Noncommunicable Diseases Country Profiles 2014
Noncommunicable Diseases Country Profiles 2014
WHO Library Cataloguing-in-Publication Data
Noncommunicable diseases country profiles 2014.
1.Chronic Disease - epidemiology. 2.Chronic Disease - prevention and control. 3.Chronic Disease - mortality. 4.National Health Programs. 5.Program Evaluation. I.World Health Organization.
ISBN 978 92 4 150750 9 (NLM classification: WT 500)
© World Health Organization 2014
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Noncommunicable Diseases Country Profiles 2014
5
Table of contents
Acknowledgements
Foreword
Explanatory notes
- Background
- Demographics
- Mortality
- Adult Risk Factors
- National Systems Response to NCDs
- References
Country profiles
6
7
9
9
9
9
10
11
13
14
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Noncommunicable Diseases Country Profiles 2014
Acknowledgements
This report was prepared by Leanne Riley and Melanie Cowan.
Contributions to the report were made by Abidkamal Alisalad, Timothy Armstrong, Misha Bajwa, Colin Bell, Douglas Bettcher, Alison Commar, Jean-Maire Dangou, Majid Ezzati, Ibtihal Fadhil, Alexandra Fleischmann, Heba Fouad, Gauden Galea, Renu Garg, Regina Guthold, Samer Jabbour, Branka Legetic, Colin Mathers, Hai-Rim Shin, Gretchen Stevens, Anita Stransdsbjerg, Edouard Tursan d’Espaignet, Menno Van Hilten, Cherian Varghese, and Alexandria Williams.
Sincere thanks to all Member States for their assistance with the assessment of the national systems response component of this report.
Noncommunicable Diseases Country Profiles 2014
7
Foreword
Current global mortality from noncommunicable diseases (NCDs) remains unacceptably high and is increasing. Thirty-eight million people die each year from NCDs, mainly from cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes. Over 14 million deaths from NCDs occur between the ages of 30 and 70, of which 85% are in developing countries. These premature deaths are largely preventable by governments implementing simple measures which reduce risk factors for NCDs and enable health systems to respond.
In September 2011, world leaders adopted the Political Declaration on NCDs at the United Nations General Assembly in New York and committed to develop national multisectoral plans to prevent and control NCDs, and to consider the development of national targets to focus efforts and assess progress made. At the same time, the 2011 Declaration gave WHO a leadership role, together with several time-bound assignments.
These assignments, which have been completed, established a global infrastructure and a roadmap based on nine concrete global targets for 2025, organized around the WHO Global NCD Action Plan 2013-2020. The Global Action Plan comprises a set of actions which, when performed collectively by Member States, international partners and WHO, will help to attain a global target of a 25% reduction in premature mortality from NCDs by 2025 and achieve the commitments made by world leaders in September 2011. WHO’s Programme Budget 2014-2015 includes a dedicated budget line to provide technical assistance to countries in their efforts to set national targets for NCDs, develop national action plans, and monitor results. The UN Interagency Task Force on NCDs, which the UN Secretary-General established in July 2013 and placed under the leadership of WHO, has started to provide support to countries in mobilizing sectors beyond health to address NCDs. The WHO Global Coordination Mechanism on NCDs, established in May 2014, will facilitate engagement among Member States and non-State actors. The global infrastructure will accelerate national efforts to address NCDs.
Progress within countries matters most. Some striking achievements emerge from a survey conducted by WHO last year. Of the 178 countries reporting data, 95% have a unit or department in the Ministry of Health responsible for NCDs. Half now have an integrated operational plan with a dedicated budget. The number of countries conducting recent surveys of risk factors jumped from 30% in 2011 to 63% last year. In other words, more and more countries are getting the basics in place.
To provide the foundation for further advocacy, policy development and action, this report provides an overview of the current status of NCDs in each WHO Member State. The report assesses each Member State’s unique situation in face of the growing threat posed by NCDs.
It includes for each country, where available, estimates on the current burden and recent trends in NCD mortality, prevalence of selected major risk factors, and the national systems capacity to respond to the NCD challenge of epidemic proportions. Data in this report are drawn from multiple sources including data provided by countries, estimates developed by WHO and the results of the global survey on assessment of
8
Noncommunicable Diseases Country Profiles 2014
national capacity for the prevention and control of NCDs which was conducted in 2013. Every effort has been made to incorporate the most comprehensive, recent and reliable data and to validate these data with countries and other sources. However, where data were scarce there is greater uncertainty around these estimates.
The report illustrates that, while many countries have started to align their policies and resources with the nine global targets and the WHO Global NCD Action Plan 2013-2020, progress in countries has been insufficient and highly uneven. Bolder measures are urgent to accelerate efforts to address NCDs and mitigate their impacts. I hope that the information contained in this second edition of the WHO NCD Country Profiles will be useful to governments and non-State actors in identifying areas for priority action.
WHO is launching this report on the occasion of the high-level meeting of the United Nations General Assembly to undertake the comprehensive review and assessment of the progress achieved in the prevention and control of NCDs (New York, 10-11 July 2014). The meeting will provide a timely opportunity for rallying political support for bolder measures. WHO, as a global beacon of solidarity, will continue to build a future that ensures that globalization becomes a positive force for all the world’s peoples of present and future generations.
Dr Oleg Chestnov Assistant Director-General
World Health Organization
Noncommunicable Diseases Country Profiles 2014
9
Explanatory Notes
BACKGROUND
In September 2011 the World Health Organization released the first set of Noncommunicable Diseases Country Profiles, highlighting the status of NCDs in each WHO Member State. This second set of profiles builds on this earlier report and provides an updated overview of the NCD situation for each country. The focus in these new profiles is on presenting information for each country related to their NCD mortality, risk factors and national systems capacity to prevent and control NCDs. The profiles include the number, rates and causes of deaths from NCDs and trends in NCD mortality since 2000; the prevalence of selected risk factors; and information describing current national responses to prevention and control of NCDs. The data presented in each of the profiles are derived from several sources, each of which is explained in the following notes.
DEMOGRAPHICS
The 2012 population estimates from the most recent United Nations Population Division World Population Prospects (1) are reported in each profile for both total population as well as the population proportion between ages 30 and 70 years. World Bank income group data are based on 2012 gross national income (GNI) per capita, calculated using the World Bank Atlas method (2). The 2011 percentage of population living in urban areas was taken from the UN World Urbanization Prospects: The 2011 Revision (3).
MORTALITY
Age- and sex-specific all-cause mortality rates were estimated for 2000-2012 from revised life tables, published in World Health Statistics 2014 (4). Total number of deaths by age and sex were estimated for each country by applying these death rates to the estimated resident populations prepared by the United Nations Population Division in its 2012 revision (1).
Causes of death were estimated for 2000-2012 using data sources and methods that were specific for each cause of death (5). Vital registration systems which record deaths with sufficient completeness and quality of cause of death information were used as the preferred data source. Mortality by cause was estimated for all Member States with a population greater than 250,000. Those countries with an asterisk (*) on their profile have mortality data which are not based on any national NCD mortality data. These NCD mortality estimates are based on a combination of country life tables, cause of death models, regional cause of death patterns, and WHO and UNAIDS programme estimates for some major causes of death (not including NCDs). Detailed information on methods for mortality and causes of death estimates were published previously (5).
10
Noncommunicable Diseases Country Profiles 2014
Age-standardized death rates for cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes were calculated using the WHO standard population (5, 6). Proportional mortality (% of total deaths, all ages, and of both sexes) for communicable, maternal, perinatal and nutritional conditions; injuries; cardiovascular disease; cancer; chronic respiratory disease; diabetes; and other NCDs is reported for 2012 (5).
The 2012 probability of dying between ages 30 and 70 years from the four main NCDs was estimated using age-specific death rates (in 5-year age groups, e.g. 30-34… 65-69, for those between 30 and 70) of the combined four main NCD categories, for each Member State (5). Using the life table method, the risk of death between the exact ages of 30 and 70, from any of the four causes and in the absence of other causes of death, was calculated using the equation below. The ICD codes used are: Cardiovascular disease: I00-I99,�Cancer: C00-C97,�Diabetes: E10-E14, and Chronic respiratory disease: J30-J98.���
Five-year death rates were then translated into the probability of death for each NCD using the following formula:
The unconditional probability of death, for the 30-70 age range, was calculated last:
ADULT RISK FACTORS
Definition of indicators
Prevalence estimates are given for the following behavioural and metabolic risk factors:
• Current tobacco smoking (2011): the percentage of the population aged 15 or older who smoke any tobacco products.
• Total alcohol per capita consumption, in litres of pure alcohol (2010): consumption of pure alcohol (recorded and unrecorded) per person aged 15+ during one calendar year.
5*Mx=
Total deaths from four NCD causes between exact age (x) and exact age (x+5)Total population between exact age (x) and exact age (x+5)
Noncommunicable Diseases Country Profiles 2014
11
• Raised blood pressure (2008): the percentage of the population aged 25 or older having systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥90 mmHg.
• Obesity (2008): the percentage of the population aged 20 or older having a body mass index (BMI) ≥30 kg/m2.
Methods of estimation
Crude adjusted estimates for raised blood pressure and obesity for 2008 are based on aggregated data provided by countries to WHO or obtained through a review of published and unpublished literature. The inclusion criteria for estimation analysis stipulated that data had to come from a random sample of the general population, with clearly indicated survey methods and risk factor definition. Detailed estimation methods have been published previously (7, 8).
Age-standardized prevalence for current tobacco smoking were estimated from national surveys that met the following criteria: provides national summary data for one or more of four tobacco use definitions- daily tobacco smoker, current tobacco smoker, daily cigarette smoker, or current cigarette smoker; includes randomly selected participants who were representative of the national population; and presents prevalence rates by age and sex. Countries with no surveys, or insufficient surveys (e.g. only one survey in total, or no survey during the previous 10 years), were excluded from the analysis. Regression models were run at the UN sub-region level to obtain age-and-sex-specific prevalence rates for current tobacco smoking for the year 2011. The estimated rates were then age-standardised to calculate average rates by sex for each country (9).
The primary data source for the estimates for total alcohol per capita consumption (APC) was official data on recorded alcohol per capita consumption supplied by the respective Member States. If these data were not available, data from economic operators and the Food and Agriculture Organization of the United Nations (FAO) statistical database (FAOSTAT) were used. The recorded three-year average APC for 2008–2010 and the unrecorded consumption for 2010 were added to arrive at the total consumption in litres of pure alcohol. For male and female per capita consumption, the proportion of alcohol consumed by men versus women plus the UN Population Division population estimates for 2010 (1) were used. Further detail on the estimation methods have been published previously (10).
NATIONAL SYSTEMS RESPONSE TO NCDS
All data in this section of the profile were taken from Member State responses to the 2013 NCD Country Capacity Survey (CCS). The 2013 CCS questionnaire was sent in electronic (Excel) format to the NCD focal points or designated colleagues within the Ministry of Health (MOH) or a national institute or agency in all WHO Member States (194 countries). The questions were developed in a manner intended to obtain objective information about adequacy of capacity and were reviewed in relation to the development of the objectives of the second Global NCD Action Plan. The 16 countries that did not respond to the survey have “ND” (No Data) for all CCS related fields in this section of the profile.
12
Noncommunicable Diseases Country Profiles 2014
Responses related to the NCD surveillance and monitoring systems were checked against three separate sources. The information on mortality was checked against data on vital registration systems held within WHO in the Department of Health Statistics and Informatics. The responses on cancer registries were checked against information held at the International Agency for Research on Cancer (IARC). Information on recent NCD risk factor surveys were checked against internal survey tracking systems for WHO-supported risk factor surveys, including WHO STEPS (adult risk factor surveillance), the Global School-based Student Health Survey (GSHS), and the Global Youth Tobacco Survey (GYTS) held in WHO’s Prevention of Noncommunicable Diseases Department. Where discrepancies were noted between the country response and these other sources, a clarification request was returned to the country for their consideration and an updating of their response.
Noncommunicable Diseases Country Profiles 2014
13
REFERENCES
1. World Population Prospects - 2012 revision. New York, United Nations Population Division, 2013.
2. World Development Indicators. Washington, DC, International Bank for Reconstruction and Development/The World Bank, 2014.
3. World Urbanization Prospects: The 2011 Revision, CD-ROM Edition. New York, United Nations Population Division, 2012.
4. World Health Statistics 2014. Geneva, World Health Organization, 2014.
5. WHO methods and data sources for country-level causes of death 2000-2012. Geneva, World Health Organization, 2014.
6. Ahmad OB et al. Age Standardization of Rates: A New WHO Standard (Technical Report). GPE Discussion Paper Series: No.31. Geneva, World Health Organization, 2001.
7. Finucane MM et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. The Lancet, 2011, 377:557-67.
8. Danaei G et al. National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5.4 million participants. The Lancet, 2011, 377:568-77.
9. WHO report on the global tobacco epidemic, 2013. Geneva, World Health Organization, 2013.
10. Global status report on alcohol and health 2014. Geneva, World Health Organization, 2014.
14
Noncommunicable Diseases Country Profiles 2014
AfghanistanPercentage of population living in urban areas: 23.5%
Income Group: Low Population proportion between ages 30 and 70 years: 24.4%
Premature mortality due to NCDs*
31% .
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 1.2 0.7Raised blood pressure (2008) 22.8% 22.5%Obesity (2008) 1.4% 2.2%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).… = no data available
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
3.0%
Total population: 29 825 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females. . .0.1
22.1%
Total deaths: 250,000 NCDs are estimated to account for 37% of total deaths.
0
100
200
300
400
500
600
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
5
10
15
20
25
30
35
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
5
10
15
20
25
30
35
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
19%
Cancers 6%
Chronic respiratory diseases
3%
Diabetes 1%
Other NCDs 8%
Communicable, maternal, perinatal
and nutritional conditions
46%
Injuries 17%
males
females
Noncommunicable Diseases Country Profiles 2014
15
AlbaniaPercentage of population living in urban areas: 53.4%
Income Group: pper middle Population proportion between ages 30 and 70 years: 4 .2%
Premature mortality due to NCDs*
19% .
Adult risk factors males total
Current tobacco smoking (2011) 48% 26%Total alcohol per capita consumption, in litres of pure alcohol (2010) 10.6 7.0Raised blood pressure (2008) 40.4% 36.5%Obesity (2008) 21.8% 21.3%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach es
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
20.8%
Total population: 3 1 2 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females5%3.4
32.9%
Total deaths: 30,000 NCDs are estimated to account for 89% of total deaths.
0
100
200
300
400
500
600
700
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
1,000
2,000
3,000
4,000
5,000
6,000
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
0
1,000
2,000
3,000
4,000
5,000
6,000
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
59%
Cancers 16%
Chronic respiratory diseases
5%
Diabetes 1%
Other NCDs 9%
Communicable, maternal, perinatal
and nutritional conditions
5%
Injuries 5%
males
females
16
Noncommunicable Diseases Country Profiles 2014
AlgeriaPercentage of population living in urban areas: 73.0%
Income Group: pper middle Population proportion between ages 30 and 70 years: 40.0%
Premature mortality due to NCDs*
22% .
Adult risk factors males total
Current tobacco smoking (2011) 28% 15%Total alcohol per capita consumption, in litres of pure alcohol (2010) 1.6 1.0Raised blood pressure (2008) 29.1% 28.9%Obesity (2008) 9.6% 16.0%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
22.4%
Total population: 38 482 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females2%0.4
28.7%
Total deaths: 219,000 NCDs are estimated to account for 77% of total deaths.
0
50
100
150
200
250
300
350
400
450
500
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
05
101520253035404550
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
05
101520253035404550
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
41%
Cancers 10%
Chronic respiratory diseases
3%
Diabetes 7%
Other NCDs 16%
Communicable, maternal, perinatal
and nutritional conditions
15%
Injuries 8% males
females
Noncommunicable Diseases Country Profiles 2014
17
AndorraPercentage of population living in urban areas: 87.3%
Income Group: High Population proportion between ages 30 and 70 years: 55.7%
Premature mortality due to NCDs*
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 19.5 13.8Raised blood pressure (2008) 31.5% 26.5%Obesity (2008) 26.7% 25.2%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* ee Explanatory Notes… = no data available
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
23.9%
Total population: 78 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
females. . .8.2
21.9%
Total deaths: 50
Number of deaths, under 70 years Males
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
2000 2002 2004 2006 2008 2010 2012
No Data vailable
2000 2002 2004 2006 2008 2010 2012
No Data vailable
2000 2002 2004 2006 2008 2010 2012
No Data vailable No Data vailable
18
Noncommunicable Diseases Country Profiles 2014
AngolaPercentage of population living in urban areas: 59.2%
Income Group: pper middle Population proportion between ages 30 and 70 years: 24.4%
Premature mortality due to NCDs*
24% .
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 12.0 7.5Raised blood pressure (2008) 33.3% 30.3%Obesity (2008) 3.5% 6.4%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent ND
ND
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol ND
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity ND
ND
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets ND
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach ND
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets ND
Has a national, population-based cancer registry ND
* The mortality estimates for this country have a high degree of uncertainty because they are not based ND = Country did not respond to country capacity surveyon any national NCD mortality data (see Explanatory Notes).… = no data available
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
9.1%
Total population: 20 821 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females. . .3.0
27.4%
Total deaths: 301,000 NCDs are estimated to account for 24% of total deaths.
0
50
100
150
200
250
300
350
400
450
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
5
10
15
20
25
30
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
5
10
15
20
25
30
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
9% Cancers
2% Chronic respiratory
diseases 2%
Diabetes 1%
Other NCDs 10%
Communicable, maternal, perinatal
and nutritional conditions
66%
Injuries 10% males
females
Noncommunicable Diseases Country Profiles 2014
19
Antigua and arbudaPercentage of population living in urban areas: 29.8%
Income Group: High Population proportion between ages 30 and 70 years: 43.1%
Premature mortality due to NCDs*
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 7.7 5.4Raised blood pressure (2008) 38.0% 32.8%Obesity (2008) 17.9% 25.6%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach D
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* ee Explanatory Notes… = no data availableD = Country responded don t know
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
33.0%
Total population: 89 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
females. . .3.1
27.9%
Total deaths: 10
Number of deaths, under 70 years Males
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
2000 2002 2004 2006 2008 2010 2012
No Data vailable
2000 2002 2004 2006 2008 2010 2012
No Data vailable
2000 2002 2004 2006 2008 2010 2012
No Data vailable No Data vailable
20
Noncommunicable Diseases Country Profiles 2014
ArgentinaPercentage of population living in urban areas: 92.5%
Income Group: pper middle Population proportion between ages 30 and 70 years: 43.9%
Premature mortality due to NCDs*
17% .
Adult risk factors males total
Current tobacco smoking (2011) 30% 23%Total alcohol per capita consumption, in litres of pure alcohol (2010) 13.6 9.3Raised blood pressure (2008) 31.1% 25.1%Obesity (2008) 27.1% 29.7%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets es
Has a national, population-based cancer registry es
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
32.0%
Total population: 41 087 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females16%5.2
19.7%
Total deaths: 314,000 NCDs are estimated to account for 81% of total deaths.
0
50
100
150
200
250
300
350
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
10
20
30
40
50
60
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
10
20
30
40
50
60
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
35%
Cancers 21%
Chronic respiratory diseases
7%
Diabetes 3%
Other NCDs 16%
Communicable, maternal, perinatal
and nutritional conditions
11%
Injuries 7% males
females
Noncommunicable Diseases Country Profiles 2014
21
ArmeniaPercentage of population living in urban areas: 4.1%
Income Group: Lower middle Population proportion between ages 30 and 70 years: 45.3%
Premature mortality due to NCDs*
30% .
Adult risk factors males total
Current tobacco smoking (2011) 47% 22%Total alcohol per capita consumption, in litres of pure alcohol (2010) 8.0 5.3Raised blood pressure (2008) 43.5% 41.9%Obesity (2008) 14.3% 24.0%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach es
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets es
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
31.7%
Total population: 2 9 9 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females2%2.6
40.7%
Total deaths: 37,000 NCDs are estimated to account for 92% of total deaths.
0
100
200
300
400
500
600
700
800
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
1
2
3
4
5
6
7
8
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
1
2
3
4
5
6
7
8
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
54%
Cancers 22%
Chronic respiratory diseases
5%
Diabetes 3%
Other NCDs 8%
Communicable, maternal, perinatal
and nutritional conditions
4%
Injuries 4% males
females
22
Noncommunicable Diseases Country Profiles 2014
AustraliaPercentage of population living in urban areas: 89.2%
Income Group: High Population proportion between ages 30 and 70 years: 50.2%
Premature mortality due to NCDs
9% .
Adult risk factors males total
Current tobacco smoking (2011) 21% 20%Total alcohol per capita consumption, in litres of pure alcohol (2010) 17.3 12.2Raised blood pressure (2008) 25.5% 21.4%Obesity (2008) 26.4% 26.8%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
es
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry es
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
27.1%
Total population: 23 050 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)Age-standardized death rates
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females19%7.2
17.5%
Total deaths: 147,000 NCDs are estimated to account for 91% of total deaths.
0
50
100
150
200
250
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
5
10
15
20
25
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
5
10
15
20
25
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
31%
Cancers 29%
Chronic respiratory diseases
7%
Diabetes 3%
Other NCDs 21%
Communicable, maternal, perinatal
and nutritional conditions
3%
Injuries 6%
males
females
Noncommunicable Diseases Country Profiles 2014
23
AustriaPercentage of population living in urban areas: 7.7%
Income Group: High Population proportion between ages 30 and 70 years: 54.0%
Premature mortality due to NCDs
12% .
Adult risk factors males total
Current tobacco smoking (2011) 46% 46%Total alcohol per capita consumption, in litres of pure alcohol (2010) 15.4 10.3Raised blood pressure (2008) 31.4% 28.4%Obesity (2008) 21.0% 20.9%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry es
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
20.9%
Total population: 8 4 4 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)Age-standardized death rates
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females47%6.3
25.5%
Total deaths: 78,000 NCDs are estimated to account for 92% of total deaths.
0
50
100
150
200
250
300
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
2
4
6
8
10
12
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
2
4
6
8
10
12
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
43%
Cancers 27%
Chronic respiratory diseases
4%
Diabetes 4%
Other NCDs 14%
Communicable, maternal, perinatal
and nutritional conditions
3%
Injuries 5%
males
females
24
Noncommunicable Diseases Country Profiles 2014
Azerbai anPercentage of population living in urban areas: 53. %
Income Group: pper middle Population proportion between ages 30 and 70 years: 44.3%
Premature mortality due to NCDs*
23% .
Adult risk factors males total
Current tobacco smoking (2011) 34% 16%Total alcohol per capita consumption, in litres of pure alcohol (2010) 3.6 2.3Raised blood pressure (2008) 34.5% 31.9%Obesity (2008) 15.1% 23.8%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
31.4%
Total population: 9 309 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females1%1.1
29.8%
Total deaths: 58,000 NCDs are estimated to account for 84% of total deaths.
0
100
200
300
400
500
600
700
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
2
4
6
8
10
12
14
16
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
2
4
6
8
10
12
14
16
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
54%
Cancers 15%
Chronic respiratory diseases
3%
Diabetes 2%
Other NCDs 10%
Communicable, maternal, perinatal
and nutritional conditions
11%
Injuries 5%
males
females
Noncommunicable Diseases Country Profiles 2014
25
ahamasPercentage of population living in urban areas: 84.3%
Income Group: High Population proportion between ages 30 and 70 years: 47.7%
Premature mortality due to NCDs*
14% .
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 10.1 6.9Raised blood pressure (2008) 35.5% 29.8%Obesity (2008) 26.4% 34.7%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets es
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).… = no data available
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
42.4%
Total population: 372 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females. . .3.9
24.7%
Total deaths: 2,200 NCDs are estimated to account for 72% of total deaths.
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
33%
Cancers 17%
Chronic respiratory diseases
1%
Diabetes 7%
Other NCDs 14%
Communicable, maternal, perinatal
and nutritional conditions
20%
Injuries 8% males
females
26
Noncommunicable Diseases Country Profiles 2014
ahrainPercentage of population living in urban areas: 88.7%
Income Group: High Population proportion between ages 30 and 70 years: 49.1%
Premature mortality due to NCDs*
13% .
Adult risk factors males total
Current tobacco smoking (2011) 35% 25%Total alcohol per capita consumption, in litres of pure alcohol (2010) 2.7 2.1Raised blood pressure (2008) 29.1% 28.1%Obesity (2008) 29.5% 32.9%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
es
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach es
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
38.0%
Total population: 1 318 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females8%1.0
26.6%
Total deaths: 2,800 NCDs are estimated to account for 78% of total deaths.
0
50
100
150
200
250
300
350
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
100
200
300
400
500
600
700
800
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
0
100
200
300
400
500
600
700
800
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
26%
Cancers 13%
Chronic respiratory diseases
6%
Diabetes 13%
Other NCDs 20%
Communicable, maternal, perinatal
and nutritional conditions
10%
Injuries 12% males
females
Noncommunicable Diseases Country Profiles 2014
27
angladeshPercentage of population living in urban areas: 28.4%
Income Group: Low Population proportion between ages 30 and 70 years: 37.3%
Premature mortality due to NCDs*
18% .
Adult risk factors males total
Current tobacco smoking (2011) 48% 25%Total alcohol per capita consumption, in litres of pure alcohol (2010) 0.3 0.2Raised blood pressure (2008) 24.0% 23.8%Obesity (2008) 0.9% 1.1%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
es
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach es
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
1.3%
Total population: 155 000 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females2%0.0
23.6%
Total deaths: 88 ,000 NCDs are estimated to account for 59% of total deaths.
0
50
100
150
200
250
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
20
40
60
80
100
120
140
160
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
20
40
60
80
100
120
140
160
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
17%
Cancers 10%
Chronic respiratory diseases
11%
Diabetes 3%
Other NCDs 18%
Communicable, maternal, perinatal
and nutritional conditions
32%
Injuries 9% males
females
28
Noncommunicable Diseases Country Profiles 2014
arbadosPercentage of population living in urban areas: 44.4%
Income Group: High Population proportion between ages 30 and 70 years: 52.4%
Premature mortality due to NCDs*
14% .
Adult risk factors males total
Current tobacco smoking (2011) 13% 7%Total alcohol per capita consumption, in litres of pure alcohol (2010) 9.8 6.8Raised blood pressure (2008) 34.8% 33.2%Obesity (2008) 22.5% 34.7%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
es
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets es
Has a national, population-based cancer registry es
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
45.9%
Total population: 283 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females2%4.0
31.7%
Total deaths: 1,800 NCDs are estimated to account for 84% of total deaths.
0
50
100
150
200
250
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
28%
Cancers 29%
Chronic respiratory diseases
2%
Diabetes 9%
Other NCDs 16%
Communicable, maternal, perinatal
and nutritional conditions
11%
Injuries 5%
males
females
Noncommunicable Diseases Country Profiles 2014
29
elarusPercentage of population living in urban areas: 75.0%
Income Group: pper middle Population proportion between ages 30 and 70 years: 53.2%
Premature mortality due to NCDs
2 % .
Adult risk factors males total
Current tobacco smoking (2011) 50% 29%Total alcohol per capita consumption, in litres of pure alcohol (2010) 27.5 17.5Raised blood pressure (2008) 45.0% 41.8%Obesity (2008) 20.0% 24.3%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent ND
ND
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol ND
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity ND
ND
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets ND
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach ND
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets ND
Has a national, population-based cancer registry ND
ND = Country did not respond to country capacity survey
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
27.8%
Total population: 9 405 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)Age-standardized death rates
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females11%9.1
39.3%
Total deaths: 122,000 NCDs are estimated to account for 89% of total deaths.
0
100
200
300
400
500
600
700
800
900
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
5
10
15
20
25
30
35
40
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
5
10
15
20
25
30
35
40
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
63%
Cancers 14%
Chronic respiratory diseases
2%
Diabetes 0%
Other NCDs 9%
Communicable, maternal, perinatal
and nutritional conditions
3%
Injuries 9% males
females
30
Noncommunicable Diseases Country Profiles 2014
elgiumPercentage of population living in urban areas: 97.5%
Income Group: High Population proportion between ages 30 and 70 years: 52.0%
Premature mortality due to NCDs
12% .
Adult risk factors males total
Current tobacco smoking (2011) 31% 27%Total alcohol per capita consumption, in litres of pure alcohol (2010) 15.0 11.0Raised blood pressure (2008) 27.8% 24.9%Obesity (2008) 23.3% 22.1%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach D
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry es
D = Country responded don t know
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
21.0%
Total population: 11 0 0 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)Age-standardized death rates
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females23%6.3
22.3%
Total deaths: 109,000 NCDs are estimated to account for 87% of total deaths.
0
50
100
150
200
250
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
2
4
6
8
10
12
14
16
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
2
4
6
8
10
12
14
16
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
30%
Cancers 27%
Chronic respiratory diseases
7%
Diabetes 2%
Other NCDs 21%
Communicable, maternal, perinatal
and nutritional conditions
7%
Injuries 6%
males
females
Noncommunicable Diseases Country Profiles 2014
31
elizePercentage of population living in urban areas: 44.7%
Income Group: pper middle Population proportion between ages 30 and 70 years: 34.1%
Premature mortality due to NCDs
15% .
Adult risk factors males total
Current tobacco smoking (2011) 22% 12%Total alcohol per capita consumption, in litres of pure alcohol (2010) 14.5 8.5Raised blood pressure (2008) 26.0% 22.2%Obesity (2008) 23.7% 33.7%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
No
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
43.8%
Total population: 324 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)Age-standardized death rates
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females2%2.5
18.3%
Total deaths: 1,300 NCDs are estimated to account for 5% of total deaths.
0
50
100
150
200
250
300
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
020406080
100120140160180200
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
020406080
100120140160180200
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
25%
Cancers 11%
Chronic respiratory diseases
4% Diabetes 9%
Other NCDs 16%
Communicable, maternal, perinatal
and nutritional conditions
19%
Injuries 16% males
females
32
Noncommunicable Diseases Country Profiles 2014
eninPercentage of population living in urban areas: 44.9%
Income Group: Low Population proportion between ages 30 and 70 years: 27.9%
Premature mortality due to NCDs*
22% .
Adult risk factors males total
Current tobacco smoking (2011) 21% 12%Total alcohol per capita consumption, in litres of pure alcohol (2010) 3.4 2.1Raised blood pressure (2008) 32.2% 30.4%Obesity (2008) 3.2% 6.0%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
8.8%
Total population: 10 051 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females3%0.9
28.6%
Total deaths: 90,000 NCDs are estimated to account for 3 % of total deaths.
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
2
4
6
8
10
12
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
2
4
6
8
10
12
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
15%
Cancers 4%
Chronic respiratory diseases
2%
Diabetes 2%
Other NCDs 13%
Communicable, maternal, perinatal
and nutritional conditions
55%
Injuries 9%
males
females
Noncommunicable Diseases Country Profiles 2014
33
hutanPercentage of population living in urban areas: 35. %
Income Group: Lower middle Population proportion between ages 30 and 70 years: 37.0%
Premature mortality due to NCDs*
21% .
Adult risk factors males total
Current tobacco smoking (2011) . . . . . .Total alcohol per capita consumption, in litres of pure alcohol (2010) 1.2 0.7Raised blood pressure (2008) 25.5% 24.7%Obesity (2008) 4.3% 5.3%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent es
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets No
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach es
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).… = no data available
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
6.4%
Total population: 742 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females. . .0.1
23.7%
Total deaths: 4,800 NCDs are estimated to account for 5 % of total deaths.
0
50
100
150
200
250
300
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
100
200
300
400
500
600
700
800
900
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Males
0
100
200
300
400
500
600
700
800
900
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
18%
Cancers 8%
Chronic respiratory diseases
10%
Diabetes 3%
Other NCDs 18%
Communicable, maternal, perinatal
and nutritional conditions
24%
Injuries 19%
males
females
34
Noncommunicable Diseases Country Profiles 2014
olivia (Plurinational tate of)Percentage of population living in urban areas: .8%
Income Group: Lower middle Population proportion between ages 30 and 70 years: 33. %
Premature mortality due to NCDs*
18% .
Adult risk factors males total
Current tobacco smoking (2011) 42% 30%Total alcohol per capita consumption, in litres of pure alcohol (2010) 9.1 5.9Raised blood pressure (2008) 27.8% 24.4%Obesity (2008) 9.6% 17.9%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent No
No
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol es
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity es
es
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets es
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach No
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets No
Has a national, population-based cancer registry No
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
25.9%
Total population: 10 49 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females18%2.7
21.2%
Total deaths: 72,000 NCDs are estimated to account for 59% of total deaths.
0
50
100
150
200
250
300
350
400
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
2
4
6
8
10
12
14
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
2
4
6
8
10
12
14
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
24%
Cancers 10%
Chronic respiratory diseases
3%
Diabetes 4%
Other NCDs 18%
Communicable, maternal, perinatal
and nutritional conditions
28%
Injuries 13% males
females
Noncommunicable Diseases Country Profiles 2014
35
osnia and HerzegovinaPercentage of population living in urban areas: 48.3%
Income Group: pper middle Population proportion between ages 30 and 70 years: 51.2%
Premature mortality due to NCDs*
18% .
Adult risk factors males total
Current tobacco smoking (2011) 44% 35%Total alcohol per capita consumption, in litres of pure alcohol (2010) 13.1 7.1Raised blood pressure (2008) 41.2% 43.2%Obesity (2008) 23.8% 26.5%
National systems response to NCDs
Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent ND
ND
Has an operational policy, strategy or action plan to reduce the harmful use of alcohol ND
Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity ND
ND
Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets ND
Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach ND
Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets ND
Has a national, population-based cancer registry ND
* The mortality estimates for this country have a high degree of uncertainty because they are not basedon any national NCD mortality data (see Explanatory Notes).ND = Country did not respond to country capacity survey
World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.
28.9%
Total population: 3 834 000
Has an operational multisectoral national policy, strategy or action plan that integrates several NCDs and shared risk factors
Has an operational policy, strategy or action plan to reduce the burden of tobacco use
Proportional mortality (% of total deaths, all ages, both sexes)*Age-standardized death rates*
The probability of dying between ages 30 and 70 years from the 4 main NCDs is
females27%1.4
45.0%
Total deaths: 35,000 NCDs are estimated to account for 91% of total deaths.
0
50
100
150
200
250
300
350
400
450
500
2000 2002 2004 2006 2008 2010 2012
age-
stan
dard
ized
dea
th r
ate
per 1
00,0
00
0
1
2
3
4
5
6
7
8
9
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Males
0
1
2
3
4
5
6
7
8
9
2000 2002 2004 2006 2008 2010 2012
Num
ber
of d
eath
s (th
ousa
nds)
Number of deaths, under 70 years Females
Cardiovascular Diseases
Chronic Respiratory Diseases
Cancers
Diabetes
Cardiovascular Diseases Chronic Respiratory Diseases Cancers Diabetes Other NCDs
Cardiovascular diseases
56%
Cancers 19%
Chronic respiratory diseases
5%
Diabetes 3%
Other NCDs 8%
Communicable, maternal, perinatal
and nutritional conditions
3%
Injuries 6% males
females
36
Noncommunicable Diseases Country Profiles 2014
otswanaPercentage of population living in urban areas: 1.7%
Income Group: pper middle Population proportion between ages 30 and 70 years: 31.2%
Premature mortality due to NCDs*
21% .
Adult risk factors males total
Current tobacco smoking (2011) 36% 22%Total alcohol per capita consumption, in litres of pure alcohol (2010) 14.3 8.4Raised blood pressure (2008) 33.3% 32.