PUBLIC HEALTH STATISTICS

Transcription

1 MINISTRY OF HEALTH NATIONAL CENTER OF HEALTH INFORMATICS PUBLIC HEALTH STATISTICS <Annual <Bulgaria, 2002 Sofia,

2 2

3 CONTENTS I. POPULATION AND VITAL STATISTICS 1. Population on 31.XII Population by age on 31.XII Age structure of the population Live births, deaths and natural growth Births and abortions Age specific fertility rates Infant mortality Perinatal, neonatal and postneonatal infant mortality Stillbirths and infant deaths under 1 year Mortality by age groups Life expectancy in Republic of Bulgaria II. MORBIDITY AND MORTALITY BY CAUSES 1. Registered cases of diseases in health facilities by age Registered cases of diseases in health facilities in 2002 by classes of diseases Registered cases of certain infectious diseases subject to obligatory reporting Registered cases of active tuberculosis Registered cases of malignant neoplasms Registered cases of some venereal and skin infections Patients under dispensary observation of psychiatric facilities, wards and consultations on and by type of disease Patients discharged from hospitals by age Patients discharged from hospitals by classes of diseases in Primary disability Disabled persons by class of disease and loss of capacity in Mortality by causes in III. HEALTH FACILITIES 1. Health facilities and hospital beds in Beds in hospitals on 31.XII.2002 by type

4 IV. HEALTH PERSONNEL 1. Medical personnel Physicians by speciaity V. ACTIVITIES OF THE HEALTH FACILITIES 1. Activities of the inpatient wards of the hospital health care facilities in Utilization, turnover and average lenght of stay in health care facilities in 2002 by type of beds Induced abortions in health facilities during 2002 by age group and type of abortion Induced abortions in health facilities Registered calls and persons served by the centers for urgent medical care Number and type of surgeries of patients, discharged from hospitals in VI. ECONOMICAL INDICATORS FOR THE ACTIVITIES OF THE MUNICIPAL HEALTH FACILITIES 1. Basic economical indicators for activities of regional health facilities subordinated to the municipalities VII. REVIEW BY REGIONS 1. Population on 31.XII Live births in Deaths in Natural growth of population in Infant mortality in Number of beds on 31.ÕII Medical personnel in health facilities in VIII. INTERNATIONAL REVIEW 1. Birth rate, death rate and natural growth Infant mortality rate Medical personnel and hospital beds

5 I. POPULATION AND VITAL STATISTICS 1. Population on 31.XII. Year Total Male Female Urban Rural Number (thous.) Percentage %

6 2. Population by Age on 31.XII.2002 Age Total Male Female Urban Rural Total

7 3. Age 1) Structure of the Population Year Total (percents) Age groups Total Urban Rural ) Till 1996 age groups are: 0-14, and 60+ years. 7

8 4. Live Births, Deaths and Natural Growth Year Live births Deaths Natural growth Number Total Live births Deaths Natural growth Per 1000 population Urban Rural

9 Live Births, Deaths and Natural Growth (per population) Live births Natural growth Deaths positive natural growth negative natural growth 9

10 5. Births and Abortions Year Births Abortions Births Abortions Number Per 1000 women at Age Specific Fertility Rates (per 1000 women at 15 49) Age Total

11 7. Infant Mortality Year Total Urban Rural Number Per 1000 live births Perinatal, Neonatal and Postneonatal Infant Mortality (per 1000 live births) Perinatal 1) Neonatal Postneonatal 2) ) Per 1000 births. 2) Per 1000 live births excl. deaths before 28 th day. 11

12 Infant Mortality (per 1000 live births) Total 25 Rural 20 Urban

13 Perinatal, Neonatal and Postneonatal Infant Mortality (per 1000 live births) Perinatal Neonatal Postneonatal 13

14 9. Stillbirths and Infant Deaths Under 1 Year (number) Year Stillbirths Total Infant deaths under 1 year Incl: 0 6 days 7 27 days 28+ days Total Urban Rural

15 Year Total *under 1 year * Per 1000 live births 10. Mortality by Age Groups (per 1000 population of the same age group) Age groups Life Expectancy in Republic of Bulgaria Periods Total Male Female (in years) 15

16 II. MORBIDITY AND MORTALITY BY CAUSES 1. Registered Cases of Diseases in Health Facilities by Age 1) Year Age group Age group Total Total Number Per 1000 population ) ) ) Till 1996 age groups are: 0-14, 15+ years. 2) Extrapolation data. 16

17 2. Registered Cases 1) of Diseases in Health Facilities in 2002 by Classes of Diseases ¹ by ICD IX Classes Number of cases Per 1000 Percentage population Total I. Infectious and parasitic diseases II. Neoplasms III. Allergic, endocrine system, metabolic and nutritional diseases IV. Diseases of the blood and blood forming organs V. Mental, psychoneurotic and personality disorders VI. Diseases of the nervous system and sense organs VII. Diseases of the circulatory system VIII. Diseases of the respiratory system IX. Diseases of the digestive system X. Diseases of the genito-urinary system XI. Deliveries and complications of pregnancy, childbirth and the puerperium XII. Diseases of the skin and cellular tissue XIII. Diseases of the bones and organs of movement XV. Congenital malformations XV. Certain diseases of early infancy XVI. Symptoms, senility and indefined conditions XVII. Accidents, poisonings and violence ) Extrapolation data. 17

18 Registered Cases of Diseases in Health Facilities in 2002 Diseases of the skin and cellular tissue 6% Other 27% Diseases of the respiratory system 37% Diseases of the nervous system and sense organs 12% Accidents, poisonings and violence 7% Diseases of the circulatory system 11% 18

19 3. Registered Cases of Certain Infectious Diseases Subject to Obligatory Reporting (per population) Cases Diphteria Scarlet fever Measles Pertussis Rubeolla Chiken pox Mumps Influenza Epidemic meningitis Epidemic encephalitis Poliomyelitis Haemorrhagic fever Malaria* Typhoid fever - - 3,6 4,6 6,5 Paratyphoid fever Shigellosis Infectious hepatits Anthrax Leptospirosis Tetanus Meningitis serosa Bacterial meningitis and meningoencephalitis Viral meningitis and meningoencephalitis * All registrated cases are imported. 19

20 4. Registered Cases of Active Tuberculosis (per population) Form of the disease Total incl. new cases Tuberculosis of the respiratory system incl. new cases Tuberculosis of the bones and joints incl. new cases Meningitis and CNS tuberculosis incl. new cases Other forms of active tuberculosis incl. new cases

21 5. Registered Cases of Malignant Neoplasms Localization Total (per population) incl. new incl. new cases Total cases Total Lips, oral cavity and pharynx Incl. lips Digestive organs and peritoneum Incl. stomach colon, rectum, rectosigmoid junction and anus Respiratory system Incl. trachea, bronchus and lung Musculoskeletal system, skin and connective tissue Incl. melanoma and other skin malignant neoplasms female breast ) ) ) ) Genito-urinary system Incl. cervix uteri ) ) ) ) uterus ) ) ) ) ovary and attributes of the uterus ) ) ) ) prostate ) ) ) ) bladder Other and unspecified site Lymphoid and haematopoietic tissue ) Per female 2) Per male 21

22 Registered Cases of Malignant Neoplasms (per population) Total New cases 22

23 6. Registered Cases of Some Venereal and Skin Infections (per population) Disease Syphilis incl. new cases Gonnorhoea incl. new cases Microsporia incl. new cases Trychophytia incl. new cases Patients Under Dispensary Observation of Psychiatric Facilities, Wards and Consultations on and by Type of Disease (per population) Name of disease ICD-IX Total Schizophrenia (295) Manic-depressive disorder depressive type (296.1, 296.3) Neurotic disorders (300, excl. p.4) Personality disorders (301) Alchohol dependent syndrome (303) Mild mental retardation (317) Moderate mental retardation (318.0) Epilepsy (345) All other diseases

24 8. Patients Discharged from Hospitals 1) by Age 2) Total Age groups Total Age groups Year Number Per 100 population ) Till 1999 from general type hospitals only. 2) Till 1996 age groups are: 0 14 and 15+ years. 24

25 9. Patients Discharged from Hospitals by Classes of Diseases in 2002 ¹ by ICD IX Classes Number Per 100 population Percentage Total I. Infectious and parasitic diseases II. Neoplasms III. Allergic, endocrine system, metabolic and nutritional diseases IV. Diseases of the blood and blood forming organs V. Mental, psychoneurotic and personality disorders VI. Diseases of the nervous system and sense organs VII. Diseases of the circulatory system VIII. Diseases of the respiratory system IX. Diseases of the digestive system X. Diseases of the genito-urinary system XI. Deliveries and complications of pregnancy, childbirth and the puerperium XII. Diseases of the skin and cellular tissue XIII. Diseases of the bones and organs of movement XIV. Congenital malformations XV. Certain diseases of early infancy XVI. Symptoms, senility and indefined conditions XVII. Accidents, poisonings and violence

26 10. Primary Disability Year Loss of capacity over 90% 71% 90% 50% 70% under 50% number % number % number % number % number Total per 1000 population over 16 year Loss of capacity 50-70% 19.3% 5.7% Loss of capacity under 50% 34.8% Loss of capacity over 90% 40.2% Loss of capacity 71-90% 26

27 11. Disabled Persons by Class of Disease and Loss of Capacity in 2002 loss of capacity ¹ by ICD IX Classes over 90% 71% 90% 50% 70% under 50% Total Total I. Infectious and parasitic diseases II. Neoplasms III. Allergic, endocrine system, metabolic and nutritional diseases IV. Diseases of the blood and blood forming organs V. Mental, psychoneurotic and personality disorders VI. Diseases of the nervous system and sense organs VII. Diseases of the circulatory system VIII. Diseases of the respiratory system IX. Diseases of the digestive system X. Diseases of the genito-urinary system XI. Deliveries and complications of pregnancy, childbirth and the puerperium XII. Diseases of the skin and cellular tissue XIII. Diseases of the bones and organs of movement XIV. Congenital malformations XV. Certain diseases of early infancy XVI. Symptoms, senility and indefined conditions XVII. Accidents, poisonings and violence Other classes

28 9. Mortality by Causes in 2002 Cause of death Number Per population Percentage Total Infectious and Parasitic Diseases Neoplasms Allergic, endocrine system, metabolic and nutritional diseases Diseases of the blood and blood forming organs Mental, psychoneurotic and personality disorders Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genito-urinary system Deliveries and complications of pregnancy, childbirth and the puerperium Diseases of the skin and cellular tissue Diseases of the bones and organs of movement Congenital malformations Certain diseases of early infancy Symptoms, senility and indefined conditions Accidents, poisonings and violence

29 Mortality by Causes in 2002 Others 7.0% Symptoms, senility and indefined conditions 4.2% Diseases of the respiratory system 3.0% Neoplasms 14.1% Accidents, poisonings and violence 3.8% Diseases of the circulatory system 67.9% 29

30 III. HEALTH FACILITIES 1. Health Facilities and Hospital Beds in 2002 Types of health facilities Number Beds Health facilities for hospital care total Multiprofile hospitals Multiprofile hospital for active treatment Multiprofile hospital for continuing, long term treatment and rehabilitation Specialized hospitals Specialized hospital for active treatment Specialized hospital for continuing and long term treatment Specialized hospital for continuing, long term treatment and rehabilitation Specialized hospital for rehabilitation Psychiatric hospitals Other inpatient facilities Hospitals of other administrations Private facilities for hospital care Health facilities for outpatient care Medical center Dental center 70 - Medico-dental center Diagnostic-consulting center Stand-alone medico-diagnostic and medico-technical laboratories Other healthcare and health facilities Prophylactic centers For pulmonary diseases For dermato-venerological diseases For oncological diseases For psychiatric diseases Emergency healtcare centers 28 - Stand-alone centers for transfusional haematology 4 - Medico-social care for children centers Hospises National centers without beds 6 - Regional centers for health 28 - Hygiene-epidemiology inspectorates 29 - Sanatorial facilities

31 2. Beds in Hospitals on 31.ÕII.2002 by Type Type of beds Number of beds Percentage Per population Total* Internal diseases Endocrinological Reumatological Cardiological Nephrological Haematological Gastroenterological Pulmophtysiatrical Surgical Traumatological Neurosurgical Urological Gynecological Obstetrics Pathological maternity Neonatological Pediatric Micropediatric For immature infants, with dystrophy, or birth defects Oncological Infectious Ophtalmological Oto-rhino-laryngological Dermato-venerological Neurological Psychiatric For continuing and long term treatment Physiotherapeutic and rehabilitation Intensive care Other specialized Home care Day care * Hospital beds of other administrations included, but not allocated by type. 31

32 IV. HEALTH PERSONNEL 1. Medical Personnel Number Physicians Dentists Pharmacists Auxiliary medical personnel Incl.: med.assist midwives nurses clinical laboratory and X-ray technicians dental technicians pharmaceutical assist other Per population Physicians Dentists Pharmacists Auxiliary medical personnel Population per: one physician one dentist

33 Medical Personnel (per population) Physicians Dentists Pharmacists 33

34 2. Physicians by Speciality Specialties number per population number per population number per population number per population Physicians-total 1) incl.: internists 2) surgeons 3) gynaecologists pediatricians ophtalmologists oto-rhinolaryngologists neurologists psychiatrists pulmophtysiatrists dermatologists radiologists physiotherapists clinical laboratory ) Physicians-oncologists are included in the respective general specialty internists, surgeons etc. 2) Infectionists are included. 3) Including traumatologists, orthopaedists, neurosurgeons amd urologists. 34

35 V. ACTIVITIES OF THE HEALTH FACILITIES 1. Activities of the Inpatient Wards of the Hospital Health Care Facilities in 2002 Types of facilities Admitted patients Discharged patients Deaths Healthcare facilities for hospital care total* Multiprofile hospitals Multiprofile hospital for active treatment Multiprofile hospital for continuing, long term treatment and rehabilitation Specialized hospitals Specialized hospital for active treatment Specialized hospital for continuing and long term treatment Specialized hospital for continuing, long term treatment and rehabilitation Specialized hospital for rehabilitation Psychiatric hospitals Other hospital facilities Private facilities for hospital care Prophylactic centers For pulmonary diseases For dermato-venerological diseases For oncological diseases For psychiatric diseases * Excl. facilities of other administrations. 35

36 1. Activities of the Inpatient Wards of the Hospital Health Care Facilities in 2002 (continued from previous) Types of facilities Bed days Utilization of beds (days) Turnover of beds Average length of stay (days) Hospital mortality (%) Healthcare facilities for hospital care total* Multiprofile hospitals Multiprofile hospital for active treatment Multiprofile hospital for continuing, long term treatment and rehabilitation Specialized hospitals Specialized hospital for active treatment Specialized hospital for continuing and long term treatment Specialized hospital for continuing, long term treatment and rehabilitation Specialized hospital for rehabilitation Psychiatric hospitals Other hospital facilities Private facilities for hospital care Prophylactic centers For pulmonary diseases For dermato-venerological diseases For oncological diseases For psychiatric diseases * Excl. facilities of other administrations.

37 2. Utilization, Turnover and Average Length of Stay in Health Care Facilities in 2002 by Type of Beds Type of beds Utilization (days) Turnover Average length of stay (days) Total* Internal diseases Endocrinological Reumatological Cardiological Nephrological Haematological Gastroenterological Pulmophtysiatrical Surgical Traumatological Neurosurgical Urological Gynecological Obstetrics Pathological maternity Neonatological Pediatric Micropediatric For immature infants, with dystrophy, or birth defects Oncological Infectious Ophtalmological Oto-rhino-laryngological Dermato-venerological Neurological Psychiatric For continuing and long term treatment Physiotherapeutic and rehabilitation Intensive care Other specialized Home care Day care * Excl. facilities of other administrations. 37

38 3. Induced Abortions in Health Facilities during 2002 by Age Group and Type of Abortion (Number) Type of abortions Age group Total Medical indicated Spontaneous Illegal Legal Total < > Distribution of Induced Abortions by Age over 40 years years 33.1% 3.9% 9.8% under 19 years 53.2% year 38

39 4. Induced Abortions in Health Facilities (Number) Total incl: medically indicated spontaneous abortions illegal abortions legal abortions Registered Calls and Persons Served by the Centers for Urgent Medical Care Number Per cent Number Per cent Registered calls total incl: accidents diseases transportation Persons attended total x x 39

40 6. Number and type of surgeries of patients, discharged from hospitals in 2002 Type of surgery Discharged surgical patients Incl.: with complications died Lethality ( % ) Total Surgery of gastrointestinal tract Apendectomia due to acute appendicitis Herniotomy due to unobstructed hernia Obstetrics-gynecological surgeries Endocrine surgeries Traumatology surgeries Chest surgeries Urological surgeries Otho-Rhino-Larhingological surgeries Tonsillectomy Ophtalmological surgeries Catharacta Neurosurgeries Cardiovascular surgeries Vascular surgeries Facial and dental surgeries Plastic, reconstructive and esthetic surgeries Other surgical interventions

41 VI. ECONOMICAL INDICATORS FOR THE ACTIVITIES OF THE MUNICIPAL HEALTH FACILITIES 1. Basic economical indicators for activities of regional health facilities subordinated to the municipalities Year Current maintenance costs in: Inpatient facilities: (in leva) Outpatient facilities Per patient Per bed Per bed day Per medicine day Per food day Per medical examination ) ) Dynamics in % 2000/ Dynamics in % 2001/ ) The data concerns Multiprofile hospitals for active treatment (MHAT) managed by municipalities (Excl. regional MHAT) 41

42 VII. REVIEW BY REGIONS 1. Population on 31.XII.2002 Regions Total Male Female Urban Rural Number Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

43 (continued from previous) Regions Total Male Female Urban Rural Percentage Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

44 2. Live Births in 2002 Regions Total Urban Rural Total Urban Rural Number Per 1000 population Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

45 3. Deaths in 2002 Regions Total Urban Rural Total Urban Rural Number Per 1000 population Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

46 4. Natural Growth of Population in 2002 Regions Total Urban Rural Total Urban Rural Number Per 1000 population Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

47 5. Infant Mortality in 2002 Regions Total Urban Rural Total Urban Rural Number Per 1000 live births Total Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol

48 6. Number of Beds on 31.ÕII.2002 Regions number Hospital beds per population Total 1) Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol ) Beds belonging to other administrations are included, but not allocated by regions. 48

49 7. Medical Personnel in Health Facilities in 2002 Regions Physicians Dentists Auxiliary medical personnel Number Incl.: Med.assist. Midwives Nurses Total 1) Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol ) Personnel belonging to other administrations are included, but not allocated by regions. 49

50 7. Medical Personnel in Health Facilities in 2002 (continued from previous) Regions Physicians Dentists Auxiliary medical personnel Per population Incl.: Med.assist. Midwives Nurses Total 1) Blagoevgrad Bourgas Varna V. Tarnovo Vidin Vratza Gabrovo Dobrich Kardgali Kjustendil Lovetch Montana Pazardgik Pernik Pleven Plovdiv Razgrad Rousse Silistra Sliven Smoljan Sofia-capital Sofia St. Zagora Targovischte Haskovo Shoumen Yambol ) Personnel belonging to other administrations are included, but not allocated by regions. 50

51 VIII. INTERNATIONAL REVIEW 1. Birth Rate, Death Rate and Natural Growth (per 1000 population) Countries Year Birth rate Death rate Natural growth Countries Year Birth rate Death rate Natural growth Austria Norway Belgium Poland Bulgaria Germany United Kingdom Switzerland Netherlands Roumania

52 2. Infant Mortality Rate (per 1000 live births) Countries Austria Belgium Bulgaria United Kingdom Greece Spain Italy Norway Poland Portugal Roumania Russia Hungary France Germany Chech republic Switzerland

53 3. Medical Personnel and Hospital Beds (per population) Countries Year Physicians Year Dentists Year Beds Albania Austria Belgium Bulgaria Chech republic Germany Denmark Finland France Greece Hungary Ireland Israel Italy Luxembourg Netherlands Norway Poland Portugal Roumania Spain Russia Switzerland Sweden Turkey United Kingdom Europe

54 Number of Physicians (per population) Poland Roumania United Kingdom Albania Turkey Bulgaria Italy Greece Russia Belgium Number of Hospital Beds (per population) Portugal Ireland Albania Turkey Bulgaria Germany Russia Luxembourg 54

55 National Center for Health Information About the National Center for Health Information The National Center for Health Information will solve your information problems in the field of medicine and healthcare: 4 It creates and maintains information databases about the health-demographic status of the population, the resources and activities of healthcare. 4 It surveys the information needs of medical practice and provides for their documentary insurance. 4 It provides medico-statistic information to state bodies. 4 It prepares specialized healthcare analyses by request from the relevant organizations. 4 It prepares, distributes and introduces information technologies, products and systems. 4 It provides tech support and installation and maintains program products. 4 It prepares informative and other types of publications for printing. Director: Doctor of Economics, assoc. prof. Christian Griva griva@nchi.government.bg <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< Office: Sofia 1431, 15 "Akad. Ivan Geshov" blv. tel.: (+359-2) ; fax: (+359-2) office@nchi.government.bg; 55

56 PUBLIC HEALTH STATISTICS, Bulgaria 2002, Annual ISSN Èçäàâà Íàöèîíàëåí öåíòúð ïî çäðàâíà èíôîðìàöèÿ Ñîôèÿ, 2003 ã. Ïå àò Íàöèîíàëåí öåíòúð ïî çäðàâíà èíôîðìàöèÿ Òèðàæ