Primarijus.dr.sc. Ranko Stevanović Predsjednik Hrvatskog društva za farmakoekonomiku i ekonomiku zdravstva (HDFEZ) Voditelj Odjela za primarnu zdravstvenu zaštitu Hrvatski zavod za javno zdravstvo Zagreb, Rockefellerova 7. Tel. e-mail:
01 4863 244
ranko.stevanovic@hzjz.hr ranko.stevanovic@farmakoekonomika.hr www.farmakoekonomika.hr www.hzjz.hr
Epidemiologija smrti i umiranja Međunarodni poslijediplomski tečaj stalnog medicinskog usavršavanja I. kategorije SUVREMENE SPOZNAJE IZ PALIJATIVNE MEDICINE Medicinski fakultet, Zagreb, HRVATSKO DRUŠTVO ZA PALIJATIVNU MEDICINU HLZ
Tablica 1. Umrli u 2008.g. prema mjestu smrti
Umrli u bolnici Umrli kod kuće Umrlo ukupno
Broj Udio (100%) 31.234 59,9 20.917 40,1 52.151 100,0
Tablica - Table 2/I.
RANG LJESTVICA TE UDIO 10 VODEĆIH UZROKA SMRTI U HRVATSKOJ 2008. GODINE - UKUPNO Rank of the 10 leading causes of death and their respective shares - total, Croatia 2008
MKB-X ŠIFRA ICD 10 Code
DIJAGNOZA Diagnosis
BROJ No.
%
10.101 8.076 3.059 2.750 1.855
19,37 15,49 5,87 5,27 3,56
1.311 1.303 1.296 1.058
2,51 2,50 2,49 2,03
1.033
1,98
PRVIH 10 UZROKA SMRTI - First 10 causes
31.842
61,06
UKUPNO - Total
52.151
I20-I25 I60-I69 I50 C33-C34 C18-C21 K70, K73, K74, K76 J40-J46 E10-E14 I70
Ishemijske bolesti srca - Ischaemic heart diseases Cerebrovaskularne bolesti - Cerebrovascular diseases Insuficijencija srca - Heart failure Zloćudna novotvorina dušnika, dušnica i pluća - Malignant neoplasms of trachea, bronchus and lung Zloćudne novotvorine debelog crijeva - Malignant neoplasms of colon, rectum and anus Kronične bolesti jetre, fibroza i ciroza - Chronic liver diseases, fibrosis and cirrhosis Bronhitis, emfizem, astma – Bronchitis, emphysema, asthma Dijabetes melitus - Diabetes mellitus Ateroskleroza – Atherosclerosis
I10-I13
Hipertenzivne bolesti – Hypertensive diseases
Izvor podataka: Source of information:
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08)
Tablica - Table 2/II.
RANG LJESTVICA TE UDIO DESET VODEĆIH UZROKA SMRTI U UMRLIH MUŠKARACA U HRVATSKOJ 2008. GODINE - Rank of the 10 leading causes of death and their respective shares - male, Croatia 2008
MKB-X ŠIFRA ICD 10 Code
DIJAGNOZA Diagnosis
BROJ No.
%
I20-I25 I60-I69 C33-C34
Ishemijske bolesti srca - Ischaemic heart diseases Cerebrovaskularne bolesti - Cerebrovascular diseases Zloćudna novotvorina dušnika, dušnica i pluća - Malignant neoplasms of trachea, bronchus and lung
4.824 3.348 2.139
18,39 12,76 8,16
I50
Insuficijencija srca - Heart failure
1.126
4,29
C18-C21
Zloćudne novotvorine debelog crijeva - Malignant neoplasms of colon, rectum and anus
1.052
4,01
K70, K73, Kronične bolesti jetre, fibroza i ciroza K74, K76 - Chronic liver diseases, fibrosis and cirrhosis
982
3,74
J40-J46 C61
Bronhitis, emfizem, astma – Bronchitis, emphysema, asthma Zloćudna novotvorina kestenjače (prostate) - Malignant neoplasm of prostate
818 641
3,12 2,44
E10-E14 C16
Dijabetes melitus - Diabetes mellitus Zloćudna novotvorina želuca – Malignant neoplasm of stomach
538 514
2,05 1,96
PRVIH 10 UZROKA SMRTI - First 10 causes
15.982
60,93
UKUPNO - Total
26.229
Izvor podataka: Source of information:
Tablica - Table 2/III.
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08)
RANG LJESTVICA TE UDIO DESET VODEĆIH UZROKA SMRTI U UMRLIH ŽENA U HRVATSKOJ 2008. GODINE - Rank of the 10 leading causes of death and their respective shares - female, Croatia 2008
MKB-X ŠIFRA DIJAGNOZA ICD 10 Code Diagnosis I20-I25 Ishemijske bolesti srca - Ischaemic heart diseases I60-I69 Cerebrovaskularne bolesti - Cerebrovascular diseases I50 Insuficijencija srca - Heart failure C50 Zloćudna novotvorina dojke - Malignant neoplasm of breast C18-C21 Zloćudne novotvorine debelog crijeva -Malignant neoplasms of colon, rectum and anus E10-E14 Dijabetes melitus - Diabetes mellitus I70 Ateroskleroza – Atherosclerosis
BROJ No. 5.277 4.728 1.933 902 803 758 726
% 20,36 18,24 7,46 348 3,10 2,92 2,80
I10-I13
Hipertenzivne bolesti – Hypertensive diseases
692
2,67
C33-C34
Zloćudna novotvorina dušnika, dušnica i pluća - Malignant neoplasms of trachea, bronchus and lung
611
2,36
J40-J46
Bronhitis, emfizem, astma – Bronchitis, emphysema, asthma
485
1,87
PRVIH 10 UZROKA SMRTI - First 10 causes
16.915
65,25
UKUPNO - Total
25.922
Izvor podataka: Source of information:
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08)
Tablica - Table 3.
UMRLI S PREBIVALIŠTEM U HRVATSKOJ PO SKUPINAMA BOLESTI TE UDIO I STOPE NA 100.000 STANOVNIKA U 2008. GODINI PO SPOLU - Deaths with Croatian residency by disease group, their respective shares and rates per 100,000 population by sex, Croatia 2008 UKUPNO - Total Muški - male Žene - female Stopa na BROJ Stopa na BROJ Stopa na % 100.000 Rang % 100.000 Rang % 100.000 Rang stanovnika stanovnika stanovnika No. % Rate per No. % Rate per No. % Rate per 100,000 Rank 100,000 Rank 100,000 Rank population population population
BROJ Skupina bolesti - stanja
ICD 10 disease group I II III
IV V VI VIII IX X XI XII XIII XIV XV XVI XVII
XVIII
XIX
Zarazne i parazitarne bolesti Infectious and parasitic diseases Novotvorine - Neoplasms Bolesti krvi i krvotvornog sustava te određene bolesti imunološkog sustava - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endokrine bolesti, bolesti prehrane i metabolizma - Endocrine, nutritional and metabolic disease Duševni poremećaji i poremećaji ponašanja - Mental and behavioural disorders Bolesti živčanog sustava - Diseases of the nervous system Bolesti uha i mastoidnog nastavka - Diseases of the ear and mastoid process Bolesti cirkulacijskog sustava - Diseases of the circulatoruy system Bolesti dišnog sustava - Diseases of the respiratoty system Bolesti probavnog sustava - Diseases of the digestive system Bolesti kože i potkožnog tkiva - Diseases of the skin and subcutaneous tissue Bolesti mišićno-koštanog sustava i vezivnog tkiva - Diseases of the musculoskeletal system and connective tissue Bolesti sustava mokraćnih i spolnih organa - Diseases of the genitorinary system Trudnoća, porod i babinje - Pregnancy, childbirth and the puerperium Određena stanja nastala u perinatalnom razdoblju - Certain conditions originating in the perinatal period Kongenitane malformacije, deformiteti i kromosomske amnormalnosti - Congenital malformations, deformations and chromosomal abnormalities Simptomi, znakovi i abnormalni klinički i laboratorijski nalazi neuvršteni drugamo - Simptoms, signs and amnormal clinical and laboratory findings, NEC Ozljede, otrovanja i neke druge posljedice vanjskih uzroka - Injury, poisoning and certain other conseguences of extermal causes UKUPNO - Total
Izvor podataka: Source of information: Stanovništvo Population -
327
0,63
7,37
11
171
0,65
8,01
11
13.280 25,46
299,27
2
7.722
29,44
361,53
2
156
0,60
6,78
11
5.558 21,44
241,49
2
43
0,08
0,97
15
12
0,05
0,56
15
31
0,12
1,35
15
1.332
2,55
30,02
6
560
2,14
26,22
6
772
2,98
33,54
6
772
1,48
17,40
9
394
1,50
18,45
7
378
1,46
16,42
9
774 1,48 0 0,000
17,44 0,00
8 0
387 0
1,48 0,000
18,12 0,00
8 0
387 1,49 0 0,000
16,81 0,00
8 0
26.235 50,31
591,22
1
11.402
43,47
533,83
1
14.833 57,22
644,48
1
2.249
4,31
50,68
5
1.342
5,12
62,83
5
907
3,50
39,41
5
2.433
4,67
54,83
4
1.504
5,73
70,42
4
929
3,58
40,36
4
22
0,04
0,50
16
4
0,02
0,19
16
18
0,07
0,78
16
74
0,14
1,67
14
23
0,09
1,08
14
51
0,20
2,22
12
797
1,53
17,96
7
357
1,36
16,71
9
440
1,70
19,12
7
3
0,01
0,07
17
0
0,00
0,00
0
3
0,01
0,13
17
111
0,21
2,50
12
71
0,27
3,32
12
40
0,15
1,74
14
108
0,21
2,43
13
66
0,25
3,09
13
42
0,16
1,82
13
557
1,07
12,55
10
200
0,76
9,36
10
357
1,38
15,51
10
3.034
5,82
68,37
3
2.014
7,68
94,29
3
1.020
3,93
44,32
3
52.151 100,0 1.175,24
26.229
100,0 1.228,01
25.922 100,0 1.126,28
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08) Popis 2001. godine Census 2001
Ukupno: 4,437.460 Total: 4.437,460
Muški:2,135.900 Male:2.135,900
Žene: 2,301.560 Female: 2.301,560
Tablica – Table 3/I.
UMRLI S PREBIVALIŠTEM U GRADU ZAGREBU PO SKUPINAMA BOLESTI TE UDIO I STOPE NA 100.000 STANOVNIKA U 2008. GODINI PO SPOLU – City-of-Zagreb-resident deaths by disease group, with the ratio and rates / 100,000 population in 2008 by sex UKUPNO - Total Muški - male Žene - female Stopa na BROJ Stopa na BROJ Stopa na % 100.000 Rang % 100.000 Rang % 100.000 Rang stanovnika stanovnika stanovnika No. % Rate per No. % Rate per No. % Rate per 100,000 Rank 100,000 Rank 100,000 Rank population population population
BROJ Skupina bolesti - stanja
ICD 10 disease group I II III
IV V VI VIII IX X XI XII XIII XIV XV XVI XVII
XVIII
XIX
Zarazne i parazitarne bolesti Infectious and parasitic diseases Novotvorine – Neoplasms Bolesti krvi i krvotvornog sustava te određene bolesti imunološkog sustava - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endokrine bolesti, bolesti prehrane i metabolizma - Endocrine, nutritional and metabolic disease Duševni poremećaji i poremećaji ponašanja - Mental and behavioural disorders Bolesti živčanog sustava - Diseases of the nervous system Bolesti uha i mastoidnog nastavka - Diseases of the ear and mastoid process Bolesti cirkulacijskog sustava - Diseases of the circulatoruy system Bolesti dišnog sustava - Diseases of the respiratoty system Bolesti probavnog sustava - Diseases of the digestive system Bolesti kože i potkožnog tkiva - Diseases of the skin and subcutaneous tissue Bolesti mišićno-koštanog sustava i vezivnog tkiva - Diseases of the musculoskeletal system and connective tissue Bolesti sustava mokraćnih i spolnih organa - Diseases of the genitorinary system Trudnoća, porod i babinje - Pregnancy, childbirth and the puerperium Određena stanja nastala u perinatalnom razdoblju - Certain conditions originating in the perinatal period Kongenitane malformacije, deformiteti i kromosomske amnormalnosti - Congenital malformations, deformations and chromosomal abnormalities Simptomi, znakovi i abnormalni klinički i laboratorijski nalazi neuvršteni drugamo - Simptoms, signs and amnormal clinical and laboratory findings, NEC Ozljede, otrovanja i neke druge posljedice vanjskih uzroka - Injury, poisoning and certain other conseguences of extermal causes UKUPNO - Total
Izvor podataka: Source of information: Stanovništvo Population -
80
0,96
10,27
9
37
0,91
10,17
9
2.425 29,15
311,24
2
1.315
32,45
361,27
2
43
1,01
10,36
9
1.110 26,02
267,37
2
8
0,10
1,03
15
2
0,05
0,55
14
6
0,14
1,45
12
191
2,30
24,51
6
78
1,92
21,43
6
113
2,65
27,22
6
66
0,79
8,47
10
35
0,86
9,62
10
31
0,73
7,47
10
132 0
1,59 0,00
16,94 0,00
8 0
63 0
1,55 0,00
17,31 0,00
8 0
69 0
1,62 0,00
16,62 0,00
8 0
4.040 48,56
518,52
1
1.752
43,23
481,33
1
2.288 53,63
551,12
1
390
4,69
50,05
4
210
5,18
57,69
4
180
4,22
43,36
3
327
3,93
41,97
5
178
4,39
48,90
5
149
3,49
35,89
4
2
0,02
0,26
16
0
0,00
0,00
0
2
0,05
0,48
13
11
0,13
1,41
14
2
0,05
0,55
14
9
0,21
2,17
11
164
1,97
21,05
7
66
1,63
18,13
7
98
2,30
23,61
7
1
0,01
0,13
17
0
0,00
0,00
0
1
0,02
0,24
14
26
0,31
3,34
12
17
0,42
4,67
12
9
0,21
2,17
11
22
0,26
2,82
13
13
0,32
3,57
13
9
0,21
2,17
11
30
0,36
3,85
11
21
0,52
5,77
11
9
0,21
2,17
11
404
4,86
51,85
3
264
6,51
72,53
3
140
3,28
33,72
5
8.319 100,0 1.067,71
4.053
100,0 1.113,49
4.266 100,0 1.027,57
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08) Popis 2001. godine Census 2001
Ukupno: 779.145 Total: 779.145
Muški: 363.992 Male:363.992
Žene: 415.153 Female: 415,153
Tablica – Table 3/II.
UMRLI S PREBIVALIŠTEM U LIČKO-SENJSKOJ ŽUPANIJI PO SKUPINAMA BOLESTI TE UDIO I STOPE NA 100.000 STANOVNIKA U 2008. GODINI PO SPOLU – Lika–Senj-County-resident deaths by disease group, with the ratio and rates /100,000 population in 2008 by sex UKUPNO - Total Muški - male Žene - female Stopa na BROJ Stopa na BROJ Stopa na % 100.000 Rang % 100.000 Rang % 100.000 Rang stanovnika stanovnika stanovnika No. % Rate per No. % Rate per No. % Rate per 100,000 Rank 100,000 Rank 100,000 Rank population population population
BROJ Skupina bolesti - stanja
ICD 10 disease group I II III
IV V VI VIII IX X XI XII XIII XIV XV XVI XVII
XVIII
XIX
Zarazne i parazitarne bolesti Infectious and parasitic diseases Novotvorine - Neoplasms Bolesti krvi i krvotvornog sustava te određene bolesti imunološkog sustava - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endokrine bolesti, bolesti prehrane i metabolizma - Endocrine, nutritional and metabolic disease Duševni poremećaji i poremećaji ponašanja - Mental and behavioural disorders Bolesti živčanog sustava - Diseases of the nervous system Bolesti uha i mastoidnog nastavka - Diseases of the ear and mastoid process Bolesti cirkulacijskog sustava - Diseases of the circulatoruy system Bolesti dišnog sustava - Diseases of the respiratoty system Bolesti probavnog sustava - Diseases of the digestive system Bolesti kože i potkožnog tkiva - Diseases of the skin and subcutaneous tissue Bolesti mišićno-koštanog sustava i vezivnog tkiva - Diseases of the musculoskeletal system and connective tissue Bolesti sustava mokraćnih i spolnih organa - Diseases of the genitorinary system Trudnoća, porod i babinje - Pregnancy, childbirth and the puerperium Određena stanja nastala u perinatalnom razdoblju - Certain conditions originating in the perinatal period Kongenitane malformacije, deformiteti i kromosomske amnormalnosti - Congenital malformations, deformations and chromosomal abnormalities Simptomi, znakovi i abnormalni klinički i laboratorijski nalazi neuvršteni drugamo - Simptoms, signs and amnormal clinical and laboratory findings, NEC Ozljede, otrovanja i neke druge posljedice vanjskih uzroka - Injury, poisoning and certain other conseguences of extermal causes UKUPNO - Total
Izvor podataka: Source of information: Stanovništvo Population -
6
0,65
11,18
10
3
0,64
11,32
10
186 20,24
346,52
2
122
26,01
460,46
2
3
0,67
11,04
9
64 14,22
235,45
2
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
21
2,29
39,12
7
10
2,13
37,74
7
11
2,44
40,47
5
21
2,29
39,12
7
14
2,99
52,84
5
7
1,56
25,75
7
19 0
2,07 0,00
35,40 0,00
8 0
13 0
2,77 0,00
49,07 0,00
6 0
6 0
1,33 0,00
22,07 0,00
8 0
521 56,69
970,62
1
219
46,70
826,57
1
302 67,11 1.111,03
1
31
3,37
57,75
4
20
4,26
75,49
4
11
2,44
40,47
5
30
3,26
55,89
5
20
4,26
75,49
4
10
2,22
36,79
6
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
3
0,33
5,59
11
0
0,00
0,00
0
3
0,67
11,04
9
7
0,76
13,04
9
4
0,85
15,10
9
3
0,67
11,04
9
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
0
0,00
0,00
0
2
0,22
3,73
12
1
0,21
3,77
11
1
0,22
3,68
10
23
2,50
42,85
6
6
1,28
22,65
8
17
3,78
62,54
3
49
5,33
91,29
3
37
7,89
139,65
3
12
2,67
44,15
4
919 100,0 1.712,09
469
100,0 1.770,15
450 100,0 1.655,51
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08) Popis 2001. godine Census 2001
Ukupno: 53.677 Total: 53,677
Muški:26.495 Male:26,495
Žene:27.182 Female: 27,182
Tablica – Table 3/I.
UMRLI S PREBIVALIŠTEM U GRADU ZAGREBU PO SKUPINAMA BOLESTI TE UDIO I STOPE NA 100.000 STANOVNIKA U 2008. GODINI PO SPOLU – City-of-Zagreb-resident deaths by disease group, with the ratio and rates / 100,000 population in 2008 by sex UKUPNO - Total Muški - male Žene - female Stopa na BROJ Stopa na BROJ Stopa na % 100.000 Rang % 100.000 Rang % 100.000 Rang stanovnika stanovnika stanovnika No. % Rate per No. % Rate per No. % Rate per 100,000 Rank 100,000 Rank 100,000 Rank population population population
BROJ Skupina bolesti - stanja
ICD 10 disease group ŽUPANIJA GRAD ZAGREB II IX
Novotvorine – Neoplasms Bolesti cirkulacijskog sustava - Diseases of the circulatoruy system UKUPNO - Total
2.425 29,15
311,24
2
1.315
32,45
361,27
2 1.110 26,02
267,37
2
4.040 48,56
518,52
1
1.752
43,23
481,33
1 2.288 53,63
551,12
1
8.319 100,0
1.067,71
4.053
100,0
1.113,49
4.266 100,0
1.027,57
186 20,24
346,52
2
122
26,01
460,46
2
64 14,22
235,45
2
521 56,69
970,62
1
219
46,70
826,57
1
302 67,11
1.111,03
1
919 100,0
1.712,09
469
100,0
1.770,15
450 100,0
1.655,51
LIČKO SENJSKA ŽUPANIJA II IX
Novotvorine - Neoplasms Bolesti cirkulacijskog sustava - Diseases of the circulatoruy system UKUPNO - Total Izvor podataka: Source of information: Stanovništvo Population -
Dokumentacija Državnog zavoda za statistiku, 2009. god. (DEM-2/08) Croatian Central Bureau of Statistics, 2009 (DEM-2/08) Popis 2001. godine Census 2001
Ukupno: 53.677 Total: 53,677
Muški:26.495 Male:26,495
Žene:27.182 Female: 27,182
Tablica 4. Umrli kod kuće prema dijagnozama uzroka smrti u RH (udjeli)
MKB dijagnoza
Broj
Udio
Uzrok smrti
I21.9
2.030
9,7
Infarkt
I64.0
1.807
8,6
I25.5
1.704
8,1
I50.9
1.619
7,7
Inzult Ish.kardiomiop atija Insuficijencija srca
C34.9
978
4,7
I25.1
744
3,6
I69.4
485
2,3
Ca pluća Ateroskl. bol. srca Inzult, posljedice
I70.9
478
2,3
Ateroskleroza
I46.9
449
2,1
Arest
C50.9
408
2,0
Ca dojke
20.917
100,0
Svi uzroci
11%
Inzult + posljedice
Ukupno Ukupno I64.0, I69.4
2.292
Tablica 5: Umrli kod kuće u RH u 2008 godini prema uzroku smrti (N = 20.917) MKB skupina I II IV V VI IX X XI XII XIII XIV XVI XVII XVIII XIX MKB skupina I II III IV V VI IX X XI XII XIII XIV XVI XVII XVIII XIX
Dob Muški A00-B99 C00-D48 E00-E90 F00-F99 G00-G99 I00-I99 J00-J99 K00-K93 L00-L99 M00-M99 N00-N99 P00-P96 Q00-Q99 R00-R99 S00-T98 Total Dob Žene A00-B99 C00-D48 D50-D89 E00-E90 F00-F99 G00-G99 I00-I99 J00-J99 K00-K93 L00-L99 M00-M99 N00-N99 P00-P96 Q00-Q99 R00-R99 S00-T98 Total
0-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 +
Ukupno
0 3 1 0 1 0 2 0 0 0 0 1 1 4 6 19
0 1 0 0 0 0 0 0 0 0 0 0 0 0 8 9
0 1 0 0 0 1 0 0 0 0 0 0 1 2 26 31
0 5 0 1 0 6 0 0 0 0 0 0 0 1 27 40
0 1 0 2 3 8 0 0 0 0 0 0 0 0 35 49
1 5 1 1 3 29 2 6 0 0 0 0 1 1 37 87
2 27 2 7 4 54 1 8 0 1 0 0 0 3 39 148
4 81 6 23 5 124 5 27 0 0 1 0 2 3 43 324
0 167 13 23 10 232 8 25 0 0 3 0 0 6 58 545
1 294 10 30 8 299 16 39 0 0 4 0 0 2 45 748
2 318 15 12 5 381 9 42 0 1 1 0 0 8 52 846
11 2221 161 119 115 4036 335 146 1 5 66 0 0 100 236 7552
21 3124 209 218 154 5170 378 293 1 7 75 1 5 130 612 10398
0-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 +
Ukupno
2 0 0 0 0 0 0 1 0 0 0 0 1 0 2 1 7
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3 4
1 0 0 0 0 2 1 0 0 0 0 0 0 1 0 3 8
0 4 0 0 0 0 2 0 0 0 0 0 0 0 1 4 11
0 4 0 0 0 2 4 0 0 0 0 0 0 0 1 4 15
0 16 0 0 2 0 5 0 0 0 0 0 0 0 0 7 30
0 33 0 0 3 3 11 1 1 0 0 0 0 0 0 4 56
0 52 0 1 0 2 30 1 2 0 0 0 0 1 0 14 103
1 111 0 2 5 1 56 3 12 0 1 1 0 0 5 11 209
0 136 0 4 3 11 77 6 9 0 0 4 0 0 2 18 270
0 185 0 12 6 9 108 10 5 0 0 5 0 0 1 10 351
12 1723 6 271 171 136 6161 249 132 4 19 71 0 0 268 232 9455
16 2264 6 290 190 167 6455 271 161 4 20 81 1 2 280 311 10519
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