0
Luxembourg (2004)
11.0
Lithuania (2004)
11.0
Bulgaria (2003)
11.0
Portugal (2003)
10.0
Cyprus (2000)
10.0
MKD (2005)
10.0
Latvia (2005)
8.0
Belgium (1996)
8.0
France (2003)
8.0
United Kingdom (2004)
Poland (2004)
8.0
Malta (2005)
8.0
Croatia (2005)
7.0
Finland (2004)
7.0
Norway (2004)
7.0
Slovenia (2005)
6.0
Netherlands (2005)
6.0
Hungary (2005)
6.0
Slovakia (2005)
6.0
Switzerland (2004) 5.0
Czech Republic (2005) 4.0
Germany (2005) 4.0
Spain (2004) 4.0
Austria (2005) 4.0
Iceland (2005) 4.0
Israel 4.0
Denmark 3.0
Bosnia and Herzegovina (1990) 3.0
Sweden (2003) 3.0
Italy (2001) 3.0
Greece (2005) 3.0
Ireland (2005) 1.0
Serbia (2005)
Andorra (2004)
0

25

50

170.0
150.0
140.0
130.0
92.0
82.0
76.0
66.0

2005 estimate
Reported three-year
moving average

75

100

125

Per 100 000 live births

150

175

33

Deaths

Atlas of health in Europe

Maternal deaths
80

Eur-A
Eur-B+C

60
Per 100 000 live births

34

40

20

0
1980

1985

1990

1995

Year

Maternal deaths

2000

2005

Life and death

Causes of death

35

Main causes of death by age group, males


Diseases of the circulatory system

All deaths in each group (%)

100

Cancer

External causes of injury and poisoning

Infectious and parasitic diseases

Diseases of the respiratory system

Other diseases

75

50

25

0
0

114

1524

2534

3544
4554
Age group (years)

5564

6574

7584

85+

Main causes of death by age group, females


Diseases of the circulatory system

Cancer

External causes of injury and poisoning

Infectious and parasitic diseases


Main
causes of death by age group,
males
Diseases of the respiratory system
Other diseases

75

50

10

25

0
0

114

1524

2534

3544
4554
Age group (years)

5564

6574

7584

85+

all death in each group

All deaths in each group (%)

100

Causes of death

Atlas of health in Europe

Deaths from diseases of the circulatory system


1000

800
Per 100 000 population

36

600

400

200

0
1980

Males, Eur-A

Males, Eur-B+C

Females, Eur-A

Females, Eur-B+C

1985

1990

1995

2005

2000

Year

Deaths from diseases of the circulatory system

900
750
600
400
250
No data
Per 100 000

Life and death

Causes of death

Deaths from diseases


of the circulatory system, 2564 years
Russian Federation (2005)
Kazakhstan (2006)
Belarus (2005)
Ukraine (2006)
Latvia (2006)
Kyrgyzstan (2005)
Uzbekistan (2005)
Lithuania (2005)
Bulgaria (2004)
Moldova (2006)
Estonia (2005)
Hungary (2005)
Romania (2006)
Tajikistan (2005)
Azerbaijan (2004)
Armenia (2003)
Slovakia (2005)
MKD (2003)
Poland (2005)
Croatia (2006)
Czech Republic (2005)
Albania (2004)
Finland (2005)
Greece (2006)
Slovenia (2006)
Cyprus (2004)
Germany (2004)
United Kingdom (2005)
Ireland (2005)
Malta (2005)
Portugal (2004)
Luxembourg (2005)
Austria (2005)
Netherlands (2004)
Sweden (2004)
Spain (2005)
Norway (2004)
Iceland (2005)
France (2004)
Israel (2003)
Switzerland (2004)

241.9
252.2
184.0
199.1
149.9
229.8
246.7
105.3
154.8
206.7
90.9
103.7
122.5
209.7
187.1
104.0
76.3
126.5
69.6
58.7
59.8
70.9
32.8
39.1
34.6
38.0
37.0
39.2
32.8
37.9
36.3
37.0
29.2
36.6
27.4
24.4
25.6
14.3
21.6
25.7
20.2
200

762.8
672.3
603.2
595.9
516.5
457.4
428.1
417.4
416.9
389.4
358.0
323.2
308.2
305.9
299.1
291.3
257.5
235.2
233.7
194.5
180.6
153.4
135.9
126.9
126.1
117.1
107.4
104.9
103.6
102.9
101.8
96.5
85.8
83.7
81.8
80.7
75.4
72.7
Females
68.0
Males
66.3
64.4
0

200

400

Per 100 000 population

600

800

37

38

Causes of death

Atlas of health in Europe

Deaths from ischaemic heart disease, 2564 years


Russian Federation (2005) 99.8
Ukraine (2006) 114.1
84.9
Belarus (2004)
89.4
Kazakhstan (2006)
Azerbaijan (2004) 108.3
62.7
Latvia (2006)
45.8
Lithuania (2005)
Moldova (2006) 97.7
78.4
Kyrgyzstan (2005)
Uzbekistan (2005) 98.4
43.7
Armenia (2003)
47.8
Hungary (2005)
32.8
Estonia (2005)
78.1
Tajikistan (2005)
43.9
Romania (2006)
35.0
Bulgaria (2004)
31.2
Slovakia (2005)
41.0
MKD (2003)
20.2
Poland (2005)
20.2
Croatia (2006)
22.1
Czech Republic (2005)
17.4
Greece (2006)
11.9
Finland (2005)
24.2
Albania (2004)
18.6
Malta (2005)
16.9
United Kingdom (2005)
15.1
Ireland (2005)
11.2
Cyprus (2004)
13.0
Germany (2004)
4.5
Iceland (2005)
8.1
Slovenia (2006)
Austria (2006)
11.5
11.2
Sweden (2004)
Luxembourg (2005)
5.9
Portugal (2004)
9.7
Norway (2005)
10.6
Spain (2005)
7.4
Netherlands (2004)
12.5
Israel (2003)
8.7
Switzerland (2004)
6.6
France (2004)
4.9
100

406.3
366.8
326.5
305.5
280.4
269.8
245.2
225.4
212.2
203.0
200.3
175.3
174.7
147.4
143.5
134.7
123.4
104.0
95.4
93.5
91.9
81.9
80.4
78.0
76.3
68.6
65.5
64.6
56.0
50.0
49.8
49.6
49.4
47.5
45.1
44.4
40.4
37.6
Females
35.9
Males
33.7
28.6
0

100

200

Per 100 000 population

300

400

Life and death

350

Causes of death

Deaths from ischaemic heart disease, 2564 years

Per 100 000 population

300
250
200

Males, Eur-A
Females, Eur-A
Males, Eur-B+C

150

Females, Eur-B+C
100
50
0
1980

1985

1990

1995

2000

2005

Year

Deaths from pulmonary and


other heart diseases, 2564 years
Males, Eur-A
100

Females, Eur-A

Per 100 000 population

Males, Eur-B+C
80

60

Females, Eur-B+C

Deaths from ischaemic heart diseases, 2564 years, Eur-A

40

20

0
1980

1985

1990

1995

Year

2000

2005

39

40

Causes of death

Atlas of health in Europe

Deaths from pulmonary and


other heart diseases, 2564 years
Kazakhstan (2006)
Russian Federation (2005)
Bulgaria (2004)
Latvia (2006)
Ukraine (2006)
Lithuania (2005)
Estonia (2005)
Poland (2005)
MKD (2003)
Hungary (2005)
Uzbekistan (2005)
Croatia (2006)
Romania (2006)
Kyrgyzstan (2005)
Slovenia (2006)
Albania (2004)
Czech Republic (2005)
Slovakia (2005)
Belarus (2005)
Azerbaijan (2004)
Germany (2004)
Netherlands (2004)
Finland (2005)
Luxembourg (2005)
Cyprus (2004)
Tajikistan (2005)
Spain (2005)
Moldova (2006)
France (2004)
Portugal (2003)
Ireland (2005)
Greece (2006)
Switzerland (2004)
Armenia (2003)
Israel (2003)
Sweden (2004)
Norway (2005)
Austria (2006)
Iceland (2005)
United Kingdom (2005)
Malta (2005)

49.4
47.6
56.6
33.8
22.2
17.4
13.7
18.4
28.6
14.1
21.5
14.1
12.7
11.9
8.7
16.8
12.6
10.0
8.2
13.6
10.7
11.9
7.2
17.5
15.5
10.4
6.8
6.3
6.8
8.1
6.2
8.7
6.6
5.7
6.7
4.7
4.4
4.9
0.0
5.9
6.5
50

156.7
153.5
145.9
124.1
91.0
75.7
70.1
65.1
45.2
45.0
44.6
40.1
38.5
37.7
34.8
32.9
30.1
28.3
28.3
27.3
26.6
26.1
24.8
24.5
24.0
22.0
18.7
18.5
18.4
17.4
16.3
15.2
15.0
13.6
13.1
12.5
12.2
11.8
11.4
11.3
6.2
0

50

Females
Males

100

Per 100 000 population

150

Life and death

Causes of death

Deaths from
cerebrovascular diseases, 2564 years
Kyrgyzstan (2005) 120.2
Russian Federation (2005)
Kazakhstan (2006)
Belarus (2005)
Moldova (2006)
Ukraine (2006)
Uzbekistan (2005)
Bulgaria (2004)
Latvia (2006)
Romania (2006)
MKD (2003)
Azerbaijan (2004)
Estonia (2005)
Lithuania (2005)
Armenia (2003)
Hungary (2005)
Tajikistan (2005)
Croatia (2006)
Poland (2005)
Slovakia (2005)
Portugal (2004)
Albania (2004)
Czech Republic (2005)
Slovenia (2006)
Greece (2006)
Finland (2005)
Cyprus (2004)
United Kingdom (2005)
Spain (2005)
Malta (2005)
Ireland (2005)
Germany (2004)
Sweden (2004)
Netherlands (2004)
Luxembourg (2005)
France (2004)
Israel (2003)
Norway (2005)
Austria (2006)
Switzerland (2004)
Iceland (2005)

180.0
165.1
140.6
118.6
118.3
110.8
93.3
90.7
88.2
88.0
74.1
74.1
68.4
59.1
58.5
56.6
51.4
48.5
46.0
32.0
31.3
30.8
27.8
27.4
23.0
19.0
16.6
14.3
14.3
13.4
13.3
13.2
12.8
12.0
11.7
11.2
11.2
9.3
Females
9.2
Males
8.2
5.7

76.3
74.7
57.5
86.4
51.5
58.2
43.2
40.3
47.1
49.6
47.8
27.0
27.4
39.8
24.2
45.1
19.9
22.2
11.3
14.4
24.1
13.9
12.3
11.1
10.7
8.6
10.0
7.3
8.7
7.3
8.3
8.3
9.4
11.0
6.4
6.3
6.5
8.3
4.6
8.3

150 125 100

75

50

25

25

50

75 100 125 150 175 200

Per 100 000 population

Deaths from cerebrovascular diseases, 2564

41

Causes of death

Atlas of health in Europe

Deaths from cerebrovascular diseases, 2564 years


140
120
Per 100 000 population

42

Males, Eur-A

100

Females, Eur-A
Males, Eur-B+C
Females, Eur-B+C

80
60
40
20
0
1980

1985

1990

1995

2005

2000

Year

Deaths from selected cancers, WHO European Region


Breast 17.2
5.5

Ovary

3.6

Other parts of uterus

2.9

Cervix
Trachea, bronchus and lung

26.9

10.3
10.9

Deaths from cerebrovascular diseases, 2564 years, Eur

Colon, rectum and anus

13.2

8.8

Prostate

Stomach
Lymph node and
haematopoietic tissue
Pancreas

8.1

7.0

6.5

7.3

4.7

5.7

4.0

3.0

Liver, bile ducts


Bladder

3.9

1.6

Lip, oral cavity and pharynx

1.1

Oesophagus

1.3

Melanoma of skin

1.2
20

15

10

Females
Males

3.5
3.2
1.0
0

10

Proportion (%)

15

20

25

30

Life and death

Causes of death

43

Deaths from selected cancers, Eur-A


Breast 17.4
5.4

Ovary

3.0

Other parts of uterus

1.4

Cervix
Trachea, bronchus and lung

25.9

11.8
11.3

12.8

Colon, rectum and anus

10.7

Prostate
Lymph node and
haematopoietic tissue
Stomach

7.5

8.6

5.4

4.8

4.8

6.2

Pancreas

4.4

2.9

Liver, bile ducts

4.1

1.9

Bladder
Oesophagus

1.4

Lip, oral cavity and pharynx

1.1

Melanoma of skin

1.1
20

15

10

Females
Males

3.3
2.8
1.1
0

10

15

20

25

30

Proportion (%)

Deaths from selected cancers, Eur-B+C


Breast

16.9

Ovary

5.6

Proportion of deaths
by selected cancers in all countries
5.2

Cervix
Other parts of uterus

4.4

Trachea, bronchus and lung

7.9

Stomach

28.5

10.4

Colon, rectum and anus

12.2

13.7

10.3

Prostate
Lymph node and
haematopoietic tissue
Lip, oral cavity and pharynx

5.4

Pancreas

5.0

6.0
4.8
1.2

4.6
4.6

1.1

Bladder

3.7

3.0

Liver, bile ducts


Oesophagus

1.2

Melanoma of skin

1.2
20

15

10

Females
Males

3.2
3.1
0.9
0

10

Proportion (%)

Breast 17.4

15

20

25

30

44

Causes of death

Atlas of health in Europe

Deaths from cancer, 2564 years


Hungary (2005)
Russian Federation (2005)
Belarus (2005)
Slovakia (2005)
Ukraine (2006)
Moldova (2005)
Romania (2006)
Lithuania (2005)
Latvia (2006)
Poland (2005)
Croatia (2006)
Estonia (2005)
Czech Republic (2005)
Kazakhstan (2006)
Bulgaria (2004)
MKD (2003)
France (2004)
Slovenia (2006)
Armenia (2003)
Spain (2005)
Azerbaijan (2004)
Portugal (2004)
Germany (2004)
Kyrgyzstan (2005)
Netherlands (2004)
Austria (2006)
Luxembourg (2005)
Greece (2006)
United Kingdom (2005)
Albania (2004)
Switzerland (2004)
Ireland (2005)
Finland (2005)
Norway (2004)
Iceland (2005)
Israel (2003)
Sweden (2004)
Malta (2005)
Uzbekistan (2005)
Tajikistan (2005)
Cyprus (2004)

157.1
123.3
109.1
117.7
127.8
126.0
126.0
118.2
130.1
131.8
112.0
110.4
120.7
118.3
110.5
106.8
98.4
103.0
123.7
80.3
97.6
86.0
100.6
94.1
125.2
92.6
90.7
76.5
110.0
74.0
83.7
112.5
86.4
106.4
87.6
97.7
102.5
102.3
76.1
65.6
64.8
200

150

100

301.2
224.5
222.2
219.7
219.4
218.0
213.0
212.5
211.1
208.7
205.5
203.5
192.1
188.4
186.1
179.1
178.9
176.6
165.1
155.5
152.2
148.5
136.1
133.8
133.7
131.2
130.6
127.0
116.0
110.4
109.7
108.6
103.7
101.0
99.6
98.8
86.8
85.7
Females
80.2
Males
73.9
71.5
50

50

100

150

Per 100 000 population

200

250

300

350

Life and death

Causes of death

Deaths from cancer, 064 years

135
105
95
80
70
No data
Per 100 000

Deaths from cancer, 65+ years

1400
1100
900
800
600
No data
Per 100 000

45

Causes of death

Atlas of health in Europe

Deaths from cancer


300

Per 100 000 population

46

250

Males, Eur-A

200

Females, Eur-A
Males, Eur-B+C
Females, Eur-B+C

150

100
1980

1985

1990

1995

Year

Deaths from cancer

2000

2005

Life and death

Causes of death

Deaths from lung cancer, 2564 years


Hungary (2005)
Poland (2005)
Croatia (2006)
Romania (2006)
Belarus (2005)
Russian Federation (2005)
Latvia (2006)
Bulgaria (2004)
MKD (2003)
Czech Republic (2005)
Ukraine (2006)
Moldova (2006)
Slovenia (2006)
France (2004)
Lithuania (2005)
Estonia (2005)
Kazakhstan (2006)
Slovakia (2005)
Armenia (2003)
Greece (2006)
Spain (2005)
Netherlands (2004)
Germany (2004)
Portugal (2003)
Luxembourg (2005)
Austria (2006)
Azerbaijan (2004)
Iceland (2005)
Switzerland (2004)
United Kingdom (2005)
Kyrgyzstan (2005)
Ireland (2005)
Albania (2004)
Finland (2005)
Israel (2003)
Norway (2005)
Cyprus (2004)
Malta (2005)
Sweden (2004)
Uzbekistan (2005)
Tajikistan (2005)

35.3

99.7
20.9
15.9
12.6

72.0
70.3
69.5
67.4
67.1
64.4
60.9
59.1
58.7
58.2
57.9
57.6
56.3
56.2
56.1
55.0
54.8
53.3
53.0
50.2

4.7
6.7
7.9
9.5
7.3
16.0
6.5
7.1
17.5
13.8
6.9
10.3
7.2
10.5
9.1
9.2
8.3
27.6

39.3
39.0
38.0
37.7
37.5
37.2
30.3
30.2
28.9
28.2
26.8
25.6
25.0
24.7
24.5
21.3
19.1
16.9
14.6

16.1
6.7
18.0
16.4
6.2
29.0
15.5
18.9
5.3
17.7
7.9
9.6
9.6
19.7
2.6
7.2
19.7
4.4
4.4
50

25

Females
Males

7.6
0

25

50

Per 100 000 population

75

100

47

Causes of death

Atlas of health in Europe

Deaths from lung cancer, 2564 years


100
90

Per 100 000 population

80
70
60
50
40
30
20

Males, Eur-A
Females, Eur-A
Males, Eur-B+C
Females, Eur-B+C

10
0
1980

1985

1990

1995

2000

2005

2000

2005

Year

Deaths from lung cancer, 65+ years


400
Per 100 000 population

48

300

200

Males, Eur-A
Females, Eur-A
Males, Eur-B+C

100

Females, Eur-B+C

0
1980

1985

1990

1995

Year

Deaths from lung cancer

Life and death

Causes of death

Deaths from female breast cancer and


cervical cancer, 2564 years
Belgium (1997)
Armenia (2003)
Denmark (2001)
Netherlands (2004)
Ukraine (2006)
Serbia (2006)
Malta (2005)
Moldova (2006)
Latvia (2006)
Ireland (2005)
Russian Federation (2005)
United Kingdom (2005)
San Marino (2005)
Israel (2003)
MKD (2003)
France (2004)
Hungary (2005)
Estonia (2005)
Germany (2004)
Lithuania (2005)
Italy (2002)
Kazakhstan (2006)
Belarus (2005)
Croatia (2006)
Georgia (2001)
Romania (2006)
Azerbaijan (2004)
Slovakia (2005)
Bulgaria (2004)
Poland (2005)
Finland (2005)
Austria (2006)
Slovenia (2006)
Czech Republic (2005)
Switzerland (2004)
Sweden (2004)
Luxembourg (2005)
Norway (2005)
Cyprus (2004)
Spain (2005)
Bosnia and Herzegovina (1991)
Greece (2006)
Kyrgyzstan (2005)
Iceland (2005)
Uzbekistan (2005)
Albania (2004)
Turkmenistan (1998)
Tajikistan (2005)
Portugal (2004)

37.2
37.1
35.4
31.1
31.0
30.8
30.8
30.7
29.4
29.3
28.5
27.7
27.6
27.4
27.1
26.6
26.5
25.9
25.8
25.7
25.2
25.0
24.9
24.6
24.4
24.3
23.6
23.1
23.1
22.7
22.7
22.6
22.6
22.6
22.5
21.8
21.8
20.0
19.5
19.3
19.0
18.5
15.7
15.7
15.2
13.7
Cervical cancer
11.3
Breast cancer
9.8

4.2
8.8
4.1
3.2
10.7
13.5
1.8
2.3
10.0
4.9
8.5
3.1
0.0
2.3
5.8
2.5
9.4
8.3
3.5
12.9
1.1
10.6
8.0
3.7
7.1
20.8
2.4
9.6
10.6
3.8
1.3
3.3
4.9
7.0
1.7
2.8
0.9
10.2
1.5
2.6
3.9
1.8
10.5
0.0
7.7
2.2
4.2
4.6
3.8
30

20

10

8.3
0

10

20

Per 100 000 females

30

40

50

49

Causes of death

Atlas of health in Europe

Deaths from female breast cancer,


2564 and 65+ years
140

Per 100 000 females

120
100
80

2564, Eur-A
65+, Eur-A
2564, Eur-B+C
65+, Eur-B+C

60
40
20
0
1980

1985

1990

1995

2000

2005

Year

Deaths from cervical cancer,


2564 and
years
Deaths
from 65+
female
breast cancer, 2564 years and 65 years and ove
2564, Eur-A
65+, Eur-A

30

2564, Eur-B+C
65+, Eur-B+C

Per 100 000 females

50

20

10

0
1980

1985

1990

1995

Year

2000

2005

Life and death

Causes of death

Deaths from cancer of the colon and anus, 65+ years


Slovakia (2005)
127.2
Czech Republic (2005) 146.1
Hungary (2005) 148.1
Croatia (2006)
132.1
Slovenia (2006)
119.8
Estonia (2005)
103.3
Lithuania (2005)
97.8
Latvia (2006)
105.0
Ireland (2005)
106.8
Portugal (2004)
96.3
Poland (2005)
103.9
Russian Federation (2005)
108.1
Spain (2005)
90.2
Israel (2003)
121.4
Germany (2004)
114.2
Austria (2006)
94.1
Norway (2005)
118.5
Moldova (2006)
78.6
Netherlands (2004)
110.1
France (2004)
87.7
Belarus (2005)
82.3
Bulgaria (2004)
80.6
United Kingdom (2005)
93.2
Ukraine (2006)
79.2
Malta (2005)
90.8
Romania (2006)
84.7
Sweden (2004)
96.9
MKD (2003)
76.3
Luxembourg (2005)
115.4
Switzerland (2004)
74.9
Kazakhstan (2006)
70.9
Cyprus (2004)
63.0
Greece (2006)
66.5
Finland (2005)
70.7
Iceland (2005)
92.9
Armenia (2003)
72.8
Kyrgyzstan (2005)
31.7
Albania (2004)
15.7
Azerbaijan (2004)
23.8
Uzbekistan (2005)
16.6
Tajikistan (2005)
10.7
200

150

100

50

299.1
297.6
278.9
272.5
248.0
208.0
203.3
200.3
192.6
190.9
187.6
185.3
181.2
179.5
177.3
176.3
172.9
172.3
170.0
162.8
160.0
159.9
155.3
151.9
143.4
139.3
138.6
138.2
137.2
124.1
110.8
105.7
101.8
100.3
85.3
80.6
55.8
28.5
26.1
19.0
16.3
0

50

100

150

Per 100 000 population

Females
Males

200

250

300

350

51

Causes of death

Atlas of health in Europe

Deaths from cancer of the colon and anus, 65+ years

Per 100 000 population

200

150

100

50
1980

1985

1990

Males, Eur-A

Males, Eur-B+C

Females, Eur-A

Females, Eur-B+C

1995

2000

2005

Year

Deaths from prostate cancer, 6074 and 75+ years


500

400
Per 100 000 males

52

6074, Eur-A
75+, Eur-A

300

6074, Eur-B+C
75+, Eur-B+C

200

100

0
1980

1985

1990

1995

Year

2000

2005

Life and death

Causes of death

Deaths from prostate cancer, 65+ years


Sweden (2004)
Norway (2005)
Estonia (2005)
Belgium (1997)
Denmark (2001)
Iceland (2005)
Latvia (2006)
Slovenia (2006)
Lithuania (2005)
Ireland (2005)
Switzerland (2004)
Croatia (2006)
Czech Republic (2005)
Netherlands (2004)
Portugal (2004)
Finland (2005)
United Kingdom (2005)
Cyprus (2004)
France (2004)
Slovakia (2005)
Austria (2006)
Malta (2005)
Luxembourg (2005)
Germany (2004)
Poland (2005)
Hungary (2005)
Spain (2005)
Serbia (2006)
Greece (2006)
Italy (2002)
Belarus (2005)
Israel (2003)
Romania (2006)
Russian Federation (2005)
Bulgaria (2004)
Albania (2004)
MKD (2003)
Ukraine (2006)
Bosnia and Herzegovina (1991)
Armenia (2003)
Moldova (2006)
Azerbaijan (2004)
Kazakhstan (2006)
Kyrgyzstan (2005)
Georgia (2005)
Turkmenistan (1998)
Uzbekistan (2005)
Tajikistan (2005)

32.8
27.0
15.1
13.1
13.0
0

50

314.8
296.7
296.6
294.3
287.5
287.3
287.1
281.8
255.2
240.6
234.4
228.4
228.2
228.0
215.0
211.8
210.3
208.2
201.4
195.8
185.9
185.5
183.2
180.8
178.0
168.7
157.8
155.8
155.0
148.7
132.5
131.1
121.6
113.8
113.7
104.3
103.1
101.4
89.1
77.0
73.6
71.7
64.2

100

150

200

Per 100 000 males

250

300

350

53

Causes of death

Atlas of health in Europe

Deaths from external causes of injury and poisoning


300
250
Per 100 000 population

54

200
Males, Eur-A
Females, Eur-A

150

Males, Eur-B+C
Females, Eur-B+C

100
50
0
1980

1985

1990

1995

2005

2000

Year

Deaths from external causes of injury and poisoning,

215
150
100
60
40
No data
Per 100 000

Life and death

Causes of death

Deaths from external causes


of injury and poisoning, 064 years
Russian Federation (2005) 76.3
Belarus (2005)
58.5
Kazakhstan (2006)
62.1
Lithuania (2005)
52.0
Ukraine (2006)
45.6
Latvia (2006)
46.0
Estonia (2005)
40.9
Moldova (2006)
40.7
Kyrgyzstan (2005)
38.1
Turkmenistan (1998)
29.4
Poland (2005)
17.2
Finland (2005)
25.8
Hungary (2005)
20.8
Slovakia (2005)
17.2
Romania (2006)
20.5
Slovenia (2006)
15.4
Bosnia and Herzegovina (1991)
0.0
Uzbekistan (2005)
19.6
Czech Republic (2005)
17.2
Bulgaria (2004)
16.4
Belgium (1997)
24.4
Croatia (2006)
15.6
Albania (2004)
17.9
Portugal (2004)
14.4
Serbia (2006)
15.7
France (2004)
17.4
Armenia (2003)
8.7
San Marino (2005)
0.0
Tajikistan (2005)
15.6
Luxembourg (2005)
19.2
Sweden (2004)
20.1
Denmark (2001)
15.9
Austria (2006)
15.9
Greece (2006)
13.6
Norway (2005)
17.3
Georgia (2001)
7.9
Cyprus (2004)
8.9
Israel (2003)
10.6
MKD (2003)
8.5
Spain (2005)
9.5
Azerbaijan (2004)
10.6
Switzerland (2004)
13.6
Ireland (2005)
10.2
Italy (2002)
9.5
Germany (2004)
11.1
Iceland (2005)
18.4
United Kingdom (2005)
11.1
Malta (2005)
6.5
Netherlands (2004)
11.2
100

346.1
277.0
260.2
257.2
224.3
211.8
189.2
166.7
142.5
92.3
91.3
87.4
85.9
84.0
82.5
76.8
73.2
72.2
67.3
65.0
64.5
61.7
58.3
57.8
55.8
51.0
50.6
50.4
47.9
47.5
47.1
46.7
46.4
45.8
45.1
43.9
43.6
42.5
39.8
39.8
39.6
39.0
38.4
36.9
36.0
34.8
33.6
29.6
26.6
0

100

Females
Males

200

Per 100 000 population

300

400

55

56

Causes of death

Atlas of health in Europe

Deaths from motor vehicle traffic accidents


Lithuania (2005)

10.1

36.3

Cyprus (2004)
Portugal (2003)
Latvia (2006)
Ukraine (2004)
Kyrgyzstan (2005)

5.2

28.7

6.9

27.5

7.5

27.4

7.3

25.8

7.9

25.5

Greece (2006)

5.0

Croatia (2006)

5.3

Slovenia (2006)

24.0
21.4

4.3

Poland (2005)

5.5

Estonia (2005)

5.9

Kazakhstan (2003)

21.3
21.1
20.6

5.3

20.2

Romania (2006)

6.0

19.6

Hungary (2005)

5.6

19.4

Moldova (2006)

5.8

Uzbekistan (2005)

19.0

4.2

Slovakia (2005)

17.5

5.0

Spain (2005)

17.4

4.0

16.0

Bulgaria (2004)

4.5

15.3

Czech Republic (2005)

4.9

15.2

Albania (2004)

3.6

France (2004)

3.9

Luxembourg (2005)

14.2
12.8

8.9

11.7

Austria (2006)

3.5

11.7

Israel (2003)

3.9

11.3

Finland (2005)

3.1

Armenia (2003)
MKD (2003)

10.9

1.9

Germany (2004)

3.2

Tajikistan (2005)

2.7

Switzerland (2004)

10.7
9.7
9.6

2.1

Ireland (2005)

9.4

3.7

United Kingdom (2005)

8.5

2.2

8.2

2.1

Sweden (2004)

7.4

3.3

Iceland (2005)
Netherlands (2004)

2.6

Norway (2005)

3.1

7.1

10

Females
Males

7.0
6.9

2.2

Malta (2005)
20

11.0

2.4

6.8
0

10

20

30

40

Per 100 000 population

Death

Life and death

Causes of death

Deaths from motor vehicle traffic accidents


Males, Eur-A

40

Females, Eur-A
Males, Eur-B+C

Per 100 000 population

Females, Eur-B+C

30

20

10

1980

1985

1990

1995

2000

2005

Year

Deaths from suicide

Per 100 000 population

50

Deaths from motor vehicle traffic accidents,


40
Males, Eur-A
Females, Eur-A

30

Males, Eur-B+C
Females, Eur-B+C

20

10

0
1980

1985

1990

1995

Year

2000

2005

57

58

Causes of death

Atlas of health in Europe

Deaths from suicide


Lithuania (2005)
Russian Federation (2005)
Belarus (2005)
Kazakhstan (2006)
Hungary (2005)
Slovenia (2006)
Latvia (2006)
Ukraine (2006)
Estonia (2005)
Moldova (2006)
Poland (2005)
Finland (2005)
France (2004)
Croatia (2006)
Czech Republic (2005)
Austria (2006)
Slovakia (2005)
Switzerland (2004)
Romania (2006)

11.4

67.4

8.5

56.1

7.8
8.6

53.9
49.3

9.2

40.0

9.2

38.2
36.6

5.1
5.6

36.5

5.8
5.1

34.2
34.1

4.3

26.7
26.3
25.0

9.6
8.6
7.7
4.8
5.5

24.7
23.8
22.3

3.1

21.8
21.4
20.6

9.3
3.8

Kyrgyzstan (2005)
Bulgaria (2004)
Germany (2004)

3.6
5.2
5.1

17.9
17.7
17.4

Sweden (2004)
Luxembourg (2005)
Iceland (2005)

6.4
4.0
6.6

17.3
17.1
16.3

Ireland (2005)
Portugal (2004)
Norway (2005)

3.1
4.4
7.3

Israel (2003)
Netherlands (2004)
Spain (2005)
MKD (2003)

2.4
5.5
3.1

United Kingdom (2005)


Uzbekistan (2005)
Malta (2005)
Albania (2004)
Tajikistan (2005)
Greece (2006)

12.1
12.0
10.5

3.9
3.1

10.4
9.9

2.4

8.9

0.9
3.5

7.9
6.3

1.7

5.4

1.1
0.7

Armenia (2003)
Azerbaijan (2004)
Cyprus (2004)
20

16.0
15.7
15.3

5.1
3.8

0.5

2.4

0.3
10

Females
Males

1.2
0

10

20

30

40

Per 100 000 population

50

60

70

Life and death

Causes of death

Deaths from diseases of the respiratory system


Kyrgyzstan (2005)
Moldova (2006)
Kazakhstan (2006)
Russian Federation (2005)
Armenia (2003)
Ireland (2005)
Belarus (2005)
United Kingdom (2005)
Spain (2005)
Malta (2005)
Tajikistan (2005)
Ukraine (2006)
Slovakia (2005)
Lithuania (2005)
Uzbekistan (2005)
Netherlands (2004)
Romania (2006)
Portugal (2004)
Azerbaijan (2004)
Hungary (2005)
Slovenia (2006)
Poland (2005)
Norway (2005)
Luxembourg (2005)
Czech Republic (2005)
Croatia (2006)
Latvia (2006)
Greece (2006)
Germany (2004)
Estonia (2005)
Cyprus (2004)
Iceland (2005)
Albania (2004)
MKD (2003)
Finland (2005)
Israel (2003)
Bulgaria (2004)
Austria (2006)
Switzerland (2004)
France (2004)
Sweden (2004)
150

93.6

188.4
50.1
41.0
27.0
38.3

132.6
127.3
120.9
104.1
99.9
99.1
95.1
95.0
93.3
87.4
85.4
83.9
82.6
79.8
79.5
76.3
76.2
75.0
72.7
70.7
68.9
67.8
66.8
65.9
64.5
61.3
57.9
55.9
55.5
55.5
55.0
54.3
53.5
49.6
48.4
47.9
46.8
Females
44.3
Males
43.7
41.4

72.7
18.1
68.6
39.6
39.2
73.8
18.9
37.2
18.7
55.1
41.4
35.4
37.3
49.5
32.0
29.7
26.5
41.1
32.3
33.5
25.1
15.1
42.5
27.2
11.7
30.6
41.4
32.4
32.2
19.0
32.8
21.4
23.1
21.3
20.7
27.1
100

50

50

100

Per 100 000 population

150

200

59

Causes of death

Atlas of health in Europe

Deaths from diseases of the respiratory system


175

Males, Eur-A
Females, Eur-A
Males, Eur-B+C

150

Females, Eur-B+C
Per 100 000 population

60

125
100
75
50
25
0
1980

1985

1990

1995

2005

2000

Year

Deaths from diseases of the respiratory syste

135
105
75
55
35
No data
Per 100 000

Life and death

Causes of death

Deaths from diseases of the digestive system


Moldova (2006)
Hungary (2005)
Kyrgyzstan (2005)
Kazakhstan (2006)
Ukraine (2006)
Russian Federation (2005)
Romania (2006)
Uzbekistan (2005)
Lithuania (2005)
Slovakia (2005)
Azerbaijan (2004)
Estonia (2005)
Croatia (2006)
Belarus (2005)
Slovenia (2006)
Tajikistan (2005)
Armenia (2003)
Latvia (2006)
Poland (2005)
Czech Republic (2005)
Finland (2005)
Portugal (2004)
Bulgaria (2004)
Germany (2004)
Spain (2005)
United Kingdom (2005)
France (2004)
Austria (2006)
Luxembourg (2005)
Netherlands (2004)
Malta (2005)
Cyprus (2004)
MKD (2003)
Ireland (2005)
Switzerland (2004)
Israel (2003)
Sweden (2004)
Iceland (2005)
Greece (2006)
Norway (2005)
Albania (2004)
150

115.4

156.9
42.4
53.1
43.4
35.3
43.4
38.9
55.2
33.1
33.4
49.0
28.0
23.6
28.6
25.8
36.0
25.3
28.8
25.9
26.8
23.6
20.8
14.8
25.9
20.6
29.0
18.9
18.6
23.2
22.1
21.6
17.2
12.1
19.7
15.4
16.4
15.6
13.2
11.3
15.0
9.4
100

50

105.4
103.7
92.6
89.4
87.8
80.3
79.4
70.2
70.1
64.8
63.0
59.5
58.7
58.1
57.0
55.9
55.7
54.8
52.4
48.8
47.7
45.3
44.0
40.4
38.2
36.1
35.9
29.3
29.0
27.1
27.1
26.7
25.0
24.6
23.1
22.3
20.1
Females
19.7
Males
19.3
17.3
0

50

Per 100 000 population

100

150

61

Causes of death

Atlas of health in Europe

Deaths from diseases of the digestive system


Males, Eur-A

75

Females, Eur-A
Males, Eur-B+C
Females, Eur-B+C

Per 100 000 population

62

50

25

0
1980

1985

1990

1995

2005

2000

Year

135
80
60
40
25
No data
Per 100 000

Deaths from diseases of the digestiv

Life and death

Causes of death

Deaths from chronic liver diseases and cirrhosis


Moldova (2006)

99.4

Kyrgyzstan (2005)

116.0
43.0

84.7

Hungary (2005)

22.9

Kazakhstan (2003)

26.6

Romania (2006)

25.7

Ukraine (2004)

71.0
57.2
55.9

21.2

Uzbekistan (2005)

54.7

38.5

Tajikistan (2005)

51.0

27.1

43.0

Lithuania (2005)

15.3

39.4

Slovakia (2005)

13.8

38.4

Croatia (2006)

9.0

Slovenia (2006)

12.6

Estonia (2005)

13.9

Armenia (2003)

13.0

Finland (2005)

9.6

Bulgaria (2004)

37.0
36.9
32.4
30.4
26.0

5.9

25.5

Czech Republic (2005)

8.9

Poland (2005)

7.3

23.9

Austria (2006)

7.2

23.4

Latvia (2006)

25.3

13.8

Germany (2004)

8.9

Portugal (2004)

6.3

France (2004)

6.2

Luxembourg (2005)

7.5

Spain (2005)

23.2
22.7
21.5
17.2
15.1

4.5

United Kingdom (2005)

14.9

7.5

14.6

MKD (2003)

2.8

Switzerland (2004)

4.0

10.3

Malta (2005)

3.8

9.2
8.7

11.4

Cyprus (2004)

3.7

Greece (2006)

2.4

8.7

Sweden (2004)

3.5

7.3

Ireland (2005)

3.9

6.8

Netherlands (2004)

2.9

6.0

Israel (2003)

3.0

5.6

Iceland (2005)

2.7

5.3

Norway (2005)

2.3
0.0

4.4
0.1

Albania (2004)
150

100

50

Females
Males

50

Per 100 000 population

100

150

63

Causes of death

Atlas of health in Europe

Deaths from chronic liver diseases and cirrhosis


50

Males, Eur-A
Females, Eur-A
Males, Eur-B+C

Per 100 000 population

64

40

Females, Eur-B+C

30

20

10

0
1980

1985

1990

1995

2000

2005

Year

Deaths from chronic liver diseases and cirrhosis, Eur-A

65

3. Diseases
Notes
Tuberculosis (pp. 6768)
The figures present rates of newly diagnosed tuberculosis cases,
including relapses, of all forms and in all organs. The average rate for
Eur-B+C countries has been stable in recent years, but the situation
varies between countries. While the rates have declined for many years
in some (for example, Hungary, Poland and Slovakia), they are rising in
others.

Syphilis (pp. 7172)


Syphilis is considered a good indicator of the trends in all sexually
transmitted diseases. The eastern part of the Region suffered an
epidemic-like increase in the incidence of syphilis in the 1990s, but now
the rates are declining in all Eur-B+C countries.

HIV/AIDS (pp. 7375)


The data for HIV/AIDS are collected by the European Centre for the
Epidemiological Monitoring of AIDS (EuroHIV), a Joint United Nations
Programme on HIV/AIDS (UNAIDS)/WHO collaborating centre on
AIDS (8). While the AIDS data for the most recent years are adjusted for
reporting delays, the data for HIV infections are as reported by countries.
The average for reported new HIV infections increased dramatically in
Eur-B+C until 2001, particularly owing to increases in Estonia, Latvia
and the Russian Federation.

Diabetes (p. 76)


The prevalence data represent the number of people with diabetes
per 100 population. The data are reported by countries from national
diabetes registries, whenever available, routine reporting systems or
surveys. For some countries, however, no reported data were available;
for them, the bar chart shows WHO estimates for 2000 (9).

66

Atlas of health in Europe

Cancer (pp. 7779)


The right side of each bar chart shows the number of people
newly diagnosed with cancer per 100000 population during a
given year. Data sources are usually national cancer registers.
The incidence of lung cancer is clearly correlated with the death
rate. This correlation is less clear in the case of female breast and
cervical cancer.
Hospital discharges (pp. 8088)
The rates represent the total number of patients per 100000
population discharged from all hospitals (including through
death) during the year, categorized by the principal diagnosis.
Hospital discharge data have limited intercountry comparability,
owing to the differences in the organization of hospital datacollection systems in countries and in health care systems in
general. Particular caution should be used when discharge data
are used to estimate morbidity.
Teeth (p. 89)
The average number of decayed, missing or filled teeth among
12-year-old children is the index commonly used to assess oral
health. The data are collected by WHO and a collaborating centre
in Sweden (10).

Diseases

Some infectious diseases

New cases of tuberculosis


Kazakhstan
Moldova
Kyrgyzstan
Romania
Georgia
Russian Federation
Ukraine
Uzbekistan
Tajikistan
Azerbaijan
Armenia
Turkmenistan
Lithuania
Latvia
Belarus
Bosnia and Herzegovina
Serbia
Bulgaria
Estonia
Portugal
MKD
Turkey
Montenegro
Croatia
Poland
Hungary
Spain
Albania
United Kingdom
Slovenia
Slovakia
Andorra
Austria
Belgium
Czech Republic
Ireland
Luxembourg
France
Denmark
Switzerland
Netherlands
Germany
Italy
Finland
Israel
Sweden
Norway
Greece
Malta
Cyprus
Iceland
San Marino (2004)

143.0
123.7
120.7
103.2
89.4
84.4
82.2
79.0
71.9
68.6
66.0
61.9
61.3
54.3
54.0
43.1
41.7
35.6
31.5
29.4
27.4
23.7
23.6
21.5
17.9
16.8
16.2
13.6
13.4
13.2
12.9
11.3
10.3
9.5
9.4
8.1
8.1
7.3
7.0
6.9
6.7
6.5
6.5
6.0
6.0
5.8
5.6
5.2
4.5
3.4
0.0
0

50

2005 or latest
available year
2000

100
Per 100 000 population

150

169.9

67

Some infectious diseases

Atlas of health in Europe

New cases of tuberculosis


70
60
Per 100 000 population

68

50

Eur-A
Eur-B+C

40
30
20
10

1980

1985

1990

1995

2000

2005

Year

170
120
70
40
10
No data
Per 100 000

Diseases

Some infectious diseases

New cases of hepatitis B


Iceland
13.2
Kyrgyzstan
12.5
Bulgaria
12.2
Turkey
12.0
Moldova
11.4
10.2
MKD
Ukraine
9.6
Kazakhstan
9.3
Uzbekistan
8.9
France (1998)
8.7
Russian Federation
8.6
Romania
7.5
Latvia
7.4
Georgia
7.1
Austria
7.0
Estonia
5.8
5.3
Belgium (2004)
Turkmenistan
4.4
Serbia
4.3
Lithuania
4.1
Belarus
3.9
Croatia
3.7
Czech Republic
3.5
Bosnia and Herzegovina
3.4
Azerbaijan
3.4
Tajikistan
3.2
Malta
3.2
Norway
3.1
Armenia
2.7
Sweden
2.4
Slovakia
2.3
Netherlands
1.8
Poland
1.7
Greece (2004)
1.6
Ireland
1.6
Israel
1.6
Germany
1.5
Spain
1.5
Hungary
1.2
Luxembourg
1.1
Switzerland
1.0
Slovenia
1.0
Portugal
0.9
Cyprus
0.8
Italy 0.8
Finland
0.7
United Kingdom (2004)
0.7
Denmark 0.5
Andorra 0.0
Albania 0.0
San Marino 0.0
0

10

2005 or latest
available year
2000

20

30

Per 100 000 population

40

69

Some infectious diseases

Atlas of health in Europe

New cases of hepatitis B


40

Eur-A
Eur-B+C

30
Per 100 000 population

70

20

10

0
1980

1985

1990

1994

2000

2005

Year

New cases of viral hepatitis B

15
12
9
6
3
No data
Per 100 000

Diseases

Some infectious diseases

New cases of syphilis


Moldova (2005)
Russian Federation (2005)
Kazakhstan (2005)
Kyrgyzstan
Belarus
Romania
Latvia
Uzbekistan
Georgia
Ukraine
Lithuania
Switzerland
Estonia
Tajikistan
Bulgaria
Hungary
Ireland (2005)
Austria
Czech Republic
Armenia
Netherlands
United Kingdom
Slovakia
Germany
Israel
Malta
Belgium (2005)
Azerbaijan (2005)
Poland
Finland
Luxembourg
Iceland
Sweden
Spain
Cyprus
Slovenia
Denmark
Portugal (2005)
Croatia
Italy (2005)
Turkey
Serbia
Bosnia and Herzegovina
Turkmenistan
France
Norway
Albania
Montenegro (2004)
MKD
Greece (2001)
San Marino
Andorra

69.6
62.7
60.9
32.7
27.1
26.2
21.1
16.2
11.0
10.4
9.9
9.7
9.3
8.7
6.6
5.6
5.5
5.2
5.0
4.9
4.8
4.7
4.2
3.8
3.7
3.0
3.0
2.7
2.5
2.4
2.3
2.0
1.9
1.7
1.7
1.4
1.4
1.3
1.1
1.0
1.0
0.8
0.7
0.7
0.7
0.5
0.4
0.3
0.2
0.0
0.0
0.0
0

2006 or latest
available year
2000

50

100
Per 100 000 population

150

71

Some infectious diseases

Atlas of health in Europe

New cases of syphilis


Eur-A
Eur-B+C

125

Per 100 000 population

72

100

75

50

25

0
1980

1985

1990

1995

2000

2005

Year

New cases of syphilis

70
35
20
10
2
No data
Per 100 000

Diseases

Some infectious diseases

New cases of clinically diagnosed AIDS


Ukraine
Portugal
San Marino
Spain
Georgia
Moldova
Belarus
Latvia
Estonia
Switzerland
Italy
Luxembourg
France
Armenia
United Kingdom
Netherlands
Malta
Iceland
Romania
Belgium
Israel
Denmark
Kazakhstan
Finland
Greece
Serbia
Lithuania
Austria
Sweden
Russian Federation
Ireland
Norway
Albania
Kyrgyzstan
Croatia
Germany
Cyprus
Montenegro
Poland
MKD
Slovenia
Hungary
Bulgaria
Czech Republic
Bosnia and Herzegovina
Slovakia
Turkey
Azerbaijan
Uzbekistan
Turkmenistan
Tajikistan
Monaco

9.7

6.6
3.7
3.5
3.0
2.9
2.8
2.7
2.4
2.1
1.9
1.9
1.7
1.5
1.4
1.2
1.0
1.0
1.0
1.0
0.9
0.9
0.9
0.8
0.8
0.8
0.8
0.7
0.6
0.6
0.6
0.5
0.5
0.5
0.5
0.4
0.4
0.3
0.3
0.3
0.2
0.2
0.2
0.1
0.1
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0

2006 or latest
available year
2000

6
Per 100 000 population

10

73

Some infectious diseases

Atlas of health in Europe

New cases of clinically diagnosed AIDS


Eur-A
Eur-B+C

Per 100 000 population

6
5
4
3
2
1
0
1980

1985

1990

1995

2000

2005

Year

New cases of HIV infection


Eur-A
Eur-B+C

25

Per 100 000 population

74

20

New cases of clinically diagnosed AIDS


15

10

0
1980

1985

1990

1995
Year

New cases of HIV infection

2000

2005

Diseases

Some infectious diseases

New cases of HIV infection


Estonia
Ukraine
Russian Federation
20.5
Portugal
17.3
Moldova
14.9
United Kingdom
13.1
Latvia
11.9
Luxembourg
11.4
Kazakhstan
10.4
Switzerland
9.5
Belgium
9.5
France
8.2
Uzbekistan
8.0
Ireland
7.5
Belarus
7.4
San Marino
7.2
Malta
6.6
Netherlands
6.3
Georgia
5.8
Norway
5.3
Austria
5.1
Greece
4.8
Israel
4.7
Kyrgyzstan
4.5
Denmark
4.4
Cyprus
4.2
Sweden
3.7
Finland
3.6
Iceland
3.3
Germany
3.1
Tajikistan
3.0
Lithuania
2.9
Azerbaijan
2.1
Armenia
2.0
Poland
1.7
Slovenia
1.5
Croatia
1.3
Andorra
1.2
Serbia
1.2
Bulgaria
1.0
Albania
Czech Republic 0.9
Romania 0.8
MKD 0.8
Hungary 0.8
Montenegro 0.6
Slovakia 0.5
Bosnia and Herzegovina 0.4
Turkey 0.4
Spain 0.0
Italy 0.0
Turkmenistan 0.0
0

10

20

49.7
28.4
27.5

2006 or latest
available year
2000

30

Per 100 000 population

40

50

75

76

Some noncommunicable diseases

Atlas of health in Europe

Prevalence of diabetes mellitus


Malta (2004)
Czech Republic (2006)
Spain (2000)
Monaco (2000)
Slovakia (2006)
Italy (2006)
Netherlands (2003)
3.8
Belgium (2004)
3.5
Croatia (2000)
3.5
Estonia (2000)
3.4
Finland (2006)
3.4
Israel (2000)
3.2
Germany (2000)
3.2
United Kingdom (2000)
3.0
France (2000)
3.0
Poland (2000)
2.9
Austria (2000)
2.9
Albania (2000)
2.8
Luxembourg (2000)
2.7
Denmark (1999)
2.4
Latvia (2006)
2.3
Ireland (2000)
2.3
Ukraine (2006)
2.3
Romania (2006)
2.0
Russian Federation (2006)
1.9
Belarus (2006)
1.8
Lithuania (2006)
1.7
Bulgaria (2000)
1.7
Bosnia and Herzegovina (2005)
1.7
MKD (2005)
1.3
Georgia (2006)
1.3
Moldova (2006)
1.3
Armenia (2006)
1.2
Kazakhstan (2006)
0.9
Azerbaijan (2006)
0.8
Kyrgyzstan (2006)
0.5
Uzbekistan (2005)
0.4
Tajikistan (2006) 0.2
Iceland (2001) 0.2
Greece (2004) 0.2
Switzerland (2005) 0.1
Turkmenistan (2006) 0.1
0

7.6
7.4
6.8
6.7
5.5
4.5

4
Percentage of population

Diseases

Some noncommunicable diseases

New cases of and deaths from lung cancer


Hungary (2005)
Denmark (2001)
Croatia (2005)
Italy (2002)
United Kingdom (2003)
Czech Republic (2004)
Slovenia (2004)
Netherlands (2003)
Germany (2002)
Poland (2004)
Serbia (2004)
Belgium (1997)
Estonia (2004)
Norway (2005)
Austria (2004)
France (2000)
Latvia (2006)
Lithuania (2005)
Bulgaria (2004)
Ireland (2005)
Slovakia (2003)
Finland (2005)
Belarus (2005)
MKD (2003)
Russian Federation (2005)
Ukraine (2006)
Sweden (2004)
Luxembourg (2004)
Romania (2005)
Iceland (2002)
Portugal (2000)
Malta (2005)
Armenia (2003)
Kazakhstan (2006)
Israel (2003)
Moldova (2006)
Cyprus (2004)
Georgia (2001)
Albania (2002)
Kyrgyzstan (2005)
Azerbaijan (2004)
Uzbekistan (2005)
Turkmenistan (1997)
Tajikistan (2005)

75.1
64.3
59.4
56.5
56.1
55.7
52.1
54.6
47.4
55.5
59.2
67.0
48.6
42.5
41.4
42.2
50.5
40.3
40.6
37.8
37.2
37.2
35.8
31.6
36.9
33.4
36.9
41.9
41.8
34.1
28.1
30.2
27.8
21.5
20.7
23.7
22.5
17.9
19.4

100.7
68.2
67.5
65.0
62.4
61.3
60.8
55.6
54.6
53.3
51.8
51.3
49.1
48.7
47.3
47.1
46.8
46.2
45.8
44.6
42.4
41.7
41.6
41.0
40.3
38.4
36.9
35.7
33.9
31.3
30.5
30.5
29.7
23.8
23.6
21.7
19.8
16.0
12.8
8.5
8.3
Crude death rate
4.5
New cases
3.8
1.8

7.8
11.3
4.0
5.3
2.5
75

25

25

Per 100 000 population

75

125

77

78

Some noncommunicable diseases

Atlas of health in Europe

New cases of and deaths from female breast cancer


Sweden (2004)
Luxembourg (2004)
Finland (2005)
Denmark (2001)
United Kingdom (2003)
Netherlands (2003)
Hungary (2005)
Malta (2005)
France (2000)
Germany (2002)
Italy (2002)
Norway (2005)
Iceland (2002)
Austria (2004)
Ireland (2005)
Belgium (1997)
Israel (2003)
Czech Republic (2004)
Slovenia (2004)
Croatia (2005)
Cyprus (2004)
Bulgaria (2004)
Estonia (2004)
Portugal (2000)
Latvia (2006)
Lithuania (2005)
Slovakia (2003)
Serbia (2004)
Russian Federation (2005)
MKD (2003)
Belarus (2005)
Poland (2004)
Ukraine (2006)
Romania (2005)
Armenia (2003)
Moldova (2006)
Georgia (2001)
Kazakhstan (2006)
Azerbaijan (2004)
Albania (2002)
Kyrgyzstan (2005)
Uzbekistan (2005)
Turkmenistan (1997)
Tajikistan (2005)
100

152.6
151.3
150.1
147.9
143.6
142.6
142.6
140.1
138.2
130.8
124.3
119.3
117.6
114.9
113.5
110.4
107.9
107.5
106.3
100.0
99.2
85.4
84.2
82.4
81.4
72.6
72.4
70.2
64.6
63.6
62.2
61.2
60.4
52.1
49.0
47.7
39.2
37.7
23.0
20.4
19.8
Crude death rate
12.5
New cases
9.4
6.7

34.6
30.9
30.9
49.2
41.5
41.0
39.4
34.9
36.2
42.2
38.4
29.8
25.7
36.4
32.7
46.5
27.5
38.2
36.7
40.0
23.5
28.6
32.2
28.8
36.1
31.9
26.0
40.3
29.4
23.8
24.0
24.8
31.3
28.6
26.8
24.8
23.1
17.4
12.2
6.8
7.7
6.1
4.5
3.2
50

50

100

Per 100 000 population

150

Diseases

Some noncommunicable diseases

New cases of and deaths from cervical cancer


Romania (2005) 16.2
Lithuania (2005)
11.8
Bulgaria (2004)
9.1
Serbia (2004)
11.9
Estonia (2004)
8.0
MKD (2003)
4.4
Hungary (2005)
7.9
Slovakia (2003)
6.6
Czech Republic (2004)
7.5
Slovenia (2004)
4.7
Ukraine (2006)
8.6
Portugal (2000)
4.3
Latvia (2006)
8.8
Moldova (2006)
11.4
Poland (2004)
9.2
Belarus (2005)
7.0
Russian Federation (2005)
7.8
Kazakhstan (2006)
7.4
Germany (2002)
4.2
Denmark (2001)
5.5
Armenia (2003)
6.1
Croatia (2005)
4.6
Kyrgyzstan (2005)
5.8
Norway (2005)
3.1
Ireland (2005)
3.7
Iceland (2002)
2.1
Italy (2002)
1.3
Luxembourg (2004)
1.3
France (2000)
2.3
Austria (2004)
3.9
Georgia (2001)
6.0
Malta (2005)
1.0
Belgium (1997)
4.3
Sweden (2004)
3.5
United Kingdom (2003)
3.6
Uzbekistan (2005)
3.1
Netherlands (2003)
2.6
Turkmenistan (1997)
3.4
Cyprus (2004)
2.1
Israel (2003)
1.9
Azerbaijan (2004)
1.1
Tajikistan (2005)
1.5
Finland (2005)
2.2
1.3
Albania (2002)
20

15

10

28.9
27.4
26.9
25.2
24.9
24.6
20.7
19.8
19.7
19.1
19.0
18.1
17.8
17.6
17.0
16.9
16.9
15.8
15.4
15.3
14.5
13.8
13.6
12.5
12.2
11.8
11.6
11.3
11.2
10.9
10.5
9.8
9.8
9.6
9.2
7.4
7.1
5.7
5.6
5.5
5.1
Crude death rate
4.9
New cases
4.7
4.2
0

10

15

Per 100 000 population

20

25

30

79

80

Hospitalization

Atlas of health in Europe

Hospital discharges for cancer


Austria (2005)a
Hungary
France (2005)
Germany (2005)
Latvia
Czech Republic
Denmark (2005)
Lithuania
Greece (2004)
Belarus
Finland (2005)
Slovenia (2005)
Norway
Luxembourg (2005)
Poland (2004)
Croatia
Slovakia
Sweden (2005)
Romania
Iceland (2005)
Serbia
Italy (2004)
Switzerland (2005)
Estonia
Belgium (2005)
Russian Federation
Ukraine
United Kingdom (2003)
Bulgaria
Moldova
Spain (2005)
Netherlands
Montenegro
Portugal
Ireland
MKD (2005)
Israel (2004)
Kazakhstan
Turkey
Cyprus (2005)
Malta
Albania
Bosnia and Herzegovina
Armenia
Andorra
Uzbekistan (2005)
Kyrgyzstan
Georgia
Turkmenistan (2004)
Azerbaijan
Tajikistan

2245
2128
1938
1936
1893
1854
1836
1810
1809
1788
1774
1744
1662
1606
1583
1548
1495
1398
1374
1309
1307
1295
1234
1172
1168
1032
1001
919
916
904
889
880
856
805
799
635
506
486
479
449
435
408
342
240
238
236
166
142
122
0

1000

2000

2006 or latest
available year
2000

3000

Per 100 000 population


a

4328

2777

Including day cases.

2000

2006 or latest available year

4000

Diseases

Hospitalization

Hospital discharges for cancer


Eur-A
Eur-B+C

Per 100 000 population

1750

1500

1250

1000

750

500
1980

1985

1990

1995

2000

2005

Year

Hospital discharges
for diseases of the circulatory system
Eur-A
Eur-B+C

Per 100 000 population

2700

2500

Hospital discharges for cancers

2300

2100

1900

1700
1980

1985

1990

1995
Year

2000

2005

81

82

Hospitalization

Atlas of health in Europe

Hospital discharges
for diseases of the circulatory system
Belarus
Lithuania
Hungary
Austria (2005)a
Latvia
Ukraine
Russian Federation
Czech Republic
Estonia
Romania
Finland (2005)
Bulgaria
Germany (2005)
Poland (2004)
Slovakia
Greece (2004)
Denmark (2005)
Norway
Sweden (2005)
Italy (2004)
Luxembourg (2005)
France (2005)
Belgium (2005)
Moldova
Croatia
Switzerland (2005)
Kazakhstan
Slovenia (2005)
Iceland (2005)
Serbia
Israel (2004)
Montenegro
Netherlands
MKD (2005)
United Kingdom (2003)
Uzbekistan (2005)
Spain (2005)
Kyrgyzstan
Turkmenistan
Ireland
Portugal
Turkey
Armenia
Tajikistan
Bosnia and Herzegovina
Cyprus (2005)
Georgia
Malta
Andorra
Albania
Azerbaijan

5374
4471
4325
4034
3816
3586
3478
3420
3360
3159
3121
3035
3010
2931
2683
2671
2559
2505
2458
2429
2275
2260
2246
2100
1947
1899
1856
1851
1830
1823
1781
1710
1577
1556
1452
1394
1339
1257
1249
1233
1198
996
975
879
861
813
762
2006 or latest
available year
758
2000
677
668
625
0

1000

2000

3000

4000

Per 100 000 population


a

Including day cases.

2000

2006 or latest available year

5000

6000

Diseases

Hospitalization

Hospital discharges
for diseases of the respiratory system
Belarus
Ukraine
Romania
Bulgaria
Uzbekistan (2005)
Russian Federation
Kazakhstan
Latvia
Lithuania
Moldova
Estonia
Hungary
Austria (2005)a
Turkmenistan
Denmark (2005)
Kyrgyzstan
Finland (2005)
Slovakia
Albania
Norway
Poland (2004)
Belgium (2005)
Luxembourg (2005)
Israel (2004)
MKD (2005)
Czech Republic
Greece (2004)
Ireland
Tajikistan
France (2005)
Germany (2005)
Slovenia (2005)
United Kingdom (2003)
Spain (2005)
Turkey
Montenegro
Croatia
Italy (2004)
Georgia
Sweden (2005)
Iceland (2005)
Switzerland (2005)
Serbia
Azerbaijan
Portugal
Andorra
Bosnia and Herzegovina
Armenia
Netherlands
Cyprus (2005)
Malta

3105
3005
2952
2650
2637
2431
2219
2143
2085
2014
1965
1952
1823
1766
1660
1589
1579
1529
1511
1508
1440
1436
1433
1426
1424
1422
1396
1380
1318
1291
1253
1197
1147
1124
1123
1109
1102
1076
1000
983
958
954
913
884
859
856
827
744
706
672
0

1000

2000

3000

4003

2006 or latest
available year
2000

4000

5000

Per 100 000 population


a

Including day cases.

a
Including day cases.

83

Hospitalization

Atlas of health in Europe

Hospital discharges
for diseases of the respiratory system
3250

Eur-A
Eur-B+C

3000

Per 100 000 population

2750
2500
2250
2000
1750
1500
1250
1000
1980

1985

1990

1995

2000

2005

Year

Hospital discharges
for diseases of the digestive system
1900

Eur-A
Eur-B+C

Per 100 000 population

84

1800

Hospital discharges for diseases of the respir


1700

1600

1000
1980

1985

1990

1995

2000

2005

Year

Hospital discharges for diseases of the digestive system

Diseases

Hospitalization

Hospital discharges
for diseases of the digestive system
France (2005)
Belarus
Austria (2005)a
Romania
Ukraine
Moldova
Germany (2005)
Czech Republic
Russian Federation
Latvia
Greece (2004)
Lithuania
Bulgaria
Hungary
Slovakia
Poland (2004)
Belgium (2005)
Luxembourg (2005)
Estonia
Denmark (2005)
Switzerland (2005)
Kazakhstan
Finland (2005)
Uzbekistan (2005)
Italy (2004)
Albania
Malta
Slovenia (2005)
Iceland (2005)
Israel (2004)
Tajikistan
Spain (2005)
Norway
Kyrgyzstan
Ireland
Croatia
Turkmenistan
United Kingdom (2003)
Sweden (2005)
Montenegro
Serbia
Portugal
Bosnia and Herzegovina
MKD (2005)
Netherlands
Turkey
Andorra
Armenia
Cyprus (2005)
Georgia
Azerbaijan

2898
2800

2335
2211
2100
2034
2010
1993
1944
1878
1875
1838
1797
1776
1712
1700
1665
1640
1621
1538
1498
1482
1478
1454
1435
1396
1375
1351
1331
1289
1270
1240
1235
1232
1224
1186
1178
1177
1176
1154
1072
1053
1040
942
840
836
2006 or latest
available year
783
709
2000
656
634
0

1000

2000
Per 100 000 population

Including day cases.

3176

3000

85

86

Hospitalization

Atlas of health in Europe

Hospital discharges
for diseases of the musculoskeletal system
Austria (2005)a
Switzerland (2005)
Luxembourg (2005)
Hungary
Czech Republic
Germany (2005)
France (2005)
Belarus
Finland (2005)
Latvia
Belgium (2005)
Romania
Estonia
Norway
Ukraine
Denmark (2005)
Lithuania
Iceland (2005)
Bulgaria
Slovakia
Russian Federation
Slovenia (2005)
Italy (2004)
Sweden (2005)
Greece (2004)
Netherlands
Serbia
Moldova
United Kingdom (2003)
Poland (2004)
Spain (2005)
Andorra
Montenegro
Croatia
Kyrgyzstan
Ireland
Armenia
Kazakhstan
Israel (2004)
Uzbekistan (2005)
Tajikistan
Turkey
Turkmenistan
MKD (2005)
Portugal
Malta
Bosnia and Herzegovina
Cyprus (2005)
Albania
Azerbaijan
Georgia

2145
1976
1824
1733
1680
1670
1654
1618
1600
1375
1367
1229
1173
1120
1112
1105
1015
1010
991
976
892
874
834
804
791
748
733
732
712
710
709
674
586
534
528
504
497
492
485
457
446
431
416
376
327
208
170
114
111
69
0

1000

2000
Per 100 000 population

Including day cases.

3467

2006 or latest
available year
2000

3000

4000

Diseases

1200

Hospitalization

87

Hospital discharges
for diseases of the musculoskeletal system
Eur-A
Eur-B+C

Per 100 000 population

1100

1000

900

800

700
1980

1985

1990

1995

2000

2005

Year

Hospital discharges for injury and poisoning


1700
Eur-A
Eur-B+C

Per 100 000 population

1600

Hospital discharges for diseases of the musculoskeleta


1500

1400

1300

1200
1980

1985

1990

1995
Year

2000

2005

88

Hospitalization

Atlas of health in Europe

Hospital discharges for injury and poisoning


Austria (2005)a
Latvia
Switzerland (2005)
Lithuania
Belarus
Finland (2005)
Germany (2005)
Denmark (2005)
Norway
France (2005)
Czech Republic
Russian Federation
Ukraine
Belgium (2005)
Poland (2004)
Greece (2004)
Slovenia (2005)
Sweden (2005)
Kazakhstan
Moldova
Hungary
Israel (2004)
Slovakia
Romania
Ireland
Andorra
Luxembourg (2005)
Italy (2004)
United Kingdom (2003)
Bulgaria
Estonia
Kyrgyzstan
Croatia
Iceland (2005)
Cyprus (2005)
Spain (2005)
Netherlands
Malta
Turkmenistan
Montenegro
Uzbekistan (2005)
Serbia
Portugal
MKD (2005)
Tajikistan
Bosnia and Herzegovina
Georgia
Armenia
Albania
Turkey
Azerbaijan

3277
2277
2049
2048
1980
1957
1951
1920
1896
1875
1863
1775
1698
1645
1564
1550
1530
1522
1501
1462
1459
1457
1443
1432
1344
1291
1263
1254
1238
1234
1194
1093
1074
1023
985
898
864
772
745
745
723
707
654
580
523
511
478
2006 or latest
available year
475
2000
431
387
257
0

1000

2000
Per 100 000 population

Including day cases.

3000

Diseases

Teeth

Decayed, missing or filled teeth in 12-year-olds


Romania (1998)
Bosnia and Herzegovina (2004)
Ukraine (1992)
Bulgaria (2000)
Slovakia (1999)
Poland (2000)
Hungary (1996)
San Marino (1990)
Russian Federation (1995)
Lithuania (2001)
Croatia (1999)
Latvia (2004)
Albania (2000)
MKD (1999)
Portugal (2000)
Belarus (2000)
Turkmenistan (1990)
Turkey (1996)
Czech Republic (2002)
Georgia (1990)
Estonia (2000)
Armenia (1990)
Greece (2000)
Kazakhstan (1990)
Cyprus (1992)
France (1998)
Slovenia (2000)
Israel (2002)
Malta (1991)
Norway (2000)
Iceland (2000)
Moldova (1995)
Tajikistan (1990)
Ireland (2002)
Finland (2000)
Spain (2000)
Kyrgyzstan (1993)
Italy (2004)
Belgium (2001)
Sweden (2005)
Austria (2002)
Uzbekistan (2001)
Switzerland (2004)
Netherlands (2002)
Denmark (2005)
United Kingdom (2005)
Luxembourg (1999)
Germany (2005)

7.3
4.8
4.4
4.4
4.3
3.8
3.8
3.7
3.7
3.6
3.5
3.4
3.0
3.0
3.0
2.7
2.6
2.5
2.5
2.4
2.4
2.4
2.2
2.1
2.1
1.9
1.8
1.7
1.6
1.5
1.5
1.3
1.2
1.2
1.2
1.1
1.1
1.1
1.1
1.0
1.0
0.9
0.9
0.8
0.8
0.7
0.7
0.7
0

Average number per child

89

91

4. Lifestyles and environment


Notes
Smoking (pp. 9394)
Countries estimate the percentage of regular daily smokers aged 15 years
and over on the basis of health interview surveys or other population
surveys. The WHO Regional Office for Europe collects the data. Most of
the estimates are based on multiple sources, however, and population
samples are not always representative of a whole country. Intercountry
comparisons should therefore be made with caution.
Smoking prevalence among young people (15-year-olds) is estimated
in a more uniform way across the European Region through the WHO
Health Behaviour in School-aged Children study (11). The study does
not collect data for all countries in the Region, however.

Overweight and obesity (pp. 9596)


The WHO Regional Office for Europe collected the data presented here
in 2007.

Motor vehicle traffic accidents (pp. 9798)


The main data source for accidents with injury is Statistics of road
traffic accidents in Europe and North America (12), regularly published
by UNECE. Data on deaths from traffic accidents come from the WHO
mortality database (3). Practices in registering traffic accidents vary
significantly among countries, thus limiting international comparisons.
The available data show that eastern and some central European
countries have both the lowest numbers of registered accidents with
injury per 100000 population, and the highest numbers of people killed
per 1000 accidents. This correlation most likely results partially from the
incomplete registration of all accidents in these countries and the low
standard of traffic safety precautions in the eastern part of the Region.

Alcohol (pp. 99102)


The data show the estimated amount of pure ethanol consumed in the
form of spirits, wine, beer and other alcoholic drinks, per person per year.

Atlas of health in Europe

92

Estimates are calculated from official statistics on local production, sales,


imports and exports, taking account of stocks and home production,
whenever possible. The WHO Regional Office for Europe collects data
and makes calculations mainly from two sources: FAO and data reported
directly by countries.

Work-related deaths (pp. 102104)


The data source is the ILO.

Lifestyles and environment

Smoking

Smokers among adults


Ukraine (2005)
17.0
Russian Federation (2004)
15.0
Albania (2000)
18.0
Armenia (2006)
2.0
Georgia (2001)
6.3
Belarus (2006)
9.0
7.1
Moldova (2006)
16.6
Turkey (2006)
Bosnia and Herzegovina (2002) 29.7
17.8
Latvia (2005)
29.0
Greece (2000)
Bulgaria (2001)
23.0
9.8
Lithuania (2005)
Andorra (2002) 30.0
1.7
Kyrgyzstan (2005)
14.7
Slovakia (1998)
19.5
Estonia (2006)
8.8
Kazakhstan (2004)
MKD (1999) 32.0
10.5
Cyprus (2003)
Germany (2003) 30.5
23.0
Poland (2006)
24.6
Hungary (2003)
26.2
Netherlands (2006)
22.4
Spain (2003)
21.7
Croatia (2003)
10.3
Romania (2003)
20.1
Czech Republic (2004)
11.8
Portugal (2006)
22.6
Serbia (2006)
21.2
France (2003)
17.6
Malta (2002)
17.2
Italy (2006)
23.0
Denmark (2004)
21.0
Luxembourg (2006)
17.7
Israel (2006)
16.0
Belgium (2006)
19.4
Austria (2006)
23.0
United Kingdom (2004)
24.7
Ireland (2006)
18.9
Finland (2006)
0.9
Uzbekistan (2002)
24.0
Norway (2006)
22.0
Slovenia (2005)
20.0
Switzerland (2004)
19.5
Iceland (2005)
18.0
Sweden (2005)
40

30

20

10

62.0
61.3
60.0
57.1
53.3
53.2
51.1
50.6
49.2
47.3
46.8
43.8
42.1
42.0
41.4
41.1
40.9
40.7
40.0
38.1
37.1
37.0
36.9
35.5
34.2
33.8
33.2
31.1
30.8
30.7
30.0
29.9
29.2
29.0
29.0
29.0
29.0
27.3
26.0
24.7
24.4
24.1
24.0
24.0
Females
24.0
Males
19.5
13.9
0

10

Percentage

20

30

40

50

60

70

93

94

Smoking

Atlas of health in Europe

Regular daily smokers, 15+ years

Males

65
50
40
30
20
No data
Percentage

Females

35
25
20
15
10
No data
Percentage

Lifestyles and environment

Overweight and obesity

Prevalence of overweight among adults,


latest available year for the period 20002006
Malta (2064 years)

49.4

68.2

Greece (2070 years)

48.1

67.1

45.2

Spain (18+ years)


Hungary (18+ years)

49.5

58.9

41.5

Germany (18+ years)

57.8

43.3

Austria (20+ years)

57.7

40.3

Iceland (1518 years)

57.0

47.4

56.7
38.3

Ireland (18+ years)


Lithuania (2064 years)

57.9

37.4

Slovakia (1564 years)

Czech Republic (16+ years)

60.0

56.5

48.9

56.3

41.3

Finland (1564 years)

55.5

Cyprus (15+ years)

38.7

53.9

Sweden (1684 years)

39.0

53.0

36.4

Denmark (16+ years)

52.7

34.0

Norway (16+ years)

52.0

41.9

Netherlands (20+ years)

51.1

37.8

Belgium (18+ years)

50.6

42.3

Bulgaria (15+ years)

50.1

36.3

France (15+ years)

47.4

38.1

Romania (15+ years)

45.8

33.6

Italy (18+ years)

45.8

40.6

Estonia (1664 years)

45.7
29.3

Switzerland (15+ years)


Latvia (1564 years)

45.4

43.4
60

Females
Males

42.0
40

20

0
Prevalence (%)

20

40

60

80

95

96

Overweight and obesity

Atlas of health in Europe

Prevalence of obesity among adults,


latest available year for the period 20002006
Malta (2064 years) 20.4
Greece (2070 years)
Lithuania (2064 years)
Hungary (18+ years)

26.6

18.2

26.0

19.2

20.6

18.2

17.1
13.8

Slovenia (2564 years)

16.5

15.0

Spain (18+ years)

15.5

14.1

Finland (1564 years)

14.6

11.8

Ireland (18+ years)

14.5

12.8

Germany (18+ years)

14.4

Israel (21+ years)

15.8

13.8

Czech Republic (16+ years)

16.3

13.7

Estonia (1664 years)

14.9

13.7

Slovakia (1564 years)

15.0

13.5

11.8

Cyprus (15+ years)

13.4

Austria (20+ years)

12.8

12.3

Iceland (1518 years)


Latvia (1564 years)

12.9

12.4

19.5

11.9

Belgium (18+ years)

13.4

11.9

France (15+ years)

13.0

11.8

11.0

Denmark (16+ years)

11.8

Bulgaria (15+ years)

13.5

11.3

Sweden (1684 years)

13.0

11.0

Netherlands (20+ years)

12.7

9.8

Norway (16+ years)

8.0

Switzerland (15+ years)

7.5

7.9

9.5

Romania (15+ years)

20

15

10

Females
Males

7.7

8.9

Italy (18+ years)


25

9.0

7.4
5

Prevalence (%)

10

15

20

25

30

Lifestyles and environment

Traffic accidents

Injuries and deaths


from motor vehicle traffic accidents
Slovenia (2005)
Austria (2005)
Belgium (1997)
Italy (2002)
Germany (2004)
Portugal (2003)
Croatia (2005)
United Kingdom (2005)
Switzerland (2004)
Iceland (2004)
Cyprus (2004)
Israel (2003)
Czech Republic (2005)
Spain (2005)
Hungary (2004)
Sweden (2004)
Lithuania (2005)
Latvia (2005)
Norway (2005)
Estonia (2005)
Netherlands (2004)
Luxembourg (2004)
Ireland (2005)
Slovakia (2005)
France (2004)
Greece (2004)
Finland (2005)
Denmark (2001)
Poland (2005)
Russian Federation (1998)
Bulgaria (2004)
Ukraine (2004)
MKD (2003)
Kazakhstan (2003)
Moldova (2003)
Kyrgyzstan (2004)
Belarus (2001)
Uzbekistan (1999)
Georgia (2001)
Turkmenistan (1998)
Romania (2005)
Armenia (2003)
Albania (2004)
Tajikistan (2005)
Azerbaijan (2000)

24
17
29
30
16
46
38
16
19
26
65
27
43
51
63
26

515.2
496.7
492.4
416.1
411.3
396.2
353.0
330.1
309.8
276.8
267.3
265.3
246.6
210.1
206.0
200.5
198.5
194.1
174.7
173.9
170.5
152.7
149.4
146.7
140.8
140.5
133.8
128.1
126.0
110.0
97.8
96.5
95.5
94.0
74.0
66.5
63.5
48.9
42.7
34.3
33.4
31.9
25.6
24.9
24.7

119
99
29
75
29
78
42
78
61
125
55
61
111
184
107
174
66
118
182
235
239
155
95
205
409

500

192
303
168
196
400

300

200

Deaths per
1000 accidents

100

100

200

300

400

500

Accidents with injuries


per 100 000 population

600

97

98

Traffic accidents

Atlas of health in Europe

Road traffic accidents involving alcohol


Turkey (2003)

28.1

Estonia

25.4

Croatia (2003)

21.1

Luxembourg (2003)

19.6

Denmark

17.5

Lithuania

15.6

Finland

14.9

Russian Federation

14.9

Latvia

14.7

Slovenia

13.9

Hungary

13.8

Slovakia

13.3

Poland

11.3

Switzerland (2002)

10.6

Czech Republic

10.5

Moldova (2003)

10.5

Belarus

10.5

MKD

10.2

Kyrgyzstan

9.5

Greece (2003)

9.3

Kazakhstan

8.1

Germany (2003)

6.8

Austria

6.7

Ukraine

6.6

Netherlands (2003)

6.5

Armenia

6.4

Georgia (2003)

6.3

Sweden

5.9

Bulgaria

5.5

Andorra (2002)

5.5

United Kingdom

5.4

Romania (2003)

4.5

Albania (2003)

4.1

Azerbaijan (2003)

3.7

Iceland

2.8

Israel

1.8

Tajikistan (2001)

2004 or latest
available year
2000

1.5

Italy (2002)

1.2

Cyprus

0.9

10

20

Percentage of all road traffic accidents with injury

2000

2004 or latest available year

30

Lifestyles and environment

Alcohol

Total alcohol consumption


Luxembourg
Czech Republic
Estonia (2004)
Hungary
Germany
Ireland (2005)
Austria
Croatia
Moldova (2002)
Spain
France
Denmark
Slovakia
Switzerland
Portugal
United Kingdom
Cyprus
Belgium
Russian Federation
Slovenia (2005)
Lithuania
Latvia
Bosnia and Herzegovina
Finland (2005)
Netherlands
Greece
Italy
Romania
Poland
Sweden
Iceland
Malta
Ukraine
Bulgaria
Norway
Belarus
Azerbaijan
Kyrgyzstan
Kazakhstan
MKD
Albania
Israel
Georgia
Armenia
Uzbekistan
Turkey
Turkmenistan
Tajikistan

14.6
13.7
13.4
11.6
10.7
10.6
10.5
10.3
10.2
10.0
10.0
9.8
9.5
9.4
9.4
9.3
9.0
8.9
8.9
8.8
8.6
8.4
8.3
8.2
7.8
7.7
7.6
7.4
6.7
5.6
5.5
5.4
5.2
5.0
4.8
4.8
3.1
2.4
2.2
1.9
1.7
1.7
1.3
1.1
1.0
1.0
0.7
0.3
0

2003 or latest
available year
2000

10

Litres (pure alcohol equivalent) per person

15

99

Alcohol

Atlas of health in Europe

Total alcohol consumption


Litres (pure alcohol equivalent) per person per year

100

12

Eur-A
Eur-B+C

10

4
1980

1985

1990

1995

2000

2005

Year

total alcohol consumption

15
12
9
6
3
No data
Litres (pure alcohol
equivalent) per
person, per year

Lifestyles and environment

Alcohol

Consumption of wine and spirits


Moldova (2003)
Russian Federation (2003)
Latvia (2003)
Bosnia and Herzegovina (2003)
Estonia (2004)
Cyprus (2003)
Czech Republic (2003)
Lithuania (2003)
Hungary (2003)
Slovakia (2003)
Belarus (2003)
Ukraine (2003)
Finland (2005)
Spain (2003)
France (2003)
Azerbaijan (2003)
Bulgaria (2003)
Kyrgyzstan (2003)
Germany (2003)
Ireland (2005)
United Kingdom (2003)
Luxembourg (2003) 7.9
Switzerland (2003)
Greece (2003)
Romania (2003)
Portugal (2003)
Austria (2003)
Belgium (2003)
Poland (2003)
Croatia (2003)
Iceland (2003)
Denmark (2003)
Kazakhstan (2003)
Sweden (2003)
Slovenia (2005)
Armenia (2003)
Israel (2003)
Malta (2003)
MKD (2003)
Uzbekistan (2003)
Albania (2003)
Italy (2003)
Turkey (2003)
Tajikistan (2003)
Georgia (2003)
Turkmenistan (2003)
8

0.6
1.0
0.4
0.2
1.1
2.1
2.0
1.0
4.5
1.6
0.7
0.6
1.9
3.7
5.8
0.8
2.6
0.2
2.8
2.2
2.4
4.9
4.1
2.8
5.0
3.6
2.8
1.4
4.8
1.4
3.9
0.3
2.0
4.4
0.1
0.1
2.7
2.3
0.2
0.4
5.7
0.0
0.1
0.9
0.6
6

8.8
6.2
6.1
6.0
5.8
3.9
3.8
3.7
3.5
3.5
3.2
2.9
2.5
2.4
2.4
2.3
2.1
2.0
2.0
2.0
1.8
1.6
1.6
1.6
1.6
1.4
1.4
1.4
1.3
1.3
1.2
1.1
1.0
0.9
0.9
0.8
0.8
0.7
0.7
0.6
0.6
0.4
0.4
0.1
0.1
0.0
0

Wine
Spirits

Litres (pure alcohol equivalent) per person

101

Alcohol/Work accidents

Atlas of health in Europe

Litres (pure alcohol equivalent) per person per year

Consumption of spirits, wine and beer


6

Spirits, Eur-A
Wine, Eur-A
Beer, Eur-A

Spirits, Eur-B+C
Wine, Eur-B+C
Beer, Eur-B+C

0
1980

1985

1990

1995

2000

2005

Year

Deaths from work-related accidents


5

Eur-A
Eur-B+C

4
Per 100 000 population

102

Consumption of spirits, wine and beer

0
1980

1985

1990

1995
Year

2000

2005

Lifestyles and environment

Work accidents

Deaths from work-related accidents


Portugal (2001)
Lithuania
Russian Federation (2001)
Kazakhstan
2.3
Belarus
2.3
Cyprus
2.3
Latvia
2.2
Turkey
2.1
Estonia
2.0
Malta
1.9
Ukraine
1.9
Romania (2004)
1.8
Slovakia
1.7
Croatia
1.7
Luxembourg
1.6
Italy
1.6
Slovenia
1.6
Spain (2004)
1.5
Austria (2005)
1.5
Czech Republic
1.5
Bulgaria (2003)
1.3
Poland
1.2
Hungary
1.2
Israel
1.2
Ireland
1.1
Belgium (2005)
1.1
France (2003)
1.1
Moldova
1.0
Germany (2005)
1.0
Iceland (2005)
1.0
Finland (2005)
1.0
Azerbaijan
0.9
Greece (2002)
0.9
Denmark (2001)
0.7
Sweden (2005)
0.7
Norway
0.6
Switzerland (2003)
0.5
Armenia
0.4
Kyrgyzstan
0.4
Netherlands
0.4
Tajikistan
0.3
United Kingdom (2003)
0.2
Montenegro (2002)
MKD 0.1
San Marino (2003) 0.0
0

3.5
3.2
3.1
2.7

2
Per 100 000 population

2006 or latest
available year
2000

103

104

Work accidents

Atlas of health in Europe

Deaths from work-related accidents

4
3
2
1.5
1
No data
Per 100 000

105

5. Health care
Notes
Physicians (pp. 107108)
The data show the number of practising physicians working in public
or private health services. Countries do not all report the data strictly
according to the recommended definitions, and they differ in the way
they compile national statistics on employment in the health sector.
The number of physicians per head of population in Eur-A countries
in the Region steadily rose until recently. The previously high and
increasing rates in Eur-B+C countries declined in the first half of the
1990s and then stabilized.

Dentists (pp. 108109)


The data include dentists who have completed university-level studies
in dentistry and are actually working in dental care. The gap between
average rates for the Eur-A and Eur-B+C groups of countries has steadily
grown.

Nurses (pp. 110111)


The data show nurses who have completed a programme of nursing
education (either basic or university level) and are qualified and
authorized in their countries to practise nursing in all settings for health
promotion, illness prevention, the care of the sick and rehabilitation.
The international comparability of statistics on nurses is particularly
limited, owing to the variations in national definitions and practices.
Nevertheless, the average rates for Eur-A and Eur-B+C countries show
opposite trends. The rate in Eur-A grew sharply; Eur-B+C showed a
much higher rate before 1990, which sharply declined from the early
1990s into the 2000s and then became stable. Thus, the gap between
average rates for the two groups of countries has steadily grown since
the mid-1990s.

Hospital beds (pp. 111116)

The number of available beds includes beds in all hospitals, regardless

106

Atlas of health in Europe

of specialty. The main limitation of intercountry comparability is


that some countries count nursing homes and similar institutions as
hospitals, while others do not.
Most countries show a steady reduction in psychiatric beds. The number
of hospital beds per 100 000 population and the average length of stay
are clearly declining throughout the Region, but levels in Eur-B+C
remain higher than those in Eur-A.
Inpatient hospital admissions (pp. 116117)
Average inpatient hospital admissions rates show opposite trends in
Eur-A and Eur-B+C. The previously high rates in Eur-B+C dropped
during the 1990s, but increased again since 1998; the rates for Eur-A
rose until 1998 and then declined. Nevertheless, admission rates vary
significantly between countries.
Childhood vaccination (p. 118)
The bar chart shows the percentage of infants reaching their first birthday
in the given calendar year who have been fully vaccinated (with 3 doses)
against diphtheria and the percentage of children reaching their second
birthday who have been vaccinated against measles.
Caesarean sections (pp. 119120)
The number of Caesarean sections performed is rising throughout the
Region. The rates are highest in the western and central countries, and
lowest in the eastern ones.
Health expenditure (pp. 120123)
Estimates for this indicator were produced by WHO. These estimates
are, to the extent possible, based on the national health accounts
classification (see The world health report 2006 (4) for details). The
sources include both nationally reported data and estimates from
international organizations such as the International Monetary Fund,
the World Bank, the United Nations and OECD so they may differ
somewhat from official national statistics reported by countries.
Health expenditure, both as a percentage of gross domestic product
(GDP) and in international dollars (purchasing power parities expressed
in US$: US$PPP) per person, varies significantly between countries.
Expenditure is increasing faster in Eur-A than in Eur-B+C, thus further
increasing the eastwest gap.

Health care

Health personnel

Number of physicians
500
476
468

Greece (2005)
Belarus
Georgia
Russian Federation
Belgium
Lithuania
Switzerland
Malta
Norway
Kazakhstan
Netherlands (2005)
Iceland
Bulgaria
Italy
Austria
Azerbaijan
Czech Republic
Denmark (2004)
Israel
Armenia
Portugal (2005)
Germany
France
Finland
Estonia
Sweden (2004)
Spain (2003)
Latvia
Slovakia (2004)
Moldova
Ukraine
Andorra
Hungary
Ireland
Luxembourg (2004)
Uzbekistan (2005)
Serbia
MKD
Croatia
Cyprus
Turkmenistan
Kyrgyzstan
Slovenia (2005)
United Kingdom (2002)
Tajikistan
Poland (2005)
Montenegro
Romania
Turkey
Bosnia and Herzegovina (2005)
Albania

431
423
398
397
388
377
376
371
368
366
365
363
363
362
357
356
346
344
344
341
330
329
325
322
315
313
311
308
305
304
292
277
270
264
254
253
253
249
246
236
213
201
199
198
2006 or latest
available year
192
2000
159
142
115
0

100

200

300

Per 100 000 population

400

500

107

Health personnel

Atlas of health in Europe

Number of physicians
350

Per 100 000 population

Eur-A
Eur-B+C

300

250

200
1980

1985

1995

1990

2000

2005

Year

Number of dentists
70
Eur-A
Eur-B+C

Number of physicians

60
Per 100 000 population

108

50

40

30

20
1980

1985

1990

1995
Year

2000

2005

Health care

Health personnel

Number of dentists
Sweden (1997)
Greece
Israel
Iceland
Cyprus
Norway
Estonia
Finland
Bulgaria
Denmark (2004)
Belgium
Germany (2005)
Luxembourg (2004)
Croatia
Czech Republic
Latvia
France
Lithuania
Italy
Slovenia (2005)
Portugal (2005)
MKD
Andorra
Ireland
Austria
Spain
Switzerland
Hungary
Netherlands (2005)
Belarus
Malta
Slovakia (2004)
United Kingdom
Moldova
Montenegro
Ukraine
Armenia
Kazakhstan
Serbia (2002)
Albania
Turkey
Russian Federation
Poland (2005)
Georgia
Azerbaijan
Romania
Uzbekistan
Kyrgyzstan
Bosnia and Herzegovina (2005)
Tajikistan
Turkmenistan (2004)

152

121
110
94
93
89
87
85
85
84
80
79
76
73
69
68
68
66
63
60
59
58
58
57
54
54
53
50
49
48
47
45
44
42
42
41
39
37
33
33
33
32
31
29
29
20
20
20
16
15
14
0

25

2006 or latest
available year
2000

50

75

100

Per 100 000 population

125

150

109

110

Health personnel

Atlas of health in Europe

Number of nurses
Monaco (1995)
Norway
Ireland
Netherlands (2005)
Belgium (2004)
Belarus
Uzbekistan (2005)
Sweden (2002)
Denmark (2004)
Luxembourg (2004)
Iceland (2004)
Hungary
Czech Republic
Finland
Switzerland
Russian Federation
Ukraine
Germany (2005)
France
Slovenia (2005)
Spain
Lithuania
Azerbaijan
Moldova
Italy
Kazakhstan
Estonia
Slovakia (2005)
Austria
Israel
Malta (2003)
Kyrgyzstan
Latvia
Serbia (2003)
Croatia
Montenegro
San Marino (1990)
United Kingdom (1999)
Poland (2005)
Portugal (2005)
Turkmenistan (2004)
Tajikistan
Bosnia and Herzegovina (2005)
Cyprus
Armenia
Bulgaria
Albania
Romania
Georgia
MKD
Greece
Andorra
Turkey

1024
1017
978
946
943
896
860
856
833
806
783
780
772
752
744
742
726
703
684
682
655
632
628
586
566
557
542
538
526
511
508
499
469
459
449
447
437
436
418
412
405
397
379
370
338
310
239
0

300

600

900

1195

2006 or latest
available year
2000

1200

Per 100 000 population

1621
1571
1543
1452
1341

1500

1800

Health care

Health personnel / Hospitals

Number of nurses

800
Eur-A
Eur-B+C

Per 100 000 population

750

700

650

600

550

500
1980

1985

1990

1995

2000

2005

Year

Hospital beds

1100

Per 100 000 population

Eur-A
Eur-B+C

900

Number of nurses

700

500
1980

1985

1990

1995
Year

2000

2005

111

112

Hospitals

Atlas of health in Europe

Hospital beds
Monaco (1995)
Belarus
Russian Federation
Ukraine
Czech Republic
Germany
Azerbaijan
Lithuania
Hungary
Kazakhstan
Austria
Malta
Latvia
Iceland (2002)
France (2005)
San Marino (1990)
Finland
Slovakia
Romania
Luxembourg (2004)
Moldova
Bulgaria
Tajikistan
Israel
Switzerland (2005)
Estonia
Ireland (2005)
Croatia
Serbia
Belgium
Poland (2005)
Sweden (1997)
Uzbekistan (2005)
Kyrgyzstan
Netherlands (2003)
Slovenia
Greece
MKD
Armenia
Turkmenistan
Montenegro
Norway
Italy (2005)
United Kingdom (2004)
Denmark (2004)
Cyprus (2005)
Georgia
Portugal (2005)
Spain (2005)
Bosnia and Herzegovina
Albania
Turkey
Andorra

966
873
838
826
806
799
792
778
765
761
761
751
734
716
697
681
654
633
627
622
612
597
568
565
557
546
543
528
523
522
519
509
498
476
473
463
443
433
414
413
400
390
382
376
374
365
336
304
297
270
258
0

500

1000

1957

1118

2006 or latest
available year
2000

1500

Per 100 000 population

Per 100 000 population

2000

Health care

Hospitals

Psychiatric hospital beds


Monaco (1995)
Netherlands (2003)
Malta
Germany
Belgium
Latvia
Luxembourg (1998)
Iceland (1995)
Russian Federation
Czech Republic
Switzerland (2005)
Lithuania
Ireland (2005)
France (2005)
Ukraine
Croatia
Greece (2005)
Finland
Slovakia
United Kingdom (1997)
Romania
Slovenia
Belarus
Denmark (2004)
Kazakhstan
Portugal (2005)
Poland (2005)
Israel
Norway
Austria
MKD
Moldova
Bulgaria
Estonia
Montenegro
Azerbaijan
Sweden (2005)
Spain (2005)
Armenia
Kyrgyzstan
Hungary
Bosnia and Herzegovina (2005)
Georgia
Turkmenistan
Uzbekistan (2005)
Cyprus (2005)
Albania
Tajikistan
Andorra
Italy (2005)
Turkey

210.7
186.5
170.2
153.0
149.7
137.2
123.6
117.9
112.3
110.6
108.5
102.4
96.2
94.7
93.9
93.1
86.7
86.4
83.6
82.9
77.3
71.2
70.0
66.5
63.5
62.1
62.1
60.1
59.6
58.9
58.5
58.4
58.1
55.3
52.4
48.7
48.5
45.8
45.3
43.5
38.3
37.2
35.0
34.1
30.8
30.6
25.3
2006 or latest
available year
24.7
2000
15.0
13.2
9.8
0

50

100

150

200

Per 100 000 population

2000

2006 or latest available year

250

113

114

Hospitals

Atlas of health in Europe

Hospital beds and length of stay


Belarus (2006)
Russian Federation (2006)
Ukraine (2006)
Czech Republic (2006)
Germany (2006)
Azerbaijan (2006)
Lithuania (2006)
Hungary (2006)
Kazakhstan (2006)
Austria (2006)
Malta (2006)
Latvia (2006)
Iceland (2002)
France (2005)
Finland (2006)
Slovakia (2006)
Romania (2006)
Luxembourg (2006)a
Moldova (2006)
Bulgaria (2006)
Tajikistan (2006)
Israel (2006)
Switzerland (2005)
Estonia (2006)
Ireland (2005)
Croatia (2006)
Serbia (2006)
Belgium (2006)
Poland (2005)
Sweden (1997)
Uzbekistan (2005)
Kyrgyzstan (2006)
Netherlands (2003)
Slovenia (2006)
Greece (2005)
MKD (2006)
Armenia (2006)
Turkmenistan (2006)
Montenegro (2006)
Norway (2006)
Italy (2005)
United Kingdom (2006)a
Denmark (2004)
Cyprus (2005)
Georgia (2006)
Portugal (2005)
Spain (2005)
Bosnia and Herzegovina (2006)
Albania (2006)
Turkey (2006)
Andorra (2006)

1118

11.8
13.6
13.3
10.8
10.1
14.5

966

1.0
7.9
12.9
0.8
9.7
5.4
11.7
1.0
8.8
7.8
15.3
1.0
7.5
1.2
11.9
11.7
7.8
7.6
9.9
9.6
8.5
6.7
6.3
10.2
11.5
12.5
7.1
7.9
11.1
9.4
9.5
9.7
7.2
7.6
9.8
0.5
7.4
8.7
8.5
9.6
6.2
5.1

20
Average
number of days
a

873
838
826
806
799
792
778
765
761
761
751
734
697
681
654
633
627
622
612
597
568
565
557
546
543
528
523
522
519
509
498
476
473
463
443
433
414
413
400
390
382
376
374
365
336
304
297
270
258
0

250

500

750

Beds per
100 000 population

For Luxembourg and United Kingdom, the data for length of stay come from 1996.

1000

1250

Health care

Hospitals

Length of stay in hospital


Luxembourg (1996)
Azerbaijan
Russian Federation
Ukraine
Kazakhstan
Netherlands (2001)
Tajikistan
Israel
Belarus
France (2003)
Switzerland (2005)
Kyrgyzstan
MKD (2005)
Czech Republic
Uzbekistan (2005)
Germany
Moldova
Lithuania
Finland (2004)
Croatia
United Kingdom (1996)
Montenegro
Latvia
Serbia
Bosnia and Herzegovina (2005)
Turkmenistan
Armenia
Slovakia
Portugal (2005)
Spain (2005)
Belgium (2005)
Austria (2005)
Hungary
Greece (2003)
Estonia
Romania
Italy (2004)
Ireland (2005)
Bulgaria
Georgia
Norway
Slovenia
Poland
Sweden (2005)
Albania
Iceland (2005)
Turkey
Denmark (2004)

15.3
14.5
13.6
13.3
12.9
12.5
12.0
11.9
11.8
11.7
11.7
11.5
11.1
10.8
10.2
10.1
10.0
10.0
10.0
9.9
9.8
9.7
9.7
9.6
9.6
9.5
9.4
8.8
8.7
8.5
8.5
8.0
7.9
7.9
7.8
7.8
7.6
7.6
7.5
7.4
7.2
7.1
6.7
6.3
2006 or latest
6.2
available year
5.4
2000
5.1
5.0

10
Average number of days

15

115

Hospitals

Atlas of health in Europe

Length of stay in hospital


17

Average number of days

Eur-A
Eur-B+C

15

13

11

9
1980

1985

1990

1995

2000

2005

Year

Inpatient
hospital
admissions
Length
of stay
in hospital
21
Eur-A
Eur-B+C

20

Per 100 population

116

19

18

17

16

15
1980

1985

1990

1995
Year

2000

2005

Health care

Hospitals

Inpatient hospital admissions


53.9

Monaco (1995)
Belarus
Austria (2005)
Finland (2004)
Hungary
Romania
Russian Federation
Lithuania
Latvia
Germany
Denmark (2004)
Ukraine
Czech Republic
Bulgaria
Luxembourg (1994)
France (2005)
Estonia
Norway
Slovakia
Greece (2003)
Israel
Slovenia
Poland (2005)
Iceland (2005)
Switzerland (1998)
Croatia
Moldova
Belgium (2005)
Sweden (2005)
Kazakhstan
United Kingdom (1998)
Uzbekistan (2005)
Italy (2004)
Ireland (2005)
Kyrgyzstan
Turkmenistan
Serbia
Spain (2005)
Portugal (2005)
Tajikistan
Montenegro
Turkey
MKD (2005)
Netherlands (2001)
Albania (2005)
Armenia
Bosnia and Herzegovina (2005)
Cyprus
Georgia
Azerbaijan

28.4
27.3
25.8
24.8
24.3
23.7
23.2
23.1
22.6
22.1
21.9
21.9
21.7
19.4
19.0
18.8
18.8
18.5
18.5
18.2
17.8
17.7
17.2
17.0
17.0
16.7
16.4
15.6
15.5
15.3
15.0
15.0
14.2
14.1
13.8
11.9
11.8
11.5
11.2
10.9
10.6
9.9
9.3
8.7
8.4
8.2
7.9
6.2
5.9
0

10

20

30

2006 or latest
available year
2000

40

Average number of days

50

60

117

118

Some procedures

Atlas of health in Europe

Children vaccinated against measles and diphtheria


Kazakhstan
99.4
Hungary 99.9
Luxembourg
95.4
Turkmenistan
99.0
Monaco
99.0
Slovakia
98.4
Poland
98.2
Sweden
95.4
Russian Federation
99.3
Belgium
91.9
Ukraine
98.4
Belarus
97.0
Czech Republic
96.9
Spain
96.9
Netherlands
96.3
Latvia
95.3
Moldova
96.4
Albania
94.8
Portugal
96.7
Romania
96.7
Finland
97.0
Iceland
95.0
France
86.0
Slovenia
96.1
Cyprus
87.0
Israel
96.0
Tajikistan
95.9
Italy
87.0
Croatia
95.5
Azerbaijan
95.9
Bulgaria
95.7
Uzbekistan
94.9
Estonia
96.1
San Marino
94.0
Switzerland
86.0
Lithuania
96.6
Andorra
91.4
Denmark 100.0
Norway
91.0
MKD
93.9
Kyrgyzstan
97.3
United Kingdom
84.9
Serbia
88.0
Ireland
86.2
Germany
94.0
Turkey
98.0
Montenegro
90.0
Bosnia and Herzegovina
96.0
Greece
88.0
Georgia
95.1
Armenia
92.0
Malta
94.0
Austria

100

95

90

80.0

100.0
99.8
99.6
99.0
99.0
99.0
99.0
98.7
98.7
98.5
98.0
98.0
98.0
97.9
97.8
97.8
97.4
97.2
97.2
97.1
97.0
97.0
97.0
96.8
96.8
96.0
96.0
96.0
95.9
95.3
95.3
95.3
95.2
95.0
95.0
94.0
93.4
93.0
93.0
92.8
92.4
92.1
91.6
91.0
90.1
90.0
90.0
88.0
Infants
88.0
(diphtheria)
87.0
Children
86.8
(measles)
85.0
83.0

85
80
85
90
Percentage vaccinated

95

100

Health care

Some procedures

Caesarean sections
Italy (2004)
Malta
Portugal (2005)
Switzerland (2005)
Hungary
Germany
Austria
Ireland (2004)
Spain (2005)
Albania
Greece (1991)
Luxembourg (2004)
Andorra (1999)
Bulgaria
United Kingdom (2004)
Romania (2005)
Latvia
Georgia
Denmark (2004)
Slovakia (2005)
Belarus
Lithuania
Israel
Estonia
France (2003)
Czech Republic
Russian Federation (2005)
Norway
Sweden (2004)
Slovenia
Finland (2005)
Croatia
Poland (1997)
Belgium (1999)
Iceland (2005)
Serbia
Ukraine
Netherlands (2004)
Turkey (1998)
Armenia
MKD (2003)
Montenegro
Moldova
Kazakhstan
Azerbaijan
Kyrgyzstan
Uzbekistan (2005)
Turkmenistan
Tajikistan

374.5
342.5
339.8
289.0
279.6
277.8
258.1
254.2
250.1
243.0
240.0
239.6
237.3
236.3
220.1
213.8
210.8
207.6
202.5
200.1
195.4
192.3
190.5
189.6
188.0
183.7
172.1
165.6
164.7
162.8
162.7
162.0
161.2
159.2
155.6
146.6
142.0
137.2
136.0
119.9
114.4
113.9
110.5
99.8
61.5
51.0
49.4
33.5
21.0
0

100

2006 or latest
available year
2000

200
Per 1000 live births

300

400

119

Some procedures/Health expenditure

Atlas of health in Europe

Caesarean sections
250
225

Eur-A
Eur-B+C

Per 1000 live births

200
175
150
125
100
75
50
1980

1985

1990

1995

2000

2005

Year

Total health expenditure as a percentage of GDP


10
9

Eur-A
Eur-B+C

8
Percentage of GDP

120

Caesarean sections

6
5
4
3
1980

1985

1990

1995
Year

2000

2005

Health care

Health expenditure

Total health expenditure as a percentage of GDP


Switzerland
Germany
France
Austria
Monaco
Iceland
Portugal
Norway
Belgium
Netherlands
Malta
Sweden
Slovenia
Israel
Italy
Denmark
Bosnia and Herzegovina
Spain
United Kingdom
Bulgaria
MKD
Luxembourg
Greece
Hungary
Croatia
Turkey
San Marino
Finland
Moldova
Czech Republic
Ireland
Slovakia
Andorra
Latvia
Albania
Lithuania
Ukraine
Belarus
Poland
Russian Federation
Cyprus
Kyrgyzstan
Armenia
Estonia
Georgia
Uzbekistan
Romania
Turkmenistan
Tajikistan
Kazakhstan
Azerbaijan

11.5

3.8
3.6
0

10.6
10.5
10.3
9.9
9.9
9.8
9.7
9.7
9.2
9.2
9.1
8.7
8.7
8.7
8.6
8.3
8.1
8.1
8.0
8.0
8.0
7.9
7.9
7.7
7.7
7.4
7.4
7.4
7.3
7.2
7.2
7.1
7.1
6.7
6.5
6.5
6.2
6.2
6.0
5.8
5.6
5.4
5.3
5.3
5.1
5.1
2004 or latest
4.8
available year
4.4
2000

Percentage of GDP

10

12

121

122

Health expenditure

Atlas of health in Europe

Total health expenditure per person


5178

Luxembourg
Monaco
Norway
Switzerland
Andorra
Austria
Iceland
San Marino
Germany
Belgium
Netherlands
France
Sweden
Denmark
Ireland
United Kingdom
Italy
Finland
Greece
Spain
Israel
Portugal
Slovenia
Malta
Czech Republic
Hungary
Cyprus
Slovakia
Croatia
Latvia
Lithuania
Poland
Estonia
Bulgaria
Bosnia and Herzegovina
Russian Federation
Turkey
MKD
Romania
Belarus
Ukraine
Albania
Kazakhstan
Turkmenistan
Armenia
Georgia
Uzbekistan
Moldova
Azerbaijan
Kyrgyzstan
Tajikistan

4744
4080
4011
3546
3418
3294
3198
3171
3133
3092
3040
2828
2780
2618
2560
2414
2203
2179
2099
1972
1897
1815
1733
1412
1308
1128
1061
917
852
843
814
752
671
603
583
557
471
433
427
427
339
264
245
226
171
160
138
138
102
54
0

1000

2000

3000

4000

US$ PPP per person

2004 or latest
available year
2000

5000

6000

Health care

Health expenditure

Total health expenditure per person

3000
Eur-A
Eur-B+C

US$ PPP per person

2500

2000

1500

1000

500
0
1980

1985

1990

1995

2000

Year

Total health expenditure per person

2005

123

125

References
1.

European Health for All database (HFA-DB) [online database].


Copenhagen, WHO Regional Office for Europe, 2008 (http://www.
euro.who.int/hfadb, accessed 23 April 2008).

2. WHOSIS (WHO Statistical Information System) [web site]. Geneva,


World Health Organization, 2008 (http://www.who.int/whosis/
en/, accessed 23 April 2008).
3. Mortality indicators by 67 causes of death, age and sex (HFAMDB) [online database]. Copenhagen, WHO Regional Office for
Europe, 2008 (http://www.euro.who.int/InformationSources/
Data/20011017_1, accessed 23 April 2008).
4. The world health report 2006. Working together for health.
Geneva, World Health Organization, 2006 (http://www.who.int/
entity/whr/2006/en/index.html, accessed 23 April 2008).
5. The world health report 2004. Changing history. Geneva, World
Health Organization, 2004 (http://www.who.int/whr/2004/en/
index.html, accessed 23 April 2008).
6. The state of the worlds children 2008. Child survival [web site].
New York, United Nations Childrens Fund, 2007 (http://www.
unicef.org/sowc08, accessed 23 April 2008).
7. Maternal mortality in 2005. Estimates developed by WHO,
UNICEF, UNFPA and the World Bank. Geneva, World Health
Organization, 2007 (http://www.who.int/whosis/mme_2005.pdf,
accessed 23 April 2008).
8. European Centre for the Epidemiological Monitoring of AIDS.
EuroHIV. HIV/AIDS surveillance in Europe [web site]. Stockholm,
European Centre for Disease Prevention and Control, 2008 (http://
www.eurohiv.org, accessed 16 May 2008).
9. Prevalence of diabetes in the WHO European Region. Geneva,
World Health Organization, 2008 (http://www.who.int/diabetes/
facts/world_figures/en/index4.html, accessed 16 May 2008).
10. WHO Oral Health Country/Area Profile Programme [web site].
Geneva, World Health Organization, 2008 (http://www.whocollab.
od.mah.se, accessed 16 May 2008).

126

Atlas of health in Europe

11. HBSC. Health Behaviour in School-aged Children. A World Health


Organization cross-national study [web site]. Edinburgh, HBSC
International Coordinating Centre, 2008 (http://www.hbsc.org/
index.html, accessed 16 May 2008).
12. Statistics of road traffic accidents in Europe and North America.
Geneva, United Nations Economic Commission for Europe, 2008
(http://www.unece.org/trans/main/wp6/transstatpub.html,
accessed 16 May 2008).

This statistical atlas presents key health


figures for the WHO European Region.
They cover basic data on populations, births,
deaths, life expectancy and diseases, lifestyle
and environmental indicators such as
drinking, smoking and traffic accidents,
and types and levels of health care.
Each indicator is presented as a map to show
overall regional variations, a bar chart to
indicate country rankings and a time chart to
show trends over time in three main country
groupings. Using the WHO Regional Office
for Europes unique Health for All database,
combined with the best alternative sources
of data around the Region, this atlas offers
the most comprehensive overview of health in
Europe. In a handy size, this atlas is designed
to be an easily accessible resource at all times,
in the office or on the road.

ISBN 978-92-890-1410-6
World Health Organization
Regional Office for Europe
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Tel.: +45 39 17 17 17
Fax: +45 39 17 18 18
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9 789289 014106

2nd edition 2008

Member States
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Israel
Italy
Kazakhstan
Kyrgyzstan
Latvia
Lithuania
Luxembourg
Malta
Monaco
Montenegro
Moldova
Netherlands
Norway
Poland
Portugal
Romania
Russian Federation
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Tajikistan
The former Yugoslav
Republic of Macedonia
Turkey
Turkmenistan
Ukraine
United Kingdom
Uzbekistan

ATLAS OF HEALTH IN EUROPE

Atlas of health in Europe

The World Health


Organization (WHO) is a
specialized agency of the United
Nations created in 1948 with
the primary responsibility for
international health matters
and public health. The WHO
Regional Office for Europe is
one of six regional offices
throughout the world, each with
its own programme geared to the
particular health conditions of
the countries it serves.

Atlas
of health
in Europe

2nd edition 2008

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