FORWORD The Health Statistics Unit of the Ministry of figures may be subject to amendment. Health been Similarly, figures appearing in previous publishing, since 1975, an annual report on reports may also be revised in light of health statistics pertaining to the Island of additional data obtained afterward. and Quality of Life has Mauritius and since 1988, one pertaining to the Island of Rodrigues. 5. Based on information obtained from other sources or otherwise, a few data 2. This report contains information on pertaining to certain health services, population and vital statistics, infrastructure including in the private sector, have been and personnel, morbidity, mortality and the adjusted for under or over reporting, mainly activities of for trend analysis. almost all health services pertaining to the Island of Mauritius and to the Island of Rodrigues. A few data relates 6. The data relating to population, to the Republic of Mauritius. including those required to compile most vital statistics, the main source of which is 3. An Executive Summary, new tables, the Civil Status Office, have been obtained charts and further analysis have been added from Statistics Mauritius. Other data have to this edition. They include trend data on been either collected directly by the Health mortality due to main Non-Communicable Statistics Unit, or obtained mostly from the Diseases, Health causes of maternal death, Records Division and other incidence rate of certain communicable Sections/Units/Divisions of the Ministry of diseases and non-traumatic amputations. Health & Quality of Life and the Commission For the first time, data on risk factors, for Health in Rodrigues. namely on cigarettes and alcoholic products, have been documented. 4. Health Statistics included in this report is based on data available as at the end of May 2013. Consequently, a few 7. The valuable assistance from the various sectors and the spirit of team work among the staff of Health Statistics Unit are gratefully acknowledged. N. Jeeanody June, 2013 Chief Health Statistician TABLE OF CONTENTS Executive Summary Part I : Island/Republic of Mauritius SELECTED HEALTH VARIABLES AND INDICATORS HEALTH SITUATION ANALYSIS i 1-18 TIME SERIES AND CHART ON: Selected indicators pertaining to the Republic of Mauritius - Crude Birth Rate 1990-2012 - Crude Death Rate 1990-2012 - Stillbirth Rate 1990-2012 - Infant Mortality Rate 1990-2012 - Under 5 Mortality Rate 1990-2012 - Maternal Mortality Ratio 1990-2012 - Low Birth Weight 1990-2012 Complications following abortions ( including spontaneous ) Admissions due to Selected diseases First attendances at Primary Health Care Centres for Selected diseases Incidence rates of certain communicable diseases Mortality due to main Non-Communicable diseases Deaths by month of registration 19 20 21 22 23 24 25 26 27 28 29 30 30 31 POPULATION AND VITAL STATISTICS Population and vital statistics (numbers) 1984 - 2012 Population and vital statistics (rates) 1984 - 2012 Stillbirths and infant deaths (numbers and rates) 1984 - 2012 Population growth rates and ageing population Population and vital statistics by district (numbers) - 2012 Population and vital statistics by district (rates) - 2012 Life expectancy (Republic of Mauritius) 1990 - 2012 Population of towns and large villages as at mid-year 2012 Fertility rates 2008 - 2012 Life expectancy (Island of Mauritius) 2006 - 2012 Population by age-group and sex as at mid-year 2012 32 33 34 35 36 36 36 37 37 37 38 INFRASTRUCTURE AND PERSONNEL Health services as at 31.12.2012 Bed situation as at 31.12.2012 Health manpower 2002- 2012 Health manpower (additional data) 2012 39 39 40 41 MATERNAL AND CHILD HEALTH Maternal and child health activities 2012 Expanded Programme on Immunization 2012 Maternal and child health activities by district - 2012 Maternal and child health activities by district (additional data) - 2012 Activities of the Expanded Programme on Immunization by district - 2012 Indicators related to antenatal care 42 42 43 44 44 45 * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately. * * * * * * * * * * * * * * * * IMMUNIZATIONS Immunizations reported 2008 - 2012 Immunizations coverage rates - 2012 Immunizations coverage rates 1994-2012 Immunizations reported by population covered - 2012 46 47 48 49 OTHER ACTIVITIES Work performed in hospitals - 2012 Haemodialysis, CT-Scan and MRI in Regional Hospitals - 2012 Non-traumatic amputations Deliveries performed in general hospitals 2000 - 2012 Livebirths registered among teenagers Activity of the X-Ray Department - 2012 Out-patient attendances at Specialist Clinics - 2012 Out-patient attendances at certain ancilliary services 2010-2012 Attendances at Primary Health Care Centres - 2012 Summary on pre-primary and primary school health service by district - 2012 Primary school health statistics by standard - 2012 NCD mobile Screening Service Cash gift coupons distributed Noise monitoring Screening of primary and pre-primary school children - 2012 Dental health service activities (Preventive service) 2009 - 2012 Dental health service activities (Curative service) 2008 - 2012 Pathological tests by category - 2012 Pathological tests (positivity rates) - 2010 - 2012 Basic Sanitation and Food Hygiene Statistics 2008 - 2012 Statistics on Cigarettes and alcoholic products Activities of the Community Based Rehabilitation Programme 2008-2012 50 51 51 52 52 53 53 53 54 55 56 57 57 57 58 58 59 60 61 62 62 63 NOTIFIABLE DISEASES Notifiable diseases reported 1993 - 2012 Notifiable diseases reported by month - 2012 Notifiable diseases reported by district - 2012 Certain notifiable diseases reported by age-group and sex - 2012 Selected Laboratory confirmed cases of communicable diseases 2003-2012 Acute Flaccid Paralysis (AFP) surveillance 2005-2012 Diseases Surveillance at hospital level - 2012 New cases of specific diseases attending Area & Community Health Centre 2012 HIV/AIDS statistics by sex 1987 - 2012 HIV tests carried out 2010 - 2012 64 65 66 67 68 68 68 68 69 69 PRIVATE HEALTH INSTITUTIONS Selected statistics 2000- 2012 Admissions and other attendances by quarter - 2012 Deliveries - 2012 Admissions and other attendances by cause and sex - 2012 Surgical operations and procedures - 2012 70 70 70 71 72 * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately. * * * * * * * * * * * * MORBIDITY Hospital discharges by cause and sex - 2012 Hospital discharges by ICD chapter and sex - 2012 Hospital discharges by ICD chapter, age-group and sex - 2012 Hospital discharges of children under one year-2012 Hospital discharges due to neoplasm by type and sex - 2012 Hospital discharges due to diseases of the circulatory system by age group and sex -2012 Hospital discharges due to injury & poisoning and sex - 2012 First Attendances at AHC and CHC by cause and sex - 2012 First Attendances at AHC and CHC by ICD chapter and sex - 2012 S. Bharati (eye) Hospital, discharges by cause and sex - 2012 Poudre D'or (chest) Hospital, discharges by cause and sex - 2012 Chest diseases, new cases at out-patient specialist clinics by sex - 2012 Brown Sequard Hospital discharges by cause and sex - 2012 Dermatology, new cases at out-patient specialist clinics by quarter - 2012 E.N.T. , new cases seen by specialists at OPD clinics by quarter - 2012 E.N.T. Centre,cases treated as in-patients - 2012 E.N.T. Centre,Operations on in-patients - 2012 Cardiac Centre,cases treated on in-patients - 2012 New cases of sexually transmitted diseases treated by age and sex - 2012 National Day Care Centres for the Immuno-suppressed, attendances by sex - 2012 Occupational health clinics, new cases seen by sex 2012 Home Nursing Care Services Attendances at Ayurvedic Clinics - 2012 Common cases of cancer 73 74 75 76 77 78 79 80 81 82 83 83 84 85 86 87 87 88 89 89 90 90 91 92 INFANT AND CHILD MORTALITY Discharges from Neonatal Intensive Care Unit by sex - 2012 Infant deaths by age and sex - 2012 Breakdown of infant deaths - 2012 Infant deaths by cause and sex - 2012 Deaths among children aged 0-4 years by cause and sex - 2012 93 94 95 96 96 MORTALITY (ALL AGES) Deaths by ICD chapter and sex - 2012 Deaths by ICD chapter and age-group - 2012 Deaths by principal cause and sex - 2012 Deaths by principal cause, sex and age-group - 2012 Chapter-specific death rates - 2012 Age-specific death rates by sex - 2012 Deaths due to diseases of the circulatory system by age-group and sex - 2012 Deaths due to neoplasms by type and sex - 2012 Deaths due to injury and poisoning by external cause, age group and sex - 2012 97 98 99 100 101 * 102 103 104 105 * Page relates to data pertaining either to Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately * Part II : Island of Rodrigues SELECTED HEALTH VARIABLES AND INDICATORS 107 HEALTH SITUATION ANALYSIS 109 POPULATION AND VITAL STATISTICS Population and Vital Statistics (Numbers) 1990 - 2012 Population and Vital Statistics (Rates) 1990- 2012 Stillbirths and Infant Deaths (Numbers and Rates) 1990 - 2012 Fertility Rates 2003 - 2012 Life Expectancy at Birth - Periods 2003 - 2012 Population by Age and Sex as at mid-year 2012 114 115 116 117 117 118 HEALTH PERSONNEL Selected Health Manpower Statistics as at end-of-year 2010- 2012 119 SERVICE STATISTICS Summary of work performed in hospital/Health Centres-2012 Work performed in Maternity Sections-2012 Out-patient attendances at hospital/Health Centre - 2012 Out-patient attendances at Community Health Centres by quarter - 2012 Activities of the Physiotherapy Department of Queen Elizabeth Hospital 2012 Activities of the Radiological Department of Queen Elizabeth Hospital - 2012 Activities at the Haemodialysis Unit - 2012 Maternal & Child Health Activities - 2012 Expanded Programme of Immunisation Basic Sanitation and Food hygiene Activities of the Dental Health Service 2008 - 2012 120 120 121 121 122 122 122 123 124 124 125 MORBIDITY Distribution of Notifiable Diseases 1992 - 2012 Principal Causes of Hospital and Health Centres Discharges by Sex - 2012 Hospital and Health Centres Discharges by I.C.D. Chapter & Sex - 2012 Principal Causes of First Attendances at C.H.C by Sex - 2012 First Attendances at Community Health Centres by I.C.D. Chapter & Sex- 2012 126 127 128 129 130 INFANT AND CHILD MORTALITY Causes of Infant Deaths - 2012 Causes of Child Deaths - 2012 Infant Deaths by Sex and Age - 2012 131 132 132 MORTALITY (ALL AGES) Principal Causes of Death by Sex - 2012 Deaths by I.C.D. Chapter and Sex - 2012 Deaths by Age-group and Sex - 2012 133 134 135 GLOSSARY 136 Health Statistics Report 2012 Executive Summary Every year, the Ministry of Health and Quality of Life publishes a report on health statistics. The Report contains information on population and vital statistics, infrastructure and personnel, morbidity (illness), mortality (cause of death), and the activities of almost all health services pertaining to the Island of Mauritius and to the Island of Rodrigues. The salient features of the 2012 Report are as follows: ISLAND OF MAURITIUS the Infant Mortality Rate, which was 15.3 per 1,000 live births in 2007,decreased to 12.4 in 2010. The figure slightly increased from 12.6 in 2011 to 13.4 in 2012; in 2012, nine maternal deaths were registered for a Maternal Mortality Ratio of 0.65 per 1,000 live births compared to 0.36 in 2011. This ratio has followed an erratic trend since 2008 when it was 0.38; in the period 2000 to 2012, life expectancy at birth increased by 2.8 years for men (from 67.4 to 70.2 years) and by 2.7 years for women (from 74.6 to 77.3years); the number of Doctors working in the Ministry of Health and Quality of Life increased from 777 at the end of 2005 to 1000 in 2012; at the end of 2012, 3,051 qualified Nurses and Midwives were in post in the public sector compared to 2,732 in 2005; in 2012, the daily available beds in Government Hospitals was 3,512 with an average occupancy rate of 75.0%; the number of in-patients in Government Hospitals in 2012 was 204,736 compared to 205,156 in 2011 and the number of operations performed on them was 40,451 and 40,699 respectively; in 2012, a total of 10,764 births occurred in Government Hospitals, that is, 77.5% of all births registered in the island compared to 84.0% in 2005; the number of newly detected HIV/AIDS cases among Mauritians, which almost doubled every year between 2001-2005 (55 in 2001, 98 in 2002, 225 in 2003, 525 in 2004 and 921 in 2005), dropped to 542 in 2006. The number decreased from 568 in 2010 to 401 in 2011 and to 320 in 2012; 33 cases of malaria, 13 cases of dengue and 1 case of chikungunya, all imported or introduced, have been reported in 2012.The numbers in 2011 were 54, 8 and 1 respectively; 1 of 2 the number of scabies cases attending Area and Community Health Centres has continued to decrease from 29,630 in 2009 to 8,522 in 2012 with a yearly average decrease of 33%; the percentage of cases treated as in-patient in government general hospitals due to cardiovascular diseases or diabetes as main condition has decreased from 15.1% in 2005 to 13.7% in 2012; of all deaths recorded in 2012, diseases of the circulatory system were responsible for 31.4%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 27.1%, neoplasms (cancers) for 12.3%, diseases of the respiratory system for8.2% and injury and poisoning for 5.4%; as from 2006, a slight decreasing trend has been observed in mortality due to main Non Communicable Diseases, namely heart diseases, strokes, diabetes, cancers and chronic respiratory diseases. Indeed, the death rate due to these chronic diseases decreased from 488 per 100,000 population in 2006 to 482 in 2012; ISLAND OF RODRIGUES the Infant Mortality Rate which was 27.2 per 1,000 live births in 2006, had decreased to 14.0 in 2010. The figure has increased from 17.2 in 2011 to 20.6 in 2012; at the end of 2012, there were 19 Doctors, 2 Dentists and 159 Nurses and Midwives in post in the public sector. One doctor and two Pharmacists were working in the private sector; the number of inpatients treated in the Government Hospital and the two Health Centres was 12,236 in 2012 compared to 9,779 in 2011; the number of attendances for the treatment of diseases and injuries at the outpatient departments of the Hospital and Health Centres, and the Community Health Centres, which had decreased from 253,437 in 2010 to 236,282 in 2011,was 236,128 in 2012; in 2012, 5 cases of HIV/AIDS were registered compared to 9 cases in 2011; of all deaths recorded in 2012, diseases of the circulatory system were responsible for 32.9%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 18.8%, neoplasms (cancers) for 17.1%, diseases of the respiratory system for 7.5% and injury and poisoning for 6.7%. The Health Statistics Reports, which provide a wealth of information on health indicators such as Population and Vital Statistics, Infrastructure and Personnel, Services, Morbidity and Mortality, are available on the website of the Ministry of Health & Quality of Life (http://health.gov.mu). 2 of 2 i SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF MAURITIUS - 2012 Variable / Indicator POPULATION AND VITAL STATISTICS Estimated mid-year resident population Population density Estimated mid-year resident population by sex: male female sex ratio Estimated end-of-year resident population Population density Estimated female mid-year resident population 15-49 years Percentage of total female population Percentage of total population (both sexes) Estimated mid-year population 60 years and over Percentage of total population Estimated mid-year population 65 years and over Percentage of total population Live births Crude birth rate Deaths (all ages) Crude death rate Stillbirths Stillbirth rate Perinatal deaths Perinatal mortality rate Infant deaths Infant mortality rate Deaths under five years Under-five mortality rate Maternal deaths Maternal mortality ratio Life expectancy at birth (years) : Male Female Both Sexes INFRASTRUCTURE AND PERSONNEL Number/Value Denominator 1,253,000 672 per square kilometre 970 males per 1000 females 673 per square kilometre 616,956 636,044 1,255,011 341,912 53.8 27.3 154,369 12.3 95,898 7.7 13,766 11.0 per 1000 mid-year population 7.3 per 1000 mid-year population 9.5 per 1000 total births 16.2 per 1000 total births 13.4 per 1000 live births 15.3 per 1000 live births 0.65 per 1000 live births 9,103 132 225 184 211 9 70.2 77.3 73.7 4,271 Beds - public & private sectors 294 inhabitants per bed Population : bed ratio * 1,722 Doctors - public & private sectors 751 inhabitants per doctor Population : doctor ratio * 301 Dentists - public & private sectors 4,297 inhabitants per dentist Population : dentist ratio 432 Pharmacists - public & private sectors* 2,994 inhabitants per pharmacist Population : pharmacist ratio 3,737 Nurses (including midwives) - public & private sectors* 346 inhabitants per nurse Population : nurse ratio * Variables and indicators relating to personnel refer to the Republic of Mauritius ii SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF MAURITIUS - 2012 Variable / Indicator Number/value Denominator MATERNAL AND CHILD HEALTH Births attended by qualified personnel Percentage of all births (registered=13,898) Children with a birthweight of less than 2.5 kg Percentage of live births (in hospitals & private clinics=13,696) Total Fertility Rate Net Reproduction Rate 13,828 99.5 2,359 17.2 1.41 0.67 IMMUNIZATION ( PUBLIC SECTOR ONLY) Children immunized against tuberculosis Immunization coverage Children immunized against diphtheria, whooping cough, tetanus, hepatitis B, Hib and poliomyelitis (3rd dose) Immunization coverage Children immunized against measles/mumps/rubella (MMR) Immunization coverage Pregnant women immunized against tetanus (2nd or higher dose) Immunization coverage NOTIFIABLE DISEASES (REPUBLIC OF MAURITIUS) Cases of tuberculosis reported Incidence rate 11,845 87.2 per 100 surviving infants 86.6 per 100 surviving infants 88.5 per 100 surviving infants 70.7 per 100 surviving infants 10.1 per 100,000 mid-year population 2.6 per 100,000 mid-year population 24.8 per 100,000 mid-year population 11,754 12,009 9,687 130 Cases of malaria reported : [all imported/introduced ] Incidence rate 33 Cases of HIV \ AIDS reported (Mauritians) 320 Incidence rate CAUSE OF DEATH Deaths due to diseases of the circulatory system Percentage of total deaths Disease-specific death rate Deaths due to endocrine, nutritional and metabolic diseases Percentage of total deaths Disease-specific death rate Deaths due to neoplasms Percentage of total deaths Disease-specific death rate Deaths due to diseases of the respiratory system Percentage of total deaths Disease-specific death rate Deaths due to injury and poisoning Percentage of total deaths Disease-specific death rate 2,854 31.4 22.8 per 10,000 mid-year population 27.1 19.7 per 10,000 mid-year population 12.3 8.9 per 10,000 mid-year population 8.2 6.0 per 10,000 mid-year population 5.4 3.9 per 10,000 mid-year population 2,471 1,118 750 491 1 AN ANALYSIS OF THE HEALTH SITUATION This analysis of the health situation in Mauritius includes discussion on population and related vital events, on health delivery system, services and personnel, and on activities carried out in public and private health institutions. The morbidity patterns and mortality trends have also been discussed. A few parts refer to the Republic of Mauritius and for that pertaining to Rodrigues is given at Page 109. POPULATION AND VITAL STATISTICS The estimated resident population of the Island of Mauritius at the end of 2012 was 1,255,011 (617,902 males and 637,109 females) as compared to 1,250,349 in 2011, growing at a rate of 0.37%. year resident population. In 2000, the crude birth rate was 16.9. Life Expectancy at birth which was 67.4 years for males and 74.6 years for females in 2000, has reached 70.2 years and 77.3 years respectively in 2012. These figures slightly differ with those of the Republic of Mauritius as given in the chart below. During the year 2012, a total of 13,766 live births were registered, giving a crude birth rate of 11.0 per thousand mid- NO OF YEARS Life Expectancy at Birth- Republic of Mauritius 78 76 74 72 70 68 66 64 62 60 58 77.2 75.3 73.4 71.7 70.3 68.2 65.9 65.6 64.4 62.0 61.0 58.7 1962 1972 1983 1990 2000 YEAR Men (years) Women (years) 2012 2 The number of deaths registered in 2012 was 9,103, corresponding to a crude death rate of 7.3 per thousand mid-year resident population as compared to 6.8 in 2000. Every year, mortality in Mauritius increases during the winter season with higher number of death occurring in the month of July, August and to a lesser extent, September. thousand live births as compared to 12.6 in 2011. The IMR which was 19.6 in 1995 increased to 22.2 in 1996. Following the opening of the Neonatal Intensive Care Service at Victoria Hospital in May 1999, the IMR drastically fell from 19.2 in 1999 to 15.8 in 2000. The lowest IMR (12.4) was recorded in 2003 and in 2010. As shown in the chart below, a decreasing trend has been noted in stillbirth rate from 13.4 per 1,000 total births in 2000 to 6.6 in 2010. However, in 2011 and 2012, it increased to 9.6 and 9.5 respectively. The number of infant deaths, that is deaths among children aged under one year, registered in 2012 was 184, corresponding to an infant mortality rate (IMR) of 13.4 per Opening of NICU 25 22.2 20.3 19.4 RATE 20 19.2 15.8 15.3 13.9 15 14.5 14.0 13.2 12.4 13.0 13.5 14.3 13.3 12.6 13.4 12.9 11.7 10 12.4 12.2 11.1 13.4 10.2 10.1 10.9 9.1 9.5 9.0 9.6 9.6 8.0 9.6 6.6 5 INFANT MORTALITY RATE 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 0 STILLBIRTH RATE The number of maternal deaths registered in 2012 was 9 as compared to 4 in 2010 and 5 in 2011. The maternal mortality ratio per 1,000 live births was 0.65 in 2012 compared to 0.36 in 2011. 3 HEALTH DELIVERY SYSTEM In the Island of Mauritius, as at the end of 2012, there were five regional hospitals with a total of 2,538 beds and two district hospitals namely Souillac Hospital with 48 beds and Mahebourg Hospital with 60 beds. There were also a psychiatric hospital with a bed complement of 680, and other specialised hospitals for chest diseases (61 beds), eye diseases (59 beds), ear, nose, and throat (E.N.T.) diseases (53 beds) and heart diseases (67 beds). This brought the total number of beds in government institutions to 3,566 in 2012 as compared to 3,819 in 2000. In the private sector there were, as at the end of 2012, seventeen private health institutions with a total of 705 beds. The total number of beds in the public and private sectors as at the end of 2012 was thus 4,271, that is, 294 inhabitants per bed. In 2000, the corresponding ratio was 264. All regional and district hospitals and four of the 5 specialised hospitals, namely, the Psychiatric, Eye, E.N.T and Cardiac hospitals have an out-patient department. Out-patient services were also delivered in two community hospitals, three medi-clinics, 20 Area Health Centres (AHC) and 116 Community Health Centres (CHC). The basic services delivered at CHC include the treatment of common diseases and injuries, maternal and child care, and family planning. In addition to these services, AHC also provide dental care. This service was also delivered in a few CHC’s. 5 Ayurvedic Clinics were providing outpatient care. Outpatient care was also provided in the private sector, including clinics and dispensaries on sugar estates. There were also a chest clinic and four day care centres for the ImmunoSuppressed in operation as at the end of 2012. HEALTH PERSONNEL At the end of 2012, there were 1,722 doctors registered with the Medical Council of the Republic of Mauritius, that is 13.3 doctors per 10,000 population. Of those doctors, 1000 (58.1%) were employed in the public sector, including 284 specialists. There were 301 dentists, of whom 59 in the public sector, at the end of 2012. The corresponding number of pharmacists was 432 and 23 respectively. The number of qualified nurses and midwives in the public & private sectors was 3,737 of whom 686 were in the private sector. INPATIENT SERVICE In 2012, the number of admissions (including re-admissions) to government hospitals in the Island of Mauritius were 204,736 of which 183,826 (89.8%) was in general hospitals. Bed occupancy in the public sector was 75.0% as compared to 73.5% in 2010 and 69.9 % in 2000. 4 OUT-PATIENT SERVICE In 2012, a total of 5.1 million cases have been seen by doctors at the outpatient service points in the public sector, comprising of general and specialized hospitals (59.4%) and primary health care centres (40.6%). The number of consultations at hospitals (excluding in wards) was 3,049,213 in 2012 compared to 2,986,912 in 2007 whereas that at primary health centres was 2,087,144 and 1,943,031 respectively. An average of 4,069 patients was seen daily at the Accidents and Emergency Departments of government hospitals in 2012 (excluding L.Mountain and Y.Cantin Community Hospitals). In 2012, attendances for the treatment of common diseases and injuries at the community hospitals, mediclinics, area & community health centres were 4.20 million, as compared to 2.83 million in 2000 and 4.05 million in 2011. An increase of 3.8% has been noted in the number of attendances from 2011 to 2012. In 2004, the monthly average attendances at the primary health care centres due to scabies was 1,001 compared to 1,287 for the period 2000 to 2003. Afterwards, an increasing trend in the incidence of the disease was observed when the monthly average rose from 1,331 cases in 2005 to reach 2,469 cases in 2009. Following the setting up of an enhanced surveillance system, the increasing trend has been reversed. The monthly average for the year 2010 dropped to 1,276, representing a 48% decrease when compared to that of 2009. The figure which had reached 959 in 2011 has further gone down to 710 in 2012. (see chart below). 5 Available data indicate that the number of cases which have been treated for Upper Respiratory Tract Infections (URTI) at all public health institutions drastically increased from 414,600 in 2008 to 608,000 in 2009 and 709,000 in 2010. In 2012, the figure stood at 656,100 compared to 603,000 in 2011. The AH1N1 virus has probably contributed to these significant increases. Monthly attendances due to URTI in the period 20102012 are given in the chart below. CASES OF UPPER RESPIRATORY TRACT INFECTION ATTENDING PUBLIC HEALTH INSTITUTIONS MONTHLY ATTENDANCES 160,000 140,000 120,000 100,000 80,000 60,000 40,000 20,000 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2010 31,303 42,983 48,113 45,034 53,200 91,978 135,053 60,011 72,105 57,076 42,036 30,089 2011 34,938 46,001 56,816 42,420 57,447 57,445 66,502 52,757 67,917 55,222 37,324 28,167 2012 43,392 36,545 45,290 52,084 65,037 75,765 90,124 62,766 65,015 55,048 37,954 27,117 MATERNAL AND CHILD HEALTH The number of first attendances for antenatal examinations by the M.C.H staff at government clinics was 15,963 in 2000, 11,214 in 2010 and 10,085 in 2012. The total number of first and subsequent attendances for antenatal and postnatal examinations and children under 5 years seen at Well Baby clinics which increased from 292,253 in 2006 to 327,182 in 2007 mainly due to enhanced activities related to growth monitoring was 292,557 in 2011 and 284,386 in 2012. The percentage of low birth weight (less than 2,500 grammes) among live births in the public sector, which increased from 14.3% in 2000 to 19.2% in 2010, has remained unchanged in 2011 and in 2012. The percentage of deliveries by caesarian section occurring in government hospitals increased from 26.8% in 2000 to 42.4% in 2009; since then, it has stabilized between 40.4% and 41.5% (41.0% in 2012). 6 The number of babies immunized against tuberculosis (B.C.G.) by M.C.H. staff in 2012 was 11,845. The number of children immunized against diphtheria, whooping cough, tetanus, hepatitis B and HIB (3rd dose) was 11,754. Those immunized against poliomyelitis (3rd dose) was 11,904 and against measles/mumps/rubella (MMR) was 12,009. The figures refer to the activities of M.C.H. staff at government vaccination centres. SCHOOL HEALTH During the year 2012, the nursing staff responsible for school health visited 615 pre-primary schools and screened 19,093 children. 5.0% of these children were reported to have nits and lice. The nursing staff also visited 283 primary schools and screened 59,547 pupils. 29,471 pupils of Standards III, V and VI were submitted to vision tests and 939 of the 1,220 children with defective vision were referred to specialist. 13,619 of the new entrants to primary schools were immunized against diphtheria & tetanus (D.T.) and poliomyelitis. 13,886 of them were also immunized against MMR and 15,628 primary school leavers were immunized against tetanus. CIGARETTE PRODUCTS AND ALCOHOLIC Data obtained from the Mauritius Revenue Authority (MRA) indicate that the number of imported cigarette sticks was 1 billion in 2012 compared to 1.3 billion in 2009. As indicated in the chart below, the estimated yearly per capita cigarette consumption has decreased from 1,056 sticks to 799 sticks during the last 3 years, that is, an average annual decrease of 8%. Yearly* per capita cigarette** sticks consumption 2009-2012 in Mauritius 1200.0 1055.9 1000.0 846.7 800.0 859.6 798.5 600.0 400.0 200.0 0.0 2009 2010 based on data from January to December 2011 2012 ** imported + produced 7 Data submitted by the MRA indicate that the number of litres of imported or locally produced alcoholic products has increased from 54.8 million in 2009 to 56.0 million in 2011. However, a 5% decrease has been observed in 2012 when the figure went down to 53.3 million. The estimated yearly per capita litres of alcohol intake followed a decreasing trend from 44.9 litres to 42.6 litres between 2011 and 2012. Yearly* per capita litres of alcohol intake** 2009-2012 in Mauritius 45.5 45.0 44.5 44.0 43.5 43.0 42.5 42.0 41.5 41.0 44.9 44.9 44.3 42.6 2009 2010 * based on data from January to December DENTAL HEALTH The total number of attendances at government dental clinics (static and mobile) in 2012 was 332,943, out of which 72,019, that is 21.6%, were among children aged under 12 years; 22,622 (6.8%) were cases seen by dental specialists. The number of cases 2011 2012 ** imported + produced treated for paradontal diseases was 34,573 and the number of surgical operations on jaws, including surgical extractions of roots and impacted teeth, was 7,817. A total of 41,695 children and adults were exposed to oral health education. PRIVATE HEALTH INSTITUTIONS WITH IN-PATIENT SERVICE The total number of cases seen for treatment, including admissions, at the 17 private hospitals and clinics in 2012 was 187,152. 21,869 of these cases have undergone surgical operations and procedures. 3,064 live births and stillbirths that occurred in these institutions represented 22.0% of total births registered in the whole island compared to 13.7% in 2000. 10.5% of live births had low birth weight (less than 2,500 grammes); the corresponding figure was 4.7% in 2000. The percentage of caesarian section on total births has increased from 35.3 in 2000 to 56.3 in 2011. A decrease has been noted in 2012 with a rate of 53.3%. 8 MORBIDITY The first case of AIDS in the Republic of Mauritius was notified in October 1987. As at the end of 2012, a total of 5,720 cases of HIV/AIDS were detected, of whom 5,508 (4,375 males, 1,133 females) were Mauritians. 74.8% of the 5,508 HIV infected Mauritians were in the age-group 25 to 49 years and 17.2% in the age-group 15 to 24 years. As shown on the chart that follows, the number of new HIV/AIDS cases is more significant among the male than among the female. However, the proportion of females increased from 11.6% in 2004 to 25.3% in 2008, and to 32.8% in 2012. Distribution of HIV/AIDS cases # by sex and age * group (1987 – 2012) Age group Male Female TOTAL <5 17 12 29 5 -14 5 7 12 15 - 19 76 107 183 20 - 24 531 236 767 25 - 29 924 228 1,152 30 - 34 833 181 1,014 35 - 39 651 137 788 40 - 44 605 104 709 45 - 49 400 56 456 50 & above 333 65 398 TOTAL 4,375 1,133 5,508 (Years) *Age at detection # Mauritians Prior to 2000 the incidence was fairly low with 20 to 30 new HIV cases being reported annually. Over the period 2001 - 2005 the number had increased by nearly two folds annually: 55 in 2001, 98 in 2002, 225 in 2003, 525 in 2004 and 921 in 2005. The upward trend observed during these years could be partly explained by enhanced surveillance and testing facilities at various points across the country and scaling up of outreach Voluntary Counselling and Testing (VCT) sessions among the most at risk groups. An average of 548 cases has been registered from 2006 to 2010. The number of new cases of HIV/AIDS decreases to 401 in 2011 and to 320 in 2012. 9 As at the end of 2012, a total of 674 Mauritians registered as HIV/AIDS cases were known to have passed away (since 1987). All reported deaths were not due to HIV/AIDS. The number of deaths registered due to HIV as underlying cause of death as stated in the death certificates, which was 19 in 2005, had reached 70 in 2010; in 2012, 76 deaths were reported due to HIV/AIDS compared to 58 in 2011. NUMBER NEW HIV/AIDS CASES AMONG MAURITIANS BY SEX -(2000-2012) 900 800 700 600 500 400 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Male 32 34 59 167 464 815 455 452 402 436 433 298 215 Female 18 21 39 58 61 106 87 94 136 112 135 103 105 At the beginning of the epidemic, the mode of transmission of the HIV virus was predominantly heterosexual. The rising incidence as from year 2000 was driven by Injecting Drug Users (IDUs) acting as the main mode of transmission. The gradual shift in mode of transmission from heterosexual to IDUs became evident in 2003 when 66% and in 2004 when 87.0% of the new cases were detected among the IDUs as compared to only 7% in 2001 and 14% in 2002. The shift reached its peak in 2005 (92%) and dropped to 86% in 2006, 80% in 2007 and 72% in 2008. It was 73% equally in 2009 and 2010. It decreased to 68% in 2011 and further dropped to 47% in 2012. The distribution of the 5,508 infected Mauritians by mode of transmission is shown in the pie-chart below: 10 10 After the epidemic of chikungunya in 2005 and 2006, only 8 cases, all imported, have been reported between 2007 and 2012; one in 2007, five in 2010, one in 2011 and one in 2012. Eleven cases of dengue were reported in 2010 compared to 252 cases in 2009. In 2011 and 2012, 8 cases and 13 cases have been reported respectively, all of which were imported. Active surveillance for all “Acute Flaccid Paralysis” cases started in August 2003 in the Republic of Mauritius, covering both the public and private sectors. The objective of the AFP Surveillance, as set by the World Health Organisation, is to detect any possible presence of polio virus in view to its eradication from the globe. The target for certification is a non-polio AFP detection rate of >2 cases/100,000 population aged <15 years. A total of 45 cases among children less than 15 years of age have been detected in the country between August 2003 and December 2012; of whom 20 (44%) were less than 5 years old. The AFP Rate per 100,000 children (<15 years), which had increased from 0.6 in 2004 to 2.7 in 2007, dropped to 1.7 in 2008 and has remained below 2 cases in the period 2009-2011. In 2012 it has gone up to 2.3. Deliveries constituted 6.2% of all cases treated as in-patients in government general hospitals in 2012. Among other principal causes of discharges, there were Diabetes Mellitus with 4.2%, Diarrhoea and gastroenteritis with 3.3%, Acute Upper Respiratory Infections with 4.2%, Gastritis and duodenitis with 2.8%, Hypertensive Diseases with 2.6% and Acute Myocardial Infarction and other Ischaemic Heart Diseases with 2.6%. The distribution by ICD-10 chapters indicates that 12.5% of all cases treated were due to “Pregnancy, childbirth and the puerperium”, 10.9% due to “Injury and Poisoning” 10.1% due to “Diseases of the Respiratory System” and 9.5% due to “Disease of the Circulatory System”. In 2012, of the 18,444 cases (11,594 males and 6,850 females) treated as in-patients in government general hospitals due to consequences of external causes, 7,308 (39.6%) were following “Falls”, 2,016 (10.9%) following “Transport Accidents” and 1,974 (10.7 %) following “Assaults”. Of the 1,023 (5.5%) cases treated as in-patients following “Attempted suicides”, 560 (54.7%) were females. Admissions due to respiratory diseases in government general hospitals had significantly increased from 6.2% of all admissions in 2005 to 10.1% in 2009, the year of the AH1N1 epidemic. After a decrease in 2010 (9.5%) and 2011 (9.4%), it went up to 10.1% in 2012. The number of admissions in government general hospitals due to “Acute Bronchiolitis” had drastically increased from 293 in 2003 to 1,465 in 2009, representing an average annual increase of 67% during that period. A significant decrease has been observed in 2010 with 783 admissions. A slight decrease of 6% has been noted between 2011 (947 admissions) and 2012 (892 admissions) (see table given below). This disease affects mostly children below the age of 5 years (94.7% of admitted cases in 2012). 11 Admissions due to “Acute Bronchiolitis” Year/Age 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 <1 year 199 211 298 332 514 590 724 476 561 517 Other respiratory diseases that have contributed to increase pressure on government in-patient services are “Acute Upper Respiratory Infections”, “Acute bronchitis and bronchiolitis”, “Pneumonias” and, “Bronchitis, emphysema and other chronic obstructive pulmonary diseases” (see table given 1-4 years 76 94 174 234 408 366 551 286 362 328 5 & above 18 8 26 22 37 72 190 21 24 47 below). Admissions due to these diseases have increased during the last 9 years, whereas admissions due to “Asthma” have decreased between 2007 and 2012, probably because many patients may have access to nebulisers at primary health care centre level. Admissions due to certain respiratory diseases Sex 2003 2007 Diseases Acute upper respiratory infections Acute bronchitis and bronchiolitis Pneumonia Bronchitis, emphysema and other chronic obstructive pulmonary diseases Asthma All Ages 293 313 498 588 959 1028 1465 783 947 892 2011 2012 Male 1,918 2,021 3,079 3624 Female 1,547 1,896 3,008 3479 Total 3,465 3,917 6,087 7103 Male 241 843 891 822 Female 167 550 622 647 Total 408 1,393 1,513 1469 Male 269 233 247 280 Female 211 161 227 276 Total 480 394 474 556 Male 550 336 657 914 Female 408 300 693 816 Total Male 958 1,538 636 1,650 1,350 1,238 1730 1098 Female 1,735 1,693 1,518 1403 Total 3,273 3,343 2,756 2501 12 In 2012, of the 3,101 cases treated as in-patient at the Cardiac Centre, 1,670 (53.9%) were for “Angina pectoris”, 706 (22.8%) for “Chronic Ischaemic heart diseases” and 86 (2.8%) for “Mitral stenosis and other rheumatic mitral valve diseases”. A total of 1,326 operations were performed at the Centre, including reopening cases, of which 646 (48.7 %) were cardiac surgeries. Cataract was responsible for 4,470 of the 6,816 cases treated as in-patients at S.Bharati (Eye) Hospital in 2012 (that is 65.6%). Among the cataract cases, 4,372 (97.8%) were operated upon. 479 cases were treated as in-patient at the hospital for “injuries and other consequences of external causes”. During the year 2012, 899 in-patients were treated at the Poudre d’Or (Chest) Hospital. 48 patients died at the Hospital, giving a fatality rate of 5.3%. Of the 899 patients, 578 (64.3%) were males. Pulmonary tuberculosis was the morbid condition for 215 patients (135 males, 80 females), that is 23.9% of the total followed by asthma with 214 patients (124 males, 90 females), that is 23.8% of the total. Of the 981 new cases diagnosed at the out-patient specialist clinics in chest diseases during the year 2012, 83 (8.5%) were diagnosed with tuberculosis, of which 79 pulmonary. Among the non-tuberculous diseases, asthma was in first place with 410 new cases, that is, 41.8% of all new cases diagnosed. Of the 4,344 in-patients treated at Brown Sequard Hospital in 2012, mental and behavioural disorders due to the use of alcohol accounted for 1,848 cases (1,624 males, 224 females), that is 42.5%, followed by Schizophrenia with 1,346 cases (31.0%). Of the 346 cases treated as inpatients in 2012 at the Neonatal Intensive Care Unit, located in the complex of Victoria Hospital and SSRN Hospital, 197 (56.9%) were for disorders related to length of gestation and fetal growth, 50 (14.5%) for respiratory and cardiovascular disorders specific to the perinatal period and 46 (13.3%) for infections specific to the perinatal period. There were 93 deaths among those 346 cases, giving a fatality rate of 26.9%. The fatality rate has slightly decreased from 28.1% in 2011 to 26.9% in 2012. The number of new cases diagnosed at the specialist clinics in dermatology in 2012 were 13,911 of which 4,198 (30.2%) were skin infections (1,722 of fungal and 924 of parasitic origin). 17.8% of new cases were treated for eczema, 8.1% for psoriasis and similar disorders, and 7.7% for acne. Of the 5,816 cases treated as inpatients at the E.N.T Hospital in 2012, 1,114 (19.2%) were for “acute tonsilitis”, 1231 (21.2%) for “acute pharyngitis” and 458 (7.9%) for “otalgia and effusion of ear”. Another 5.5% of the in-patients were treated for “localized swelling mass and lump of skin and subcutaneous tissue mainly of head and neck”. A total of 1,600 operations were performed on in-patients at the centre, of which 547 (34.2%) were “excision on tonsils and adenoids”. 13 The number of new cases diagnosed at out-patient specialised clinics in ENT in 2012 was 7,473 representing a 10.9% decrease when compared to 8,384 in 2011. Diseases and conditions of ear accounted for 2,947 new cases (39.4% of the total new cases diagnosed) followed by diseases and conditions of nose for 2,399 (32.1%) and diseases and conditions of throat for 2,057 (27.5%). Tonsilitis (acute or chronic), pharyngitis (acute, chronic or granular), allergic rhinitis, sinusitis (acute or chronic), sensorineural deafness, tinnitus and otitis externa were the most common diseases diagnosed at the centre. In 2012, the number of reported cases of sexually transmitted infections diagnosed at the skin disease clinic of regional hospitals was 229 (188 males, 41 females). 139 cases of “gonococcal infections”, 60 “venereal warts”, 16 “syphilis” and 12 “herpes simplex” were reported. In 2012, four Day Care Centres for the immuno-suppressed were operational, namely at the Volcy Pougnet Health Centre and Victoria, SSRN, and J.Nehru hospitals. 405 new HIV/AIDS patients were seen in 2012. Another 340 persons received the “Post-HIV Exposure Prophylaxis” and 1,425 persons were seen for “voluntary counselling”. The disease responsible for the greatest number of first attendances at the community hospitals, mediclinics, area and community health centres for the treatment of common diseases and injuries in 2012 was tonsillitis, laryngitis, nasopharyngitis, sore throat and URTI with 17.8%. Other common causes of first attendances were superficial injury, open wound, sprain/strain, fractures, burns and other injuries with 7.7% and cough, pain in throat, chest pain, wheezing, hiccough, sneezing with 7.2%. Another 6.8% were treated for fever/pain all over. The distribution by ICD chapters shows that 27.4% of first attendances at the above mentioned dispensary service points were due to “Diseases of Respiratory System” and 10.0% due to “Diseases of the musculoskeletal system and connective tissue”. They were followed by the “Injuries” with 7.8%, “Diseases of digestive system” with 6.2% “, Diseases of the skin and subcutaneous tissue” with 5.2% and “Infectious and parasitic diseases” with 4.9%. In the period 2009-2011, an annual average of 1,669 new cases of cancer were registered in the Republic of Mauritius compared to 1,392 in the period 2005-2008. Of every 5 new cases registered during 2009-2011, 3 were among women. In the same period, the most common sites among men were colon/rectum (13.5%), prostate (11.7%), Trachea/Bronchus/Lung (8.1%) and skin (8.1%); among women, they were breast (38.6%), cervix uteri (8.8%) and colon/rectum (8.6%). 14 CAUSE OF DEATH Heart diseases and Diabetes mellitus were the first two principal underlying causes of mortality in 2012, with 1,626 (17.9%) and 2,416 (26.5%) deaths respectively; Cancer and other Neoplasm of all sites taken together was in the third position with 1,118 (12.3%) deaths. Deaths due to Cerebrovascular diseases which amounted to 687 (7.5%) was in the fourth position followed by Hypertensive Diseases with 497 deaths (5.5%). The distribution of deaths by Chapter of the International Classification of Diseases (10th Revision) showed that Diseases of the Circulatory System (Chapter IX) were responsible for 31.4% of all deaths in 2012. Endocrine nutritional and metabolic diseases (Chapter 1V) with 27.1% were in second place followed by Neoplasms (Chapter II) with 12.3%. Of the 2,854 deaths due to Diseases of the Circulatory System in 2012, 1,626 (57.0%) were due to Heart diseases. Stroke and other Cerebrovascular diseases accounted for another 687 (24.1%) deaths. 23.3% of the 2,854 deaths occurred among persons aged less than 60 years. Of the 1,118 deaths due to Neoplasms in 2012, the most common types of cancer were that of trachea, bronchus and lung and female breast with 12.5% and 12.4% respectively, stomach with 7.8% and colon with 6.6%. 41 persons died due to leukaemia (3.7%) Of the 491 deaths due to external causes in 2012, 34.2% were due to transport accidents, 23.4% due to suicides, 8.1% due to accidental drowning and submersion, 6.3% due to assaults, and 3.3% due to exposure to smoke, fire and flames. In 2012, a total of 750 (8.2%) deaths were attributable to respiratory diseases. The yearly percentages of deaths due to these diseases indicate an increasing trend between 2006 and 2009. Since then, it has stabilised at 8.2% except in 2011 when it was 7.8% (see chart given below). 15 % DEATHS DUE TO RESPIRATORY DISEASES 9 % T O T A L D E A T H S 8.2 8 7 6.8 6.2 8.2 6.4 7.8 8.2 6 5 5.4 4 3 2 1 0 2005 2006 2007 2008 2009 2010 2011 2012 Year Of all the respiratory conditions causing death in 2012, pneumonia was the main one with 209 deaths (27.9%). 6.2% of deaths due to this infectious respiratory disease occurred among persons aged less than 45 years. Congenital anomalies with 41 deaths were the principal killers of children under one year in 2012, that is 22.3% of the total (184) followed by septicaemia and infections specific to the perinatal period with 17 deaths (9.2%). Some other causes of infant deaths were slow fetal growth, fetal malnutrition and disorders related to short gestation and low birth weight, pneumonia, acute bronchitis and bronchitis, and intrauterine hypoxia and birth asphyxia, with all responsible for 6 deaths (3.3%) equally. 9 maternal deaths were registered in 2012. Maternal mortality has followed an erratic trend during the last 5 years. The causes for the year 2008 to 2012 are given below: 16 Maternal Deaths by cause with age-at-death (years) 2008 Year Causes Postpartum haemorrhage No 2 2009 2010 Age at Age at Age at No No death death death 23 32 2011 No 2012 Age at Age at No death death 1 40 1 32@ - - - - - - - - - - Antepartum or intrapartum haemorrhage (with coagulation defect) 1 20@ 3 28 @ 30 39 Complications following abortion 1 40 1 38 - - - - 2 37,39 Eclampsia and other maternal hypertension 1 35@ - - - - - - 2 25 28 @ 1 23 3 22 @ 21 @ 37 @ 1 33 Amniotic fluid, pulmonary and other obstetric embolism 1 31 2 19 38 Diseases of the Circulatory System complicating pregnancy, childbirth and puerperium - - - - 1 28 1 35 @ 1 19 Placental Disorders - - 1 24 - - - - - - Abdominal or ectopic pregnancy - - 2 32 38 1 31 - - - - Diseases of the Resp. System compl. pregnancy, childbirth and puerperium - - - - - - 1 31@ 1 25 - - - - - - - - 1 21 - - - - - - - - 1 47 Diseases of the digestive System compl. pregnancy, childbirth and puerperium Death from any obstetric cause occuring more than 42 days TOTAL 6 10 4 5 9 @ Caesarean Section done TRENDS IN CAUSE-SPECIFIC MORTALITY In 2005, Mauritius adopted the 10th Revision of the International Classification of Diseases (ICD-10) for mortality coding. This shift and other improvements in the coding process have resulted into discontinuities in trends of certain specific causes of death. Percentages of death due to a few major diseases relating to previous years have been adjusted. 17 % underlying cause of death over total death registered ICD-9 Year 1990 1995 7,298 ICD-10 2000 2005 2010 2011 2012 7,806 8,422 8,891 8,951 9,103 Total Deaths 6,854 CAUSE: Heart Diseases (%) 20.4 21.5 21.8 22.8 18.1 17.2 17.9 Cerebrovascular Diseases (%) 9.3 9.6 9.8 10.8 8.4 8.4 7.5 Other Diseases of Circulatory system (%) 3.8 4.2 4.2 3.7 5.7 5.5 5.9 All Circulatory (%) 33.5 35.3 35.8 37.3 32.2 31.1 31.4 Diabetes Mellitus(%) 12.2 14.8 19.0 21.1 23.6 25.4 26.5 Total Circulatory and DM (%) 45.7 50.1 54.8 58.4 55.8 56.5 57.9 The above table indicates that there has been a slow increase in the percentages of death due to “Heart diseases” till 2005. Since then, a decreasing trend has been noted. On the other hand, a more rapid increase has been noted in regards to “Diabetes mellitus” over the past two decades. It has to be noted that W.H.O guidelines are applied for the selection of the underlying cause of death according to the ICD-10. Of all persons whose cause of death have been assigned to “Diabetes Mellitus”, around 40% ultimately died with “Heart Diseases” and another 30% with “Strokes” as direct cause of death. 1,118 persons died due to cancers in 2012. Mortality from this group of diseases has increased from 9.4% of total deaths in 2000 to 12.3% in 2012. 18 Death Rate per 100,000 population due to NCD's in Mauritius 500 490 488.2 482 480 472.8 R 470 a t 460 e 471.1 462.9 460.5 450 453.0 Trend line 440 430 2006 2007 2008 2009 2010 2011 2012 Year As from 2006, a slight decreasing trend has been observed in mortality due to main Non Communicable Diseases, namely heart diseases, strokes, diabetes, cancers and chronic respiratory diseases, as depicted by the above chart. Indeed, the death rate due to these chronic diseases decreased from 488 per 100,000 population in 2006 to 463 in 2011. However, in 2012, the rate rose to 482. TRENDS IN SELECTED HEALTH INDICATORS Figures related to the following health indicators for the Islands of Mauritius and Rodrigues as well as for the Republic of Mauritius, together with charts, are given at page 20-26: Crude Birth Rates, Crude Deaths Rates, Stillbirth Rates, Infant Mortality Rates, Under-5 Mortality Rates, Maternal Mortality Ratios and % Low Birth Weight. As indicated by the specific line graphs, general decreasing trends have been observed in Mauritius as from 1990 in regards to Stillbirth, Infant Mortality, Under-5 Mortality and Maternal Mortality. However, since 2005 or 2006, erratic trends have been noted in these indicators The percentage of low birth weight (< 2.5 Kg) among live births that occurred in public and private health institutions, which was 7.9% in 1990 in the Island of Mauritius, has continued to increase to reach 17.4% in 2010 then slightly decreased to 17.2% in 2012. The same trend was observed in Rodrigues where it increased from 5.6% in 1990 to 14.3% in 2006; since then, this rate has followed an erratic trend with a peak of 15.5% in 2011. *************************************** Health Indicators - Republic of Mauritius Unit 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Per 1,000 Mid Year Population 21.3 17.0 16.4 16.5 15.8 15.6 15.1 14.1 13.5 12.9 12.0 11.7 11.4 11.2 6.6 6.7 6.7 6.9 7.0 6.9 7.0 7.3 6.7 7.1 7.2 7.1 7.1 7.2 20.4 15.9 14.3 14.9 12.9 14.4 13.2 14.1 15.3 14.4 13.4 12.5 12.9 13.7 Maternal mortality ratio 0.66 0.20 0.25 0.15 0.21 0.16 0.21 0.17 0.36 0.37 0.65 0.33 0.34 0.62 Under five mortality rate 23.1 18.2 16.8 17.3 16.0 16.5 15.8 16.9 17.1 16.6 16.1 14.7 15.9 15.7 2.32 1.99 1.91 1.94 1.87 1.87 1.82 1.70 1.66 1.58 1.50 1.47 1.45 1.43 Crude birth rate Crude death rate Infant mortality rate Total fertility rate HIV/AIDS Tuberculosis Diseases of the circulatory system Diabetes Neoplasms Death rate due to road traffic injury Death rate due to suicides No.of children born to an average woman Years No of inhabitants 69.6 71.7 71.8 71.9 72.0 72.2 72.2 72.3 72.6 72.8 72.9 73.1 73.4 73.7 65.6 68.2 68.4 68.6 68.7 68.9 68.9 68.9 69.2 69.3 69.4 69.5 69.8 70.3 73.4 75.3 75.3 75.3 75.4 75.6 75.6 75.7 76.0 76.2 76.6 76.7 77.1 77.2 1,122 1,105 1,089 1,026 1,047 950 930 897 876 877 866 855 824 751 7,613 8,172 8,090 7,798 7,973 7,412 7,258 6,510 5,546 5,412 5,110 4,935 4,807 4,297 325 262 269 279 291 291 294 292 297 300 287 294 299 293 ICD 10 AS FROM YEAR 2005 % Per 100,000 Mid Year Population 0.02 0.16 0.08 0.10 0.23 0.19 0.22 0.34 0.71 0.56 0.36 0.37 0.08 0.11 0.11 0.14 0.18 0.16 0.09 0.16 0.17 0.17 33.38 35.61 37.00 36.59 36.10 37.53 37.42 35.92 36.39 35.01 33.93 0.70 0.13 32.4 0.69 0.21 31.24 12.15 18.94 19.28 19.76 20.43 20.84 21.05 22.52 22.41 22.69 22.65 9.00 9.42 11.45 10.59 11.33 11.42 10.56 10.31 11.39 12.11 12.09 15.3 15.6 13.6 18.1 14.9 14.5 10.7 11.6 11.7 14.1 11.3 23.6 11.5 12.6 25.34 26.3 11.42 12.41 14.3 13.2 14.3 8.0 11.7 9.6 11.1 7.3 7.9 8.3 9.7 10.2 6.8 9.3 9.4 0.81 0.14 31.4 9.0 19 Life expectancy (at birth) Both sexes Male Female Population per doctor Population per dentist Population per hospital bed % of deaths@ due to Per 1,000 Live Births 20 NATALITY STATISTICS 1990 - 2012 YEAR ISLAND OF MAURITIUS No. of Live Births 21,799 1990 21,436 1991 22,170 1992 21,667 1993 21,050 1994 19,824 1995 20,049 1996 19,331 1997 18,744 1998 19,543 1999 19,398 2000 18,884 2001 19,169 2002 18,518 2003 18,285 2004 17,924 2005 16,723 2006 16,190 2007 15,590 2008 14,623 2009 14,292 2010 14,002 2011 2012 13,766 *excluding the outer islands ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* Crude No. of Crude No. of Crude Birth Rate # 21.3 20.7 21.1 20.4 19.5 18.2 18.2 17.4 16.7 17.2 16.9 16.2 16.3 15.6 15.3 14.9 13.8 13.2 12.7 11.8 11.5 11.2 11.0 Live Births 803 761 732 662 745 725 714 681 690 768 807 812 814 825 945 896 881 844 782 721 714 699 728 Birth Rate # 23.5 22.2 21.2 19.2 21.5 20.8 20.4 19.4 19.5 21.6 22.6 22.6 22.5 22.6 25.8 24.3 23.8 22.6 20.8 19.1 18.9 18.4 19.1 Live Births 22,602 22,197 22,902 22,329 21,795 20,549 20,763 20,012 19,434 20,311 20,205 19,696 19,983 19,343 19,230 18,820 17,604 17,034 16,372 15,344 15,006 14,701 14,494 Birth Rate # 21.3 20.7 21.1 20.3 19.6 18.3 18.3 17.4 16.8 17.3 17.0 16.4 16.5 15.8 15.6 15.1 14.1 13.5 12.9 12.0 11.7 11.4 11.2 # per thousand mid-year population Crude Birth Rate - Republic of Mauritius 22 20 Rate 18 16 14 12 10 YEAR 2021 21 MORTALITY STATISTICS 1990 - 2012 YEAR ISLAND OF MAURITIUS No. of Deaths Crude Death Rate # 6,854 6.7 1990 6,815 6.6 1991 6,866 6.5 1992 7,275 6.8 1993 7,234 6.7 1994 7,298 6.7 1995 7,508 6.8 1996 7,798 7.0 1997 7,651 6.8 1998 7,791 6.8 1999 7,806 6.8 2000 7,761 6.7 2001 8,081 6.9 2002 8,310 7.0 2003 8,259 6.9 2004 8,422 7.0 2005 8,917 7.3 2006 8,323 6.8 2007 8,798 7.1 2008 8,987 7.3 2009 8,891 7.2 2010 8,951 7.2 2011 2012 9,103 7.3 *excluding the outer islands # per thousand mid-year population ISLAND OF RODRIGUES No. of Deaths 177 212 157 158 168 167 162 188 188 153 176 222 229 210 216 224 245 175 206 237 240 219 240 Crude Death Rate # 5.2 6.2 4.6 4.6 4.8 4.8 4.6 5.4 5.3 4.3 4.9 6.2 6.3 5.8 5.9 6.1 6.6 4.7 5.5 6.3 6.3 5.8 6.3 Crude Death rate - Republic of Mauritius 7.4 7.2 RATE 7 6.8 6.6 6.4 6.2 6 YEAR REPUBLIC OF MAURITIUS* No of deaths Crude Death Rate # 7,031 7,027 7,023 7,433 7,402 7,465 7,670 7,986 7,839 7,944 7,982 7,983 8,310 8,520 8,475 8,646 9,162 8,498 9,004 9,224 9,131 9,170 9,343 6.6 6.6 6.5 6.8 6.7 6.7 6.8 7.0 6.8 6.8 6.7 6.7 6.9 7.0 6.9 7.0 7.3 6.7 7.1 7.2 7.1 7.1 7.2 22 22 STATISTICS RELATING TO STILLBIRTHS 1990 - 2012 YEAR 1990 ISLAND OF MAURITIUS No. of Stillbirth Stillbirths Rate # 348 15.7 ISLAND OF RODRIGUES No. of Stillbirth Stillbirths Rate # 17 20.7 REPUBLIC OF MAURITIUS* No. of Stillbirth Stillbirths Rate # 365 15.9 1991 386 17.7 14 18.1 400 17.7 1992 286 12.7 5 6.8 291 12.5 1993 333 15.1 4 6.0 337 14.9 1994 1995 271 297 12.7 14.8 3 2 4.0 2.8 274 299 12.4 14.3 1996 264 13.0 2 2.8 266 12.6 1997 253 12.9 4 5.8 257 12.7 1998 221 11.7 6 8.6 227 11.5 1999 219 11.1 7 9.0 226 11.0 2000 2001 263 234 13.4 12.2 3 10 3.7 12.2 266 244 13.0 12.2 2002 197 10.2 6 7.3 203 10.1 2003 205 10.9 15 17.9 220 11.2 2004 167 9.1 24 24.8 191 9.8 2005 173 9.6 12 13.2 185 9.7 2006 135 8.0 12 13.4 147 8.3 2007 157 9.6 15 17.5 172 10.0 2008 159 10.1 6 7.6 165 10.0 2009 133 9.0 5 6.9 138 8.9 2010 95 6.6 8 11.1 103 6.8 2011 2012 136 9.6 3 4.3 139 9.4 132 9.5 8 10.9 140 9.6 *excluding the outer islands # per thousand total live births and stillbirths Stillbirth Rate - Republic of Mauritius 19 17 15 11 9 7 5 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Rate 13 23 INFANT MORTALITY STATISTICS 1990- 2012 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* No. of Infant No. of Infant No. of Infant Infant Mortality Infant Mortality Infant Mortality Deaths Rate @ Deaths Rate @ Deaths Rate @ 434 19.9 28 34.9 462 20.4 388 18.1 25 32.9 413 18.6 408 18.4 18 24.6 426 18.6 424 19.6 14 21.1 438 19.6 379 18.0 15 20.1 394 18.1 388 19.6 16 22.0 404 19.7 445 22.2 14 19.6 459 22.1 393 20.3 13 19.1 406 20.3 364 19.4 12 17.4 376 19.3 375 19.2 21 27.3 396 19.5 306 15.8 16 19.8 322 15.9 263 13.9 19 23.4 282 14.3 278 14.5 19 22.9 297 14.9 230 12.4 20 24.2 250 12.9 256 14.0 21 22.2 277 14.4 237 13.2 11 12.3 248 13.2 225 13.5 24 27.2 249 14.1 248 15.3 13 15.4 261 15.3 223 14.3 13 16.6 236 14.4 195 13.3 10 13.9 205 13.4 177 12.4 10 14.0 187 12.5 177 12.6 12 17.2 189 12.9 184 13.4 15 20.6 199 13.7 *excluding the outer islands @ per thousand live births 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Infant Mortality Rate - Republic of Mauritius 24 22 Rate 20 18 16 14 12 10 1990 1992 1994 1996 1998 2000 2002 Year 2004 2006 2008 2010 2012 24 UNDER 5 MORTALITY STATISTICS 1990 - 2012 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES No of Under five Deaths Under five Mortality Rate@ No of Under five Deaths Under five Mortality Rate@ 1990 488 22.4 33 41.1 521 23.1 1991 447 20.9 27 35.5 474 21.4 1992 468 21.1 22 30.1 490 21.4 1993 478 22.1 16 24.2 494 22.1 1994 440 20.9 16 21.5 456 20.9 1995 449 22.6 18 24.8 467 22.7 1996 486 24.2 16 22.4 502 24.2 1997 434 22.5 13 19.1 447 22.3 1998 400 21.3 16 23.2 416 21.4 1999 417 21.3 23 29.9 440 21.7 2000 348 17.9 20 24.8 368 18.2 2001 310 16.4 20 24.6 330 16.8 2002 321 16.7 25 30.7 346 17.3 2003 285 15.4 24 29.1 309 16.0 2004 294 16.1 23 24.4 317 16.5 2005 285 15.9 13 14.5 298 15.8 2006 270 16.1 28 31.8 298 16.9 2007 279 17.2 13 15.4 292 17.1 271 247 221 234 228 16.6 16.1 14.7 15.9 15.7 256 2008 237 2009 209 2010 219 2011 2012 211 *excluding the outer islands 16.4 16.2 14.6 15.6 15.3 15 19.2 10 13.9 12 16.8 15 21.5 17 23.4 @ per thousand live births Under Five Mortality Rate - Republic of Mauritius 24 22 20 18 16 14 12 YEAR REPUBLIC OF MAURITIUS* No of Under Under five five Deaths Mortality Rate@ 25 MATERNAL MORTALITY STATISTICS 1990-2012 YEAR ISLAND OF MAURITIUS No.of Maternal Deaths Matermal Mortality ratio * RATIO 15 0.69 1990 15 0.70 1991 9 0.41 1992 6 0.28 1993 15 0.71 1994 12 0.61 1995 6 0.30 1996 10 0.52 1997 4 0.21 1998 7 0.36 1999 3 0.15 2000 4 0.21 2001 1 0.05 2002 4 0.22 2003 3 0.16 2004 4 0.22 2005 3 0.18 2006 6 0.37 2007 6 0.38 2008 10 0.68 2009 4 0.28 2010 5 0.36 2011 2012 9 0.65 * per 1,000 live births @ excluding the outer islands 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 ISLAND OF RODRIGUES No.of Matermal Maternal Mortality Deaths ratio * 2 1 1 1 2 1 - 2.63 1.37 1.24 1.20 2.50 1.40 - REPUBLIC OF MAURITIUS@ No.of Matermal Maternal Mortality ratio Deaths * 15 17 10 6 15 12 6 10 4 7 4 5 3 4 3 4 3 6 6 10 5 5 9 Maternal Mortality Ratio - Republic Of Mauritius YEAR 0.66 0.77 0.44 0.27 0.69 0.58 0.29 0.50 0.21 0.34 0.20 0.25 0.15 0.21 0.16 0.21 0.17 0.36 0.37 0.65 0.33 0.34 0.62 26 LOW BIRTH WEIGHT * (as a percentage of live births with known birthweight) 1990 - 2012 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS@ 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 7.9 9.0 10.4 12.4 11.5 12.9 14.1 13.6 12.8 13.1 13.0 13.0 13.3 13.9 14.6 16.0 14.3 15.9 15.0 16.7 17.4 17.1 17.2 5.6 6.6 5.6 4.7 8.3 5.9 7.6 9.7 9.1 9.5 10.6 9.5 7.7 11.3 8.4 11.5 14.3 11.4 12.7 10.0 10.3 15.5 11.5 7.8 8.9 10.3 12.2 11.4 12.7 13.9 13.5 12.7 12.9 12.9 12.9 13.0 13.8 14.3 15.8 14.3 15.7 14.9 16.4 17.1 17.0 17.0 @ - excluding the outer islands * - less than 2,500 grammes Low Birth Weight % 20.0 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 year ISLAND OF MAURITIUS ISLAND OF RODRIGUES 27 Cases treated for complications following abortion, including spontaneous Year 2,500 Government Hospitals Private Clinics Total 2003 1,532 346 1,878 2004 1,612 572 2,184 2005 1,389 283 1,672 2006 1,269 276 1,545 2007 1,356 279 1,635 2008 1,536 269 1,805 2009 1,390 390 1,780 2010 1,412 481 1,893 2011 1,331 519 1,850 2012 1,293 542 1,835 Cases treated for complications of abortion, including spontaneous Number 2,000 1,500 1,000 500 0 Year Government Hospitals 28 Private Clinics ISLAND OF MAURITIUS CASES TREATED AS IN-PATIENTS IN GOVERNMENT GENERAL HOSPITALS DUE TO SOME SELECTED DISEASES Disease / Year Diabetes Mellitus Hypertensive Disease Male Female Total Male Female Total 2000 2,527 3,170 5,697 1,810 2,842 4,652 2001 2,428 3,024 5,452 1,650 2,252 3,902 2002 2,186 2,887 5,073 1,475 2,101 3,576 2003 3,046 3,766 6,812 1,936 2,586 4,522 2004 3,318 3,829 7,147 1,812 2,440 4,252 2005 3,482 4,038 7,520 1,832 2,394 4,226 2006 3,063 3,843 6,906 1,723 2,400 4,123 2007 2,476 2,911 5,387 2,235 3,441 5,676 2008 3,009 3,506 6,515 2,398 3,336 5,734 2009 3,650 4,224 7,874 1,852 2,601 4,453 2010 3,162 3,702 6,864 1,696 2,345 4,041 2011 3,439 3,755 7,194 1,912 2,794 4,706 2012 3,533 3,642 7,175 1,742 2,724 4,466 Disease / Year Gastro-Enteritis Bronchial Asthma 2000 Male 3,250 Female 3,417 Total 6,667 Male 1,794 Female 1,893 Total 3,687 2001 2,166 2,330 4,496 1,565 1,616 3,181 2002 2,867 3,027 5,894 1,573 1,667 3,240 2003 2,181 2,378 4,559 1,538 1,735 3,273 2004 2,815 3,037 5,852 1,453 1,689 3,142 2005 2,420 2,734 5,154 1,507 1,668 3,175 2006 3,843 4,100 7,943 1,613 1,577 3,190 2007 3,079 3,245 6,324 1,650 1,693 3,343 2008 3,490 3,756 7,246 1,299 1,469 2,768 2009 2,509 2,967 5,476 1,282 1,387 2,669 2010 2,698 3,200 5,898 1,211 1,354 2,565 2011 3,161 3,978 7,139 1,238 1,518 2,756 2012 2,416 3,245 5,661 1,098 1,404 2,502 29 ISLAND OF MAURITIUS FIRST ATTENDANCES FOR THE TREATMENT OF SOME SELECTED DISEASES AT THE COMMUNITY HOSPITALS, MEDI-CLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES Disease / Year Male Female Total Male Female Total 2000 24,111 24,687 48,798 197,363 209,389 406,752 2001 23,063 23,562 46,625 184,994 197,563 382,557 2002 30,029 31,746 61,775 193,393 204,064 397,457 2003 27,261 29,009 56,270 190,477 206,008 396,485 2004 29,333 30,663 59,996 178,608 189,064 367,672 2005 29,686 32,045 61,731 183,640 197,766 381,406 2006 32,905 33,700 66,605 181,462 194,913 376,375 2007 29,490 30,955 60,445 184,487 198,061 382,548 2008 33,036 34,576 67,612 212,454 229,970 442,424 2009 27,102 28,536 55,638 247,318 270,233 517,551 2010 28,834 30,171 59,005 223,242 244,812 468,054 2011 30,685 32,108 62,793 210,612 230,452 441,064 2012 29,901 30,347 60,248 232,986 251,708 441,064 Disease / Year Gastro-Enteritis Disease of the Respiratory System Diabetes Mellitus Hypertension Male Female Total Male Female Total 2000 8,721 8,927 17,648 10,720 10,855 21,575 2001 10,797 11,508 22,305 13,500 13,981 27,481 2002 11,169 12,213 23,382 15,447 16,713 32,160 2003 9,649 10,506 20,155 12,522 13,423 25,945 2004 9,137 9,812 18,949 10,818 11,789 22,607 2005 11,717 12,654 24,371 13,006 14,336 27,342 2006 12,311 12,845 25,156 14,296 15,168 29,464 2007 8,238 9,098 17,336 9,283 10,312 19,595 2008 8,297 8,992 17,289 9,290 9,440 18,730 2009 6,529 7,332 13,861 7,486 8,134 15,620 2010 7,159 7,689 14,848 7,621 8,034 15,655 2011 7,589 8,279 15,868 8,586 9,189 17,775 2012 8,104 9,053 17,157 9,736 10,780 20,516 REPUBLIC OF MAURITIUS INCIDENCE OF SOME COMMUNICABLE DISEASES (REPORTED CASES) Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HIV/AIDS (MAURITIANS) Number Incidence Rate * 50 0.4 55 0.5 98 0.8 225 1.9 525 4.3 921 7.4 542 4.3 546 4.3 538 4.2 548 4.3 568 4.4 401 3.1 320 2.5 MALARIA Number 62 66 39 40 48 36 38 42 27 23 52 54 33 PULMONARY TUBERCULOSIS Incidence Rate * Number Incidence Rate * 0.5 139 1.2 0.6 112 0.9 0.3 127 1.0 0.3 121 0.9 0.4 129 1.0 0.3 123 1.0 0.3 111 0.9 0.3 108 0.9 0.2 106 0.8 0.2 113 0.9 0.4 117 0.9 0.4 113 0.9 0.3 128 1.0 FOOD POISONING Number 62 23 33 60 160 29 78 766 129 718 156 445 264 Incidence Rate * 0.5 0.2 0.3 0.5 1.3 0.2 0.6 6.1 1.0 5.6 1.2 3.5 2.0 * per 10,000 mid-year population ISLAND OF MAURITIUS 30 MORTALITY DUE TO MAIN NON-COMMUNICABLE DISEASES Underlying cause of death: DIABETES MELLITUS HEART DISEASES CEREBROVASCULAR DISEASES HYPERTENSIVE DISEASES RENAL FAILURE CANCER CHRONIC RESPIRATORY DISEASES NUMBER OF DEATHS REGISTERED IN WHOLE ISLAND 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 1,483 1,702 765 1,506 1,707 636 1,608 1,802 768 1,704 1,870 798 1,726 1,875 735 1,778 1,921 913 2,018 1,934 832 1,878 1,762 769 2,004 1,724 838 2,046 1,705 757 2,097 1,611 744 2,277 1,545 750 2,416 1,626 687 193 238 286 325 284 299 395 469 490 528 466 453 497 242 736 261 219 887 244 197 850 235 174 925 259 170 936 210 188 889 240 187 914 237 116 936 195 123 1,049 205 141 1,085 236 158 1,033 239 171 1,022 190 123 1,159 199 31 Deaths by month of registration - Island of Mauritius, 2010 - 2012 (All Causes) Month 2010 2011 2012 January 711 713 748 February 707 666 732 March 661 726 701 April 672 707 691 May 698 726 747 June 722 729 774 July 908 824 920 August 861 863 849 September 750 832 790 October 709 744 770 November 728 732 663 December 764 689 718 Year 8,891 8,951 9,103 950 Monthly Number of deaths 900 850 800 750 700 650 600 550 500 Month 2010 2011 2012 32 ISLAND OF MAURITIUS POPULATION AND VITAL STATISTICS (NUMBERS) 1984 - 2012 Period Estimated MidPeriod Population* Civil Marriages Live Births Deaths Natural Increase Maternal Deaths StillBirths Infant Deaths + Child Deaths x Under five deaths @ Estimated End-ofPopulation * 1984 978,658 10,638 19,222 6,417 12,805 18 388 444 90 534 982,780 1985 986,520 11,088 18,520 6,691 11,829 19 368 441 105 546 991,606 1986 994,319 10,337 18,225 6,622 11,603 23 342 480 99 579 1,000,077 1987 1,001,607 11,201 19,151 6,581 12,570 19 344 463 73 536 1,005,921 1988 1,009,332 11,283 20,057 6,699 13,358 9 351 441 69 510 1,015,718 1989 1,017,307 11,040 20,955 6,946 14,009 4 399 452 64 516 1,023,238 1990 1,024,571 11,252 21,799 6,854 14,945 15 348 434 54 488 1,031,526 1991 1,035,936 11,146 21,436 6,815 14,621 15 386 388 59 447 1,043,185 1992 1,049,988 11,246 22,170 6,866 15,304 9 286 408 60 468 1,057,379 1993 1,062,855 11,383 21,667 7,275 14,392 6 333 424 54 478 1,070,679 1994 1,078,148 11,212 21,050 7,234 13,816 15 271 379 61 440 1,082,583 1995 1,087,636 10,430 19,824 7,298 12,526 12 297 388 61 449 1,094,040 1996 1,099,057 10,502 20,049 7,508 12,541 6 264 445 41 486 1,106,888 1997 1,113,144 10,654 19,331 7,798 11,533 10 253 393 41 434 1,120,084 1998 1,125,118 10,650 18,744 7,651 11,093 4 221 364 36 400 1,131,491 1999 1,139,718 11,072 19,543 7,791 11,752 7 219 375 42 417 1,144,721 2000 1,151,094 10,720 19,398 7,806 11,592 3 263 306 42 348 1,157,290 2001 1,163,875 10,414 18,884 7,761 11,123 4 234 263 47 310 1,169,303 2002 1,174,021 10,253 19,169 8,081 11,088 1 197 278 43 321 1,180,189 2003 1,186,363 10,556 18,518 8,310 10,208 4 205 230 55 285 1,191,336 2004 1,196,696 11,138 18,285 8,259 10,026 3 167 256 38 294 1,201,000 2005 1,206,346 11,076 17,924 8,422 9,502 4 173 237 48 285 1,211,302 2006 1,215,619 11,262 16,723 8,917 7,806 3 135 225 45 270 1,219,208 2007 1,223,089 11,361 16,190 8,323 7,867 6 157 248 31 279 1,227,075 2008 1,230,995 11,012 15,590 8,798 6,792 6 159 223 33 256 1,234,042 2009 1,237,283 10,446 14,623 8,987 5,636 10 133 195 42 237 1,239,788 2010 1,243,084 10,370 14,292 8,891 5,401 4 95 177 32 209 1,245,289 2011 1,248,126 10,334 14,002 8,951 5,051 5 136 177 42 219 1,250,349 2012 1,253,000 10,197 13,766 9,103 4,663 9 132 184 27 211 1,255,011 * (Population figures for 1984 and later years refer to the "resident" population + Infant : Less than one year old @ Under five : Less than five years old x Child : Between one and five years 33 ISLAND OF MAURITIUS POPULATION AND VITAL STATISTICS (RATES) 1984 - 2012 Child Mortality Rate x Under five mortality Rate + End-ofPeriod Population Density * Per Square kilometre $ 23.1 1.0 27.8 527 19.5 23.8 1.3 29.5 532 1.26 18.4 26.3 1.3 31.8 536 12.5 0.99 17.6 24.2 1.0 28.0 539 6.6 13.2 0.45 17.2 22.0 1.0 25.4 545 20.6 6.8 13.8 0.19 18.7 21.6 0.9 24.6 549 22.0 21.3 6.7 14.6 0.69 15.7 19.9 0.7 22.4 553 556 21.5 20.7 6.6 14.1 0.70 17.7 18.1 0.8 20.9 559 1992 563 21.4 21.1 6.5 14.6 0.41 12.7 18.4 0.7 21.1 567 1993 570 21.4 20.4 6.8 13.5 0.28 15.1 19.6 0.7 22.1 574 1994 578 20.8 19.5 6.7 12.8 0.71 12.7 18.0 0.7 20.9 581 1995 583 19.2 18.2 6.7 11.5 0.61 14.8 19.6 0.7 22.6 587 1996 589 19.1 18.2 6.8 11.4 0.30 13.0 22.2 0.5 24.2 594 1997 597 19.2 17.4 7.0 10.4 0.52 12.9 20.3 0.5 22.5 601 1998 603 18.9 16.7 6.8 9.9 0.21 11.7 19.4 0.5 21.3 607 1999 611 19.4 17.2 6.8 10.3 0.36 11.1 19.2 0.5 21.3 614 2000 617 18.6 16.9 6.8 10.1 0.15 13.4 15.8 0.6 17.9 621 2001 624 17.9 16.2 6.7 9.6 0.21 12.2 13.9 0.6 16.4 627 2002 630 17.5 16.3 6.9 9.4 0.05 10.2 14.5 0.6 16.7 633 2003 636 17.8 15.6 7.0 8.6 0.22 10.9 12.4 0.7 15.4 639 2004 642 18.6 15.3 6.9 8.4 0.16 9.1 14.0 0.5 16.1 644 2005 647 18.4 14.9 7.0 7.9 0.22 9.6 13.2 0.6 15.9 650 2006 652 18.5 13.8 7.3 6.4 0.18 8.0 13.5 0.6 16.1 654 2007 656 18.6 13.2 6.8 6.4 0.37 9.6 15.3 0.4 17.2 658 2008 660 17.9 12.7 7.1 5.5 0.38 10.1 14.3 0.5 16.4 662 2009 663 16.9 11.8 7.3 4.6 0.68 9.0 13.3 0.6 16.2 665 2010 667 16.7 11.5 7.2 4.3 0.28 6.6 12.4 0.5 14.6 668 2011 669 16.6 11.2 7.2 4.0 0.36 9.6 12.6 0.7 15.6 671 2012 672 16.3 11.0 7.3 3.7 0.65 9.5 13.4 0.5 15.3 673 Rate per 1000 of the Mid-period Population * Mid-period Population * Per Square Kilometre $ Marriage Rate 1984 525 21.7 19.6 6.6 13.1 0.94 19.8 1985 529 22.5 18.8 6.8 12.0 1.03 1986 533 20.8 18.3 6.7 11.7 1987 537 22.4 19.1 6.6 1988 541 22.4 19.9 1989 546 21.7 1990 549 1991 PERIOD * $ x @ Crude Birth Rate Crude Death Rate Rate of Natural Increase Maternal Mortality Ratio + Stillbirth rate @ Infant Mortality Rate + (Population densities and rates for 1984 and later years are based on the "resident population based on an area of 1864.8 square kilometers + rate per 1000 live births rate per 1000 mid-year population aged between one and five years rate per 1000 total births (live births and stillbirths) 34 ISLAND OF MAURITIUS STILLBIRTHS, PERINATAL, NEONATAL AND INFANT DEATHS 1984 - 2012 YEAR STILLBIRTHS NUMBER RATE @ EARLY NEONATAL DEATHS PERINATAL DEATHS LATE NEONATAL DEATHS NEONATAL DEATHS POSTNEONATAL DEATHS NUMBER RATE + NUMBER RATE @ NUMBER RATE + NUMBER RATE + NUMBER RATE + INFANT DEATHS NUMBER RATE + 1984 388 19.8 229 11.9 617 31.5 40 2.1 269 14.0 175 9.1 444 23.1 1985 368 19.5 266 14.4 634 33.6 46 2.5 312 16.8 129 7.0 441 23.8 1986 342 18.4 282 15.5 624 33.6 75 4.1 357 19.6 123 6.7 480 26.3 1987 344 17.6 243 12.7 587 30.1 91 4.8 334 17.4 129 6.7 463 24.2 1988 351 17.2 261 13.0 612 30.0 51 2.5 312 15.6 129 6.4 441 22.0 1989 399 18.7 260 12.4 659 30.9 64 3.1 324 15.5 128 6.1 452 21.6 1990 348 15.7 303 13.9 651 29.4 33 1.5 336 15.4 98 4.5 434 19.9 1991 386 17.7 240 11.2 626 28.7 45 2.1 285 13.3 103 4.8 388 18.1 1992 286 12.7 268 12.1 554 24.7 43 1.9 311 14.0 97 4.4 408 18.4 1993 333 15.1 282 13.0 615 28.0 42 1.9 324 15.0 100 4.6 424 19.6 1994 271 12.7 240 11.4 511 24.0 43 2.0 283 13.4 96 4.6 379 18.0 1995 297 14.8 243 12.3 540 26.8 53 2.7 296 14.9 92 4.6 388 19.6 1996 264 13.0 277 13.8 541 26.6 52 2.6 329 16.4 116 5.8 445 22.2 1997 253 12.9 265 13.7 518 26.5 49 2.5 314 16.2 79 4.1 393 20.3 1998 221 11.7 225 12.0 446 23.5 52 2.8 277 14.8 87 4.6 364 19.4 1999 219 11.1 200 10.2 419 21.2 75 3.9 275 14.1 100 5.1 375 19.2 2000 263 13.4 171 8.8 434 22.1 70 3.6 241 12.4 65 3.4 306 15.8 2001 234 12.2 146 7.7 380 19.9 48 2.5 194 10.2 69 3.7 263 13.9 2002 197 10.2 164 8.6 361 18.6 33 1.7 197 10.3 81 4.2 278 14.5 2003 205 10.9 123 6.6 328 17.5 44 2.4 167 9.0 63 3.4 230 12.4 2004 167 9.1 137 7.5 304 16.5 52 2.8 189 10.3 67 3.7 256 14.0 2005 173 9.6 123 6.9 296 16.4 58 3.2 181 10.1 56 3.1 237 13.2 2006 135 8.0 112 6.7 247 14.7 56 3.3 168 10.0 57 3.4 225 13.5 2007 157 9.6 132 8.2 289 17.7 44 2.7 176 10.9 72 4.4 248 15.3 2008 159 10.1 106 6.8 265 16.8 37 2.4 143 9.2 80 5.1 223 14.3 2009 133 9.0 93 6.4 226 15.3 42 2.9 135 9.2 60 4.1 195 13.3 2010 95 6.6 89 6.2 184 12.8 32 2.2 121 8.5 56 3.9 177 12.4 2011 136 9.6 85 6.1 221 15.6 47 3.4 132 9.4 45 3.2 177 12.6 2012 132 9.5 93 6.8 225 16.2 41 3.0 134 9.7 50 3.6 184 13.4 @ Per 1,000 total births ( live births and stillbirths) + Per 1,000 live births DEFINITIONS 1.STILLBIRTHS: Children born dead after 28 weeks of gestation 2.EARLY NEONATAL DEATHS: Deaths occurring in the 1st week of life 3.PERINATAL DEATHS: Stillbirths plus early neonatal deaths 4.LATE NEONATAL DEATHS: Deaths between 1 week and 4 weeks 5.NEONATAL DEATHS: Deaths under 4 weeks 6.POST-NEONATAL DEATHS: Deaths between 4 weeks and 1 year 7.INFANT DEATHS: Deaths under 1 year 35 REPUBLIC OF MAURITIUS POPULATION GROWTH RATES AND AGEING POPULATION Year Mid-Year Resident Population Annual Population Growth Rate (%) 1990 1,058,775 1991 % Population <15 years 15-64 years 65 years & over 0.71 29.7 64.9 5.4 1,070,266 1.09 29.5 65.0 5.5 1992 1,084,441 1.32 29.2 65.1 5.7 1993 1,097,374 1.19 28.8 65.4 5.8 1994 1,112,846 1.41 28.2 66.0 5.8 1995 1,122,457 0.86 27.6 66.5 5.9 1996 1,133,996 1.03 27.0 67.0 6.0 1997 1,148,284 1.26 26.5 67.5 6.0 1998 1,160,421 1.06 26.2 67.7 6.1 1999 1,175,267 1.28 25.9 68.0 6.1 2000 1,186,873 0.99 25.7 68.1 6.2 2001 1,199,881 1.10 25.6 68.1 6.3 2002 1,210,196 0.86 25.5 68.1 6.4 2003 1,222,811 1.04 25.2 68.3 6.5 2004 1,233,386 0.86 24.9 68.6 6.5 2005 1,243,253 0.80 24.5 68.9 6.6 2006 1,252,698 0.76 23.9 69.5 6.6 2007 1,260,403 0.62 23.3 69.9 6.8 2008 1,268,565 0.65 22.7 70.5 6.8 2009 1,275,032 0.51 22.2 70.8 7.0 2010 1,280,924 0.46 21.6 71.1 7.3 2011 1,286,051 0.40 21.1 71.5 7.4 2012 1,291,167 0.40 20.6 71.7 7.7 36 REPUBLIC OF MAURITIUS RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (NUMBERS) - 2012 DISTRICT Estimated Mid-Year Population Area (Square Kilometres) Civil Marriages * PORT LOUIS 127,767 42.7 783 PAMPLEMOUSSES 140,017 178.7 RIV. DU REMPART 110,027 FLACQ Live Births Deaths Natural Increase Stillbirths Infant Deaths Estimated End-of-YearPopulation 1,600 1,143 457 22 21 127,454 1,790 1,773 1,002 771 12 36 140,511 147.6 844 1,143 703 440 12 14 110,235 141,310 297.9 1,137 1,567 869 698 13 20 141,586 GRAND PORT 116,101 260.3 1,019 1,198 825 373 12 23 116,211 SAVANNE 70,618 244.8 687 735 542 193 10 6 70,575 PLAINES WILHEMS MOKA 386,856 203.3 2,284 3,723 2,955 768 31 40 387,372 81,720 230.5 539 897 565 332 9 9 81,820 BLACK RIVER 78,584 259.0 1,114 1,130 499 631 11 15 79,247 RODRIGUES 38,167 104.0 185 728 240 488 8 15 38,242 TOTAL 1,291,167 1,968.8 10,382 14,494 9,343 5,151 140 199 1,293,253 * By district of residence of bridegroom RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (RATES) - 2012 DISTRICT PORT LOUIS Mid year Population Density per Square Kilometres Rate per 1000 of the Mid-year Population Marriage Rate Crude Birth Rate Crude death rate Rate of natural increase Stillbirth Rate@ # Infant Mortality Rate+ End of year Population Density per Square Kilometres 2,992 12.3 12.5 8.9 3.6 13.6 13.1 2,985 PAMPLEMOUSSES 784 25.6 12.7 7.2 5.5 6.7 20.3 786 RIV. DU REMPART 745 15.3 10.4 6.4 4.0 10.4 12.2 747 FLACQ 474 16.1 11.1 6.1 4.9 8.2 12.8 475 GRAND PORT 446 17.6 10.3 7.1 3.2 9.9 19.2 446 SAVANNE 288 19.5 10.4 7.7 2.7 13.4 8.2 288 PLAINES WILHEMS MOKA 1,903 11.8 9.6 7.6 2.0 8.3 10.7 1,905 355 13.2 11.0 6.9 4.1 9.9 10.0 355 BLACK RIVER 303 28.4 14.4 6.3 8.0 9.6 13.3 306 RODRIGUES 367 9.7 19.1 6.3 12.8 10.9 20.6 368 REPUBLIC 656 16.1 11.2 7.2 4.0 9.6 13.7 657 # apparent discrepancies are due to rounding errors @ rate per 1000 total births (live births and stillbirths) + rate per 1000 live births LIFE EXPECTANCY AT BIRTH (YEARS)* Sex 1990@ 2000@ 2005 2006 2007 2008 2009 2010 2011 2012 Male 65.6 68.2 68.9 68.9 69.2 69.3 69.4 69.5 69.8 70.3 Female 73.4 75.3 75.6 75.7 76.0 76.2 76.6 76.7 77.1 77.2 Both Sexes 69.6 71.7 72.2 72.3 72.6 72.7 72.9 73.1 73.4 73.7 * Calculation based on 3 year period @ based on census data 37 37 ISLAND OF MAURITIUS ESTIMATED MID-YEAR RESIDENT POPULATION OF TOWNS AND LARGE VILLAGES - 2012 MUNICIPAL COUNCIL AREA@ Port Louis POPULATION 148,160 VILLAGE COUNCIL AREA Triolet POPULATION 24,340 Beau Bassin-Rose Hill 111,263 Goodlands 21,448 Vacoas-Phoenix 108,974 Central Flacq 18,078 Curepipe 84,967 Bel Air/Riviere Seche 18,035 Quatre Bornes 82,372 Mahebourg 17,143 Saint Pierre 16,500 Le Hochet 15,895 535,736 Bambous 15,028 (42.8%) Baie du Tombeau 13,757 Rose Belle 12,695 Chemin Grenier 12,542 Riviere du Rempart 11,978 Plaine Magnien 10,844 Surinam 10,694 URBAN POPULATION RURAL POPULATION 717,264 (57.2%) TOTAL POPULATION 1,253,000 @ according to boundaries subsequent to Proclamations No. 8 of 1990 and No. 15 of 1991 FERTILITY RATES 2008 - 2012 2008 2009 2010 2011 2012 Crude birth rate RATE 12.7 11.8 11.5 11.2 11.0 General fertility rate 45.08 42.65 41.31 40.63 40.32 Total fertility rate 1.56 1.48 1.44 1.42 1.41 0.77 0.73 0.72 0.70 0.69 0.75 0.72 0.70 0.69 0.67 15 - 19 32.9 31.4 29.3 28.9 28.2 20 - 24 88.4 82.2 77.9 75.0 70.3 25 - 29 96.1 91.1 91.1 89.3 89.2 30 - 34 60.5 59.5 58.4 59.1 61.7 35 - 39 26.5 25.0 25.3 26.0 25.9 40 - 44 6.8 6.7 6.2 5.8 5.8 45 - 49 0.3 0.5 0.3 0.5 0.5 Gross reproduction rate Net reproduction rate Age-specific fertility rates: Age of women (Years) Note : For definitions, see glossary LIFE EXPECTANCY AT BIRTH (YEARS) * SEX 2006 2007 2008 2009 2010 2011 2012 MALE 68.9 69.1 69.1 69.3 69.4 69.7 70.2 FEMALE 75.7 75.9 76.1 76.5 76.7 77.0 77.3 BOTH SEXES 72.3 72.5 72.6 72.9 73.1 73.3 73.7 * Calculation based on a 3 year period 38 ISLAND OF MAURITIUS ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2012 AGE-GROUP (YEARS) UNDER 1 MALE Number FEMALE % Number BOTH SEXES % Number % 6,971 1.1 6,805 1.1 13,776 1.1 1- 4 29,520 4.8 29,157 4.6 58,677 4.7 5- 9 44,680 7.2 43,002 6.8 87,682 7.0 10 - 14 47,905 7.8 46,059 7.2 93,964 7.5 15 - 19 50,527 8.2 50,017 7.9 100,544 8.0 20 - 24 51,337 8.3 49,680 7.8 101,017 8.1 25 - 29 45,268 7.3 44,456 7.0 89,724 7.2 30 - 34 54,396 8.8 54,917 8.6 109,313 8.7 35 - 39 46,896 7.6 47,874 7.5 94,770 7.6 40 - 44 44,759 7.3 45,789 7.2 90,548 7.2 45 - 49 48,779 7.9 49,179 7.7 97,958 7.8 50 - 54 42,643 6.9 44,039 6.9 86,682 6.9 55 - 59 36,173 5.9 37,803 5.9 73,976 5.9 60 - 64 27,648 4.5 30,823 4.8 58,471 4.7 65 - 69 16,025 2.6 19,843 3.1 35,868 2.9 70 - 74 10,217 1.7 13,800 2.2 24,017 1.9 75 - 79 7,212 1.2 10,884 1.7 18,096 1.4 80 - 84 3,627 0.6 6,522 1.0 10,149 0.8 85 & OVER 2,373 0.4 5,395 0.8 7,768 0.6 ALL AGES 616,956 100.0 636,044 100.0 1,253,000 100.0 UNDER 5 36,491 5.9 35,962 5.7 72,453 5.8 5 - 11 63,828 10.3 61,512 9.7 125,340 10.0 12 - 19 79,284 12.9 77,566 12.2 156,850 12.5 16 - 18 30,198 4.9 29,804 4.7 60,002 4.8 UNDER 15 129,076 20.9 125,023 19.7 254,099 20.3 UNDER 18 158,582 25.7 154,200 24.2 312,782 25.0 UNDER 21 190,709 30.9 185,559 29.2 376,268 30.0 15 - 49 341,962 55.4 341,912 53.8 683,874 54.6 15 - 59 420,778 68.2 423,754 66.6 844,532 67.4 15 - 64 448,426 72.7 454,577 71.5 903,003 72.1 15 & OVER 487,880 79.1 511,021 80.3 998,901 79.7 18 & OVER 458,374 74.3 481,844 75.8 940,218 75.0 21 & OVER 426,247 69.1 450,485 70.8 876,732 70.0 60 & OVER 67,102 10.9 87,267 13.7 154,369 12.3 65 & OVER 39,454 6.4 56,444 8.9 95,898 7.7 MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 34.0 33.0 375.8 35.6 34.4 399.2 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 34.8 33.7 387.6 39 MAIN HEALTH INSTITUTIONS AS AT END OF 2012 PUBLIC SECTOR Island of Mauritius Island of Rodrigues Regional (Principal) General Hospital District General Hospital Ø 5 2 1 Health Centre (with in-patient service) Psychiatric Hospital Chest Hospital Eye Hospital E.N.T. Centre * Cardiac Centre Community Hospital *** 1 1 1 1 1 2 2 - Mediclinic + 3 - Area Health Centre+++ 20 3**** Community Health Centre 116 14 # 14### Maternal and Child Health Clinic 145 Vaccination Clinic (babies) Family Planning Clinic ## Health Office Dental Static Clinic (including oral surgery and orthodontics) Dental Mobile Clinic Ayurvedic Clinic Dialysis Clinic** Day Care Centre for the Immunosuppressed Methadone Substitution Therapy Indo Chine Centre++ Chest Clinic PRIVATE SECTOR 159 149 13 56 15 17 1 3 3 5 6 4 1 1 4 - 1 - Nursing Home (Private Clinic with inpatient service) Pharmaceutical retail outlet 17 - 288 2 7 - 10 - Dialysis Clinic (including those in private clinic) Sugar Estate Dispensary Ø Souillac, Mahebourg and Q.Elizabeth Hospital * administratively attached to Victoria Regional Hospital *** Y. Cantin and Long Mountain + Belvedère, L'Escalier and Plaine Verte ** in Regional Hospital +++ outside hospital compound ## excluding 16 supply centres # excluding 14 additional sub-centres for vaccination (EPI) without MCH services ### excluding one centre with EPI service only **** at QEH, M.Lubin & La Ferme HC ++ one residential and 3 daycare Bed Situation as at end of 2012 INSTITUTION Island of Mauritus Island of Rodrigues Republic of Mauritius Government Hospitals Private Clinics TOTAL 3,566 705 4,271 190 190 3,756 705 4,461 REPUBLIC OF MAURITIUS SELECTED HEALTH MANPOWER STATISTICS AS AT END OF YEAR YEAR 2003 2004 2005 2006 2007 2008 2003 - 2012 2009 2010 2011 2012 NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION NUMBER PER 10,000 POPULATION GRADE 765 6.2 775 6.3 777 6.2 856 6.8 844 6.7 852 6.7 887 6.9 967 7.5 970 7.5 1,000 7.7 DOCTOR Employed by Mins. of Health@ (208) (258) (263) (253) (257) (275) (277) (288) (284) (284) In private practice TOTAL 408 528 565 544 581 598 588 533 591 722 1,173 9.6 1,303 10.5 1,342 10.8 1,400 11.1 1,425 11.3 1,450 11.4 1,475 11.5 1,500 11.7 1,561 12.1 1,722 13.3 54 0.4 58 0.5 56 0.4 56 0.4 64 0.5 61 0.5 59 0.5 66 0.5 66 0.5 59 0.5 DENTIST Employed by Mins. of Health In private practice TOTAL 100 109 116 137 164 174 191 194 202 242 154 1.3 167 1.3 172 1.4 193 1.5 228 1.8 235 1.8 250 2.0 260 2.0 268 2.1 301 2.3 20 0.2 20 0.2 22 0.2 22 0.2 22 0.2 20 0.2 19 0.1 19 0.1 23 0.2 23 0.2 PHARMACIST Employed by Mins. of Health In private practice TOTAL QUALIFIED NURSE & MIDWIFE Employed by Mins. of Health# In Private practice TOTAL @ 259 266 266 280 305 328 367 381 409 279 2.3 286 2.3 288 2.3 302 2.4 327 2.6 348 2.7 386 3.0 400 3.1 408 3.2 432 3.3 2,799 22.8 2,774 22.4 2,732 21.9 2,905 23.1 3,093 24.5 3,179 25.0 3,187 24.9 3,174 24.7 3,089 24.0 3,051 23.6 159 2,958 163 24.1 2,937 170 23.7 2,902 182 23.2 3,087 207 24.6 3,300 221 26.1 3,400 313 26.7 3,500 426 27.4 3,600 excluding doctors (included in figure in private practice) working under the " Bank of Doctors" scheme and Pre-Registration House Officers (333) including nurses who are qualified awaiting appointment Source: Establishment Division/Medical Council/Nursing Council with adjustments for under/over reporting # 385 581 28.1 3,670 686 28.5 3,737 28.9 40 - of which specialists 41 Selected Health Personnel in post at the Ministry of Health & Q L as at end of 2012@ Cadre / Grade# Number Cadre / Grade# Number Administrative Cadre 19 Human Resource Cadre 30 Community Health Development Motivator Community Health Care Officer Executive Cadre (incl Senior officer) 52 Sanitary Engineer 4 Officer (incl Office Supervisor) 252 Health Engineering Officer 15 Confidential Secretary 29 Health Statistician 5 Word Processing Cadre Office Care Attendant Finance Cadre Procurement & Supply Cadre 55 60 47 139 Statistical Officer Demographer Health Analyst Hospital Administration Cadre 9 2 1 19 Internal Control Cadre Health Records Cadre 4 411 Blood Bank Cadre Pathological Laboratory Assistant 18 12 Health Information, Education and Communication Cadre Medical Specialist 12 Community Health Rehabilitation Officer 74 283 Medical Social Worker 12 Medical Officer (Non specialist) 717 Welfare Assistant 8 Dentist (including specialist) 59 11 Pharmacist 23 Ayurvedic Medical Officer 5 Nutritionist 13 Clinical Scientist (Biochemistry or Virology) Scientific Officer Vector Biology and Control Division Vector Biology & Control Laboratory Technician (Entomology) Bio-Medical Engineering Technician Occupational Therapy Cadre 25 Government Analyst 5 Speech Therapists & Audiologist 5 Technical Officer (Chemical Laboratory) 8 Speech and Hearing Therapy Assistant Clinical Psychologist 9 Medical Laboratory Technician 208 5 223 Hospital Physicist 5 Pharmacy Technician ( inc. Stores Manager) Public Health & Food Safety Inpector Dental Assistant 73 Health Surveillance Officer 74 EEG Technician 1 Insecticide Sprayerman 82 ECG Technician 27 Rodent Control Cadre 7 Physiotherapist 15 Catering Cadre 22 Physiotherapy Assistant 28 Orthopaedic Technician (incl Assistant) 15 Medical Imaging Technologist 100 Surgical Technologist 5 Medical Imaging Assistant 49 Permanencier 15 Radiation Therapist Nuclear Medicine Technologist 11 4 Ambulance Driver Ambulance Attendant 84 102 Nurse / Midwife Educator 12 Ward Assistant 123 Nursing Cadre (incl Psychiatry) Midwife 2,879 127 Cook Hospital Care Attendant 5 124 3 2 7 141 84 1,527 Public Health Nursing officer 38 Linen Officer 58 Specialised Aids Nurse 7 Laundry Attendant 18 1,012 Mortuary Attendant 8 Health Care Assistant (General) Source: Establishment Division of the Ministry of Health & Quality of life # for each specified grade, the figures include officers in higher posts (e.g Health Inspector includes Senior, Principal etc.) @ a total of 13,080 officers were holding substantive posts at the Ministry of Health & QL, including hospitals and health centres etc. NB: exclude "Bank of Doctors/Nurses" 42 REPUBLIC OF MAURITIUS MATERNAL AND CHILD HEALTH ACTIVITIES IN PUBLIC SECTOR - 2012 (excluding activities carried out at Regional Hospitals) ACTIVITY DOMICILIARY VISITS BY MIDWIFE/NURSE ANTENATAL POSTNATAL TOTAL DOMICILIARY VISITS 1,021 4,339 5,360 CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR SPECIALISED TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT TOTAL CASES REFERRED EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAMINATIONS BY MIDWIFE/NURSE First attendances Subsequent attendances ANTENATAL EXAMINATIONS BY DOCTOR* First attendances Subsequent attendances POSTNATAL EXAMINATIONS BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING Number of attendances of whom reported underweight of whom reported overweight 10,835 8 17 10,860 10,779 50,049 11,429 43,234 5,881 1,417 152,857 232 180 EXAM. OF CHILDREN UNDER 5 YEARS BY DOCTOR First attendances 7,944 Subsequent attendances 20,602 TOTAL ATTENDANCES AT CLINIC 304,192 * of which 1,577 and 6,545 cases examined by specialists at first and subsequent attendances respectively. STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION - 2012 IMMUNIZATIONS PERFORMED BABIES B.C.G. M.M.R. D.P.T. & H.I.B, HEP. B & O.P.V: 1st dose 2nd dose 3rd dose Booster dose (excluding Hep B) D.T, O.P.V & HEP.B : 1st dose 2nd dose 3rd dose Booster dose (excluding Hep B) ATTENDANCES FOR IMMUNIZATION OF CHILDREN (a) PREGNANT WOMEN (including Regional Hospitals) TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) ATTENDANCES FOR IMMUNIZATION OF PREGNANT WOMEN (b) TOTAL ATTENDANCES FOR IMMUNIZATION (a+b) 12,559 12,674 12,527 12,611 12,469 11,232 88 121 150 1,061 75,492 9,316 8,218 1,959 19,493 94,985 PRIMARY SCHOOL CHILDREN MMR (std I) DT & OPV (std I) TETANUS TOXOID (STD VI) IMMUNIZATION OF PRIMARY SCHOOL CHILDREN 13,619 13,886 15,628 43,133 43 STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES ISLAND OF MAURITIUS BLACK RIVER MOKA PLAINES WILHEMS SAVANNE GRAND PORT FLACQ RIVIERE DU REMPART ACTIVITY PORT LOUIS DISTRICT PAMPLEMOUSSES AT GOVERNMENT CLINICS BY DISTRICT - 2012 (excluding activities carried out at Regional Hospitals) DOMICILIARY VISITS BY MIDWIFE/NURSE ANTENATAL POSTNATAL TOTAL DOMICILIARY VISITS CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT EXAMINATIONS CARRIED OUT 82 150 34 25 271 156 262 18 23 1,021 484 934 819 396 263 186 710 283 264 4,339 566 1,084 853 421 534 342 972 301 287 5,360 974 818 1,093 1,138 1,022 764 2,824 493 1,101 10,227 - - - 2 - - 5 1 - 8 - 3 6 1 - 1 3 1 2 17 1,122 966 1,294 995 640 2,436 684 816 10,085 5,082 4,876 6,240 3,160 3,044 9,441 3,925 4,139 45,129 1,125 902 1,269 1,208 1,014 2,385 672 1,061 10,735 3,597 3,344 5,789 2,801 2,169 9,319 2,880 3,516 38,310 991 776 1,010 56 125 868 492 373 5,300 497 165 24 11 - 17 1 26 797 13,434 18,479 16,111 24,949 11,870 6,807 32,189 12,416 9,455 145,710 8 2 - 121 22 5 21 30 22 231 13 4 - 78 10 2 23 29 21 180 763 1,149 922 1,008 944 598 1,478 596 452 7,910 1,711 3,173 3,212 3,155 1,447 986 4,139 1,336 1,251 20,410 31,274 44,738 22,492 15,383 62,272 23,002 21,089 284,386 AT CLINIC ANTENATAL EXAM. BY MIDWIFE/NURSE First 1,132 attendances Subsequent 5,222 attendances ANTENATAL EXAM. BY DOCTOR* First 1,099 attendances Subsequent 4,895 attendances POSTNATAL EXAM. BY DOCTOR First 609 attendances Subsequent 56 attendances CHILDREN SEEN FOR GROWTH MONITORING Total number of attendances Reported underweight Reported Overweight EXAM. OF CHILDREN UNDER 5 YRS BY DOCTOR First attendances Subsequent attendances TOTAL ATTENDANCES AT CLINIC 28,921 35,215 * includes cases examined by specialist at first and subsequent attendances respectively 44 STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES AT GOVERNMENT CLINICS BY DISTRICT - 2012 (excluding activities carried out at Regional Hospitals) PLAINES WILHEMS 328 342 131 793 241 236 3,030 30.0 585 855 542 422 1,331 392 475 5,949 59.0 6 months and over 145 97 87 111 111 87 312 51 105 1,106 11.0 1,132 1,122 966 1,294 995 640 2,436 684 816 10,085 100.0 HAEMOGLOBIN LEVEL (mg/dl) OF ANTENATAL CASES below 9.0 9.0 to 9.9 32 109 51 100 68 113 38 133 27 52 26 72 59 132 18 30 32 58 351 799 4.0 9.0 10.0 to 10.9 319 236 212 346 153 148 426 183 193 2,216 25.1 11.0 to 11.9 12.0 or above 337 244 348 275 283 226 402 199 308 309 178 171 691 709 229 155 205 207 2,981 2,495 33.7 28.2 1,041 1,010 902 1,118 849 595 2,017 615 695 8,842 100.0 % SAVANNE 294 693 TOTAL GRAND PORT 332 654 BLACK RIVER RIV. DU REMPART 333 Between 3 and 6 months MOKA PAMPLEMOUSSES AGE AT FIRST ATTENDANCE FOR ANTENATAL TREATMENT 3 months or less ACTIVITY FLACQ PORT LOUIS DISTRICT REGISTRATION OF GESTATIONAL TOTAL FIRST ATTENDANCES FIRST DETERMINATION OF TOTAL FIRST DETERMINATIONS STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION BY DISTRICT - 2012 FLACQ GRAND PORT SAVANNE PLAINES WILHEMS 1,187 1,484 1,090 706 2,869 833 978 11,845 1,273 1,246 1,610 1,193 724 2,965 839 893 12,009 1st dose 1,323 1,305 1,167 1,508 1,078 699 2,869 867 991 11,807 2nd dose 3rd dose 1,304 1,332 1,331 1,304 1,246 1,243 1,511 1,485 1,079 1,068 691 731 2,921 2,810 874 892 939 889 11,896 11,754 Booster dose# 1,003 1,130 1,172 1,543 1,090 662 2,576 745 731 10,652 5 3 2 4 2 5 3 7 10 20 34 3 8 33 42 87 121 7 4 1 6 8 53 10 44 150 133 59 63 89 71 44 402 73 127 1,061 7,788 7,729 7,333 9,237 6,683 4,282 17,519 5,144 5,667 71,382 962 830 1,046 919 832 735 1,159 1,105 880 762 599 548 1,978 1,706 603 584 696 570 8,755 7,759 202 257 293 279 107 62 433 196 99 1,928 1,994 2,222 1,860 2,543 1,749 1,209 4,117 1,383 1,365 18,442 TOTAL RIV. DU REMPART 1,315 1,266 BLACK RIVER PAMPLEMOUSSES 1,383 IMMUNIZATIONS MOKA PORT LOUIS DISTRICT PERFORMED CHILDREN: B.C.G. M.M.R. D.P.T & H.I.B, HEP. B & O.P.V: D.T , O.P.V & HEP.B: 1st dose 2nd dose 12 15 3rd dose 17 Booster dose# TOTAL ATTENDANCES FOR IMMUNIZATION OF CHILDREN PREGNANT WOMEN *: TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) TOTAL ATTENDANCES FOR IMMUNIZATIONS OF PREGNANT WOMEN # Excluding Hepatitis * including immunizations carried out at Regional Hospitals 45 ISLAND OF MAURITIUS INDICATORS RELATED TO ANTENATAL CARE IN GOVERNMENT SERVICE Gestational age at first attendance for antenatal care YEAR % Of First Attendances by gestational age 3 Months or less Between 3 and 6 6 Months or over Months 2003 26.6 62.7 10.7 2004 24.5 65.2 10.3 2005 23.0 65.9 11.1 2006 23.8 64.2 12.0 2007 23.9 63.6 12.5 2008 25.1 62.7 12.2 2009 25.7 61.1 13.2 2010 26.1 61.1 12.9 2011 25.4 62.6 12.0 2012 30.0 59.0 11.0 Haemoglobin level (mg/dl) at first determination of antenatal cases YEAR 2003 % Antenatal Cases by Haemoglobin Level Below 10.0 (Moderate or severe anaemia) 14.0 10.0 to 10.9 (Mild anaemia) 11.0 or above (Normal) 24.6 61.4 2004 15.2 26.2 58.6 2005 13.5 24.9 61.6 2006 11.8 24.2 64.0 2007 13.1 25.5 61.4 2008 12.0 22.4 65.6 2009 13.4 21.9 64.7 2010 13.1 25.0 61.9 2011 14.2 24.0 61.8 2012 13.0 25.1 61.9 46 ISLAND OF MAURITIUS IMMUNISATIONS REPORTED BY GOVT SERVICES AND PRIVATE INTERNATIONAL VACCINATION CENTRES 2008 - 2012 YEAR DISEASE IMMUNIZED AGAINST 2008 2009 2010 2011 2012 13,665 12,821 12,484 12,172 11,845 14,599 12,642 12,277 12,098 11,807 14,669 13,088 12,487 12,087 11,896 14,635 13,376 12,487 11,896 11,754 14,200 12,201 11,528 10,931 10,652 40 50 73 47 87 37 65 58 80 121 28 106 100 101 150 19,187 16,344 16,395 15,288 14,364 YELLOW FEVER 1,703 1,368 1,673 1,907 1,996 INFLUENZA@ 45,015 43,653 211,536 103,760 99,209 TETANUS 199,604 196,230 206,500 204,700 209,809 1,275 1,072 2,051 788 724 8,989 8,738 10,482 8,730 9,748 661 1,159 481 436 817 518 1,057 371 559 844 409 758 483 328 446 543 1,224 370 445 421 91 136 96 78 86 117 175 184 184 133 2,525 1,849 2,948 3,340 3,296 30,093 28,147 27,515 26,432 25,587 TUBERCULOSIS (B.C.G.) 1st dose DIPHTHERIA, PERTUSSIS, TETANUS, POLIOMYELITIS & HEPATITIS B (D.P.T, H.I.B, HEP.B & O.P.V ) 2nd dose 3rd dose Booster Dose# (excluding HEP. B) (DIPHTHERIA 1st dose TETANUS, 2nd dose POLIOMYELITIS & 3rd dose HEP B ) Booster dose ( exclude HEP. B) $ TYPHOID FEVER INFECTIOUS HEPATITIS "A" INFECTIOUS HEPATITIS "B" MENINGITIS MEASLES/ MUMPS/ RUBELLA (MMR) @ include vaccination done by Ministry of Social Security for old age persons (see pg 49) $ Injured persons, primary school leavers and pregnant women (figures for 2010 and 2011 adjusted) REPUBLIC OF MAURITIUS EXPANDED PROGRAMME ON IMMUNISATION AT GOVERNMENT CLINICS IMMUNISATION COVERAGE RATES AND PERFORMANCE INDICATORS - 2012 BABIES DISTRICT BCG Surviving Infants# MMR Coverage @ PREGNANT WOMEN DPT/HEPATITIS B/HIB/POLIO Coverage @ Number Coverage $ @ TETANUS TOXOID Number Coverage & Number Rate Number Rate (3rd dose) Rate (2nd & higher dose) 1,032 Rate 1,454 1,383 95.1 1,266 87.1 1,332 91.6 PAMPLEMOUSSES 1,571 1,315 83.7 1,273 81.0 1,304 83.0 1,176 74.2 RIVIERE DU REMPART 1,407 1,187 84.4 1,246 88.6 1,243 88.3 1,028 72.3 FLACQ GRAND PORT 1,723 1,290 1,484 1,090 86.1 84.5 1,610 1,193 93.4 92.5 1,485 1,068 86.2 82.8 1,384 869 79.7 66.6 SAVANNE PLAINES WILHEMS 832 3,365 706 2,869 84.9 85.3 724 2,965 87.0 88.1 731 2,810 87.9 83.5 610 2,139 72.1 63.3 MOKA BLACK RIVER ISLAND OF MAURITIUS RODRIGUES @ 926 1,008 13,576 711 833 978 11,845 714 90.0 97.0 87.2 100.0 839 893 12,009 665 90.6 88.6 88.5 93.5 892 889 11,754 715 96.3 88.2 86.6 100.0 780 669 9,687 490 83.0 65.5 70.7 70.0 REPUBLIC OF MAURITIUS 14,287 12,559 87.9 12,674 88.7 12,469 87.3 10,177 70.7 $: Excluding 150 doses of DT - POLIO ( 3rd dose ) @ based on surviving infants # : live births less infant deaths registered in 2012 & based on estimated pregnant women NB:The relatively high percentages observed in Rodrigues are most probably due to return to Rodrigues of babies born in the Island of Mauritius DISTRICT PERFORMANCE - 2012 GOVERNMENT CLINICS Coverage Rate for DPT 3rd Less than 80% 80% to 89% dose Number of districts - 7 90% and above 3 70.3 47 PORT LOUIS REPUBLIC OF MAURITIUS EXPANDED PROGRAMME ON IMMUNIZATION AT GOVERNMENT CLINICS IMMUNISATION** COVERAGE RATES 1994 - 2012 BABIES ( 0-1 year ) DPT, HEPATITIS B & HIB# POLIO (3rd dose) (3rd dose) BCG VACCINE PREGNANT WOMEN TETANUS TOXOID (2nd & higher dose) MMR* Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius 1994 86.5 81.2 86.3 88.7 92.1 88.9 89.1 93.4 89.3 85.4 86.8 85.4 78.4 80.5 78.4 1995 86.0 100.0 86.3 92.5 96.4 92.7 93.0 98.6 93.3 89.1 88.7 89.4 81.5 77.7 81.4 1996 86.3 94.3 86.5 89.5 99.2 89.8 89.7 100.0 90.1 61.0 67.2 61.2 77.9 75.2 77.8 1997 86.7 100.0 87.0 90.0 97.2 90.2 90.2 97.8 90.5 87.1 88.4 87.1 70.5 77.1 71.0 1998 86.6 98.1 86.9 89.2 96.8 89.5 89.6 97.4 89.9 84.6 92.9 84.9 76.9 78.3 77.0 1999 86.1 98.2 86.4 85.0 89.8 85.1 85.4 90.2 85.6 79.7 82.7 79.8 74.9 71.1 74.8 2000 87.2 96.7 87.5 87.3 93.9 87.7 87.4 94.4 88.0 84.3 76.7 84.0 75.3 79.9 75.5 2001 88.0 100.0 88.3 92.0 99.9 92.7 92.2 99.9 92.6 89.2 100.0 89.9 73.8 81.0 74.2 2002 86.9 93.0 87.1 88.1 93.0 88.3 88.5 93.0 88.6 84.5 99.0 85.1 71.5 76.2 71.7 2003 91.9 97.3 92.1 92.0 100.0 92.3 92.2 100.0 92.6 93.5 93.5 93.5 73.2 75.3 73.3 2004 89.8 95.8 90.1 88.4 93.0 88.6 88.8 94.7 89.2 88.5 91.0 88.6 75.4 74.1 75.0 2005 90.1 99.6 90.5 87.4 98.2 87.9 87.9 82.9 87.6 87.9 100.0 88.6 80.2 72.8 79.8 2006 89.3 100.0 89.8 88.2 94.3 88.5 89.8 95.3 90.0 92.2 97.8 92.4 81.9 78.2 81.8 2007 90.6 96.3 90.9 88.7 98.1 89.2 88.7 98.1 89.2 91.4 91.1 91.4 83.4 79.1 83.2 2008 90.6 100.0 91.4 97.0 100.0 97.8 97.2 100.0 97.8 90.0 100.0 90.9 86.3 82.2 86.1 2009 88.9 100.0 89.4 92.7 100.0 93.4 93.4 100.0 93.4 92.3 100.0 93.0 82.2 89.0 82.5 2010 88.4 100.0 89.0 88.4 100.0 89.1 89.1 100.0 89.8 88.5 92.7 88.7 79.5 81.9 79.6 2011 88 100.0 88.4 86.1 100.0 86.3 86.8 100.0 87 88.9 93.0 89.0 75.5 74.6 75.4 2012 87.2 100.0 87.9 86.6 100.0 87.3 87.7 100.0 88.3 88.5 93.5 88.7 70.7 70.0 70.7 ** See Glossary for full name of vaccines # With Hepatitis B as from 1996 & HIB from 2006 * In 1996, Measles was gradually replaced by MMR 48 YEAR 49 ISLAND OF MAURITIUS DISTRIBUTION OF IMMUNIZATIONS REPORTED IN 2012 BY SECTION OF POPULATION COVERED DISEASE IMMUNIZED AGAINST POPULATION COVERED NUMBER OF IMMUNIZATIONS Govt Services TUBERCULOSIS (B.C.G) DIPHTHERIA, PERTUSSIS, TETANUS,HIB POLIOMYELITIS & HEPATITIS B ( D.P.T, H.I.B, HEP. B & O.P.V) Babies attending M.C.H. Clinics Private International Vaccination Centres# TOTAL 11,845 - 11,845 Babies attending 1st dose 2nd dose 11,807 11,896 - 11,807 11,896 M.C.H. Clinics 3rd dose 11,754 - 11,754 10,652 - 10,652 Babies Booster dose (Excluding HEP.B) 1st dose 87 - 87 2nd dose 3rd dose Booster dose (exclude Hep. B) 121 150 1,061 - 121 150 1,061 13,294 - 13,294 DIPHTHERIA TETANUS, POLIOMYELITIS attending M.C.H. Clinics Babies attending M.C.H. Clinics & HEPATITIS B Primary Schools New Entrants (D.T, O.P.V & HEP B) Persons travelling abroad - 9 9 265 1,996 YELLOW FEVER Persons travelling abroad 1,731 INFLUENZA Old persons* 80,000 - 80,000 Pregnant women, children between 6 months to 2 years, health personnel, patients with chronic condition@, etc Persons travelling abroad 19,155 - 19,155 (Trivalent inc AH1N1) TETANUS Pregnant women attending Antenatal Clinics INFECTIOUS HEPATITIS "A" INFECTIOUS HEPATITIS "B" MEASLES/MUMPS/RUBELLA (MMR) 54 8,755 - 8,755 2nd dose 7,759 - 7,759 1,928 - 1,928 Primary School Leavers 15,297 - 15,297 Injured persons attending Health Institutions 176,070 - 176,070 Persons travelling abroad 525 199 724 Persons travelling abroad 9,514 234 9,748 Mainly Dialysis Patients, Medical and Para-medical Staff, Policemen and Firemen Persons travelling abroad MENINGITIS 54 1st dose Booster dose TYPHOID FEVER - Persons travelling abroad 1st dose 817 - 817 2nd dose 841 - 841 3rd dose 446 - 446 4th & higher dose Booster dose Unspecified dose 421 - 421 86 - 3,124 133 86 133 172 3,296 Children attending M.C.H. Clinics 12,009 - 12,009 Primary Schools New Entrants 13,559 - 13,559 Persons travelling abroad * aged 60 years & over ( by Ministry of Social Security) include AH1N1 vaccine @ persons aged less than 60 years ( by Ministry of Health) # City Clinic and Fortis Darne Clinic - 19 19 ISLAND OF MAURITIUS SUMMARY OF WORK PERFORMED IN HOSPITALS - 2012 Unsorted OPD Accident & Emergency Department OUTPATIENTTS IN-PATIENTS PERCENTAGE OOOCCUPANCY Daily available beds Number of Deaths Aver age length of stay (day) NUMBER OF ADMISSIONS TOTAL CASES SEEN BY DOCTOR NUMBER OF OPERATIONS$ PERFORMED Sorted OPD HOSPITAL 36,277 3.0 920 501 76.6 5,696 - 243,954 141,910 142,264 528,128 S.S.R.N. (Pamplemousses) 29,774 3.1 832 473 64.1 6,143 - 157,981 170,258 147,795 476,034 FLACQ (Central Flacq) 26,721 3.0 488 330 75.9 5,056 - 116,312 112,887 149,119 378,318 J. NEHRU (Rose Belle) 32,013 3.2 690 457 66.0 4,735 - 145,046 122,144 54,662 321,852 VICTORIA & P.M.O.C.(Quatre Bornes) 48,032 3.7 1,482 699 88.7 10,048 - 325,693 241,283 95,358 662,334 MAHEBOURG 5,298 1.5 1 60 36.4 - - 98,539 15,226 - 113,765 SOUILLAC 5,711 1.0 9 48 34.2 - - 83,898 18,904 - 102,802 183,826 3.1 4,422 2,568 73.6 31,678 - 1,171,423 822,612 589,198 2,583,233 38 219.3 8 453 93.2 - - 24,872 30,667 - 55,539 4,453 12.2 9 241 69.0 857 17.1 48 61 73.4 - - - - - - S. BHARATI (EYE) (Moka) 7,126 1.7 1 59 57.5 5,665 1,249 145,148 67,458 - 212,606 E.N.T. CENTRE (Vacoas) 5,350 2.0 2 63 51.6 1,767 3,590 147,892 10,686 - 158,578 SUB-TOTAL (GENERAL) BROWN SEQUARD Lo Long stay (PSYCHIATRY) (Beau Bassin) patpatients Others POUDRE D'OR (CHEST) CARDIAC CENTRE (Pamplemousses) TOTAL (GENERAL + SPSPECIALISED) 3,086 3.1 79 67 67.6 1,341 - - 21,813 - 21,813 204,736 3.3 4,569 3,512 75.0 40,451 4,839 1,489,335 953,236 589,198 3,031,769 50 DR. A.G. JEETOO (P.Louis) 51 ISLAND OF MAURITIUS HAEMODIALYSIS, CT-SCAN AND MRI PERFORMED ON GOVERNMENT HOSPITAL PATIENTS - 2012 NUMBER OF EXAMINATIONS NUMBER OF HAEMODIALYSIS PERFORMED* HOSPITAL/CENTRE CT - SCAN MRI Dr. A.G. JEETOO 16,641 - 457 SSSRN 22,694 FLACQ 22,112 - - J. NEHRU 16,958 3,141 - VICTORIA 25,768 6,313 1,674 SOUILLAC# 3,712 SUB TOTAL 107,885 10,392 2,964 PRIVATE 30,779 2,012 123 TOTAL 138,664 12,404 3,087 938@ 833 * At the end of the year, there were 758 patients on dialysis in the 5 regional hospitals and Souillac Hospital; another 212 government hospital patients were on dialysis in private centres. # Operational as from April 2012 @ Apparatus out-of-order from February to September 2012 Non-traumatic amputations performed in government hospitals Female Both Sexes Male Female Both Sexes Male Female Both Sexes Male Female Both Sexes 2012 Male 2011 Both Sexes 2010 Female 2009 Male 2008 New amputees … … 253 … … 281 … … 292 … … 284 … … 332 Re-amputation … … 113 … … 127 … … 118 … … 150 … … 167 TOTAL (Amputations) 260 106 366 265 143 408 302 108 410 320 114 434 357 142 499 of which diabetic 219 100 319 231 129 360 275 105 380 281 108 389 319 135 454 % Diabetic 84.2 94.3 87.2 87.2 90.2 88.2 91.1 97.2 92.7 87.8 94.7 89.6 89.4 95.1 91.0 CATEGORY 52 ISLAND OF MAURITIUS WORK PERFORMED IN MATERNITY SECTIONS OF GOVERNMENT GENERAL HOSPITALS 2000- 2012 DELIVERY NORMAL# INST RUMEN TAL BIRTH CAESARIAN SECTION No. No. TOTAL of which Low Birthweight * Total No STILLBIRTH LIVE BIRTH No. No. % Total No. + Ratex No. % of Total births @ in Whole Island % 2000 11,944 382 4,508 26.8 16,834 16,747 2,400 14.3 215 12.7 16,962 86.1 2001 11,194 430 4,510 28.0 16,134 16,012 2,283 14.3 210 12.9 16,222 85.7 2002 11,305 374 4,714 28.8 16,393 16,331 2,335 14.3 177 10.7 16,508 86.1 2003 10,429 322 4,960 31.6 15,711 15,701 2,358 15.0 175 11.0 15,876 85.5 2004 10,157 231 5,117 33.0 15,505 15,499 2,415 15.6 150 9.6 15,649 85.5 2005 9,831 205 4,851 32.6 14,887 14,854 2,551 17.2 164 10.9 15,018 84.0 2006 8,621 140 4,953 36.1 13,714 13,723 2,152 15.7 122 8.8 13,845 82.1 2007 8,129 155 5,071 38.0 13,355 13,328 2,304 17.3 152 11.3 13,480 82.5 2008 7,386 127 4,984 39.9 12,497 12,467 2,086 16.7 156 12.4 12,623 80.1 2009 6,548 140 4,919 42.4 11,607 11,597 2,188 18.9 115 9.8 11,712 79.4 2010 6,383 145 4,633 41.5 11,161 11,168 2,145 19.2 90 8.0 11,258 78.3 2011 6,338 145 4,399 40.4 10,882 10,870 2,084 19.2 110 10.0 10,980 77.7 2012 6,095 177 4,367 41.0 10,639 10,645 2,039 19.2 119 10.2 10,764 77.5 * birthweight of less than 2,500 grammes @ live births + stillbirths x per 1,000 total live births and stillbirths + CS Rate (%) # mostly by midwife NB: in 2012, (a) there were 222 twin and 21 triplet babies (b) 571 births were reported as "premature" (5.3%) Livebirths registered among teenagers* Live births among mothers aged <20 years % of all live births registered * Source: Statistics Mauritius 2008 2009 2010 2011 2012 1,667 1,640 1,519 1,469 1,402 10.7 11.2 10.6 10.5 10.2 53 ISLAND OF MAURITIUS ACTIVITY OF THE X-RAY DEPARTMENT*-2012 Examination Extremities Chest Skull Spine Abdomen Echography Angiogram C-Arm Number 221,039 149,550 71,285 68,701 41,869 22,987 3,214 1,781 Examination Scintigraphy (Nuclear medicine) Angioplasty Mammography Barium Meal Pyelogram (intravenous) Barium Enema Barium Swallow Hystero-salpingo-gram Number 1,138 945 634 568 545 482 235 97 NB: a total of 598,525 (601,272 in 2011) examinations were performed by the X-Ray Department including MRI and CT-Scan * See page 51 for figures pertaining to MRI and CT-Scan NB: Cystogram (23), Urethrogram (43), and a few other examinations with lesser frequency were also carried out in 2012. OUT-PATIENT ATTENDANCES# AT SPECIALISED CLINICS -2012 Specialty Orthopaedics General Medicine Cardiology Psychiatry General Surgery Ophthalmology@ Gynaecology Obstetrics Dermatology Paediatrics Number 135,842 121,313 104,578 91,154 90,205 74,304 70,796 48,862 46,787 40,899 Specialty Oncology Chest Disease ENT Physical Medicine Neurosurgery/Neurology Cardiac Surgery Plastic Surgery Endocrinology Nephrology/Renal Transplant Geriatrics Number 33,128 30,604 23,807 22,268 7,742 6,268 4,262 3,953 3,708 1,291 # Total attendances= 992,205 (1,004,110 in 2011) of which 19,549 cases of NCD seen at District and Community Hospitals (in 2012) @ excluding 10,885 refractions only OUT-PATIENT ATTENDANCES AT CERTAIN ANCILLIARY SERVICES Service Physiotherapy Occupational Therapy Speech Therapy Audiology Podiatry Retinal screening@ @ increases due to extension of services 2010 89,951 44,647 15,142 10,595 2,086 6,972 Number 2011 91,794 44,692 13,544 12,793 2,659 13,705 2012 95,749 39,911 11,403 11,581 2,531 21,722 54 FLACQ LADY RAMGOOLAM 3 MEDICLINIC FLACQ AHC 3 BEL AIR AHC 3 BRAMSTHAN AHC 3 Belle Mare CHC 3 Bon Accueil CHC 3 Camp De Masque Pavé CHC 3 Camp Ithier CHC 3 Caroline CHC 3 Clemencia CHC 3 Dr Saxena (Pellegrin) CHC 3 Ecroignard CHC 3 G.R.S.E CHC 3 Lalmatie CHC 3 La Lucie Roy CHC 3 Laventure CHC 3 Mare La Chaux CHC 3 Medine Camp De Masque CHC 3 TOTAL ATTENDANCES 100,504 CENTRE AND DISTRICT TOTAL PLAINES WILHEMS B.BASSIN (L.Twining St) AHC 1 39,250 76,816 52,520 15,255 26,355 22,478 14,744 13,679 11,223 15,512 9,905 12,884 38,146 16,192 17,018 15,618 19,389 5 5 5 5 5 5 1 1 5 5 5 5 5 5 5 5 5 CASTEL AHC CUREPIPE ROAD AHC QUATRE BORNES AHC ROSE HILL AHC VACOAS (La Caverne) AHC Bassin CHC Beau Bassin (Odette Leal) CHC Coromandel CHC Floreal CHC Forest Side CHC Glen Park CHC Highlands CHC Midlands CHC Pandit Sahadeo (Vacoas) CHC Phoenix CHC SSR (Ollier) CHC Stanley CHC TOTAL ATTENDANCES 75,381 64,067 50,191 55,962 46,784 44,118 26,692 35,530 11,603 17,784 38,074 40,885 17,664 27,094 37,009 22,844 21,849 74,564 3 Olivia CHC 15,513 5 Trefles (Jacques Rougeot)CHC$ 2,603 3 Pellegrin (R.F.Palmer) CHC 10,036 5 21,922 3 3 Poste De Flacq CHC Quatre Cocos CHC 27,329 18,046 5 5 Swami Krishnanand (H/Rood) CHC Vacoas (Club Road) CHC Wooton CHC 3 Quatre Soeurs CHC 16,645 1 St Julien D'Hotman CHC 16,825 3 3 St Julien Village CHC Sebastopol (Lesur) CHC 11,167 15,234 3 Trou D'Eau Douce CHC 19,440 TOTAL SAVANNE CHEMIN GRENIER AHC 4 TYACK AHC 4 Baie Du Cap CHC 4 667,723 TOTAL MOKA 3 DR MAHLER(Mt. Blanche)AHC 1 QUARTIER MILITAIRE AHC 1 DR QUENUM (St Pierre) AHC 15,900 20,244 768,764 TRIOLET AHC Arsenal CHC Baie Du Tombeau CHC Bon Air CHC Calebasses (Human S.Trust) CHC Congomah CHC Crève Coeur CHC D'Epinay CHC Fond Du Sac CHC Le Hochet (S.K.Patel) CHC Pamplemousses CHC Petite Julie CHC& Plaine Des Papayes CHC Pointe Aux Piments CHC Terre Rouge CHC Trou aux Biches Villebague CHC TOTAL 123,430 12,889 44,272 18,103 18,075 7,520 9,978 11,328 24,546 25,142 22,819 1,603 19,782 15,706 24,863 5,648 13,811 512,610 BLACK RIVER DR CANTIN Comm. HOSPITAL 5 66,056 66,049 Albion CHC 14,890 93,775 5 5 Beaux Songes CHC Case Noyale CHC 21,269 17,387 35,075 47,750 5 5 Chamarel CHC Flic En Flac CHC 8,641 13,236 1 Camp Thorel CHC 24,119 5 Shri R Jugnauth (Palma) CHC 19,534 1 Dagotiere CHC 32,697 5 La Gaulette CHC 18,431 66,594 59,593 16,895 5 1 1 1 14,270 17,198 7,487 10,123 1 1 5 5 M. Leal (La Tour Koenig) CHC Petite Riviere CHC Pointe Aux Sables CHC Tamarin CHC 26,187 56,659 18,739 10,601 Camp Diable CHC 17,911 3 Chamouny (Prof.Cerene) CHC 17,043 1 Moka CHC 25,901 4 Grand Bois CHC 30,749 1 1 Pailles CHC Pailles West CHC$ 39,773 400 208,785 1 Providence CHC 16,700 1 Ripailles CHC TOTAL 8,441 RIVIERE DU REMPART AHC Amaury CHC Barlow CHC Belle Vue Maurel CHC Cap Malheureux CHC Cottage CHC Esp.Trébuchet (K.Ramdanee) CHC 99,157 18,330 9,904 16,949 21,985 29,490 21,566 2 Grand Bay CHC 2 Grand Gaube CHC 2 2 2 2 2 2 Petit Raffray CHC Piton CHC Plaines Des Roches CHC Poudre D'Or CHC Roches Noires CHC Vale CHC PORT LOUIS DR Hyderkhan(P/Verte) 1 Mediclinic 97,870 1 DR BOULOUX (Cassis) AHC 82,200 1 Cité La Cure (Dr Mahler) CHC 31,964 1 Eastern CHC 15,745 1 1 1 1 1 Roche Bois CHC Sainte Croix CHC Tranquebar CHC Vallee Des Pretres CHC Vallee Pitot CHC 27,795 75,390 30,135 23,691 27,310 GRAND PORT L'ESCALIER MEDICLINIC ROSE BELLE AHC Bambous Virieux CHC Cluny CHC Grand Sable CHC 49,551 35,545 15,435 12,404 29,812 26,945 4 Mare D`Albert CHC 24,144 26,736 4 Mare Tabac CHC 12,610 33,352 41,643 19,040 15,345 30,885 15,369 4 4 4 4 4 4 4 4 New Grove CHC Nouvelle France CHC Old Grand Port CHC Plaine Magnien CHC Riviere Des Creoles CHC Riviere Du Poste CHC Saint Hubert CHC Trois Boutiques CHC 26,367 18,208 22,786 37,720 18,454 11,952 16,149 16,211 TOTAL 357,679 10,816 4 4 4 4 4 542,142 TOTAL 384,525 115,446 2 2 2 2 2 2 2 * $ ** ** ** 2 2 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 113,095 1 4 TOTAL PAMPLEMOUSSES L.MOUNTAIN COMM HOSPITAL 2 TOTAL ATTENDANCES BAMBOUS AHC 4 RIVIERE DU REMPART GOODLANDS AHC 2 CENTRE AND DISTRICT TOTAL 1 Dubreuil CHC L'Avenir CHC La Laura CHC M.de Speville (Esp/Q.M.) CHC Melrose CHC TOTAL Region. CENTRE AND DISTRICT TOTAL Region. Region. ATTENDANCES* FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES 2012 347,348 TOTAL ISLAND TOTAL ** of which in Health Regions 412,100 $$ Region 1 (Dr Jeetoo Hospital) Region 2 (SSRN Hospital) Region 3 (Flacq Hospital) Region 4 ( J.Nehru Hospital) Region 5 (Victoria Hospital) $$ excluding Out-patient at hospitals based on monthly returns received and adjusted for under/over reporting and yearly trends. opened in Nov 2012 & opened in Aug 2012 # opened in March 2012. at Community Hospitals (179,151), Mediclinics ( 247,925), Area Health Centre (1,329,703 ) and Community Health Centre ( 2,439,249). excluding MCH (304,192), Vaccination (94,985), Family Planning ( 84,101) and Dental (225,949) of which (2,087,144) seen by doctor, that is, 40.6% of all cases seen by doctor in government outpatient services (5,136,357) 4,201,676 1,052,684 985,338 753,123 556,133 854,398 55 SCREENING BY NURSING STAFF REPUBLIC OF MAURITIUS RODRIGUES ISLAND OF MAURITIUS BLACK RIVER MOKA PLAINES WILHEMS SAVANNE GRAND PORT FLACQ RIV. DU REMPART PORT LOUIS DISTRICT ACTIVITY AND RESULT PAMPLE-MOUSSES SUMMARY ON PRE-PRIMARY SCHOOL HEALTH PROGRAMME - 2012 No. of schools visited 43 67 78 67 42 33 209 39 37 615 13 628 No. of children on roll 1,698 2,071 2,576 2,393 1,356 1,349 7,328 1,345 1,564 21,680 753 22,433 19,673 No. of children screened 1,451 1,783 2,356 2,171 1,216 1,180 6,416 1,163 1,357 19,093 580 Scabies 4 5 3 2 6 8 21 1 8 58 7 Nits and lice 58 76 85 125 54 41 345 88 84 956 Dental carries 234 433 419 489 231 172 780 227 217 3,202 143 3,345 1 433 358 240 236 164 617 177 164 2,390 135 2,525 87 41 41 2 5 7 276 26 60 545 No. of children referred to dentist No. of children referred to M.C.H. clinics for immunization 65 956 - 545 - SUMMARY ON PRIMARY SCHOOL HEALTH PROGRAMME - 2012 SUMMARY ON PRIMARY SCHOOL HEALTH PROGRAMME 2012 GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER Specialised Schools# ISLAND OF MAURITIUS RODRIGUES REPUBLIC OF REPUBLIC MAURITIUS 34 32 25 36 30 18 65 25 18 23 283 15 298 No. of children on roll 13,996 9,592 8,826 8,088 9,313 6,073 27,082 5,785 5,303 629 94,687 4,913 99,600 No. of children screened 7,148 8,620 8,290 7,046 5,494 3,708 11,817 3,636 3,411 377 59,547 4,325 63,872 6 16 14 12 36 32 29 7 27 2 181 74 255 198 689 772 603 431 370 942 243 364 28 4,640 22 4,662 1,106 1,930 2,175 2,268 1,075 435 1,817 745 754 69 12,374 942 13,316 28 1,878 2,117 2,197 1,065 432 1,162 494 625 53 10,051 653 10,704 No. of children screened 3,247 2,738 2,790 3,959 2,806 1,832 8,297 2,113 1,677 12 29,471 1,933 31,404 No. with defective vision 99 67 174 181 146 74 358 92 28 1 1,220 33 1,253 No. referred to specialists 21 66 63 169 146 74 328 45 26 1 939 43 982 IMMUNIZATIONS PERFORMED D.T - POLIO (New entrants) 1,785 1,513 1,154 1,698 1,208 727 3,798 742 601 68 13,294 689 13,983 MMR (New entrants) 1,861 1,505 1,181 1,708 1,246 732 3,900 764 614 48 13,559 697 14,256 Tetanus Toxoid (School leavers) 1,945 1,592 1,432 1,996 1,430 878 4,406 896 652 70 15,297 667 15,964 RESULLT SCREENING BY NURSING STAFF Scabies Nits and lice Dental problems No. of children referred to dentist VISION SURVEY (Std III,V& VI) PORT LOUIS ACTIVITY AND RIV. DU REMPART No. of schools visited# DISTRICT PAMPLEMOUSSES FLACQ Normal Schools # mostly in Plaines Wilhems (11), Port Louis(4), Riviere du Rempart(3), Pamplemousses & Savanne (2) and Black River (1) 56 Primary School Health Statistics - 2012 ISLAND OF MAURITIUS SCREENING BY NURSING STAFF IN : NORMAL SCHOOLS STANDARD: II III IV V VI SS# 13,063 2,838 16,166 12,337 13,629 3,271 16,872 15,606 19,029 11,202 629 377 19 279 670 642 41 1,009 2,895 2,349 38 1,599 3,722 2,849 10 664 1,176 1,092 2 28 69 53 I 15,299 Number of children on roll 13,916 Number of children screened Number of children having the following : 63 Scabies 774 Nits and/or lice 3,118 Dental caries 2,349 of whom referred to dentist VISION SURVEY ON CHILDREN IN: STANDARD: Number of children surveyed Number of children with visual problem of whom referred to eye specialist Total 8 287 724 717 94,687 59,547 181 4,640 12,374 10,051 III V VI SS Total 14,262 469 15,160 750 49 0 12 1 29,471 395 543 0 1 939 1,220 Normal Schools SS# TOTAL MMR (Standard I) D.T - Polio (Standard I) 13,226 13,511 68 48 13,294 13,559 Tetanus (Standard VI) 15,227 70 15,297 IMMUNIZATION PERFORMED # Specialised Schools ISLAND OF RODRIGUES SCREENING BY NURSING STAFF IN : STANDARD: Number of children on roll Number of children screened Number of children having the following : Scabies Nits and/or lice Dental caries of whom referred to dentist VISION SURVEY ON CHILDREN IN: STANDARD: Number of children surveyed Number of children with visual problem of whom referred to eye specialist Total I II III IV V VI 787 768 8 805 686 18 867 740 14 775 663 19 784 682 8 895 786 7 4,913 4,325 74 0 142 92 6 165 122 6 173 128 5 166 125 2 165 100 3 131 86 22 942 653 III V VI Total 835 15 764 18 334 0 1,933 33 23 19 1 43 IMMUNIZATION PERFORMED MMR (Standard I) D.T - Polio (Standard I) Tetanus (Standard VI) 697 689 667 57 ISLAND OF MAURITIUS STATISTICS ON NCD MOBILE SERVICE Population Reached: 2009 2010 2011 2012 Number of adults screened and /or sensitised at worksites and localities 77,832 127,437 87,340 95,106 Number of students of secondary/tertiary/vocational institutions screened and sensitised 24,008 25,807 26,414 26,074 Republic of Mauritius Cash Gift Coupons distributed at government MCH Clinics * Year Mauritius Rodrigues No of Cash Coupons No of Cash Coupons First Second Third Fourth First Second Third Fourth 2006 10,466 12,888 11,947 9,326 399 653 599 449 2007 9,108 11,367 10,916 8,718 403 723 691 608 2008 7,909 10,981 10,276 8,233 416 749 687 566 2009 7,730 10,023 9,412 7,177 424 683 608 480 2010 2011 7,519 7,306 9,493 9,057 8,623 7,965 7,010 6,147 469 618 629 622 561 531 510 440 2012 6,888 * started in 1999 8,977 7,608 5,805 547 586 502 375 ISLAND OF MAURITIUS Summary Statistics on Noise Monitoring Year Number of Complaints Received & Attended Number of Complaints where noise nuisance were detected Noise Monitoring Visits during Weekends and after Office Hours 2005 250 239 - - 2006 203 199 - - 2007 313 234 - 13 2008 558 149 - 10 2009 526 194 605 34 2010 620 203 1553 25 2011 562 203 1751 14 2012 626 229 1753 8 # Source: Environmental Health Engineering Unit * by Noise Monitoring Squad ( as from July 2009) Number of Notices Served 58 ISLAND OF MAURITIUS SCREENING* OF PRIMARY & PRE-PRIMARY SCHOOL CHILDREN# - 2012 Children reported with: Pre-primary Primary Abdominal pain 5 20 Pallor 16 48 Pityriasis versicolor 57 156 Skin diseases 200 734 Eye defects 29 277 Hearing impairment and other ear disorders 1 35 Speech disorders 59 88 Asthma (known) 55 119 Enlarged tonsils/tonsillitis 10 32 Upper respiratory tract infections 12 23 Congenital anomalies: Cleft palate/lip 5 Congenital heart disease 50 64 Undescended testis 33 67 Dyslexia 1 5 Mental & behavioural disorders 15 81 Underweight 217 200 Overweight 327 1,338 Other conditions 399 292 No. of children referred to specialists 321 972 * for specific diseases by doctor or nursing staff # all children not covered ACTIVITIES OF THE DENTAL HEALTH SERVICE 2009-2012 ORAL HEALTH PROMOTION FLUORIDE DISTRIBUTION TO CHILDREN ACTIVITY PLACE Well Baby Clinics in Area & Community Health Centres Pre-Primary schools PREVENTIVE SERVICE* POPULATION COVERED 2009 2010 2011 No. of children 6-9 months No. of children 10-23 months No. of children 24-35 months 237 1,016 395 - - No. of schools visited No. of pupils (3-5 years) 94 3,716 549 19,972 - Pre-Primary, Primary, & Secondary Schools Other places (community) 2012 TOTAL No. of pre-primary schools visited No. of pre-primary school children reached No. of primary schools visited No. of primary school children reached No. of secondary schools visited No. of secondary school children reached No. of nursing mothers reached in well-baby clinics No. of persons reached in SWC/COM/other centres No of persons screened in mobile dental clinics TOTAL Source: Dental Health Services * drastic changes due to administrative reasons @ no fluoride distribution to children - @ - -@ 5,364 62 2,026 19,972 382 13,721 286 10,726 73 2,570 111 14,222 99 13,743 188 18,010 111 34,827 2 528 15 1,640 28 3,332 5 218 1,648 - 21,179 5,007 1,571 470 2,738 2,044 3,701 3,610 42,341 36,155 37,340 - - 41,695 59 ISLAND OF MAURITIUS DENTAL CURATIVE SERVICES TABLE A: ATTENDANCES AT DENTAL CLINICS 2008-2012 ATTENDANCES 2008 Cases seen by dentists: Children < 5 years Children aged 5-11 years Persons aged 12 years & above SUBTOTAL Cases seen by specialist: oral surgeons orthodontists endodontists Number 2011 2009 2010 2012 8,645 63,533 231,532 303,710 8,192 64,123 230,086 302,401 7,436 65,547 225,925 298,908 7,775 65,715 245,369 318,859 6,928 65,091 238,302 310,321 9,569 8,315 10,705 8,132 11,242 7,062 10,452 7,215 11,230 7,339 694 2,531 4,364 4,227 4,053 322,288 323,769 321,576 340,753 332,943 TOTAL ATTENDANCES # of which 225,949(67.9%) seen at AHC's and CHC's TABLE B: DISTRIBUTION OF CASES SEEN BY TYPE OF DENTAL CARE Dental care EXTRACTION AND TOOTH RESTORATION Deciduous teeth extracted 2008 Number 2010 2009 2011 2012 32,359 31,295 30,617 29,195 28,486 6,968 5,070 9,702 743 7,158 4,838 8,562 732 8,234 4,995 12,912 928 8,769 4,324 7,455 1,009 8,760 4,082 7,872 805 1,911 1,964 1,660 1,460 1,248 53,511 28,839 6,122 66,901 53,943 28,681 6,888 64,020 58,967 31,349 10,107 65,190 59,966 36,069 12,007 64,473 62,764 36,856 13,225 61,154 OTHER DENTAL CARE Treatment of paradontal disease 28,579 31,305 32,189 37,030 34,573 Surgical operations on jaws, etc. 2,632 3,195 6,312 7,560 7,817 389 344 382 376 279 1,387 1,694 4,156 4,061 4,134 71 250 396 377 323 350 648 643 557 610 2,702 5,942 6,373 8,900 9,939 209 119 99 125 99 School children Temporary fillings inserted in : Permanent fillings inserted : deciduous teeth permanent teeth amalgam composite Permanent teeth extracted Adults Temporary fillings inserted Permanent fillings inserted : Teeth extracted amalgam composite Treatment of fracture of jaws Endodontic treatment Treatment of dental cysts Treatment of temporo-mandibular joint Application of pit and fissure sealants Cases treated under general anaesthesia TABLE C: ORTHODONTIC ACTIVITY Activity Number 2010 999 2011 831 2012 885 959 861 719 940 17 26 41 35 34 No. of appliances activated 4,344 4,223 3,560 3,857 3,785 No. of appliances repaired 83 70 70 56 85 No. of impressions taken 2008 1,103 2009 1,010 No. of appliances delivered 1,077 No. of patients with cleft palate REPUBLIC OF MAURITIUS DETAILS OF PATHOLOGICAL TESTS CARRIED OUT IN PUBLIC LABORATORIES - 2012 NUMBER OF SPECIMENS/TESTS BIO-CHEMISTRY HAEMATOLOGY HISTOLOGY CYTOLOGY BACTERIOLOGY PARASITOLOGY SPECIMENS 1,141,337 154,313 9,596 8,804 75,714 75,829 TESTS 1,703,233 400,974 72,314 12,112 319,599 SPECIMENS 387,279 99,553 TESTS 534,991 SPECIMENS CATEGORY VIROLOGY BLOOD TRANSFUSION SERVICE TOTAL 320,717 210,806 1,997,116 395,794 288,312 3,336,887 12,455 125,837 625,124 271,696 16,452 220,369 1,043,508 819,780 142,239 14,907 159,485 1,136,411 LABORATORY CENTRAL (CANDOS) 144,549 DR JEETOO HOSPITAL SSRN HOSPITAL 384,269 17,869 172,277 1,698,798 398,789 129,886 14,184 116,199 659,058 FLACQ HOSPITAL TESTS 636,958 388,535 15,751 212,230 1,253,474 SPECIMENS 354,883 91,327 14,702 93,072 553,984 TESTS 582,597 245,277 17,642 149,294 994,810 MAHEBOURG HOSPITAL SPECIMENS TESTS 9,841 1,629 1,166 12,636 11,718 2,522 1,254 SOUILLAC HOSPITAL 15,494 SPECIMENS 56,731 5,789 387 62,907 TESTS 61,649 6,195 673 68,517 ENT HOSPITAL SPECIMENS 6,299 6,299 7,540 7,540 CHEST CLINIC TESTS SPECIMENS 7,540 7,540 31,225 31,225 YVES CANTIN COM. HOSPITAL TESTS SPECIMENS 6,641 7,108 6,651 20,400 TESTS SPECIMENS 8,276 2,296 11,933 242 7,731 P.VERTE MEDICLINIC 27,940 2,538 TESTS 4,534 322 TOTAL ISLAND OF MAURITIUS RODRIGUES TOTAL 4,856 SPECIMENS 3,177,577 632,086 9,596 8,804 89,553 140,281 320,717 705,399 5,084,013 TESTS 4,668,339 1,711,723 72,314 12,112 358,364 221,921 395,794 1,042,482 8,483,049 SPECIMENS 75,293 19,592 3,232 6,268 7,698 18,348 130,431 TESTS 96,375 54,998 8,651 6,380 10,574 40,543 217,521 SPECIMENS 3,252,870 651,678 9,596 8,804 92,785 146,549 328,415 723,747 5,214,444 TESTS 4,764,714 1,766,721 72,314 12,112 367,015 228,301 406,368 1,083,025 8,700,570 * includes 121,282 blood smears for malaria 60 1,124,383 SPECIMENS TESTS J. NEHRU HOSPITAL 61 REPUBLIC OF MAURITIUS POSITIVITY RATES OF PATHOLOGICAL TESTS CARRIED OUT IN PUBLIC LABORATORIES ON CERTAIN SELECTED PATHOGENIC CONDITIONS -2010-2012 2010 PATHOGENIC CONDITION SPECIMENS TESTED POSITIVE CASES No. SPECIMENS TESTED 178 4.0 4,373 31 20 25 27 5 3 3 64 No. RATE (%) 162 3.7 0.7 25 0.4 0.6 0.6 0.1 0.1 0.1 1.4 14 25 30 6 8 3 51 RATE (%) 4,471 Parasites identified : Entamoeba histolytica Precystic amoebae Trichuris ova Ascaris ova Endolimax nana Giardia lamblia Hookworm ova Other 1. Stools ( selected pathogens) Non-typhoidal salmonella Campylobacter Shigella species Salmonella typhi 2. Throat Swabs Streptococcus group A 3. Cerebrospinal Fluid ( selected pathogens) Haemophilus influenza type B Streptoccus pneumoniae Streptococcus group B Cryptoccus neoformans Neisseria meningitidis Gonorrhoea Syphilis (VDRL) … 76,529 Malaria 57,511 Human immunodeficiency virus (HIV) On histological examinations (tissue) On cytological examinations (smears) On haematological examinations (Bone marrow) Toxoplasma antibodies Hepatitis A Hepatitis B (HBs Ag) Hepatitis C Cytomegalovirus Leptospirosis Chikungunya * IGM antibodies only 2011 POSITIVE CASES 3139 SPECIMEN S TESTED 2012 POSITIVE CASES No. RATE (%) 5,069 96 1.9 0.6 20 0.4 0.3 0.6 0.7 0.1 0.2 0.1 1.2 11 16 19 3 4 2 21 0.2 0.3 0.4 0.1 0.1 0.0 0.4 3068 2582 251 8.0 254 8.3 124 4.8 82 2 - 2.6 0.1 - 66 8 - 2.2 0.3 - 65 4 1 2.5 0.2 0.0 250 7.0 232 7.8 86 3.4 3594 2971 510 2556 442 489 0.4 2 - - - - 4 0.8 5 1.1 3 0.6 2 0.4 3 0.7 4 0.8 2 0.4 - - 1 0.2 1 0.2 1 0.2 2 0.4 5 132 … 0.2 2,576 66,748 12 425 0.5 0.6 2,883 67,772 23 457 0.8 0.7 52 0.1 56,684 54 0.1 54,938 33 0.1 82,648 580 0.7 85,197 417 0.5 83,823 327 0.4 8,696 1,295 14.9 9,595 1,325 13.8 9,596 1,547 16.1 12,321 606 4.9 12,027 698 5.8 8,834 407 4.6 137 41 29.9 134 32 23.9 267 45 16.9 1,564 349 22.3 1,656 101 6.1 2,028 144 7.1 1,523 55,172 57 332 3.7 0.6 855 55,665 44 371 5.1 0.7 715 57,809 3 272 0.4 0.5 54,950 1,361 613 563 1,637 61 64 5 3.0 4.5 10.4 0.9 55,158 1,463 604 1,409 1,502 43 37 3 2.7 2.9 6.1 0.2 57,586 1,855 639 1,374 1,598 53 33 1 2.8 2.9 5.2 0.1 62 ISLAND OF MAURITIUS STATISTICS RELATING TO THE FIELDS OF BASIC SANITATION ACTIVITIES AND FOOD HYGIENE ( 2008 - 2012) 2008 2009 2010 2011 2012 No. of premises and other sites inspected 93,173 85,797 82,218 91,766 96,208 No. of notices issued 5,375 6,050 6,539 6,999 6,185 No. of sanitary contraventions 215 38 109 88 109 No. of cases sentenced 111 58 63 65 111 BASIC SANITATION FOOD HYGIENE No. of inspections carried out Foodstuffs unfit for consumption seized and destroyed (kg) No. of contraventions No. of cases sentenced 25,299 32,817 23,850 33,436 34,471 2,017,910 424,814 467,452 259,715 531 514 571 1,076 381,80 7 973 165 611 507 839 814 11,943 12,879 13,507 12,688 14,026 Cinema halls & other entertainment places 2,585 2,810 1,002 926 1,202 Dormitories ( including Boarding Houses) 1,586 1,224 1,321 1,803 2,578 No of imported food containers examined INSPECTION OF PUBLIC PLACES Industrial establishments Schools 550 715 645 589 855 1,304 2,044 3,575 3,899 6,067 AIRPORT No. of planes disinsectised on arrival 60 78 84 90 47 No. of planes disinsectised before departure 818 787 871 961 1,028 No. of passengers put under malaria surveillance 189,919 145,167 146,066 260,522 No. of passengers put under chikungunya surveillance 221,486 252,020 339,287 443,061 289,59 9 429,86 6 - No. of passengers put under surveillance for AH1N1 - 678,002 165,550 - 21,913 27,207 32,116 56,828 14 11 - - 147,26 2 - - No. of nuisances detected 2 - - - - - No. of nuisances abated 2 - - - - 2,195 2,410 2,536 2,759 2,969 230 449 775 599 455 159 297 266 277 257 74 89 111 118 124 No. of passengers put under surveillance for other infectious diseases* No. of inspections of airport area SEAPORT No. of ships given pratique No. of ships visited for malaria surveillance No. of ships inspected for issue of deratting exemption certificate No. of deratting of ships performed NB: Drastic changes due to administrative reason and/or unforseen circumstances * including SARS and Avian Flu Republic of Mauritius Number of imported cigarette sticks Product 2009 2010 2011 2012 Cigarettes (No of sticks) 1,306,406,000 1,052,497,000 1,072,869,000 1,000,560,000 Number of litres of imported or produced alcoholic products Product Beer 2009 36,098,478 2010 37,204,361 2011 37,753,912 2012 36,395,782 Fruit Wine 5,283,713 4,892,802 5,184,531 4,356,091 Spirits (including imported Rum, Whiskey Liquor and Compounded Spirits) 13,408,464 13,695,466 13,097,458 12,597,301 54,790,655 55,792,629 56,035,901 53,349,174 Total alcoholic products (litre) 63 ISLAND OF MAURITIUS ACTIVITIES OF THE COMMUNITY BASED REHABILITATION@ PROGRAMME 2008- 2012 ACTIVITY 2008 2009 11,067 YEAR 2010 2011 2012 11,179 10,809 10,884 10,968 993 1,184 880 1,030 38,507 6,764 1,549 38,346 6,817 1,745 41,006 7,283 1,817 46,857 7,722 1,878 47,516 7,280 1,575 2,073 2,142 2,166 2,424 2,100 1,441 1,560 2,210 49 1,465 1,459 2,157 56 1,689 1,531 2,306 58 1,690 1,765 2,435 79 1,557 1,744 2,371 51 870 213 182 40 10 189 839 225 157 63 12 384 913 289 179 92 27 199 885 338 190 67 35 238 697 316 206 38 21 279 609 402 209 162 29 51 87 627 435 259 167 49 51 157 762 466 266 159 35 53 76 700 488 247 197 25 82 139 598 448 213 134 29 33 120 492 309 331 141 830 321 413 274 273 110 758 272 SUMMARY FIGURES Cumulative total of disabled as at end-of-year New cases of disabled registered during year Number of visits to disabled Number of referrals of disabled Number of appliances delivered to disabled Number of visits to institutions by staff DETAILS OF REFERRALS OF DISABLED To social security offices To hospitals To health centres To National Council for the Rehabilitation of the Disabled Persons (NCRD) To orthopaedic workshop To day care centres To specialised schools To Pre-Primary Schools To Primary Schools To other institutions DETAILS OF APPLIANCES DELIVERED TO DISABLED Walking aids Wheelchairs Adapted appliances Splints/calipers Hearing aids Artificial limbs Other appliances* 986 DETAILS OF VISITS TO INSTITUTIONS BY STAFF 365 346 417 335 341 331 274 255 286 116 103 112 707 742 734 276 355 286 @ see page 53 for attendances at rehabilitation service departments * including walking sticks Day care centres Pre-primary schools Specialised institutions Primary schools Social security offices Other institutions REPUBLIC OF MAURITIUS NEW CASES OF CERTAIN NOTIFIABLE DISEASES## REPORTED TO SANITARY AUTHORITIES 1993 - 2012 TUBERCULOSIS** PULMONARY - 49 5 88 - 5 - 1 159 … 5 8 - 1994 15 8 58 - - 39 453 - 6 - 59 7 10 - 15 - - 147 … 2 4 1 1995 20 7 2 - - 57 38 - 4 - 46 - 9 - - - 1 138 … 4 2 - 1996 16 7 5 - - 13 24 5 9 17 63 2 - - 5 - - 112 … - 5 - 1997 24 4 - - - 35 10 - 4 1 64 - - - 2 - - 126 … - 1 - 1998 23 6 - - - 28 16 1 7 - 53 4 1 - - - 1 121 … 2 6 - 1999 28 5 1 - - 73 24 1 1 - 73 - - - - - - 147 … 3 2 1 2000 50 7 1 - - 62 12 - 3 - 62 - 4 18 - - 1 131 8 2 10 - 2001 55 14 8 - - 23 41 - 3 - 63 3 1 14 - - 1 112 - 1 1 - 2002 98 4 - - - 33 11 - 1 - 38 1 8 11 - - - 106 21 10 1 - 2003 225 15 - - - 60 20 - 3 - 40 - 679 10 - - - 107 14 3 2 - 2004 525 10 - - - 3 - 45 3 110 10 - - 1 118 11 1 1 - - 29 12 1 6 - 35 1 11 14 - - - 117 6 4 5 - 78 766 5 5 1 6 9 - 38 42 - 3 13 4 18 - - 1 104 97 7 11 4 - 4 15 1 - 1381 2006 2007 542 546 13 22 1 - 11,165 1& - 2008 538 19 - - 1& 2010 2011 2012 568 401 320 12 16 7 - - OTHER 19 7 7 INDIGENOUS 160 921 548 LEPROSY AMOE-BIASIS DENGUE && 2005 2009 TYPHOID 4 NONMAURITIAN 4 MAURITIAN NON -NEONATAL 1,800 MENINGITIS# $ 57 MEASLES $ - INTRODUCED - IMPORTED 105 LEPTSPIROSIS 4 CHICKUNGUNYA 10 MAURITIAN 1993 YEAR 129 4 - 3 - 27 - 12 12 - - - 102 4 2 6 - && 718 23 1 7 - 23 - 15 7 - - 1 109 4 4 5 1 & 156 28 2 28 - 52 - - 5 - - - 106 11 6 3 - 445 35 2 17 - 54 - - 7 - - 1 111 2 - 5 - 264 2 - 16 - 30 3 - 3 - - - 122 6 2 4 - 252 5 & 11 1 & & 1 & 8 & 13 ## No cases of Diphteria have been reported in 2010-2012 ; no such case was reported since 1986 except in 2009 when 5 cases were reported $ As from 2000, sources include hospitals and laboratories # Cerebrospinal ( Hib, Streptoccus pneumonia and neisseria) ** Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome (See page 69 for additional data). & imported/secondary to imported cases only && outbreak localised mostly in Port Louis NB: See page 89 for data on Sexually Transmitted Diseases 64 NEO-NATORUM WHOOPING COUGH (PERTUSSIS)$ TETANUS SCHISTOSO-MIASIS INFEC-TIVE HEPATITIS MALARIA FOOD POISONING HIV / AIDS@ NON-MAURITIAN DISEASE REPUBLIC OF MAURITIUS DISTRIBUTION OF NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY MONTH - 2012 HIV / AIDS@ MALARIA TETANUS TUBERCULOSIS * DISEASE INFECTIVE HEPATITIS LEPROSY LEPTOSPIROSIS INDIGENOUS IMPORTED INTRODUCED SYPHILIS TYPHOID FEVER - 29 8 - - 1 - 3 - 1 - - 8 - - FEBRUARY 30 1 14 16 - - - - 3 1 - - - 13 - - MARCH 26 1 49 10 - - 2 - - - 2 - - 8 - 2 APRIL 14 - 13 16 1 - - - - - 4 - - 12 - 1 MAY 27 - 5 19 - - 4 - 3 2 2 - - 9 - - JUNE 34 2 11 13 - - 2 - 2 - 1 - - 7 - - JULY 28 1 - 10 1 - 4 - 2 - - - - 11 - - AUGUST 20 1 15 10 - - - - 5 - 1 - - 9 - - SEPTEMBER 28 - 2 9 - - 1 - 2 - 1 - - 7 - 1 OCTOBER 37 1 6 8 - - 1 - 4 - 3 - - 12 - - NOVEMBER 10 - 10 10 - - 1 - 2 - 1 - - 22 - - DECEMBER 28 - 110 10 - - - - 4 - - - - 10 2 - 320 7 264 139 2 - 16 - 30 3 16 - - 128 2 4 See page 89 for additional statistics on Sexually Transmitted Infections OTHER 65 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome * Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system PULMONARY 38 NONMAURITIAN JANUARY MONTH MAURITIAN NON- NEONATAL GONORRHOEA NEONATORUM FOOD POISONING DISTRIBUTION OF NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY DISTRICT - 2012 HIV / AIDS@ LEPROSY LEPTOSPIROSIS 116 # 45 INDIGENOUS IMPORTED INTRODUCED SYPHILIS OTHER TIVE * TUBERCULOSIS PULMONARY INFECHEPATITIS PORT LOUIS PAMPLEMOUSSES GONORRHOEA NON- NEONATAL FOOD POISONING NEONATORUM NON- MAURITIAN MAURITIAN DISTRICT TETANUS MALARIA DISEASE TYPHOID FEVER 7 40 - - 1 - 10 - - - - 28 - 2 6 22 - - 2 - 1 1 - - - 15 2 - 13 11 8 - - 1 - - - 2 - - 8 - 1 FLACQ 16 81 3 - - 4 - - - 2 - - 6 - - GRAND PORT 13 62 1 - - 1 - 2 - 1 - - 8 - 1 7 13 5 - - - - - - - - - 3 - - 78 70 31 2 - 5 - 13 2 10 - - 37 - - 5 4 4 - - 1 - 1 - - - - 5 - - 22 3 25 - - 1 - 3 - 1 - - 17 - - 5 7 - - - - - - - - - - 1 - - 264 139 2 - 16 - 30 3 16 - - 128 2 4 SAVANNE PLAINES WILHEMS MOKA BLACK RIVER RODRIGUES TOTAL 320 7 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome # - includes 3 cases of unknown address * Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system 66 RIVIERE DU REMPART REPUBLIC OF MAURITIUS DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY AGE-GROUP AND SEX - 2012 DISEASE FOOD POISONING GONORRHOEA SYPHILIS TUBERCULOSIS HIV / AIDS@ & MALARIA (IMPORTED) MAURITIAN (PULMONARY) SEX AGE-GROUP (YEARS) MALE FEMALE 1 10 - 19 6 20 - 29 MALE FEMALE MALE FEMALE MALE FEMALE 9 12 1 - 9 19 56 20 - 4 1 56 41 42 9 70 - 11 1 30 - 39 82 33 50 17 35 1 7 1 40 - 49 37 15 23 7 7 - 3 50 - 59 28 5 6 6 3 - 2 1 1 5 2 3 5 2 - 2 - 1 215 105 152 112 138 1 29 60 & over TOTAL - FEMALE @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome See page 89 for additional statistics on Sexually Transmitted Infections - - 4 MALE FEMALE - - - 1 5 5 6 16 8 3 - 18 6 2 1 19 9 - 14 4 - 14 10 86 42 1 - 8 8 67 Less than 1 0 MALE 68 ISLAND OF MAURITIUS SELECTED LABORATORY* CONFIRMED CASES OF COMMUNICABLE DISEASES 2003 - 2012 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Gonorrhoea 71 34 37 16 10 5 3 5 12 23 Haemophilus influenza Type B Hepatitis A Hepatitis B 6 5 7 3 9 4 1 2 1 517 1 673 3 420 9 422 7 379 10 346 39 331 57 332 44 371 3 272 2,033 20 2,713 42 1,952 23 2,026 16 1,839 18 1,660 20 1,735 45 1,637 64 1,502 37 1,598 33 1 - 2 - 2 3 2 1 1 2 160 646 557 432 462 317 327 132 425 457 - 2 - 1 4 - - 3 2 1 Year DISEASE Hepatitis C Leptospirosis Meningitis Meningococcal Syphilis Typhoid Fever - - * Government services ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE* 2005-2012 YEAR Number of AFP reported cases Rate per 100,000 population <15 years 2005 2006 2007 2008 2009 2010 2011 2012 6 8 8 5 1 5 2 6 2.0 2.6 2.7 1.7 0.35 1.7 0.7 2.3 * Republic of Mauritius DISEASE SURVEILLANCE AT HOSPITAL LEVEL# - 2012 Gastro-enteritis Upper respiratory tract infection1 Conjunctivitis2 5,629 16,826 2,240 Severe Pneumonia3 amongchildren < 5 years 3 February 3,567 13,222 2,005 8 March 2,890 17,554 2,058 12 April 2,191 19,207 2,049 8 May June 2,709 3,075 23,537 27,947 1,958 1,741 7 7 July 3,117 35,759 1,844 10 August September 2,593 2,735 24,737 26,387 1,968 1,974 9 4 October November 2,524 2,515 22,006 15,100 2,363 2,035 3 3 December 2,553 10,513 1,747 2 Year 36,098 252,795 23,982 76 DISEASE MONTH January # General Hospitals (including Long Mountain) 3. Regional Hospitals 1. including ENT Hospital 2. including Moka (Eye) Hospital NEW CASES ATTENDING AREA AND COMMUNITY HEALTH CENTRES - 2012 DISEASE Gastro-enteritis Upper respiratory tract infection Conjunctivitis Scabies 2,806 2,508 2,857 2,740 2,829 2,683 2,796 2,815 3,066 3,151 2,846 2,191 33,288 790 751 858 816 758 613 636 705 623 652 690 630 8,522 MONTH January February March April May June July August September October November December Year 7,344 5,978 5,246 4,837 4,713 5,099 4,862 4,290 4,534 4,364 4,543 4,438 60,248 26,457 21943 28992 32816 40608 47818 54720 37856 41504 30147 22908 16656 402,425 69 REPUBLIC OF MAURITIUS STATISTICS RELATING TO NOTIFICATION OF HIV / AIDS CASES AND DEATHS 1987 - 2012 NEW CASES OF HIV / AIDS NOTIFIED @ 1987-1999 113 58 171 2000 32 18 2001 34 21 2002 59 39 2003 167 58 2004 464 61 2005 815 106 2006 455 87 2007 452 94 2008 402 2009 436 2010 2011 10 50 3 55 12 98 3 1 225 12 3 525 8 2 10 921 5 2 7 542 9 4 13 546 16 6 22 136 538 12 7 112 548 6 1 433 135 568 8 298 103 401 10 BOTH SEXES MALE BOTH SEXES MALE 49 FEMALE TOTAL BOTH SEXES MALE DEATHS REGISTERED AMONG HIV / AIDS CASES ( MAURITIAN)## FEMALE NON-MAURITIAN BOTH SEXES MALE FEMALE MAURITIAN FEMALE PERIOD of which HIV as underlying cause of death 59 162 68 230 38 13 51 … 4 7 35 22 57 10 3 13 … 2 14 46 23 69 5 3 8 … 4 62 40 102 9 4 13 … 15 179 61 240 11 8 19 … 472 63 535 16 6 22 … 820 108 928 38 6 44 19 464 91 555 35 9 44 31 468 100 568 56 13 69 60 19 414 143 557 55 7 62 50 7 442 113 555 35 4 39 33 4 12 441 139 580 78 15 93 70 6 16 308 109 417 79 13 92 58 76 2012 215 105 320 6 1 7 221 106 327 97 8 105 TOTAL 4375 1133 5508 159 53 212 4534 1186 5720 562 112 674 ## Since 2005 information obtained from the Civil Status Office are used to adjust figures related to death Positive cases Rate per 100 tests Rate per 100 tests Positive cases number Rate per 100 tests number Positive cases 2012 Number of tests 2011 Number of tests 2010 Number of tests CATEGORY 2010 - 2012@ number STATISTICS RELATING TO HIV TESTS CARRIED OUT Blood donors - Island of Mauritius 43,471 15 0.03 44,286 12 0.03 46,250 9 0.02 Blood donors - Island of Rodrigues 829 - - 838 - - 943 - - Persons of high risk groups* 8,929 318 3.56 8,735 259 2.97 8,107 194 2.39 Migrant workers (incoming foreigners) 7,318 12 0.16 8,467 16 0.19 7,837 8 0.10 225 - - 33 - - 23 - - 3,391 - - 3,300 - - 3,314 - - 4,733 195 4.12 5,238 100 1.91 4,778 75 1.57 656 2 0.30 900 - - 638 2 0.31 13,512 37 0.27 12,763 30 0.24 12,333 38 0.31 836 1 0.12 729 - - 557 - - 532 - - 569 - - 1,248 1 0.08 Request for visa purposes (outgoing Mauritians) Cardiac and renal patients (including dialysis) undergoing surgery and their blood donors Screening on target groups ( prison inmates, sailors & TB patients) Voluntary testing Antenatal cases screened $ - Island of Mauritius Antenatal cases screened $ - Island of Rodrigues Others# TOTAL TESTS£ 84,432 580 0.69 85,858 417 0.49 86,028 327 0.38 * Commercial Sex workers, Injecting drug users, Homo/bisexual, patients/contact tracing, S.H.C. and Syphilis positive patients including at NDCCI # Other outreach activities/Drug addicts Rehabilitation Centres/Post Mortems/insurance/survey @ refers to Republic of Mauritius $ excluding known HIV/AIDS cases ( 31 in 2010 and 28 in 2011 and 45 in 2012) £ excl BB/Apheresis and repeats 70 ISLAND OF MAURITIUS SELECTED STATISTICS ON PRIVATE HEALTH INSTITUTIONS * 2000 - 2012 YEAR Live births NUMBER OF NURSING HOMES NO. OF BEDS AS AT 31ST DEC. Births % Low Birth Weight No. Number of Stillbirths % % Total Caesarian on Total Births @ in whole Island 2000 14 572 2,680 4.7 11 2,691 35.3 13.7 2001 12 588 2,680 5.7 14 2,694 40.6 14.1 2002 12 585 2,620 6.9 11 2,631 40.6 13.6 2003 12 539 2,533 6.8 15 2,548 42.1 13.6 2004 12 543 2,638 8.6 5 2,643 46.3 14.3 2005 12 517 2,837 7.4 10 2,847 48.4 15.7 2006 13 562 2,784 7.3 16 2,800 45.8 16.6 2007 13 550 2,758 9.2 8 2,766 50.0 16.9 2008 17 582 3,033 7.9 15 3,048 50.1 19.4 2009 19 807 2,950 8.4 18 2,968 52.3 20.1 2010 17 759 3,064 10.7 6 3,070 53.3 21.3 2011 17 706 3,080 9.7 20 3,100 56.3 21.9 2012 17 705 3,051 10.5 13 3,064 53.3 22.0 @ live births and stillbirths ADMISSIONS AND OTHER ATTENDANCES AT PRIVATE HEALTH INSTITUTIONS * - 2012 Period Number First Second Third Fourth Whole Quarter Quarter Quarter Quarter Year 46,092 49,267 46,218 45,575 187,152 TOTAL BIRTHS BY TYPE OF DELIVERY$ IN PRIVATE HEALTH INSTITUTIONS *- 2012 First Second Third Fourth Whole Quarter Quarter Quarter Quarter Year Normal 244 249 250 220 963 Caesarian 363 425 415 430 1,633 Instrumental 101 123 113 131 468 708 797 778 781 3,064 TYPE OF DELIVERY Total *with medical treatment services $ based on data received from 17 private health institutions and adjusted for under reporting 71 ISLAND OF MAURITIUS DISTRIBUTION OF CASES TREATED AT PRIVATE HEALTH INSTITUTIONS * BY CAUSE AND SEX - YEAR 2012 CAUSE OF ATTENDANCE (including admissions) Number# (W.H.O. International Classification of Diseases 10th Revision) I.C.D. CHAPTER MALE FEMALE TOTAL 1,869 235 367 214 1,771 180 461 401 3,640 415 828 615 247 49 448 38 695 87 1,017 928 1,945 Disorders of thyroid & other endocrine, nutritional and metabolic diseases 94 134 228 Alcoholism Depression and other mental and behavioural disorders 135 119 63 253 198 372 VI VII Epilepsy and other diseases of the nervous system Diseases of the eye & adnexa 198 4766 171 4130 369 8,896 VIII Diseases of the ear & mastoid process 438 464 902 904 1,274 753 682 1,657 1,956 Stroke and other cerebrovascular diseases 316 220 536 Varicose veins and haemorrhoids 341 344 685 Hypotension and other diseases of the circulatory system 223 197 420 Influenza and pneumonia 689 707 1,396 Bronchitis & bronchiolitis 835 880 1,715 Sinusitis & rhinitis 533 569 1,102 Asthma Emphysema and other diseases of the respiratory system Gastric & duodenal ulcer Appendicitis and hernia Pancreas and liver diseases 279 691 412 424 196 298 562 405 297 82 577 1,253 817 721 278 Calculus (stone) of gallbladder and bile duct 215 262 477 I II III IV V IX X XI Infectious colitis,enteritis,gastroenteritis and diarrhoea Septicaemia and other infectious and parasitic diseases Malignant Neoplasms (Cancer, Hodgkin's, lymphoma, leukemia etc.) Benign and other Neoplasms (Fibroid of uterus, carcinoma in situ, brain tumor etc.) Anemias Coagulation defects and other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Diabetes Mellitus and related complications (coma, cataract,gangrene, renal, etc.) Hypertension and related complications (renal , heart etc.) Myocardial, Ischaemic and other heart disease Gastritis and other diseases of the digestive system 1,634 1,663 3,297 XII XIII Lupus erythematosus and other diseases of the skin and subcutaneous tissue Rheumatism and other diseases of the musculoskeletal system and connective tissue 393 1,093 371 930 764 2,023 XIV Diseases of the genital organs, including breast and menstrual disorders 477 1,764 2,241 Renal failure Cystitis and other diseases of the genitourinary system 242 862 131 674 373 1,536 XV Complications following spontaneous and other abortions - 542 542 - XVI Deliveries and other conditions associated with pregnancy, childbirth and the puerperium Certain conditions originating in the perinatal period (newborns) 280 1,696 341 1,696 621 Congenital malformations, deformations and chromosomal abnormalities Fever , headache, pain all over, malaise and fatigue, senility, syncope and collapse All other symptoms, signs and ill-defined conditions 45 2,241 729 29 2,389 818 74 4,630 1,547 Fractures and other injuries Adverse effects & other poisonings 1,188 278 867 441 2,055 719 Attendances/admissions for observations, examinations or investigations only 29,516 29,230 58,746 56,058 57,586 113,644 XVII XVIII XIX &XX XXI TOTAL** * Clinic/hospital with medical treatment services # based on data with details on diseases received from 17 institutions ** excluding cases seen at the out-patient department not classified by diseases 72 ISLAND OF MAURITIUS SURGICAL OPERATIONS AND PROCEDURES PERFORMED AT PRIVATE HEALTH INSTITUTIONS* - 2012 Body Site/Type of intervention BOTH SEXES MALE FEMALE NUMBER % 1. Brain, spinal and other nervous system 24 17 41 0.2 2. Thyroid, adrenal and other endocrine system 14 40 54 0.3 3. Eye and adnexa 2,020 1,842 3,862 22.0 4. Ear and mastoid process 61 57 118 0.7 5. Nose, mouth and pharynx 413 395 808 4.6 6. Lung, diaphragm and other respiratory system 74 104 178 1.0 7 Heart, arteries, veins and other cardiovascular system 166 145 311 1.8 8. 3 16 19 0.1 1,327 1,173 2,500 14.2 10. Bone marrow,lymph nodes, spleen and other blood and blood forming organs Stomach, duodenal, appendix, gallbladder and other digestive system (incl. proctological) Kidney, ureter,bladder and other urinary system 484 191 675 3.8 11. Prostate,testis, penis and other male genital organs 568 - 568 3.2 12. Ovary, uterus, vagina and other gynaecological procedures - 2,271 2,271 12.9 13. Antepartum, labour, delivery and postpartum procedures - 698 698 4.0 14. Neck, spine, pelvis,limbs and other musculoskeletal system 788 552 1,340 7.6 15. Dermatological and plastic procedures(skin, soft tissue) 748 832 1,580 9.0 16. Breast (Male and Female) 36 404 440 2.5 17. Diagnostic,therapeutic, client support and other non-invasive and cognitive interventions TOTAL (classified interventions) 984 1,122 2,106 12.0 7,710 9,859 17,569 Interventions not classified by body site/type 2,272 2,028 4,300 TOTAL (interventions) 9,982 11,887 21,869 9. 18 * with medical treatment services 100.0 73 ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY SEX - 2012 MALE CAUSE (I.C.D - 10) 1. Deliveries (including by caesarian etc) 2. Diabetes mellitus 3. Acute Upper Respiratory infections 4. No. FEMALE % No. TOTAL % No. % 0.0 10,456 11.2 10,456 6.2 3,533 4.7 3,642 3.9 7,175 4.2 3,624 4.8 3,479 3.7 7,103 4.2 Diarrhoea and gastroenteritis of presumed infectious origin 2,416 3.2 3,245 3.5 5,661 3.3 5. Gastritis and duodenitis 2,462 3.3 2,336 2.5 4,798 2.8 6. Hypertensive disease 1,742 2.3 2,724 2.9 4,466 2.6 7. Acute myocardial infarction and other ischaemic heart diseases 2,699 3.6 1,729 1.8 4,428 2.6 8. Abdominal and pelvic pain 1,589 2.1 2,110 2.3 3,699 2.2 9. Fractures 2,476 3.3 1,199 1.3 3,675 2.2 10. Infections of the skin and subcutaneous tissue 1,856 2.5 1,093 1.2 2,949 1.7 11. Dorsopathies 1,670 2.2 1,261 1.3 2,931 1.7 12. Mental and behavioural disorders due to use of alcohol 2,495 3.3 215 0.2 2,710 1.6 13. Anaemias 756 1.0 1,843 2.0 2,599 1.5 14. Asthma 1,098 1.5 1,403 1.5 2,501 1.5 15. Poisonings and toxic effects of drugs and other substances 1,203 1.6 1,171 1.2 2,374 1.4 16. Non-inflammatory disorders of female genital tract 0.0 2,302 2.5 2,302 1.4 17. Cerebrovascular disease 1,211 1.6 979 1.0 2,190 1.3 18. Malaise and fatigue 660 0.9 1,103 1.2 1,763 1.0 19. 914 1.2 816 0.9 1,730 1.0 20. Bronchitis, emphysema and other chronic obstructive pulmonary diseases Epilepsy 845 1.1 644 0.7 1,489 0.9 21. Convulsions, elsewhere classified (excluding newborns) 878 1.2 589 0.6 1,467 0.9 22. Nausea and vomiting 584 0.8 766 0.8 1,350 0.8 23. Pain in throat and chest 826 1.1 482 0.5 1,308 0.8 24. Diseases of male genital organs 1,296 1.7 0.0 1,296 0.8 25 Complications following spontaneous and other abortions 26. Dyspnoea and other abnormalities of breathing 27. Fever of unknown origin 28. 0.0 1,293 1.4 1,293 0.8 562 0.7 633 0.7 1,195 0.7 585 0.8 571 0.6 1,156 0.7 Calculus of kidney and ureter 806 1.1 312 0.3 1,118 0.7 29. Disorders of breast 21 0.0 1,000 1.1 1,021 0.6 30. Disorders of menstruation 0 0.0 1,018 1.1 1,018 0.6 31. Gastrointestinal haemorrhage, unspecified 685 0.9 312 0.3 997 0.6 32. Benign neoplasm of uterus 0.0 971 1.0 971 0.6 33. Heart Failures 0.5 543 0.6 957 0.6 35. 0.0 856 0.9 856 0.5 36. Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium Varicose veins of lower extremities 313 0.4 529 0.6 842 0.5 37. Pneumonia 280 0.4 276 0.3 556 0.3 34,952 46.3 39,821 42.5 74,773 44.2 75,451 100.0 93,722 100.0 169,173 100.0 414 All other causes TOTAL Note: The above table is based on data received on in-patients from the regional and district hospitals. The table on page 50 contains the total number of cases treated at regional, district and specialised hospitals. 74 ISLAND OF MAURITIUS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY I.C.D - 10 CHAPTER AND SEX - 2012 CAUSE ( ICD - 10 ) DISCHARGES * MALE No. FEMALE % No. TOTAL % No. % 1. Certain infectious & parasitic diseases 2,924 3.9 3,670 3.9 6,594 3.9 2. Neoplasms 2,270 3.0 4,094 4.4 6,364 3.8 3. 1,166 1.5 1,943 2.1 3,109 1.8 4. Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 4,747 6.3 5,169 5.5 9,916 5.9 5. Mental & behavioural disorders 3,069 4.1 1,349 1.4 4,418 2.6 6. Diseases of the nervous system 1,814 2.4 1,664 1.8 3,478 2.1 7. Diseases of the eye & adnexa 66 0.1 55 0.1 121 0.1 8. Diseases of the ear & mastoid process 82 0.1 105 0.1 187 0.1 9. Diseases of the circulatory system 7,942 10.5 8,049 8.6 15,991 9.5 10. Diseases of the respiratory system 8,564 11.4 8,549 9.1 17,113 10.1 11. Diseases of the digestive system 7,046 9.3 5,138 5.5 12,184 7.2 12. Diseases of the skin & subcutaneous tissue 2,835 3.8 2,036 2.2 4,871 2.9 13. 3,221 4.3 3,032 3.2 6,253 3.7 14. Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system 4,210 5.6 6,853 7.3 11,063 6.5 15. Pregnancy, childbirth & the puerperium 0.0 21,205 22.6 21,205 12.5 16. Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes Factors influencing health status & contact with health services TOTAL 1,454 1.9 1,447 1.5 2,901 1.7 311 0.4 166 0.2 477 0.3 9,347 12.4 9,956 10.6 19,303 11.4 11,594 15.4 6,850 7.3 18,444 10.9 2,789 3.7 2,392 2.6 5,181 3.1 75,451 100.0 93,722 100.0 169,173 100.0 17 18 19 & 20 21 * based on data received NB: For total number of admissions, see Page 50 - ISLAND OF MAURITIUS CAUSES (I.C.D. 10th REVISION) GENERAL HOSPITAL DISCHARGES (INCLUDING DEATHS) BY ICD-10 CHAPTER, AGE-GROUP AND SEX - 2012 MALES FEMALES Under 1-4 5 - 12 13- 19 20- 39 40- 59 60 years Under 1-4 5 - 12 13- 19 20- 39 1 year years years years years years & over 1 year years years years years 1. Certain infectious & parasitic diseases 2. 40- 59 years 60 years & over 227 441 386 214 563 613 480 222 445 402 300 512 706 1,083 Neoplasms 4 114 195 128 238 730 861 15 81 165 50 508 2,087 1,188 3. Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 17 133 322 92 151 175 276 22 89 166 196 393 564 513 4. Endocrine, nutritional & metabolic diseases 17 45 15 24 364 2,079 2,203 6 2 20 66 305 1,689 3,081 5. Mental & behavioural disorders 2 1 13 102 896 1,659 396 1 1 12 118 444 461 312 6. Diseases of the nervous system 12 35 96 129 489 626 427 7 36 96 161 370 501 493 7. Diseases of the eye & adnexa 4 3 3 4 9 26 17 3 3 2 6 7 16 18 8. Diseases of the ear & mastoid process 17 27 5 5 6 14 8 19 11 3 2 13 27 30 Diseases of the circulatory system 7 11 15 43 686 3,435 3,745 13 1 28 55 534 2,552 4,866 Diseases of the respiratory system 848 1,521 1,128 440 1,145 1,400 2,082 616 1,255 870 442 893 1,569 2,904 11 Diseases of the digestive system 53 108 223 251 1,865 2,766 1,780 34 74 209 374 1,014 1,514 1,919 12. Diseases of the skin & subcutaneous tissue 38 77 132 193 724 1,081 590 48 50 96 180 464 667 531 13. Diseases of the musculoskeletal system & connective tissue 6 21 84 100 917 1,521 572 7 21 52 146 608 1,387 811 14 Diseases of the genitourinary system 18 100 203 161 911 1,683 1,134 14 35 97 2,816 1,088 15 Pregnancy, childbirth & the puerperium - - - - - - - - - 530 2,273 2,989 17,665 3 - 1,454 - - - - - - 1,447 - - - - 548 - - Congenital malformations, deformations & chromosomal abnormalities 118 83 70 20 18 2 - 64 36 30 12 20 3 1 18 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 359 596 852 536 1,685 2,706 2,613 261 527 763 887 1,981 2,346 3,191 19.& 20 Injury, poisoning & certain other consequences of external causes 99 465 883 1,076 3,928 3,579 1,564 100 386 400 724 1,702 1,529 2,009 21. Factors influencing health status & contact with health services 224 70 170 147 522 921 735 216 29 68 129 801 696 453 3,524 3,851 4,795 3,665 15,117 25,016 19,483 3,115 3,082 3,482 7,367 30,507 21,678 24,491 16 Certain conditions originating in the perinatal period 17. Total # 12 years old * 40-45 years 75 9. 10. 76 ISLAND OF MAURITIUS CHILDREN UNDER ONE YEAR* CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) - 2012 CAUSE ( I.C.D - 10 ) NUMBER OF DISCHARGES MALE FEMALE TOTAL No. % 1. Acute Upper Respiratory infections 525 408 933 14.1 2. 393 409 802 12.1 3. Slow fetal growth, fetal malnutrition and disorders related to short gestation and low birthweight Acute bronchitis and bronchiolitis 322 233 555 8.4 4. Diarrhoea and gastro-enteritis of presumed infectious origin 207 199 406 6.1 5. 153 184 337 5.1 6. Newborn affected by maternal factors and by complications of pregnancy, labour and delivery Septicaemia and infections specific to the perinatal period 126 122 248 3.7 7. Nausea and vomiting , including newborns 125 118 243 3.7 8. Fever of unknown origin 103 67 170 2.6 9. Diseases of the Digestive System 53 34 87 1.3 Convulsions, including newborns 35 33 68 1.0 Abdominal and pelvic pain 33 32 65 1.0 Intrauterine hypoxia and birth asphysia 35 26 61 0.9 Cough 39 15 54 0.8 Infections of the skin and subcutaneous tissue 26 28 54 0.8 Pneumonia, including newborns 26 25 51 0.8 Anaemias, including newborns 18 19 37 0.6 Diseases of the Genito-urinary System 18 14 32 0.5 Respiratory distress of newborn 14 17 31 0.5 Dyspnoea and other abnormalities of breathing 16 12 28 0.4 Neonatal aspiration syndromes 19 7 26 0.4 Congenital deformities of feet 14 9 23 0.3 Fractures 14 9 23 0.3 Diseases of the Nervous System 12 7 19 0.3 Diseases of the musculoskeletal system and connective tissue 6 7 13 0.2 Cleft lip and cleft palate 5 7 12 0.2 Asthma 4 - 4 0.1 All other causes 1,183 1,074 2,257 34.0 TOTAL 3,524 3,115 6,639 100.0 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. Note: Healthy babies born in hospitals and not requiring special care are excluded from the above figures. * includes babies admitted in the Neonatal Intensive Care Units ( see page 93 ) 77 ISLAND OF MAURITIUS NEOPLASMS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY TYPE AND SEX - 2012 TYPE OF NEOPLASM (I.C.D - 10) Malignant neoplasm of lip, oral cavity and pharynx MALE FEMALE TOTAL 152 35 187 Malignant neoplasm of oesophagus 42 25 67 Malignant neoplasm of stomach 123 75 198 Malignant neoplasm of colon 91 138 229 106 79 185 21 16 37 37 21 58 27 47 45 4 49 168 117 285 16 22 38 19 14 33 Malignant neoplasm of skin, including melanoma 8 15 23 Malignant neoplasm of mesothelial and soft tissue 45 93 138 Malignant neoplasm of breast 6 Malignant neoplasm of rectosigmoid junction, rectum, anus and anal canal Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Other malignant neoplasm of digestive organs Malignant neoplasm of larynx Malignant neoplasm of trachea,bronchus and lung Other malignant neoplasm of respiratory and intrathoracic organs Malignant neoplasm of bone and articular cartilage 20 857 863 Malignant neoplasm of cervix uteri 201 201 Malignant neoplasm of other and unspecified parts of the uterus 101 101 Other Malignant neoplasms of female genital organs 282 282 Malignant neoplasm of prostrate 117 117 Other malignant neoplasm of male genital organs 57 57 Malignant neoplasm of bladder 88 49 137 Other malignant neoplasm of urinary tract 33 38 71 Malignant neoplasm of eye and adnexa 1 - 1 Malignant neoplasm of central nervous system, including brain 32 28 60 89 219 308 Malignant neoplasm of other , ill-defined, secondary, unspecified and multiple sites Hodgkin's disease 54 26 80 Non-Hodgkin's lymphoma 49 44 93 Leukaemia 365 80 445 27 66 93 13 13 15 28 43 - 18 18 964 964 - - 1 - 1 20 21 41 423 378 801 2,270 4,094 6,364 Other malignant neoplasms of lymphoid, haematopoietic and related tissue Carcinoma in situ of cervix uteri Benign neoplasm of skin Benign neoplasm of breast Leiomyoma of uterus Benign neoplasm of ovary Benign neoplasm of urinary organs Benign neoplasm of brain and other parts of central nervous system Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour TOTAL ` GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2012 MALES CAUSES Under (I.C.D. 10) 30 years - Acute rheumatic fever FEMALES 3044 years 4559 years 6074 years 75+ Under years 1 - - - 30 years - TOTAL 3044 years 4559 years 6074 years 75+ Under years - 1 - - 30 years - 3044 years 4559 years 6074 years 75+ ALL AGES years 1 1 - - 2 1 2 2 1 - 2 1 3 4 1 3 3 5 5 1 17 Hypertensive diseases 56 254 662 520 250 38 253 826 982 625 94 507 1,488 1,502 875 4,466 Acute Myocardial Infarction 4 100 375 237 75 1 15 104 125 95 5 115 479 362 170 1,131 Other Ischaemic Heart diseases 17 197 853 627 214 3 73 385 618 310 20 270 1,238 1,245 524 3,297 Pulmonary embolism 1 1 5 3 3 - 3 5 5 3 1 4 10 8 6 29 Conduction disorders and cardiac arrhythmias 28 58 178 323 145 20 59 187 262 293 48 117 365 585 438 1,553 Heart failure 7 13 96 185 113 1 16 71 222 233 8 29 167 407 346 957 Other heart diseases 21 54 77 57 45 20 14 29 72 51 41 68 106 129 96 440 Cerebrovascular diseases (strokes) 12 105 401 481 212 14 63 221 354 327 26 168 622 835 539 2,190 Diseases of arteries,arterioles and capillaries Phlebitis, thrombophlebitis,venous embolism and thrombosis 6 8 26 24 14 4 6 8 9 12 10 14 34 33 26 117 10 27 55 25 11 14 30 30 19 7 24 57 85 44 18 228 Varicose veins of lower extremities 19 76 128 72 18 14 131 242 123 19 33 207 370 195 37 842 Haemorrhiods 30 65 53 27 5 47 56 36 21 5 77 121 89 48 10 345 Other Diseases of circulatory system 36 37 40 35 23 65 31 41 42 27 101 68 81 77 50 377 248 998 2,951 2,617 1,128 243 751 2,189 2,858 2,008 491 1,749 5,140 5,475 3,136 15,991 T O T A L (Circulatory system) 78 Chronic rheumatic heart disease 79 ISLAND OF MAURITIUS INJURY AND POISONING DISCHARGES FROM GENERAL HOSPITAL (including deaths) BY EXTERNAL CAUSE AND SEX - 2012 CAUSE (I.C.D.- 10 ) DISCHARGES MALE FEMALE TOTAL No. Transport Accidents 1,626 390 2,016 Falls 4,377 2,931 7,308 Contact with sharp glass, knife and non-powered hand tool 145 50 195 Foreign body entering into or through eye or natural orifice 76 49 125 261 65 326 88 44 132 13 10 23 30 15 45 69 40 109 86 85 171 138 44 182 701 802 1,503 1,468 560 2,028 243 369 612 45 24 69 175 167 342 1,337 637 1,974 120 92 212 596 476 1,072 - - - 11,594 6,850 18,444 Exposure to other Inanimate Mechanical Forces Exposure to Animate Mechanical Forces Accidental Drowning and Submersion Exposure to Electric Current Exposure to Smoke, Fire and Flames Contact With Heat and Hot Substances Contact With Venomous Animals and Plants Accidental Poisoning by & Exposure to Noxious Substances Other & Unspecified accidents Intentional Self-Poisoning by drugs Intentional Self-Poisoning by Pesticides Other Intentional Self-Harm Assault Poisoning of Undetermined Intent Complications Of Medical and Surgical Care Other and unspecified External Causes TOTAL 80 ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES & COMMUNITY HEALTH CENTRES - 2012 (See also distribution of first attendances by I.C.D. Chapter on page 81) CAUSE FIRST ATTENDANCES * (I.C.D. 10) MALE FEMALE TOTAL No. 1 % 152,291 163,905 316,196 17.8 76,521 60,121 136,642 7.7 61,923 65,450 127,373 7.2 3 Tonsilitis, laryngitis, nasopharyngitis, sore throat and Upper Respiratory Tract Infection (URTI) Superficial injury, open wound, sprain/strain, fractures, burns and other injuries Cough, pain in throat, chest pain, wheezing, hiccough, sneezing 4 Fever / pain all over 57,556 63,072 120,628 6.8 5 Influenza 37,893 41,730 79,623 4.5 6 Spondylosis, neck pain, low back pain, backache 37,310 39,009 76,319 4.3 7 Abdominal and epigastric pain 33,174 37,726 70,900 4.0 8 32,099 35,566 67,665 3.8 9 Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue Headache, dizziness, giddiness 28,488 34,784 63,272 3.6 10 Gastritis and duodenitis 30,354 32,812 63,166 3.6 11 Rheumatism, muscular pain, myalgia, pain in limb 27,735 32,727 60,462 3.4 12 Gastroenteritis and diarrhoea of presumed infectious origin 29,901 30,347 60,248 3.4 13 Sinusitis, rhinitis, nasal polyp, blocked nose 26,013 29,073 55,086 3.1 14 Nausea and vomiting 19,289 24,792 44,081 2.5 15 17,751 22,374 40,125 2.3 16 Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs Gout , arthritis, pain in joint 18,685 18,610 37,295 2.1 17 Conjunctivitis 16,222 17,066 33,288 1.9 18 Bronchitis, emphysema, asthma 15,226 15,547 30,773 1.7 19 14,754 15,051 29,805 1.7 13,890 14,741 28,631 1.6 21 Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess Otitis, wax in ear, earache and other diseases of the ear and mastoid process Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) 12,590 11,848 24,438 1.4 22 Hypertension 9,736 10,780 20,516 1.2 23 Localised swelling, mass, lump of skin, rash 9,068 10,721 19,789 1.1 24 Diabetes Mellitus 8,104 9,053 17,157 1.0 25 Swelling gum, gingivitis, dental caries, stomatitis, disease of lip 8,321 8,268 16,589 0.9 26 Helminthiasis (worms) 7,969 8,426 16,395 0.9 27 Diseases of the eye and adnexa (excluding conjunctivitis) 7,294 8,025 15,319 0.9 28 Cystitis, urinary tract infection 5,051 9,790 14,841 0.8 29 Migraine and other diseases of the nervous system 5,564 30 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders 31 32 Varicose veins of lower extremities, haemorrhoids,oesophageal varices Haematuria, painful micturation, retension of urine 33 34 35 2 20 7,065 12,629 0.7 11,924 11,924 0.7 4,123 4,857 8,980 0.5 4,092 4,526 8,618 0.5 Scabies 4,144 4,378 8,522 0.5 Hypotention and other diseases of the circulatory diseases 2,649 3,593 6,242 0.4 Alcoholism 4,539 1,678 6,217 0.4 All other causes 9,165 12,810 21,975 1.2 849,484 922,245 1,771,729 100.0 TOTAL Refer to page 54 for statistics on attendances by health centre * based on the Monthly Returns of Sick Treated received 81 ISLAND OF MAURITIUS FIRST ATTENDANCES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES BY I.C.D. CHAPTER - 2012 CHAPTER (I.C.D. 10) FIRST ATTENDANCES * TOTAL MALE FEMALE No. 1. Certain infectious & parasitic diseases 2. Neoplasms 3. % 42,456 43,725 86,181 4.9 46 109 155 0.0 1,595 4,045 5,640 0.3 4. Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 9,262 10,518 19,780 1.1 5. Mental & behavioural disorders 5,319 2,471 7,790 0.4 6. Diseases of the nervous system 5,159 6,680 11,839 0.7 7. Diseases of the eye & adnexa 23,516 25,091 48,607 2.7 8. Diseases of the ear & mastoid process 13,890 14,741 28,631 1.6 9. Diseases of the circulatory system 16,508 19,230 35,738 2.0 10. Diseases of the respiratory system 232,986 251,708 484,694 27.4 11. Diseases of the digestive system 53,975 56,657 110,632 6.2 12. Diseases of the skin & subcutaneous tissue 44,689 47,414 92,103 5.2 13. 85,253 92,062 177,315 10.0 14. Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system 5,386 22,191 27,577 1.6 15. Pregnancy, childbirth & the puerperium 446 446 0.0 16. Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities 244 188 432 0.0 638 562 1,200 0.1 231,341 263,445 494,786 27.9 77,221 60,962 138,183 7.8 849,484 922,245 1,771,729 100.0 17 18 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 19 Injury, poisoning & certain other consequences of external causes TOTAL * based on the Monthly Return of Sick Treated received Refer to page 54 for statistics on attendances by health centre 0 82 CASES # TREATED AS IN-PATIENTS AT S. BHARATI (EYE) HOSPITAL - 2012 CAUSE (ICD.10) NUMBER OF CASES * MALE FEMALE TOTAL No 1 Chalazion 2 Other disorders of eyelid 3 4 NUMBER OPERATED UPON MALE FEMALE % 5 11 16 0.2 5 9 14 36 44 80 1.2 28 35 63 Disorders of lacrimal system 9 24 33 0.5 8 17 25 Disorders of orbit 5 3 8 0.1 7 4 11 3 3 5 Disorders of conjunctiva 14 13 27 0.4 6 Keratitis 19 20 39 0.6 7 Other disorders of sclera and cornea 8 Iridocyclitis 9 TOTAL Cataract 11 Other disorders of lens 12 Disorders of choroid 13 Disorders of retina 14 Glaucoma 15 Disorders of vitreous body and globe 16 17 Disorders of optic nerve and visual pathways Disorders of ocular muscles, binocular movement, accomodation and refraction 18 40 103 1.5 8 5 13 0.2 4 26 66 2 3 14 3 19 8 27 0.4 1 11 2,026 2,444 4,470 65.6 1,979 2,393 4,372 35 23 58 0.9 31 22 53 1 4 5 0.1 1 71 192 Other disorders of iris and ciliary body 10 63 1 3 40 1 151 93 244 3.6 121 48 41 89 1.3 23 13 36 155 113 268 3.9 131 93 224 11 8 19 0.3 1 3 38 30 68 1.0 28 2 25 Visual disturbances and blindness 121 56 177 2.6 27 11 38 19 Ocular pain 295 232 527 7.7 46 21 67 20 Other diseases of eye and adnexa 4 1 5 0.1 3 1 4 21 Cancer and other neoplasms 12 11 23 0.3 9 10 19 22 Congenital diseases of eye 26 Other diseases 23 - - - 4 Burn and corrosion 0.0 6 2 - - Injuries and other consequences of external causes 25 Surgical follow up care, examination and other non-morbid factors TOTAL - 0.1 2 0.0 333 146 479 7.0 108 27 24 8 32 0.5 20 7 3,436 3,380 5 3 - 24 - 53 6,816 * including number operated upon # based on data received (see page 50 for total admissions and operations) 100.0 2,636 2,796 135 27 5,432 83 CASES TREATED AS IN-PATIENTS AT POUDRE D'OR (CHEST) HOSPITAL - 2012 DISEASE (I.C.D. 10) DEATHS MALE FEMALE DISCHARGES TOTAL MAL E FEMALE (INC. DEATHS) TOTAL Pulmonary tuberculosis 9 1 10 135 80 No. 215 Pulmonary fibrosis 4 1 5 23 11 34 Other Respiratory tuberculosis - - - - - - Tuberculosis of Bones and Joints - - - - - - Other tuberculosis - - - - 2 2 Miliary tuberculosis - - - - 1 1 Cancer of bronchus & lung 7 1 8 37 19 56 Cancer of other respiratory and Intrathoracic organs - - - 6 4 10 Pneumonia - 1 1 22 12 34 Acute bronchitis - - - 2 - 2 Chronic Bronchitis - - - 5 - 5 Bronchitis not elsewhere specified - - - 4 - 4 Emphysema - - - - - - Asthma 8 2 10 124 90 214 Bronchiectasis - - - 10 3 13 Alveolitis - - - 2 - 2 Abscess of lung and mediastinum - 1 1 18 15 33 Emphyema 1 - 1 7 2 9 Pleurisy without mention of tuberculosis 2 - 2 54 18 72 HIV with pulmonary tuberculosis 1 - 1 11 3 14 HIV with pneumonia 2 - 2 6 2 8 HIV with other respiratory infections 4 - 4 20 7 27 HIV with other infections or diseases - - - - - - Other diseases of the respiratory system 1 2 3 86 39 125 Other diseases TOTAL - - - 6 13 19 39 9 48 578 321 899 CASES SEEN AT OUT-PATIENT SPECIALIST CLINICS IN CHEST DISEASES - 2012 DISEASE MALE FEMALE No. % Pulmonary tuberculosis 53 26 79 Pulmonary fibrosis 9 8 17 Other respiratory tuberculosis 1 - 1 Tuberculosis of bones and joints 1 1 2 Other tuberculosis 1 - 1 Miliary tuberculosis - - - 11 1 12 8.1 1.7 0.1 0.2 0.1 0.0 1.2 0.0 0.9 0.6 1.4 1.0 4.7 41.8 0.2 1.6 0.0 2.1 0.5 0.2 1.1 30.8 1.5 100. 0 Cancer of lung & bronchus TOTAL Cancer of other respiratory and intrathoracic organs - - 0 Pneumonias 6 3 9 Acute bronchitis 2 4 6 Chronic bronchitis 7 7 14 10 Bronchitis not otherwise specified 8 2 Emphysema 18 28 46 Asthma 197 213 410 Bronchiectasis 2 - 2 Abscess of lung and mediastinum 8 8 16 Emphyema - - - Pleurisy, without mention of tuberculosis 18 3 21 HIV with pulmonary tuberculosis 5 - 5 HIV with pneumonia 1 1 2 HIV with other respiratory infections 9 2 11 150 152 302 9 6 15 Total cases diagnosed (First attendances) 516 465 981 SUBSEQUENT ATTENDANCES TOTAL 8,599 9,115 8,402 8,867 17,001 17,982 Other diseases of the respiratory system Other diseases Note: Cases whose condition necessitated immediate admission have been excluded from the above figures % 3.8 0.0 0.0 0.2 0.1 6.2 1.1 3.8 0.2 0.6 0.4 0.0 23.8 1.4 0.2 3.7 1.0 8.0 1.6 0.9 3.0 0.0 13.9 2.1 100.0 23.9 84 CASES TREATED AS IN-PATIENTS AT CAUSE (I.C.D. 10) BROWN SEQUARD PSYCHIATRIC HOSPITAL - 2012 MALE No. FEMALE % No. TOTAL % No. % Dementia 10 0.3 20 1.4 30 0.7 Epileptic Psychosis NOS 43 1.5 32 2.3 75 1.7 5 0.2 1 0.1 6 0.1 1,624 55.0 224 16.1 1,848 42.5 2 0.1 - 0.0 2 0.0 54 1.8 7 0.5 61 1.4 719 24.3 627 45.1 1,346 31.0 4 0.1 5 0.4 9 0.2 98 3.3 86 6.2 184 4.2 - 0.0 2 0.1 2 0.0 Psychosis unspecified 41 1.4 31 2.2 72 1.7 Hypomania 23 0.8 22 1.6 45 1.0 Bipolar affective disorder 33 1.1 41 2.9 74 1.7 112 Unspecified mental disorders due to brain damage and dysfunction and to physical disease Mental and behavioural disorders due to use of alcohol Mental and behavioural disorders due to use of opioids/cannabinoids Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances Schizophrenia Delusional disorder Acute psychotic episode Schizoaffective psychosis NOS 2 11.7 0.1 274 - 3.8 0.0 162 Persistent mood disorders 2 6.3 0.0 Anxiety disorders Obsessive compulsive disorder 4 3 0.1 0.1 3 2 0.2 0.1 7 5 0.2 0.1 Dissociative (conversion) disorders 2 0.1 2 0.1 4 0.1 Puerperal psychosis NOS - 0.0 4 0.3 4 0.1 Mental retardation 52 1.8 36 2.6 88 2.0 Conduct disorders 66 2.2 31 2.2 97 2.2 Parkinsonism 2 0.1 - 0.0 2 0.0 Alzheimer Degenerative disease of nervous system, unspecified Grand mal seizures, unspecified (with or without petit mal) Epilepsy, unspecified 2 1 0.1 0.0 2 - 0.1 0.0 4 1 0.1 0.0 6 0.2 7 0.5 13 0.3 13 0.4 8 0.6 21 0.5 1 0.0 2 0.1 3 0.1 6 28 0.2 0.9 11 20 0.8 1.4 17 48 0.4 1.1 2,954 100.0 1,390 100.0 4,344 100.0 Depressive episode Sleep disorders Other mental & behavioural causes Other causes TOTAL 85 ISLAND OF MAURITIUS QUARTERLY DISTRIBUTION OF NEW CASES DIAGNOSED AT OUT-PATIENT SPECIALIST CLINICS IN DERMATOLOGY - 2012 N O DISEASE FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER TOTAL NUMBER 1 ACNE 2 3 BULLOUS DERMATOSIS 247 386 Pemphigus 6 4 Pemphigoid 1 5 249 - % 183 1065 7.7 4 14 0.1 9 0.1 3 - D. Herpetiformis 4 - 0.0 - 5 CONGENITAL ANOMALIES OF THE TEGUMENT 18 30 6 CORNS AND CALLOSITIES 83 116 9 8 - 8 24 0.2 0 4 - 3 6 0.0 0 15 7 DISEASES OF CONNECTIVE TISSUE 8 Rheumatoid arthritis 9 10 11 12 DISORDERS OF PIGMENTATION 15 0.6 92 109 400 2.9 6 21 0.2 745 5.4 188 202 209 Vitiligo 45 67 39 43 194 1.4 Melanosis of face 24 59 33 14 130 0.9 Other 9 24 6 16 56 0.4 15 48 25 18 106 0.8 193 261 290 223 968 7.0 71 114 42 66 292 2.1 233 156 259 124 773 5.6 101 140 101 101 443 3.2 40 48 39 21 149 1.1 Malignant 6 13 1 1 21 0.2 Benign 43 34 23 21 121 0.9 DRUG INDUCED DERMATOSIS Atopic dermatitis ECZEMA 82 145 DISEASES OF NAIL AND HAIR 13 14 Lupus Erythematosus Scleroderma 25 9 Contact dermatitis: 16 industrial origin 17 other origin Stasis eczema 18 19 20 LICHEN PLANUS NEOPLASM OF SKIN 21 22 PHOTODERMATITIS 112 95 30 76 313 2.3 23 PSORIASIS AND SIMILAR DISORDERS 284 298 304 236 1122 8.1 24 ROSACEA 26 32 28 24 110 0.8 25 SEBORRHEIC DERMATITIS 62 126 126 57 371 2.7 Fungal 502 464 399 356 1722 12.4 Parasitic 203 232 305 209 951 6.8 28 Pyococcal 117 162 208 114 601 4.3 29 Viral 288 223 237 175 924 6.6 26 27 SKIN INFECTIONS 30 ULCER OF LOWER LIMBS 15 61 25 13 114 0.8 31 URTICARIA 106 168 114 76 463 3.3 32 ALL OTHER DISEASES 397 540 410 252 1601 11.5 TOTAL 3,447 4,134 3,629 2,695 13911 100.0 86 CASES# NEW DIAGNOSED AT OUT-PATIENT CLINICS SPECIALISED IN ENT IN 2012 DISEASE( I.C.D 1975 Revision ) FIRST SECOND THIRD FOURTH TOTAL QUARTER QUARTER QUARTER QUARTER NUMBER % 34 47 32 36 149 2.0 36 18 38 16 108 1.5 Chronic tubotympanic suppurative otitis media Chronic atticoantral suppurative otitis media Unspecified chronic suppurative otitis media Otitis externa 95 63 66 95 319 4.3 34 56 43 56 190 2.5 5 23 11 9 47 0.6 75 97 79 106 357 4.8 Impacted cerumen 32 36 34 29 131 1.8 Tinnitus 104 108 133 129 475 6.4 Conductive deafness 27 36 54 45 163 2.2 Sensorineural deafness 122 156 194 167 640 8.6 Eustachian tube disorders 23 36 43 27 129 1.7 Foreign body in ear 14 25 14 11 63 0.8 Ear injury 9 45 27 14 95 1.3 All other diseases and conditions of ear Acute nasopharyngitis 9 16 41 16 81 1.1 20 20 23 14 77 1.0 Sinusitis (acute) (chronic) 70 122 138 111 441 5.9 Allergic rhinitis 219 253 228 233 933 12.5 Epistaxis 59 59 75 81 273 3.7 Nasal polyps 54 52 41 45 192 2.6 Deflected nasal septum 34 25 29 45 133 1.8 Foreign body in nose 16 2 18 32 68 0.9 Fracture of nasal bone 61 61 47 59 228 3.1 EAR Acute non-suppurative otitis media Acute suppurative otitis media NOSE 9 11 14 20 54 0.7 86 70 63 38 258 3.4 Chronic tonsillitis 192 244 190 190 816 10.9 Hypertrophy of tonsils and adenoids Pharyngitis (acute) (chronic) (granular) Laryngitis (acute) (chronic) 32 68 68 47 215 2.9 70 84 72 54 280 3.7 34 68 52 66 219 2.9 Tongue tie 5 18 2 7 32 0.4 Foreign body in throat 43 47 25 34 149 2.0 All other diseases and conditions of throat Other diseases and conditions (including neoplasm) TOTAL 16 23 29 20 88 1.2 27 25 11 7 70 0.9 1,662 2,016 1,934 1,860 7,473 100.0 THROAT All other diseases and conditions of nose Acute tonsillitis # based on monthly returns received from E.N.T centre and other hospitals 87 CASES TREATED AS IN-PATIENTS AT E.N.T HOSPITAL# - 2012 Causes (ICD-10) Male Female Cancer and other neoplasm Otitis externa and other disorders of external ears Suppurative and unspecified otitis media Hearing loss Otalgia and effusion of ear Other diseases of the ear and mastoid Acute pharyngitis Acute tonsilitis Sinusitis Nasal polyp and other disorders of nose and nasal sinuses Peritonsilar abscess Other diseases of the respiratory system Epistaxis (Haemorrhage from nose) Dysphagia (Difficulty from swallowing) Localised swelling mass and lump of skin and subcutaneous tissue mainly of head and neck Diseases of oral cavity, salivary glands & jaws Delayed Speech Voices disturbances Headache including facial pains Foreign body in ear Foreign body in nostril, pharynx and other respiratory tract Foreign body in alimentary tract Fracture of skull and facial bones Injury and other consequences of external causes Other causes* TOTAL * including pain throat (49) and fever (26) 30 25 17 58 247 12 541 487 57 136 37 62 87 76 184 9 28 20 37 211 19 690 627 44 87 18 63 82 44 138 101 33 41 70 24 126 5 78 121 230 2,885 91 14 27 73 19 163 5 21 59 342 2,931 Total No. 39 53 37 95 458 31 1,231 1114 101 223 55 125 169 120 322 192 47 68 143 43 289 10 99 180 572 5,816 OPERATIONS PERFORMED ON IN-PATIENTS AT E.N.T. HOSPITAL# - 2012 Operations / Procedures Male Female Application, insertion or removal procedures on external ear Other procedures on ear and mastoid processes Examination and other procedures on nose Application, insertion or removal procedures on nasal sinuses Other procedures on nasal sinuses Oral surgery Excision and other procedures on mouth Excision on tonsils and adenoids Procedures on pharynx Procedures on larynx Procedures on other respiratory system Examination and other procedures on oesophagus Reduction of fracture of facial bone Dermatological and plastic procedures Diagnostic and therapeutic intervention Other procedures TOTAL % 0.7 0.9 0.6 1.6 7.9 0.5 21.2 19.2 1.7 3.8 0.9 2.1 2.9 2.1 5.5 3.3 0.8 1.2 2.5 0.7 5.0 0.2 1.7 3.1 9.8 100.0 Total 24 16 No. 40 % 2.5 102 105 19 101 45 23 203 150 42 12.7 9.4 2.6 27 20 9 232 20 35 22 63 41 37 39 31 826 25 24 5 315 22 17 6 84 9 24 20 38 774 52 44 14 547 42 52 28 147 50 61 59 69 1,600 3.3 2.8 0.9 34.2 2.6 3.3 1.8 9.2 3.1 3.8 3.7 4.3 100.0 # figures (include patients referred from Victoria Hospital are based on database of discharged patients (See page 50 for total admissions and operations) CASES TREATED AS IN-PATIENTS AT THE CARDIAC CENTRE# - 2012 Causes (ICD -10) Cases treated Female Total % Rheumatic fever with heart involvement 3 1 4 0.1 Mitral stenosis 1 9 10 0.3 Other rheumatic mitral valve diseases 27 49 76 2.5 Other chronic rheumatic heart diseases 7 16 23 0.7 1,047 623 1,670 53.9 Acute Myocardial infarction 82 20 102 3.3 Chronic ischaemic heart diseases 533 173 706 22.8 Nonrheumatic mitral valve disorders 5 3 8 0.3 Nonrheumatic aortic valve disorders 42 21 63 2.0 Pulmonary valve disorders 37 15 52 1.7 Left ventricular and other heart failure 4 2 6 0.2 Cardiac septal defect 5 16 21 0.7 Other heart diseases 13 13 26 0.8 Cerebrovascular diseases 2 2 0.1 Angina pectoris - Peripheral vascular disease 145 43 188 6.1 Artetiovenous fistula acquired 34 21 55 1.8 Other diseases of the circulatory system 7 2 9 0.3 Congenital malformations of the heart and other circulatory system 25 22 47 1.5 Other causes 20 13 33 1.1 2,039 1,062 3,101 100.0 Total NB:total operations performed =1,326 of which Thoracic Surgery (2), Vascular Surgery (107), Neuro Surgery (169), Cardiac Surgery (646) and general surgery (402). # based on data received (see page 50 for total admissions and operations) 88 Male REPORTED CASES OF CERTAIN SEXUALLY TRANSMITTED INFECTION DIAGNOSED AT SKIN DISEASE CLINIC OF GOVERNMENT HOSPITAL- 2012 CAUSE Under 20 years Gonococcal infections Venereal warts Syphilis 30 - 39 years 40 - 49 years 50 years & over ALL AGES Male Female Male Female Male Female Male Female Male Female Male Female Total 21 - 70 - 35 1 7 - 5 - 138 1 139 2 7 15 11 4 7 6 3 2 3 29 31 60 1 1 - 6 3 - 2 1 2 - 8 8 16 - - 3 1 4 - 2 - 2 - 11 1 12 - - 1 - - - 1 - - - 2 - 2 24 8 89 18 46 8 18 4 11 3 188 41 229 Herpes simplex Chancroid TOTAL 20 -29 years ATTENDANCE AT THE NATIONAL DAY CARE CENTRES* FOR THE IMMUNO-SUPPRESSED - 2012 New HIV/AIDS cases seen for treatment FEMALE TOTAL - 2 2 14 10-19 years 5 9 20-29 years 48 47 95 30-39 years 116 32 148 40-49 years 72 12 84 50-59 years 37 7 44 60 years & over 13 5 18 291 114 405 B. Subsequent attendances of HIV/AIDS cases for treatment/follow-up 6,669 3,186 9,855 Total seen for treatment (A+B) 6,960 3,300 10,260 - of whom on ARV 3,746 1,361 5,107 A. Total New Cases (all ages) C. PMTCT - 99 99 D. Post -HIV Exposure Prophylaxis 215 125 340 E. Voluntary counselling 899 526 1,425 F. Police Case 58 55 113 G. Visa purpose 22 22 44 4,709 3,152 7,861 104 63 167 12,967 7,342 20,309 H. Screening (expatriates) I. Other (premarital, medical purpose@, etc) Total attendances * at Volcy Pougnet Centre, Victoria, SSRN and JNH Hospitals @ mostly cases referred by private doctors 89 Under 10 years MALE 90 Island of Mauritius Cases of occupational and work related diseases diagnosed during screening sessions at Occupational Health Clinics 2012 Condition Male Female Total Diseases caused by chemical agents 8 - 8 Diseases caused by physical agents 5 - 5 Biological agents - 1 1 Occupational respiratory diseases 3 4 7 Occupational skin diseases 13 5 18 Occupational musculo-skeletal disorders 83 20 103 Occupational cancer - - - Others - - - 112 30 Total (cases diagnosed) 142 Attendances at screening sessions: First attendances 1,128 506 1,634 Subsequent attendances 5,259 1,020 6,279 TOTAL ATTENDANCES 6,387 1,526 7,913 Pre employment medical fitness examinations Number of persons examined 2,260 1,271 3,531 Statistics on Home Nursing Care Services Number of visits 1 2 3 4 5 Port Louis Pamplemousses / Riviere du Rempart Flacq Grand Port / Savanne Plaine Wilhems TOTAL 2009 2010 2011 2012 6,802 6,595 6,701 5,632 7,386 6,219 4,404 11,979 7,692 6,881 8,068 7,311 6,264 8,370 7,575 6,402 8,328 7,495 6,188 6,299 36,038 34,278 35,910 36,365 91 CAUSES @ OF ATTENDANCES* AT GOVERNMENT AYURVEDIC (OUT-PATIENT) CLINICS - 2012 CAUSES TYPE OF DISEASE AYURVEDIC TERMS TOTAL % 12,805 20.8 8,362 13.6 7,171 11.7 4,358 7.1 3,777 6.1 1 Diseases of skeletal/osseous system Asthi Vaha Srotas 2 Diseases related to blood and plasma Rasa Vaha Srotas 3 Symptoms involving head and neck Urdhwa Jatrugataroga 4 Annavaha Srotas 5 Gastritis and other diseases of digestive system Diabetes mellitus 6 Diseases of adipose system Medho Vaha Srotas 3,496 5.7 7 Diseases of haemopoitic system Rakta Vaha Srotas 3,031 4.9 8 Diseases of lower intestinal system Purisha Vaha Srotas 2,869 4.7 9 Diseases of respiratory system Pranavaha Srotas 2,807 4.6 10 Mental disorder Mano Vaha Srotas 2,770 4.5 11 Diseases of muscular System Mamsagata Vaha Srotas 2,243 3.7 12 Hypertensive diseases Uccha Raktachapa Dab 1,928 3.1 13 Vata Vikara 1,582 2.6 14 Paralysis tremors, neuritis and other diseases of the nervous system Urinary Disorder 1,354 2.2 15 Common gynaecological disorders Artava Srotas 821 1.3 16 Diseases of reproductive system Sukra Vaha Srotas 819 1.3 17 Common pediatric diseases Balaroga 788 1.3 18 Diseases of body fluids system Udhakavahas Srotas 450 0.7 61,431 100.0 Madhumeha rogas Mutra vaha Srotas TOTAL @ A patient with 2 distinct diseases are counted twice etc. * New and follow-up cases NUMBER OF ATTENDANCES MALE FEMALE TOTAL BELVEDERE MEDI CLINIC 2,931 4,975 7,906 L'ESCALIER MEDI CLINIC 3,142 6,186 9,328 SSRN HOSPITAL 5,092 8,069 13,161 VICTORIA HOSPITAL 4,315 8,352 12,667 LA SOURCE FLACQ 2,532 6,092 8,624 18,012 33,674 51,686 TOTAL 92 REPUBLIC OF MAURITIUS New cases of Cancer registered * COMMON CANCERS AMONG MEN Sn 2001 - 2004 (4 years) 2005 - 2008 (4 years) 2009 - 2011 (3 years) Site Number % Total Number % Total Number % Total 1 Colon/Rectum 268 11.8 320 14.0 271 13.5 2 Prostate 230 10.2 241 10.5 236 11.7 3 Trachea/Bronchus/Lung 206 9.1 220 9.6 164 8.1 4 Skin 108 4.8 132 5.8 163 8.1 5 Lip/Oral Cavity/Pharynx 205 9.1 177 7.7 162 8.0 6 Stomach 151 6.7 182 8.0 125 6.2 7 Bladder 131 5.8 112 4.9 93 4.6 8 Lymphoma 105 4.6 92 4.0 89 4.4 9 Leukaemias 83 3.7 100 4.4 68 3.4 10 Other 778 34.3 710 31.1 642 31.9 2,265 100 2,286 100 2,013 100 TOTAL COMMON CANCERS AMONG WOMEN Sn 2001 - 2004 (4 years) 2005 - 2008 (4 years) 2009 - 2011 (3 years) Site Number % Total Number % Total Number % Total 1 Breast 1,066 34.3 1,239 37.8 1,154 38.6 2 Cervix Uteri 382 12.3 334 10.2 262 8.8 3 Colon/Rectum 226 7.3 250 7.6 257 8.6 4 Corpus Uteri 124 4.0 149 4.5 164 5.5 5 Ovary 139 4.5 183 5.6 135 4.5 6 Skin 92 3.0 102 3.1 119 4.0 7 Stomach 87 2.8 83 2.5 78 2.6 8 Leukaemias 81 2.6 73 2.2 65 2.2 9 Trachea/Bronchus/Lung 79 2.5 78 2.4 60 2.0 10 Other 830 26.7 789 24.1 699 23.4 3,106 100 3,280 100 2,993 100 TOTAL * Source: National Cancer Register 93 ISLAND OF MAURITIUS CASES# TREATED AS IN-PATIENTS AT THE NEONATAL INTENSIVE CARE UNITS * - 2012 (The figures given below are included in all tables pertaining to discharges from government general hospitals ) CAUSE (ICD-10 Classifications) NUMBER OF CASES @ OF WHOM PASSED AWAY @ MALE FEMALE TOTAL MALE FEMALE Disorders related to length of gestation and fetal growth. Respiratory and cardiovascular disorders specific to the perinatal period. 115 82 197 32 22 54 27 23 50 10 5 15 Infections specific to the perinatal period. 31 15 46 6 3 9 Birth trauma 1 1 2 1 - 1 Digestive system disorders of fetus and newborn Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery. - - - - - - - - - - - - Haemorrhagic and haematological disorders of fetus and newborn. 3 1 4 1 - 1 Transitory endocrine and metabolic disorders specific to fetus and newborn 3 - 3 - - - Conditions involving the integument and temperature regulation of foetus and newborn Other disorders originating in the perinatal period. Congenital malformation of the nervous system Congenital malformations of the circulatory system. 1 - 1 - - - 6 5 11 - 1 1 - 1 1 - - - 3 1 4 3 - 3 Congenital malformations of the respiratory system. Congenital malformations of digestive system. Congenital malformation and deformities of the musculoskeletal system - - - - - - 3 2 5 1 - 1 2 2 4 1 - 1 Other congenital malformations 6 3 9 2 3 5 Diseases of respiratory system. 1 3 4 - 1 1 Other diseases 4 1 5 1 - 1 TOTAL 206 140 346 58 35 93 * Victoria and SSRN Hospitals @ based on data obtained from the Health Records Division # 0-3 months TOTAL 94 ISLAND OF MAURITIUS INFANT DEATHS BY SEX AND DETAILED AGE - 2012 MALE AGE AT DEATH No. FEMALE % No. TOTAL % No. % Under 1 day 19 17.4 16 21.3 35 19.0 1 day 13 11.9 6 8.0 19 10.3 2 days 5 4.6 7 9.3 12 6.5 3 days 8 7.3 1 1.3 9 4.9 4 days 2 1.8 2 2.7 4 2.2 5 days 3 2.8 8 10.7 11 6.0 6 days 2 1.8 1 1.3 3 1.6 41 93 7 54.7 9.3 22 50.5 12.0 Sub-total 0 - 6 days 7 - 13 days 15 47.7 13.8 14 - 20 days 8 7.3 6 8.0 14 7.6 21 - 27 days 3 2.8 2 2.7 5 2.7 78 71.6 56 74.7 134 72.8 13 11.9 10 13.3 23 12.5 52 Sub-total 0 - 27 days 28 - 59 Sub-total under 6 months days 2 months 5 4.6 1 1.3 6 3.3 3 months 2 1.8 2 2.7 4 2.2 4 months 4 3.7 2 2.7 6 3.3 5 months 2 1.8 1 1.3 3 1.6 95.4 72 96.0 176 95.7 104 6 months 2 1.8 1 1.3 3 1.6 7 months 1 0.9 - 0.0 1 0.5 8 months - 0.0 - 0.0 - 0.0 9 months - 0.0 - 0.0 - 0.0 10 months 1 0.9 2 2.7 3 1.6 11 months 1 0.9 - 0.0 1 0.5 100.0 75 100.0 184 100.0 TOTAL UNDER ONE YEAR 109 ISLAND OF MAURITIUS CAUSE (I.C.D. 10 ) Early Neo-Natal Deaths FEMALE Diarrhoea and gastroenteritis of presumed infectious origin Meningitis - 2012 Late Neo-Natal Deaths TOTAL MALE - 95 BREAKDOWN OF INFANT DEATHS BY CAUSES AND SEX Neo-Natal Deaths TOTAL MALE FEMALE 0.0 - - 0.0 1 1 - - - Congenital anomalies No. % - - - - Acute Bronchitis and Acute Bronchiolitis Asthma - Pneumonia Post Neonatal Deaths MALE TOTAL MALE % - - 0.0 - - - - 0.0 1.1 - 1 1 - 0.0 - - 2 2 2.2 1 14 10 24 25.8 Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight Intrauterine Hypoxia and birth asphyxia Septicaemia and infections specific to the perinatal period Neonatal haemorrhage 3 3 6 1 3 5 FEMALE No. % - - 0.0 - - - - 0.0 2.4 - 2 2 - 0.0 - - - 1 2.4 1 4 5 9 22.0 6.5 - - - 4 4.3 - 2 1 6 6.5 5 1 1 2 2.2 Birth Trauma - - - Disseminated intravascular coagulation in newborn Sudden Infant Death Syndrome 2 1 1 Ingestion of food causing suffocation All other causes TOTAL TOTAL No. % - - 0.0 - - - 0.0 1.5 2 2 4 8.0 - 0.0 - - - 0.0 2 3 2.2 2 1 3 6.0 18 15 33 24.6 4 4 8 16.0 0.0 3 3 6 4.5 - - - 0.0 2 4.9 1 5 6 4.5 - - - 0.0 2 7 17.1 10 3 13 9.7 - 4 4 8.0 1 - 1 2.4 2 1 3 2.2 - - - 0.0 0.0 1 - 1 2.4 1 - 1 0.7 - - - 0.0 3 3.2 3 1 4 9.8 5 2 7 5.2 - - - 0.0 - 1 1.1 - - - 0.0 1 - 1 0.7 5 1 6 12.0 - - - 0.0 - - - 0.0 - - - 0.0 2 - 2 4.0 25 19 44 47.3 11 4 15 36.6 36 23 59 44.0 16 7 23 46.0 52 41 93 100.0 26 15 41 100.0 78 56 134 100.0 31 19 50 100.0 95 No. FEMALE 96 ISLAND OF MAURITIUS SELECTED CAUSES OF INFANT DEATHS CAUSE (I.C.D. 10 ) Diarrhoea and gastroenteritis of presumed infectious origin Meningitis Acute Bronchitis and Acute Bronchiolitis Asthma Pneumonia Congenital anomalies Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight - 2012 MALE 2 3 22 3 NUMBER OF DEATHS TOTAL FEMALE No. 4 6 3 6 19 41 3 6 % 0.0 0.0 3.3 0.0 3.3 22.3 3.3 1 5 6 10 7 17 Neonatal haemorrhage 2 1 3 Birth Trauma 1 - 1 Disseminated intravascular coagulation in newborn 5 2 7 Sudden Infant Death Syndrome 6 1 7 Ingestion of food causing suffocation 2 - 2 52 30 82 3.3 9.2 1.6 0.5 3.8 3.8 1.1 44.6 109 75 184 100.0 Intrauterine Hypoxia and birth asphyxia Septicaemia and infections specific to the perinatal period All other causes * TOTAL SELECTED CAUSES OF DEATHS AMONG CHILDREN AGED 0-4 YEARS - 2012 CAUSE (I.C.D. 10 ) NUMBER OF DEATHS TOTAL MALE FEMALE No. % Diarrhoea and gastroenteritis of presumed infectious origin - - - 0.0 Meningitis - - - 0.0 Acute Bronchitis and Acute Bronchiolitis 3 5 8 3.8 Asthma - - - 0.0 Pneumonia 4 3 7 3.3 26 21 47 22.3 Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight 3 3 6 2.8 Intrauterine Hypoxia and birth asphyxia 1 5 6 2.8 11 8 19 9.0 Neonatal haemorrhage 2 1 3 1.4 Birth Trauma 1 - 1 0.5 Disseminated intravascular coagulation in newborn 5 2 7 3.3 Sudden Infant Death Syndrome 6 1 7 3.3 Ingestion of food causing suffocation 2 - 2 0.9 Accidents 2 2 4 1.9 - 1 1 0.5 57 36 93 44.1 123 88 211 100.0 Congenital anomalies Septicaemia and infections specific to the perinatal period Assaults All other causes * TOTAL * including pulmonary haemorrhage (17 deaths) and respiratory distress (28 deaths) 97 ISLAND OF MAURITIUS DEATHS (ALL AGES) BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION OF DISEASES AND SEX 2012 CAUSE ( ICD - 10 ) DEATHS MALE No. FEMALE % No. TOTAL % No. % 1. Certain infectious & parasitic diseases 189 3.8 102 2.5 291 3.2 2. Neoplasms 569 11.4 549 13.4 1,118 12.3 3. Diseases of the blood & bloodforming organs and certain disorders involving the immune mechanism 28 0.6 30 0.7 58 0.6 4. 1,237 24.8 1,234 30.0 2,471 27.1 5. Endocrine, nutritional & metabolic diseases Mental & behavioural disorders 39 0.8 5 0.1 44 0.5 6. Diseases of the nervous system 75 1.5 48 1.2 123 1.4 7. Diseases of the eye & adnexa 8. Diseases of the ear & mastoid process 0.0 - 0.0 0.0 - - 0.0 9. Diseases of the circulatory system 1,518 10 Diseases of the respiratory system 420 8.4 330 8.0 750 8.2 11 Diseases of the digestive system 260 5.2 81 2.0 341 3.7 12 Diseases of the skin & subcutaneous tissue 16 0.3 20 0.5 36 0.4 13 Diseases of the musculoskeletal system & connective tissue 3 0.1 23 0.6 26 0.3 14 Diseases of the genitourinary system 85 1.7 64 1.6 149 1.6 15 Pregnancy, childbirth & the puerperium - 0.0 9 0.2 9 0.1 16 Certain conditions originating in the perinatal period 61 1.2 39 0.9 100 1.1 17 Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 28 0.6 23 0.6 51 0.6 84 1.7 107 2.6 191 2.1 Injury, poisoning & certain other consequences of external causes 383 7.7 108 2.6 491 5.4 4,995 100.0 4,108 100.0 9,103 100.0 18 19 & 20 TOTAL 30.4 1,336 0.0 0.0 32.5 2,854 31.4 ISLAND OF MAURITIUS DEATHS BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION AND BY AGE-GROUP - 2012 MALES CHAPTER (I.C.D.10) 1. 2. 3. 4. 5. 6. Certain infectious & parasitic diseases Neoplasms Diseases of the blood & bloodforming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases Mental & behavioural disorders 8. Diseases of the ear & mastoid process Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system 11. 12. 13. 14. 15. 16. 17. 18. 19. 3 - 2 1 - 5 - 12 years 1319 years 2039 years 40- 59 years 2 1 49 82 5 5 21 4 169 3 - 2 - - 22 356 60 years Und er 1 year 1-4 years 50 2 1 368 19 1 5 - 12 years 13- 19 years 20- 39 years 4059 years 1 - 13 21 2 3 2 28 3 191 7 - - - 1 858 - - - - 14 227 60 years Under 1 year 1-4 years 512 years 13- 19 years 2039 years 40- 59 years 60 years 64 5 3 3 1 62 103 114 322 19 1 3 8 7 49 360 690 - - - 3 7 10 38 993 1 - - - 36 583 1,851 Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes TOTAL TOTAL 291 - 1,118 58 1 2,471 44 - - - - 8 22 9 - - - - 1 2 2 - - - - 9 24 11 1 2 2 5 22 17 26 - 2 1 2 7 9 27 1 4 3 7 29 26 53 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2,854 - 1 1 2 62 413 1,039 2 - - 2 26 156 1,150 2 1 1 4 88 569 2,189 10 2 - - 29 29 68 130 311 97 9 2 1 1 8 3 44 22 265 54 19 4 1 1 37 32 112 152 576 151 2 - - 2 - 1 - - 1 3 - - 3 - - 1 - - - - - - 1 - - 4 31 - - - - 1 - - 1 - 3 - - 1 3 7 4 11 - - 1 3 - - 4 7 38 106 - - 1 - 123 750 - 341 36 2 1 18 13 1 63 - 6 2 3 18 10 26 149 - 1 20 43 - - - 1 - 1 7 - 1 - - - - 1 - - 100 - - - - - - 9 100 61 - - - - - - 39 - - - 22 4 1 - 1 - - 19 2 - 1 1 - - 41 6 1 1 2 - - 6 - 1 - 5 11 61 1 1 - 2 2 101 7 1 1 - 7 13 162 3 2 2 24 144 133 75 1 3 - 8 29 29 38 4 5 2 32 173 162 113 491 109 14 15 42 400 1425 2990 75 13 7 22 149 736 3106 184 27 22 64 549 2161 6096 9103 51 - 191 98 Diseases of the eye & adnexa 10. 1-4 years BOTH SEXES Diseases of the nervous system 7. 9. Under 1 year FEMALES 99 ISLAND OF MAURITIUS SELECTED PRINCIPAL CAUSES OF DEATH (ALL AGES) - 2012 (See page 81 for deaths by ICD-10 chapters) MALE CAUSE (I.C.D - 10) No. FEMALE % No. TOTAL % No. % Acute myocardial infarction and other ischaemic heart diseases Heart Failures 605 12.1 441 10.7 1,046 11.5 174 3.5 163 4.0 337 3.7 Cardiac Arrest Pulmonary heart diseases 63 23 1.3 0.5 53 13 1.3 0.3 116 36 1.3 0.4 Other heart diseases 64 1.3 42 1.0 106 1.2 Cerebrovascular disease 347 6.9 340 8.3 687 7.5 Hypertensive disease Diabetes mellitus Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of breast Malignant neoplasm of stomach 225 1,209 99 4.5 24.2 2.0 272 1,207 41 6.6 29.4 1.0 497 2,416 140 5.5 26.5 1.5 59 0.0 1.2 139 28 3.4 0.7 139 87 1.5 1.0 Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of liver and intrahepatic bile duct Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of pancreas - 0.0 64 1.6 64 0.7 24 0.5 17 0.4 41 0.5 43 0.9 14 0.3 57 0.6 27 0.5 21 0.5 48 0.5 Malignant neoplam of prostate 55 1.1 0.0 55 0.6 Pneumonia 104 2.1 105 2.6 209 2.3 Asthma 53 61 33 Bronchitis, emphysema and other chronic obstructive pulmonary diseases Land Transport Accidents Suicide Homicides 63 83 1.3 0.6 0.9 145 89 18 2.9 1.8 0.4 20 23 26 13 1.5 0.6 0.5 114 Pulmonary oedema 1.1 0.7 1.3 0.6 0.6 0.3 168 115 31 1.8 1.3 0.3 Accidental drowning and submersion 37 0.7 3 0.1 40 0.4 Accidents caused by fire and flames 10 6 159 20 0.1 0.5 16 Diseases of liver (inc. alcoholic cirrhosis) 0.2 3.2 179 0.2 2.0 Renal failures 71 1.4 52 1.3 123 1.4 Senility 41 0.8 82 2.0 123 1.4 Septicaemia unspecified 51 1.0 56 1.4 107 1.2 Gastrointestinal haemorrhage unspecified 41 0.8 21 0.5 62 0.7 21.3 100.0 742 4,108 18.1 100.0 All other causes TOTAL 1,063 4,995 - 23 56 1,805 9,103 19.8 100.0 ISLAND OF MAURITIUS SELECTED PRINCIPAL CAUSES OF DEATHS BY AGE-GROUP AND SEX - 2012 CAUSES (ICD.10) 1529 years - 3 25 1 1 - 5 1 3 2 2 5 1 - FEMALES 304544 59 years years 60-74 years 75+ years Unde r 15 years 1529 years 155 209 213 - 1 3 22 1 2 8 22 10 37 2 53 10 2 24 69 48 327 22 43 11 7 11 114 69 523 39 51 40 11 18 139 96 317 35 1 1 - 3 1 3 1 2 - - - - - - - - 1 4 22 20 12 - - - - - - - 1 5 - - 3 - - - BOTH SEXES 45-59 60-74 years years 60-74 years 75+ years Under 15 years 1529 years 3044 years 75+ years TOTAL 48 119 270 - 4 28 203 328 483 1,046 9 2 13 7 27 1 25 2 2 4 26 32 208 12 25 6 5 5 74 67 493 14 100 45 3 32 224 165 477 14 1 1 1 1 - 8 1 1 3 5 3 7 1 31 1 4 8 35 17 64 3 78 12 4 28 95 80 535 34 68 17 12 16 188 136 1,016 53 151 85 14 50 363 261 794 49 337 116 36 106 687 497 2,416 140 1 17 55 47 19 - 1 17 55 47 19 139 - - 2 9 10 7 - 1 6 31 30 19 87 - - 1 3 19 24 17 - 1 3 19 24 17 64 9 9 - - 1 2 11 3 - - 2 7 20 12 41 18 18 4 - - 1 4 4 5 - - 4 22 22 9 57 1 12 10 4 - - - 4 10 7 - - 1 16 20 11 48 - - 7 21 27 - - - - - - - - - 7 21 27 55 3 2 - 2 1 5 - 4 3 11 2 15 7 8 4 24 13 4 21 56 29 3 36 2 1 - - 2 7 2 - 13 5 5 - 15 12 5 3 73 37 10 17 5 3 - 2 1 5 - 6 10 13 2 28 12 13 4 39 25 9 24 129 66 13 53 209 114 56 83 1 1 1 47 19 5 9 35 39 6 12 36 19 4 9 22 9 2 6 4 2 1 - 2 1 - 5 14 2 - 5 5 1 8 3 3 1 6 1 1 4 1 2 - 1 3 1 1 52 33 7 9 35 44 11 13 44 22 7 10 28 10 2 7 8 3 3 - 168 115 31 40 131 141 53 164 203 453 371 1247 352 1557 326 1433 90 98 36 70 72 180 164 654 199 1156 418 1950 221 239 89 234 275 633 535 1901 551 2713 744 3383 2,415 9103 100 Acute myocardial infarction and other ischaemic heart diseases Heart Failures Cardiac Arrest Pulmonary heart diseases Other heart diseases Cerebrovascular disease Hypertensive disease Diabetes mellitus Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of breast Malignant neoplasm of stomach Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of liver and intrahepatic bile duct Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of pancreas Malignant neoplasm of prostate Pneumonia Asthma Pulmonary oedema Bronchitis, emphysema and other chronic obstructive pulmonary diseases Land Transport Accidents Suicide Homicides Accidental drowning and submersion All other causes TOTAL MALES 3045-59 44 years years Under 15 years 101 CHAPTER-SPECIFIC DEATH RATES PER 10,000 MID-YEAR RESIDENT POPULATION - 2012 CHAPTER (ICD-10) 1. Certain infectious & parasitic diseases 2. Neoplasms 3. Diseases of the blood & bloodforming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 4. MAURITIUS No. of Death Deaths Rate RODRIGUES No. of Death Deaths Rate REPUBLIC No. of Death Deaths Rate 291 2.3 2 0.5 293 2.3 1,118 8.9 41 10.7 1,159 9.0 58 0.5 5 1.3 63 0.5 2,471 19.7 45 11.8 2,516 19.5 5. Mental & behavioural disorders 44 0.4 2 0.5 46 0.4 6. Diseases of the nervous system 123 1.0 3 0.8 126 1.0 7. Diseases of the eye & adnexa - 0.0 - 0.0 - 0.0 8. Diseases of the ear & mastoid process - 0.0 - 0.0 - 0.0 9. Diseases of the circulatory system 2,854 22.8 79 20.7 10. Diseases of the respiratory system 750 6.0 18 4.7 768 5.9 11. Diseases of the digestive system 341 2.7 5 1.3 346 2.7 12. Diseases of the skin & subcutaneous tissue 36 0.3 0.3 37 0.3 Diseases of the musculoskeletal system & connective tissue 26 0.3 27 0.2 1.0 153 1.2 0.0 9 0.1 13. 14. 15. Diseases of the genitourinary system Pregnancy, childbirth & the puerperium 16. Certain conditions originating in the perinatal period 17. Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes 18. 19. TOTAL 0.2 149 1.2 9 0.1 1 1 4 - 2,933 22.7 100 0.8 6 1.6 106 0.8 51 0.4 5 1.3 56 0.4 191 1.5 7 1.8 198 1.5 491 3.9 16 4.2 507 3.9 9,103 72.6 240 62.9 9,343 72.4 102 ISLAND OF MAURITIUS DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2012 DEATHS AGE-GROUP MALE FEMALE (years) Number Number Under 1 109 1- 4 DEATH RATES BOTH SEXES MALE FEMALE BOTH SEXES Number Percentage 75 184 2.0 2.0 15.6 11.0 13.4 14 13 27 0.3 2.3 0.5 0.4 0.5 5- 9 6 5 11 0.1 2.4 0.1 0.1 0.1 10 - 14 12 5 17 0.2 2.6 0.3 0.1 0.2 15 - 19 39 19 58 0.6 3.3 0.8 0.4 0.6 20 - 24 54 21 75 0.8 4.1 1.1 0.4 0.7 25 - 29 71 30 101 1.1 5.2 1.6 0.7 1.1 30 - 34 121 40 161 1.8 7.0 2.2 0.7 1.5 35 - 39 154 58 212 2.3 9.3 3.3 1.2 2.2 40 - 44 178 82 260 2.9 12.1 4.0 1.8 2.9 45 - 49 319 161 480 5.3 17.4 6.5 3.3 4.9 50 - 54 418 212 630 6.9 24.3 9.8 4.8 7.3 55 - 59 510 281 791 8.7 33.0 14.1 7.4 10.7 60 - 64 566 347 913 10.0 43.1 20.5 11.3 15.6 65 - 69 505 376 881 9.7 52.7 31.5 18.9 24.6 70 - 74 486 434 920 10.1 62.8 47.6 31.4 38.3 75 - 79 520 482 1,002 11.0 73.9 72.1 44.3 55.4 80 - 84 426 526 952 10.5 84.3 117.5 80.7 93.8 85 & over 487 941 1,428 15.7 100.0 205.2 174.4 183.8 4,995 4,108 9,103 100.0 8.1 6.5 7.3 ALL AGES Cumulative percentage - ISLAND OF MAURITIUS DEATHS DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2012 MALES FEMALES BOTH SEXES 1529 years 3044 years 4559 years 6074 years 75+ years Under 15 years 1529 years 3044 years 4559 years 60-74 years 75+ years Under 15 years 15-29 years 3044 years 4559 years 6074 years 75+ years TOTAL Acute Myocardial Infarction Other Ischaemic Heart diseases - 3 21 125 141 122 - 1 2 36 82 160 - 4 23 161 223 282 693 - - 4 30 68 91 - - 1 12 37 110 - - 5 42 105 201 353 Total (Ischaemic Heart diseases) - 3 25 155 209 213 - 1 3 48 119 270 - 4 28 203 328 483 1,046 Cardiac Arrest - 1 1 10 11 40 - - - 2 6 45 - 1 1 12 17 85 116 Heart Failure - 5 22 53 43 51 1 3 9 25 25 100 1 8 31 78 68 151 337 Other heart diseases 1 3 10 24 16 26 1 1 2 6 8 29 2 4 12 30 24 55 127 Total (Heart diseases)* 1 12 58 242 279 330 2 5 14 81 158 444 3 17 72 323 437 774 1,626 Hypertensive diseases - 2 10 48 69 96 - 1 7 32 67 165 - 3 17 80 136 261 497 Intracranial haemorrhage and cerebral infarction Stroke, not specified as haemorrhage or infarction Other cerebrovascular diseases 1 2 15 27 21 18 - 1 10 13 19 19 1 3 25 40 40 37 146 - - 7 41 88 115 - 2 3 13 54 192 - 2 10 54 142 307 515 - - - 1 5 6 - - - - 1 13 - - - 1 6 19 26 Total (cerebrovascular diseases) 1 2 22 69 114 139 - 3 13 26 74 224 1 5 35 95 188 363 687 Other diseases of the circulatory system T O T A L (Circulatory system) - - 4 8 6 6 - - 1 1 9 9 - - 5 9 15 15 44 2 16 94 367 468 571 2 9 35 140 308 842 4 25 129 507 776 1,413 2,854 103 Under 15 years CAUSES (ICD-10) 104 ISLAND OF MAURITIUS DEATHS DUE TO NEOPLASMS BY TYPE AND SEX 2012 TYPE OF NEOPLASM (ICD-10) MALE FEMALE TOTAL Malignant neoplasm of lip, oral cavity and pharynx 43 16 59 44 14 8 28 30 57 24 87 74 14 16 30 24 27 17 21 41 48 Malignant neoplasm of skin, including melanoma 16 21 99 2 8 2 17 2 41 2 2 - 33 23 140 4 10 2 Malignant neoplasm of mesothelial and soft tissue 4 1 5 Malignant neoplasm of breast - 139 25 39 42 Malignant neoplasm of oesophagus Malignant neoplasm of stomach Malignant neoplasm of colon Malignant neoplasm of rectosigmoid junction, rectum, anus and anal canal Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Other malignant neoplasm of digestive organs Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Other malignant neoplasm of respiratory and intrathoracic organs Malignant neoplasm of bone and articular cartilage Malignant neoplasm of eye and adnexa 55 5 11 17 - 9 3 1 139 25 39 42 55 5 20 20 1 Malignant neoplasm of central nervous system, including brain 4 6 10 Malignant neoplasm of other , ill-defined, secondary, unspecified and multiple sites 31 27 58 Hodgkin's disease 2 10 23 3 5 18 5 15 41 6 4 10 Benign neoplasm of urinary organs - 1 1 1 1 1 1 Benign neoplasm of brain and other parts of central nervous system 12 22 34 Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour 14 4 18 TOTAL 569 549 1,118 Malignant neoplasm of cervix uteri Malignant neoplasm of other and unspecified parts of the uterus Other Malignant neoplasms of female genital organs Malignant neoplasm of prostrate Other malignant neoplasm of male genital organs Malignant neoplasm of bladder Other malignant neoplasm of urinary tract Non-Hodgkin's lymphoma Leukaemia Other malignant neoplasms of lymphoid, haematopoietic and related tissue Benign neoplasm of breast Benign neoplasm of ovary organs ISLAND OF MAURITIUS Deaths due to External Causes , by Age-group and Sex - 2012 MALE FEMALE BOTH SEXES 512 years 13- 19 years 20- 39 years 40- 59 years 60 years & over Under 5 years 5 - 12 years 13- 19 years 20- 39 years 40- 59 years 60 years & over Under 5 years 5 - 12 years 1319 years 2039 years 4059 years 60 years & over TOTAL Transport Accidents - 1 12 59 47 26 - - - 5 8 10 - 1 12 64 55 36 168 Falls Accidental Drowning and Submersion Ingestion of food causing obstruction of respiratory tract Exposure to Electric Current Exposure to Smoke, Fire and Flames Other and unspecified accidents Suicide by chemicals and noxious substances Suicide by hanging Suicide by fire Suicide by other and unspecified means Assault Accidental poisoning by exposure to noxious substances and/or of undetermined intent Complications of medical and surgical care Other and unspecified External causes TOTAL 1 - - 1 4 3 14 8 13 6 6 1 - - - 1 1 1 3 1 2 - - 1 4 3 15 9 14 9 7 24 40 2 - - 1 1 - - - - - 2 - 2 - - 1 3 - 6 1 - 1 3 4 2 2 - - 1 2 2 1 1 - 2 3 6 4 3 3 16 - - - 5 11 11 2 - - - 1 14 2 - - 5 12 25 44 - - - 11 11 4 - - 1 2 1 - - - 1 13 12 4 30 - 1 - 5 - 32 1 16 1 4 1 2 - - 3 1 1 10 3 - 1 1 - 1 1 - - 1 - 8 1 1 42 3 1 17 1 1 5 2 2 73 7 5 1 - 1 - 7 1 7 4 3 - 1 - - 1 - 5 - 4 - 2 - 1 1 - 2 - 12 1 11 4 5 - 31 6 - - - 2 8 10 - - - 1 6 5 - - - 3 14 15 32 - - - 1 4 - - - - - 1 - - - - 1 5 - 6 5 2 24 144 133 75 4 - 8 29 29 38 9 2 32 173 162 113 491 CAUSES (ICD - 10) 105 Under 5 years 106 107 SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF RODRIGUES-2012 Variable/Indicator Number/Value Denominator POPULATION AND VITAL STATISTICS Estimated mid-year resident population 38,167 Population density Estimated mid-year resident population by sex: male 18,864 female 19,303 sex ratio Estimated end-of-year resident population per square kilometre 10.7 2,905 7.6 728 Crude birth rate Deaths (all ages) 368 4,078 Percentage of total population Live births males per 1000 females 50.0 25.3 Percentage of total population Estimated mid-year population 65years and over 977 9,654 Percentage of total female population Percentage of total population (both sexes) Estimated mid-year population 60 years and over per square kilometre 38,242 Population density Estimated female mid-year resident population 15-49 years 367 19.1 per 1000 mid-year population 6.3 per 1000 mid-year population 240 Crude death rate Stillbirths 8 Stillbirth rate Perinatal deaths 10.9 per 1000 total births 17.7 per 1000 total births 20.6 per 1000 live births 23.4 per 1000 live births - per 1000 live births 202 inhabitants per bed 13 Perinatal mortality rate Infant deaths 15 Infant mortality rate Deaths under five years 17 Under-five mortality rate Maternal deaths - Maternal mortality ratio Life expectancy at birth (years) - male Life expectancy at birth (years) - female 71.5 76.6 Life expectancy at birth (years) - Both Sexes 74.0 INFRASTRUCTURE AND PERSONNEL Beds 189 Population : bed ratio Doctors 20 Population : doctor ratio Dentists Population : dentist ratio Nurses (including midwives) Population : nurse ratio 1,912 inhabitants per doctor 19,121 inhabitants per dentist 2 159 241 inhabitants per nurse 108 SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF RODRIGUES-2012 Variable/Indicator Number/Value Denominator MATERNAL AND CHILD HEALTH Births attended by qualified personnel 708 Percentage of all births (occurred = 712) Children with a birthweight of less than 2.5 kg 99.4 81 Percentage of live births (hospital & health centres=704) Total Fertility Rate Net Reproduction Rate IMMUNIZATION Children immunized against tuberculosis Immunization coverage 11.5 2.4 1.1 714 100.0 per 100 surviving infants 100.0 per 100 surviving infants 93.5 per 100 surviving infants 70.0 per 100 surviving infants Children immunized against diphtheria, whooping cough, tetanus, hepatitis B, Hib and poliomyelitis (3rd dose) Immunization coverage Children immunized against measles/mumps/rubella (MMR) Immunization coverage Pregnant women immunized against tetanus (2nd or higher dose) Immunization coverage NOTIFIABLE DISEASES Cases of malaria reported Incidence rate Cases of tuberculosis reported Incidence rate Cases of HIV / AIDS reported Incidence rate CAUSE OF DEATH Deaths due to diseases of the circulatory system Percentage of total deaths Disease-specific death rate 715 665 490 per 10,000 mid-year population 0.3 per 10,000 mid-year population 5 1.3 per 10,000 mid-year population 32.9 20.7 per 10,000 mid-year population 18.8 11.8 per 10,000 mid-year population 17.1 10.7 per 10,000 mid-year population 7.5 4.7 per 10,000 mid-year population 6.7 4.2 per 10,000 mid-year population 79 Deaths due to endocrine, nutritional and metabolic diseases Percentage of total deaths Disease-specific death rate Deaths due to neoplasms Percentage of total deaths Disease-specific death rate 45 Deaths due to diseases of the respiratory system 18 Percentage of total deaths Disease-specific death rate Deaths due to injury and poisoning Percentage of total deaths Disease-specific death rate 1 41 16 109 ISLAND OF RODRIGUES An Analysis of the Health Situation Rodrigues Island, administratively autonomous, is of volcanic origin, with an area of 104.0 km2, and is located 560 km north-east of Mauritius. In general, the population is scattered over the island, with no dominant towns, except the administrative centre, Port Mathurin. POPULATION AND VITAL STATISTICS The estimated mid-year resident population of the Island of Rodrigues was 38,167 in 2012 as compared to 36,175 in 2002. The population density, at the end of 2012 was 368 inhabitants per square kilometer. During the 10year period (2002-2012) the average annual growth rate was 0.5%. During these years, there has been a notable positive net increase in the migration of Rodriguans to the main Island of Mauritius, mostly for economic reasons. The proportion of population aged under 15 years slightly decreased from 31.0 % in 2002 to 30.6 % in 2012, while the proportion of elderly population (aged 65 years and above) increased from 5.6 % to 7.6 %. During that period, the total dependency ratio has increased from 578.4 per 1,000 mid year population aged 15-64 years to 617.1. The young age dependency ratio increased from 489.6 to 494.0 while the old age dependency ratio increased from 88.8 to 123.1. Life expectancy at birth, 70.2 years for males and 76.1 for females in 2002, was 71.5 years and 76.6 respectively in 2012. The number of live births registered in 2002 and 2012 was 814 and 728 respectively, corresponding to a decrease in the crude birth rate from 22.5 per 1,000 mid-year population to 19.1. The number of deaths registered in 2002 was 229 while in 2012 it was 240. The crude death was 6.3 in 2002 as well as in 2012. The number of infant deaths, that is deaths among children aged under one year, registered in 2002 and 2012 was 19 and 15 respectively, corresponding to a decrease in the infant mortality rate (IMR) from 23.3 per 1,000 live births to 20.6. The lowest IMR, that is 12.3, was recorded in 2005 with only 11 infant deaths. However, as shown in the chart that follows, it drastically rose to 27.2 in 2006 then declined to 15.4 in 2007. Since then, an increasing trend has been observed. The number of still-births registered in 2012 was 8 corresponding to a still-birth rate of 10.9 per 1,000 total births. In 2004, the still-birth rate was 24.8 with 24 still-births. After this peak, a decreasing trend has been observed till 2011 when the rate reached 4.3 with only 3 registered still births. 110 ISLAND OF RODRIGUES RATE per 1,000 LIVE BIRTHS 30 27.2 25 24.2 23.4 20.6 23.3 20 24.8 22.2 19.8 17.5 17.9 15 12.2 13.2 12.3 10 16.6 17.2 13.9 14.0 15.4 13.4 11.1 10.9 7.6 5 7.3 6.9 4.3 3.7 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 INFANT MORTALITY RATE STILLBIRTH RATE HEALTH DELIVERY SYSTEM In the Island of Rodrigues, at the end of 2012, there were one hospital with 135 beds and two health centres with in-patient facilities equipped with 54 beds. This brought the total number of beds in government institutions providing in-patient facilities to 189 as compared to 183 in 2002. Patients in need of tertiary health care are usually referred to Mauritius. At the end of 2012, there were 14 Community Health Centres, providing basic services including treatment of common diseases and injuries, maternal and child health care and family planning. There were three dental clinics, namely at Queen Elizabeth Hospital, Mont Lubin Health Centre, and La Ferme Health Centre. There was also a Health Office at Port Mathurin. HEALTH PERSONNEL At the end of 2012, there were 20 doctors in the Island of Rodrigues including (one in the private sector) that is one doctor for 1,912 inhabitants compared to 2,269 inhabitants in 2002. There were 2 dentists that is one for 19,120 inhabitants at the end of 2012 while in 2002 it was one for 18,152 inhabitants. Almost all of these health professionals are employees of the Ministry of Health & Quality of Life posted to the island on tour service basis. The number of qualified nurses and midwives was 159 at the end of 2012, that is one nurse/midwife for 241 inhabitants compared to one for 286 inhabitants in 2002. 111 ISLAND OF RODRIGUES IN-PATIENT SERVICE The number of admissions at Queen Elizabeth Hospital and the two Health Centres (Mont Lubin and La Ferme) was 12,236 in 2012, while in 2011 it was 9,779. The percentage increase in admissions during the oneyear period was 25 %. The highest number of admissions ever recorded was in 2006 with 13,695, probably due to the outbreak of chikungunya. OUT-PATIENT SERVICE The total number of attendances at the out-patient departments, that is the Accident & Emergency and the Sorted/Unsorted Unit at Queen Elizabeth Hospital, Mont Lubin and La Ferme Health Centres was 187,054 in 2012, while in 2002 it was 136,401, representing an average annual increase of about 3.7%. MATERNAL AND CHILD HEALTH In 2012, a total of 712 births (including 8 stillbirths) occurred at Queen Elizabeth Hospital, Mont Lubin HC and La Ferme HC. Out of the 704 live births attended by trained personnel, 81 were with a low birth weight (less than 2500 grammes) representing 11.5 % as compared to 15.5 % in 2011. An increasing trend has been observed since 2002 when the percentage of low birth weight was 7.7%. A total of 708 live births were reported by the MCH services in 2012. The number of babies immunized against Tuberculosis (BCG) by MCH staff was 714. 715 babies were immunized against Diphtheria, Haemophilus influenza type B, hepatitis B and oral Polio Vaccine (3rd dose) and 665 against Measles/mumps/rubella (MMR). DENTAL HEALTH In 2012, the number of attendances for the treatment of common diseases and injuries at Community Health Centres was 49,074 as compared to 55,056 in 2011, that is, a 11% decrease. The total number of attendances at the three dental clinics in 2012 was 15,047 while in 2002 it was 12,420. This represented an increase of 21.2 % during the 10-year period. 112 ISLAND OF RODRIGUES all over with 1,051 attendances (6.7%) stood in the third position. MORBIDITY The number of discharged patients in 2012 was 11,987 of whom 680 (5.7 %) were treated for Complications of pregnancy, childbirth and the puerperium (excluding Normal deliveries and Complications following abortions), 637 (5.3 %) for Delivery without mention of complications and 720 (6.0%) for Injuries (crushing & superficial injuries, fractures, open wounds, dislocation, sprain and strains). Diseases grouped by ICD chapters indicate that Diseases of respiratory system which was 23.4 % of total first attendances in 2002 compared to 23.2 % in 2012. During the same period, Infectious and parasitic diseases increased from 9.1 % to 11.1 %. Diseases of the musculoskeletal and connective tissue were 9.3 % of first attendances in 2002 compared to 9.6% in 2012; in 2006, they represented 14.7% probably due to the outbreak of chikungunya. In 2012, the diseases responsible for the highest number of first attendances at the 14 Community Health Centres were tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat and URTI with 2,643 attendances (16. 9%) followed by cough, pain in throat, chest pain, wheezing, hiccough and sneezing with 2,085 attendances (13.4%). Fever/pain In 2012, the number of cases treated for scabies in primary health care centres in Rodrigues was 641 compared to 693 in 2011. This decrease, though slight, is mainly explained by the setting up of an enhanced surveillance system in Rodrigues in 2012 following the increasing trend observed between 2009 and 2011. (See chart below) Attendances at Primary Health Care Centres due to Scabies 800 693 YEARLY ATTENDANCES 700 641 600 474 500 400 319 335 2005 2006 300 462 298 315 2008 2009 200 100 0 2007 YEAR 2010 2011 2012 113 ISLAND OF RODRIGUES CAUSE OF DEATH In 2012, 240 deaths were registered in Rodrigues. The distribution of deaths by the chapters of the International Classification of Diseases (ICD-10), as shown in the pie–chart below, indicates that Heart and other diseases of the circulatory system were responsible for 32.9 % of all deaths. Diabetes and other endocrine, nutritional & metabolic disorders with 18.8% were in the second position followed by Cancer and other Neoplasms with 17.1 %, Diseases of the respiratory system (7.5 %) and Accidents and other consequences of external causes (6.7%) Underlying causes of deaths by ICD-10 Chapter - 2012 Accidents and other consequences of external causes, 6.7% Diseases of the respiratory system, 7.5% Heart and other diseases of the circulatory system, 32.9% Other causes, 17.0% Cancer and other neoplasms, 17.1% Diabetes and other endocrine, nutritional and metabolic disorders, 18.8% ISLAND OF RODRIGUES POPULATION AND VITAL STATISTICS (NUMBERS) 1990 - 2012 YEAR Estimated Mid-Year population Civil marriages Live Births Deaths Natural Increase Maternal Deaths Infant Deaths z Child Deaths x Under-5 Deaths # Estimated End-of-Year Population 17 28 5 33 34,292 14 5 4 3 2 2 4 6 7 3 25 18 14 15 16 14 13 12 21 16 2 4 2 1 2 2 4 2 4 27 22 16 16 18 16 13 16 23 20 34,386 34,509 34,555 34,707 34,868 35,072 35,260 35,411 35,640 35,885 10 19 1 20 6 19 6 25 15 20 4 24 24 21 2 23 12 11 2 13 12 24 4 28 15 13 13 6 13 2 15 5 10 10 8 10 2 12 3 12 3 15 8 15 2 17 z Infant : Less than one year old x Child : Aged one to under 5 years # Under-5 Deaths: Infant deaths + Child Deaths 36,085 36,303 36,503 36,772 36,994 37,230 37,499 37,700 37,774 37,838 38,046 38,242 114 1990 34,204 173 803 177 626 * 1991 34,330 149 761 212 549 2 1992 34,453 162 732 157 575 1 1993 34,519 193 662 158 504 1994 34,698 202 745 168 577 1995 34,821 194 725 167 558 1996 34,939 198 714 162 552 1997 35,140 233 681 188 493 1998 35,303 248 690 188 502 1999 35,549 223 768 153 615 2000 35,779 243 807 176 631 1 * 2001 36,006 221 812 222 590 1 2002 36,175 231 814 229 585 2 2003 36,448 256 825 210 615 2004 36,690 247 945 216 729 2005 36,907 218 896 224 672 2006 37,079 209 881 245 636 2007 37,314 186 844 175 669 2008 37,570 185 782 206 576 2009 37,749 173 721 237 484 2010 37,840 185 714 240 474 1 2011 37,925 165 699 219 480 2012 38,167 185 728 240 488 Note: Population figures for 1984 and later years refer to the "resident" population. * based on census data StillBirths ISLAND OF RODRIGUES POPULATION AND VITAL STATISTICS (RATES) 1990 - 2012 YEAR 329 330 331 332 334 334 336 338 339 342 344 346 348 350 353 355 357 359 361 363 364 365 367 Rates per 1000 of the Mid-Year Marriage Rate Crude Birth Rate Crude Death Rate Rate of Natural Increase 10.1 8.7 9.4 11.2 11.6 11.2 11.4 13.3 14.1 12.6 13.6 12.3 12.8 14.0 13.5 11.8 11.3 10.0 9.8 9.2 9.8 8.7 9.7 23.5 22.2 21.2 19.2 21.5 20.8 20.5 19.4 19.6 21.7 22.6 22.6 22.5 22.6 25.8 24.3 23.8 22.6 20.8 19.1 18.9 18.4 19.1 5.2 6.2 4.6 4.6 4.8 4.8 4.6 5.4 5.3 4.3 4.9 6.2 6.3 5.8 5.9 6.1 6.6 4.7 5.5 6.3 6.3 5.8 6.3 18.3 16.0 16.7 14.6 16.6 16.1 15.8 14.0 14.2 17.3 17.6 16.4 16.2 16.9 19.9 18.2 17.2 17.9 15.3 12.8 12.5 12.7 12.8 Maternal Mortality Ratio z Stillbirth Rate @ Infant mortality Rate z Under-5 Mortality Rate z End-of-Year Population Density Per square Kilometre $ 2.6 1.4 1.2 1.2 2.5 1.4 - 20.7 18.1 6.8 6.0 4.0 2.8 2.8 5.8 8.6 9.0 3.7 12.2 7.3 17.9 24.8 13.2 13.4 17.5 7.6 6.9 11.1 4.3 10.9 34.9 32.9 24.6 21.1 20.1 22.1 19.6 19.1 17.4 27.3 19.8 23.4 23.3 24.2 22.2 12.3 27.2 15.4 16.6 13.9 14.0 17.2 20.6 41.1 35.5 30.1 24.2 21.5 24.8 22.4 19.1 23.2 29.9 24.8 24.6 30.7 29.1 24.3 14.5 31.8 15.4 19.2 13.9 16.8 21.5 23.4 330 331 332 332 333 335 337 338 340 342 344 347 349 351 354 356 358 361 363 363 364 366 368 Note: Population densities and rates for 1984 and later years are based on the"resident" population rate per 1000 live births * based on census data @ rate per 1000 total births (live births and stillbirths) $ based on an area of 104.0 square kilometres 115 1990 * 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 * 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Mid-Year Population Density Per Square Kilometre $ ISLAND OF RODRIGUES STILLBIRTHS, PERINATAL, NEONATAL AND INFANT DEATHS YEAR EARLY NEONATAL DEATHS PERINATAL DEATHS LATE NEONATAL DEATHS NEONATAL DEATHS POST-NEONATAL DEATHS INFANT DEATHS NUMBER RATE @ NUMBER RATE z NUMBER RATE @ NUMBER RATE z NUMBER RATE z NUMBER RATE z NUMBER RATE z 17 14 5 4 3 2 2 4 6 7 3 10 6 15 24 12 12 15 6 5 8 3 8 20.7 18.1 6.8 6.0 4.0 2.8 2.8 5.8 8.6 9.0 3.7 12.2 7.3 17.9 24.8 13.2 13.4 17.5 7.6 6.9 11.1 4.3 10.9 8 10 6 5 12 11 8 4 8 15 11 13 12 9 15 4 13 8 6 6 9 10 5 10.0 13.1 8.2 7.6 16.1 15.2 11.2 5.9 11.6 19.5 13.6 16.0 14.7 10.9 15.8 4.5 14.8 9.5 7.7 8.3 12.6 14.3 6.9 25 24 11 9 15 13 10 8 14 22 14 23 18 24 39 16 25 23 12 11 17 13 13 30.5 31.0 14.9 13.5 20.1 17.9 14.0 11.7 20.1 28.4 17.3 28.0 22.0 28.6 40.2 17.6 28.0 26.8 15.2 15.2 23.5 18.5 17.7 3 2 3 2 2 3 1 3 2 2 1 3 1 5 3 3 1 3 3.7 2.6 4.1 2.7 2.9 4.3 1.3 3.7 2.5 2.5 1.2 3.2 1.1 5.7 3.6 3.8 1.4 4.1 11 12 9 5 14 11 8 6 11 16 14 15 14 10 18 5 18 11 9 6 9 11 8 13.7 15.8 12.3 7.6 18.8 15.2 11.2 8.8 15.9 20.8 17.3 18.5 17.2 12.1 19.0 5.6 20.4 13.0 11.5 8.3 12.6 15.7 11.0 17 13 9 9 1 5 6 7 1 5 2 4 5 10 3 6 6 2 4 4 1 1 7 21.2 17.1 12.3 13.6 1.3 6.9 8.4 10.3 1.4 6.5 2.5 4.9 6.1 12.1 3.2 6.7 6.8 2.4 5.1 5.5 1.4 1.4 9.6 28 25 18 14 15 16 14 13 12 21 16 19 19 20 21 11 24 13 13 10 10 12 15 34.9 32.9 24.6 21.1 20.1 22.1 19.6 19.1 17.4 27.3 19.8 23.4 23.3 24.2 22.2 12.3 27.2 15.4 16.6 13.9 14.0 17.2 20.6 @ Per 1,000 total births ( live births and stillbirths) DEFINITIONS: 1. STILLBIRTH: A child born dead after the 28th week of pregnancy 2. EARLY NEONATAL DEATHS: Deaths occurring in the 1st week of life 3. PERINATAL DEATHS: Stillbirths plus early neonatal deaths 4. LATE NEONATAL DEATHS: Deaths between 1 week and 4 weeks z Per 1,000 live births 5. NEONATAL DEATHS: Deaths under 4 weeks 6. POST-NEONATAL DEATHS: Deaths between 4 weeks and 1 year 7. INFANT DEATHS: Deaths under 1 year 116 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 STILLBIRTHS 1990 - 2012 117 ISLAND OF RODRIGUES FERTILITY RATES RATE Crude birth rate General fertility rate Total fertility rate Gross reproduction rate Net reproduction rate 2003 2004 2003- 2012 2005 2006 2007 2008 2009 2010 2011 2012 23.6 24.2 24.6 24.2 22.4 20.8 19.1 18.9 18.4 19.1 88.1 89.2 91.0 87.5 84.5 78.8 72.3 72.6 73.7 74.3 2.81 2.86 2.91 2.85 2.72 2.51 2.36 2.32 2.39 2.38 1.36 1.40 1.43 1.42 1.35 1.23 1.04 1.15 1.19 1.16 1.31 1.35 1.38 1.37 1.31 1.19 1.00 1.11 1.15 1.12 Age-specific fertility rates: Age of women (Years) 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 69.3 74.0 78.3 71.2 68.3 62.1 66.0 65.1 55.6 63.0 125.1 117.6 117.5 106.7 99.7 93.6 81.5 98.6 83.6 96.8 138.9 144.8 150.4 144.4 139.3 129.7 95.8 92.0 110.7 96.4 119.9 124.5 127.4 135.8 124.3 117.3 107.6 104.5 97.0 82.2 83.0 82.8 83.2 83.2 72.5 115. 3 76.2 76.7 77.0 88.6 23.4 24.2 22.8 25.7 26.9 26.1 34.6 23.6 41.6 31.1 3.0 3.0 2.6 2.6 1.5 1.7 2.0 0.0 4.1 2.1 Note : For definitions, see glossary 2003 LIFE EXPECTANCY AT BIRTH (YEARS) * 2004 2005 2006 2007 MALE 70.9 70.2 69.6 69.4 70.3 FEMALE 76.1 74.8 74.9 74.8 76.2 2008 2009 2010 2011 2012 MALE 70.7 70.7 70.9 71.6 71.5 FEMALE 76.4 77.0 76.8 77.2 76.6 * Calculation based on a five-year period 118 ISLAND OF RODRIGUES ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2012 AGE-GROUP (years) MALE FEMALE BOTH SEXES Number % Number % Number % 366 1,514 1.9 8.0 372 1,406 1.9 7.3 738 2,920 1.9 7.7 5- 9 2,164 11.5 2,102 10.9 4,266 11.2 10 - 14 1,924 10.2 1,812 9.4 3,736 9.8 15 - 19 1,727 9.2 1,793 9.3 3,520 9.2 20 - 24 1,824 9.7 1,797 9.3 3,621 9.5 25 - 29 1,677 8.9 1,702 8.8 3,379 8.9 30 - 34 1,420 7.5 1,536 8.0 2,956 7.7 35 - 39 836 4.4 993 5.1 1,829 4.8 40 - 44 792 4.2 868 4.5 1,660 4.3 45 - 49 935 5.0 965 5.0 1,900 5.0 50 - 54 978 5.2 967 5.0 1,945 5.1 55 - 59 861 4.6 758 3.9 1,619 4.2 60 - 64 566 3.0 607 3.1 1,173 3.1 65 - 69 477 2.5 537 2.8 1,014 2.7 70 - 74 391 2.1 479 2.5 870 2.3 75 - 79 243 1.3 302 1.6 545 1.4 80 - 84 124 0.7 167 0.9 291 0.8 85 & OVER 45 0.2 140 0.7 185 0.5 ALL AGES 18,864 100.0 19,303 100.0 38,167 100.0 UNDER 5 1,880 10.0 1,778 9.2 3658 9.6 5 - 11 2,998 15.9 2,839 14.7 5837 15.3 12 - 19 2,817 14.9 2,868 14.9 5685 14.9 16 - 18 1,060 5.6 1,092 5.7 2152 5.6 UNDER 15 5,968 31.6 5,692 29.5 11660 30.5 UNDER 18 6,998 37.1 6,771 35.1 13769 36.1 UNDER 21 8,034 42.6 7,853 40.7 15887 41.6 15 - 49 9,211 48.8 9,654 50.0 18865 49.4 15 - 59 11,050 58.6 11,379 58.9 22429 58.8 15 - 64 11,616 61.6 11,986 62.1 23602 61.8 15 & OVER 12,896 68.4 13,611 70.5 26507 69.5 18 & OVER 11,866 62.9 12,532 64.9 24398 63.9 21 & OVER 10,830 57.4 11,450 59.3 22280 58.4 60 & OVER 1,846 9.8 2,232 11.6 4078 10.7 65 & OVER 1,280 6.8 1,625 8.4 2905 7.6 UNDER 1 1- 4 MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 29.0 24.8 624.0 30.3 26.1 610.5 29.7 25.4 617.1 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 Note: Population figures by age and sex for the Island of Rodrigues have been obtained as a difference between the figures for the Republic of Mauritius (excluding Agalega & Saint Brandon) and those for the Island of Mauritius. 119 ISLAND OF RODRIGUES SELECTED HEALTH PERSONNEL AS AT END-OF-YEAR IN THE PUBLIC SECTOR as at 31. 12. 2010 as at 31. 12. 2011 as at 31. 12. 2012 MALE FEMALE TOTA MALE FEMALE TOTAL MALE FEMALE TOTAL L Medical Officer (all grades) 13 6 19 11 5 16 14 5 19 Dental Surgeon 1 1 2 2 - 2 1 1 2 Senior Dental Assistant - 1 1 - 1 1 - 1 1 Dental Assistant - 3 3 - 3 3 - 3 3 Nursing Administrator * 1 - 1 1 - 1 1 - 1 Nursing Supervisor * 3 3 6 3 3 6 3 3 6 Charge Nurse * 19 15 34 19 15 34 20 19 39 Nursing Officer 52 38 90 48 40 88 49 33 82 Nursing Officer with Midwifery - 7 7 - 3 3 - 3 3 Community Midwife/Senior C.M. - 5 5 - - - - - - Principal/Senior midwife - - - - 4 4 - 4 4 Midwife - 24 24 - 22 22 - 22 22 Community Health Nursing Officer Principal Health Inspector 2 1 3 2 1 3 2 1 3 1 - 1 1 - 1 1 - 1 Senior Health Inspector 1 - 1 1 - 1 1 - 1 Health Inspector 1 - 1 2 - 2 2 - 2 Principal Medical Laboratory Technician Senior Medical Laboratory Technician Medical Laboratory Technician 1 - 1 - 1 1 - 1 1 1 - 1 1 - 1 1 - 1 2 1 3 1 2 3 1 2 3 Senior Medical Imaging Technologist Medical Imaging Technologist 1 - 1 1 - 1 1 - 1 1 - 1 2 - 2 2 - 2 Radiographic Assistant/Senior R. A. Principal Dispenser - 3 3 - 3 3 - 3 3 1 - 1 1 - 1 1 - 1 Senior Dispenser 2 - 2 2 - 2 2 - 2 Dispenser 6 2 8 5 2 7 5 2 7 Physiotherapy Assistant - 2 2 - 2 2 - 2 2 Senior Health Records Officer 1 - 1 1 - 1 1 - 1 Senior Health Records Clerk - 1 1 - 1 1 - 1 1 Higher Health Records Clerk - 3 3 - 3 3 - 3 3 Health Records Clerk 2 8 10 2 8 10 2 8 10 Statistical Assistant - 1 1 - 1 1 - 1 1 Supervisor/Senior Sup. (Family Planning) Motivator (Family Planning) - 2 2 - 2 2 - 2 2 - 1 1 - 1 1 - 1 1 Community Health Care Officer 3 4 7 2 4 6 2 4 6 Health Care Assistant - 4 4 - 5 5 - 4 4 E.C.G. Technician - 1 1 - 1 1 - 1 1 * including officers appointed in an acting capacity SELECTED HEALTH MANPOWER STATISTICS AS AT END-OF-YEAR as at 31. 12. 2010 as at 31. 12. 2011 NUMBER POPULATION PER GRADE NUMBER POPULATION PER GRADE Doctor 19 1,991 16 2,378 Dentist 2 18,919 2 19,023 Pharmacists* 1 37,838 2 19,023 Nurse and Midwife 170 223 161 236 Health Inspector 3 12,613 4 9,510 Laboratory 5 7,568 5 7,608 Technician Medical Imaging 2 18,919 3 12,680 Technologist Dispenser 11 3,440 10 3,804 Health Records 15 2,523 15 2,536 Staff * in the private # including one doctor in the private sector sector as at 31. 12. 2012 NUMBER POPULATIO PER GRADE 20# 1,912 2 19,120 2 19,120 159 241 4 9,560 5 7,648 3 12,747 10 15 3,824 2,549 120 ISLAND OF RODRIGUES SUMMARY OF WORK PERFORMED IN HOSPITAL/HEALTH CENTRES* - 2012 Institution Number of beds No. of admissions Male Q. Elizabeth Female Percentage Bed Occupancy Both Sexes Quarter Number of Deaths Number of Operations performed Year 1st 2nd 3rd 4th Minor Major Total 770 1,074 1,844 135 4,146 5,296 9,442 60.3 62.0 60.6 50.2 58.2 106 Mont Lubin H.C. 28 476 1,068 1,544 34.3 35.7 31.0 26.5 31.9 - .. .. .. La Ferme H.C. 26 388 862 1,250 16.2 22.9 26.4 21.5 21.7 - .. .. .. 189 5,010 7,226 12,236 50.6 52.9 51.7 48.9 49.5 106 1074 1,844 Hospital Total 770 * with in-patient services .. not applicable (no operations are performed at Mont Lubin H.C. and La Ferme H.C.) WORK PERFORMED IN MATERNITY SECTIONS - 2012 Institution Deliveries Normal Caesarian Q. Elizabeth Hospital Mont Lubin H.C. 413 270 8 - La Ferme H.C. 7 - Total 428 Outcome of Deliveries Other 4 270 - Stillbirths Live births Total births Number % Live births 687 8 689 697 79 11.5 % Caesarian Section 11.5 39.3 - 8 8 1 12.5 - - - 7 - 7 7 1 14.3 - - 4 702 704 712 81 11.5 # birthweight of less than 2,500 grammes per 1,000 total births Total Stillbirth Rate * 8 @ forceps delivery,breech delivery etc. * @ Low Birthweight# 8 11.2 38.5 121 ISLAND OF RODRIGUES OUT-PATIENT ATTENDANCES - 2012 INSTITUTION Number of out-patient attendances Accident & Emergency/unsort ed OPD# Sorted OPD# Other * 36,871 19,887 14,403 71,161 MONT LUBIN 34,995 10,672 13,384 59,051 LA FERME 29,526 6,674 20,642 56,842 101,392 37,233 48,429 187,054 TOTAL HOSPITAL QUEEN ELIZABETH II HEALTH CENTRES Total * Follow up for injections , dressings etc. # seen by doctor ATTENDANCES FOR TREATMENT OF COMMON DISEASES AND INJURIES AT COMMUNITY HEALTH CENTRES - 2012 CENTRE 1st Quarter 2nd Quarter 3rd Quarter 42 49 86 63 240 1,457 1,649 1,787 1,580 6,473 BAIE TOPAZE 316 342 410 335 1,403 CASCADE JEAN-LOUIS 233 300 323 174 1,030 GRAND BAIE 342 276 320 318 1,256 MALARTIC 151 162 280 218 811 MANGUES 1,065 1,245 871 997 4,178 PETIT GABRIEL 1,942 1,963 1,923 1,720 7,548 PORT SUD EST 1,606 1,531 1,833 1,821 6,791 973 997 1,025 928 3,923 ROCHE BON DIEU 1,497 1,566 1,654 1,547 6,264 SOUPIRS 1,150 1,203 1,270 1,188 4,811 BATATRAND 521 557 606 654 2,338 MONTAGNE GOYAVE 438 424 561 585 2,008 11,733 12,264 12,949 12,128 49,074 ALLEE TAMARIN BAIE AUX HUITRES RIVIERE COCOS TOTAL 4th Quarter Total 122 ISLAND OF RODRIGUES ACTIVITIES CARRIED OUT AT QUEEN ELIZABETH HOSPITAL-2012 A. PHYSIOTHERAPY DEPARTMENT CASES SEEN IN-PATIENT# OUT-PATIENT NUMBER Male Female Total New cases 78 90 168 Follow-up 126 274 400 Total cases 204 364 568 First Attendances 148 214 362 Subsequent Attendances 438 639 1,077 Total Attendances 586 853 1,439 # in wards or at the physiotherapy unit B. RADIOLOGICAL DEPARTMENT EXAMINATIONS GENERAL PROCEDURES PROCEDURES WITH BARIUM NUMBER Extremities 5,278 Chest 3,188 Spine 1,061 Abdomen 1,501 Skull 2,063 Meal 14 Swallow 8 Enema 26 SPECIAL PROCEDURES (including intravenous pyelography, urethrography, hysterosalpingography and cholecystography) TOTAL* 34 13,173 * The 13,173 examinations were carried out on 9,888 patients. C. HAEMODIALYSIS UNIT DETAIL NUMBER Dialysis done on patients@ 3,084 Patients as at end of year 24 @ during 939 sessions 123 ISLAND OF RODRIGUES STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES - 2012 REGISTRATION OF GESTATIONAL AGE AT FIRST % Number ATTENDANCE FOR ANTENATAL TREATMENT 3 months or less 268 38.6 Between 3 and 6 months 310 44.7 6 months and over 116 16.7 694 100.0 TOTAL FIRST ATTENDANCES % FIRST DETERMINATION OF HAEMOGLOBIN LEVEL OF ANTENATAL CASES below 9.0 25 3.6 9.0 to 9.9 40 5.8 10.0 to 10.9 157 22.8 11.0 to 11.9 258 37.4 12.0 or above 210 30.4 690 100.0 TOTAL EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAMINATIONS BY MIDWIFE/NURSE First attendances 694 Subsequent attendances 4,920 ANTENATAL EXAMINATIONS BY DOCTOR* First attendances 694 Subsequent attendances 4,924 POSTNATAL EXAMINATIONS BY DOCTOR First attendances 581 Subsequent attendances 620 CHILDREN SEEN FOR GROWTH MONITORING Number of attendances of whom reported underweight of whom reported overweight 7,146 1 Nil EXAM. OF CHILDREN UNDER 5 YEARS BY DOCTOR# First attendances Subsequent attendances TOTAL ATTENDANCES * of which 608 were referred to hospital # figures are estimates based on attendances for cash gifts 547 1,466 21,592 124 ISLAND OF RODRIGUES STATISTICS RELATING TO EXPANDED PROGRAMME ON IMMUNIZATION - 2012 EXPANDED PROGRAMME ON IMMUNIZATION BABIES B.C.G. 714 M.M.R. 665 1st dose 720 2nd dose 715 3rd dose 715 Booster dose (excl.Hep B) 580 D.P.T. & H.I.B, HEP. B & O.P.V: D.T, O.P.V & HEP.B: 1st dose 1 2nd dose - 3rd dose - Booster dose (excl. Hep B) - TOTAL ATTENDANCES 4,110 PREGNANT WOMEN TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) 561 459 31 TOTAL ATTENDANCES 1,051 ACTIVITIES RELATING TO BASIC SANITATION AND FOOD HYGIENE -2012 ACTIVITIES NUMBER BASIC SANITATION No. of premises and other sites inspected No. of notices issued 1,820 291 No. of sanitary contraventions - No. of cases sentenced - FOOD HYGIENE No. of inspections carried out 4,838 Foodstuffs units for consumption seized and destroyed (kg) 9,825 No. of contraventions - No. of cases sentenced - INSPECTION OF PUBLIC PLACES Cinema halls & other entertainment places 194 Dormitories ( including Boarding Houses) 408 Industrial establishments 121 Schools 596@ OTHER No. of passengers put under surveillance for: malaria 832 No. of times given pratique to ships/aircrafts 174 @ include hospitals and health centres 125 ISLAND OF RODRIGUES TABLE A: ATTENDANCES AT DENTAL CLINICS 2008 - 2012 Attendances 2008 Number 2010 2009 2011 2012 Cases seen by dentists: Children < 5 years 567 633 610 488 583 Children aged 5-11 years 2,424 2,685 3,056 3,302 3,107 Persons aged 12 years & above 11,683 11,688 12,015 11,685 11,003 14,674 15,006 15,681 15,475 14,693 Orthodontists 254 178 189 174 245 Oral Surgeons 92 139 64 131 109 15,020 15,323 15,934 15,780 15,047 SUBTOTAL Cases seen by specialists: TOTAL ATTENDANCES TABLE B: DISTRIBUTION OF CASES SEEN BY TYPE OF DENTAL CARE Dental care 2008 Number 2009 2010 2011 2012 EXTRACTION AND TOOTH RESTORATION Deciduous teeth extracted 2,150 2,186 2,432 2,419 3,115 Temporary fillings inserted in : deciduous teeth 196 232 160 143 22 permanent teeth 76 157 105 129 162 Amalgam 71 230 507 482 402 Composite 19 24 56 25 23 71 60 107 108 154 2,787 3,028 1,966 2,552 1,188 Amalgam 1,077 1,407 1,867 1,554 1,989 Composite 549 415 707 723 647 3,114 3,362 3,782 3,374 4,432 350 1,042 494 2 72 343 1,155 507 5 96 365 957 381 3 108 Schoolchildren Permanent fillings inserted : Permanent teeth extracted Adults Temporary fillings inserted Permanent fillings inserted : Teeth extracted OTHER DENTAL CARE Treatment of paradontal disease (scaling) Treatment of dental abscess Surgical operations on jaws and surgical extractions Application of pit and fissure sealants Endodontic treatment * preventive programme of pit and fissure sealants reviewed 371 925 553 344* 141 451 680 514 543* 143 TABLE C: ORTHODONTIC ACTIVITY ACTIVITY 2008 No No No No of of of of impressions taken appliances delivered appliances activated appliances repaired 37 29 7 - 2009 26 24 - Number 2010 31 27 16 2011 26 25 1 2012 42 40 2 ISLAND OF RODRIGUES DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES 1992 - 2012 TUBERCULOSIS* DISEASE HIV/AIDS@ AMOEBIASIS FOOD POISONING GONORRHOEA INFECTIVE HEPATITIS INFLUENZA LIKE DISEASES LEPROSY MALARIA (IMPORTED) MEASLES SYPHILIS YEAR PULMONARY OTHER TYPHO -ID FEVER WHOOPING COUGH (PERTUSIS) - - 1 2 2 - 1 - - - 1 - - - 1993 - - - - 173 - 1 - - - 5 - - - 1994 - - - - 6 - - - - - 4 - - - 1995 - - - - - - - - - - - - - - 1996 - - 21 - 2 - - - - - 1 - - - 1997 - - 1 - - - 1 1 - - - - - - 1998 1 - 16 - 1 - - 1 - - 3 - - - 1999 - - - 3 - - - - - - 1 - - - 2000 - - - - - - - - - - 1 - - - 2001 - - 15 - - - - 1 - - - - - - 2002 - - 4 - - - - - - - 1 - - - 2003 2 - - - - - - - 27 - - - - - 2004 1 1 3 - - - - - 6 - 2 - - - 2005 3 5 - - - - - - 6 - 1 - - - 2006 5 - - - - - - - - - - - - - 2007 9 - - - 1 - - - - - 1 - - - 2008 8 - 2 - - - - 1 - - - - - - 2009 4 - 13 - - 1 - - - - 3 - - - 2010 8 - 9 - - - - - - - - - - - 2011 9 - 26 - 3 - - 1 - 1 - - - - 2012 5 - 7 - - - - - - - 1 - - - * The following forms of tuberculosis are notifiable: respiratory, skeletal, of meninges and central nervous system @ Human Immuno-Deficiency Virus/Acquired immuno-deficiency syndrome N.B. 553 cases of chikungunya have been reported in 2006 mostly in April 126 1992 127 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF DISCHARGES FROM HOSPITAL AND HEALTH CENTRES - 2012 (The distribution of discharges by I.C.D. Chapter is on page 128) CAUSE (ICD-10) DISCHARGES FEMALE 498 222 TOTAL No. % 720 6.0 Complications of pregnancy, childbirth and the puerperium - 680 680 5.7 3 Delivery without mention of complications - 637 637 5.3 4 5 219 261 337 270 556 531 4.6 4.4 6 Diabetes mellitus Bronchitis (chronic and unspecified, emphysema, and asthma) Abdominal pain 158 262 420 3.5 7 Acute upper respiratory infections 198 202 400 3.3 8 Hypertensive disease 131 234 365 3.0 9 Heart diseases # 150 166 316 2.6 10 Gastritis and duodenitis 133 169 302 2.5 11 140 148 288 2.4 12 Ill-defined intestinal infections (colitis, enteritis, gastroenteritis, diarrhoea) Cellulitis and abscess 162 98 260 2.2 13 Epilepsy 162 92 254 2.1 14 Nausea and vomiting 103 130 233 1.9 15 Dorsopathies including spondylopathies 107 109 216 1.8 16 Poisonings and toxic effects 129 81 210 1.8 17 Fever (Pyrexia) of unknown origin 93 109 202 1.7 18 Anaemias 74 98 172 1.4 19 Malaise and fatigue 49 110 159 1.3 20 Complications following spontaneous and other abortions - 124 124 1.0 21 Diseases of eye and adnexa 59 43 102 0.9 22 Non-inflammatory disorders of vagina - 102 102 0.9 23 Cerebrovascular disease 58 44 102 0.9 24 Convulsions 58 37 95 0.8 25 Alcoholic psychoses 83 7 90 0.8 26 Symptoms involving heart beat & cardiac murmurs 37 45 82 0.7 27 Headache 35 44 79 0.7 28 Rheumatism, unspecified 32 37 69 0.6 29 Dyspnoea and other abnormalities of breathing 33 33 66 0.6 30 Symptoms involving urinary system 38 10 48 0.4 31 Appendicitis 19 26 45 0.4 32 Non-dependent abuse of alcohol 32 7 39 0.3 33 Alcohol dependence syndrome 36 2 38 0.3 34 Gout 22 7 29 0.2 35 Chest pain 13 12 25 0.2 1,779 2,152 3,931 32.8 5,101 6,886 11,987 100.0 1 Injuries (Crushing & superficial injuries, fractures, open wounds , dislocations, sprains & strains) 2 All other causes TOTAL MALE # excluding "Acute rheumatic fever", "Hypertensive disease" and "Diseases of pulmonary circulation" 128 ISLAND OF RODRIGUES DISCHARGES FROM HOSPITAL AND HEALTH CENTRES BY I.C.D. (10th REVISION ) CHAPTER AND SEX - 2012 CHAPTER (I.C.D. 10th Revision ) DISCHARGES MALE FEMALE TOTAL No. % 1. Certain infectious & parasitic diseases 183 190 373 3.1 2. Neoplasms 92 131 223 1.9 3. Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 88 110 198 1.7 4. Endocrine, nutritional & metabolic diseases 240 383 623 5.2 5. Mental & behavioural disorders 211 133 344 2.9 6. Diseases of the nervous system 182 141 323 2.7 7. Diseases of the eye & adnexa 59 43 102 0.9 8. Diseases of the ear & mastoid process 29 21 50 0.4 9. Diseases of the circulatory system 371 507 878 7.3 10. Diseases of the respiratory system 712 693 1,405 11.7 11. Diseases of the digestive system 401 383 784 6.5 12. Diseases of the skin & subcutaneous tissue 232 166 398 3.3 13. Diseases of the musculoskeletal system & connective tissue 230 228 458 3.8 14. Diseases of the genitourinary system 199 527 726 6.1 15. Pregnancy, childbirth & the puerperium - 1,441 1,441 12.0 16. Certain conditions originating in the perinatal period 174 169 343* 2.9 17 Congenital malformations, deformations & chromosomal abnormalities 37 18 55 0.5 18 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 799 1,042 1,841 15.4 19 & 20 Injury, poisoning & certain other consequences of external causes 738 417 1,155 9.6 21 Factors influencing health status & contact with health services 124 143 267 2.2 5,101 6,886 11,987 100.0 TOTAL Note: The above table is based on data received on discharged patients from Hospital/ Health Centres. The table on page 120 contains the total number of admissions at Hospital/Health Centres. * including 161 cases with diagnosis "under observation" 129 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES - 2012 MALE CAUSE (I.C.D. 10TH REVISION) FEMALE TOTAL No. 1 % 2 Tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat, URTI Cough, pain in throat, chest pain, wheezing, hiccough, sneezing 3 Fever / pain all over 439 612 1,051 6.7 4 Abdominal and epigastric pain 298 489 787 5.0 5 Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue 285 467 752 4.8 6 Spondylosis, neck pain, low back pain, backache 276 413 689 4.4 7 Scabies. 308 333 641 4.1 8 Helminthiasis (worms). 304 314 618 4.0 9 Sinusitis, rhinitis, nasal polyp, blocked nose 253 354 607 3.9 10 Headache, dizziness, giddiness 195 390 585 3.8 11 Gastritis and duodenitis 201 273 474 3.0 12 Gastroenteritis and diarrhoea of presumed infectious origin 200 257 457 2.9 13 Gout , arthritis, pain in joint 178 265 443 2.8 14 99 265 364 2.3 15 Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs Nausea and vomiting 138 190 328 2.1 16 Rheumatism, muscular pain, myalgia, pain in limb 103 217 320 2.1 17 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders 307 307 2.0 18 Conjunctivitis 110 160 270 1.7 19 Otitis, wax in ear, earache and other diseases of the ear and mastoid process Influenza 93 151 244 1.6 96 122 218 1.4 101 87 188 1.2 73 111 184 1.2 73 104 177 1.1 20 21 1,105 1,538 2,643 16.9 887 1,198 2,085 13.4 - 23 Superficial injury, open wound, spain/strain, fractures, burns and other injuries Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess Cystitis, urinary tract infection 24 Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) 78 78 156 1.0 25 Localised swelling, mass, lump of skin, rash 34 106 140 0.9 26 Bronchitis, emphysema, asthma 62 67 129 0.8 27 Swelling gum, gingivitis, dental caries, stomatitis, disease of lip 53 50 103 0.7 28 Hypertension 36 62 98 0.6 29 Anemias 9 33 42 0.3 30 Malnutrition and other nutritional deficiencies 12 18 30 0.2 184 285 469 3.0 6,283 9,316 15,599 22 All other causes TOTAL 100.0 130 ISLAND OF RODRIGUES FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES BY I.C.D. CHAPTER AND SEX - 2012 CHAPTER (I.C.D. 10th REVISION) FIRST ATTENDANCES MALE 1 Certain infectious & parasitic diseases 2 3. FEMALE TOTAL No. % 813 911 1,724 11.1 Neoplasms - - - 0.0 9 33 42 0.3 20 29 49 0.3 5. Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases Mental & behavioural disorders 1 1 2 0.0 6. Diseases of the nervous system 13 43 56 0.4 7. Diseases of the eye & adnexa 173 233 406 2.6 8. Diseases of the ear & mastoid process 93 151 244 1.6 9. Diseases of the circulatory system 56 119 175 1.1 10 . 11 . 12 . 13 . 14 . 15 Diseases of the respiratory system 1,522 2,098 3,620 23.2 Diseases of the digestive system 331 443 774 5.0 Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system 363 545 908 5.8 576 917 1,493 9.6 76 420 496 3.2 Pregnancy, childbirth & the puerperium - 1 1 0.0 Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes - - - 0.0 5 8 13 0.1 2,129 3,274 5,403 34.6 103 90 193 1.2 TOTAL 6,283 9,316 15,599 100.0 4. 16 17 18 19 & 20 131 ISLAND OF RODRIGUES EARLY NEONATAL DEATHS - 2012 ( Deaths under one week [ age group 0 - 6 days ] ) CAUSE ( I.C.D. 10 ) NUMBER OF DEATHS MALE FEMALE TOTAL No. % Congenital anomalies 2 - 2 40.0 Respiratory Distress Syndrome 2 - 2 40.0 Septicaemia 1 - 1 20.0 5 - 5 100.0 TOTAL EARLY NEONATAL DEATHS LATE NEONATAL DEATHS - 2012 ( Deaths between one and four weeks [ age group 7 - 27 days ] CAUSE (ICD-10) Severe prematurity Congenital pneumonia Jaundice Total Late Neonatal Deaths ) NUMBER OF DEATHS MALE 1 1 1 3 FEMALE - TOTAL 1 1 1 3 POST-NEONATAL DEATHS - 2012 ( Deaths between four weeks and one year [ age group 28 - 364 days ] ) CAUSE ( I.C.D. 10) Congenital anomalies Aspiration pneumonia Acute bronchiolitis Pneumonia Malnutrition Total Post Neonatal Deaths NUMBER OF DEATHS MALE FEMALE TOTAL 1 1 2 1 1 1 1 6 3 1 1 1 1 7 INFANT DEATHS - 2012 ( Deaths under one year [ age group 0 - 364 days ] ) CAUSE ( I.C.D. 10 ) NUMBER OF DEATHS MALE FEMALE TOTAL No. % Congenital anomalies 3 2 5 33.3 Septicaemia specific to the perinatal period Respiratory Distress Syndrome 1 - 1 6.7 2 - 2 13.3 Congenital Pneumonia 1 - 1 6.7 Prematurity 1 - 1 6.7 Jaundice 1 - 1 6.7 Aspiration pneumonia - 1 1 6.7 Acute bronchiolitis Pneumonia Malnutrition - 1 1 1 1 1 1 6.7 6.7 6.7 9 6 15 100.0 TOTAL INFANT DEATHS 132 ISLAND OF RODRIGUES CHILD@ DEATHS - 2012 CAUSE (I.C.D 10) NUMBER OF DEATHS Male Female Total - 2 2 Congenital anomalies @ aged 1-4 years INFANT ( UNDER ONE YEAR) DEATHS BY SEX AND DETAILED AGE - 2012 AGE AT DEATH MALE FEMALE TOTAL No. % No. % No. % - - - - - - 1 day 2 22.2 - - 2 13.3 2 days 2 22.2 - - 2 13.3 3 days - - - - - - 4 days 1 11.1 - - 1 6.7 5 days - - - - - - 6 days - - - - - - 5 55.6 - - 5 33.3 7 - 13 days 2 22.2 - - 2 13.3 14 - 20 days - - - - - - 21 - 27 days 1 11.1 - - 1 6.7 8 88.9 - - 8 53.3 28 - 59 days - - 2 33.3 2 13.3 2 months - - - - - - 3 months - - 1 16.7 1 6.7 4 months - - - - - - 5 months - - 1 16.7 1 6.7 8 88.9 4 66.7 12 80.0 6 months - - - - - - 7 months 1 11.1 2 33.3 3 20.0 8 months - - - - - - 9 months - - - - - - 10 months - - - - - - 11 months - - - - - - 9 100.0 6 100.0 15 100.0 Under 1 day Sub-total 0 - 6 days Sub-total 0 - 27 days Sub-total under 6 months TOTAL UNDER ONE YEAR 133 ISLAND OF RODRIGUES SELECTED CAUSES OF DEATH (ALL AGES) - 2012 MALE No. FEMALE % No. TOTAL % No. % 13 10.2 16 14.3 29 12.1 Heart Failures - - - - - - Cardiac Arrest 2 1.6 3 2.7 5 2.1 Pulmonary heart disease - - - - - - Other heart diseases 2 1.6 - - 2 0.8 Cerebrovascular disease 8 6.3 8 7.1 16 6.7 Hypertensive disease 12 9.4 15 13.4 27 11.3 Diabetes mellitus 17 13.3 25 22.3 42 17.5 Malignant neoplasm of trachea, bronchus and lung 4 3.1 2 1.8 6 2.5 Malignant neoplasm of breast - - 5 4.5 5 2.1 Malignant neoplasm of stomach - - - - - - Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of hepatocellular Malignant neoplasm of lip, oral cavity and pharynx - - 4 3.6 4 1.7 - - 1 0.9 1 0.4 2 1.6 - - 2 0.8 Malignant neoplasm of pancreas 2 1.6 - - 2 0.8 Malignant neoplasm of prostate 5 3.9 - - 5 2.1 Pneumonia 1 0.8 3 2.7 4 1.7 Asthma 1 0.8 - - 1 0.4 Pulmonary oedema - - - - - - Chronic obstructive airway disease Land Transport Accidents 6 4.7 1 0.9 7 2.9 2 1.6 1 0.9 3 1.3 Suicide - - 1 0.9 1 0.4 Homicide 3 2.3 - - 3 1.3 Accidental drowning and submersion Diseases of liver (inc. alcoholic cirrhosis) Renal failures 2 1.6 - - 2 0.8 3 2.3 - - 3 1.3 2 1.6 2 1.8 4 1.7 Senility 1 0.8 1 0.9 2 0.8 Septicaemia unspecified - - 1 0.9 1 0.4 Gastrointestinal haemorrhage unspecified All other causes 2 1.6 - - 2 0.8 38 29.7 23 20.5 61 25.4 128 100.0 112 100.0 240 100.0 Acute myocardial infarction and other ischaemic heart diseases TOTAL 134 ISLAND OF RODRIGUES DEATHS (ALL AGES) BY I.C.D. CHAPTER AND SEX - 2012 CAUSE ( ICD - 10 ) DEATHS MALE FEMALE TOTAL No. % No. % No. % 1 Certain infectious & parasitic diseases 1 0.8 1 0.9 2 0.8 2 Neoplasms 21 16.4 20 17.9 41 17.1 3 1 0.8 4 3.6 5 2.1 4 Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 19 14.8 26 23.2 45 18.8 5 Mental & behavioural disorders 1 0.8 1 0.9 2 0.8 6 Diseases of the nervous system 2 1.6 1 0.9 3 1.3 7 Diseases of the eye & adnexa - 0.0 - 0.0 - 0.0 8 Diseases of the ear & mastoid process - 0.0 - 0.0 - 0.0 9 Diseases of the circulatory system 37 28.9 42 37.5 79 32.9 10 Diseases of the respiratory system 9 7.0 9 8.0 18 7.5 11 Diseases of the digestive system 5 3.9 - 0.0 5 2.1 12 Diseases of the skin & subcutaneous tissue 1 0.8 - 0.0 1 0.4 13 Diseases of the musculoskeletal system & connective tissue 1 0.8 - 0.0 1 0.4 14 Diseases of the genitourinary system 2 1.6 2 1.8 4 1.7 15 Pregnancy, childbirth & the puerperium - 0.0 - 0.0 - 0.0 16 Certain conditions originating in the perinatal period 6 4.7 - 0.0 6 2.5 17 Congenital malformations, deformations & chromosomal abnormalities 3 2.3 2 1.8 5 2.1 18 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes 5 3.9 2 1.8 7 2.9 14 10.9 2 1.8 16 6.7 128 100.0 112 100.0 240 100.0 19 TOTAL 135 ISLAND OF RODRIGUES DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2012 DEATHS AGE-GROUP MALE FEMALE DEATH RATES BOTH SEXES (years) BOTH Cumulative Number MALE FEMALE SEXES Number Number Percentage Percentage Under 1 9 6 15 6.3 6.3 24.6 16.1 20.3 1- 4 - 2 2 0.8 7.1 0.0 1.4 0.7 5- 9 - - - 0.0 7.1 0.0 0.0 0.0 10 - 14 2 1 3 1.3 8.3 1.0 0.6 0.8 15 - 19 - - - 0.0 8.3 0.0 0.0 0.0 20 - 24 3 - 3 1.3 9.6 1.6 0.0 0.8 25 - 29 - 1 1 0.4 10.0 0.0 0.6 0.3 30 - 34 - 3 3 1.3 11.3 0.0 2.0 1.0 35 - 39 3 1 4 1.7 12.9 3.6 1.0 2.2 40 - 44 1 2 3 1.3 14.2 1.3 2.3 1.8 45 - 49 5 2 7 2.9 17.1 5.3 2.1 3.7 50 - 54 10 1 11 4.6 21.7 10.2 1.0 5.7 55 - 59 12 6 18 7.5 29.2 13.9 7.9 11.1 60 - 64 12 9 21 8.8 37.9 21.2 14.8 17.9 65 - 69 12 12 24 10.0 47.9 25.2 22.3 23.7 70 - 74 16 10 26 10.8 58.8 40.9 20.9 29.9 75 - 79 20 15 35 14.6 73.3 82.3 49.7 64.2 80 - 84 10 12 22 9.2 82.5 80.6 71.9 75.6 85 & over 13 29 42 17.5 100.0 288.9 207.1 227.0 ALL AGES 128 112 240 100.0 6.8 5.8 6.3 136 GLOSSARY AGE-GROUP A period covering several years relating to the age of members of a population. Usually expressed in a range of age last birthday, for example 15-19 years. This age-group concerns all persons who have reached 15 years of age, but who have not reached twenty years. A person aged 19 years, 11 months and 29 days would be included in that age-group. ANTENATAL EXAMINATIONS Care and examination of expecting mothers during pregnancy BIRTHWEIGHT The first weight of the foetus or newborn obtained after birth. This weight should be measured preferably within the first hour of life before significant postnatal weight loss has occurred. BIRTHWEIGHT (LOW) A birthweight of less than 2,500 grammes (up to, and including 2,499 grammes). CAUSES OF DEATH All diseases, morbid conditions or injuries which either resulted in or contributed to death and the circumstances of the accident or violence which produced any such injuries. CHILDBEARING YEARS The period of her life during which a woman can reproduce. For the purpose of international comparisons, this is arbitrarily assumed to be in the age-group 15-49 years. DEATH The irreversible cessation of all the following (i) total cerebral function (ii) spontaneous function of the respiratory system and spontaneous function of the circulatory system. DEATH CERTIFICATE A legal document signed by a medical practitioner indicating the morbid conditions which lead directly to death and to state any antecedent conditions giving rise to this cause. EPIDEMIC Infections diseases occurring suddenly in numbers clearly in excess of normal expectancy. FECUNDITY The physiological capacity to reproduce. FERTILITY The actual reproductive performance. FOETAL DEATH Foetal death is death prior to the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy; the death is indicated by the fact that after such separation the foetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. (W.H.O. definition). A distinction is made between early foetal death (abortion) and late foetal death (stillbirth), the dividing line being the 28th week of gestation. 137 GLOSSARY GESTATIONAL AGE The duration of gestation is measured from the first day of the last menstrual period, and is usually expressed in completed weeks. (W.H.O. definition). LIFE EXPECTANCY The average number of years left to a person to live, if current mortality trends were to continue. Life expectancy at birth is a much used health indicator. In most societies the expectancy for females is a few years longer than for males. LIFE TABLES Any of various tables describing mortality and survival data for groups of individuals at specific times or over defined intervals LIVE BIRTH Live birth is the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which, after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each product of such a birth is considered live born. (W.H.O. definition). MORBIDITY The measurement of illness in a population. MORTALITY The frequency and characteristics of deaths in a population. NATALITY The frequency and characteristics of births in a population. NATURAL INCREASE The excess of live births over deaths in a population during a given time period, usually a calendar year. In a few societies the excess is negative, that is there is a "natural decrease". NEONATAL INTENSIVE CARE Provision of treatment to newborns who are in critical conditions (normally after birth) necessitating life saving care. NUPTIALITY The frequency and characteristics of marriages in a population. PANDEMIC A widespread epidemic of a disease distributed or occurring widely throughout a region/country/continent or globally PARADONTAL DISEASES Disease of the soft tissue surrounding the tooth POSTNATAL EXAMINATIONS Examination and care of mother after delivery VITAL STATISTICS Demographic data on live births, stillbirths, deaths and marriages. FERTILITY RATES AGE-SPECIFIC FERTILITY RATE The number of live births to women in each of the five-year agegroups, 15-19, 20-24, ...,45-49, registered during a calendar year, divided by the estimated mid-year female population in the respective age-group, and multiplied by 1,000; expressed per 1,000 women in the relevant age-group. CRUDE BIRTH RATE The number of live births registered during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population. 138 GLOSSARY GENERAL FERTILITY RATE The number of live births registered during a calendar year, divided by the estimated mid-year female population aged 15-49 years, and multiplied by 1,000; expressed per 1,000 women aged 15-49 years. GROSS REPRODUCTION RATE The definition and modes of computation and expression of this rate are similar to those of the Total Fertility Rate, except that only children of the female sex are taken into consideration. As more often than not, in any given year, more boys than girls are born, the Gross Reproduction Rate is usually slightly less than half the Total Fertility Rate. NET REPRODUCTION RATE This rate is an improvement of the Gross Reproduction Rate, in that it takes into consideration the fact that some women die before reaching the end of their childbearing years, and therefore their contribution to reproduction would be less than that assumed in the computation of the Gross Reproduction Rate. The Net Reproduction Rate is therefore always less than the Gross Reproduction Rate. A Net Reproduction Rate of 1.00 denotes replacement level fertility, that is the women are having just enough daughters to "replace" them in the population. TOTAL FERTILITY RATE The average number of children that would be born alive to an average woman during her life-time if she were to be subjected during her childbearing years (15-49) to the age-specific fertility rates observed in a given calendar year. Usually computed by adding the age-specific fertility rates (in five-year age-groups, 15-19, 20-24, ..., 45-49), multiplying by five, and dividing by 1,000; expressed as a number, usually given correct to two places of decimal. MORTALITY RATES AGE SPECIFIC DEATH RATE The number of deaths for a specific age/age group divided by mid year population for this age/age group and multiplied by 10,000. CAUSE SPECIFIC DEATH RATE Number of deaths due to a specific disease/s divided by mid year population multiplied by 10,000 CRUDE DEATH RATE The number of deaths registered during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population. INFANT MORTALITY RATE The number of deaths of children under the age of one year (0-364 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. NEONATAL MORTALITY RATE The number of deaths of children under the age of four weeks (0-27 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. 139 GLOSSARY EARLY NEONATAL MORTALITY RATE The number of deaths of children under the age of one week, (0-6 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. LATE NEONATAL MORTALITY RATE The number of deaths of children aged between one week and four weeks (7-27 days) registered during a calendar year, divided by the number of live births registered during the same year , and multiplied by 1,000; expressed per 1,000 live births. POST-NEONATAL MORTALITY RATE PERINATAL MORTALITY RATE The number of deaths of children aged between four weeks and one year (28-364 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. The sum of the number of stillbirths and the number of deaths of children under the age of one week (0-6 days) registered during a calendar year, divided by the sum of the number of live births and the number of stillbirths registered during the same year, and multiplied by 1,000; expressed per 1,000 total live births and stillbirths. Sometimes the Perinatal Mortality Rate is expressed per 1,000 live births, in which case the divisor in the computation is the number of live births only. CHILD (OR EARLY The number of deaths of children aged between one year and five CHILDHOOD) MORTALITY years (1-4 years) registered during a calendar year, divided by the RATE estimated mid-year population aged between one year and five years (1-4 years), and multiplied by 1,000; expressed per thousand midyear population aged between one year and five years (1-4 years). UNDER FIVE MORTALITY RATE The number of deaths of children aged under five years (0-4 years) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. MATERNAL MORTALITY RATIO The number of (female) deaths ascribed to complications of pregnancy, childbirth and the puerperium registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births. MORBIDITY RATES INCIDENCE RATE The number of new cases of a disease registered (or notified) during a given year, divided by the estimated mid-year population, and multiplied by 10 raised to the power of a convenient digit, which depends upon the frequency of the particular disease. For example, in the Island of Mauritius, in 2002, the incidence rate of pulmonary tuberculosis was 8.9 new cases per 100,000 mid-year population. 140 GLOSSARY The number of persons suffering from a particular disease at a given point in time, usually 30th June or 31st December of a given year, divided by the estimated population at the same point in time, and multiplied by 10 raised to the power of a convenient digit, which depends upon the frequency of the particular disease. Difficult to compute on a regular basis through lack of disease registers. The prevalence rates of specific diseases are occasionally estimated by means of population based surveys. PREVALENCE RATE OTHER RATES BED OCCUPANCY RATE The percentage of the sum of all occupied beds days divided by the sum of all available bed days. CRUDE MARRIAGE RATE The number of persons civilly married during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population. STILLBIRTH (OR LATE FOETAL MORTALITY) RATE The number of stillbirths registered during a calendar year, divided by the sum of the number of live births and the number of stillbirths registered during the same year, and multiplied by 1,000; expressed per 1,000 total live births and stillbirths. ABBREVIATIONS PERTAINING TO VACCINES B.C.G Bacille Calmette-Guerin (tuberculosis) D.P.T Diphtheria, Pertussis (whooping cough) and Tetanus H.I.B Haemophilus Influenzae Type B O.P.V Oral Polio Vaccine HEP.B Hepatitis B M.M.R Measles, Mumps and Rubella D.T Diphtheria and Tetanus T.T Tetanus Toxoid