Editorial Committee. General director: Sonia Bess Constantén, MD

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3 Editorial Committee General director: Sonia Bess Constantén, MD Technical direction: Miriam Alicia Gran Álvarez, PhD, MSc Tech. Maricela Martínez Morales Processing and information review: Libia Margarita López Nistal, MD, MSc Miriam Alicia Gran Álvarez, PhD, MSc Tech. Maricela Martínez Morales Ismell Alonso Alomá, MD Miguel Ángel Martínez Morales, MD, MSc Elvira Sánchez Sordo, MD Dianelys Sofia Cruz Pumarino, BA Magalis Ledesma Batista, BA Rosa María Torres Vidal, MD, MSc Xiomara Podadera Valdés, BA Sonia Bess Constantén, MD María Elena Pérez Leyva, BA, MSc María del Rosario Ruiz Beruvides, BA María Rosa Fernández Viera, BA Maite Martínez Machín, BA Tech. Paula Tosca Morejón Jorge Roberto Gómez Valle, BA Tech. Vanessa Mazorra Ramos Tech. Aleida González Rodríguez Héctor Marrero González, BA Ada Magdalena Bravo Cruz, BA Inalvis Deville Senén, BA Amelia Mayte Boligan Jomarrón, BA Tech. José Danilo Ramil Valdés Miguel Ángel Galindo Sardiña, BA Marlén Valcarcel Sánchez, MD, MSc Nancy Pérez Rodríguez, BA Rebeca Cabrera Aedo, BA Wilber Turruella Velázquez, BA Tech. Yanet Pérez de la Hoz Enrique González Galbán, BA, MSc María Elena Díaz, BA Odalys Montesino García, BA Ibrahim Chaviano Pedroso, BA Maricel Santiesteban Díaz, MD Ivonne Rodríguez García, MD Sandra Lorenzo Betancourt, BA Teresa Romero Pérez, MD, MSc Yaima Galán Álvarez, BA, MSc Tech. Martha Lezcano Cicili Priscila Torres Babié, MD Tech. Yinet Iglesias Ventura Eduardo Zacca Peña, PhD, MSc Ana Margarita Clúa Calderín, MSc Tech. Francisca Novo Marcé Gloria Hechavarría Puentes, MD Ariel García Sánchez, BA María del Carmen Franco Suárez, BA José David Rodríguez Milera, MD Miguel Ramón Sosa Marín, MD Patricia Alonso Galbán, MD, MSc Liana de la Fuente Valdés, BA Iliana Alfonso Sánchez, PhD, MSc Yoandra Muro Valle, MD, MSc Ana Margarita Muñiz, MD, MSc Angela Olga Hidalgo Sánchez, MD, MSc Roberto Rafael Sabina Martínez, MD, MSc Oscar Guerra Hernández, BA Tania Janeth Felix Joao, MD, MSc Web edition: Ana Margarita Clúa Calderín, MSc Xiomara Podadera Valdés, BA

4 PRESENTATION The Medical Records and Health Statistics Bureau of The Ministry of Public Health of Cuba introduces to you the 44 rd publication of the Annual Health Statistics Report with updated information until Indicators are organized in 78 statistical tables according to time, gender and age covers. The information undertakes the following issues: Demography, Mortality, Morbidity, Personnel and Resources, Services and Health personnel training. Statistical data come from the Health Information System. The population data have been provided by The Center for Population and Development Studies from the National Statistics and Information Bureau. The Cuban Health Statistical System uses mostly the method of continuous registration, with national coverage and departments of statistics and medical registries in all health institutions as well as in the municipal, provincial and national structures, where the Medical Records and Health Statistics Bureau is located. The mortality and the morbidity statistics have been processed according to the ICD-10. This document is also available in HTML format at the URL address, specified in the footnotes of this page. We hope the purpose of this publication be fulfilled, so our users are invited to give their opinions or make suggestions. Sonia Bess Constantén, MD Medical Records and Health Statistics Bureau Ministry of Public Health of Cuba Symbols used - Magnitude zero Data not available 0.0 Rate less than 0.05 M Male F Female Medical Records and Health Statistics Bureau Calle 23 # 201 entre M y N Vedado Plaza de La Revolución. La Habana. Cuba Teléfonos: / / Internet: 5

5 TABLE OF CONTENTS Presentation... 5 DEMOGRAPHIC Table 1 Mid-year population estimates by sex. 1960, 1965, 1970, 1975, 1980, 1985, Table 2 Selected natality indicators. 1970, Table 3 In- hospital live births by month Table 4 Fertility rates by mother age. 1995, 2000, Table 5 Demographic indicators. Years and periods selected MORTALITY Table 6 Deaths and death rates by age Table 7 Deaths and death rates by sex. 1970, 1975, 1980, 1985, Table 8 Deaths and death rates by age and sex Table 9 Leading causes of death for all ages. 2000, Table 10 Leading causes of death by sex Table 11 Years of potential life lost (YPLL) by leading causes of death and sex per population age group Table 12 Mortality by 35 leading causes of death Table 13 Mortality by six broad cause groups by age Table 14 Selected mortality indicators under-five years of age by sex. 1970, 1975, 1980, 1985, 1990, Table 15 Leading causes of infant deaths Table 16 Leading causes of infant deaths by age Table 17 Congenital malformations for infant deaths by age Table 18 Leading causes of death for children 1-4 years of age Table 19 Leading causes of death for children 5-14 years of age Table 20 Leading causes of death for persons years of age Table 21 Leading causes of death for persons years of age Table 22 Leading causes of death for persons years of age Table 23 Leading causes of death for persons 65 years and over Table 24 Leading causes of death for persons 60 years and over Table 25 Leading causes of death for persons years of age

6 Table 26 Leading causes of death for persons years of age Table 27 Leading causes of death for persons 80 years and over Table 28 Selected malignant neoplasms mortality Table 29 Selected malignant neoplasms mortality by sex Table 30 Malignant neoplasms mortality by age. Male sex Table 31 Malignant neoplasms mortality by age. Female sex Table 32 Heart diseases mortality Table 33 Heart diseases mortality by age. Male sex Table 34 Heart diseases mortality by age. Female sex Table 35 Cerebrovascular diseases mortality by age. Male sex Table 36 Cerebrovascular diseases mortality by age. Female sex Table 37 Unintentional injuries mortality. Selected causes Table 38 Unintentional injuries mortality. Selected causes by age. Male sex Table 39 Unintentional injuries mortality. Selected causes by age. Female sex Table 40 Infectious and parasitic diseases mortality (A00-B99). 1970, 1975, 1980, Table 41 Intestinal infectious diseases mortality (A00-A09) Table 42 Maternal mortality by causes Table 43 Mortality related to pregnancy, childbirth and the puerperium by causes Table 44 Mortality from selected notifiable diseases. 1970, 1980, 2000, MORBIDITY Table 45 Incidence of selected notifiable diseases by sex. 2000, Table 46 Incidence of selected notifiable diseases by age Table 47 Meningococcal infection incidence and mortality. 1980, 1985, Table 48 Incidence of tuberculosis by age and location. 1990, 2000, Table 49 Incidence of leprosy by age and clinical type 1990, 2000, Table 50 Consultations for acute diarrhoea and respiratory diseases by age Table 51 Women screened for detection of cervix cancer Table 52 Women screened for detection of cervix cancer by age Table 53 Number of cases of cervix cancer by clinical stage 1990, Table 54 Incidence of cancer by sex and leading locations Table 55 Incidence of cancer in population under 20 years of age by diagnostics group and age Table 56 Incidence of cancer in male population age 20 years and over by leading locations and age

7 Table 57 Incidence of cancer in female population aged 20 years and over by leading locations and age Table 58 Total doses administered by type of vaccine Table 59 Low birth-weight HEALTH PERSONNEL AND RESOURCES Table 60 Health budget and per capita expenses. 1959, 1960, 1965, Table 61 Health personnel Table 62 Health personnel by occupation and sex Table 63 Physicians and dentists. 1975, 1980, 1985, Table 64 Cuban health collaboration by regions and countries Table 65 Countries participating in comprehensive health care programs by continent Table 66 Health care facilities by type Table 67 Medical care and social service beds SERVICES Table 68 Medical and dental visits Table 69 Pediatric visits by age Table 70 Healthy baby visits by age Table 71 Selected surgical indicators Table 72 Hospital admissions. 1970, 1975, Table 73 Hospital bed occupancy rates by selected medical specialties. 1990, 2000 and Table 74 Bed occupancy rates by type of hospital. 1990, 2000 and Table 75 Maternal home admissions Table 76 Residents in elderly homes by sex Table 77 Blood donations HEALTH PERSONNEL TRAINING Table 78 Health professional graduates by specialty

8 DEMOGRAPHIC

9 Table 1. Mid-year population estimates by sex. 1960, 1965, 1970, 1975, 1980, 1985, Years Total Male Female Source: Center for Population and Development Studies of the National Statistics Bureau. Annual Demographic Report. 13

10 Table 2. Selected natality indicators. 1970, Years Total live births Crude birth rate* In-hospital live births Live births % * Per population. Source: Center for Population and Development Studies of the National Statistics Bureau. Annual Demographic Report. 14

11 Table 3. In-hospital live births by month Month January February March April May June July August September October November December Total Table 4. Fertility rates by mother age. 1995, 2000, Age of mother Total Rate per women of the age. Source: Center for Population and Development Studies of the National Statistics Bureau. Annual Demographic Report. 15

12 Table 5. Demographic indicators. Years and periods selected Indicators Population density Global fertility rate Gross reproduction rate Percent of population of 60 years and over Masculinity ratio (males per thousand females) Urban population percentage Life expectancy at birth * Periods Male Female Total *Source: Center for Population and Development Studies of the National Statistics Bureau. Annual Demographic Report. 16

13 MORTALITY

14 Table 6. Deaths and death rates by age Years <7 days 7-27 days 28 days to 11 months <1 year 1-4 years 5-14 years years years 65 years and over Total* Number of deaths Rate per live births Rate per population * Includes deaths of unknown age. 19

15 Table 7. Deaths and death rates by sex. 1970, 1975, 1980, 1985, Years Deaths Total Male Female Rate Rate Rate Deaths Deaths Crude Adjusted Crude Adjusted Crude Adjusted Rate per population. Adjusted rate by a direct method. Model population: Cuba, 1981 census. 20

16 Table 8. Deaths and death rates by age and sex Total Male Female Age group Deaths Rate per population Deaths Rate per population Deaths Rate per population <1 * and over Total** * Rate per live births. ** Including unknown age death (7) 21

17 Table 9. Leading causes of death for all ages. 2000, Causes Number of deaths Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59,Y85-Y86) Chronic lower respiratory diseases (J40-J47) Diseases of arteries, arterioles and capillaries (I70-I79) Diabetes mellitus (E10-E14) Chronic liver diseases and cirrhosis (K70, K73, K74, K760, K761) Intentional self-harm (X60-X84, Y870) Crude rate per population Heart disease Malignant neoplasms Cerebrovascular diseases Influenza and pneumonia Unintentional injuries Chronic lower respiratory diseases Diseases of arteries, arterioles and capillaries Diabetes mellitus Chronic liver diseases and cirrhosis Intentional self-harm Note: Chronic liver diseases and cirrhosis do not include chronic viral hepatitis. 22

18 Table 10. Leading causes of death by sex Causes Male Female Sex ratio M/F Deaths Rate Deaths Rate Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59,Y85-Y86) Chronic lower respiratory diseases (J40-J47) Diseases of arteries, arterioles and capillaries (I70-I79) Diabetes mellitus (E10-E14) Chronic liver diseases and cirrhosis (K70, K73, K74, K760, K761) Intentional self-harm (X60-X84, Y870) Rate per population by sex. 23

19 Table 11. Years of potential life lost (YPLL) by leading causes of death and sex per population age group Causes Male Female Total Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59,Y85-Y86) Chronic lower respiratory diseases (J40-J47) Diseases of arteries, arterioles and capillaries (I70-I79) Diabetes mellitus (E10-E14) Chronic liver diseases and cirrhosis (K70, K73- K74, K760- K761) Intentional self-harm (X60-X84, Y870)

20 Table 12. Mortality by 35 leading causes of death Number of Rate* Causes deaths Crude Adjusted* * Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59,Y85-Y86) Dementia and Alzheimer s disease (F01-F03,G30) Chronic lower respiratory diseases (J40-J47) Asthma (J45-J46) Disease of arteries, arterioles and capillaries (I70-I79) Diabetes mellitus (E10-E14) Cirrhosis and other liver diseases (K70, K73-K74, K760-K761) Intentional self-harm (X60-X84,Y870) Glomerular and renal diseases (N00-N19, N25-N27) Non malignant neoplasm (D00-D48) Assault (X85-Y09,Y871) Hernia and intestinal obstruction without hernia (K40-K46,K56) Parkinson s disease (G20-G21) Mental and behavioral disorders due to use of alcohol (F10) AIDS (B20-B24) Congenital malformations (Q00-Q99) Peptic ulcer (K25-K28) Arthrosis (M15-M19) Conditions originating in the perinatal period (P00-P96) Events of undetermined intent (Y10-Y34,Y872) Intestinal infections diseases (A00-A09) Acute pancreatitis and other diseases of the pancreas (K85-K86) Viral hepatitis (B15-B19) * Rate per population. ** Adjusted rate by a direct method. Model population: Cuba, 1981 census. Note: Causes from Cuban brief list:

21 Table 12. Mortality by 35 leading causes of death (Continued) Causes Number of deaths Crude Rate* Adjusted** Systemic connective tissue disorders (M30-M36) Anaemias (D50-D64) Septicaemia (A40-A41) Bacterial meningitis, except meningococcal meningitis (G00- G03) Hyperplasia of prostate (N40)*** Maternal death (O00-O95, O98-O99)*** Malnutrition (E40-E46) Tuberculosis (A15-A19) Leptospirosis (A27) * Rate per population. ** Adjusted rate by a direct method. Model population: Cuba,1981 census. Note: Causes from Cuban brief list: 41. *** Rate per population by sex. 26

22 Table 13. Mortality by six broad cause groups by age Causes and over Total * Number of deaths Diseases of the circulatory system (I00-I99) Neoplasms (C00-D48) Communicable diseases (A00- B99,G00-G03,J00-J22) External causes (V01-Y89) Certain conditions originating in the perinatal period (P00-P96) All other diseases (D50-F99, G04- H95, J30-O99, Q00-R99) Total Rate per population Diseases of the circulatory system Neoplasms Communicable diseases External causes Certain conditions originating in the perinatal period All other diseases Total * Includes deaths at unknown age (7). 27

23 Table 14. Selected mortality indicators under- five years of age by sex. 1970,1975,1980,1985,1990, Years Infant mortality rate* Under-five mortality rate* % of surviving Total Male Female Total Male Female children at 5 years of age * Rate per live births, total and by sex. 28

24 Table 15. Leading causes of infant deaths Causes Number of deaths Certain perinatal conditions (P00-P96) Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Influenza and pneumonia (J09-J18) Septicaemia, except in newborn (A40-A41) Unintentional injuries (V01-X59,Y85-Y86) Rate per live births Certain perinatal conditions Congenital malformations, deformations and chromosomal abnormalities Influenza and pneumonia Septicaemia, except in newborn Unintentional injuries

25 Table 16. Leading causes of infant deaths by age Causes <7 days 7-27 days 28 days to 11 months Total Number of deaths Congenital malformations, deformations and chromosomal abnormalities. (Q00-Q99) Septicaemia (A40-A41, P36) Intracranial nontraumatic haemorrhage (P52) Intrauterine hypoxia and birth asphyxia (P20-P21) Influenza and pneumonia (J09-J18) Hyaline membrane disease (P220) Other conditions originating in the perinatal period (Remainder P00-P96) Congenital pneumonia (P23) Persistent fetal circulation (P293) Unintentional injuries (V01-X59, Y85-Y86) Disorders related to length of gestation and fetal growth (P05-P08) Bronchopulmonary dysplasia originating in the perinatal period (P271) Other infectious and parasitic diseases (A15-A38, A42-A82, A88-B99) Neonatal meconium aspiration (P240) Heart diseases (I05-I52) Rate per live births Congenital malformations, deformations and chromosomal abnormalities Septicaemia Intracranial nontraumatic haemorrhage Intrauterine hypoxia and birth asphyxia Influenza and pneumonia Hyaline membrane disease Other conditions originating in the perinatal period Congenital pneumonia Persistent fetal circulation Unintentional injuries Disorders related to length of gestation and fetal growth Bronchopulmonary dysplasia originating in the perinatal period Other infectious and parasitic diseases Neonatal meconium aspiration Heart diseases Note: Causes from Cuban list 28 of infant deaths. 30

26 Table 17. Congenital malformations for infant deaths by age Causes Number of deaths <7 days 7-27 days 28 days to 11 months Total Congenital malformations of the circulatory system (Q20-Q28) Congenital malformations of cardiac septa (Q21) Congenital malformations of great arteries and veins (Q25-Q26) Congenital malformations of cardiac chambers and connections (Q20) Congenital malformations of heart, unspecified (Q249) Congenital malformations of the digestive system (Q38-Q45) Congenital absence, atresia and stenosis of intestine (Q41-Q42) Congenital malformations of esophagus (Q39) Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) Congenital diaphragmatic hernia (Q790) Gastroschisis (Q793) Congenital malformations of the respiratory system (Q30-Q34) Congenital malformations of the nervous system (Q00-Q07) Congenital hydrocephalus (Q03) Chromosomal abnormalities (Q90-Q99) Congenital malformations of the urinary system (Q60-Q64) Other congenital malformations (Q10-Q18, Q35-Q37, Q50- Q56, Q80-Q89) Total Rate per live births Congenital malformations of the circulatory system Congenital malformations of cardiac septa Congenital malformations of great arteries and veins Congenital malformations of cardiac chambers and connections Congenital malformations of heart, unspecified Congenital malformations of the digestive system Congenital absence, atresia and stenosis of intestine Congenital malformations of esophagus Congenital malformations and deformations of the musculoskeletal system Congenital diaphragmatic hernia Gastroschisis Congenital malformations of the respiratory system Congenital malformations of the nervous system Congenital hydrocephalus Chromosomal abnormalities Congenital malformations of the urinary system Other congenital malformations Total

27 Table 18. Leading causes of death for children 1-4 years of age Causes Number of deaths Unintentional injuries (V01-X59, Y85-Y86) Malignant neoplasms (C00-C97) Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Influenza and pneumonia (J09-J18) Heart diseases (I05-I52) 7 8 Rate per population Unintentional injuries Malignant neoplasms Congenital malformations, deformations and chromosomal abnormalities Influenza and pneumonia Heart diseases

28 Table 19. Leading causes of death for children 5-14 years of age Causes Number of deaths Unintentional injuries (V01-X59, Y85-Y86) Malignant neoplasms (C00-C97) Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) 6 17 Influenza and pneumonia (J09-J18) 4 7 Heart diseases (I05-I52) 6 5 Rate per population Unintentional injuries Malignant neoplasms Congenital malformations, deformations and chromosomal abnormalities Influenza and pneumonia Heart diseases

29 Table 20. Leading causes of death for persons years of age Causes Number of deaths Unintentional injuries (V01-X59, Y85-Y86) Malignant neoplasms (C00-C97) Intentional self-harm (X60-X84, Y870) Assault (X85-Y09, Y871) Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Rate per population Unintentional injuries Malignant neoplasms Intentional self-harm Assault Congenital malformations, deformations and chromosomal abnormalities

30 Table 21. Leading causes of death for persons years of age Causes Number of deaths Malignant neoplasms (C00-C97) Heart diseases (I05-I52) Unintentional injuries (V01-X59, Y85-Y86) Intentional self-harm (X60-X84, Y870) Assault (X85-Y09, Y871) Rate per population Malignant neoplasms Heart diseases Unintentional injuries Intentional self-harm Assault

31 Table 22. Leading causes of death for persons years of age Causes Number of deaths Malignant neoplasms (C00-C97) Heart diseases (I05-I52) Cerebrovascular diseases (I60-I69) Chronic lower respiratory diseases (J40- J47) Unintentional injuries (V01-X59, Y85-Y86) Rate per population Malignant neoplasms Heart diseases Cerebrovascular diseases Chronic lower respiratory diseases Unintentional injuries

32 Table 23. Leading causes of death for persons 65 years and over Causes Number of deaths Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59, Y85-Y86) Rate per population Heart diseases Malignant neoplasms Cerebrovascular diseases Influenza and pneumonia Unintentional injuries

33 Table 24. Leading causes of death for persons 60 years and over Causes Number of deaths Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59, Y85-Y86) Rate per population Heart diseases Malignant neoplasms Cerebrovascular diseases Influenza and pneumonia Unintentional injuries

34 Table 25. Leading causes of death for persons years of age Causes Number of deaths Malignant neoplasms (C00-C97) Heart diseases (I05-I52) Cerebrovascular diseases (I60-I69) Chronic lower respiratory diseases (J40-J47) Influenza and pneumonia (J09-J18) Rate per population Malignant neoplasms Heart diseases Cerebrovascular diseases Chronic lower respiratory diseases Influenza and pneumonia

35 Table 26. Leading causes of death for persons years of age Causes Number of deaths Malignant neoplasms (C00-C97) Heart diseases (I05-I52) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Chronic lower respiratory diseases (J40-J47) Rate per population Malignant neoplasms Heart diseases Cerebrovascular diseases Influenza and pneumonia Chronic lower respiratory diseases

36 Table 27. Leading causes of death for persons 80 years and over Causes Number of deaths Heart diseases (I05-I52) Malignant neoplasms (C00-C97) Cerebrovascular diseases (I60-I69) Influenza and pneumonia (J09-J18) Unintentional injuries (V01-X59, Y85-Y86) Rate per population Heart diseases Malignant neoplasms Cerebrovascular diseases Influenza and pneumonia Unintentional injuries

37 Table 28. Selected malignant neoplasms mortality Location Number of deaths Prostate (C61) Trachea, bronchus and lung (C33-C34) Breast (C50) Intestine, except rectum (C17-C18) Uterus, other and unspecified (C54-C55) Other neoplasms of lymphatic and haematopoietic tissue (C81- C90, C96) Cervix uteri (C53) Stomach (C16) Larynx (C32) Esophagus (C15) Lip, oral cavity and pharynx (C00-C14) Leukaemia (C91-C95) Melanoma of skin (C43-C44) Rectum, rectosigmoid junction and anus (C19-C21) Bones and connective tissues (C40-C41) Others Total Crude rate per population Prostate* Trachea, bronchus and lung Breast ** Intestine, except rectum Uterus, other and unspecified ** Other neoplasms of lymphatic and haematopoietic tissue Cervix uteri ** Stomach Larynx Esophagus Lip, oral cavity and pharynx Leukaemia Melanoma of skin Rectum, rectosigmoid junction and anus Bones and connective tissues Others Total * Male population. ** Female population. 42

38 Table 29. Selected malignant neoplasms mortality by sex Location Male Female Mortality sex ratio Deaths Rate Deaths Rate M/F Trachea, bronchus and lung (C33-C34) Intestine, except rectum (C17-C18) Other neoplasms of lymphatic and haematopoietic tissue (C81-C90, C96) Stomach (C16) Larynx (C32) Esophagus (C15) Lip, oral cavity and pharynx (C00-C14) Leukaemia (C91-C95) Melanoma of skin (C43-C44) Rectum, rectosigmoid junction and anus (C19- C21) Bones and connective tissues (C40-C41) Pancreas (C25) Malignant neoplasm of liver and intrahepatic bile ducts (C22) Urinary tract (C64-C68) Brain (C71) Others Total Rate per population by sex. 43

39 Table 30. Malignant neoplasms mortality by age. Male sex Location < Number of deaths and over Total Trachea, bronchus and lung (C33-C34) Prostate (C61) Intestine, except rectum (C17-C18) Larynx (C32) Esophagus (C15) Urinary tract (C64-C68) Lip, oral cavity and pharynx (C00-C14) Other neoplasms of lymphatic and haematopoietic tissue (C81-C90, C96) Stomach (C16) Pancreas (C25) Liver and intrahepatic bile ducts (C22) Leukaemia (C91-C95) Brain (C71) Melanoma of skin (C43-C44) Rectum, rectosigmoid junction and anus (C19-C21) Bones and connective tissues (C40-C41) Breast (C50) Others Total Crude rate per male population Trachea, bronchus and lung Prostate Intestine, except rectum Larynx Esophagus Urinary tract Lip, oral cavity and pharynx Other neoplasms of lymphatic and haematopoietic tissue Stomach Pancreas Liver and intrahepatic bile ducts Leukaemia Brain Melanoma of skin Rectum, rectosigmoid junction and anus Bones and connective tissues Breast Others Total

40 Table 31. Malignant neoplasms mortality by age. Female sex Location < and over Total Number of deaths Trachea, bronchus and lung (C33-C34) Breast (C50) Intestine, except rectum (C17-C18) Uterus, other and unspecified (C54-C55) Cervix uteri (C53) Other neoplasms of lymphatic and haematopoietic tissue (C81-C90, C96) Pancreas (C25) Stomach (C16) Liver and intrahepatic bile ducts (C22) Urinary tract (C64-C68) Brain (C71) Leukaemia (C91-C95) Melanoma of skin (C43-C44) Lip, oral cavity and pharynx (C00-C14) Rectum, rectosigmoid junction and anus (C19-C21) Esophagus (C15) Larynx (C32) Bones and connective tissues (C40-C41) Others Total Crude rate per female population Trachea, bronchus and lung Breast Intestine, except rectum Uterus, other and unspecified Cervix uteri Other neoplasms of lymphatic and haematopoietic tissue Pancreas Stomach Liver and intrahepatic bile ducts Urinary tract Brain Leukaemia Melanoma of skin Lip, oral cavity and pharynx Rectum, rectosigmoid junction and anus Esophagus Larynx Bones and connective tissues Others Total

41 Table 32. Heart diseases mortality Causes Number of deaths Ischaemic heart diseases (I20-I25) Acute myocardial infarction (I21-I22) Other acute ischaemic heart diseases (I24) Chronic ischaemic heart disease (I25) Hypertensive diseases (I10-I15) Heart failure (I50) Cardiomyopathy (I42) Conduction disorders and cardiac arrhythmias (I44-I45, I47-I49) Valve disorders nonrheumatic (I34-I38) Chronic rheumatic heart diseases (I05-I09) Other forms of heart disease (I26-I28, I30-I33, I39-I41, I43, I46, I51-I52) Total Crute rate per population Ischaemic heart diseases Acute myocardial infarction Other acute ischaemic heart diseases Chronic ischaemic heart disease Hypertensive diseases Heart failure Cardiomyopathy Conduction disorders and cardiac arrhythmias Valve disorders nonrheumatic Chronic rheumatic heart diseases Other forms of heart disease Total

42 Table 33. Heart diseases mortality by age. Male sex Causes < and over Total Number of deaths Ischaemic heart diseases (I20-I25) Acute myocardial infarction (I21-I22) Other acute ischaemic heart diseases (I24) Chronic ischaemic heart disease (I25) Hypertensive diseases (I10-I15) Heart failure (I50) Cardiomyopathy (I42) Conduction disorders and cardiac arrhythmias (I44-I45, I47-I49) Valve disorders nonrheumatic (I34-I38) Chronic rheumatic heart diseases (I05-I09) Other forms of heart disease (I26-I28, I30-I33, I39-I41, I43, I46, I51-I52) Total Crude rate per male population Ischaemic heart diseases Acute myocardial infarction Other acute ischaemic heart diseases Chronic ischaemic heart disease Hypertensive diseases Heart failure Cardiomyopathy Conduction disorders and cardiac arrhythmias Valve disorders nonrheumatic Chronic rheumatic heart diseases Other forms of heart disease Total

43 Table 34. Heart diseases mortality by age. Female sex Causes < and over Total Number of deaths Ischaemic heart diseases (I20-I25) Acute myocardial infarction (I21-I22) Other acute ischaemic heart diseases (I24) Chronic ischaemic heart disease (I25) Hypertensive diseases (I10-I15) Heart failure (I50) Cardiomyopathy (I42) Conduction disorders and cardiac arrhythmias (I44-I45, I47-I49) Valve disorders nonrheumatic (I34-I38) Chronic rheumatic heart diseases (I05-I09) Other forms of heart disease (I26-I28, I30- I33, I39-I41, I43, I46, I51-I52) Total Crude rate per female population Ischaemic heart diseases Acute myocardial infarction Other acute ischaemic heart diseases Chronic ischaemic heart disease Hypertensive diseases Heart failure Cardiomyopathy Conduction disorders and cardiac arrhythmias Valve disorders nonrheumatic Chronic rheumatic heart diseases Other forms of heart disease Total

44 Table 35. Cerebrovascular diseases mortality by age. Male sex Causes < Number of deaths 80 and over Total Cerebrovascular diseases (I60-I69) Occlusion (I63) Haemorrhage (I60-I62) Other cerebrovascular diseases (I64, I67) Sequelae of cerebrovascular disease (I69) Crude rate per male population Cerebrovascular diseases Occlusion Haemorrhage Other cerebrovascular diseases Sequelae of cerebrovascular disease Table 36. Cerebrovascular diseases mortality by age. Female sex Causes < Number of deaths 80 and over Total Cerebrovascular diseases (I60-I69) Occlusion (I63) Haemorrhage (I60-I62) Other cerebrovascular diseases (I64,I67) Sequelae of cerebrovascular disease (I69) Crude rate per female population Cerebrovascular diseases Occlusion Haemorrhage Other cerebrovascular diseases Sequelae of cerebrovascular disease

45 Table 37. Unintentional injuries mortality. Selected causes Causes Number of deaths Accidental falls* Motor vehicle accidents Accidental drowning and submersion Other transport accidents Exposure to electric current Accidental poisoning Exposure to smoke, fire and flames Others Total Crude rate per population Accidental falls Motor vehicle accidents Accidental drowning and submersion Other transport accidents Exposure to electric current Accidental poisoning Exposure to smoke, fire and flames Others Total * Exclude sequelae of accidental falls. 50

46 Table 38. Unintentional injuries mortality. Selected causes by age. Male sex Causes < Number of deaths 80 and over Total** Falls (W00-W19)* Transport accidents (V01-V99) Motor vehicle accidents Other transport accidents Pedestrian injured in transport accident (V01-V09) Pedal cyclist injured in transport accident (V10-V19) Sequelae of unintentional injuries (Y85- Y86) Accidental drowning and submersion (W65-W74) Exposure to electric current (W85-W87) Accidental poisoning (X40-X49) Exposure to smoke, fire and flames (X00-X09) Other accidents (W20-W64,W75- W84,W88-W99,X10-X39,X50-X59) Total Crude rate per male population Falls Transport accidents Motor vehicle accidents Other transport accidents Pedestrian injured in transport accident Pedal cyclist injured in transport accident Sequelae of unintentional injuries Accidental drowning and submersion Exposure to electric current Accidental poisoning Exposure to smoke, fire and flames Other accidents Total * Exclude sequelae of accidental falls. 51

47 Table 39. Unintentional injuries mortality. Selected causes by age. Female sex Causes < Number of deaths 80 and over Total Falls (W00-W19)* Sequelae of unintentional injuries Y85-Y86) Transport accidents (V01-V99) Motor vehicle accidents Other transport accidents Pedestrian injured in transport accident (V01-V09) Pedal cyclist injured in transport accident (V10-V19) Exposure to smoke, fire and flames (X00-X09) Accidental drowning and submersion (W65-W74) Accidental poisoning (X40-X49) Exposure to electric current (W85- W87) Other accidents (W20-W64,W75- W84,W88-W99,X10-X39,X50-X59) Total Falls Sequelae of unintentional injuries Crude rate per female population Transport accidents Motor vehicle accidents Other transport accidents Pedestrian injured in transport accident Pedal cyclist injured in transport accident Exposure to smoke, fire and flames Accidental drowning and submersion Accidental poisoning Exposure to electric current Other accidents Total * Exclude sequelae of accidental falls. 52

48 Table 40. Infectious and parasitic diseases mortality (A00-B99). 1970, 1975, 1980, Years Deaths Crude rate per pop. % of all deaths Note: Include AIDS. 53

49 Table 41. Intestinal infectious diseases mortality (A00-A09) Years Deaths Crude rate per pop. % of all deaths % of all deaths from infectious and parasitic diseases

50 Table 42. Maternal mortality by causes Causes Ratio per Number of deaths live births Direct obstetric deaths Ectopic pregnancy (O00) Pregnancy with abortive outcome, excludes ectopic pregnancy (O01-O08) Complications predominantly related to the puerperium (O85-O92) Obstetric embolism (O88) Puerperal infections (O85-O86) Complications of labour and delivery (O60-O66, O68-O71,O73-O75) Placental disorders (O43-O45) Other haemorrhages (O20, O46, O67, O72) Hypertensive disorders (O11-O16) Other complications (Remainder of O21-O23, O26, O29-O42,O47- O48, O95, A34, C58) Indirect obstetric deaths Diseases of the circulatory system (O99.4) Anaemia (O99.0) Infectious and parasitic diseases (O98) Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium (O99.5) Other diseases (Remainder of O10, O24-O25, O28, O99.1-O99.3, O99.6-O99.8, E23.0, M83.0, F53) Maternal mortality Note: Maternal mortality include direct and indirect causes. 55

51 Table 43. Mortality related to pregnancy, childbirth and the puerperium by causes Causes Number of deaths Ratio per live births Direct obstetric deaths Indirect obstetric deaths Other causes Malignant neoplasms (C00-C97) Disease of the respiratory system (J00-J99) Assault (X85-Y09) Mortality related to pregnancy, childbirth and the puerperium Late maternal death Death from sequelae of direct obstetric causes Definitions: Mortality related to pregnancy, childbirth and the puerperium: A pregnancy-related death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death. Late maternal death: A late maternal death is the death of a woman from direct or indirect obstetric causes more than 42 days but less than one year after termination of pregnancy. Death from sequelae of direct obstetric causes: Death from any direct obstetric cause occurring one year or more after termination of pregnancy. 56

52 Table 44. Mortality from selected notifiable diseases. 1970, 1980, 2000, Causes Number of deaths Typhoid fever (A010) Tuberculosis (A15-A19) Diphtheria (A36) Tetanus (A33-A35) Acute poliomyelitis (A80) Measles (B05) Syphilis (A50-A53) Whooping cough (A37) Crude rate per population Typhoid fever Tuberculosis Diphtheria Tetanus Acute poliomyelitis Measles Syphilis Whooping cough

53 MORBIDITY

54 Table 45. Incidence of selected notifiable diseases by sex. 2000, Diseases Total Male Female Total Male Female Total Male Female Typhoid fever Tuberculosis Tuberculosis of meninges Leprosy Diphtheria Whooping cough Tetanus Infant tetanus Measles Rabies Meningococcal meningitis Gonorrhea Syphilis AIDS Poliomyelitis Rubella Mumps Haemophilus meningitis Pneumococcal meningitis Incidence rate per population Typhoid fever Tuberculosis Tuberculosis of meninges Leprosy Diphtheria Whooping cough Tetanus Infant tetanus Measles Rabies Meningococcal meningitis Gonorrhea Syphilis AIDS * Poliomyelitis Rubella Mumps Haemophilus meningitis Pneumococcal meningitis * Rate per population of the age and sex. 61

55 Table 46. Incidence of selected notifiable diseases by age Diseases <1 year 1-14 years 15 years and over Total Cases Typhoid fever Meningococcal meningitis Meningococcaemia Measles Rubella Chickenpox * Viral hepatitis * Mumps Infectious mononucleosis Whooping cough Tetanus Tuberculosis Incidence rate per population Typhoid fever Meningococcal meningitis Meningococcaemia Measles Rubella Chickenpox Viral hepatitis Mumps Infectious mononucleosis Whooping cough Tetanus Tuberculosis * Include one case of unknown age. 62

56 Table 47. Meningococcal infection incidence and mortality. 1980, 1985, Years Incidence Mortality Cases Rate Deaths Rate Crude rate per population. Include meningococcal meningitis and meningococcaemia. 63

57 Table 48. Incidence of tuberculosis by age and location. 1990, 2000, Age Location No. Rate No. Rate No. Rate No. Rate Total <15 years Pulmonary Extrapulmonary Total Pulmonary Extrapulmonary Total and over Pulmonary Extrapulmonary Total Total* Pulmonary Extrapulmonary * In 2000 include one case of unknown age. Rate per population. 64

58 Table 49. Incidence of leprosy by age and clinical type. 1990, 2000, Age Clinical type No. Rate No. Rate No. Rate No. Rate Total Undetermined <15 years Dimorphous Tuberculoid Lepromatous Total Undetermined years and over Dimorphous Tuberculoid Lepromatous Total Undetermined Total Dimorphous Tuberculoid Lepromatous Rate per population. 65

59 Table 50. Consultations for acute diarrhoea and respiratory diseases by age Age Acute diarrhoea Acute respiratory Cases Rate Cases Rate < and over Total* * Include cases of unknown age, 9 cases in acute diarrhoea and 516 cases in acute respiratory. Rate per population. 66

60 Table 51. Women screened for detection of cervix cancer Years Women screened Rate Years Women screened Rate In the years : Rate per women of 20 years of age and over and re-evaluation period changed to 2 years. As of this 1997, the rate is estimated per women of 25 years of age and over and re-evaluation period changed to 3 years. Table 52. Women screened for detection of cervix cancer by age Age Number Rate Number Rate and over Total Rate per women by age. 67

61 Table 53. Number of cases of cervix cancer by clinical stage. 1990, Year Clinical stage 0 I II III IV Total Percentage of total

62 Table 54. Incidence of cancer by sex and leading locations MALE Location No. Crude rate Adjusted rate * Skin Prostate Bronchus, lung Lip, oral cavity and pharynx Larynx Colon Bladder Esophagus Lymphoma Non - Hodgkin Hodgkin Other unspecified Stomach Total** FEMALE Location No. Crude rate Adjusted rate * Skin Breast Bronchus, lung Cervix uteri Colon Corpus uteri Ovary Lymphoma Non - Hodgkin Hodgkin Other unspecified Thyroid gland Pancreas Total** * For the world population. ** Includes the rest of locations. Rate per population. Location: According to the International Classification of Diseases for Oncology. Third edition. First review. Gin. World Health Organization Source: National Cancer Registry. 69

63 Table 55. Incidence of cancer in population under 20 years of age by diagnostics group and age Diagnostics group < No. Rate No. Rate No. Rate No. Rate I. Leukemia Lymphoid Acute non lymphocytic Chronic myeloid Other unspecified II. Lymphoma and reticuloendotheliosis Non - Hodgkin Hodgkin Other unspecified III. Central nervous system Ependymoma Astrocytoma Other gliomas Other unspecified IV. Sympathetic Nervous System Neuroblastoma Ganglioneuroblastoma V. Retinoblastomas VI. Kidney Wilms Tumor Other unspecified VII. Hepatic tumors VIII. Bone tumors Osteosarcomas Ewing Sarcoma Other unspecified IX. Sarcoma of soft tissue X. Germ cells tumors, trophoblastic and other tumors XI. Carcinoma and other epithelial malignat tumors Malignant melanoma Carcinoma of skin Carcinoma of thyroid Carcinoma of nasopharynx Other carcinoma and unspecified XII. Other tumors unspecified Total Rate per population. Diagnostic groups: According to the International Classification of Tumors Children. Source: National Cancer Registry. 70

64 Table 55. Incidence of cancer in population under 20 years of age by diagnostics group and age (Continued) Diagnostics group <15 <20 No. Rate No. Rate No. Rate AR I. Leukemia Lymphoid Acute non lymphocytic Chronic myeloid Other unspecified II. Lymphoma and reticuloendotheliosis Non - Hodgkin Hodgkin Other unspecified III. Central nervous system Ependymoma Astrocytoma Other gliomas Other unspecified IV. Sympathetic Nervous System Neuroblastoma Ganglioneuroblastoma V. Retinoblastomas VI. Kidney Wilms Tumor Other unspecified VII. Hepatic tumors VIII. Bone tumors Osteosarcomas Ewing Sarcoma Other unspecified IX. Sarcoma of soft tissue X. Germ cells tumors, trophoblastic and other tumors XI. Carcinoma and other epithelial malignat tumors Malignant melanoma Carcinoma of skin Carcinoma of thyroid Carcinoma of nasopharynx Other carcinoma and unspecified XII. Other tumors unspecified Total AR Adjusted rate for the world population. Rate per population. Diagnostic group: According to the International Classification of Tumours Children. Source: National Cancer Registry.

65 Table 56. Incidence of cancer in male population aged 20 years and over by leading location and age Location No. Rate No. Rate No. Rate No. Rate No. Rate Skin Prostate Bronchus, lung Lip, oral cavity and pharynx Larynx Colon Bladder Esophagus Lymphoma Non - Hodgkin Hodgkin Other unspecified Stomach Total* Localización and over Total No. Rate No. Rate No. Rate No. Rate No. Rate Skin Prostate Bronchus, lung Lip, oral cavity and pharynx Larynx Colon Bladder Esophagus Lymphoma Non - Hodgkin Hodgkin Other unspecified Stomach Total* * Includes the rest of locations. Excluded 2 cases of unknown age. Rate per population. Source: National Cancer Registry. 72

66 Table 57. Incidence of cancer in female population aged 20 years and over by leading locations and age Localización No. Rate No. Rate No. Rate No. Rate No. Rate Skin Breast Bronchus, lung Cervix uteri Colon Corpus uteri Ovary Lymphoma Non - Hodgkin Hodgkin Other unspecified Thyroid gland Pancreas Total* Localización and over Total No. Rate No. Rate No. Rate No. Rate No. Rate Skin Breast Bronchus, lung Cervix uteri Colon Corpus uteri Ovary Lymphoma Non - Hodgkin Hodgkin Other unspecified Thyroid gland Pancreas Total* * Includes the rest of locations. Excluded 2 cases of unknown age. Rate per population. Source: National Cancer Registry. 73

67 Table 58. Total doses administered by type of vaccine Type of vaccine Total doses administered Tetanus toxoid vaccine (TT) Oral poliovirus vaccine (OPV) Typhoid vaccine (AT) Diphtheria, tetanus and pertussis vaccine (DPT) Diphtheria and tetanus toxoid vaccine (DT) BCG vaccine Meningococcal type B C vaccine (AM-BC) (1) Hepatitis B vaccine (HB) (2) Measles, mumps, and rubella vaccine (MMR) (3) H. influenzae (Hib) (4) DPT + HB (5) DPT+HB+Hib (6) (1) Vaccination began in (4) Vaccination began in (2) Vaccination began in (5) Vaccination 2005 to (3) Vaccination began in (6) Vaccination began in Table 59. Low birth-weight Years Live births with low weight Percentage of all live births

68 HEALTH PERSONNEL AND RESOURCES

69 Table 60. Health budget and per capita expenses. 1959, 1960, 1965, Cuban pesos Years Budget spending Per capita expenses

70 Table 61. Health personnel Years Total Percent of women % of population at working age

71 Table 62. Health personnel by occupation and sex Occupation Workers Per Number population Number Females % of the total Total workers Of them: Nursing staff: Bachelor in nursery Nurses Basic Technicians* Clinical and microbiological laboratory Blood bank X Ray Dentistry Pharmacy Epidemiology and hygiene Ophthalmology Social worker Physiotherapy and rehabilitation Health statistics Orthopedic bandage Orthopedic prosthesis and orthesis Dietetic Psychiatric ergo therapy Psychological testing Logopedic and phoniatric Medical radio physic Cytohistopathology Podiatry Other technicians Basic technicians* * Excludes nurses. 79

72 Table 63. Physicians and dentists. 1975, 1980, 1985, Physicians Dentists Years Number Per pop. Pop. per physician Number Per pop. Pop. per dentist Source: Registry of Health Professionals. 80

73 Table 64. Cuban health collaboration by regions and countries AMERICAS REGION Antigua y Barbuda Argentina Belice Bolivia Brazil Dominique Ecuador El Salvador Grenada Guatemala Guyana Haiti Honduras Jamaica Mexico Nicaragua Peru Bolivarian Republic of Venezuela Saint Kitts and Nevis Saint Vincent and the Grenadines Saint Lucia Suriname Trinidad and Tobago Uruguay AFRICAN REGION Angola Botswana Burkina Faso Cape Verde Chad Congo Djibouti Eritrea Ethiopia Gabon Gambia Ghana Guinea Bissau Guinea Conakry Algeria Saudi Arabia Bahrein China Vanuatu Islands Japan Portugal Equatorial Guinea Lesotho Mozambique Namibia Niger RASD Sao Tome and Principe Seychelles Sierra Leone South Africa Swaziland Tanzania Uganda Zimbabwe EASTERN MEDITERRANEAN REGION Qatar SOUTH EAST ASIA REGION Kiribati Laos Nauro Timor Leste EUROPEAN REGION Russian Source: Central Unit of Collaboration. Information December 31,

74 Table 65. Countries participating in comprehensive health care programs by continent LATIN AMERICA AND THE CARIBBEAN Belice Bolivia Dominique El Salvador Guatemala Guyana Haiti Honduras Nicaragua Saint Vincent and the Grenadines AFRICA Burkina Fasso Chad Congo Eritrea Ethiopia Gambia Ghana Guinea- Bissau Guinea Conakry Lesotho Niger RASD Sao Tome and Principe Sierra Leone Swaziland Tanzania Zimbabwe ASIA Laos Vanuatu Islands Kiribati Nauru Source: Central Unit of Collaboration. Information December 31,

75 Table 66. Health care facilities by type Facilities Number Medical care Hospitals General 54 Clinical and surgical 30 Pediatric 22 Gynecological and obstetric 12 Maternal and infant care 4 Oncological 2 Orthopedic 2 Psychiatric 19 Cardiocenter 1 Antituberculosis 1 Leprosarium 1 Rehabilitation 2 Sida nursing home 1 Total 151 Research institutes 12 Other Subordinated National Units 7 Polyclinics 451 Dental clinics 110 Maternal home 136 Blood banks 28 Social service Elderly homes 147 Ambulatory elderly homes 265 Disabled homes 30 83

76 Table 67. Medical care and social service beds Medical care Social service* Total Years Beds Beds per pop. Beds Beds per pop. Beds Beds per pop * Includes beds in private facilities. Source: Records Health Units. National Economic. MINSAP. 84

77 SERVICES

78 Table 68. Medical and dental visits Medical Years Emergency Dental Total Outpatient Sub-total room Visits Visits per inhabitant

79 Table 69. Pediatric visits by age Under 1 year of age 1-4 years of age Years Visits Visits per inhabitant Visits Visits per inhabitant Includes healthy baby visits. 88

80 Table 69. Pediatric visits by age groups (Continued) 5-14 years of age Total Years Visits Visits per inhabitant Visits Visits per inhabitant Includes healthy baby visits. 89

81 Table 70. Healthy baby visits by age Under 1 year of age 1-14 years of age Total Years Visits Visits per inhab. Visits Visits per inhab. Visits Visits per inhab

82 Table 71. Selected surgical indicators Years Total surgeries Major surgeries % Minor surgeries %

83 Table 72. Hospital admissions. 1970, 1975, Years Number of admissions Admissions per 100 population

84 Table 73. Hospital bed occupancy rates by selected medical specialties. 1990, 2000 and Specialty Average length of stay Occupancy rate Medicine except psychiatry Psychiatry Surgery except pediatric surgery Pediatric surgery Obstetrics Gynecology except abortions Pediatric Neonatology Total Specialty Rotation rate Substitution interval Medicine except psychiatry Psychiatry Surgery except pediatric surgery Pediatric surgery Obstetrics Gynecology except abortions Pediatric Neonatology Total Specialty Admissions per 100 population. Patient-days per 100 population Medicine except psychiatry (1) Psychiatry (2) Surgery except pediatric surgery (1) Pediatric surgery (3) Obstetrics (4) Gynecology except abortions (5) Pediatric (3) Neonatology (6) Total (2) Rates calculated with real beds on the basis of: (1) Population aged 15 years and over. (2) Total population. (3) Population under 15 years of age. (4) Female population of years of age. (5) Female population 15 years of age and over. (6) Live births. 93

85 Table 74. Bed occupancy rates by type of hospital. 1990, 2000 and 2015 Type of hospital Average length of stay Occupancy rate General Clinical and surgical Gynecological and obstetric Mother and child Pediatric Type of hospital Rotation rate Substitution interval General Clinical and surgical Gynecological and obstetric Mother and child Pediatric Type of hospital Admissions per 100 population Patient-days per 100 population General (1) Clinical and surgical (1) Gynecological and obstetric (2) Mother and child (3) Pediatric (4) Rates calculated with real beds on the basis of: (1) Total population. (2) Female population of 15 years of age and over. (3) Female population of 15 years of age and over and live births. (4) Population under 15 years of age. 94

86 Table 75. Maternal home admissions Years Admissions Admissions per 100 live births

87 Table 76. Residents in elderly home by sex Years Male Female Total Full-time residents Residents in day programs Total

88 Table 77. Blood donations Suitable donations Years Total of donors Number Per 100 population Per 100 admission

89 HEALTH PERSONNEL TRAINING

90 Table 78. Health professional graduates by specialty Years Medicine Dentistry Nursing Health Psychology technology Total * ** *** Total * Includes two graduating classes. ** Course duration extended 4 to 5 years. *** Includes the first graduation of the new program for the training of Latin-American doctor 101

91