2010.WHS

WORLD HEALTH STATISTICS 2010

WHO Library Cataloguing-in-Publication Data World health statistics 2010. 1.Health status indicators. 2.World health. 3.Health services - statistics. 4.Mortality. 5.Morbidity. 6.Life expectancy. 7.Demography. 8.Statistics. I.World Health Organization. ISBN 978 92 4 156398 7

(NLM classification: WA 900.1)

© World Health Organization 2010 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). 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 expressed 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.

Acknowledgements This publication was produced by the Department of Health Statistics and Informatics of the Information, Evidence and Research Cluster, under the direction of Ties Boerma and Carla AbouZahr, assisted by Jessica Ho, Ahmadreza Hosseinpoor and Annet WR Mahanani, and in collaboration with WHO technical programmes and regional offices and with other agencies in the United Nations system. The following WHO staff contributed to the content of this publication: Mohammed Ali, Khan Aseel, Eric Bertherat, Michel Beusenberg, Monika Bloessner, Sophie Bonjour, Cynthia Boschi Pinto, Sylvie Briand, Anthony Burton, Alexandra Cameron, Claire Chauvin, Doris Chou, Denis Daumerie, Mercedes de Onis, Chris Dye, Katya Fernandez-Vegas, Alexandra Fleischmann, Katherine Floyd, Daniela Fuhr, Marta Gacic Dobo, Jun Gao, Sandra Garnier, Andrea Gerger, Philippe Glaziou, Neeru Gupta, Alexandra Hill, Rifat Hossain, Chandika Indikadahena, Mie Inoue, Gauri Khanna, Nathalie Kizirian, Teena Kunjumen, Richard Laing, Enrique Loyola, Doris Ma Fat, Fatima Marinho, Ramon Martinez, Liz Mason, Colin Mathers, Jill Meloni, Anne-Beth Moller, Elizabeth Mumford, Chizuru Nishida, Sahar Parvez, William Perea Caro, Vladimir Pozniak, Annette Pruss-Ustun, Dag Rekve, Randa Saadeh, Lale Say, Sunil Senanayake, William Soumbey-Alley, Yves Souteyrand, Tessa Tan-Torres, Hazim Timimi, Katelijn Vandemaele, Caroline Warming, Ryan Williams and Ju Yang. WHO is grateful to UNICEF (Danielle Burke, Claudia Cappa, Edilberto Loaiza, Holly Newby and Tessa Wardlaw); the Department of Economic and Social Affairs Population Division (Gerhard K Heilig and François Pelletier); the Centers for Disease Control and Prevention of the United States of America (Brandon O’Hara and Wick Warren); and the World Bank (Shota Hatakeyama) for their valuable contributions. The publication was edited by Tony Waddell. Support for the online database was provided by Phillipe Boucher, Zoe Brillantes, Steve Moore, John Rawlinson, Florence Rusciano and Knut Staring. Production support was provided by the Department of Knowledge Management and Sharing, including Caroline Allsopp, Ian Coltart and Maryvonne Grisetti. Graphic design and layout was by Sophie Guetaneh Aguettant and Florence Rusciano. We thank Petra Schuster for her administrative support. Cover design: Michel Beusenberg, Sophie Guetaneh Aguettant and Denis Meissner.

Printed in France.

2

Table of Contents Introduction

8

Part I. Health-related Millennium Development Goals

11

Summary of status and trends Regional and country charts

12

1. Children aged <5 years underweight (%) 2. Under-five mortality rate (probability of dying by age 5 per 1000 live births) 3. Measles immunization coverage among 1-year-olds (%) 4. Maternal mortality ratio (per 100 000 live births) 5. Births attended by skilled health personnel (%) 6. Contraceptive prevalence (%) 7. Adolescent fertility rate (per 1000 girls aged 15–19 years) 8. Antenatal care coverage (%): at least 1 visit and at least 4 visits 9. Unmet need for family planning (%) 10. Prevalence of HIV among adults aged 15–49 years (%) 11. Males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) 12. Females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%) 13. Antiretroviral therapy coverage among people with advanced HIV infection (%) 14. Malaria mortality rate (per 100 000 population) 15. Children aged <5 years sleeping under insecticide-treated nets (%) 16. Children aged <5 years with fever who received treatment with any antimalarial (%) 17. Tuberculosis mortality rate among HIV-negative people (per 100 000 population) 18. Population using improved drinking-water sources (%) 19. Population using improved sanitation (%)

Part II. Global health indicators Table 1

23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

43

Mortality and burden of disease

45

Life expectancy at birth (years) Healthy life expectancy (HALE) at birth (years) Neonatal mortality rate (per 1000 live births) Infant mortality rate (probability of dying by age 1 per 1000 live births) Under-five mortality rate (probability of dying by age 5 per 1000 live births) Adult mortality rate (probability of dying between 15 and 60 years per 1000 population)

3

Table 2

Cause-specific mortality and morbidity

59

Mortality Maternal mortality ratio (per 100 000 live births) Cause-specific mortality rate (per 100 000 population) Age-standardized mortality rates by cause (per 100 000 population) Distribution of years of life lost by broader causes (%) Distribution of causes of death among children aged <5 years (%) Morbidity Prevalence of tuberculosis (per 100 000 population) Incidence of tuberculosis (per 100 000 population per year) Prevalence of HIV among adults aged 15–49 years (%)

Table 3

Selected infectious diseases : number of reported cases

73

Cholera Diphtheria H5N1 influenza Japanese encephalitis Leprosy Malaria Measles Meningitis Mumps Pertussis Plague Poliomyelitis Congenital rubella syndrome Rubella Neonatal tetanus Total tetanus Tuberculosis Yellow fever

Table 4

Health service coverage

85

Antenatal care coverage (%) Births attended by skilled health personnel (%) Births by caesarean section (%) Neonates protected at birth against neonatal tetanus (%) Immunization coverage among 1-year-olds (%) Children aged 6–59 months who received vitamin A supplementation (%) Children aged <5 years sleeping under insecticide-treated nets (%)

4

Children aged <5 years with fever who received treatment with any antimalarial (%) Children aged <5 years with ARI symptoms taken to facility (%) Children aged <5 years with diarrhoea receiving ORT (%) Unmet need for family planning (%) Contraceptive prevalence (%) Antiretroviral therapy coverage among HIV-infected pregnant women for PMTCT (%) Antiretroviral therapy coverage among people with advanced HIV infection (%) Smear-positive tuberculosis case-detection rate (%) Smear-positive tuberculosis treatment-success rate (%)

Table 5

Risk factors

99

Population using improved drinking-water sources (%) Population using improved sanitation (%) Population using solid fuels (%) Low-birth-weight newborns (%) Infants exclusively breastfed for the first 6 months of life (%) Children aged <5 years stunted (%) Children aged <5 years underweight (%) Children aged <5 years overweight (%) Adults aged ≥15 years who are obese (%) Alcohol consumption among adults aged ≥15 years (litres of pure alcohol per person per year) Prevalence of smoking any tobacco product among adults aged ≥15 years (%) Prevalence of current tobacco use among adolescents aged 13–15 years (%) Prevalence of condom use by adults aged 15–49 years at higher-risk sex (%) Population aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%)

Table 6

Health workforce, infrastructure and essential medicines

Health workforce and infrastructure Number of physicians and density (per 10 000 population) Number of nursing and midwifery personnel and density (per 10 000 population) Number of dentistry personnel and density (per 10 000 population) Number of pharmaceutical personnel and density (per 10 000 population) Number of environment and public health workers and density (per 10 000 population) Number of community health workers and density (per 10 000 population) Hospital beds (per 10 000 population) Essential medicines Median availability of selected generic medicines in public and private sectors (%) Median consumer price ratio of selected generic medicines in public and private sectors

5

113

Table 7

Health expenditure

127

Health expenditure ratios Total expenditure on health as a percentage of gross domestic product General government expenditure on health as a percentage of total expenditure on health Private expenditure on health as a percentage of total expenditure on health General government expenditure on health as a percentage of total government expenditure External resources for health as a percentage of total expenditure on health Social security expenditure on health as a percentage of general government expenditure on health Out-of-pocket expenditure as a percentage of private expenditure on health Private prepaid plans as a percentage of private expenditure on health Per capita health expenditures Per capita total expenditure on health at average exchange rate (US$) Per capita total expenditure on health (PPP int. $) Per capita government expenditure on health at average exchange rate (US$) Per capita government expenditure on health (PPP int. $)

Table 8

Health inequities

141

Births attended by skilled health personnel (%) Measles immunization coverage among 1-year-olds (%) Under-five mortality rate (probability of dying by age 5 per 1000 live births)

Table 9

Demographic and socioeconomic statistics

155

Population – total (000s) Population – median age (years) Population – aged under 15 (%) Population – aged over 60 (%) Annual population growth rate (%) Population living in urban areas (%) Civil registration coverage (%) of births and deaths Total fertility rate (per woman) Adolescent fertility rate (per 1000 girls aged 15–19 years) Adult literacy rate (%) Net primary school enrolment rate (%) Gross national income per capita (PPP int. $) Population living on <$1 (PPP int. $) a day (%)

Footnotes

168

6

Abbreviations AIDS

acquired immunodeficiency syndrome

AFR

WHO African Region

AMR

WHO Region of the Americas

ARI

acute respiratory infection

ART

antiretroviral therapy

DHS

Demographic and Health Survey

DTP3

3 doses of diphtheria-tetanus-pertussis vaccine

EMR

WHO Eastern Mediterranean Region

EUR

WHO European Region

GDP

gross domestic product

HALE

healthy life expectancy

HepB3

3 doses of hepatitis B vaccine

Hib3

3 doses of Haemophilus influenzae type B vaccine

HIV

human immunodeficiency virus

MCV

measles-containing vaccine

MDG

Millennium Development Goal

MICS

Multiple Indicator Cluster Survey

NHA

national health account

ORT

oral rehydration therapy

PMTCT

prevention of mother-to-child transmission

PPP

Purchasing Power Parity

SEAR

WHO South-East Asia Region

TB

tuberculosis

WPR

WHO Western Pacific Region

YLL

years of life lost

7

Introduction The World Health Statistics series is WHO’s annual compilation of health-related data for its 193 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets. As with previous versions, World Health Statistics 2010 has been compiled using publications and databases produced and maintained by the technical programmes and regional offices of WHO. Indicators have been included on the basis of their relevance to global public health; the availability and quality of the data; and the reliability and comparability of the resulting estimates. Taken together, these indicators provide a comprehensive summary of the current status of national health and health systems in the following nine areas: mortality and burden of disease; cause-specific mortality and morbidity; selected infectious diseases; health service coverage; risk factors; health workforce, infrastructure and essential medicines; health expenditure; health inequities; and demographic and socioeconomic statistics. The estimates in this book are derived from multiple sources, depending on each indicator and the availability and quality of data. In many countries, statistical and health information systems are weak and the underlying empirical data may not be available or may be of limited quality. Every effort has been made to ensure the best use of country-reported data – adjusted where necessary to deal with missing values, to correct for known biases, and to maximize the comparability of the statistics across countries and over time. In addition, statistical techniques and modelling have been used to fill data gaps. Because of the weakness of the underlying empirical data in many countries, a number of the indicators are associated with significant uncertainty. It is WHO policy on statistical transparency to make available to users the methods of estimation and the margins of uncertainty for relevant indicators. However, because of space restrictions, printed versions of the World Health Statistics series include uncertainty ranges for only a few indicators. Further information on the margins of uncertainty for additional indicators will be made available at the Global Health Observatory web site.1

1

The Global Health Observatory is a WHO portal that provides access to data and analyses for monitoring the global health situation and trends. www.who.int/gho

8

While every effort has been made to maximize the comparability of the statistics across countries and over time, users are advised that country data may differ in terms of the definitions used, data-collection methods, population coverage and estimation methods. More-detailed information on indicator metadata is available in the Indicator and Metadata Registry.2 WHO presents World Health Statistics 2010 as an integral part of its ongoing efforts to provide enhanced access to high-quality data on core measures of population health and national health systems. Unless otherwise stated, all estimates have been cleared following consultation with Member States and are published here as official WHO figures. However, these best estimates have been derived using standard categories and methods to enhance their cross-national comparability. As a result they should not be regarded as the nationally endorsed statistics of Member States which may have been derived using alternative methodologies.

2

www.who.int/gho/indicatorregistry

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Part I Health-related Millennium Development Goals

Summary of status and trends With only five years remaining to 2015, there are signs of progress in many countries in achieving the health-related Millennium Development Goals (MDGs). In other countries, progress has been limited because of conflict, poor governance, economic or humanitarian crises, and lack of resources. The effects of the global food, energy, financial and economic crises on health are still unfolding, and action is needed to protect the health spending of governments and donors alike. Undernutrition is an underlying cause in about one third of all child deaths. Over the past year, rising food prices coupled with falling incomes have increased the risk of malnutrition, especially among children. Although the percentage of children under 5 years of age who are underweight (compared to the WHO Child Growth Standards3) declined globally from 25% in 1990 to 18% in 2005, subsequent progress has been uneven. In some countries, the prevalence of undernutrition has increased, and worldwide stunted growth still affected about 186 million children under 5 years of age in 2005. Globally, child mortality continues to fall. In 2008, the total annual number of deaths in children under 5 years old fell to 8.8 million – down by 30% from the 12.4 million estimated in 1990. Mortality in children under 5 years old in 2008 was estimated at 65 per 1000 live births, which is a 27% reduction from 90 per 1000 live births in 1990 (Figure 1). Recent encouraging trends also indicate an acceleration of the rate of decline in all regions since 2000 (Table 1).

Table 1: Average annual rate of decline (%) in mortality in children under 5 years old – 1990–1999 and 2000–2008 WHO region

3

1990–1999

2000–2008

African Region

0.9

1.8

Region of the Americas

4.2

4.6

South-East Asia Region

2.5

3.8

European Region

3.6

5.6

Eastern Mediterranean Region

1.5

1.7

Western Pacific Region

2.5

5.7

GLOBAL

1.2

2.3

WHO Child Growth Standards. Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. WHO Multicentre Growth Reference Study Group. Geneva, World Health Organization, 2006, page 312. www.who.int/childgrowth/publications/en/

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Despite these encouraging trends, regional and national averages mask considerable inequities. The greatest reductions in child mortality have been recorded among the wealthiest households and in urban areas. Concerted efforts will be needed to achieve the MDG target of a 67% reduction from 1990 levels by the year 2015, especially in countries facing economic crises or conflicts. Low-income countries would need to increase their annual average rate of decline from 1.9% to 10.9% in order to achieve the target. Reducing child mortality increasingly depends upon tackling neonatal mortality; globally about 40% of deaths in children under 5 years old are estimated to occur in the first month of life; most in the first week.

Figure 1: Mortality rate in children under 5 years old by WHO region 200 1990

Probability of dying by age 5 per 1000 live births

180

2008 Global, 1990

160

Global, 2008 140 120 100 80 60 40 20 0 AFR

AMR

SEAR

EUR

EMR

WPR

There have been increases in the coverage of relatively new child health interventions, such as the use of insecticide-treated nets to prevent malaria; efforts to prevent the mother-to-child transmission of HIV; and vaccination against hepatitis B and Haemophilus influenzae type B pneumonia. Gradual progress can also be recorded for several established interventions such as micronutrient supplementation, while the global coverage of measles immunization increased from 73% to 83% between 1990 and 2008 (Figure 2).

13

Figure 2: Measles immunization coverage among 1-year-olds by WHO region 100 90 80

Percentage

70 60 50

AFR AMR SEAR EUR EMR WPR GLOBAL

40 30 20

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1996

1995

1994

1993

1992

1991

0

1990

10

Despite these gains, the coverage of critical interventions such as oral rehydration therapy (ORT) for diarrhoea and case management with antibiotics for acute respiratory infections (ARIs) remains inadequate. As a result, diarrhoea and pneumonia still kill almost 3 million children under 5 years old each year, especially in low-income countries. According to estimates made for the year 2005,4 half a million women – most of them in developing countries – die each year of complications during pregnancy or childbirth. The risk of death was highest in the WHO African Region, where there were 900 maternal deaths per 100 000 live births; compared with only 27 per 100 000 in the WHO European Region. In fact, half of all maternal deaths occurred in the WHO African Region and another third in the WHO South-East Asia Region. Further analysis of the estimates indicated that between 1990 and 2005, no WHO region achieved the 5.5% annual decline in maternal mortality necessary to attain the relevant MDG target.5 The WHO South-East Asia Region, the WHO European Region and the WHO Western Pacific Region showed annual declines of only around 2.4%. There appeared to be stagnation or even a possible worsening of the situation in both the WHO African Region and the WHO Eastern Mediterranean Region. Maternal mortality is the health indicator that shows the widest gaps between richer and poorer, both between and within countries.

4

5

Maternal mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA and The World Bank. Geneva, World Health Organization, 2007. www.who.int/whosis/mme_2005.pdf MDG 5; Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio.

14

Interventions to reduce the levels of maternal mortality include ensuring that all pregnant women have access to family-planning services as well as skilled care during pregnancy, childbirth and the postpartum period. This includes emergency obstetric care for the management of complications. The proportion of births attended by a skilled health worker has increased globally, with particularly pronounced improvements in the WHO Eastern Mediterranean Region (Figure 3). However, there was no improvement at all in the WHO African Region. In both the WHO African Region and the WHO South-East Asia Region, less than 50% of women received skilled care during childbirth.

Figure 3: Births attended by skilled health personnel by WHO region and country-income group 100

1990–1999 2000–2008

90

Global, 1990–1999 80

Global, 2000–2008

Percentage

70 60 50 40 30 20 10 0 AFR

AMR

SEAR

EUR

EMR

WPR

Low income

Lower middle income

Upper middle income

High income

Antenatal care offers multiple opportunities to improve the health of women. Potential improvements include the prevention and management of HIV infection and malaria, the detection and management of eclampsia, and iron and folate supplementation – the latter being particularly important in low-income and middle-income countries where micronutrient deficiencies are common. Despite this, less than half of all pregnant women in the world receive the WHO-recommended minimum of four antenatal visits. Contraceptive prevalence6 in developing countries increased from 50% in 1990 to 62% in 2005.7 Despite this, there remains a continuing unmet need for family planning. For example, data available during 2000–2008 indicates that in the WHO African Region 24% of women wanting to delay or stop childbearing were not using a family-planning method. Levels of adolescent fertility over the period of 2000–2007 were at 47 births per 1000 women aged 15–19 years globally, and were

6 7

Defined here as: the proportion of women, married or in union, aged 15–49 years, using any method of contraception. The Millennium Development Goals report 2009. New York, United Nations, 2009. www.un.org/millenniumgoals/pdf/MDG%20Report%202009%20ENG.pdf

15

particularly high in the WHO African Region at 118 births for every 1000 adolescent girls – about ten times the average in the WHO Western Pacific Region. Factors that contribute to continuing unmet need for family planning include a lack of decision-making power among women and a shortage of appropriate health services, especially for adolescent girls. In 2008, there were an estimated 243 million cases of malaria causing 863 000 deaths; mostly of children under 5 years old.8 Despite increases in the supply of insecticide-treated nets, their availability in that year was far below the level of need almost everywhere. The procurement of antimalarial medicines through public health services increased, but access to treatment (especially artemisininbased combination therapy) was inadequate in all countries surveyed in 2007 and 2008. There are, however, indications8 that 9 African countries and 29 countries outside Africa are on course to meet the MDG target9 for reducing the malaria burden. Latest estimates indicate that the incidence rate of tuberculosis (TB) continued to slowly decline, reaching an estimated 140 per 100 000 population in 2008. The prevalence of all TB cases is falling along with mortality rates among HIV-negative TB cases. Globally, the estimated case-detection rate10 for new smear-positive TB cases increased from 40% in 2000 to 62% in 2008. While there were some improvements in the WHO African Region, less than 50% of TB cases were reported in this region in 2008. Data on treatment-success rates for new smear-positive TB cases indicate consistent improvements with the global rate rising from 69% in 2000 to 86% in 2007 (Figure 4). In the WHO South-East Asia Region, the rate increased from 50% in 2000 to 88% in 2007. In the WHO European Region, while case-detection rate for new smear-positive cases increased, treatment success remains low at 67% in 2007, partly attributable to a high burden of multidrug-resistant TB. Multidrug-resistant TB and HIV-associated TB pose considerable challenges. Globally, there were an estimated 0.5 million new cases of multidrug-resistant TB in 2007, with 27 countries accounting for 85% of the total.11 New HIV infections have been reduced by 16% globally between 2000 and 2008, due, at least in part, to successful HIV-prevention efforts. In 2008, it was estimated that 2.7 million people were newly infected with HIV (Figure 5) and there were 2 million HIV/AIDS-related deaths.12 The availability and coverage of priority health-sector interventions for HIV prevention, treatment and care have continued to expand. In 2008, of the 1.4 million HIV-positive pregnant women, more than 628 000 received antiretroviral therapy (ART) to prevent the transmission of HIV to their children. This represents a coverage of 45% – an increase of 10% compared with 2007.13 There are, however, striking regional variations. In the WHO African Region (where HIV prevalence among adults was the highest) only 45% of pregnant women in need in low-income and middle-income countries received treatment, while in the WHO European Region (where HIV prevalence among adults was much lower) 94% of pregnant women in need in low-income and middle-income countries had access to treatment.

8 9 10

11 12

13

World malaria report 2009. Geneva, World Health Organization, 2009. www.who.int/malaria/world_malaria_report_2009/en/index.html MDG 6; Target 6.C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases. No distinction is made between DOTS and non-DOTS programmes because by 2007 more than 99% of notified cases were reported to WHO as treated in a DOTS programme. Global tuberculosis control: a short update to the 2009 report. Geneva, World Health Organization, 2009. www.who.int/tb/publications/global_report Global tuberculosis control: a short update to the 2009 report. Geneva, World Health Organization, 2009. AIDS epidemic update: December 2009. Geneva, Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO), 2009. www.unaids.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2009/default.asp Towards universal access. Scaling up priority HIV/AIDS interventions in the health sector: Progress report 2009. Geneva, WHO, UNAIDS, UNICEF, 2009. www.who.int/hiv/pub/2009progressreport/en/

16

Figure 4: Treatment-success rate among new smear-positive tuberculosis cases by WHO region 100

Global, 2000

2000

Global, 2007

2007

90 80

Percentage

70 60 50 40 30 20 10 0 AFR

AMR

SEAR

EUR

EMR

Figure 5: Adults and children newly infected with HIV in 2008 by WHO region

WHO regional boundaries International boundaries Estimated new HIV infection (all ages) by WHO region (000s) EMR (61) WPR (130) EUR (140) SEAR (200) AMR (240) AFR (1900) Data not available

17

WPR

It is estimated that by the end of 2008, more than 4 million people in low-income and middleincome countries were receiving ART – an increase of more than 1 million compared with the end of 2007. This represents a 10-fold expansion in five years, with the greatest growth occurring in subSaharan Africa. Nonetheless, more than 5 million of the estimated 9.5 million people in low-income and middle-income countries needing ART were still without access to treatment.13 Coverage was lowest in the WHO Eastern Mediterranean Region (where only one in every 10 people needing ART received it) and highest in the WHO Region of the Americas (where one out of two who needed therapy received it). More than 1000 million people are affected by neglected tropical diseases. In 2008, 496 million people were treated for lymphatic filariasis out of the 695 million targeted. In 2008, only 4619 cases of dracunculiasis were reported – in the mid-1980s the estimated number of cases was 3.5 million. As many as 190 130 cases of cholera were reported in 2008 – up from 177 963 in 2007. At the beginning of 2009, there were a reported 213 036 cases of leprosy – down from 5.2 million in 1985. The percentage of the world’s population using “improved” drinking-water sources14 increased from 77% to 87% between 1990 and 2008 (Figure 6). This rate of improvement is sufficient to achieve the relevant MDG target15 globally. In the WHO African Region, however, while the percentage increased from 50% in 1990 to 61% in 2008, it remained well short of the 68% needed in that year to remain on course for achieving the MDG target. The situation in the WHO Eastern Mediterranean Region appears to have stalled, and an annual rate of increase of 1.6% is needed to

Figure 6: Population using improved drinking-water sources by WHO region and country-income group 100

Global, 1990

1990

Global, 2008

2008

90 80

Percentage

70 60 50 40 30 20 10 0 AFR

14 15

AMR

SEAR

EUR

EMR

WPR

Low income

Lower middle income

Upper middle income

See Part II, Table 5. Risk factors, footnotes 20 and 22 for a full explanation of this term. MDG 7; Target 7.C: Halve, by 2015, the proportion of people without sustainable access to safe drinking-water and basic sanitation.

18

High income

achieve the MDG target by 2015. In 2008, the coverage was 90% in the WHO Western Pacific Region, and well in excess of this figure in the WHO Region of the Americas and the WHO European Region. In low-income countries, the annual rate of increase needs to double in order to reach the target, and concerted efforts are also needed to narrow the gap in coverage between urban and rural areas. In 2008, 2600 million people were not using “improved” sanitation facilities,16 and of these 1100 million were defecating in the open, resulting in high levels of environmental contamination and exposure to the risks of worm infestations (such as schistosomiasis) and microbial infections (such as trachoma, hepatitis and cholera). The situation was most severe in the WHO African Region, where the percentage of the population using improved sanitation facilities increased very slowly: from 30% in 1990 to 34% in 2008. In the WHO South-East Asia Region, the coverage increased from 26% to 40% – still short of the MDG target. In the WHO European Region, 6% of the population were not using improved sanitation facilities in 2008 (Figure 7).

Figure 7: Population using improved sanitation facilities by WHO region and country-income group 100 1990 90

2008 Global, 1990

80

Global, 2008

Percentage

70 60 50 40 30 20 10 0 AFR

AMR

SEAR

EUR

EMR

WPR

Low income

Lower middle income

Upper middle income

High income

Although nearly all countries publish an essential medicines list, the availability of medicines at public-health facilities is often poor. Surveys conducted in approximately 30 low-income countries indicate that the availability of selected generic medicines at health facilities was only 44% in the public sector and 66% in the private sector. Lack of medicines in the public sector forces patients to purchase medicines privately. In the private sector, generic medicines cost on average 630% more

16

See Part II, Table 5. Risk factors, footnotes 21 and 22 for a full explanation of this term.

19

than their international reference price, while originator brands are generally even more expensive. Common treatment regimens can cost a low-paid government worker in the developing world several days’ wages. Noncommunicable diseases and injuries caused an estimated 33 million deaths in developing countries in 200417 and will account for a growing proportion of total deaths in the future. The health of individuals will also be undermined in the longer term by chronic conditions, sensory and mental disorders and violence. Tackling risk factors such as tobacco use, unhealthy diets, physical inactivity and the harmful use of alcohol (while also dealing with the socioeconomic impact of cardiovascular diseases, cancers, chronic respiratory diseases and diabetes) will depend not only upon effective healthcare services but also upon actions taken in a variety of policy domains. Countries need to increase prevention efforts and improve access to services such as early detection and trauma care. Putting in place and sufficiently resourcing stronger health surveillance systems will be critical. Efforts are now under way to strengthen surveillance systems for noncommunicable diseases, including through the identification of core indicators and the use of standardized methods of data collection on risk factors and determinants, disease incidence, mortality by cause, health-system indicators and coverage of key interventions. Stronger health systems will be central to continued progress towards the achievement of the MDGs. Continuing political momentum and sustained and predictable funding will be needed to strengthen human resources for health; improve service availability and quality; provide access to diagnosis through national laboratory networks; ensure better infection control in clinical settings; and promote the rational use of medicines. In addition, the financial and economic crisis has highlighted the urgent need to increase the coverage of social health protection. People in need cannot access the required services or continue treatment if financial barriers remain high. Better information and intelligence will also be essential in monitoring progress towards the MDGs and related goals and targets, particularly with regard to differentials between and within countries. WHO will continue to report on the most-recent estimates of health-related statistics. However, the quality of such reporting depends critically upon the quality of country health information and statistical systems – which in many settings are weak. There is therefore a need for international commitment to support country efforts to enhance the availability and quality of data on the MDGs and other indicators.

17

The global burden of disease: 2004 update. Geneva, World Health Organization, 2008. www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html

20

The following charts provide country-by-country and regional summaries of progress for key MDG indicators for which data are available for most countries. For each indicator, countries are sorted within the relevant WHO region by the level of the indicator at the latest available year. Countries with no data, or for which a particular indicator is not relevant, are included at the end of each regional list. Depending on the availability of data for each indicator, there are three types of chart:

Chart type I For three indicators – under-five mortality rate; population using improved drinking-water sources; and population using improved sanitation – the charts show data for the latest available year; trends since 1990 (or since the first year for which data are available); and the overall trend required for the country to achieve the relevant MDG by 2015.

Chart type II For five indicators – children aged <5 years underweight; measles immunization coverage among 1-year-olds; births attended by skilled health personnel; prevalence of HIV among adults aged 15– 49 years; and tuberculosis mortality rate among HIV-negative people – the charts show data for the latest available year, and country trends since the year for which data were first available. For most countries, data have been available since the baseline year of 1990.

Chart type III For eleven indicators – maternal mortality ratio; contraceptive prevalence; adolescent fertility rate; antenatal care coverage; unmet need for family planning; males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS; females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS; antiretroviral therapy coverage among people with advanced HIV infection; malaria mortality rate; children aged <5 years sleeping under insecticide-treated nets; and children aged <5 years with fever who received treatment with any antimalarial – the charts show only data for the latest available year. Further details can be found in the country tables as indicated in each chart.

21

1. Children aged <5 years underweight (%)

Algeria

3.7

Chile

0.5

Germany

1.1

Tunisia

3.3

Swaziland

6.1

United States of America

1.3

Belarus

1.3

Jordan

3.6

Gabon

8.8

Brazil

2.2

Bosnia and Herzegovina

1.6

Lebanon

4.2

Equatorial Guinea

10.6

Jamaica

2.2

Bulgaria

1.6

Saudi Arabia

5.3

Botswana

10.7

Argentina

2.3

Serbia

1.8

Libyan Arab Jamahiriya

5.6

Congo

11.8

Dominican Republic

3.4

The former Yugoslav Republic of Macedonia

1.8

Egypt

6.8

Sao Tome and Principe

13.1

Mexico

3.4

Czech Republic

2.1

Iraq

7.1

Zimbabwe

14.0

Venezuela (Bolivarian Republic of)

3.7

Montenegro

2.2

Morocco

9.9

Ghana

14.3

Cuba

3.9

Georgia

2.3

Syrian Arab Republic

10.0

Senegal

14.5

Panama

3.9

Kyrgyzstan

2.7

Djibouti

29.6

Zambia

14.9

Bolivia (Plurinational State of)

4.3

Republic of Moldova

3.2

Pakistan

31.3

Malawi

15.5

Nicaragua

4.3

Romania

3.5

Sudan

31.7

Gambia

15.8

Trinidad and Tobago

4.4

Turkey

3.5

Somalia

32.8

Uganda

16.4

Belize

4.9

Ukraine

4.1

Afghanistan

32.9

Kenya

16.5

Colombia

5.1

Armenia

4.2

Yemen

43.1 …

Cameroon

16.6

Peru

5.4

Uzbekistan

4.4

Bahrain

Lesotho

16.6

Uruguay

6.0

Kazakhstan

4.9

Iran (Islamic Republic of)

…

Côte d'Ivoire

16.7

El Salvador

6.1

Albania

6.6

Kuwait

…

Mauritania

16.7

Ecuador

6.2

Azerbaijan

8.4

Oman

…

United Republic of Tanzania

16.7

Honduras

8.6

Tajikistan

14.9

Qatar

…

Guinea-Bissau

17.2

Guyana

10.8

Andorra

…

United Arab Emirates

…

Namibia

17.5

Guatemala

17.7

Austria

…

Rwanda

18.0

Haiti

18.9

Belgium

…

Benin

20.2

Antigua and Barbuda

…

Croatia

…

Liberia

20.4

Bahamas

…

Cyprus

…

Togo

20.5

Barbados

…

Denmark

…

Tuvalu

1.6

Guinea

20.8

Canada

…

Estonia

…

Singapore

3.3

Mozambique

21.2

Costa Rica

…

Finland

…

Mongolia

5.3

Sierra Leone

21.3

Dominica

…

France

…

China

6.8

Central African Republic

21.8

Grenada

…

Greece

…

Solomon Islands

11.5

Comoros

25.0

Paraguay

…

Hungary

…

Papua New Guinea

18.1

Nigeria

26.7

Saint Kitts and Nevis

…

Iceland

…

Viet Nam

20.2

Angola

27.5

Saint Lucia

…

Ireland

…

Philippines

20.7

Mali

27.9

Saint Vincent and the Grenadines

…

Israel

…

Cambodia

28.8

Democratic Republic of the Congo

28.2

Suriname

…

Italy

…

Lao People's Democratic Republic

31.6 …

Chad

33.9

Latvia

…

Australia

Eritrea

34.5

Lithuania

…

Brunei Darussalam

…

Ethiopia

34.6

Luxembourg

…

Cook Islands

…

Madagascar

36.8

Malta

…

Fiji

…

Burkina Faso

37.4

Thailand

7.0

Monaco

…

Japan

…

Burundi

38.9

Bhutan

12.0

Netherlands

…

Kiribati

…

Niger

39.9

Indonesia

19.6

Norway

…

Malaysia

…

Cape Verde

…

Democratic People's Republic of Korea

20.6

Poland

…

Mauritius

…

Sri Lanka

21.1

Portugal

…

Seychelles

…

Maldives

25.7

South Africa

…

Myanmar Nepal

1990

… … …

Russian Federation

…

San Marino

…

Nauru

29.6

Slovakia

…

New Zealand

…

38.8

Slovenia

…

Niue

…

Timor-Leste

40.6

Spain

…

Palau

…

Bangladesh

41.3

Sweden

…

Republic of Korea

…

India

43.5

Key Country trend

Marshall Islands Micronesia (Federated States of)

Switzerland

…

Turkmenistan

…

United Kingdom

…

Latest available

This chart shows the percentage of children under 5 years old who are underweight in each country. Within each WHO region, countries are sorted by the latest available data since 2000. Regional averages are not available at this time. Further details can be found in Part II, Table 5.

23

Samoa

…

Tonga

…

Vanuatu

…

2. Under-five mortality rate (probability of dying by age 5 per 1000 live births)

Seychelles

11

Canada

6

San Marino

2

Qatar

Mauritius

16

Cuba

6

Finland

3

United Arab Emirates

8 8

Cape Verde

29

United States of America

8

Greece

3

Kuwait

11

Botswana

31

Chile

9

Iceland

3

Bahrain

12

Algeria

41

Dominica

10

Luxembourg

3

Oman

12

Namibia

42

Barbados

11

Norway

3

Lebanon

13

Eritrea

58

Costa Rica

11

Slovenia

3

Syrian Arab Republic

16

South Africa

67

Antigua and Barbuda

12

Sweden

3

Libyan Arab Jamahiriya

17

Ghana

76

Bahamas

13

Andorra

4

Jordan

20

Gabon

77

Saint Vincent and the Grenadines

13

Austria

4

Saudi Arabia

21

Lesotho

79

Argentina

15

Cyprus

4

Tunisia

21 23

Swaziland

83

Grenada

15

Czech Republic

4

Egypt

Zimbabwe

96

Saint Kitts and Nevis

15

Denmark

4

Iran (Islamic Republic of)

32

Sao Tome and Principe

97

Saint Lucia

15

France

4

Morocco

36

Togo

98

Uruguay

16

Germany

4

Iraq

45

Malawi

100

Mexico

17

Italy

4

Yemen

69

United Republic of Tanzania

103

El Salvador

18

Monaco

4

Pakistan

89

Comoros

105

Venezuela (Bolivarian Republic of)

18

Portugal

4

Djibouti

95

Gambia

106

4

Sudan

109

Madagascar Senegal Ethiopia

18

Regional average

Belize

19

Spain

106

Colombia

20

Belgium

5

Somalia

200

108

Brazil

22

Croatia

5

Afghanistan

257

109

Panama

23

Ireland

5

Peru

24

Israel

5

25

Netherlands

5

Switzerland

5

Regional average

Rwanda

112

Côte d'Ivoire

114

Mauritania

118

Nicaragua

27

Benin

121

Suriname

27

Estonia

6

Japan

3

Congo

127

Paraguay

28

United Kingdom

6

Singapore

3

Kenya

128

Honduras

31

Hungary

7

Australia

5

Mozambique

130

Jamaica

31

Lithuania

7

Republic of Korea

5

Cameroon

131

Dominican Republic

33

Malta

7

Malaysia

6

Uganda

135

34

Poland

7

New Zealand

6

Liberia

144

Trinidad and Tobago

35

Slovakia

7

Brunei Darussalam

7

Guinea

146

Bolivia (Plurinational State of)

54

Serbia

8

Viet Nam

14

Equatorial Guinea

147

Guyana

61

Latvia

9

Cook Islands

15

72

Montenegro

9

Palau

15

Bulgaria

11

Fiji

18

Regional average

Zambia

Ecuador

Guatemala

142

148

Niger

167

Burundi

168

Haiti

Russian Federation

11

Tonga

19

11

China

21

Samoa

26

Niue

28

Philippines

32

Burkina Faso

169

The former Yugoslav Republic of Macedonia

Central African Republic

173

Belarus

13

Nigeria

186

Thailand

14

Romania

13

Mali

194

Sri Lanka

17

Albania

14

Sierra Leone

194

Maldives

28

Bosnia and Herzegovina

15

Vanuatu

33

Guinea-Bissau

195

Indonesia

41

Ukraine

15

Marshall Islands

36

Democratic Republic of the Congo

199

Republic of Moldova

17

Solomon Islands

36

Turkey

22

Tuvalu

36

Armenia

23

Micronesia (Federated States of)

39

Chad

209

Angola

220

Nepal

51

Bangladesh

54

Democratic People's Republic of Korea

55

Regional average

Regional average

63

India

69

Georgia

30

Mongolia

41

81

Kazakhstan

30

Nauru

45

Timor-Leste

93

Azerbaijan

36

Kiribati

48

Myanmar

122

Kyrgyzstan

38

Lao People's Democratic Republic

61

Country trend Latest available MDG target

14

Bhutan

Key 1990

Regional average

2015

Uzbekistan

38

Papua New Guinea

69

Turkmenistan

48

Cambodia

89

Tajikistan

64

This chart shows estimated under-five mortality for 2008, with countries within each WHO region sorted by level. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to reduce by two thirds the under-five mortality rate by 2015. Further details can be found in Part II, Table 1.

24

78

21

3. Measles immunization coverage among 1-year-olds (%)

Seychelles

99

Antigua and Barbuda

99

Belarus

99

Bahrain

99

Mauritius

98

Argentina

99

Greece

99

Kuwait

99

Cape Verde

96

Brazil

99

Hungary

99

Oman

99

Eritrea

95

Cuba

99

Kazakhstan

99

Iran (Islamic Republic of)

98

Swaziland

95

Dominica

99

Kyrgyzstan

99

Libyan Arab Jamahiriya

98

Botswana

94

Grenada

99

Monaco

99

Tunisia

98

Sao Tome and Principe

93

Nicaragua

99

Russian Federation

99

Saudi Arabia

97

Rwanda

92

Saint Kitts and Nevis

99

Slovakia

99

Morocco

96

Gambia

91

Saint Lucia

99

Turkmenistan

99

Jordan

95

Kenya

90

Saint Vincent and the Grenadines

99

Albania

98

Egypt

92

Algeria

88

Belize

96

Andorra

98

Qatar

92

Malawi

88

Guatemala

96

Poland

98

United Arab Emirates

92

United Republic of Tanzania

88

Mexico

96

Spain

98

Pakistan

85

Ghana

86

El Salvador

95

The former Yugoslav Republic of Macedonia

98

Syrian Arab Republic

81

Lesotho

85

Guyana

95

Uzbekistan

98

Sudan

79

Zambia

85

Honduras

95

Czech Republic

97

Afghanistan

75

Burundi

84

Uruguay

95

Finland

97

Djibouti

73

Madagascar

81

Canada

94

Cameroon

80

Barbados

Niger

80

Angola

Latvia

97

Iraq

69

92

Lithuania

97

Yemen

62

Chile

92

Portugal

97

Lebanon

53

79

Colombia

92

Romania

97

Somalia

24

97

Regional average

93

Congo

79

United States of America

92

Turkey

Mozambique

77

Costa Rica

91

Bulgaria

96

Senegal

77

Trinidad and Tobago

91

Croatia

96

Bahamas

90

Georgia

96

90

Iceland

96

Nauru

99

96

Niue

99

Togo

77

Comoros

76

Guinea-Bissau

76

Jamaica

88

Luxembourg

Burkina Faso

75

Bolivia (Plurinational State of)

86

Netherlands

96

Tonga

99

Ethiopia

74

Suriname

86

Slovenia

96

Brunei Darussalam

97

Namibia

73

85

Sweden

96

Japan

97

95

Mongolia

97

Regional average

Peru

Panama

73

Mali

68

Venezuela (Bolivarian Republic of)

82

Estonia

Uganda

68

Dominican Republic

79

Germany

95

Palau

97

Armenia

94

Cook Islands

95

Malaysia

95

Singapore

95

Democratic Republic of the Congo

67

Paraguay

77

Zimbabwe

66

Ecuador

66

Mauritania

65

Haiti

58

Guinea

Republic of Moldova Regional average

64

Ukraine Belgium

94 94 94 93

Liberia

64

Norway

93

C么te d'Ivoire

63

Serbia

92

Central African Republic

62

Nigeria

62

South Africa

62

Benin

61

Sierra Leone

60

Gabon

55

Equatorial Guinea

51

Chad

23

Italy Bhutan

99

Democratic People's Republic of Korea

98

Sri Lanka

98

Thailand

98

Maldives

97

Bangladesh

89

Indonesia

83

Myanmar

82

Nepal

79

Timor-Leste India

Regional average

Country trend

91

Denmark

89

Ireland

89

Australia

94

China

94

Fiji

94

Marshall Islands

94

Tuvalu

93

Regional average Micronesia (Federated States of)

92

Montenegro

89

Philippines

92

Cyprus

87

Republic of Korea

92 92

France

87

Viet Nam

Switzerland

87

Cambodia

89

New Zealand

86

Tajikistan

86

United Kingdom

86

Kiribati

72

Bosnia and Herzegovina

84

Vanuatu

65

73

Israel

84

Solomon Islands

60

70

Austria

83

Papua New Guinea

54

Malta

78

Lao People's Democratic Republic

52

San Marino

73

Samoa

45

Azerbaijan

66

75

Key

1990

Regional average

Latest available

This chart shows the percentage of 1-year-olds fully immunized against measles, with countries within each WHO region sorted by 2008 level. Further details can be found in Part II, Table 4.

25

83

93

4. Maternal mortality ratio (per 100 000 live births)

Mauritius

15

Canada

7

Ireland

1

Kuwait

4

Algeria

180

United States of America

11

Bosnia and Herzegovina

3

Qatar

12

Cape Verde

210

Bahamas

16

Denmark

3

Saudi Arabia

18

Namibia

210

Barbados

16

Greece

3

Bahrain

32

Botswana

380

Chile

16

Italy

3

United Arab Emirates

37

Swaziland

390

Uruguay

20

Sweden

3

Jordan

62

Comoros

400

Costa Rica

30

Austria

4

Oman

64

South Africa

400

Cuba

45

Czech Republic

4

Libyan Arab Jamahiriya

97

Eritrea

450

Trinidad and Tobago

45

Germany

4

Tunisia

100

Madagascar

510

Belize

52

Iceland

4

Egypt

130 130

Togo

510

Venezuela (Bolivarian Republic of)

57

Israel

4

Syrian Arab Republic

Gabon

520

Mexico

60

Spain

4

Iran (Islamic Republic of)

140

Mozambique

520

Suriname

72

Switzerland

5

Lebanon

150

Uganda

550

Argentina

77

Ghana

560

Kenya

560

Equatorial Guinea

Hungary

6

Morocco

240

Brazil 110

Netherlands

6

Iraq

300

Colombia 130

Slovakia

6

Pakistan

320

680

Panama 130

Slovenia

6

Yemen

430

Gambia

690

Dominican Republic 150

Croatia

7

Sudan

450

Burkina Faso

700

Paraguay 150

Finland

7

Djibouti

650

Ethiopia

720

El Salvador 170

Norway

7

Somalia 1 400

Congo

740

Jamaica 170

Belgium

8

Afghanistan 1 800

Côte d'Ivoire

810

Nicaragua 170

France

8

Mauritania

820

Ecuador 210

Malta

8

Zambia

830

Peru 240

Poland

8

Benin

840

Honduras 280

United Kingdom

8

Zimbabwe

880

Bolivia (Plurinational State of) 290

Cyprus 10

Australia

4

Guinea

910

Guatemala 290

Latvia 10

Japan

6

United Republic of Tanzania

950

Guyana 470

Regional average

Lesotho

960

Mali

970

Regional average

900

99

10

New Zealand

9

Bulgaria 11

Brunei Darussalam

13

…

Lithuania 11

Republic of Korea

14

Singapore

14

The former Yugoslav Republic of Macedonia

Haiti 670 Antigua and Barbuda

Regional average

Central African Republic

980

Dominica

…

Portugal 11

Senegal

980

Grenada

…

Luxembourg 12

China

45

Cameroon 1 000

Saint Kitts and Nevis

…

Belarus 18

Mongolia

46

Burundi 1 100

Saint Lucia

…

Ukraine 18

Malaysia

62

Democratic Republic of the Congo 1 100

Saint Vincent and the Grenadines

…

Republic of Moldova 22

Guinea-Bissau 1 100

Romania 24

Malawi 1 100

Uzbekistan 24

Nigeria 1 100

Estonia 25 Regional average Russian Federation 28

Liberia 1 200 Sri Lanka

Rwanda 1 300 Angola 1 400

Niger 1 800

Sao Tome and Principe

…

Seychelles

…

Fiji 210 Solomon Islands 220 27

Philippines 230 Papua New Guinea 470

58

Turkey 44

Cambodia 540

Georgia 66

Lao People's Democratic Republic 660

Armenia 76

Cook Islands …

Democratic People's Republic of Korea 370 Myanmar 380

Sierra Leone 2 100

Viet Nam 150

Thailand 110 Maldives 120

Chad 1 500

Regional average

Timor-Leste 380 Indonesia 420 Bhutan 440

Azerbaijan 82

Kiribati …

Albania 92

Marshall Islands …

Turkmenistan 130

Micronesia (Federated States of) …

Kazakhstan 140

Nauru …

Kyrgyzstan 150

Niue …

Tajikistan 170

Palau …

Bangladesh 570

Andorra …

Samoa …

Nepal 830

Monaco …

Tonga …

Montenegro …

Tuvalu …

San Marino …

Vanuatu …

Regional average

India 450

450

Serbia …

This chart shows the interagency estimated maternal mortality ratio for each country for 2005, with countries within each WHO region sorted by level. Further details can be found in Part II, Table 2.

26

420

82

5. Births attended by skilled health personnel (%)

Mauritius

≥99

Antigua and Barbuda

≥99

Albania

≥99

Bahrain

≥99

Algeria

95

Argentina

≥99

Belarus

≥99

Jordan

≥99

Botswana

94

Bahamas

≥99

Bosnia and Herzegovina

≥99

Kuwait

≥99

South Africa

91

Barbados

≥99

Bulgaria

≥99

Libyan Arab Jamahiriya

≥99

Congo

86

Canada

≥99

Croatia

≥99

Qatar

≥99

Gabon

86

Chile

≥99

Cyprus

≥99

United Arab Emirates

≥99

Namibia

81

Cuba

≥99

Czech Republic

≥99

Lebanon

98

Sao Tome and Principe

81

Ecuador

≥99

Estonia

≥99

Oman

98

Benin

78

Grenada

≥99

Finland

≥99

Iran (Islamic Republic of)

97

Cape Verde

78

Saint Kitts and Nevis

≥99

Germany

≥99

Saudi Arabia

96

Democratic Republic of the Congo

74

Saint Vincent and the Grenadines

≥99

Hungary

≥99

Djibouti

93

Swaziland

74

United States of America

≥99

Ireland

≥99

Syrian Arab Republic

93

Zimbabwe

69

Uruguay

≥99

Italy

≥99

Tunisia

90

Cameroon

63

Dominican Republic

98

Kazakhstan

≥99

Iraq

89

Equatorial Guinea

63

Saint Lucia

98

Latvia

≥99

Egypt

79

Comoros

62

Trinidad and Tobago

98

Lithuania

≥99

Togo

62

Brazil

97

Luxembourg

≥99

Sudan

Mauritania

61

Jamaica

97

Malta

≥99

Pakistan

39

Côte d'Ivoire

57

Belize

96

Montenegro

≥99

Yemen

36

Gambia

57

Colombia

96

Netherlands

≥99

Somalia

33

Ghana

57

Venezuela (Bolivarian Republic of)

95

Poland

≥99

Afghanistan

14

Lesotho

55

Costa Rica

94

Portugal

≥99

Republic of Moldova

≥99

Romania

≥99 ≥99

Burkina Faso

54

Dominica

94

Central African Republic

54

Mexico

94

Malawi

54

Rwanda

52

Senegal

52

Madagascar

51

Regional average

Mali

49

Mozambique

48

Angola

47

Zambia

47

Regional average

Morocco

63 59 49

91

Russian Federation

≥99

90

Serbia

≥99

Australia

El Salvador

84

Slovakia

≥99

Brunei Darussalam

≥99

Guyana

83

Slovenia

≥99

Cook Islands

≥99

Paraguay

77

Switzerland

≥99

Fiji

≥99

74

Turkmenistan

≥99

Japan

≥99

Peru

73

Ukraine

≥99

Malaysia

≥99

Honduras

67

Uzbekistan

≥99

Mongolia

≥99

Armenia

98

Niue

≥99

Panama Suriname

Nicaragua

47

92

Regional average

Liberia

46

Bolivia (Plurinational State of)

66

United Republic of Tanzania

46

Guatemala

41

Georgia

98

Palau

≥99

Kenya

42

Haiti

26

Kyrgyzstan

98

Republic of Korea

≥99

Sierra Leone

42

Samoa

≥99

Uganda

The former Yugoslav Republic of Macedonia

Regional average

42

89

Singapore

≥99

Tonga

≥99

Guinea-Bissau

39

Tajikistan

Nigeria

39

Turkey

83

Tuvalu

≥99

Guinea

38

Andorra

…

China

98

Burundi

34

Eritrea Niger Chad

28

≥99

Thailand

≥99

Austria

…

Nauru

97

Democratic People’s Republic of Korea

97

Belgium

…

Marshall Islands

95

Maldives

84

Denmark

…

New Zealand

94

Indonesia

73

France

…

Vanuatu

Myanmar

57

Greece

…

Bhutan

51

Iceland

…

Kiribati

90

Israel

…

Micronesia (Federated States of)

88

18 14

Ethiopia

6

Seychelles

…

Country trend

83

Sri Lanka

Regional average

49

Regional average

93 92

India

47

Monaco

…

Viet Nam

88

Nepal

19

Norway

…

Philippines

62

Timor-Leste

19

San Marino

…

Cambodia

44

Bangladesh

18

Spain

…

Sweden

…

Solomon Islands

43

United Kingdom

…

Key

1990

Azerbaijan

98 96

Latest available

This chart shows the percentage of births attended by skilled health personnel. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4.

27

Papua New Guinea

39

Lao People's Democratic Republic

20

6. Contraceptive prevalence (%)

Mauritius 75.8

Paraguay 79.4

Norway 88.4

Iran (Islamic Republic of) 73.3

Algeria 61.4

Colombia 78.2

United Kingdom 82.0

Morocco 63.0

Cape Verde 61.3

Uruguay 77.0

France 81.8

Egypt 60.3

South Africa 60.3

Canada 74.0

Greece 76.2

Tunisia 60.2

Zimbabwe 60.2

Dominican Republic 72.9

Ireland 75.0

Syrian Arab Republic 58.3

Namibia 55.1

United States of America 72.8

Belgium 74.6

Lebanon 58.0

Swaziland 50.6

Ecuador 72.7

Belarus 72.6

Jordan 57.1

Botswana 44.4

Cuba 72.6

Turkey 71.0

Congo 44.3

El Salvador 72.5

Romania 70.3

Malawi 41.0

Nicaragua 72.4

Republic of Moldova 67.8

Yemen 27.7

Zambia 40.8

Peru 71.3

Portugal 67.1

Saudi Arabia 23.8

Netherlands 67.0

Afghanistan 18.6

Kenya 39.3

Regional average

Mexico 70.9

Regional average

70.6

Regional average 68.4

Iraq 49.8

Lesotho 37.3

Jamaica 69.0

Ukraine 66.7

Djibouti 17.8

Rwanda 36.4

Argentina 65.3

Spain 65.7

Somalia 14.6

Gabon 32.7

Honduras 65.2

Uzbekistan 64.9

Sudan

7.6

Sao Tome and Principe 29.3

Chile 64.2

Turkmenistan 61.8

Bahrain

…

Cameroon 29.2

Bolivia (Plurinational State of) 60.6

Albania 60.1

Kuwait

…

Madagascar 27.1

Guatemala 43.3

Armenia 53.1

Libyan Arab Jamahiriya

…

United Republic of Tanzania 26.4

Trinidad and Tobago 42.5

Azerbaijan 51.1

Oman

…

Comoros 25.7

Suriname 42.1

Kazakhstan 50.7

Qatar

…

Belize 34.3

Kyrgyzstan 47.8

United Arab Emirates

…

Guyana 34.2

Georgia 47.3

Regional average

Uganda 23.7

23.7

Ghana 23.5

Haiti 32.0

Democratic Republic of the Congo 20.6

Serbia 41.2

Burundi 19.7

Antigua and Barbuda

…

Central African Republic 19.0

Bahamas

…

Tajikistan 37.9

Gambia 17.5

Barbados

…

Bosnia and Herzegovina 35.7

Burkina Faso 17.4

Brazil

…

Benin 17.0

Costa Rica

…

Montenegro 39.4 China 86.9

Andorra …

Republic of Korea 84.5 Regional average Viet Nam 79.0

The former Yugoslav Republic of Macedonia

13.5

Togo 16.8

Dominica

…

Austria …

Australia 70.8

Mozambique 16.5

Grenada

…

Bulgaria …

Mongolia 66.0

Ethiopia 14.7

Panama

…

Croatia …

Japan 54.3

Nigeria 14.7

Saint Kitts and Nevis

…

Cyprus …

Philippines 50.6

Côte d'Ivoire 12.9

Saint Lucia

…

Czech Republic …

Cambodia 40.0

Senegal 11.8

Saint Vincent and the Grenadines

…

Denmark …

Kiribati 36.1

Liberia 11.4

Venezuela (Bolivarian Republic of)

…

Estonia …

Nauru 35.6

Niger 11.2

Finland …

Palau 32.8

Guinea-Bissau 10.3

Germany …

Lao People's Democratic Republic 32.2

Equatorial Guinea 10.1

Hungary …

Brunei Darussalam …

Mauritania

9.3

Iceland …

Cook Islands …

Guinea

9.1

Mali

8.2

Sierra Leone

8.2

Thailand 81.1 Democratic People's Republic of Korea 68.6 Sri Lanka 68.0

Fiji …

Italy …

Malaysia …

Latvia …

Marshall Islands … Micronesia (Federated States of) …

India 56.3

Luxembourg …

New Zealand …

Bangladesh 55.8

Malta …

Niue …

Monaco …

Papua New Guinea …

Eritrea

8.0

Angola

6.2

Chad

2.8

Seychelles

…

Nepal 48.0

Regional average

Israel …

Lithuania …

Indonesia 61.4

42.8

Pakistan 29.6

57.5

Maldives 39.0

Poland …

Samoa …

Myanmar 37.0

Russian Federation …

Singapore …

Bhutan 30.7

San Marino …

Solomon Islands …

Timor-Leste 10.0

Slovakia …

Tonga …

Slovenia …

Tuvalu …

Sweden …

Vanuatu …

Switzerland …

This chart shows the percentage of women married or cohabiting who report current use of at least one method of contraception. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4.

28

82.7

7. Adolescent fertility rate (per 1000 girls aged 15–19 years)

Algeria

4

Canada

14

San Marino

1

Libyan Arab Jamahiriya

4

Burundi

30

Trinidad and Tobago

35

Netherlands

4

Tunisia

6

Mauritius

35

United States of America

41

Switzerland

4

Saudi Arabia

7

Rwanda

40

Cuba

42

Slovenia

5

Oman

11 14

Botswana

51

Bahamas

43

Cyprus

6

Kuwait

Seychelles

54

Dominica

48

Denmark

6

Bahrain

15

South Africa

54

Chile

49

Sweden

6

Qatar

16

Ghana

74

Saint Lucia

49

Italy

7

Lebanon

18

Namibia

74

Barbados

51

France

8

Morocco

18

Eritrea

85

Grenada

53

Finland

9

Pakistan

20

Mauritania

88

Brazil

56

Norway

9

United Arab Emirates

23

Sao Tome and Principe

91

Saint Vincent and the Grenadines

57

Belgium 10

Iran (Islamic Republic of)

25

Cape Verde

92

Jamaica

58

Germany 10

Djibouti

27

Comoros

95

Peru

59

Luxembourg 10

Egypt

27

Lesotho

98

Argentina

62

Andorra 11

Jordan

28

Senegal

100

Costa Rica

63

Czech Republic 11

Iraq

68

Zimbabwe

101

Suriname

63

Greece 11

Syrian Arab Republic

75

Gambia

104

Uruguay

63

Austria 12

Yemen

80

Paraguay

65

Spain 12

Somalia

123

Afghanistan

151

Sudan

…

Regional average

61

Ethiopia

109

Côte d'Ivoire

111

Antigua and Barbuda

67

Albania 13

Swaziland

111

El Salvador

67

Croatia 13

Benin

114

Haiti

69

Poland 13

Kenya Regional average Democratic Republic of the Congo

116

Saint Kitts and Nevis

74

Iceland 14

Mexico

82

Israel 15

118

124

Regional average

Nigeria

126

Panama

85

Bosnia and Herzegovina 16

Equatorial Guinea

128

Bolivia (Plurinational State of)

88

Montenegro 16

Republic of Korea

2

Burkina Faso

131

Belize

90

Ireland 17

China

5

Congo

132

Guyana

90

Latvia 17

Japan

5

Central African Republic

133

Venezuela (Bolivarian Republic of)

91

Malta 17

Singapore

6

Portugal 17

Malaysia

13

Lithuania 19

Australia

15

19

Tonga

16

Belarus 20

Mongolia

19

Liberia

137

Guatemala

92

United Republic of Tanzania

139

Colombia

96

The former Yugoslav Republic of Macedonia

Regional average

Cameroon

141

Sierra Leone

146

Zambia

146

Honduras 108

Estonia 20

Tuvalu

22

Guinea

153

Nicaragua 109

Hungary 20

Brunei Darussalam

26

Madagascar

154

Uganda

159

Dominican Republic

98

Ecuador 100

Turkmenistan 20 Regional average

Slovakia 21

23

Niue

28

New Zealand

29 29

Angola

165

Serbia 24

Samoa

Guinea-Bissau

170

Armenia 25

Fiji

30

Malawi

178

Republic of Moldova 25

Palau

31

Mozambique

185

United Kingdom 26

Viet Nam

35

Uzbekistan 26

Kiribati

39

Kazakhstan 27

Cook Islands

47

Tajikistan 27

Micronesia (Federated States of)

51

Mali

190

Chad

193

Niger

199

Gabon

…

Togo

…

Maldives

8

Sri Lanka

28

India

45

Bhutan

46

Thailand

46

Indonesia

51

Kyrgyzstan 28

Cambodia

52

Timor-Leste

59

Russian Federation 28

Philippines

55

Nepal 106

Ukraine 30

Nauru

69

Bangladesh 127

Romania 35

Papua New Guinea

70

Democratic People's Republic of Korea …

Georgia 37

Marshall Islands

88

Myanmar …

Bulgaria 38

Lao People's Democratic Republic 110

Azerbaijan 44

Solomon Islands …

Turkey 51

Vanuatu …

Regional average

55

Monaco …

This chart shows estimated adolescent fertility expressed as the number of births among girls aged 15–19 years per 1000 girls in this age group per year. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 9.

29

35

11

8. Antenatal care coverage (%): at least 1 visit and at least 4 visits

Cape Verde

98

Antigua and Barbuda 100

Kazakhstan 100

Oman

Gambia

98

Barbados 100

Belarus 99

Jordan

99

Sao Tome and Principe

98

Cuba 100

Bosnia and Herzegovina 99

Iran (Islamic Republic of)

98

Botswana

97

Dominica 100

Turkmenistan 99

Lebanon

96

Rwanda

96

Grenada 100

Ukraine 99

Tunisia

96

Namibia

95

Saint Kitts and Nevis 100

Uzbekistan 99

Djibouti

92

100

Gabon

94

Argentina

99

Republic of Moldova 98

Iraq

84

Uganda

94

Dominican Republic

99

Serbia 98

Syrian Arab Republic

84

Zambia

94

Saint Lucia

99

Albania 97

Egypt

74

Zimbabwe

94

Bahamas

98

Kyrgyzstan 97

Morocco

68

Burundi

92

Brazil

98

Montenegro 97

Sudan

64 61

Regional average

Kenya

92

Uruguay

97

Georgia 94

Pakistan

Malawi

92

Paraguay

96

Romania 94

Yemen

47

South Africa

92

Trinidad and Tobago

96

94

Somalia

26

The former Yugoslav Republic of Macedonia

Ghana

90

Saint Vincent and the Grenadines

95

Armenia 93

Afghanistan

16

Lesotho

90

Belize

94

Turkey 92

Bahrain

… …

Algeria

89

Colombia

94

Tajikistan 89

Kuwait

Mozambique

89

El Salvador

94

Azerbaijan 77

Libyan Arab Jamahiriya

…

Guinea

88

Mexico

94

Andorra …

Qatar

…

Venezuela (Bolivarian Republic of)

Senegal

87

Sierra Leone

87

Congo

94

Austria …

Saudi Arabia

…

Honduras

92

Belgium …

United Arab Emirates

…

86

Jamaica

91

Bulgaria …

Equatorial Guinea

86

Peru

91

Croatia …

Burkina Faso

85

Costa Rica

90

Cyprus …

Côte d'Ivoire

85

Nicaragua

90

Czech Republic …

Democratic Republic of the Congo

85

Suriname

90

Denmark …

Mongolia

Swaziland

85

Haiti

85

Estonia …

Tuvalu

97

Benin

84

Ecuador

84

Finland …

Nauru

95

Guatemala

84

France …

China

91

81

Germany …

Philippines

91

77

Greece …

Viet Nam

91

…

Hungary …

Vanuatu

84 81

Togo

84

Cameroon

82

Angola

80

Madagascar

80

Regional average

Guyana Bolivia (Plurinational State of) Canada

94

Regional average

99

Liberia

79

Chile

…

Iceland …

Marshall Islands

Guinea-Bissau

78

Panama

…

Ireland …

Malaysia

79

United Republic of Tanzania

76

United States of America

…

Israel …

Papua New Guinea

79

Comoros

75

Italy …

Solomon Islands

74

Mauritania

75

Latvia …

Cambodia

69

Eritrea

70

Lithuania …

Lao People's Democratic Republic

35

Mali

70

Luxembourg …

Australia …

Central African Republic

69

Regional average

Nigeria

58

Niger

46

Chad

39

Ethiopia

28

Mauritius

…

Seychelles

…

73

Regional average

Sri Lanka

99

Malta …

Brunei Darussalam …

Thailand

98

Monaco …

Cook Islands …

Indonesia

93

Netherlands …

Fiji …

Bhutan

88

Norway …

Japan …

Maldives

81

Poland …

Kiribati …

Myanmar

76

Portugal …

Micronesia (Federated States of) … New Zealand …

75

India

74

Russian Federation …

Timor-Leste

61

San Marino …

Niue …

Bangladesh

51

Slovakia …

Palau …

Nepal

44

Slovenia …

Republic of Korea …

Democratic People's Republic of Korea …

Spain …

Samoa …

Sweden …

Singapore …

Switzerland …

Tonga …

Key 1+ visit

United Kingdom …

4+ visits

This chart shows the percentage of women who received antenatal care from skilled health personnel at least once and at least four times during pregnancy. Within each WHO region, countries are sorted by the latest available data since 2000 for coverage of at least one visit. Further details can be found in Part II, Table 4.

30

65

90

9. Unmet need for family planning (%)

Morocco 10.0

Mauritius

3.5

Colombia

5.8

Albania 1.3

Namibia

6.7

United States of America

6.3

Turkey 6.0

Egypt 10.3

Zimbabwe 12.8

Paraguay

6.6

Republic of Moldova 6.7

Jordan 11.9

Niger 15.8

Ecuador

7.4

Turkmenistan 10.1

Congo 16.2

Nicaragua

7.5

Ukraine 10.3 Romania 11.9

Afghanistan

…

Armenia 13.3

Bahrain

…

Cape Verde 16.7

Peru

8.1

Nigeria 16.9

El Salvador

8.9

9.4

Regional average

Tunisia 12.1

Mozambique 18.4

Regional average Dominican Republic 11.4

Georgia 16.3

Djibouti

…

Cameroon 20.2

Jamaica 11.7

Azerbaijan 22.7

Iran (Islamic Republic of)

…

Guinea 21.2

Mexico 12.0

Andorra …

Iraq

…

United Republic of Tanzania 21.8

Honduras 16.9

Austria …

Kuwait

…

Chad 23.3

Bolivia (Plurinational State of) 22.7

Belarus …

Lebanon

…

Madagascar 23.6

Guatemala 27.6

Belgium …

Libyan Arab Jamahiriya

…

Haiti 37.5

Bosnia and Herzegovina …

Oman

…

Democratic Republic of the Congo 24.4

Antigua and Barbuda

…

Bulgaria …

Qatar

…

Kenya 24.5

Argentina

…

Croatia …

Saudi Arabia

…

Zambia 26.5

Bahamas

…

Cyprus …

Somalia

…

Eritrea 27.0

Barbados

…

Czech Republic …

Sudan

…

Malawi 27.6

Belize

…

Denmark …

Syrian Arab Republic

…

Gabon 28.0

Brazil

…

Estonia …

United Arab Emirates

…

Burkina Faso 28.8

Canada

…

Finland …

Yemen

…

Burundi 29.0

Chile

…

France …

Benin 29.9

Costa Rica

…

Germany …

Lesotho 30.9

Cuba

…

Greece …

Regional average

Swaziland 24.0

24.3

Mali 31.2

Dominica

…

Hungary …

Mauritania 31.6

Grenada

…

Iceland …

Senegal 31.6

Guyana

…

Ireland …

Regional average

China 2.3 Mongolia 4.6

Ethiopia 33.8

Panama

…

Israel …

Viet Nam 4.8

Ghana 34.0

Saint Kitts and Nevis

…

Italy …

Philippines 17.3

Liberia 35.6

Saint Lucia

…

Kazakhstan …

Cambodia 25.1

Rwanda 37.9

Saint Vincent and the Grenadines

…

Kyrgyzstan …

Lao People's Democratic Republic 39.5

Suriname

…

Latvia …

Australia …

Trinidad and Tobago

…

Lithuania …

Brunei Darussalam … Cook Islands …

Uganda 40.6 Algeria

…

Angola

…

Uruguay

…

Luxembourg …

Botswana

…

Venezuela (Bolivarian Republic of)

…

Malta …

Fiji …

Central African Republic

…

Monaco …

Japan …

Comoros

…

Montenegro …

Kiribati …

Côte d'Ivoire

…

Netherlands …

Malaysia …

Equatorial Guinea

…

Gambia

…

Guinea-Bissau

…

Sao Tome and Principe

…

Seychelles

…

Thailand 3.1

Norway …

Marshall Islands …

Poland …

Micronesia (Federated States of) …

Timor-Leste 3.8

Portugal …

Nauru …

Indonesia 9.1

Russian Federation …

New Zealand …

India 12.8

San Marino …

Niue …

…

Bangladesh 17.1

Serbia …

Palau …

South Africa

…

Sri Lanka 18.2

Slovakia …

Papua New Guinea …

Togo

…

Myanmar 19.1

Slovenia …

Republic of Korea …

Nepal 24.6

Spain …

Samoa …

Bhutan …

Sweden …

Singapore …

Democratic People's Republic of Korea …

Switzerland …

Solomon Islands …

Maldives …

Tajikistan …

Tonga …

…

Tuvalu …

United Kingdom …

Vanuatu …

Sierra Leone

Regional average

12.8

The former Yugoslav Republic of Macedonia

Uzbekistan …

This chart shows the percentage of women who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next child. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4.

31

18.6

Pakistan 24.9

3.4

10. Prevalence of HIV among adults aged 15–49 years (%)

Comoros

<0.1

Cuba

0.1

Bosnia and Herzegovina

<0.1

Lebanon

0.1

Algeria

0.1

Bolivia (Plurinational State of)

0.2

Croatia

<0.1

Morocco

0.1

Madagascar

0.1

Nicaragua

0.2

Slovakia

<0.1

Pakistan

0.1

Mauritania

0.8

Chile

0.3

Slovenia

<0.1

Tunisia

0.1

Niger

0.8

Ecuador

0.3

The former Yugoslav Republic of Macedonia

<0.1

Iran (Islamic Republic of)

0.2

Gambia

0.9

Mexico

0.3

Turkmenistan

<0.1

Senegal

1.0

Canada

0.4

Armenia

0.1

Sudan

1.4

Benin

1.2

Costa Rica

0.4

Finland

0.1

Djibouti

3.1

Eritrea

1.3

Argentina

0.5

Georgia

0.1

Afghanistan

…

Mali

1.5

Peru

0.5

Germany

0.1

Bahrain

…

Burkina Faso

1.6

Brazil

0.6

Hungary

0.1

Egypt

…

Guinea

1.6

Colombia

0.6

Israel

0.1

Iraq

…

Liberia

1.7

Paraguay

0.6

Kazakhstan

0.1

Jordan

…

Mauritius

1.7

United States of America

0.6

Kyrgyzstan

0.1

Kuwait

…

Regional average

0.5

Regional average

Somalia

Sierra Leone

1.7

Uruguay

0.6

Lithuania

0.1

Libyan Arab Jamahiriya

…

Guinea-Bissau

1.8

Honduras

0.7

Malta

0.1

Oman

…

El Salvador

0.8

Norway

0.1

Qatar

…

0.1

Saudi Arabia

… …

Ghana

1.9

Burundi

2.0

Guatemala

0.8

Poland

Angola

2.1

Panama

1.0

Romania

0.1

Syrian Arab Republic

Ethiopia

2.1

Dominican Republic

1.1

Serbia

0.1

United Arab Emirates

…

Rwanda

2.8

Barbados

1.2

Sweden

0.1

Yemen

…

Nigeria

3.1

Trinidad and Tobago

1.5

Uzbekistan

0.1

Togo

3.3

Jamaica

1.6

Austria

0.2

Equatorial Guinea

3.4

Belize

2.1

Azerbaijan

0.2

Chad

3.5

2.2

Belarus

0.2

Congo

3.5

2.4

Belgium

0.2

Republic of Korea

<0.1

Côte d'Ivoire Regional average Cameroon

3.9

Guyana

2.5

Denmark

0.2

China

0.1

5.1

Bahamas

3.0

Greece

0.2

Fiji

0.1

Uganda

5.4

Antigua and Barbuda

…

Iceland

0.2

Mongolia

0.1

…

Ireland

0.2

New Zealand

0.1

Luxembourg

0.2

Gabon

Haiti Suriname 4.9

Dominica

5.9

United Republic of Tanzania

6.2

Grenada

…

Central African Republic

6.3

Saint Kitts and Nevis

…

Netherlands

Malawi

11.9

Saint Lucia

…

United Kingdom

Mozambique

12.5

Saint Vincent and the Grenadines

…

Tajikistan

Venezuela (Bolivarian Republic of)

…

Regional average

Australia

0.2

0.2

Lao People's Democratic Republic

0.2

0.2

Singapore

0.2

0.3

Malaysia

0.5

Zambia

15.2

France

0.4

Viet Nam

0.5

Namibia

15.3

Italy

0.4

Cambodia

0.8

Zimbabwe

15.3

Republic of Moldova

0.4

Papua New Guinea

1.5

South Africa

18.1

Portugal

0.5

Brunei Darussalam

…

Lesotho

23.2

Spain

0.5

Cook Islands

…

Botswana

23.9

Switzerland

0.6

Japan

…

Latvia

0.8

Kiribati

…

Bhutan

0.1

Indonesia

0.2

India

0.3

Regional average

0.5

Swaziland

26.1

Cape Verde

…

Russian Federation

1.1

Marshall Islands

…

Democratic Republic of the Congo

…

Nepal

0.5

Estonia

1.3

Micronesia (Federated States of)

…

Regional average

0.3

Kenya

…

Myanmar

0.7

Ukraine

1.6

Nauru

…

Sao Tome and Principe

…

Thailand

1.4

Albania

…

Niue

…

Seychelles

…

Bangladesh

…

Andorra

…

Palau

…

Democratic People's Republic of Korea

…

Bulgaria

…

…

…

…

Maldives

Cyprus

Philippines

Czech Republic

…

Samoa

…

Sri Lanka

…

Timor-Leste

…

Key Country trend 1990

Monaco

…

Solomon Islands

Montenegro

…

Tonga

…

San Marino

…

Tuvalu

…

Turkey

…

Vanuatu

…

Latest available

This chart shows the estimated prevalence of HIV infection in adults aged 15–49 years, with countries within each WHO region sorted by 2007 level. The regional averages are based on updates and reflect 2008 levels. Because of limited data availability for the MDG target age group (15–24 years) prevalence is reported here for the 15–49 age group. Further details can be found in Part II, Table 2.

32

0.2

0.5

…

0.1

11. Males aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%)

Namibia

62

Guyana

47

Ukraine 43

Afghanistan

…

Rwanda

54

Haiti

40

Armenia 15

Bahrain

…

Swaziland

52

Dominican Republic

34

5

Djibouti

…

Kenya

47

Bolivia (Plurinational State of)

18

Albania …

Egypt

…

Zimbabwe

46

Antigua and Barbuda

…

Andorra …

Iran (Islamic Republic of)

…

United Republic of Tanzania

40

Argentina

…

Austria …

Iraq

…

Uganda

38

Bahamas

…

Belarus …

Jordan

…

Zambia

37

Barbados

…

Belgium …

Kuwait

…

Cape Verde

36

Belize

…

Bosnia and Herzegovina …

Lebanon

…

Malawi

36

Brazil

…

Bulgaria …

Libyan Arab Jamahiriya

… …

Regional average

Azerbaijan

Benin

35

Canada

…

Croatia …

Morocco

Congo

35

Chile

…

Cyprus …

Oman

…

Cameroon

34

Colombia

…

Czech Republic …

Pakistan

…

Ethiopia

33

Costa Rica

…

Denmark …

Qatar

…

Ghana

33

Cuba

…

Estonia …

Saudi Arabia

…

Mozambique

33

Dominica

…

Finland …

Somalia

…

Côte d'Ivoire

28

Ecuador

…

France …

Sudan

…

27

El Salvador

…

Georgia …

Syrian Arab Republic

…

…

Germany …

Tunisia

…

Central African Republic

30

Senegal

26

Grenada

Burkina Faso

23

Guatemala

…

Greece …

United Arab Emirates

…

Guinea

23

Honduras

…

Hungary …

Yemen

…

Mali

22

Jamaica

…

Iceland …

Democratic Republic of the Congo

21

Mexico

…

Ireland …

21

Nicaragua

…

Israel …

19

Panama

…

Italy …

…

Kazakhstan …

Nigeria Chad Lesotho

19

Paraguay

Viet Nam

50

Madagascar

16

Peru

…

Kyrgyzstan …

Cambodia

45

Niger

16

Saint Kitts and Nevis

…

Latvia …

Marshall Islands

39

Algeria

…

Saint Lucia

…

Lithuania …

Philippines

18

Angola

…

Saint Vincent and the Grenadines

…

Luxembourg …

Australia …

Botswana

…

Suriname

…

Malta …

Brunei Darussalam …

Burundi

…

Trinidad and Tobago

…

Monaco …

China …

Comoros

…

United States of America

…

Montenegro …

Cook Islands …

Equatorial Guinea

…

Uruguay

…

Netherlands …

Fiji …

Eritrea

…

Venezuela (Bolivarian Republic of)

…

Norway …

Japan …

Gabon

…

Poland …

Kiribati … Lao People's Democratic Republic …

Gambia

…

Portugal …

Guinea-Bissau

…

Republic of Moldova …

Malaysia …

Liberia

…

Romania …

Micronesia (Federated States of) …

Mauritania

…

Mongolia …

Mauritius

Nepal

44

Russian Federation …

India

36

San Marino …

Nauru …

Bangladesh …

Serbia …

New Zealand …

Bhutan …

Slovakia …

Niue …

Democratic People's Republic of Korea …

Slovenia …

Palau …

Indonesia …

Spain …

Papua New Guinea …

Maldives …

Sweden …

Republic of Korea …

Myanmar …

Switzerland …

Samoa …

Sri Lanka …

Tajikistan …

Singapore …

…

Solomon Islands …

…

Sao Tome and Principe

…

Seychelles

…

Sierra Leone

…

South Africa

…

Togo

…

Thailand …

The former Yugoslav Republic of Macedonia

Timor-Leste …

Turkey …

Tonga …

Turkmenistan …

Tuvalu …

United Kingdom …

Vanuatu …

Uzbekistan …

This chart shows the percentage of males who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 5.

33

12. Females aged 15–24 years with comprehensive correct knowledge of HIV/AIDS (%)

Namibia

65

Jamaica

60

Bosnia and Herzegovina 48

Djibouti

18

Swaziland

52

Guyana

53

Serbia 42

Morocco

12

Rwanda

51

Dominican Republic

41

Ukraine 42

Syrian Arab Republic

7

United Republic of Tanzania

45

Suriname

41

Belarus 34

Somalia

4

Sao Tome and Principe

44

Haiti

34

Uzbekistan 31

Iraq

3

Zimbabwe

44

Cuba

30

Montenegro 30

Afghanistan

…

Gambia

39

Honduras

30

27

Bahrain

…

Eritrea

37

Trinidad and Tobago

28

Armenia 23

Egypt

…

Cape Verde

36

Nicaragua

22

Kazakhstan 22

Iran (Islamic Republic of)

…

Kyrgyzstan 20

Regional average

The former Yugoslav Republic of Macedonia

Kenya

34

Peru

19

Zambia

34

Bolivia (Plurinational State of)

15

Albania

6

Jordan

…

Kuwait

…

Uganda

32

Antigua and Barbuda

…

Azerbaijan

6

Lebanon

…

Burundi

30

Argentina

…

Tajikistan

3

Libyan Arab Jamahiriya

…

Togo

28

Bahamas

…

Andorra …

Oman

…

Cameroon

27

Barbados

…

Austria …

Pakistan

…

Lesotho

27

Belize

…

Belgium …

Qatar

…

Congo

26

Brazil

…

Bulgaria …

Saudi Arabia

…

Ghana

25

Canada

…

Croatia …

Sudan

…

Malawi

24

Chile

…

Cyprus …

Tunisia

…

…

Czech Republic …

United Arab Emirates

…

Yemen

…

23

Senegal

21

Colombia

Ethiopia

20

Costa Rica

…

Denmark …

Mozambique

20

Dominica

…

Estonia …

Madagascar

19

Ecuador

…

Finland …

18

El Salvador

…

France …

…

Georgia …

Comoros Côte d'Ivoire

18

Grenada

Guinea-Bissau

18

Guatemala

…

Germany …

Cambodia

50

Mali

18

Mexico

…

Greece …

Viet Nam

42

Nigeria

18

Panama

…

Hungary …

Mongolia

35

Central African Republic

17

Paraguay

…

Iceland …

Marshall Islands

27

Guinea

17

Saint Kitts and Nevis

…

Ireland …

Philippines

12

Sierra Leone

17

Saint Lucia

…

Israel …

Australia …

Benin

16

Saint Vincent and the Grenadines

…

Italy …

Brunei Darussalam …

Burkina Faso

15

United States of America

…

Latvia …

China …

Democratic Republic of the Congo

15

Uruguay

…

Lithuania …

Cook Islands …

Algeria

13

Venezuela (Bolivarian Republic of)

…

Luxembourg …

Fiji …

Malta …

Japan …

Niger

13

Chad

7

Monaco …

Kiribati …

Equatorial Guinea

4

Netherlands …

Lao People's Democratic Republic …

Angola

…

Botswana

…

Gabon

…

Regional average

Thailand

46

Nepal

28

21

Norway …

Malaysia …

Poland …

Micronesia (Federated States of) …

Portugal …

Nauru …

Republic of Moldova …

New Zealand …

Liberia

…

India

20

Mauritania

…

Bangladesh

16

Romania …

Niue … Palau …

Mauritius

…

Bhutan …

Russian Federation …

Seychelles

…

Democratic People's Republic of Korea …

San Marino …

Papua New Guinea …

South Africa

…

Indonesia …

Slovakia …

Republic of Korea …

Maldives …

Slovenia …

Samoa …

Myanmar …

Spain …

Singapore …

Sri Lanka …

Sweden …

Solomon Islands …

Timor-Leste …

Switzerland …

Tonga …

Turkey …

Tuvalu …

Turkmenistan …

Vanuatu …

United Kingdom …

This chart shows the percentage of females who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most-common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 5.

34

13. Antiretroviral therapy coverage among people with advanced HIV infection (%)

Regional average

Namibia

88

Costa Rica >95

Romania 73

Morocco

31

Botswana

79

Cuba >95

Republic of Moldova 58

Tunisia

29

Lebanon

26

Djibouti

16

Egypt

9

Rwanda

71

Chile

82

Poland 36

Senegal

56

Brazil

80

Uzbekistan 24

Benin

49

Argentina

73

Kazakhstan 23

Zambia

46

44

23

Mexico

57

Hungary 22

Iran (Islamic Republic of)

5

Panama

56

Belarus 20

Pakistan

3

Uruguay

56

Lithuania 18

Sudan

1

51

Serbia 17

Afghanistan

…

Gabon

42

Swaziland

42

Mali

41

El Salvador

Regional average

Regional average

Regional average

54

Kenya

38

Belize

49

Russian Federation 16

Bahrain

…

Burkina Faso

35

Peru

48

Latvia 15

Iraq

…

Malawi

35

Honduras

47

Azerbaijan 14

Jordan

…

Uganda

33

Guyana

45

Kyrgyzstan 14

Kuwait

…

Libyan Arab Jamahiriya

…

Equatorial Guinea

31

Suriname

45

Armenia 12

United Republic of Tanzania

31

Jamaica

43

Ukraine

8

Oman

…

Ethiopia

29

Ecuador

42

Tajikistan

6

Qatar

…

Côte d'Ivoire

28

Haiti

41

Albania …

Saudi Arabia

…

South Africa

28

Colombia

38

Andorra …

Somalia

…

Guinea

27

Dominican Republic

38

Austria …

Syrian Arab Republic

…

Lesotho

26

Guatemala

37

Belgium …

United Arab Emirates

…

Yemen

…

Nigeria

26

Nicaragua

30

Bosnia and Herzegovina …

Angola

25

Bolivia (Plurinational State of)

22

Bulgaria … Croatia …

Cameroon

25

Paraguay

22

Democratic Republic of the Congo

24

Antigua and Barbuda

…

Cyprus …

Mozambique

24

Bahamas

…

Czech Republic … Lao People's Democratic Republic >95

Burundi

23

Barbados

…

Denmark …

Mauritania

23

Canada

…

Estonia …

Cambodia

Mauritius

22

Dominica

…

Finland …

Papua New Guinea

38

Central African Republic

21

Grenada

…

France …

Malaysia

35

Algeria

20

Saint Kitts and Nevis

…

Georgia …

Philippines

31

Guinea-Bissau

20

Saint Lucia

…

Germany …

Viet Nam

26

Sierra Leone

20

Saint Vincent and the Grenadines

…

Greece …

China

19

Togo

19

Trinidad and Tobago

…

Iceland …

Australia …

Regional average

67

Gambia

18

United States of America

…

Ireland …

Brunei Darussalam …

Congo

17

Venezuela (Bolivarian Republic of)

…

Israel …

Cook Islands …

Liberia

17

Italy …

Fiji …

Zimbabwe

17

Luxembourg …

Japan …

Ghana

15

Malta …

Kiribati …

Chad

13

Monaco …

Marshall Islands …

Eritrea

13

Niger

Thailand

61

Montenegro …

Micronesia (Federated States of) …

10

Indonesia

15

Netherlands …

Mongolia …

Madagascar

4

Myanmar

15

Norway …

Nauru …

Cape Verde

…

Sri Lanka

14

Portugal …

New Zealand …

Regional average

40

Comoros

…

Bangladesh

7

San Marino …

Niue …

Sao Tome and Principe

…

Nepal

7

Slovakia …

Palau …

Seychelles

…

Democratic People's Republic of Korea

Republic of Korea …

0

Slovenia …

Bhutan …

Spain …

Samoa …

India …

Sweden …

Singapore …

Switzerland …

Solomon Islands …

Maldives … Timor-Leste …

…

Tonga …

Turkey …

Tuvalu …

Turkmenistan …

Vanuatu …

The former Yugoslav Republic of Macedonia

United Kingdom …

This chart shows the percentage of people with advanced HIV infection currently receiving antiretroviral therapy according to standards of the Joint United Nations Programme on HIV/AIDS for each country for 2007, with countries within each WHO region sorted by level. The regional averages shown are based on 2008 updated data. Further details can be found in Part II, Table 4.

35

11

31

14. Malaria mortality rate (per 100 000 population)

Algeria

0.0

Argentina

0.0

Armenia

0.0

Egypt

0.0

Cape Verde

0.1

Belize

<0.1

Azerbaijan

0.0

Iraq

0.0 0.0

Swaziland

0.1

Costa Rica

<0.1

Turkmenistan

0.0

Morocco

South Africa

0.3

El Salvador

<0.1

Georgia

<0.1

Oman

0.0

Botswana

1.6

Mexico

<0.1

Kyrgyzstan

<0.1

Saudi Arabia

0.0

Eritrea

1.6

Nicaragua

<0.1

Tajikistan

<0.1

Syrian Arab Republic

0.0

Zimbabwe

10

Panama

<0.1

Turkey

<0.1

Iran (Islamic Republic of)

<0.1

Madagascar

12

Paraguay

<0.1

Uzbekistan

<0.1

Afghanistan

0.5

Sao Tome and Principe

19

Guatemala

0.1

Albania

…

Pakistan

0.8

Comoros

36

Honduras

0.1

Andorra

…

Yemen

3.9

Namibia

47

Bolivia (Plurinational State of)

0.2

Austria

…

Djibouti

14

Ethiopia

51

Ecuador

0.2

Belarus

…

Somalia

41

Rwanda

59

Venezuela (Bolivarian Republic of)

0.2

Belgium

…

Sudan

85

Kenya

74

Dominican Republic

0.3

Bosnia and Herzegovina

…

Bahrain

…

Regional average

Senegal

80

Brazil

0.5

Bulgaria

…

Jordan

…

Mauritania

85

Peru

0.5

Croatia

…

Kuwait

…

Mozambique

92

Regional average Colombia

1.0

Cyprus

…

Lebanon

…

Burundi

94

Suriname

4.9

Czech Republic

…

Libyan Arab Jamahiriya

…

Malawi

95

Haiti

7.8

Denmark

…

Qatar

…

Gabon

96

Guyana

10

Estonia

…

Tunisia

…

United Republic of Tanzania

98

Antigua and Barbuda

…

Finland

…

United Arab Emirates

…

Central African Republic

100

Bahamas

…

France

…

Côte d'Ivoire

103

Barbados

…

Germany

… …

Regional average

104

0.5

Gambia

106

Canada

…

Greece

Ghana

109

Chile

…

Hungary

… …

Republic of Korea

0.0

Togo

113

Cuba

…

Iceland

Cameroon

116

Dominica

…

Ireland

…

Zambia

121

Grenada

…

Israel

…

Malaysia

0.1

Congo

124

Jamaica

…

Italy

…

Viet Nam

0.2

…

Kazakhstan

…

Philippines

0.3

…

Latvia

…

Lao People's Democratic Republic

1.1

Angola Uganda

128

Saint Kitts and Nevis

145

Saint Lucia

China <0.1

Regional average

Benin

146

Saint Vincent and the Grenadines

…

Lithuania

…

Cambodia

4.1

Sierra Leone

154

Trinidad and Tobago

…

Luxembourg

…

Vanuatu

13

Nigeria

156

United States of America …

Malta

…

Solomon Islands

30

Democratic Republic of the Congo

158

Monaco

…

Papua New Guinea

45

Guinea

164

Montenegro

…

Australia

…

Liberia

171

Netherlands

…

Brunei Darussalam

…

Chad

173

Norway

…

Cook Islands

…

Burkina Faso

178

Guinea-Bissau

180

Mali

201

Equatorial Guinea

220

Niger

229

Lesotho

…

Mauritius

…

Seychelles

…

Uruguay

…

Poland

…

Fiji

…

Democratic People's Republic of Korea

0.0

Portugal

…

Japan

…

Sri Lanka

<0.1

Republic of Moldova

…

Kiribati

…

Nepal

0.1

Romania

…

Marshall Islands

…

Thailand

0.6

Russian Federation

…

Micronesia (Federated States of)

…

India

1.3

San Marino

…

Mongolia

…

Indonesia

1.5

Serbia

…

Nauru

…

Bhutan

3.0

Slovakia

…

New Zealand

…

Bangladesh

4.2

Slovenia

…

Niue

…

Myanmar

19

Spain

…

Palau

…

Timor-Leste

93

Sweden

…

Samoa

…

Maldives

…

Switzerland

…

Singapore

…

The former Yugoslav Republic of Macedonia

…

Tonga

…

Ukraine

…

Tuvalu

…

United Kingdom

…

Regional average

2.1

This chart shows the estimated number of deaths from malaria for 2006, with countries within each WHO region sorted by level. Further details can be found in Part II, Table 2.

36

7.5

0.3

15. Children aged <5 years sleeping under insecticide-treated nets (%)

Madagascar

60

Guyana

6

Azerbaijan

1

Sudan

28

Sao Tome and Principe

54

Suriname

3

Tajikistan

1

Somalia

9

Gambia

49

Argentina

…

Armenia …

Equatorial Guinea

42

Bahamas

…

Georgia …

Afghanistan Regional average Djibouti

1 0

6

Zambia

41

Belize

…

Kyrgyzstan …

Iraq

Guinea-Bissau

39

Bolivia (Plurinational State of)

…

Russian Federation …

Pakistan

0

Kenya

39

Brazil

…

Turkey …

Egypt

…

Togo

35

Colombia

…

Turkmenistan …

Iran (Islamic Republic of)

…

Ethiopia

33

Costa Rica

…

Uzbekistan …

Morocco

…

Senegal

31

Dominican Republic

…

Oman

…

Ghana

28

Ecuador

…

Albania …

Saudi Arabia

…

Non-endemic

Mali

27

El Salvador

…

Andorra …

Syrian Arab Republic

…

Sierra Leone

26

Guatemala

…

Austria …

Yemen

…

Malawi

25

Haiti

…

Belarus …

Non-endemic

Rwanda

24

Honduras

…

Belgium …

Bahrain

Benin

20

Jamaica

…

Bosnia and Herzegovina …

Jordan

…

Angola

17

Mexico

…

Bulgaria …

Kuwait

…

16

Nicaragua

…

Croatia …

Lebanon

…

15

Panama

…

Cyprus …

Libyan Arab Jamahiriya

… …

Regional average United Republic of Tanzania

Central African Republic

17

…

Cameroon

13

Paraguay

…

Czech Republic …

Qatar

Burkina Faso

10

Peru

…

Denmark …

Tunisia

…

Comoros

9

Venezuela (Bolivarian Republic of)

…

Estonia …

United Arab Emirates

…

Uganda

9

Non-endemic

8

Antigua and Barbuda

…

France …

Mozambique

7

Barbados

…

Germany …

Niger

7

Canada

…

Greece …

Lao People's Democratic Republic

18

Congo

6

Chile

…

Hungary …

Viet Nam

5

Côte d'Ivoire

6

Cuba

…

Iceland …

Cambodia

4

Democratic Republic of the Congo

6

Dominica

…

Ireland …

Nigeria

6

Grenada

…

Israel …

Malaysia …

Saint Kitts and Nevis

…

Italy …

Papua New Guinea …

Burundi

Finland …

China …

Eritrea

4

Liberia

3

Saint Lucia

…

Kazakhstan …

Philippines …

Zimbabwe

3

Saint Vincent and the Grenadines

…

Latvia …

Republic of Korea …

Mauritania

2

Trinidad and Tobago

…

Lithuania …

Solomon Islands …

Chad

1

United States of America

…

Luxembourg …

Guinea

1

Uruguay

…

Malta …

Swaziland

0

Monaco …

Australia …

Montenegro …

Brunei Darussalam …

Netherlands …

Cook Islands …

Algeria

…

Botswana

…

Cape Verde

…

Gabon

…

Namibia

…

South Africa

Lesotho

…

Mauritius

…

Seychelles

…

Timor-Leste

8

Norway …

Fiji …

Indonesia

3

Poland …

Japan …

Bangladesh …

Portugal …

Kiribati …

Bhutan …

Republic of Moldova …

Marshall Islands …

Democratic People's Republic of Korea …

Romania …

Micronesia (Federated States of) …

India …

San Marino …

Mongolia …

Myanmar …

Serbia …

Nauru …

Nepal …

Slovakia …

New Zealand …

Sri Lanka …

Slovenia …

Niue …

Thailand …

Spain …

Palau …

…

Non-endemic

Vanuatu … Non-endemic

Non-endemic Maldives …

Sweden …

Samoa …

Switzerland …

Singapore …

…

Tonga …

Ukraine …

Tuvalu …

The former Yugoslav Republic of Macedonia

United Kingdom …

This chart shows the percentage of children under 5 years of age that slept under an insecticide-treated net the night prior to the survey. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4.

37

5

16. Children aged <5 years with fever who received treatment with any antimalarial (%)

Comoros

63

Haiti

5

Tajikistan

2

Sudan

54

Gambia

63

Nicaragua

2

Azerbaijan

1

Djibouti

10

Uganda

61

Guyana

1

Armenia …

Afghanistan

8

Liberia

59

Honduras

1

Georgia …

Somalia

8

Cameroon

58

Argentina

…

Kyrgyzstan …

Pakistan

3

United Republic of Tanzania

58

Bahamas

…

Russian Federation …

Iraq

1

Central African Republic

57

Belize

…

Turkey …

Egypt

…

Benin

54

Bolivia (Plurinational State of)

…

Turkmenistan …

Iran (Islamic Republic of)

…

Burkina Faso

48

Brazil

…

Uzbekistan …

Morocco

…

Congo

48

Colombia

…

Guinea-Bissau

46

Costa Rica

…

Guinea

44

Dominican Republic

Zambia

43

Ecuador

Oman

…

Albania …

Saudi Arabia

…

…

Andorra …

Syrian Arab Republic

…

…

Austria …

Yemen

…

Non-endemic

Togo

37

El Salvador

…

Belarus …

Non-endemic

Côte d'Ivoire

36

Guatemala

…

Belgium …

Bahrain

Madagascar

34

Jamaica

…

Bosnia and Herzegovina …

Jordan

…

Niger

33

Mexico

…

Bulgaria …

Kuwait

…

Nigeria

33

Panama

…

Croatia …

Lebanon

…

Chad

32

Paraguay

…

Cyprus …

Libyan Arab Jamahiriya

… …

…

Mali

32

Peru

…

Czech Republic …

Qatar

Burundi

30

Suriname

…

Denmark …

Tunisia

…

Democratic Republic of the Congo

30

Venezuela (Bolivarian Republic of)

…

Estonia …

United Arab Emirates

…

Sierra Leone

30

Non-endemic

Angola

28

Antigua and Barbuda

…

France …

Swaziland

26

Barbados

…

Germany …

Sao Tome and Principe

25

Canada

…

Greece …

Lao People's Democratic Republic

9

Ghana

24

Chile

…

Hungary …

Viet Nam

3

Kenya

24

Cuba

…

Iceland …

Cambodia

0

Malawi

24

Dominica

…

Ireland …

Mozambique

23

Grenada

…

Israel …

Malaysia …

Senegal

22

Saint Kitts and Nevis

…

Italy …

Papua New Guinea …

Finland …

China …

Mauritania

21

Saint Lucia

…

Kazakhstan …

Philippines …

Equatorial Guinea

16

Saint Vincent and the Grenadines

…

Latvia …

Republic of Korea …

Namibia

14

Trinidad and Tobago

…

Lithuania …

Solomon Islands …

Ethiopia

10

United States of America

…

Luxembourg …

Rwanda

6

Uruguay

…

Malta …

Zimbabwe

5

Monaco …

Australia …

Eritrea

4

Montenegro …

Brunei Darussalam …

Netherlands …

Cook Islands …

Vanuatu … Non-endemic

Algeria

…

Botswana

…

Timor-Leste

47

Norway …

Fiji …

Cape Verde

…

India

12

Poland …

Japan …

Indonesia

Gabon

…

1

Portugal …

Kiribati …

South Africa

…

Bangladesh …

Republic of Moldova …

Marshall Islands …

Bhutan …

Romania …

Micronesia (Federated States of) …

Lesotho

…

Democratic People's Republic of Korea …

San Marino …

Mongolia …

Mauritius

…

Myanmar …

Serbia …

Nauru …

Seychelles

…

Nepal …

Slovakia …

New Zealand …

Sri Lanka …

Slovenia …

Niue …

Thailand …

Spain …

Palau …

Non-endemic

Non-endemic Maldives …

Sweden …

Samoa …

Switzerland …

Singapore …

…

Tonga …

Ukraine …

Tuvalu …

The former Yugoslav Republic of Macedonia

United Kingdom …

This chart shows the percentage of children under 5 years of age with fever in the two weeks prior to the survey who received any antimalarial medicine. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Part II, Table 4.

38

17. Tuberculosis mortality rate among HIV-negative people (per 100 000 population)

Algeria

4.1

Barbados

0.0

Luxembourg

0.0

United Arab Emirates

0.3

Mauritius

4.7

Saint Kitts and Nevis

0.0

Monaco

0.0

Jordan

0.5

Equatorial Guinea

5.0

Antigua and Barbuda

0.1

San Marino

0.0

Oman

0.8

Comoros

8.0

Canada

0.3

Iceland

0.1

Saudi Arabia

1.2

Seychelles

8.7

Grenada

0.3

Andorra

0.3

Lebanon

1.3

Eritrea

9.0

United States of America

0.3

Cyprus

0.3

Tunisia

1.8

United Republic of Tanzania

13

Cuba

0.4

Germany

0.3

Kuwait

2.3

Benin

15

Bahamas

0.7

Greece

0.3

Syrian Arab Republic

2.3

Cameroon

16

Costa Rica

0.7

Switzerland

0.3

Bahrain

2.8

Sao Tome and Principe

18

Chile

0.8

Denmark

0.4

Iran (Islamic Republic of)

3.0

Zambia

18

Jamaica

0.9

France

0.4

Egypt

3.1

Kenya

19

Saint Lucia

0.9

Israel

0.4

Qatar

3.8

Malawi

23

Dominica

1.1

Italy

0.4

Libyan Arab Jamahiriya

4.2

Angola

25

Trinidad and Tobago

1.2

Netherlands

0.4

Morocco

8.0

Guinea-Bissau

25

Mexico

1.4

Norway

0.4

Yemen

10

Namibia

26

Saint Vincent and the Grenadines

1.4

Sweden

0.4

Iraq

14

Lesotho

27

Uruguay

1.7

Austria

0.5

Sudan

19

Uganda

27

El Salvador

2.7

Belgium

0.5

Afghanistan

34

Pakistan

39

Swaziland

31

Panama

2.8

Finland

0.5

Cape Verde

33

Argentina

3.1

Ireland

0.5

Mozambique

36

Brazil

3.8

Czech Republic

0.6

Nicaragua

4.1

Slovakia

0.7

Venezuela (Bolivarian Republic of)

4.3

Niger

37

Botswana

38

South Africa

39

Central African Republic

41

Gabon

41

Congo

42

Gambia

44

Ghana

44

Liberia

46

Burkina Faso Regional average Madagascar

51

Regional average

Colombia

4.6

Belize

5.1

Paraguay

8.7

Honduras

10

Dominican Republic

12

Guatemala

12

Ecuador

13

52

Guyana

15

Zimbabwe

54

Bolivia (Plurinational State of)

22

Chad

60

Suriname

29

Guinea

60

Nigeria

63

Ethiopia

64

Senegal

64

Burundi

69

Rwanda

71

C么te d'Ivoire

75

Democratic Republic of the Congo

77

Mauritania

80

Mali

81

Togo

92

Sierra Leone

140

Haiti

1990

0.7

Malta

0.8

Slovenia

0.8

Hungary

1.0

Spain

1.0

Serbia

1.3

Albania

1.4

Montenegro

1.5

Croatia

1.6

Portugal

1.6

The former Yugoslav Republic of Macedonia

1.7

Estonia

1.9

Poland

2.6

Turkey

3.2

Bosnia and Herzegovina

3.4

Republic of Moldova

4.6

Belarus

5.2

Latvia

5.5

Bulgaria

5.8

32

Maldives

2.9

Sri Lanka

10

Bhutan

15

Thailand

19

Nepal

22

India

23

Indonesia

27

Regional average

81

Niue

0.0

Australia

0.4

New Zealand

0.5

Nauru

0.8

Japan

1.4

Singapore

2.5

Tonga

3.0

Fiji

3.2

Cook Islands

4.0

Brunei Darussalam

4.2

Samoa

4.3

Republic of Korea

5.5

Micronesia (Federated States of)

6.6

Tuvalu

11

6.5

Vanuatu

11

China

12 14

7.7

Marshall Islands

8.4

Palau

14

Lithuania

9.3

Malaysia

15

Armenia

12

Solomon Islands

19

Mongolia

21

Papua New Guinea

21

Georgia

13

Russian Federation

15

Bangladesh

50

Ukraine

15

Myanmar

57

Azerbaijan

21

Timor-Leste

83

Kazakhstan

24

Kyrgyzstan

25

Uzbekistan

Latest available

54

Djibouti

Romania

39

28

Somalia

Turkmenistan

Regional average Democratic People's Republic of Korea

Key Country trend

United Kingdom

5.4

Peru

51

3.4

Regional average

Tajikistan

27 44

Regional average

Kiribati

25

Lao People's Democratic Republic

32

Viet Nam

34

Philippines

52

Cambodia

79

This chart shows the estimated number of deaths (per 100 000 population) from tuberculosis among HIV-negative cases for 2008, with countries within each WHO region sorted by level. Further details can be found in Part II, Table 4.

39

19

15

18. Population using improved drinking-water sources (%)

Mauritius

99

Barbados

100

Andorra

100

Lebanon

100

Botswana

95

Canada

100

Austria

100

Qatar

100

Comoros

95

Uruguay

100

Belarus

100

United Arab Emirates

100

Gambia

92

Belize

99

Belgium

100

Egypt

99

Namibia

92

Saint Kitts and Nevis

99

Bulgaria

100

Kuwait

99

South Africa

91

United States of America

99

Cyprus

100

Jordan

96

Sao Tome and Principe

89

Saint Lucia

98

Czech Republic

100

Tunisia

94

Gabon

87

Argentina

97

Denmark

100

Djibouti

92

Lesotho

85

Brazil

97

Finland

100

Pakistan

90

Cape Verde

84

Costa Rica

97

France

100

Syrian Arab Republic

89

Algeria

83

Chile

96

Germany

100

Oman

88

Ghana

82

Cuba

94

Greece

100

Morocco

81

Regional average

96

Regional average

Zimbabwe

82

Ecuador

94

Hungary

100

Iraq

79

Côte d'Ivoire

80

Guatemala

94

Iceland

100

Yemen

62

Malawi

80

Guyana

94

Ireland

100

Sudan

57

Burkina Faso

76

Jamaica

94

Israel

100

Afghanistan

48

Benin

75

Mexico

94

Italy

100

Somalia

30

Cameroon

74

Trinidad and Tobago

94

Luxembourg

100

Bahrain

…

Burundi

72

Panama

93

Malta

100

Iran (Islamic Republic of)

…

Congo

71

Suriname

93

Monaco

100

Libyan Arab Jamahiriya

…

Guinea

71

Colombia

92

Netherlands

100

Saudi Arabia

…

El Salvador

87

Norway

100

86

Poland

100

86

Slovakia

100

86

Spain

100 100

Senegal

69

Swaziland

69

Liberia

68

Central African Republic

67

Uganda

67

Paraguay

86

Sweden

100

Australia

Rwanda

65

Nicaragua

85

Switzerland

100

Japan

100

Eritrea

61

Peru

82

The former Yugoslav Republic of Macedonia

100

Malaysia

100

Guinea-Bissau Regional average Togo

61

Haiti

63

United Kingdom

100

New Zealand

100

60

Antigua and Barbuda

…

Bosnia and Herzegovina

99

Niue

100

Zambia

60

Bahamas

…

Croatia

99

Singapore

100

99

Tonga

100

Bolivia (Plurinational State of) Dominican Republic Honduras

61

Kenya

59

Dominica

…

Latvia

Nigeria

58

Grenada

…

Portugal

99

Republic of Korea

98

Mali

56

Saint Vincent and the Grenadines

…

Serbia

99

Tuvalu

97

United Republic of Tanzania

54

Venezuela (Bolivarian Republic of)

…

Slovenia

99

Marshall Islands

94

Turkey

99

Viet Nam

94

Angola

50

Chad

50

Estonia

98

Philippines

91

Mauritania

49

Georgia

98

Nauru

90

Sierra Leone

49

Montenegro

98

China

89

Ukraine

98

Albania

97

Niger Mozambique Democratic Republic of the Congo

48 Democratic People's Republic of Korea Thailand 47

100

46

Madagascar

41

Ethiopia

38

Equatorial Guinea

…

Seychelles

…

Regional average

Regional average

98

Bhutan

92

Maldives

91

Sri Lanka

90

India

88

Nepal

88

Bangladesh

80

Indonesia

80

Myanmar

71

Timor-Leste

69

86

Key MDG target 1990 Country trend

2015 Latest available

Regional average 98

Vanuatu

82

Mongolia

76

Armenia

96

Cambodia

61

Russian Federation

96

Lao People's Democratic Republic

57

Kazakhstan

95

Papua New Guinea

41

Kyrgyzstan

90

Brunei Darussalam

…

Republic of Moldova

90

Cook Islands

…

Uzbekistan

87

Fiji

…

Azerbaijan

80

Kiribati

…

Tajikistan

70

Micronesia (Federated States of)

…

Lithuania

…

Palau

…

Romania

…

Samoa

…

San Marino

…

Solomon Islands

…

Turkmenistan

…

This chart shows the percentage of the population using an improved drinking-water source, with countries within each WHO region sorted by 2008 level. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to double the proportion of people with sustainable access to safe drinking-water by 2015. The MDG target is worded in terms of halving the proportion of people without sustainable access to safe drinking-water by 2015. Further details can be found in Part II, Table 5.

40

83

90

19. Population using improved sanitation (%)

Algeria

95

Bahamas

100

Andorra

100

Kuwait

100

Mauritius

91

Barbados

100

Austria

100

Qatar

100

South Africa

77

Canada

100

Belgium

100

Jordan

98

Gambia

67

United States of America

100

Bulgaria

100

Libyan Arab Jamahiriya

97

Botswana

60

Uruguay

100

Cyprus

100

United Arab Emirates

97

Angola

57

Grenada

97

Denmark

100

Syrian Arab Republic

96

Malawi

56

Chile

96

Finland

100

Egypt

94

Swaziland

55

Saint Kitts and Nevis

96

France

100

Tunisia

85

Cape Verde

54

Costa Rica

95

Germany

100

Iraq

73

Rwanda

54

Ecuador

92

Hungary

100

Morocco

69

Senegal

51

Trinidad and Tobago

92

Iceland

100

Djibouti

56

Regional average

Zambia

49

Cuba

91

Israel

100

Yemen

52

Uganda

48

Argentina

90

Luxembourg

100

Pakistan

45

Cameroon

47

Belize

90

Malta

100

Afghanistan

37

Burundi

46

El Salvador

Monaco

100

Sudan

34

Zimbabwe

44

Netherlands

100

Somalia

23

Comoros

36

Suriname

84

Norway

100

Bahrain

…

36

Dominican Republic

83

Portugal

100

Iran (Islamic Republic of)

…

Slovakia

100

Lebanon

…

Slovenia

100

Oman

…

Saudi Arabia

…

Mali Central African Republic Regional average Gabon

Regional average

34 34

Mexico

87 87 85

Jamaica

83

33

Guatemala

81

Namibia

33

Guyana

81

Spain

100

Nigeria

32

Brazil

80

Sweden

100

Kenya

31

Colombia

74

Switzerland

100

71

United Kingdom

100 100

Congo

30

Honduras

Lesotho

29

Paraguay

70

Uzbekistan

Mauritania

26

Panama

69

Croatia

99

Australia

100

Sao Tome and Principe

26

Peru

68

Ireland

99

Cook Islands

100

United Republic of Tanzania

24

Nicaragua

52

Albania

98

Japan

100

Côte d'Ivoire

23

Bolivia (Plurinational State of)

25

Czech Republic

98

Niue

100

Democratic Republic of the Congo

23

Haiti

17

Greece

98

Republic of Korea

100

…

Turkmenistan

98

Samoa

100

97

Singapore

100 96

Guinea-Bissau

Antigua and Barbuda

21

Guinea

19

Dominica

…

Kazakhstan

Liberia

17

Saint Lucia

…

Bosnia and Herzegovina

95

Malaysia

Mozambique

17

Saint Vincent and the Grenadines

…

Estonia

95

Tonga

96

Eritrea

14

Venezuela (Bolivarian Republic of)

…

Georgia

95

Tuvalu

84

Ghana

13

Sierra Leone

13

Regional average

Ukraine

95

Philippines

76

Tajikistan

94

Viet Nam

75

93

94

Benin

12

Belarus

Ethiopia

12

Kyrgyzstan

93

Marshall Islands Regional average China

Togo

12

Montenegro

92

Lao People's Democratic Republic

Burkina Faso

11

Madagascar

11

Chad

9

Niger

9

Equatorial Guinea

…

Seychelles

…

MDG target 1990 Country trend

98

72 62 55 53

Thailand

96

Serbia

92

Vanuatu

51

Sri Lanka

91

Armenia

90

Mongolia

50

Myanmar

81

Bhutan

65

Bangladesh

53

Indonesia

52

Timor-Leste

50

Republic of Moldova

India

31

Latvia

Nepal

31

Romania

Democratic People's Republic of Korea

…

Regional average

Key

Maldives

Poland

90

Nauru

50

Turkey

90

Papua New Guinea

45

The former Yugoslav Republic of Macedonia

89

Cambodia

29

Russian Federation

87

Brunei Darussalam

…

79

Fiji

…

78

Kiribati

…

72

Micronesia (Federated States of)

…

Azerbaijan

45

New Zealand

…

Italy

…

Palau

…

Lithuania

…

Solomon Islands

…

San Marino

…

40

2015 Latest available

This chart shows the percentage of the population using an improved sanitation facility, with countries within each WHO region sorted by 2008 level. The bold lines indicate trends since 1990 or since the first year for which data are available. The thin lines indicate the projected trend needed to double the proportion of people with sustainable access to basic sanitation by 2015. The MDG target is worded in terms of halving the proportion of people without sustainable access to basic sanitation by 2015. Further details can be found in Part II, Table 5.

41

61

Part II Global Health Indicators

Table 1

WORLD HEALTH STATISTICS 2010

Mortality and burden of disease This section deals with indicators of life expectancy and mortality rates, which provide good summary measures of overall population health. The indicators include overall life expectancy at birth, as well as infant and under-five mortality (the probability of dying between birth and 1 and 5 years of age, respectively), and adult mortality (the probability of dying between 15 and 60 years of age). Levels and trends for child mortality (Figure 8 and Box 1) are particularly relevant in understanding public health because globally almost 20% of all deaths are of children less than 5 years old. Neonatal mortality (death during the first 28 days of life per 1000 live births) accounts for a large proportion of child deaths in many countries, especially in low-income settings. Although estimates of life expectancy reflect how many years a person might be expected to live given the current mortality rates in specific settings, they say nothing about health status during life. Mortality statistics alone are insufficient in fully describing and comparing the health status of different populations because they underestimate the burden of ill-health caused by chronic conditions and provide no information on non-fatal health outcomes. “Healthy life expectancy” (HALE) at birth, on the other hand, represents the average number of years that a person could expect to live in “good health” by taking into account years lived in less than full health due to disease and/or injury. As a result, it captures both fatal and non-fatal health outcomes and disabilities, of which the most common worldwide are hearing loss, visual impairment and mental disorders. The estimates of mortality presented here have been derived wherever possible from death-registration data reported annually to WHO. For countries where such data are not available or are of poor quality, household surveys and censuses are used to create life tables from a model developed by WHO that generates estimates of mortality rates and life expectancy. In the case of child mortality, WHO is part of the Inter-agency Group for Child Mortality Estimation (IGME) which was established to advance the work on monitoring the progress made towards the achievement of the MDG target,18 and works to harmonize the estimates used by its members. In addition, to develop its country estimates of HALE, WHO has conducted analyses of 135 causes of disability for 17 regions of the world and analysed 69 health surveys in 60 countries. WHO makes every effort to standardize the methods used to estimate and project indicators for all Member States using comparable data. This may lead to some differences compared with the official statistics prepared by individual Member States. It is also important to stress that these estimates are subject to considerable uncertainty, especially for countries with weak statistical and health information systems where the quality of underlying empirical data is limited. Estimates of HALE are more uncertain than estimates of life expectancy, as it is particularly difficult to ensure comparable measurements of disability across countries, and to correct for limitations in the data. In recognition of this, uncertainty intervals for WHO estimates of mortality and life expectancy will be made available in the Global Health Observatory. 18

MDG 4; Target 4.A: Reduce by two thirds, between 1990 and 2015, the under-five mortality rate.

45

WORLD HEALTH STATISTICS 2010

Figure 8: Mortality rate in children under 5 years old by country-income group – 1990 and 2008

Low income

Lower middle income

Upper middle income

High income

320 300 280 260 240

Probability of dying by age 5 per 1000 live births

220 200 180 160 157 140 120 109 100 80 70 60 40

36 26

20

15

11 5

0 1990

2008

1990

2008

1990

Note: Solid horizontal lines indicate the median.

46

2008

1990

2008

Table 1

WORLD HEALTH STATISTICS 2010

Box 1: Trends in child mortality

In Figure 8, each circle represents a country (note that circles may overlap). From the data presented, three major conclusions emerge: In general, wealthier countries have far lower levels of child mortality than poorer ones – in low-income countries, the median level of child mortality in 2008 was 109 deaths per 1000 live births, compared with 5 per 1000 in high-income countries, representing a more than 20-fold difference. Several low-income countries have achieved comparably low levels of child mortality – with wide variation in levels of child mortality observed in most of the country-income groups. In low-income countries, child mortality in 2008 ranged from 14 to 257 per 1000 live births representing an 18-fold difference. Child mortality rates have fallen since 1990 in all country-income groups – with the rate of decline generally faster in high-income and middle-income countries than in low-income countries. Median child mortality fell by almost 50% between 1990 and 2008 in lower middle-income countries, but by only 31% in low-income countries.

47

1. Mortality and burden of disease Life expectancy at birtha (years)

Member State

Male

Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica C么te d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti

Healthy life expectancy (HALE) at birthb (years)

Female

Both sexes

Male

1990

2000

2008

1990

2000

2008

1990

2000

2008

42 66 65 74 38 69 69 62 74 72 59 67 73 55 70 66 73 71 50 53 57 69 65 63 71 68 48 48 57 54 74 65 51 48 69 68 66 56 58 67 74 53 69 72 74 68 65 47 72 56

41 68 67 76 41 71 71 67 77 75 62 69 72 61 70 63 75 67 54 58 61 71 51 67 75 68 49 45 55 52 77 66 49 46 73 70 68 56 53 69 75 52 70 75 75 72 65 44 75 57

40 71 70 79 45 73 72 66 79 78 66 72 74 64 71 64 77 69 57 61 65 73 60 70 75 70 51 49 59 53 79 66 49 46 75 72 72 58 54 72 76 55 72 76 78 74 65 47 77 57

44 71 68 81 45 71 76 70 80 79 66 74 74 54 77 75 79 75 51 56 58 75 69 70 76 75 49 51 60 55 80 70 51 50 76 69 72 59 61 71 78 55 76 76 78 75 69 50 78 60

44 73 71 83 47 74 78 73 82 81 67 75 74 61 77 74 81 74 55 62 64 76 53 74 79 75 50 49 61 53 82 72 48 48 80 73 77 61 54 74 79 53 78 79 79 79 69 49 79 61

44 74 72 85 48 75 79 73 84 83 70 78 76 65 77 76 82 76 58 65 68 78 62 77 77 77 52 51 64 53 83 74 48 47 82 76 79 62 55 76 81 56 79 79 82 80 69 50 81 61

43 69 66 77 42 70 73 66 77 76 63 71 74 54 74 71 76 73 51 55 58 72 67 67 73 71 49 50 59 55 77 67 51 49 72 68 69 57 60 69 76 54 72 74 76 71 67 49 75 58

42 71 69 80 44 72 75 70 80 78 64 72 73 61 74 69 78 70 55 60 62 74 52 70 77 72 49 47 58 52 79 69 49 47 77 71 72 58 54 71 77 53 74 77 77 75 67 47 77 59

42 73 71 82 46 74 76 70 82 80 68 75 75 65 74 70 80 72 57 63 67 75 61 73 76 73 51 50 62 53 81 71 48 46 78 74 75 60 54 74 78 56 76 77 80 77 67 48 79 59

48

Female

Both sexes

2007 36 64 62 72 44 65 64 59 72 70 59 63 66 56 65 58 70 57 50 54 57 65 49 62 66 63 42 42 51 45 71 59 43 40 67 65 64 55 48 63 68 45 66 68 69 68 57 44 70 47

36 64 63 76 47 66 69 63 75 74 60 68 66 55 69 66 74 63 50 56 59 68 48 66 67 69 43 43 55 45 75 64 42 40 72 68 69 58 49 66 71 48 70 71 71 72 61 46 73 50

Neonatal mortality ratec (per 1000 live births) 2008

36 64 62 74 45 66 67 61 74 72 59 65 66 56 67 62 72 60 50 55 58 67 49 64 66 66 43 43 53 45 73 61 42 40 70 66 66 56 48 65 69 47 68 69 70 70 59 45 72 48

50 4 24 2 47 8 9 14 3 3 19 6 6 33 7 7 2 8 33 35 25 7 16 11 3 5 36 42 31 31 4 16 47 44 5 11 12 42 34 7 7 41 3 3 2 2 29 56 3 36

MDG 4 Infant mortality ratea (probability of dying by age 1 per 1000 live births) Male

Female

Adult mortality ratea (probability of dying between 15 and 60 years per 1000 population)

MDG 4 Under-ďŹ ve mortality ratea (probability of dying by age 5 per 1000 live births) Both sexes

Male

Female

Table 1

WORLD HEALTH STATISTICS 2010

Both sexes

Male

Female

Both sexes

1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 175 39 57 8 161 27 27 51 9 9 87 19 13 110 18 24 9 38 117 99 93 23 39 51 11 16 114 125 94 99 8 59 120 127 20 31 32 99 69 12 21 115 12 13 12 13 43 133 9 108

172 22 44 4 148 21 19 34 6 5 64 14 11 71 13 18 5 27 94 73 70 16 56 31 6 15 106 118 88 99 6 40 123 130 10 25 25 90 76 17 13 106 7 8 5 5 43 133 6 95

172 13 39 3 136 14 14 22 5 4 36 9 9 45 9 13 4 18 81 58 48 15 26 20 5 10 95 112 76 89 6 29 118 132 8 15 19 83 82 16 10 89 6 5 4 3 43 133 4 86

160 36 48 6 147 22 21 45 7 7 68 14 14 97 12 17 7 32 104 84 83 19 38 40 8 12 106 102 76 84 6 39 112 112 16 43 22 80 64 20 17 93 9 9 10 9 41 119 6 82

158 19 38 4 134 12 15 30 5 4 50 12 10 63 13 13 4 19 84 62 63 12 54 25 6 12 98 96 71 84 5 26 115 114 9 35 17 73 71 12 10 85 6 5 5 4 41 119 4 72

158 12 33 3 124 8 11 19 4 3 28 9 10 40 12 10 3 15 72 49 43 10 26 16 6 8 89 92 62 75 5 19 111 116 7 21 13 67 77 11 9 72 3 5 3 2 41 119 3 66

168 37 52 7 154 25 24 48 8 8 78 17 14 103 15 20 8 35 111 91 88 21 39 46 9 14 110 113 85 92 7 49 116 120 18 37 28 90 67 16 19 104 10 11 11 11 42 126 7 95

165 21 41 4 141 17 17 32 5 5 58 13 10 67 13 15 5 23 89 68 67 14 55 28 6 14 102 107 80 91 5 33 119 122 9 30 21 81 74 15 12 96 7 6 5 4 42 126 5 84

165 13 36 3 130 11 13 21 4 4 32 9 10 43 10 11 4 17 76 54 46 13 26 18 5 9 92 102 69 82 5 24 115 124 7 18 16 75 80 14 10 81 4 5 4 3 42 126 4 76

262 48 69 9 276 32 31 63 10 10 109 28 16 153 20 27 11 46 189 158 124 26 52 62 12 20 203 203 126 155 9 74 177 206 24 39 41 138 108 15 25 157 14 15 13 14 57 210 10 137

258 26 52 5 253 23 22 40 7 6 77 22 14 93 14 20 7 30 148 113 87 20 84 37 8 18 189 190 115 154 7 48 180 210 12 31 30 123 121 19 15 144 8 10 7 6 57 210 6 119

258 15 45 4 234 16 17 26 6 5 41 13 12 56 9 14 5 21 124 87 55 17 32 24 6 11 170 179 97 137 7 34 173 214 10 18 23 114 132 18 12 119 7 7 4 4 57 210 5 106

258 44 58 8 243 26 25 49 8 9 85 21 17 146 15 20 8 39 180 137 120 21 48 50 11 15 200 176 107 142 7 52 178 197 19 52 29 117 99 21 20 143 10 11 11 11 53 187 8 108

256 22 43 4 224 15 18 31 6 5 60 18 11 89 15 15 5 24 141 98 84 14 78 31 8 15 186 165 97 140 5 34 181 201 10 41 22 104 111 14 12 131 7 7 6 5 53 187 5 94

49

256 13 37 3 206 9 14 20 5 4 31 13 12 53 13 11 4 18 118 75 53 12 30 19 7 10 167 155 82 125 6 24 174 204 8 24 16 96 121 13 10 109 4 6 4 3 53 187 4 83

260 46 64 9 260 29 28 56 9 10 98 25 16 149 17 24 10 43 184 148 122 23 50 56 11 18 201 189 117 149 8 63 178 201 22 46 35 128 104 18 22 150 12 13 12 12 55 199 9 123

257 24 48 5 238 19 20 36 6 6 69 20 13 91 14 17 6 27 144 106 86 17 81 34 8 16 187 178 106 147 6 41 181 205 11 36 26 114 116 17 13 138 8 8 6 5 55 199 6 106

257 14 41 4 220 12 15 23 5 4 36 13 12 54 11 13 5 19 121 81 54 15 31 22 7 11 169 168 89 131 6 29 173 209 9 21 20 105 127 15 11 114 5 6 4 4 55 199 4 95

485 158 198 143 579 192 198 279 124 153 285 262 105 305 188 282 139 161 377 337 296 181 234 272 151 216 418 409 306 334 132 253 364 401 196 193 254 313 296 252 129 340 223 155 110 230 227 419 152 311

526 157 175 125 531 203 176 210 97 126 259 245 115 251 187 354 130 251 337 284 259 170 576 239 113 222 430 542 382 400 100 284 434 448 137 160 228 319 439 178 124 406 187 140 107 172 227 503 122 316

543 141 144 99 460 192 160 240 81 99 228 206 116 247 168 330 110 223 312 256 230 147 419 210 106 214 388 425 294 405 87 274 448 465 116 140 162 286 389 133 124 367 163 122 84 143 229 443 112 335

384 104 165 60 386 137 102 135 66 74 165 147 107 333 109 107 75 101 340 302 271 86 158 150 112 97 362 351 248 309 71 144 345 351 98 148 140 265 246 154 86 312 89 111 61 95 161 351 99 250

389 103 131 50 385 160 92 96 55 63 157 145 89 258 106 125 68 152 324 234 212 85 528 126 85 97 382 456 255 381 61 163 441 392 69 106 97 247 416 116 75 388 74 90 56 76 161 383 77 250

398 91 119 44 383 160 86 101 46 50 138 127 82 230 108 111 61 129 291 197 163 68 394 106 80 91 361 401 216 403 53 115 467 429 60 84 75 231 374 89 68 354 65 81 39 65 161 373 67 283

439 133 181 102 489 164 150 207 96 114 225 205 106 319 146 194 107 132 355 321 283 134 194 212 133 158 387 377 272 321 102 189 353 375 147 172 197 289 271 206 108 329 158 133 86 163 193 384 126 280

465 130 153 88 460 181 135 149 77 95 208 195 105 254 146 242 100 203 329 261 235 127 550 183 101 160 403 496 315 390 81 213 437 420 103 135 163 284 426 148 100 399 132 115 82 124 194 444 100 283

479 116 132 72 421 176 123 165 63 75 182 166 103 238 138 221 86 178 301 229 196 107 404 158 94 153 372 411 253 403 70 185 457 446 88 113 118 258 381 112 97 361 115 102 61 105 196 407 90 309

1. Mortality and burden of disease Life expectancy at birtha (years)

Member State

Male

Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Lithuania Luxembourg

Healthy life expectancy (HALE) at birthb (years)

Female

Both sexes

Male

1990

2000

2008

1990

2000

2008

1990

2000

2008

71 68 64 61 59 48 28 65 46 63 71 73 59 53 65 72 57 75 64 61 44 42 56 53 65 65 75 57 60 60 64 72 75 74 72 76 66 61 58 62 72 61 51 64 63 59 29 67 66 72

72 72 67 66 67 51 58 65 51 65 74 75 58 55 68 75 57 76 66 64 48 44 59 56 64 68 78 60 64 65 64 74 77 76 71 78 69 58 50 64 75 62 58 65 68 46 49 69 67 75

72 71 70 68 68 53 63 69 57 67 76 78 58 58 67 77 60 78 67 65 53 47 62 60 67 70 80 63 66 70 59 78 79 79 69 79 70 59 53 65 78 62 61 66 70 44 53 71 66 77

75 70 69 64 70 50 51 75 50 69 79 81 64 55 72 78 60 79 66 65 48 48 66 55 69 74 81 58 62 66 69 78 78 80 74 82 70 70 62 64 75 68 53 75 69 62 46 71 76 79

76 74 73 69 74 52 63 76 54 71 81 83 63 58 74 81 60 81 69 70 52 50 70 60 71 76 82 62 66 70 69 79 81 82 74 85 73 68 53 68 76 69 60 76 73 54 52 74 77 81

77 74 76 71 76 54 67 79 60 73 83 85 62 61 76 83 64 83 70 72 55 51 68 64 73 78 83 66 69 75 69 82 83 84 74 86 74 70 55 70 79 69 63 77 74 49 55 76 78 83

73 69 67 62 64 49 36 70 48 66 75 77 62 54 69 75 58 77 65 63 46 45 61 54 67 69 78 58 61 63 66 75 77 77 73 79 68 65 60 63 73 65 52 70 66 61 36 69 71 75

74 73 70 67 70 51 61 71 53 68 78 79 60 57 71 78 58 78 67 67 50 47 64 58 67 72 80 61 65 67 67 76 79 79 72 81 71 63 51 66 76 65 59 71 70 50 50 71 72 78

74 73 73 69 72 53 65 74 58 70 80 81 60 59 72 80 62 80 69 69 54 49 65 62 70 74 82 64 67 72 63 80 81 82 72 83 72 64 54 67 78 66 62 71 72 47 54 73 72 80

50

Female

Both sexes

2007 65 62 63 59 58 45 54 61 49 60 70 71 50 50 62 71 49 71 61 58 46 40 52 53 61 62 73 56 60 60 50 71 72 73 62 73 62 53 47 56 69 55 53 59 60 38 47 63 58 71

67 64 66 62 63 46 56 71 51 64 75 76 53 53 67 75 50 74 62 62 48 43 55 55 64 69 75 57 61 62 58 74 74 76 66 78 64 60 48 60 69 59 54 68 64 41 49 66 68 75

Neonatal mortality ratec (per 1000 live births) 2008

66 63 64 60 61 46 55 66 50 62 72 73 52 51 64 73 50 72 61 60 47 42 53 54 62 66 74 56 60 61 54 73 73 74 64 76 63 56 48 58 69 57 54 64 62 40 48 64 63 73

8 19 11 13 8 40 17 3 39 8 2 2 28 34 20 3 30 2 13 11 43 45 23 25 15 4 1 37 19 19 25 3 2 2 9 1 13 17 33 17 6 18 20 5 8 37 44 9 3 1

MDG 4 Infant mortality ratea (probability of dying by age 1 per 1000 live births) Male

Female

Adult mortality ratea (probability of dying between 15 and 60 years per 1000 population)

MDG 4 Under-ďŹ ve mortality ratea (probability of dying by age 5 per 1000 live births) Both sexes

Male

Female

Table 1

WORLD HEALTH STATISTICS 2010

Both sexes

Male

Female

Both sexes

1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 18 51 47 70 52 128 103 14 140 21 6 8 80 111 44 8 79 10 27 59 152 157 82 112 47 17 6 82 62 62 45 9 11 9 30 5 31 58 75 68 13 68 122 16 36 85 154 33 11 9

16 34 32 40 30 108 65 10 103 18 4 5 76 100 33 5 74 7 21 39 124 142 68 84 36 10 3 67 43 43 41 7 6 5 29 4 23 43 90 52 10 48 71 12 22 88 125 22 8 4

10 29 24 21 17 95 46 6 78 17 3 4 68 85 29 4 54 3 16 29 100 129 59 58 28 6 2 52 34 31 38 5 4 4 28 3 17 30 89 41 10 36 53 7 13 67 106 15 5 2

12 45 35 60 44 111 81 10 108 17 6 6 53 96 37 6 71 9 39 56 121 127 46 96 39 13 5 84 51 47 39 8 9 7 25 4 31 44 60 62 12 57 94 11 30 75 138 33 10 7

13 30 24 35 25 95 51 7 79 14 3 4 51 87 28 4 67 5 14 37 98 115 38 72 30 9 2 69 35 33 35 5 5 4 25 3 23 33 72 45 7 40 55 9 19 77 112 22 9 4

8 25 18 18 14 84 36 4 60 14 2 3 45 74 24 3 48 2 10 28 80 104 33 50 23 5 1 53 28 23 33 4 3 3 24 2 17 23 71 35 9 30 41 8 11 59 95 15 5 2

15 48 41 66 48 120 92 12 124 19 6 7 67 104 41 7 75 9 33 58 137 142 64 105 43 15 5 83 56 55 42 8 10 8 28 5 31 51 68 65 13 63 108 14 33 80 146 33 10 8

15 32 28 38 28 102 58 9 91 16 4 4 64 93 31 4 71 6 18 38 111 129 54 78 33 9 3 68 40 38 38 6 6 5 27 3 23 38 81 49 9 44 64 11 21 83 118 22 8 4

9 27 21 20 16 90 41 5 69 16 3 3 57 80 26 4 51 3 13 29 90 117 46 54 26 6 2 52 31 27 36 4 4 3 26 3 17 27 81 38 9 33 48 8 12 63 100 15 5 2

21 67 58 94 68 205 162 18 225 25 7 10 103 163 51 10 125 11 37 76 246 264 115 157 58 19 7 109 93 82 58 11 13 10 35 7 37 69 113 93 16 80 166 20 45 108 230 38 15 11

18 42 37 49 37 174 96 13 159 19 5 6 98 140 38 6 117 8 24 47 198 240 94 113 42 12 4 88 61 54 52 8 8 6 34 5 27 51 138 64 13 55 91 15 27 116 183 24 11 6

11 35 27 24 20 152 63 7 117 20 4 5 86 113 32 5 81 4 18 34 156 215 80 75 32 7 3 65 44 37 49 5 5 4 32 4 19 35 138 49 11 41 65 9 15 84 152 17 7 3

14 57 48 85 56 190 137 14 193 19 7 8 80 142 42 8 111 10 44 78 214 215 59 145 52 15 6 124 77 63 48 9 11 8 32 6 38 51 96 84 14 69 148 15 35 95 207 38 12 8

15 36 31 44 30 162 81 9 137 17 4 5 76 122 31 5 104 6 16 48 172 196 48 105 38 10 3 100 51 41 43 6 6 5 30 4 28 38 117 62 10 47 81 11 21 102 164 24 11 5

51

9 30 23 22 16 143 53 5 100 15 3 3 67 98 27 4 71 3 12 35 135 175 41 69 29 6 3 73 37 28 42 4 4 4 29 3 20 26 117 47 10 35 58 9 12 74 137 17 6 3

18 62 53 89 62 198 150 16 210 22 7 9 92 153 47 9 118 11 40 77 231 240 87 151 55 17 6 116 86 73 53 10 12 9 33 6 38 60 105 89 15 75 157 17 40 101 218 38 13 10

17 39 34 47 33 168 89 11 148 18 4 5 87 131 35 5 111 7 20 47 185 218 72 109 40 11 3 94 56 48 48 7 7 5 32 5 27 44 128 63 11 51 86 13 24 109 174 24 11 5

10 33 25 23 18 147 58 6 109 18 3 4 77 106 30 4 76 3 15 34 146 195 61 72 31 7 3 69 41 32 45 5 5 4 31 3 20 30 128 48 11 38 61 9 13 79 144 17 7 3

194 180 254 238 373 403 920 301 430 326 183 162 276 343 242 157 297 117 285 286 461 489 385 337 229 304 112 302 286 291 254 133 107 129 136 109 241 318 302 246 116 290 386 311 291 279 861 209 287 160

189 164 228 220 277 392 321 318 406 292 143 138 334 320 195 124 322 116 266 292 418 460 357 351 273 271 92 289 248 238 244 120 103 101 182 98 195 422 488 284 86 326 345 320 208 627 422 189 293 121

209 188 207 222 301 366 266 249 329 249 129 119 353 300 232 101 298 105 245 302 352 436 291 306 227 233 66 250 226 152 377 90 87 80 220 87 179 432 382 321 68 343 317 311 191 758 353 170 314 101

145 153 173 182 164 349 430 107 348 213 70 67 204 311 110 77 255 56 237 198 359 358 223 315 159 133 69 243 266 208 171 81 71 60 118 53 166 150 231 226 86 156 354 118 193 228 445 136 107 79

116 124 141 158 136 375 229 120 352 183 63 61 248 279 79 63 268 48 227 178 350 358 210 272 151 114 57 220 217 148 169 70 55 51 132 48 123 194 439 191 62 170 312 117 142 437 359 112 103 67

119 127 121 151 136 356 197 84 286 156 57 55 301 253 85 54 247 44 209 159 320 370 226 229 129 101 46 173 185 95 179 56 46 42 130 43 116 186 364 175 51 184 288 115 131 633 328 97 114 56

169 167 214 210 270 375 774 204 389 272 128 115 240 327 175 118 276 86 260 243 410 426 304 326 195 219 91 274 275 252 212 108 89 95 127 81 205 235 267 237 105 224 369 215 241 251 717 178 196 121

152 144 185 190 203 383 272 218 379 240 104 100 292 299 135 94 295 82 246 234 384 410 281 311 214 193 75 256 232 194 207 96 79 76 157 73 161 308 463 240 78 250 328 218 174 521 390 156 197 95

164 158 165 187 214 361 228 165 307 204 94 87 327 276 157 78 273 75 228 228 336 403 261 267 179 167 56 213 206 124 285 73 66 61 175 65 149 310 371 251 61 264 302 213 160 685 340 138 215 79

1. Mortality and burden of disease Life expectancy at birtha (years)

Member State

Male

Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia

Healthy life expectancy (HALE) at birthb (years)

Female

Both sexes

Male

1990

2000

2008

1990

2000

2008

1990

2000

2008

52 45 68 58 43 74 59 56 66 68 64 74 59 73 63 39 56 62 57 54 74 72 63 37 45 67 73 68 58 64 72 57 71 67 62 67 71 75 68 64 67 64 48 65 69 68 62 76 59 66

56 46 69 67 46 76 58 57 68 72 66 76 60 72 67 48 56 57 56 59 76 76 70 45 47 66 76 71 61 67 73 60 71 70 66 70 73 76 72 64 68 59 43 69 71 67 65 78 60 69

58 52 71 73 48 78 58 56 69 73 68 78 64 72 70 51 53 61 57 63 78 78 71 51 49 64 78 72 63 68 74 61 71 74 67 71 76 76 76 65 70 62 56 70 71 66 66 81 60 69

53 48 73 55 46 78 65 58 73 74 67 81 66 79 68 45 60 67 63 54 80 78 73 41 47 74 80 73 59 75 75 61 76 71 68 75 77 75 76 71 73 74 52 71 74 74 64 82 62 71

58 48 74 67 48 80 60 59 75 77 68 84 70 77 72 49 62 63 62 60 81 81 76 47 48 77 81 76 62 74 78 63 76 74 73 78 80 76 80 71 75 72 47 73 77 73 70 84 62 75

61 54 76 75 50 82 60 59 77 78 70 85 73 76 75 51 56 66 63 64 82 83 77 53 49 79 83 77 64 77 79 64 77 77 74 80 83 76 83 73 77 74 59 76 78 76 70 84 62 75

52 47 71 57 44 76 62 57 69 71 66 77 63 76 65 42 58 65 60 54 77 75 68 39 46 70 77 70 58 69 73 59 73 69 65 71 74 75 72 68 70 69 50 68 71 71 63 79 61 68

57 47 72 67 47 78 59 58 71 74 67 80 65 74 70 48 59 60 59 60 78 79 73 46 47 71 79 73 61 70 76 61 74 72 70 74 77 76 76 68 71 65 45 71 74 70 67 81 61 71

60 53 73 74 49 80 59 58 73 76 69 82 68 74 72 51 54 63 60 63 80 81 74 52 49 71 81 74 63 72 76 62 74 76 70 76 79 76 80 69 73 68 58 73 75 71 68 83 61 72

52

Female

Both sexes

2007 51 43 62 64 41 71 52 49 61 65 61 71 55 65 61 42 48 52 53 55 72 72 63 44 42 56 72 64 56 62 65 55 63 66 59 64 69 68 68 58 63 55 43 62 64 60 60 74 52 61

53 44 66 64 43 74 53 52 65 69 62 76 62 66 63 42 52 53 57 55 74 74 66 45 42 68 74 67 55 67 68 57 66 67 64 70 73 66 74 63 68 65 44 67 69 66 63 76 54 64

Neonatal mortality ratec (per 1000 live births) 2008

52 44 64 64 42 72 52 51 63 67 62 73 58 65 62 42 50 52 55 55 73 73 64 44 42 62 73 65 55 64 67 56 64 67 62 67 71 67 71 61 65 60 43 64 66 63 61 75 53 62

35 29 3 16 52 2 15 45 9 7 15 2 14 5 23 43 48 18 33 31 3 4 13 34 49 30 2 7 53 7 10 26 15 13 15 4 2 4 2 8 6 6 35 11 12 10 11 0 32 12

MDG 4 Infant mortality ratea (probability of dying by age 1 per 1000 live births) Male

Female

Adult mortality ratea (probability of dying between 15 and 60 years per 1000 population)

MDG 4 Under-ďŹ ve mortality ratea (probability of dying by age 5 per 1000 live births) Both sexes

Male

Female

Table 1

WORLD HEALTH STATISTICS 2010

Both sexes

Male

Female

Both sexes

1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 110 139 17 82 147 12 40 86 23 40 45 8 84 12 79 171 96 57 7 98 8 10 58 148 128 8 8 24 105 22 26 69 39 71 49 17 13 20 8 37 26 19 114 28 20 21 42 12 69 37

89 105 10 44 127 7 33 82 20 24 38 5 58 14 53 128 86 60 38 63 6 7 39 110 114 18 4 14 89 18 23 61 32 40 32 9 7 13 6 25 21 18 121 15 15 21 43 6 68 21

74 68 7 27 109 7 30 80 17 17 32 4 40 8 37 93 85 37 34 41 4 5 26 81 102 36 3 11 75 15 22 56 27 24 30 6 3 7 5 18 13 10 77 16 13 15 35 2 67 19

93 126 14 77 130 8 38 75 18 32 45 6 58 12 57 161 74 40 9 99 6 7 44 140 112 55 6 22 96 14 23 64 29 56 35 14 10 15 8 24 21 14 98 16 14 19 38 16 61 33

76 95 8 42 112 5 31 71 12 20 37 4 40 11 39 120 67 42 44 63 5 6 29 104 100 17 3 13 81 9 20 53 24 32 24 7 5 12 6 16 17 13 104 22 13 17 10 4 60 19

62 61 5 21 96 7 29 69 11 14 32 3 27 8 27 88 66 26 39 41 4 4 20 76 89 6 2 10 69 11 17 49 21 19 22 5 3 6 4 12 10 8 66 11 13 8 8 1 60 18

101 133 16 79 139 10 39 81 21 36 45 7 71 12 68 166 85 49 8 99 7 9 51 144 120 31 7 23 101 18 24 67 34 64 42 16 11 18 8 30 23 17 106 22 17 20 40 14 65 35

83 100 9 43 120 6 32 77 16 22 38 5 49 13 46 124 77 51 41 63 5 6 34 107 107 17 4 13 85 14 21 57 28 36 28 8 6 13 6 21 19 16 112 18 14 19 28 5 64 20

68 65 6 24 102 7 30 75 14 15 32 3 33 8 32 90 76 31 36 41 4 5 23 79 96 22 3 10 72 13 19 53 24 22 26 6 3 7 5 15 11 9 72 14 13 12 22 1 64 18

174 236 19 113 258 13 49 136 27 49 58 9 114 14 97 252 133 83 8 144 10 13 74 310 235 8 10 32 130 25 33 95 47 90 71 20 16 24 9 45 34 24 188 32 25 26 51 12 104 47

138 170 11 57 225 8 39 128 22 29 47 6 73 15 60 185 119 89 48 86 7 9 46 230 212 23 5 17 108 19 27 81 38 46 42 10 9 15 7 30 24 22 202 16 17 26 47 6 102 25

111 105 7 30 200 7 36 124 19 19 39 5 47 10 40 131 133 48 43 52 5 7 30 169 190 46 4 12 89 18 26 73 32 27 38 8 4 9 5 21 15 12 122 17 15 17 37 3 101 23

159 212 16 110 241 9 48 122 20 41 57 7 82 14 79 246 106 60 9 140 8 9 61 300 225 55 7 30 130 17 28 88 37 72 50 16 12 19 8 28 27 18 159 20 18 24 49 18 97 39

126 153 9 53 210 6 38 115 14 23 46 5 53 12 49 180 95 65 54 84 6 7 38 223 202 21 4 16 108 13 25 72 30 37 30 8 7 14 6 19 20 17 170 26 15 20 18 4 95 21

53

101 94 6 25 187 7 35 111 13 16 39 4 34 8 33 128 111 35 47 51 4 5 24 164 182 7 3 11 89 11 20 65 25 21 27 6 3 8 5 13 11 10 103 14 15 9 14 1 94 19

167 224 18 111 250 11 48 129 23 45 58 8 98 14 88 249 120 72 9 142 9 11 67 305 230 31 9 31 130 21 30 91 42 81 61 18 14 21 9 37 31 21 174 26 21 25 50 15 101 43

132 162 10 55 217 7 39 122 18 26 47 5 63 14 54 183 107 77 51 85 6 8 42 227 207 22 5 17 108 16 26 77 34 41 36 9 8 15 6 24 22 20 186 21 16 23 34 5 99 23

106 100 6 28 194 7 36 118 16 17 39 4 41 9 36 130 122 42 45 51 5 6 27 167 186 28 3 12 89 15 23 69 28 24 32 7 4 8 5 17 13 11 112 15 15 13 26 2 97 21

357 445 209 281 480 107 385 310 263 215 230 155 264 164 195 575 310 255 567 352 116 143 272 572 445 209 128 203 265 289 146 347 138 165 281 263 176 94 236 285 239 318 441 272 204 217 295 80 275 217

313 542 198 182 438 90 436 304 222 172 219 136 309 179 164 457 333 383 463 306 100 105 191 443 444 261 107 171 230 253 139 310 158 161 241 216 155 80 163 310 237 445 585 214 205 259 235 74 272 191

286 498 177 100 412 77 427 318 214 154 187 118 291 173 147 485 368 356 448 281 78 88 209 374 424 255 81 155 216 232 140 292 170 118 227 205 128 77 108 312 220 396 330 180 193 305 235 59 271 186

329 357 128 346 374 62 329 274 121 120 195 67 194 73 133 389 247 174 399 350 67 93 136 413 366 75 65 122 235 112 101 278 99 123 167 102 80 82 102 155 114 117 381 193 147 140 268 40 232 139

281 492 112 161 369 54 368 263 121 99 183 61 189 98 106 415 238 286 313 296 67 67 121 365 394 90 61 96 205 140 85 252 103 119 129 86 66 77 62 155 106 161 516 134 117 165 203 39 229 106

240 468 97 72 365 44 384 262 104 89 156 53 145 90 88 458 304 290 303 273 57 57 123 340 399 89 53 84 190 112 83 235 105 95 117 77 52 53 43 141 90 147 281 95 94 169 203 48 227 103

343 400 170 312 427 84 359 290 193 168 213 112 229 118 164 480 278 213 495 351 92 118 206 497 405 147 97 169 251 210 124 317 119 144 226 184 127 90 171 218 177 218 408 233 175 179 282 60 253 187

297 517 157 172 401 72 403 282 172 136 201 99 250 140 135 435 286 332 395 301 84 86 156 408 419 182 85 143 218 199 112 283 132 140 187 152 111 78 113 232 173 309 547 174 161 214 220 57 249 156

263 481 139 86 386 61 405 290 160 121 172 86 219 131 118 470 336 320 381 277 68 72 165 359 411 178 67 129 204 175 112 264 139 106 174 142 90 72 76 227 156 273 303 138 144 242 220 53 247 154

1. Mortality and burden of disease Life expectancy at birtha (years)

Member State

Male

Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe

Healthy life expectancy (HALE) at birthb (years)

Female

Both sexes

Male

Female

Neonatal mortality ratec (per 1000 live births)

Both sexes

1990

2000

2008

1990

2000

2008

1990

2000

2008

54 69 64 38 73 67 70 66 44 59 73 61 58 64 61 75 74 65 60 65 70

55 69 67 37 76 69 72 67 47 55 76 62 57 66 51 77 77 69 62 63 69

58 71 68 48 79 71 75 68 47 52 78 63 57 68 48 79 80 70 66 66 72

55 75 76 44 77 76 78 69 49 68 80 71 57 69 64 80 81 70 65 71 74

58 74 76 45 81 77 80 71 49 61 83 73 57 72 54 82 83 74 65 72 75

61 76 76 50 83 79 82 71 49 55 84 76 58 75 48 83 84 75 69 74 76

54 72 69 41 75 71 74 68 46 63 77 66 57 66 63 78 77 67 63 68 72

57 72 72 41 78 73 76 69 48 58 79 67 57 69 53 80 80 71 64 68 72

59 74 72 49 81 75 79 70 48 53 81 69 57 71 48 81 82 72 67 70 74

50 64 60 34 71 64 69 59 44 47 71 61 50 58 42 72 73 62 58 59 65

52 66 65 37 75 70 74 60 46 48 76 65 50 64 42 75 76 65 57 65 66

51 65 63 35 73 67 71 59 45 48 74 63 50 61 42 74 75 63 57 62 66

34 5 7 45 1 3 2 14 61 20 2 9 41 12 18 2 3 8 22 10 7

48 52 64 66 69 62 58 61 45 65 72 73 51 72 69 63 65 70 64 56 50 58

55 54 67 65 71 67 59 63 44 62 75 75 49 74 71 63 67 71 68 60 42 42

59 56 71 66 73 72 60 64 51 62 77 78 52 76 72 66 68 71 70 63 47 42

53 57 73 71 72 67 65 63 49 75 75 78 52 79 76 69 67 74 68 58 54 65

60 59 71 73 75 73 65 63 46 73 78 80 49 80 79 68 70 77 72 62 45 45

64 61 70 73 77 77 67 63 53 74 80 82 53 81 79 71 70 78 75 66 49 42

50 55 68 69 70 65 62 62 47 70 73 76 52 75 72 66 66 72 66 57 52 61

57 56 69 69 73 70 62 63 45 68 76 78 49 77 75 66 68 74 70 61 43 44

62 59 71 70 75 74 63 64 52 68 78 80 53 78 75 68 69 75 73 64 48 42

52 49 64 59 65 64 53 58 41 55 68 71 45 68 64 58 61 64 62 53 39 40

55 52 62 64 67 67 57 58 44 64 68 73 45 72 70 60 62 68 66 55 40 38

53 51 63 62 66 66 55 58 42 60 68 72 45 70 67 59 61 66 64 54 40 39

43 33 9 24 12 14 21 14 31 8 5 3 33 4 8 20 13 10 9 32 36 28

54

2007

2008

MDG 4 Infant mortality ratea (probability of dying by age 1 per 1000 live births) Male

Female

Adult mortality ratea (probability of dying between 15 and 60 years per 1000 population)

MDG 4 Under-ďŹ ve mortality ratea (probability of dying by age 5 per 1000 live births) Both sexes

Male

Female

Table 1

WORLD HEALTH STATISTICS 2010

Both sexes

Male

Female

Both sexes

1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 80 24 19 178 8 14 10 32 121 49 8 26 75 48 65 7 7 36 106 30 33

73 13 10 165 3 10 6 31 121 59 5 20 70 37 87 4 5 23 87 19 18

63 7 10 135 3 7 3 30 121 54 4 15 67 28 62 2 4 17 63 14 12

64 22 11 148 7 10 7 31 117 38 7 20 81 39 59 5 6 24 76 22 30

58 9 13 137 2 7 4 30 117 45 4 15 76 29 79 3 4 15 63 15 16

50 6 9 112 2 5 2 29 117 42 3 12 72 21 56 2 4 11 45 11 9

72 23 15 163 7 12 8 31 119 44 7 23 78 44 62 6 7 30 91 26 32

66 11 12 151 3 8 5 30 119 52 4 17 73 33 83 3 5 19 75 17 17

57 7 10 123 2 6 2 30 119 48 4 13 70 25 59 2 4 14 54 13 10

158 28 21 296 10 16 12 37 197 63 10 33 116 54 86 8 9 44 136 36 37

139 15 13 268 4 12 6 36 197 83 6 24 108 41 127 5 6 27 109 22 20

114 8 12 206 3 8 4 35 197 76 5 19 103 31 86 3 5 20 74 16 13

140 25 12 260 8 12 8 39 203 48 8 24 131 48 81 6 8 29 97 27 35

123 11 14 236 4 8 5 38 203 62 5 18 122 35 120 3 5 17 78 18 18

102 7 11 181 2 6 2 37 203 58 4 15 115 24 81 3 4 13 53 12 10

149 26 17 278 9 14 10 38 200 56 9 29 124 51 84 7 9 37 117 32 36

131 13 14 252 4 10 6 37 200 73 6 21 115 38 124 4 6 22 94 20 19

108 8 11 194 3 7 3 36 200 67 4 17 109 27 83 3 5 16 64 14 11

337 184 317 545 152 269 207 225 524 346 146 361 288 265 257 114 126 248 217 259 153

322 209 248 637 97 215 167 205 443 452 122 341 336 241 485 87 99 194 218 328 195

293 183 232 422 82 195 132 182 459 563 102 315 335 218 631 76 76 179 185 276 151

307 94 127 385 93 103 81 174 369 191 60 156 288 175 205 66 62 187 180 147 87

281 106 99 406 56 79 72 151 359 330 49 131 302 165 408 56 54 130 179 163 90

247 91 109 368 47 73 55 136 373 479 43 93 304 128 616 48 44 120 162 140 80

323 139 225 469 123 187 144 201 450 271 103 265 288 221 230 90 95 218 198 204 120

302 158 175 530 77 147 121 179 401 392 86 242 319 204 444 72 77 162 199 248 144

269 138 172 393 64 135 95 160 416 520 72 209 319 174 620 62 60 150 173 209 116

155 103 23 33 44 75 93 43 128 22 16 9 100 11 24 65 23 30 39 96 117 53

112 88 19 34 26 40 68 37 110 20 11 6 89 8 16 56 25 23 24 76 116 64

84 74 18 33 21 22 50 30 95 16 8 5 69 7 15 36 27 18 12 56 102 64

120 75 16 27 35 62 67 41 99 14 13 7 94 8 21 57 23 23 40 83 93 49

87 64 16 26 20 33 49 32 85 13 9 5 85 7 12 49 25 17 24 66 93 59

65 54 16 29 16 18 36 30 74 11 6 4 65 6 13 31 27 14 12 49 82 59

138 89 19 30 40 69 81 42 114 18 15 8 97 10 22 61 23 27 39 90 105 51

100 76 18 30 23 36 59 35 98 17 10 6 87 7 14 53 25 20 24 71 104 62

75 64 17 31 18 20 43 30 84 14 7 5 67 7 14 34 27 16 12 53 92 62

208 171 24 38 54 92 112 54 204 26 19 11 156 13 27 77 26 35 58 131 188 82

146 138 22 40 31 45 81 42 174 24 12 7 138 9 19 65 28 26 31 101 185 106

105 111 20 36 24 24 54 36 148 19 8 6 103 9 17 40 31 20 14 71 162 99

158 129 20 31 45 76 84 52 167 16 15 8 159 10 23 70 28 28 53 123 154 76

111 105 19 29 24 38 61 43 141 14 10 6 140 8 14 60 30 20 29 95 152 98

80 84 18 34 18 20 41 36 121 12 7 5 104 7 14 37 34 16 13 67 133 92

184 150 22 34 50 84 99 53 186 21 17 10 157 11 25 74 27 32 56 127 172 79

129 122 20 34 27 42 71 42 158 19 11 6 139 9 16 62 29 23 30 98 169 102

93 98 19 35 21 22 48 36 135 15 8 6 103 8 16 38 33 18 14 69 148 96

403 353 313 236 146 217 301 272 516 287 140 129 414 172 196 250 271 178 235 304 382 352

322 367 219 252 144 187 347 273 618 377 101 108 531 144 181 252 222 185 202 271 668 766

275 351 143 219 132 138 377 257 451 399 78 96 475 135 158 223 202 195 192 249 538 812

329 287 128 156 103 151 192 280 433 112 111 78 356 91 98 144 237 117 168 277 322 215

256 304 187 155 88 112 208 262 586 136 77 67 497 83 90 151 180 98 136 229 597 660

204 296 228 107 72 73 212 279 424 151 60 59 444 79 85 140 162 93 110 185 498 752

368 320 222 195 124 185 247 276 475 199 131 104 385 132 147 198 256 148 200 288 352 285

289 335 202 203 117 150 278 267 600 257 95 88 513 114 135 202 202 143 167 249 632 711

240 323 188 163 103 106 296 268 436 277 73 78 458 107 121 181 182 146 150 217 515 772

55

1. Mortality and burden of disease Life expectancy at birtha (years)

Member State

Male

Healthy life expectancy (HALE) at birthb (years)

Female

Both sexes

Male

Female

Neonatal mortality ratec (per 1000 live births)

Both sexes

1990

2000

2008

1990

2000

2008

1990

2000

2008

2007

2008

28 64 76

37 67 78

40 68 81

41 70 82

44 73 85

42 74 86

36 67 79

41 70 81

42 71 83

34 60 74

36 64 78

35 62 76

0 12 61

49 68 58 68 59 68

49 71 61 68 62 70

52 73 63 71 63 72

53 75 59 75 62 71

52 77 63 77 65 74

54 79 66 79 66 77

51 71 58 72 61 69

50 74 62 72 63 72

53 76 65 75 65 75

45 65 56 64 55 65

46 69 57 70 57 69

45 67 57 67 56 67

40 9 34 7 35 11

Low income Lower middle income Upper middle income High income

52 61 65 72

53 63 65 75

56 65 67 77

55 63 72 79

56 66 73 81

59 69 75 83

54 62 68 76

55 65 69 78

57 67 71 80

48 60 58 68

49 62 63 72

49 61 61 70

37 29 11 4

GLOBAL

62

64

66

66

68

70

64

66

68

58

61

59

26

RANGES OF COUNTRY VALUES Minimum Median Maximum

WHO REGION African Region Region of the Americas South-East Asia Region European Region Eastern Mediterranean Region Western PaciďŹ c Region

INCOME GROUP

56

MDG 4 Infant mortality ratea (probability of dying by age 1 per 1000 live births) Male

Female

Adult mortality ratea (probability of dying between 15 and 60 years per 1000 population)

MDG 4 Under-ďŹ ve mortality ratea (probability of dying by age 5 per 1000 live births) Both sexes

Male

Female

Table 1

WORLD HEALTH STATISTICS 2010

Both sexes

Male

Female

Both sexes

1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008 1990 2000 2008

5 39 178

3 31 172

2 22 172

4 36 161

2 25 158

1 18 158

5 37 168

3 28 165

1 21 165

7 49 310

4 37 268

3 26 258

6 45 300

3 30 256

1 20 256

6 46 305

3 34 257

2 23 257

80 262 920

74 239 766

59 223 812

40 154 445

39 142 660

39 127 752

60 206 774

57 197 711

53 175 772

116 36 81 30 82 32

105 24 64 20 69 25

91 17 49 13 60 17

99 29 79 24 72 41

90 20 62 16 62 32

79 14 47 10 54 20

108 33 80 27 77 36

98 22 63 18 66 28

85 15 48 12 57 18

191 45 110 36 108 42

173 29 84 24 91 32

149 20 61 15 79 20

174 37 116 29 102 50

157 24 90 19 89 38

136 17 66 12 78 23

182 41 113 32 105 46

165 27 87 22 90 34

142 18 63 14 78 21

417 206 299 215 267 190

453 179 283 229 243 160

412 162 252 208 231 142

325 116 248 97 215 137

389 101 219 98 188 102

374 90 183 90 172 83

371 162 274 157 242 165

421 140 252 165 217 132

392 126 218 149 203 113

108 63 41 11

95 55 29 7

81 45 21 6

93 64 32 9

82 55 23 6

70 44 17 5

101 64 37 10

88 55 26 7

76 44 19 6

165 88 50 13

143 76 35 9

123 61 25 8

150 94 40 11

130 81 28 7

112 65 20 6

158 91 45 12

137 78 32 8

118 63 23 7

364 254 261 155

374 235 276 129

333 210 251 113

299 198 128 77

318 172 134 67

287 144 129 61

331 227 195 117

345 205 206 98

310 178 191 87

63

55

46

60

52

43

62

54

45

90

79

66

89

78

65

90

78

65

246

236

213

173

163

146

210

200

180

57

Table 2

WORLD HEALTH STATISTICS 2010

Cause-specific mortality and morbidity This section brings together indicators on the level and distribution of specific causes of deaths grouped as follows: communicable, maternal and perinatal conditions and nutritional deficiencies; noncommunicable conditions; and injuries. Estimates are also provided of the distribution of causes of death among children under 5 years old. These include major communicable diseases such as HIV/AIDS, diarrhoea, malaria, measles and pneumonia, as well as conditions arising in the neonatal period such as prematurity, birth asphyxia, neonatal sepsis and congenital anomalies. The “years of life lost” (YLL) is a measure of premature mortality that takes into account both the frequency of deaths and the age at which death occurs. The distribution of YLL by broad cause differs significantly by countryincome group (Figure 9 and Box 2). The country-specific indictors presented in this section have been derived from a range of data sources on mortality, incidence and prevalence data. These include death-registration records; health-facility reports; household surveys; censuses; and special studies on deaths due to HIV and conflict. There are considerable uncertainty ranges for many countries due to limitations in data availability, quality and timeliness. Uncertainty in estimated all-cause mortality for 2008 ranges from ±1% for high-income countries to ±15–20% for sub-Saharan Africa, reflecting a large difference in data availability. Uncertainty ranges are generally larger for deaths from specific causes. For example, the relative uncertainty for deaths from ischaemic heart disease ranges from around ±12% for high-income countries to ±25–35% for sub-Saharan Africa. The section also includes estimates for key MDG-related indicators, including mortality due to maternal conditions, HIV/AIDS, tuberculosis and malaria. Estimating cause-specific mortality is difficult in developing countries where systems for counting deaths and accurately recording cause-of-death are weak or non-existent. These indicators are, therefore, associated with significant uncertainty – in the case of tuberculosis indicators the margins of uncertainty are provided. Estimating maternal mortality is also particularly challenging because few developing countries have robust sources of data. Reported figures are derived from different sources and are of variable quality in terms of completeness, timeliness, reliability and accuracy. WHO and its partners are working to develop revised estimates that will be available during the second half of 2010. In the meantime, country-reported figures and 2005 interagency estimates are provided, along with the estimated margins of uncertainty. Estimates of both disease incidence and prevalence are provided for tuberculosis and HIV/AIDS. Incidence is the number of new cases each year, while prevalence is the number of people with the disease at a specific point in time. Because not all people with infection attend health facilities, household surveys are required to obtain the true number of cases. Such surveys, however, only provide reliable data if the condition is sufficiently common. Tuberculosis surveys require very large sample sizes and are rarely conducted. Therefore, estimates for many countries depend upon modelling which relies heavily on the notification rate for tuberculosis; as a result the uncertainty range associated with both its incidence and prevalence is large. In countries with generalized HIV/AIDS epidemics, prevalence estimates are derived from the testing of pregnant women attending antenatal clinics and, more recently, from population-based surveys which include HIV testing. In concentrated HIV/AIDS epidemics, estimates are largely based upon surveillance among populations with high-risk behaviours.

59

WORLD HEALTH STATISTICS 2010

Figure 9: Years of life lost (YLL) due to premature mortality by broad cause and country-income group – 200419

Low income

Middle income

High income

10% 22% 21%

28%

15% 8%

90

69%

234

50%

103

77%

55

Years of life lost (YLL) per 1000 population Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Injuries

19

Income categories for 2004 shown in Figure 9 are as defined by the World Bank’s World development report 2004: Making services work for poor people. Washington, DC, World Bank and Oxford University Press, 2003. 60

Table 2

WORLD HEALTH STATISTICS 2010

Box 2: Years of life lost (YLL)

YLL take into account the age at which deaths occur by assigning greater statistical weight to deaths occurring at younger ages and lower statistical weight to deaths occurring at older ages. In Figure 9, the YLL due to each major group of causes are shown as a proportion of the total YLL lost due to all premature mortality in the population. Each income-level chart is proportional in size in terms of the absolute number of YLL per 1000 population. Three major conclusions emerge from the data: Low-income countries have the highest rates of premature mortality relative to their populations – total YLL per 1000 population are more than four times higher in low-income countries compared with highincome countries, and more than double the figure in middle-income countries. The distribution of YLL by cause differs significantly by country-income group – in low-income countries, over two thirds of YLL per 1000 population are due to communicable diseases, maternal and perinatal conditions, and nutritional deficiencies. By contrast, these causes account for around one quarter of YLL per 1000 population in middle-income countries, and under 10% in high-income countries. In high-income and middle-income countries, noncommunicable conditions are the major contributors to YLL – these conditions account for over three quarters of YLL per 1000 population in the former and half the total in the latter. In low-income countries, noncommunicable conditions account for a smaller percentage (21%) of total YLL per 1000 population. Nonetheless, in absolute terms, YLL due to noncommunicable diseases are higher in low-income countries than high-income ones.

61

2. Cause-specific mortality and morbidity Mortality

TB among HIV-negative peoplee

2007

2006

2008

Afghanistan Albania

1 600 15

1 800 [730–3 200] 92 [26–300]

Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark

93 0 1 400 … 44 15 8 3 35 … 19 380 … 7 1 … 397 255 … … 193 77 16 7 307 615 461 669 9 42 1 355 … 18 34 75 380 781 0 … 543 7 47 11 6 97 549 14

180 … 1 400 … 77 76 4 4 82 16 32 570 16 18 8 52 840 440 290 3 380 110 13 11 700 1 100 540 1 000 7 210 980 1 500 16 45 130 400 740 … 30 810 7 45 10 4 370 1 100 3

[55–520] [560–2 600] [51–100] [23–250] [4–9] [4–7] [21–290] [16–33] [21–42] [380–760] [16–31] [18–35] [8–16] [52–100] [330–1 600] [160–970] [160–430] [3–6] [120–1 000] [74–150] [3–47] [11–22] [390–1 000] [480–1 900] [370–720] [670–1 400] [7–13] [68–530] [380–1 900] [930–2 000] [16–32] [30–60] [38–370] [150–840] [450–1 100] [30–60] [310–1 600] [7–15] [45–90] [10–20] [4–9] [110–1 200] [480–1 900] [3–6]

2004

Injuries

Malariad

2005

Noncommunicable

HIV/AIDSc

2000–2009

Distribution of years of life lost by broader causesf,h (%) Communicable

Interagency estimatesb

MDG 6

Country reported estimatesa

MDG 6

Age-standardized mortality rates by causef,g (per 100 000 population)

Injuries

Cause-specific mortality rate (per 100 000 population)

Noncommunicable

MDG 5 Maternal mortality ratio (per 100 000 live births)

Communicable

Member State

2004

… …

0.5 …

34 [14–66] 1.4 [0.5–2.9]

961 52

1 309 752

97 58

77 12

18 71

5 16

<10 … 65 … 18 <10 <10 … <10 <100 … <10 <50 11 <10 <100 37 … <10 … 585 8 … … 62 129 48 210 <10 … 253 130 7 3 21 … 170 … <10 197 … <10 … … … … …

0.0 … 128 … 0.0 0.0 … … 0.0 … … 4.2 … … … 0.0k 146 3.0 0.2 … 1.6 0.5 … … 178 94 4.1 116 … 0.1 100 173 … 0.0k 1.0 36 124 … 0.0k 103 … … … … 0.0 158 …

4.1 0.3 25 0.1 3.1 12 0.4 0.5 21 0.7 2.8 50 0.0 5.2 0.5 5.1 15 15 22 3.4 38 3.8 4.2 5.8 51 69 79 16 0.3 33 41 60 0.8 12 4.6 8.0 42 4.0 0.7 75 1.6 0.4 0.3 0.6 39 77 0.4

[1.4–9.0]

218 25 1 287 97 88 75 21 18 173 167 62 413 97 31 28 158 700 376 290 27 1 379 139 37 32 900 1 127 660 883 22 257 1 034 963 46 86 87 360 758 152 39 1 135 32 49 34 22 317 1 094 21

565 373 1 071 674 515 1 064 355 409 856 509 678 730 531 854 437 677 835 708 765 670 594 625 473 733 924 919 832 840 374 591 868 910 458 627 483 713 716 570 439 946 578 437 412 559 642 921 495

60 29 206 45 46 44 32 38 27 76 37 100 38 150 44 118 82 99 74 41 111 78 29 42 110 200 73 96 33 66 173 117 46 73 150 61 99 35 54 250 49 50 27 52 62 207 38

43 7 81 17 18 13 6 4 37 36 12 61 22 5 5 33 78 57 54 6 84 30 16 5 82 80 67 78 6 53 78 82 10 20 22 66 79 29 14 74 5 9 9 4 40 81 4

42 80 11 70 67 79 78 82 57 45 68 27 66 71 81 41 16 30 34 83 10 50 65 87 12 11 25 15 79 31 13 12 71 59 34 25 13 58 64 14 84 75 78 83 49 10 85

15 12 8 12 15 7 16 13 6 19 20 12 12 24 15 26 6 13 11 11 7 20 20 8 6 9 8 7 15 16 9 6 19 21 44 9 8 13 22 12 12 16 14 14 11 9 11

62

[0.1–0.6] [9.9–51] [0.0–0.2] [1.2–6.5] [5.9–22] [0.2–0.7] [0.5–0.6] [11–38] [0.3–1.1] [1.2–4.9] [20–95] [0.0–0.1] [2.5–9.0] [0.2–0.9] [2.2–10] [6.3–30] [5.4–31] [9.4–43] [1.2–6.8] [14–84] [1.4–7.9] [1.9–7.1] [2.9–9.7] [18–98] [25–130] [33–150] [6.7–32] [0.1–0.5] [13–64] [17–79] [22–120] [0.3–1.7] [4.8–25] [2.0–9.3] [3.3–15] [18–83] [1.6–7.7] [0.2–1.5] [28–140] [0.7–2.8] [0.1–0.9] [0.2–0.6] [0.3–1.0] [17–75] [31–150] [0.2–0.8]

WORLD HEALTH STATISTICS 2010 Morbidity

MDG 6 Incidence of tuberculosisj (per 100 000 population per year)

2000

2000

Injuries

Other diseases

Congenital abnormalities

Neonatal sepsis

Birth asphyxia

Prematurity

Pneumonia

Malaria

Measles

Diarrhoea

HIV/AIDS

MDG 6 Prevalence of tuberculosisj (per 100 000 population)

2008 0 0 0 0 2 0 0 0 0 0 0 1 0 0 4 0 0 4 1 0 0 0 0 0 0 0 1 2 0 5 0 0 7 3 0 0 0 0 5 0 0 4 0 0 0 0 0 1 0

29 2 13 0 25 1 1 2 0 0 11 1 1 11 0 1 1 7 13 14 15 1 7 5 2 2 19 24 7 16 0 8 17 22 0 3 4 20 14 0 1 13 1 1 0 1 12 19 1

1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0

0 0 0 0 8 0 0 0 0 0 0 0 0 2 0 0 0 0 23 0 0 0 1 0 0 0 20 9 1 19 0 0 14 19 0 0 0 0 24 0 0 21 0 0 0 0 0 17 0

26 18 19 5 20 7 7 17 2 1 22 9 1 14 2 4 1 11 19 24 18 14 12 9 1 21 21 17 28 18 1 14 20 19 6 17 12 22 16 15 5 17 4 11 4 5 20 20 1

5 14 22 20 6 48 30 26 22 25 22 12 24 17 37 10 14 18 10 14 16 24 23 23 15 17 6 7 11 8 27 24 9 6 25 15 19 16 11 15 23 12 20 10 23 14 21 10 34

5 7 13 8 6 7 5 10 9 9 10 14 7 18 16 6 8 9 6 11 13 10 11 10 7 9 5 7 10 6 12 12 7 6 5 17 7 9 6 0 9 9 7 7 6 13 12 7 9

4 1 6 1 5 1 6 2 1 0 5 9 1 16 5 2 2 4 2 7 8 1 4 7 2 2 3 6 8 4 2 5 4 3 3 2 7 6 4 0 6 6 5 9 1 3 7 4 0

2 22 8 34 2 20 25 17 24 32 7 19 43 4 13 30 32 15 3 4 5 24 10 15 36 18 2 2 2 2 24 9 2 1 35 10 17 3 3 19 30 3 36 24 35 23 6 3 31

25 26 17 23 23 11 20 22 33 25 21 25 14 16 17 30 31 20 19 22 22 19 27 26 24 25 21 21 29 18 27 19 18 19 21 25 25 22 15 31 22 14 20 31 22 29 19 17 20

4 11 2 10 3 5 7 4 8 7 2 11 10 2 6 17 10 11 2 4 3 7 5 5 13 6 3 4 3 2 6 3 1 1 6 11 7 2 2 20 3 1 6 8 9 12 2 2 4

470 11 15 18 360 8 33 85 4 13 160 17 43 520 0 44 10 11 130 200 210 18 300 52 98 15 410 520 1 000 270 3 300 440 510 5 210 47 99 270 3 4 620 28 7 1 9 720 650 9

63

[320–660] [3–25] [10–51] [9–29] [210–540] [5–12] [9–64] [42–140] [1–7] [6–22] [69–250] [7–29] [19–75] [350–740] [0–1] [11–84] [3–17] [8–39] [77–190] [55–400] [100–350] [12–65] [96–560] [20–93] [51–160] [8–39] [280–570] [340–750] [680–1 500] [180–390] [1–6] [190–440] [290–640] [340–720] [3–19] [140–310] [22–80] [62–150] [130–460] [2–8] [3–14] [420–880] [10–49] [3–13] [1–4] [2–17] [480–1 000] [420–950] [4–16]

2008 270 9 15 2 190 0 22 67 5 1 140 9 28 410 1 11 3 43 130 96 170 14 560 29 43 23 490 670 680 150 3 280 420 580 4 88 37 65 390 32 3 730 16 2 3 6 270 660 4

[150–430] [2–19] [10–59] [1–4] [53–370] [0–1] [5–45] [24–120] [2–8] [1–2] [71–230] [3–15] [7–58] [260–610] [1–2] [8–41] [1–8] [22–72] [81–210] [24–200] [88–290] [9–42] [300–920] [7–59] [15–78] [6–46] [340–680] [460–960] [400–1 100] [71–270] [1–5] [180–410] [260–640] [390–820] [2–12] [31–160] [16–64] [39–100] [200–650] [19–50] [2–11] [480–1 000] [5–30] [1–6] [1–6] [2–10] [110–480] [420–980] [1–7]

190 23 48 21 250 6 40 71 6 17 110 31 40 220 1 75 14 40 85 250 180 63 640 60 110 46 200 320 530 170 6 160 300 260 19 110 43 56 350 7 14 370 42 11 5 16 340 340 13

[150–230] [20–27] [38–57] [18–23] [200–300] [5–7] [32–49] [57–85] [5–7] [15–19] [88–130] [27–35] [32–48] [180–270] [1–2] [68–89] [13–16] [32–48] [68–100] [200–300] [150–220] [50–75] [540–770] [48–72] [92–120] [42–55] [160–240] [260–390] [420–640] [130–200] [5–7] [130–190] [240–360] [210–310] [16–23] [84–130] [34–52] [45–68] [300–420] [6–8] [11–16] [290–440] [36–47] [11–14] [4–6] [14–18] [280–410] [270–410] [11–14]

2008 190 16 58 5 290 1 30 73 7 0 110 16 46 220 1 43 9 40 92 160 140 51 710 46 65 43 220 360 490 190 5 150 340 290 11 97 36 40 390 20 11 410 25 6 6 9 340 380 7

[150–230] [14–19] [46–70] [5–6] [250–350] [1–2] [24–36] [58–87] [6–8] [0–0] [88–130] [14–18] [39–55] [180–270] [1–2] [35–52] [8–10] [32–48] [73–110] [140–200] [120–170] [45–61] [570–850] [38–56] [57–74] [39–51] [180–260] [290–430] [390–590] [150–220] [4–6] [120–180] [270–400] [230–350] [9–14] [78–120] [29–43] [32–48] [310–470] [16–24] [9–13] [330–490] [22–29] [5–7] [5–6] [8–10] [300–410] [310–460] [6–8]

MDG 6 Prevalence of HIV among adults aged 15–49 yearsc (%)

2007 … … 0.1 … 2.1 … 0.5 0.1 0.2 0.2 0.2 3.0 … … 1.2 0.2 0.2 2.1 1.2 0.1 0.2 <0.1 23.9 0.6 … … 1.6 2.0 0.8 5.1 0.4 … 6.3 3.5 0.3 0.1 0.6 <0.1 3.5 … 0.4 3.9 <0.1 0.1 … … … … 0.2

Table 2

Mortality

Distribution of causes of death among children aged <5 yearsh,i (%)

2. Cause-specific mortality and morbidity Mortality

Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya

TB among HIV-negative peoplee

2007

2006

2008

546 … 86 95 59 82 … 450 0 673 31 8 8 519 556 20 6 451 2 56 149 980 818 113 630 … 8 0 254 307 25 84 1 7 2 93 3 41 25 … 158 2 61 405 26 23 762 994 27

650 … 150 210 130 170 680 450 25 720 210 7 8 520 690 66 4 560 3 … 290 910 1 100 470 670 280 6 4 450 420 140 300 1 4 3 170 6 62 140 560 … 4 150 660 10 150 960 1 200 97

[240–1 400] [90–210] [65–560] [84–170] [55–460] [210–1 600] [180–850] [25–50] [460–980] [55–720] [7–15] [8–16] [290–760] [250–1 500] [18–230] [4–9] [200–1 300] [2–4] [100–650] [590–1 200] [500–1 800] [140–1 600] [390–960] [190–380] [6–11] [4–8] [300–600] [240–600] [95–190] [110–600] [1–2] [4–9] [3–6] [51–510] [6–12] [41–82] [40–500] [340–800] [4–8] [43–460] [190–1 600] [10–19] [41–500] [570–1 400] [520–2 100] [28–300]

132 … 42 10 <10 25 … 54 <50 81 … … 3 173 … … <10 89 <10 … 29 48 65 <200 75 27 … … … 4 6 … <10 <10 3 55 <10 … <10 … … … <10 <10 <50 <10 896 61 …

64

14 … 0.3 0.2 0.0 0.0k 220 1.6 … 51 … … … 96 106 0.0k … 109 … … 0.1 164 180 10 7.8 0.1 … … 1.3 1.5 0.0k 0.0 … … … … … … … 74 … … 0.0k 1.1 … … … 171 …

81 1.1 12 13 3.1 2.7 5.0 9.0 1.9 64 3.2 0.5 0.4 41 44 13 0.3 44 0.3 0.3 12 60 25 15 32 9.5 1.0 0.1 23 27 3.0 14 0.5 0.4 0.4 0.9 1.4 0.5 24 19 25 2.3 25 32 5.5 1.3 27 46 4.2

[35–160] [0.4–2.6] [4.9–23] [5.4–25] [1.4–5.8] [1.0–5.3] [2.1–8.7] [3.8–18] [0.7–3.3] [26–120] [1.4–6.3] [0.2–0.8] [0.1–0.6] [17–83] [18–86] [6.6–22] [0.1–0.6] [16–84] [0.1–0.6] [0.1–0.8] [4.6–23] [23–120] [11–51] [6.3–31] [14–63] [4.1–19] [0.4–1.8] [0.0–0.2] [10–47] [12–55] [1.3–5.9] [5.4–26] [0.2–0.9] [0.1–0.6] [0.2–0.7] [0.4–1.8] [0.6–2.4] [0.2–1.0] [12–43] [6.8–42] [9.0–46] [1.1–3.8] [12–45] [13–61] [2.7–9.0] [0.5–2.4] [6.7–61] [19–90] [1.5–8.9]

2004 603 82 203 134 131 163 967 445 33 886 177 22 26 610 559 98 22 690 23 162 279 692 944 294 693 174 19 18 377 272 92 355 42 26 17 135 39 78 169 1 014 275 53 160 445 36 80 1 374 1 155 85

862 580 794 484 891 518 938 686 664 817 767 405 387 716 830 554 429 699 436 827 515 844 925 835 740 761 693 375 713 690 687 1 018 459 368 372 605 284 711 1 145 729 730 454 1 012 828 710 715 581 931 654

Injuries

Malariad

2005

Noncommunicable

HIV/AIDSc

2000–2009

Distribution of years of life lost by broader causesf,h (%) Communicable

Interagency estimatesb

MDG 6

Country reported estimatesa

MDG 6

Age-standardized mortality rates by causef,g (per 100 000 population)

Injuries

Cause-specific mortality rate (per 100 000 population)

Noncommunicable

MDG 5 Maternal mortality ratio (per 100 000 live births)

Communicable

Member State

2004 84 32 109 83 36 99 136 90 113 105 36 64 45 97 84 20 28 80 31 47 103 101 104 119 178 68 63 34 116 233 95 486 30 29 29 71 39 59 152 113 22 32 95 129 115 91 72 192 60

72 20 40 34 31 37 78 73 5 82 24 4 6 68 72 25 5 73 4 26 51 77 83 41 67 47 3 4 56 31 28 42 7 9 5 35 8 29 25 82 42 13 35 62 5 20 86 84 29

20 69 40 44 61 39 15 16 72 12 66 75 79 21 21 70 86 20 83 64 32 16 12 43 16 39 86 79 30 32 47 25 79 76 85 48 76 53 56 11 55 61 50 24 73 60 10 9 54

8 11 20 22 8 24 7 11 22 6 10 21 15 11 8 5 9 7 12 11 17 7 5 17 17 14 11 18 14 37 25 34 13 15 10 17 16 18 20 8 3 25 14 14 21 19 5 7 17

WORLD HEALTH STATISTICS 2010 Morbidity

MDG 6 Incidence of tuberculosisj (per 100 000 population per year)

2000

2000

Injuries

Other diseases

Congenital abnormalities

Neonatal sepsis

Birth asphyxia

Prematurity

Pneumonia

Malaria

Measles

Diarrhoea

HIV/AIDS

MDG 6 Prevalence of tuberculosisj (per 100 000 population)

2008 6 0 1 1 0 4 3 4 1 3 1 0 0 10 1 0 0 3 0 0 3 2 2 6 5 1 0 0 0 0 1 0 0 0 0 4 0 0 0 5 0 0 0 0 0 1 17 3 0

19 0 9 6 5 4 9 21 0 23 5 0 1 6 14 6 0 9 0 1 19 14 19 15 20 10 0 0 13 15 10 12 0 0 0 14 1 4 2 21 17 1 14 7 1 2 10 17 4

0 0 0 0 0 0 9 2 0 0 0 0 0 1 1 0 0 2 0 0 0 3 2 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 2 0

0 0 0 0 0 0 28 0 0 7 0 0 0 29 23 0 0 26 0 0 0 24 18 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 16 0

19 4 18 17 11 14 12 19 2 15 13 4 2 11 16 19 1 10 8 12 20 17 18 17 20 18 7 0 20 22 16 20 0 2 1 23 6 11 17 16 24 4 22 27 7 8 13 17 9

11 32 26 22 33 21 10 11 10 9 23 19 13 15 11 27 33 12 35 38 19 8 8 16 11 22 24 7 14 19 27 23 15 19 23 13 9 35 1 8 15 28 18 9 7 30 16 10 30

9 11 11 9 6 9 7 7 10 11 9 6 12 8 8 13 7 11 4 14 5 8 6 9 10 12 5 10 10 10 9 12 5 6 7 5 5 6 1 8 8 3 12 11 25 6 13 8 6

6 8 4 2 1 1 4 4 4 9 1 3 3 4 5 5 2 9 0 3 1 6 5 7 6 5 1 8 7 5 4 5 2 2 3 1 2 2 0 6 3 2 4 6 1 1 10 6 1

7 27 9 16 18 19 3 3 27 2 18 37 26 4 3 11 28 4 36 19 5 2 2 8 2 9 26 24 3 6 14 8 48 40 31 9 39 19 15 2 7 48 7 4 30 24 4 2 22

20 14 18 22 21 22 12 24 24 19 24 24 37 10 15 16 23 11 9 11 24 14 18 17 23 19 32 49 25 19 16 16 25 29 30 26 28 18 57 20 23 11 20 31 21 20 14 18 21

2 4 3 6 5 7 1 5 21 3 7 6 7 1 3 3 6 2 9 2 5 1 2 4 2 4 6 3 3 2 4 5 5 4 5 5 11 5 7 3 4 4 3 3 8 8 2 1 7

290 42 130 170 34 37 0 35 53 540 30 8 8 230 300 64 9 420 4 6 120 380 280 130 410 100 18 4 190 450 45 81 5 7 2 6 23 3 120 500 490 16 94 360 53 7 220 480 42

65

[94–630] [29–57] [68–200] [100–260] [19–52] [17–65] [0–0] [24–88] [17–99] [350–800] [12–53] [3–14] [3–14] [120–390] [170–490] [15–130] [4–16] [280–600] [1–8] [4–10] [80–180] [250–550] [170–420] [75–200] [260–620] [52–170] [5–36] [2–6] [93–320] [310–640] [25–71] [42–130] [2–11] [3–13] [1–5] [2–10] [8–42] [1–7] [29–230] [300–770] [240–830] [5–30] [22–200] [240–510] [14–100] [3–16] [82–370] [320–680] [18–74]

2008 670 7 95 110 24 18 63 82 14 560 25 5 2 410 390 42 2 400 3 2 110 550 220 110 290 79 8 1 190 210 23 110 2 3 5 8 12 3 98 180 110 30 140 260 13 8 490 420 28

[330–1 100] [2–17] [52–150] [65–170] [14–38] [5–36] [21–110] [36–150] [5–32] [350–850] [14–41] [2–9] [1–5] [210–690] [240–600] [17–89] [1–4] [270–570] [1–5] [1–5] [69–160] [360–800] [100–370] [44–200] [150–460] [43–130] [3–17] [0–2] [88–320] [100–360] [12–39] [70–170] [1–7] [1–6] [3–9] [4–13] [3–24] [1–6] [26–210] [45–370] [58–260] [15–49] [53–270] [170–400] [8–36] [2–15] [300–730] [260–640] [6–60]

620 14 100 110 26 37 … 85 69 330 30 12 12 250 230 110 13 210 7 4 68 200 190 100 270 120 35 5 170 190 32 64 12 11 7 7 36 7 200 400 420 26 150 160 94 17 550 240 40

[540–740] [11–17] [80–120] [85–130] [21–30] [29–44] [68–100] [58–82] [260–400] [24–36] [10–13] [10–13] [200–310] [180–270] [93–130] [11–14] [170–250] [6–8] [4–5] [54–81] [160–240] [150–230] [83–120] [220–330] [100–140] [30–39] [5–6] [130–200] [150–230] [25–38] [51–77] [10–13] [9–12] [6–8] [5–8] [31–40] [6–9] [170–240] [320–490] [340–500] [23–30] [130–180] [130–190] [83–110] [15–20] [520–660] [190–290] [32–48]

2008 620 13 73 72 19 32 130 97 34 370 20 7 6 450 260 110 5 200 6 4 63 300 220 110 250 64 16 2 170 190 20 64 9 6 7 7 22 6 180 330 360 34 160 150 50 14 640 280 40

[500–740] [11–16] [58–87] [58–86] [16–22] [28–38] [110–140] [78–120] [30–41] [290–440] [16–24] [6–8] [5–7] [360–540] [210–320] [100–130] [5–6] [160–240] [5–6] [3–5] [50–75] [240–360] [180–270] [90–140] [200–300] [52–77] [14–19] [2–3] [130–200] [150–230] [16–24] [51–77] [8–10] [5–7] [6–7] [5–8] [19–25] [6–7] [150–210] [260–390] [350–430] [30–39] [130–190] [120–180] [46–60] [12–16] [590–760] [230–340] [32–48]

MDG 6 Prevalence of HIV among adults aged 15–49 yearsc (%)

2007 3.1 … 1.1 0.3 … 0.8 3.4 1.3 1.3 2.1 0.1 0.1 0.4 5.9 0.9 0.1 0.1 1.9 0.2 … 0.8 1.6 1.8 2.5 2.2 0.7 0.1 0.2 0.3 0.2 0.2 … 0.2 0.1 0.4 1.6 … … 0.1 … … … 0.1 0.2 0.8 0.1 23.2 1.7 …

Table 2

Mortality

Distribution of causes of death among children aged <5 yearsh,i (%)

2. Cause-specific mortality and morbidity Mortality

Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa

TB among HIV-negative peoplee

2007

2006

2008

9 19 469 … 28 72 … 0 0 686 … 56 317 0 50 … 227 … 380 449 300 281 5 7 77 648 800 0 9 17 276 0 84 733 127 … 162 3 8 12 15 44 14 24 750 141 … … 3

11 12 510 1 100 62 120 970 8 … 820 15 60 … … 46 … 240 520 380 210 … 830 6 9 170 1 800 1 100 … 7 64 320 … 130 470 150 240 230 8 11 12 14 22 24 28 1 300 … … … …

[11–22] [12–23] [290–740] [720–1 500] [41–82] [42–260] [620–1 300] [8–17] [480–1 200] [15–30] [60–120]

[46–93] [140–350] [360–680] [260–510] [110–300] [290–1 900] [6–12] [9–18] [120–230] [840–2 900] [440–2 000] [7–15] [18–200] [99–810] [39–410] [130–1 300] [99–200] [170–310] [60–700] [5–10] [7–14] [8–16] [14–27] [22–44] [24–49] [28–55] [770–1 800]

<10 … <10 488 15 … 47 … … <50 … 10 … … … … <10 379 51 246 … 18 <10 … <10 28 115 … … … 3 … <50 <50 <50 12 <10 <10 <10 … <10 <10 … 28 80 … … … …

66

… … 12 95 0.1 … 201 … … 85 … 0.0k … … … … 0.0 92 19 47 … 0.1 … … 0.0k 229 156 … … 0.0 0.8 … 0.0k 45 0.0k 0.5 0.3 … … … 0.0 … … … 59 … … … …

9.3 0.0 52 23 15 2.9 81 0.8 14 80 4.7 1.4 6.6 0.0 21 1.5 8.0 36 57 26 0.8 22 0.4 0.5 4.1 37 63 0.0 0.4 0.8 39 14 2.8 21 5.4 8.7 52 2.6 1.6 3.8 5.5 4.6 7.7 15 71 0.0 0.9 1.4 4.3

[4.5–16] [0.0–0.0] [21–99] [8.6–48] [6.5–30] [1.1–5.6] [28–150] [0.4–1.4] [5.0–25] [30–150] [1.8–8.9] [0.5–2.7] [2.3–14] [0.0–0.0] [7.6–43] [0.6–3.0] [3.1–15] [14–75] [25–110] [8.5–58] [0.3–1.8] [9.3–45] [0.2–0.7] [0.2–0.9] [1.6–8.2] [15–72] [22–120] [0.0–0.0] [0.1–0.7] [0.3–1.4] [17–77] [5.4–26] [1.0–5.4] [7.6–44] [2.2–11] [3.2–17] [22–100] [0.9–5.4] [0.7–2.8] [1.8–6.4] [2.3–9.5] [0.0–12] [6.9–8.5] [7.2–26] [25–140] [0.0–0.2] [0.4–1.9] [0.4–3.2] [1.7–8.2]

2004 30 35 536 1 396 161 160 1 011 37 293 566 52 73 178 25 152 … 118 954 513 825 210 463 31 14 129 1 272 964 174 22 26 403 190 95 468 119 231 285 27 42 61 32 64 51 71 1 157 179 69 162 204

635 419 799 796 623 953 967 433 961 812 731 501 682 321 923 … 655 777 775 513 1 093 769 425 398 705 1 030 909 595 391 664 717 735 417 772 602 534 620 583 456 512 470 963 706 904 878 691 522 674 766

Injuries

Malariad

2005

Noncommunicable

HIV/AIDSc

2000–2009

Distribution of years of life lost by broader causesf,h (%) Communicable

Interagency estimatesb

MDG 6

Country reported estimatesa

MDG 6

Age-standardized mortality rates by causef,g (per 100 000 population)

Injuries

Cause-specific mortality rate (per 100 000 population)

Noncommunicable

MDG 5 Maternal mortality ratio (per 100 000 live births)

Communicable

Member State

2004 128 46 81 105 53 165 112 25 61 90 43 55 33 39 86 … 49 108 96 73 129 119 24 39 71 127 109 36 42 39 91 36 52 100 74 60 59 54 40 35 67 97 54 218 147 43 67 64 40

5 7 74 87 28 35 83 6 34 73 10 25 32 7 32 … 39 81 56 82 24 60 6 5 39 86 81 33 4 16 64 29 35 65 33 41 44 4 9 17 6 10 9 8 83 27 17 31 32

69 77 19 8 55 35 11 85 56 18 78 58 58 77 51 … 48 12 33 11 60 27 85 77 44 10 13 56 79 63 26 62 45 25 44 45 43 81 78 59 72 74 79 62 10 63 60 54 58

26 16 8 5 17 30 5 9 10 9 12 18 10 16 17 … 13 7 11 6 15 13 9 18 17 4 6 11 16 21 10 9 20 11 23 15 13 15 12 25 22 16 12 29 7 11 22 16 9

WORLD HEALTH STATISTICS 2010 Morbidity

MDG 6 Incidence of tuberculosisj (per 100 000 population per year)

2000

2000

Injuries

Other diseases

Congenital abnormalities

Neonatal sepsis

Birth asphyxia

Prematurity

Pneumonia

Malaria

Measles

Diarrhoea

HIV/AIDS

MDG 6 Prevalence of tuberculosisj (per 100 000 population)

2008 0 0 0 14 4 0 1 0 0 1 1 0 0 0 0 0 0 14 1 18 0 1 0 0 1 0 3 0 0 0 0 0 1 3 1 1 0 0 1 0 0 0 0 0 1 0 0 1 0

0 0 22 11 1 9 19 0 9 16 2 6 4 0 4 0 12 12 13 6 3 15 0 0 9 20 19 0 3 2 16 4 6 5 9 4 7 0 0 2 0 2 1 1 23 0 0 2 7

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0

0 0 4 17 0 0 21 0 0 13 0 0 0 0 0 0 0 12 2 5 0 0 0 0 0 18 20 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0

6 0 21 13 6 16 19 6 23 20 7 13 29 4 29 9 17 18 13 14 18 14 2 5 20 22 16 5 0 7 18 10 13 22 17 16 24 5 6 6 4 23 33 7 15 2 1 1 20

12 26 11 10 22 26 8 24 17 13 23 17 17 22 14 26 21 10 14 18 27 17 18 26 22 7 8 32 14 32 17 21 16 11 24 25 19 30 22 24 26 4 12 13 9 33 52 36 20

7 17 9 8 8 11 7 8 6 9 14 7 7 9 5 11 15 9 11 8 16 18 12 11 8 6 8 14 17 6 15 8 6 11 13 10 7 7 10 5 5 7 4 8 10 29 23 11 8

4 1 7 6 1 5 4 0 2 6 5 5 3 1 1 1 8 6 9 4 9 14 6 3 2 3 6 4 3 1 12 1 5 6 5 2 2 4 1 1 4 6 0 3 8 3 2 11 2

35 19 2 3 26 9 2 29 9 3 22 22 5 32 7 28 10 3 2 6 9 4 28 25 13 1 2 19 28 25 7 20 24 3 10 16 8 35 32 26 21 31 21 24 3 10 10 7 11

18 24 21 16 23 20 17 18 29 17 22 22 30 23 35 17 14 15 13 13 13 15 28 21 21 21 17 23 26 19 14 26 22 25 18 20 29 14 19 25 28 14 20 31 20 15 10 24 27

17 13 2 2 9 4 2 15 5 2 4 9 4 9 5 6 3 2 22 2 5 2 6 10 4 2 1 2 9 7 2 9 6 3 4 6 4 6 8 11 12 14 8 13 4 7 2 7 5

45 11 350 410 140 77 650 1 510 450 38 40 130 1 230 … 51 540 950 250 50 160 4 3 68 310 600 4 3 9 640 23 12 130 37 140 780 26 23 66 16 130 160 110 600 19 21 47 20

67

[13–93] [6–17] [210–540] [250–630] [77–230] [33–140] [450–910] [1–4] [330–740] [270–680] [23–59] [21–65] [54–230] [1–1] [110–400] [17–110] [350–780] [650–1 300] [100–500] [29–77] [65–290] [1–8] [2–8] [28–120] [210–440] [420–830] [3–6] [1–5] [4–16] [400–890] [16–65] [8–41] [37–320] [9–73] [32–280] [600–950] [5–52] [7–46] [28–120] [11–44] [72–200] [58–290] [41–210] [410–850] [12–28] [12–34] [30–70] [6–38]

2008 34 1 430 310 120 13 750 11 59 700 40 8 34 0 140 6 48 470 470 290 10 170 4 5 26 330 610 0 3 6 310 110 14 130 40 46 550 17 15 54 50 90 110 69 720 3 8 23 36

[11–75] [1–1] [270–650] [180–480] [67–200] [7–33] [510–1 000] [6–18] [39–150] [470–1 000] [26–60] [3–17] [23–110] [0–0] [29–280] [4–17] [14–97] [290–710] [240–780] [110–620] [7–21] [71–300] [1–8] [2–9] [7–53] [210–480] [410–860] [0–0] [1–6] [2–12] [170–510] [71–170] [8–34] [37–290] [13–77] [19–100] [500–600] [3–37] [5–30] [22–97] [13–96] [39–160] [35–220] [15–140] [490–1 000] [2–10] [3–15] [13–36] [23–53]

85 12 220 420 110 74 300 5 250 280 24 32 130 0 210 … 110 380 400 670 44 160 9 10 68 150 270 0 6 14 230 52 47 250 48 180 330 35 48 63 54 140 170 120 350 10 15 26 23

[76–100] [10–13] [170–260] [340–510] [87–130] [59–89] [240–360] [4–5] [200–300] [220–330] [20–29] [25–38] [100–150] [0–0] [160–250] [100–130] [300–450] [320–480] [590–810] [40–53] [130–200] [8–10] [9–12] [54–81] [120–180] [220–330] [0–0] [5–6] [13–17] [190–280] [42–63] [40–57] [200–300] [38–58] [150–220] [260–390] [28–42] [41–54] [50–75] [47–61] [110–160] [130–200] [99–150] [280–420] [8–12] [12–18] [21–31] [19–28]

2008 71 0 260 320 100 42 320 14 210 320 22 19 93 0 210 23 93 420 400 750 12 160 7 8 46 180 300 0 6 13 230 63 47 250 47 120 280 25 30 55 88 170 130 110 390 9 14 25 18

[63–85] [0–0] [200–310] [260–390] [82–120] [39–50] [260–390] [12–16] [210–250] [260–390] [18–27] [17–22] [75–110] [0–0] [170–250] [21–27] [85–110] [340–500] [320–480] [630–900] [9–14] [130–200] [6–8] [7–9] [41–56] [140–210] [240–360] [0–0] [5–7] [13–16] [190–280] [50–75] [45–57] [210–300] [38–57] [110–140] [230–340] [20–29] [26–34] [44–66] [77–99] [140–210] [110–160] [91–130] [310–460] [7–11] [12–17] [20–30] [15–22]

MDG 6 Prevalence of HIV among adults aged 15–49 yearsc (%)

2007 0.1 0.2 0.1 11.9 0.5 … 1.5 0.1 … 0.8 1.7 0.3 … … 0.1 … 0.1 12.5 0.7 15.3 … 0.5 0.2 0.1 0.2 0.8 3.1 … 0.1 … 0.1 … 1.0 1.5 0.6 0.5 … 0.1 0.5 … <0.1 0.4 0.1 1.1 2.8 … … … …

Table 2

Mortality

Distribution of causes of death among children aged <5 yearsh,i (%)

2. Cause-specific mortality and morbidity Mortality

San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe

TB among HIV-negative peoplee

2007

2006

2008

0 6 15 401 6 …l 857 8 6 15 236 1 044 124 4 17 1 107 184 589 2 1 58 43 14 0

… … 18 980 … … 2 100 14 6 6 220 1 400 400 4 58 450 72 390 3 5 130 170 110 10

… 478 37 … 36 21 16 0 435 15 0 7 578 13 … 25 70 57 75 366 591 725

380 510 … 45 100 44 130 … 550 18 37 8 950 11 20 24 … 57 150 430 830 880

[12–24] [590–1 400]

[880–3 700] [14–27] [6–12] [6–12] [65–580] [550–2 700] [270–530] [4–9] [39–77] [160–1 000] [72–140] [130–980] [3–7] [5–11] [40–370] [53–460] [70–140] [10–20] [150–700] [290–750] [45–89] [27–380] [29–58] [37–400] [350–770] [18–36] [10–130] [8–15] [620–1 300] [11–21] [20–40] [24–49] [57–110] [40–510] [150–900] [520–1 200] [300–2 000]

… … … 15 <10 … 56 <10 … <10 … 18 721 5 … 65 … 876 <10 <10 … <10 47 …

… 19 0.0 80 … … 154 … … … 30 41 0.3 … 0.0k 85 4.9 0.1 … … 0.0 0.0k 0.6 …

0.0 18 1.2 64 1.3 8.7 140 2.5 0.7 0.8 19 54 39 1.0 9.6 19 29 31 0.4 0.3 2.3 44 19 1.7

[0.0–0.0]

… 138 … … <10 … … … 249 41 … <10 237 7 <50 <10 … … 27 … 470 1 049

93 113 … … … 0.0k 0.0 … 145 … … … 98 … … 0.0k 13 0.2 0.2 3.9 121 10

83 92 3.0 1.2 1.8 3.2 8.4 11 27 15 0.3 0.7 13 0.3 1.7 27 11 4.3 34 9.9 18 54

[36–160]

68

[7.4–34] [0.5–2.1] [24–120] [0.4–2.8] [3.2–17] [52–260] [1.1–4.1] [0.3–1.3] [0.3–1.3] [8.2–38] [22–100] [17–79] [0.4–1.7] [4.1–19] [8.2–38] [10–56] [0.0–88] [0.2–0.6] [0.1–0.5] [0.8–4.9] [20–80] [8.2–38] [0.6–3.3]

[32–180] [1.3–6.2] [0.6–2.1] [0.7–3.4] [1.2–6.8] [4.1–15] [3.9–25] [10–55] [7.1–26] [0.2–0.6] [0.3–1.3] [6.1–22] [0.1–0.5] [0.7–3.3] [13–50] [4.9–23] [1.8–8.6] [14–71] [4.3–20] [5.9–41] [21–100]

2004

Injuries

Malariad

2005

Noncommunicable

HIV/AIDSc

2000–2009

Distribution of years of life lost by broader causesf,h (%) Communicable

Interagency estimatesb

MDG 6

Country reported estimatesa

MDG 6

Age-standardized mortality rates by causef,g (per 100 000 population)

Injuries

Cause-specific mortality rate (per 100 000 population)

Noncommunicable

MDG 5 Maternal mortality ratio (per 100 000 live births)

Communicable

Member State

2004

17 502 98 607 … 109 1 389 79 35 31 237 910 965 24 113 470 174 1 497 22 19 66 310 225 29

357 788 678 852 … 650 1 033 345 628 480 694 1 148 867 379 681 986 728 707 372 360 679 884 516 737

18 103 76 96 … 62 171 27 48 57 36 247 159 30 458 235 87 122 32 34 46 34 92 79

5 71 24 74 … 17 83 12 5 4 50 72 69 7 8 57 31 83 5 5 25 72 42 6

87 18 49 18 … 63 11 73 82 80 41 16 19 81 30 21 52 10 83 81 59 23 40 74

9 11 27 8 … 19 6 14 13 16 9 12 12 12 62 23 17 7 12 13 15 5 19 21

421 748 174 130 195 82 253 275 1 069 61 79 37 1 031 36 53 164 216 69 170 314 1 602 2 598

663 818 658 751 537 701 1 100 979 786 881 410 441 851 450 521 880 749 441 611 941 833 816

83 86 28 60 53 39 71 71 169 130 37 26 130 50 52 49 37 92 64 110 125 147

70 78 31 26 41 26 48 30 80 9 18 7 79 9 12 48 39 21 39 60 85 85

21 16 61 61 44 63 42 59 10 72 53 84 13 73 74 42 52 44 46 27 9 8

9 7 8 14 15 11 11 11 10 19 28 9 8 18 15 10 9 35 15 12 6 6

WORLD HEALTH STATISTICS 2010 Morbidity

MDG 6 Incidence of tuberculosisj (per 100 000 population per year)

2000

2000

Injuries

Other diseases

Congenital abnormalities

Neonatal sepsis

Birth asphyxia

Prematurity

Pneumonia

Malaria

Measles

Diarrhoea

HIV/AIDS

MDG 6 Prevalence of tuberculosisj (per 100 000 population)

2008

2008

0 0 0 1 0 0 1 0 0 0 0 0 46 0 0 2 2 49 0 0 0 0 2 0

0 15 5 15 0 0 21 0 0 0 4 22 9 0 3 11 6 8 1 0 5 19 2 3

0 1 0 3 0 0 5 0 0 0 1 5 0 0 1 0 0 0 0 0 0 0 0 0

0 1 0 19 0 0 13 0 0 0 6 6 0 0 0 25 1 0 0 0 0 0 1 0

0 26 10 18 6 10 20 13 11 2 26 19 9 2 10 16 10 12 2 1 11 21 10 5

0 12 31 10 39 37 8 25 28 24 18 8 12 17 22 18 22 8 12 23 26 15 30 44

0 8 6 8 12 6 6 1 4 8 6 8 7 7 8 7 10 5 10 10 5 9 11 10

0 5 1 5 1 0 4 3 1 12 2 5 2 4 1 2 6 3 3 3 1 5 2 2

0 4 19 3 22 14 1 35 29 20 6 3 3 30 19 4 12 3 33 28 22 4 21 25

100 26 19 17 15 29 19 19 19 30 29 21 10 34 19 13 23 12 34 30 23 24 17 6

0 3 8 2 3 4 3 5 8 4 3 2 2 6 16 3 8 1 3 5 7 3 5 3

9 150 36 460 … 41 820 32 12 11 360 610 470 15 85 150 160 530 3 3 18 210 210 40

[7–13]

0 150 [20–59] 12 [300–680] 560 7 [19–71] 75 [550–1 200] 1 200 [11–57] 27 [3–23] 6 [3–22] 7 [230–530] 150 [400–880] 460 [260–740] 610 [5–26] 8 [44–140] 73 [78–240] 160 [110–230] 270 [290–870] 770 [1–6] 3 [1–7] 1 [5–38] 15 [130–320] 330 [130–320] 160 [15–72] 7

[0–0]

[80–240]

[90–230]

0 6 0 6 0 0 0 0 5 1 0 0 9 0 0 0 0 0 3 0 12 21

13 12 6 1 5 1 13 1 16 1 1 0 12 0 2 12 7 7 2 20 15 9

5 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 2 1 1 8

11 26 0 0 0 0 0 0 22 0 0 0 16 0 0 0 2 0 0 0 15 3

10 15 15 6 10 14 23 16 14 4 5 3 14 3 7 21 23 10 10 18 15 13

12 11 20 22 30 30 18 17 7 11 31 36 10 30 20 22 20 23 27 17 7 12

16 9 8 7 6 11 10 8 7 7 6 7 10 5 4 10 7 9 10 12 7 8

12 5 2 7 1 2 6 2 5 2 1 1 8 3 6 5 1 8 2 5 6 4

3 3 17 21 20 18 6 14 2 28 29 26 3 23 28 8 8 19 19 5 2 3

14 12 25 22 21 18 22 34 16 32 20 23 16 26 22 20 26 14 20 19 17 16

2 2 7 9 6 5 3 7 4 13 7 4 3 11 11 3 4 9 5 3 3 2

610 810 29 12 12 58 31 190 380 57 5 8 180 4 18 200 79 29 290 140 350 470

[310–1 000]

[350–1 100]

69

[560–1 100] [15–46] [5–20] [4–26] [30–96] [15–69] [62–350] [240–560] [12–120] [3–8] [2–14] [100–270] [1–7] [4–36] [120–310] [22–150] [9–55] [140–500] [74–240] [140–620] [260–760]

660 930 22 18 10 22 18 44 340 76 7 5 130 3 12 190 88 34 280 78 260 790

[3–24] [370–800] [5–21] [51–110] [800–1 700] [11–48] [2–12] [2–13] [74–250] [280–700] [290–1 000] [3–17] [34–130] [93–260] [190–380] [400–1 300] [1–6] [1–4] [3–33] [200–500] [88–270] [4–20]

[640–1 300] [8–41] [9–29] [4–21] [4–45] [12–69] [30–170] [210–520] [19–150] [4–10] [2–11] [85–180] [1–5] [4–22] [110–300] [43–150] [15–59] [140–480] [41–130] [94–480] [500–1 200]

4 110 27 240 … 37 380 49 22 21 180 290 580 23 66 120 79 800 5 9 35 120 140 41

[4–5]

500 370 28 18 24 46 92 210 340 84 4 12 240 7 24 130 98 34 200 120 600 680

[400–600]

[91–140] [22–33] [190–280] [29–44] [300–450] [43–56] [19–24] [19–24] [150–220] [230–340] [460–690] [20–26] [53–79] [95–140] [63–95] [640–960] [5–6] [8–10] [31–42] [93–140] [110–160] [33–50]

[300–450] [24–33] [15–20] [22–29] [37–55] [90–110] [170–250] [270–410] [67–100] [4–5] [11–14] [210–270] [6–7] [20–29] [100–150] [80–120] [27–41] [170–280] [92–140] [480–720] [550–820]

2008 0 99 19 280 18 32 610 39 12 12 120 290 960 17 66 120 130 1 200 6 5 22 200 140 24 500 440 24 24 24 30 68 160 310 100 4 12 190 5 22 130 74 33 200 60 470 760

[0–0] [79–120] [16–22] [220–330] [15–22] [25–38] [490–730] [34–44] [10–13] [10–13] [97–150] [230–340] [770–1 200] [15–20] [53–79] [95–140] [100–150] [980–1 500] [5–7] [4–6] [18–27] [160–240] [110–160] [22–29] [400–600] [350–530] [19–28] [21–27] [22–29] [24–36] [54–81] [130–190] [250–370] [82–120] [3–5] [11–14] [180–200] [4–5] [20–26] [100–150] [60–89] [27–40] [170–270] [48–72] [370–560] [610–910]

MDG 6 Prevalence of HIV among adults aged 15–49 yearsc (%)

2007 … … … 1.0 0.1 … 1.7 0.2 <0.1 <0.1 … 0.5 18.1 0.5 … 1.4 2.4 26.1 0.1 0.6 … 0.3 1.4 <0.1 … 3.3 … 1.5 0.1 … <0.1 … 5.4 1.6 … 0.2 6.2 0.6 0.6 0.1 … … 0.5 … 15.2 15.3

Table 2

Mortality

Distribution of causes of death among children aged <5 yearsh,i (%)

2. Cause-specific mortality and morbidity Mortality

TB among HIV-negative peoplee

2007

2006

2008

2004

Injuries

Malariad

2005

Noncommunicable

HIV/AIDSc

2000–2009

Distribution of years of life lost by broader causesf,h (%) Communicable

Interagency estimatesb

MDG 6

Country reported estimatesa

MDG 6

Age-standardized mortality rates by causef,g (per 100 000 population)

Injuries

Cause-specific mortality rate (per 100 000 population)

Noncommunicable

MDG 5 Maternal mortality ratio (per 100 000 live births)

Communicable

Member State

2004

RANGES OF COUNTRY VALUES Minimum Median Maximum