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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 All rights reserved. Publications of the World Health Organization are available on the WHO website (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications –whether for sale or for noncommercial distribution– should be addressed to WHO Press through the WHO website (www. who.int/about/licensing/copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Printed by the WHO Document Production Services, Geneva, Switzerland

Noncommunicable Diseases Country Profiles 2014

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.

6

Noncommunicable Diseases Country Profiles 2014

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 timebound 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 20132020. 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

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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

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Noncommunicable Diseases Country Profiles 2014

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).

9

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. 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)

5 Mx= *

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.

10

Noncommunicable Diseases Country Profiles 2014

• •

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 definitionsdaily 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.

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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.

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Noncommunicable Diseases Country Profiles 2014

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.

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Noncommunicable Diseases Country Profiles 2014

Afghanistan Total population: 29 825 000 Income Group: Low Age-standardized death rates* 600 Injuries 17%

Percentage of population living in urban areas: 23.5% Population proportion between ages 30 and 70 years: 24.4% Proportional mortality (% of total deaths, all ages, both sexes)* Cardiovascular diseases 19%

age-standardized death rate per 100,000

500

males 400

females Cancers 6% Chronic respiratory diseases 3% Diabetes 1% Other NCDs 8%

300

200

100 Communicable, maternal, perinatal and nutritional conditions 46%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 250,000 NCDs are estimated to account for 37% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

31% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 1.2 22.8% 1.4% females ... 0.1 22.1% 3.0% total ... 0.7 22.5% 2.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Albania Total population: 3 1 2 000 Income Group: pper middle Age-standardized death rates* 700

Percentage of population living in urban areas: 53.4% Population proportion between ages 30 and 70 years: 4 .2% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 5% Other NCDs 9% Diabetes 1% Chronic respiratory diseases 5% Injuries 5%

age-standardized death rate per 100,000

600 500

females

400 300

200 Cancers 16%

100

Cardiovascular diseases 59%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 30,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 10.6 40.4% 21.8% females 5% 3.4 32.9% 20.8% total 26% 7.0 36.5% 21.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

15

Noncommunicable Diseases Country Profiles 2014

Algeria Total population: 38 482 000 Income Group: pper middle Age-standardized death rates* 500

Percentage of population living in urban areas: 73.0% Population proportion between ages 30 and 70 years: 40.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 15% Injuries 8%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100 Other NCDs 16%

Cardiovascular diseases 41%

50 0

Diabetes 7%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 3%

Cancers 10%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 219,000 NCDs are estimated to account for 77% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

22% .

Number of deaths (thousands)

50 45 40 35

50 45 40

Number of deaths, under 70 years Females

35 30 25 20 15 10 5

30 25 20

15 10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 28% 1.6 29.1% 9.6% females 2% 0.4 28.7% 22.4% total 15% 1.0 28.9% 16.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

16

Noncommunicable Diseases Country Profiles 2014

Andorra Total population: 78 000 Income Group: High Age-standardized death rates* Percentage of population living in urban areas: 87.3% Population proportion between ages 30 and 70 years: 55.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 50

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 19.5 31.5% 26.7% females ... 8.2 21.9% 23.9% total ... 13.8 26.5% 25.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

17

Noncommunicable Diseases Country Profiles 2014

Angola Total population: 20 821 000 Income Group: pper middle Age-standardized death rates* 450

Percentage of population living in urban areas: 59.2% Population proportion between ages 30 and 70 years: 24.4% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular Cancers diseases 2% 9% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 10%

age-standardized death rate per 100,000

400

350 300 250

200 150 100

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 66%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 301,000 NCDs are estimated to account for 24% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

30 25 20 15 10 5 0 2000 2002

30

Number of deaths, under 70 years Females

25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 12.0 33.3% 3.5% females ... 3.0 27.4% 9.1% total ... 7.5 30.3% 6.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Antigua and arbuda Total population: 89 000 Income Group: High Age-standardized death rates* Percentage of population living in urban areas: 29.8% Population proportion between ages 30 and 70 years: 43.1% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 10

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 7.7 38.0% 17.9% females ... 3.1 27.9% 33.0% total ... 5.4 32.8% 25.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available D = Country responded don t know

No No No No No No D No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Argentina Total population: 41 087 000 Income Group: pper middle Age-standardized death rates* 350

Percentage of population living in urban areas: 92.5% Population proportion between ages 30 and 70 years: 43.9% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 11% Injuries 7%

age-standardized death rate per 100,000

300

females

250

Cardiovascular diseases 35%

200 150 Other NCDs 16%

100

50 0

Diabetes 3%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cancers 21%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 314,000 NCDs are estimated to account for 81% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 17% . Number of deaths, under 70 years Males Number of deaths (thousands) Number of deaths, under 70 years Females

Number of deaths (thousands)

60 50

60 50 40 30

40 30 20

20 10 0 2000 2002 2004 2006 2008 2010 2012

10 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 30% 13.6 31.1% 27.1% females 16% 5.2 19.7% 32.0% total 23% 9.3 25.1% 29.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

20

Noncommunicable Diseases Country Profiles 2014

Armenia Total population: 2 9 9 000 Income Group: Lower middle Age-standardized death rates* 800 age-standardized death rate per 100,000 700 600 500 400 300 200 100 0 Cancers 22% Cardiovascular diseases 54%

Percentage of population living in urban areas: 4.1% Population proportion between ages 30 and 70 years: 45.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Diabetes 3% Chronic respiratory diseases 5% Communicable, maternal, perinatal and nutritional conditions 4% Other NCDs 8% Injuries 4%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 37,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 30% . Number of deaths, under 70 years Males Number of deaths (thousands) Number of deaths, under 70 years Females

Number of deaths (thousands)

8 7

8 7

6 5 4

6 5 4

3 2 1 0 2000 2002 2004 2006 Cancers

3 2

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 47% 8.0 43.5% 14.3% females 2% 2.6 40.7% 31.7% total 22% 5.3 41.9% 24.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

21

Noncommunicable Diseases Country Profiles 2014

Australia Total population: 23 050 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 89.2% Population proportion between ages 30 and 70 years: 50.2% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 3% Injuries 6%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 31%

150

Other NCDs 21%

100 Diabetes 3%

50 Chronic respiratory diseases 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 29%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 147,000 NCDs are estimated to account for 91% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

9% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 21% 17.3 25.5% 26.4% females 19% 7.2 17.5% 27.1% total 20% 12.2 21.4% 26.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

22

Noncommunicable Diseases Country Profiles 2014

Austria Total population: 8 4 4 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 7.7% Population proportion between ages 30 and 70 years: 54.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal Injuries 5% and nutritional conditions 3% Other NCDs 14%

age-standardized death rate per 100,000

250

females

200 Diabetes 4% Cardiovascular diseases 43%

150

100 Chronic respiratory diseases 4%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 78,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 15.4 31.4% 21.0% females 47% 6.3 25.5% 20.9% total 46% 10.3 28.4% 20.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No No No No es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

23

Noncommunicable Diseases Country Profiles 2014

Azerbai an Total population: 9 309 000 Income Group: pper middle Age-standardized death rates* 700

Percentage of population living in urban areas: 53. % Population proportion between ages 30 and 70 years: 44.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 11% Injuries 5%

age-standardized death rate per 100,000

600 500

females

400 300

Other NCDs 10%

Diabetes 2% Chronic respiratory diseases 3% Cardiovascular diseases 54%

200 100

0

Cancers 15%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 58,000 NCDs are estimated to account for 84% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

16 14 12

16 14

Number of deaths, under 70 years Females

12 10 8 6 4 2

10 8 6

4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 34% 3.6 34.5% 15.1% females 1% 1.1 29.8% 31.4% total 16% 2.3 31.9% 23.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

24

Noncommunicable Diseases Country Profiles 2014

ahamas Total population: 372 000 Income Group: High Age-standardized death rates* 400

Percentage of population living in urban areas: 84.3% Population proportion between ages 30 and 70 years: 47.7% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 8%

age-standardized death rate per 100,000

350 300 250

females

Communicable, maternal, perinatal and nutritional conditions 20%

Cardiovascular diseases 33%

200 150 100 50

Other NCDs 14% Diabetes 7% Cancers 17% Chronic respiratory diseases 1%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,200 NCDs are estimated to account for 72% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

14% .

400 350 Number of deaths 300

400 350

Number of deaths, under 70 years Females

Number of deaths

300 250 200 150 100 50

250 200 150

100 50 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 10.1 35.5% 26.4% females ... 3.9 24.7% 42.4% total ... 6.9 29.8% 34.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

25

Noncommunicable Diseases Country Profiles 2014

ahrain Total population: 1 318 000 Income Group: High Age-standardized death rates* 350

Percentage of population living in urban areas: 88.7% Population proportion between ages 30 and 70 years: 49.1% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Communicable, maternal, perinatal and nutritional conditions 10% Cardiovascular diseases 26%

age-standardized death rate per 100,000

300 250

females

200 150

100 50 Other NCDs 20% Cancers 13%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 13%

Chronic respiratory diseases 6%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,800 NCDs are estimated to account for 78% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

13% .

800 700 Number of deaths 600

800 700 Number of deaths

Number of deaths, under 70 years Females

600 500 400 300 200 100

500 400 300

200 100 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 2.7 29.1% 29.5% females 8% 1.0 26.6% 38.0% total 25% 2.1 28.1% 32.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

26

Noncommunicable Diseases Country Profiles 2014

angladesh Total population: 155 000 000 Income Group: Low Age-standardized death rates* 250

Percentage of population living in urban areas: 28.4% Population proportion between ages 30 and 70 years: 37.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 9% Cardiovascular diseases 17%

age-standardized death rate per 100,000

females 200

150

Communicable, maternal, perinatal and nutritional conditions 32%

Cancers 10%

100

50

Chronic respiratory diseases 11% Diabetes 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 18%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 88 ,000 NCDs are estimated to account for 59% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

160 140 120

160 140

Number of deaths, under 70 years Females

120 100 80 60 40 20

100 80 60

40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 0.3 24.0% 0.9% females 2% 0.0 23.6% 1.3% total 25% 0.2 23.8% 1.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

27

Noncommunicable Diseases Country Profiles 2014

arbados Total population: 283 000 Income Group: High Age-standardized death rates* 250

Percentage of population living in urban areas: 44.4% Population proportion between ages 30 and 70 years: 52.4% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 11% Injuries 5% Cardiovascular diseases 28%

age-standardized death rate per 100,000

females 200

150 Other NCDs 16%

100

50 Diabetes 9%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 2%

Cancers 29%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,800 NCDs are estimated to account for 84% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

14% .

400 350 Number of deaths 300

400 350

Number of deaths, under 70 years Females

Number of deaths

300 250 200 150 100 50

250 200 150

100 50 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 13% 9.8 34.8% 22.5% females 2% 4.0 31.7% 45.9% total 7% 6.8 33.2% 34.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es No es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

28

Noncommunicable Diseases Country Profiles 2014

elarus Total population: 9 405 000 Income Group: pper middle Age-standardized death rates 900

Percentage of population living in urban areas: 75.0% Population proportion between ages 30 and 70 years: 53.2% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 3% Other NCDs 9% Diabetes 0% Chronic respiratory diseases 2% Injuries 9%

age-standardized death rate per 100,000

800

700 600 500

400 300 200

Cancers 14%

Cardiovascular diseases 63%

100 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 122,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

2 %.

Number of deaths (thousands)

40 35 30

40 35

Number of deaths, under 70 years Females

30 25 20 15 10 5

25 20 15

10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 50% 27.5 45.0% 20.0% females 11% 9.1 39.3% 27.8% total 29% 17.5 41.8% 24.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

29

Noncommunicable Diseases Country Profiles 2014

elgium Total population: 11 0 0 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 97.5% Population proportion between ages 30 and 70 years: 52.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 7% Injuries 6%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 30%

150 Other NCDs 21%

100

50

Diabetes 2%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 109,000 NCDs are estimated to account for 87% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

16 14 12

16 14

Number of deaths, under 70 years Females

12 10 8 6 4 2

10 8 6

4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 15.0 27.8% 23.3% females 23% 6.3 22.3% 21.0% total 27% 11.0 24.9% 22.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

es No es es es es D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

30

Noncommunicable Diseases Country Profiles 2014

elize Total population: 324 000 Income Group: pper middle Age-standardized death rates 300

Percentage of population living in urban areas: 44.7% Population proportion between ages 30 and 70 years: 34.1% Proportional mortality (% of total deaths, all ages, both sexes) males Injuries 16%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 25%

200 Communicable, maternal, perinatal and nutritional conditions 19%

150

100

Cancers 11%

50 Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 16%

Diabetes 9%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,300 NCDs are estimated to account for 5% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

15% .

200 180 Number of deaths 160 140

200 180 160

Number of deaths, under 70 years Females

Number of deaths

140 120 100 80 60 40 20

120 100 80

60 40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 22% 14.5 26.0% 23.7% females 2% 2.5 18.3% 43.8% total 12% 8.5 22.2% 33.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

31

Noncommunicable Diseases Country Profiles 2014

enin Total population: 10 051 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 44.9% Population proportion between ages 30 and 70 years: 27.9% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 9% Cardiovascular diseases 15% Cancers 4% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

males females

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 55%

Other NCDs 13%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 90,000 NCDs are estimated to account for 3 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

22% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 21% 3.4 32.2% 3.2% females 3% 0.9 28.6% 8.8% total 12% 2.1 30.4% 6.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

32

Noncommunicable Diseases Country Profiles 2014

hutan Total population: 742 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 35. % Population proportion between ages 30 and 70 years: 37.0% Proportional mortality (% of total deaths, all ages, both sexes)* males Cardiovascular diseases 18%

age-standardized death rate per 100,000

250

females

Injuries 19%

200 Cancers 8%

150

100

50

Communicable, maternal, perinatal and nutritional conditions 24%

Chronic respiratory diseases 10% Diabetes 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 18%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 4,800 NCDs are estimated to account for 5 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

21% .

900 800 Number of deaths 700

900

Number of deaths, under 70 years Females

800 Number of deaths 700 600 500

600 500

400 300

400 300 200

200 100 0 2000 2002 2004 2006 Cancers

100 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 1.2 25.5% 4.3% females ... 0.1 23.7% 6.4% total ... 0.7 24.7% 5.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No No No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

33

Noncommunicable Diseases Country Profiles 2014

olivia (Plurinational tate of) Total population: 10 49 000 Income Group: Lower middle Age-standardized death rates* 400 age-standardized death rate per 100,000 350 300 250 200 150 100 50 0 Diabetes 4% Chronic respiratory diseases 3%

Percentage of population living in urban areas: .8% Population proportion between ages 30 and 70 years: 33. % Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 13%

Cardiovascular diseases 24%

Communicable, maternal, perinatal and nutritional conditions 28% Cancers 10%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 18%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 72,000 NCDs are estimated to account for 59% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 18% . Number of deaths, under 70 years Males Number of deaths (thousands) Number of deaths, under 70 years Females

Number of deaths (thousands)

14 12

14 12 10 8 6

10 8 6 4

4 2 0 2000 2002 2004 2006 2008 2010 2012

2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 42% 9.1 27.8% 9.6% females 18% 2.7 21.2% 25.9% total 30% 5.9 24.4% 17.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

34

Noncommunicable Diseases Country Profiles 2014

osnia and Herzegovina Total population: 3 834 000 Income Group: pper middle Age-standardized death rates* 500 age-standardized death rate per 100,000 450 400

Percentage of population living in urban areas: 48.3% Population proportion between ages 30 and 70 years: 51.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal Injuries 6% and nutritional conditions Other NCDs 3% 8%

350 300 250

Diabetes 3%

Chronic respiratory diseases 5%

200 150 100 Cancers 19%

50 0

Cardiovascular diseases 56%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 35,000 NCDs are estimated to account for 91% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 18% . Number of deaths, under 70 years Males Number of deaths (thousands) Number of deaths, under 70 years Females

Number of deaths (thousands)

9 8

9 8

7 6 5 4 3

7 6

5 4

3 2

2 1 0 2000 2002 2004 2006 Cancers

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 44% 13.1 41.2% 23.8% females 27% 1.4 45.0% 28.9% total 35% 7.1 43.2% 26.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

35

Noncommunicable Diseases Country Profiles 2014

otswana Total population: 2 004 000 Income Group: pper middle Age-standardized death rates* 400

Percentage of population living in urban areas: 1.7% Population proportion between ages 30 and 70 years: 31.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9% Cardiovascular diseases 18%

age-standardized death rate per 100,000

350 300 250

Cancers 5% Chronic respiratory diseases 2% Diabetes 4%

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 54%

Other NCDs 8%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1 ,000 NCDs are estimated to account for 37% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

21% .

1,800 1,600 Number of deaths 1,400

1,800

Number of deaths, under 70 years Females

1,600 Number of deaths 1,400 1,200 1,000

1,200 1,000

800 600

800 600 400

400 200 0 2000 2002 2004 2006 Cancers

200 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 36% 14.3 33.3% 2.6% females 7% 2.5 32.6% 19.6% total 22% 8.4 32.9% 11.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

36

Noncommunicable Diseases Country Profiles 2014

razil Total population: 199 000 000 Income Group: pper middle Age-standardized death rates 350

Percentage of population living in urban areas: 84. % Population proportion between ages 30 and 70 years: 45.0% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 13% Cardiovascular diseases 31% Injuries 12%

age-standardized death rate per 100,000

300 250

200 150

100 50 Other NCDs 15% Cancers 17% Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 6%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,318,000 NCDs are estimated to account for 74% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

300 250 200 150 100 50 0 2000 2002

300

Number of deaths, under 70 years Females

250 200

150 100 50

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 22% 13.6 36.8% 16.0% females 13% 4.2 25.3% 21.4% total 17% 8.7 30.8% 18.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

37

Noncommunicable Diseases Country Profiles 2014

runei Darussalam Total population: 412 000 Income Group: High Age-standardized death rates* 300

Percentage of population living in urban areas: 7 .0% Population proportion between ages 30 and 70 years: 47.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 10%

age-standardized death rate per 100,000

250

females

Communicable, maternal, perinatal and nutritional conditions 9%

200

Cardiovascular diseases 34%

150 Other NCDs 12%

100

50 Diabetes 11%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cancers 17%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,400 NCDs are estimated to account for 80% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

17% .

400 350 Number of deaths 300

400 350

Number of deaths, under 70 years Females

Number of deaths

300 250 200 150 100 50

250 200 150

100 50 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 32% 1.6 20.1% 8.2% females 4% 0.1 12.2% 6.6% total 18% 0.9 16.3% 7.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

38

Noncommunicable Diseases Country Profiles 2014

ulgaria Total population: 7 278 000 Income Group: pper middle Age-standardized death rates* 700

Percentage of population living in urban areas: 73.1% Population proportion between ages 30 and 70 years: 55.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 3% Injuries 3%

age-standardized death rate per 100,000

600 500

females

Other NCDs 6% Diabetes 2% Chronic respiratory diseases 5%

400 300

Cancers 17% Cardiovascular diseases 64%

200 100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 10 ,000 NCDs are estimated to account for 94% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 17.9 44.3% 23.1% females 31% 5.3 39.5% 24.3% total 39% 11.4 41.8% 23.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

D No No No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

39

Noncommunicable Diseases Country Profiles 2014

urkina Faso Total population: 1 4 0 000 Income Group: Low Age-standardized death rates* 450

Percentage of population living in urban areas: 2 .5% Population proportion between ages 30 and 70 years: 25.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 12% Cancers 4% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

400

350 300 250

200 150 100 Other NCDs 12%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 58%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1 1,000 NCDs are estimated to account for 32% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

20 18 16 14

20 18 16

Number of deaths, under 70 years Females

14 12 10 8 6 4 2

12 10 8

6 4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 11.2 29.9% 1.5% females ... 2.8 28.8% 3.0% total ... 6.8 29.4% 2.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

40

Noncommunicable Diseases Country Profiles 2014

urundi Total population: 9 850 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 10.9% Population proportion between ages 30 and 70 years: 25.1% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 11% Cardiovascular diseases 10%

age-standardized death rate per 100,000

300 250

Cancers 5% Chronic respiratory diseases 2%

males

200 150

females

Diabetes 1%

Other NCDs 11%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 60%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 113,000 NCDs are estimated to account for 28% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 13.9 35.5% 2.5% females ... 4.8 33.2% 3.4% total ... 9.3 34.3% 2.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available NR = Country replied to survey but did not give a response to specific question

No No NR NR NR NR No NR No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

41

Noncommunicable Diseases Country Profiles 2014

Cabo erde Total population: 494 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 2. % Population proportion between ages 30 and 70 years: 33.4% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 22% Cardiovascular diseases 35% Injuries 9%

age-standardized death rate per 100,000

400

350 300 250

200 150 100

50 0 Other NCDs 15% Diabetes 3%

Cancers 9%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2, 00 NCDs are estimated to account for 9% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

15% .

400 350 Number of deaths 300

400 350

Number of deaths, under 70 years Females

Number of deaths

300 250 200 150 100 50

250 200 150

100 50 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 14% 11.2 41.6% 5.7% females 3% 2.7 33.8% 13.8% total 8% 6.9 37.3% 10.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

42

Noncommunicable Diseases Country Profiles 2014

Cambodia Total population: 14 8 5 000 Income Group: Low Age-standardized death rates* 250

Percentage of population living in urban areas: 20.0% Population proportion between ages 30 and 70 years: 33.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 11%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 24%

150

100

50

Communicable, maternal, perinatal and nutritional conditions 37%

Cancers 13%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 9%

Diabetes 2%

Chronic respiratory diseases 4%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 85,000 NCDs are estimated to account for 52% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

16 14 12

16 14

Number of deaths, under 70 years Females

12 10 8 6 4 2

10 8 6

4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 42% 9.6 19.4% 1.5% females 3% 1.7 14.9% 2.7% total 22% 5.5 17.0% 2.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

43

Noncommunicable Diseases Country Profiles 2014

Cameroon Total population: 21 700 000 Income Group: Lower middle Age-standardized death rates* 350

Percentage of population living in urban areas: 52.1% Population proportion between ages 30 and 70 years: 2 .3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 11% Cancers 3% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

300 250

200 150 Other NCDs 13%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 61%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 239,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

30 25 20 15 10 5 0 2000 2002

30

Number of deaths, under 70 years Females

25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 13.3 30.9% 6.4% females ... 3.5 25.3% 14.1% total ... 8.4 28.1% 10.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

44

Noncommunicable Diseases Country Profiles 2014

Canada Total population: 34 838 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 80.7% Population proportion between ages 30 and 70 years: 53.4% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 6% Cardiovascular diseases 27%

age-standardized death rate per 100,000

females 200

150

Other NCDs 22%

100

50

Diabetes 3% Cancers 30%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 248,000 NCDs are estimated to account for 88% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

11% .

Number of deaths (thousands)

40 35 30

40 35

Number of deaths, under 70 years Females

30 25 20 15 10 5

25 20 15

10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 20% 15.1 18.8% 26.0% females 15% 5.5 16.2% 26.4% total 18% 10.2 17.4% 26.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

45

Noncommunicable Diseases Country Profiles 2014

Central African Republic Total population: 4 525 000 Income Group: Low Age-standardized death rates* 300

Percentage of population living in urban areas: 39.1% Population proportion between ages 30 and 70 years: 28. % Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 7% Cardiovascular diseases 8% Cancers 3% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 6%

age-standardized death rate per 100,000

250

females

200

150

100

50 Communicable, maternal, perinatal and nutritional conditions 73%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 5,000 NCDs are estimated to account for 20% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

18% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 5.7 34.3% 1.8% females ... 1.9 31.0% 5.1% total ... 3.8 32.6% 3.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available D = Country responded don t know

No No No No D No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

46

Noncommunicable Diseases Country Profiles 2014

Chad Total population: 12 448 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 21.8% Population proportion between ages 30 and 70 years: 22.9% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 7% Cardiovascular diseases Cancers 7% 3% Chronic respiratory diseases 1% Diabetes 1% Other NCDs 9%

age-standardized death rate per 100,000

300

males 250

females

200 150

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 72%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 174,000 NCDs are estimated to account for 21% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

16 14 12

16 14

Number of deaths, under 70 years Females

12 10 8 6 4 2

10 8 6

4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 20% 7.1 30.5% 1.9% females 4% 1.8 26.0% 3.4% total 12% 4.4 28.2% 2.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

47

Noncommunicable Diseases Country Profiles 2014

Chile Total population: 17 4 5 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 89.2% Population proportion between ages 30 and 70 years: 47.4% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 8% Injuries 8% Cardiovascular diseases 27%

age-standardized death rate per 100,000

females 200

150 Other NCDs 22%

100

50 Diabetes 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 6%

Cancers 26%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 94,000 NCDs are estimated to account for 84% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

18 16 14

18

Number of deaths, under 70 years Females

16 14 12 10

12 10

8 6

8 6 4

4 2 0 2000 2002 2004 2006 Cancers

2 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 44% 13.9 39.0% 24.6% females 38% 5.5 29.1% 34.0% total 41% 9.6 33.9% 29.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

48

Noncommunicable Diseases Country Profiles 2014

China Total population: 1 390 000 000 Income Group: pper middle Age-standardized death rates* 350

Percentage of population living in urban areas: 50. % Population proportion between ages 30 and 70 years: 51.5% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 5% Other NCDs 6% Diabetes 2% Injuries 8%

age-standardized death rate per 100,000

300 250

Cardiovascular diseases 45%

200 150

Chronic respiratory diseases 11%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 23%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 9,84 ,000 NCDs are estimated to account for 87% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

2,000 1,800 1,600 1,400

2,000 1,800 1,600

Number of deaths, under 70 years Females

1,400 1,200 1,000 800 600 400 200

1,200 1,000 800

600 400 200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 47% 10.9 29.0% 4.7% females 2% 2.2 25.5% 6.7% total 25% 6.7 27.3% 5.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

49

Noncommunicable Diseases Country Profiles 2014

Colombia Total population: 47 704 000 Income Group: pper middle Age-standardized death rates 250

Percentage of population living in urban areas: 75.3% Population proportion between ages 30 and 70 years: 42.0% Proportional mortality (% of total deaths, all ages, both sexes) males Injuries 17% Cardiovascular diseases 28%

age-standardized death rate per 100,000

females 200 Communicable, maternal, perinatal and nutritional conditions 12%

150

100

50 Other NCDs 16% Cancers 17% Chronic respiratory diseases 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 3%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 202,000 NCDs are estimated to account for 71% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 9.1 31.0% 11.3% females 5% 3.5 24.2% 22.9% total 18% 6.2 27.4% 17.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

50

Noncommunicable Diseases Country Profiles 2014

Comoros Total population: 718 000 Income Group: Low Age-standardized death rates* 450

Percentage of population living in urban areas: 28.0% Population proportion between ages 30 and 70 years: 29. % Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 15%

age-standardized death rate per 100,000

400

females

350 300 250

Cancers 6% Chronic respiratory diseases 2% Diabetes 2%

200 150 100

50 0

Communicable, maternal, perinatal and nutritional conditions 51%

Other NCDs 12%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: ,000 NCDs are estimated to account for 37% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

23% .

900 800 Number of deaths 700

900

Number of deaths, under 70 years Females

800 Number of deaths 700 600 500

600 500

400 300

400 300 200

200 100 0 2000 2002 2004 2006 Cancers

100 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 25% 0.4 34.3% 3.2% females 2% 0.1 29.6% 5.5% total 13% 0.2 31.9% 4.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

51

Noncommunicable Diseases Country Profiles 2014

Congo Total population: 4 337 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 3.7% Population proportion between ages 30 and 70 years: 29.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 14% Cancers 3% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 62% Other NCDs 9%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 45,000 NCDs are estimated to account for 30% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

20% .

5,000 4,500 Number of deaths 4,000 3,500

5,000 4,500 4,000

Number of deaths, under 70 years Females

Number of deaths

3,500 3,000 2,500 2,000 1,500 1,000 500

3,000 2,500 2,000

1,500 1,000 500 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 9% 6.2 33.9% 2.4% females 3% 1.6 30.5% 6.9% total 6% 3.9 32.2% 4.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No es No es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

52

Noncommunicable Diseases Country Profiles 2014

Cook Islands Total population: 21 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 73.5% Population proportion between ages 30 and 70 years: 39.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 100

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 41% 10.5 37.9% 59.7% females 27% 2.1 26.7% 67.9% total 34% 6.4 32.4% 63.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

No No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

53

Noncommunicable Diseases Country Profiles 2014

Costa Rica Total population: 4 805 000 Income Group: pper middle Age-standardized death rates 250

Percentage of population living in urban areas: 4.7% Population proportion between ages 30 and 70 years: 44.1% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 11% Cardiovascular diseases 30%

age-standardized death rate per 100,000

females 200

150

100

Other NCDs 20%

50 Diabetes 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 6%

Cancers 23%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 21,000 NCDs are estimated to account for 83% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

12% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 24% 7.5 29.7% 20.4% females 8% 3.2 21.0% 27.1% total 16% 5.4 25.4% 23.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

No No No es es es D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

54

Noncommunicable Diseases Country Profiles 2014

C te d Ivoire Total population: 19 840 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 51.3% Population proportion between ages 30 and 70 years: 29.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9% Cardiovascular diseases 11% Cancers 3% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 61% Other NCDs 12%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 253,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 16% 9.8 36.9% 3.6% females 9% 1.9 30.3% 8.9% total 12% 6.0 33.7% 6.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

55

Noncommunicable Diseases Country Profiles 2014

Croatia Total population: 4 307 000 Income Group: High Age-standardized death rates 500

Percentage of population living in urban areas: 57.8% Population proportion between ages 30 and 70 years: 53.7% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 1% Other NCDs 12% Injuries 6%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100

Diabetes 3%

Chronic respiratory diseases 3%

Cardiovascular diseases 48% Cancers 27%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 50,000 NCDs are estimated to account for 93% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 36% 17.7 46.4% 24.4% females 30% 7.1 43.2% 23.9% total 33% 12.2 44.7% 24.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es No es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

56

Noncommunicable Diseases Country Profiles 2014

Cuba Total population: 11 271 000 Income Group: pper middle Age-standardized death rates 300

Percentage of population living in urban areas: 75.2% Population proportion between ages 30 and 70 years: 54.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 8%

age-standardized death rate per 100,000

250

females

200 Other NCDs 14%

Cardiovascular diseases 39%

150

100

Diabetes 3%

50

Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 26%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 89,000 NCDs are estimated to account for 8 % of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

16 14 12

16 14

Number of deaths, under 70 years Females

12 10 8 6 4 2

10 8 6

4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 8.8 34.4% 13.7% females ... 1.6 31.6% 29.2% total ... 5.2 33.0% 21.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es No es es es No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

57

Noncommunicable Diseases Country Profiles 2014

Cyprus Total population: 1 129 000 Income Group: High Age-standardized death rates 350

Percentage of population living in urban areas: 70.5% Population proportion between ages 30 and 70 years: 50.2% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 4%

Injuries 6%

age-standardized death rate per 100,000

300

females

250 Other NCDs 16%

Cardiovascular diseases 38%

200 150 Diabetes 7%

100

50 0

Chronic respiratory diseases 5%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 24%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: ,200 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 9% . Number of deaths, under 70 years Males Number of deaths, under 70 years Females

1,200 1,000

1,200 1,000 Number of deaths 800 600

Number of deaths

800 600 400

400 200

200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 41% 12.5 31.2% 25.9% females 18% 5.7 21.3% 25.1% total 30% 9.2 26.0% 25.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry NR = Country replied to survey but did not give a response to specific question D = Country responded don t know

es D D D es es NR No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

58

Noncommunicable Diseases Country Profiles 2014

Czech Republic Total population: 10 Income Group: High 0 000 Percentage of population living in urban areas: 73.4% Population proportion between ages 30 and 70 years: 5 .5% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 5% Other NCDs 9% Diabetes 2% Chronic respiratory diseases 3% Injuries 5%

Age-standardized death rates 450

age-standardized death rate per 100,000

400

350 300 250

200 150 100

Cardiovascular diseases 50% Cancers 26%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 107,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 40% 18.6 42.3% 32.6% females 32% 7.8 34.7% 32.7% total 36% 13.0 38.4% 32.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

59

Noncommunicable Diseases Country Profiles 2014

Democratic People s Republic of Total population: 24 7 3 000 Income Group: Low Age-standardized death rates* 600 Injuries 10%

orea

Percentage of population living in urban areas: 0.3% Population proportion between ages 30 and 70 years: 49.0% Proportional mortality (% of total deaths, all ages, both sexes)* males

age-standardized death rate per 100,000

500

females

Communicable, maternal, perinatal and nutritional conditions 11%

400

Cardiovascular diseases 36%

300

Other NCDs 11%

200 Diabetes 2%

100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 13%

Cancers 17%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 228,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

27% .

Number of deaths (thousands)

60 50 40 30 20 10 0 2000 2002

60

Number of deaths, under 70 years Females

50 40

30 20 10

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 7.4 25.7% 3.8% females ... 0.4 25.3% 4.0% total ... 3.7 25.5% 3.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

60

Noncommunicable Diseases Country Profiles 2014

Democratic Republic of the Congo Total population: 5 705 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 34.3% Population proportion between ages 30 and 70 years: 2 .1% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10% Cardiovascular diseases 9% Cancers 3% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 8%

age-standardized death rate per 100,000

350 300 250

males

females

200 150 100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 67%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 920,000 NCDs are estimated to account for 23% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 16% 5.8 31.6% 0.6% females 5% 1.5 27.4% 2.8% total 10% 3.6 29.4% 1.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

61

Noncommunicable Diseases Country Profiles 2014

Denmark Total population: 5 598 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 8 .9% Population proportion between ages 30 and 70 years: 52.5% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 7% Injuries 4% Cardiovascular diseases 26%

age-standardized death rate per 100,000

250

females

200 Other NCDs 20%

150

100 Diabetes 3%

50 Chronic respiratory diseases 8%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 32%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 54,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

13% .

Number of deaths (thousands)

9 8 7

9

Number of deaths, under 70 years Females

8 7 6 5

6 5

4 3

4 3 2

2 1 0 2000 2002 2004 2006 Cancers

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 30% 16.1 30.5% 18.7% females 27% 6.9 21.0% 17.6% total 29% 11.4 25.6% 18.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No es No es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

62

Noncommunicable Diseases Country Profiles 2014

D ibouti Total population: 8 0 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 77.1% Population proportion between ages 30 and 70 years: 33. % Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9% Cardiovascular diseases 14% Cancers 5% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 55%

Other NCDs 13%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 8,000 NCDs are estimated to account for 3 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

1,000 900 Number of deaths 800 700

1,000 900 800

Number of deaths, under 70 years Females

Number of deaths

700 600 500 400 300 200 100

600 500 400

300 200 100 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 2.4 33.4% 6.2% females ... 0.3 27.1% 12.5% total ... 1.3 30.2% 9.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

63

Noncommunicable Diseases Country Profiles 2014

Dominica Total population: 72 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 7.1% Population proportion between ages 30 and 70 years: 43.1% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 520

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 11% 10.2 41.4% 10.0% females 4% 4.1 35.7% 39.0% total 8% 7.1 38.5% 24.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

64

Noncommunicable Diseases Country Profiles 2014

Dominican Republic Total population: 10 277 000 Income Group: pper middle Age-standardized death rates* 400

Percentage of population living in urban areas: 9.7% Population proportion between ages 30 and 70 years: 38.4% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 13% Cardiovascular diseases 35% Communicable, maternal, perinatal and nutritional conditions 16%

age-standardized death rate per 100,000

350 300 250

200 150 100 50

Other NCDs 12% Diabetes 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 3%

Cancers 17%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 49,000 NCDs are estimated to account for 70% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

15% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 17% 9.8 33.0% 14.0% females 16% 4.0 26.9% 28.3% total 16% 6.9 29.9% 21.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

65

Noncommunicable Diseases Country Profiles 2014

cuador Total population: 15 492 000 Income Group: pper middle Age-standardized death rates* 250

Percentage of population living in urban areas: 7.5% Population proportion between ages 30 and 70 years: 38.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 15%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 25%

150

100

Communicable, maternal, perinatal and nutritional conditions 18%

50

Cancers 17%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 17%

Diabetes 4%

Chronic respiratory diseases 4%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 81,000 NCDs are estimated to account for 7% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 11.1 30.6% 15.2% females ... 3.4 22.8% 27.4% total ... 7.2 26.7% 21.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

66

Noncommunicable Diseases Country Profiles 2014

gypt Total population: 80 722 000 Income Group: Lower middle Age-standardized death rates* 600

Percentage of population living in urban areas: 43.5% Population proportion between ages 30 and 70 years: 37.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 11% Injuries 5%

age-standardized death rate per 100,000

500

400 Cardiovascular diseases 46%

300

Other NCDs 19%

200

100

Diabetes 1% Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 14%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 523,000 NCDs are estimated to account for 85% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

25% .

Number of deaths (thousands)

140 120 100 80 60 40 20 0 2000 2002

140

Number of deaths, under 70 years Females

120 100 80

60 40 20

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 0.7 24.5% 21.4% females 1% 0.0 24.7% 44.5% total 26% 0.4 24.6% 33.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

67

Noncommunicable Diseases Country Profiles 2014

l alvador Total population: 297 000 Income Group: Lower middle Age-standardized death rates* 250

Percentage of population living in urban areas: 4.8% Population proportion between ages 30 and 70 years: 34.4% Proportional mortality (% of total deaths, all ages, both sexes)* males

age-standardized death rate per 100,000

females 200

Injuries 23%

Cardiovascular diseases 24%

150

100

50

Communicable, maternal, perinatal and nutritional conditions 14%

Cancers 14%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 16%

Diabetes 5%

Chronic respiratory diseases 4%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 41,000 NCDs are estimated to account for 3% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

7 6 5 4 3 2 1 0 2000 2002

7

Number of deaths, under 70 years Females

6 5 4

3 2 1

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 24% 5.0 25.0% 19.2% females 3% 1.7 18.8% 31.8% total 13% 3.2 21.7% 25.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No es No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

uatorial Guinea Total population: 73 000 Income Group: High Age-standardized death rates* 500

Percentage of population living in urban areas: 39.5% Population proportion between ages 30 and 70 years: 32.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 13% Cancers 4% Chronic respiratory diseases 3% Diabetes 1%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100

Other NCDs 10%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 59%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 8,900 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

23% .

1,200 1,000 Number of deaths

1,200

Number of deaths, under 70 years Females

1,000 Number of deaths 800

800 600 400 200 0 2000 2002 2004 2006 Cancers

600 400 200

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 10.1 39.6% 7.3% females ... 2.9 32.5% 13.8% total ... 6.6 36.0% 10.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

ritrea Total population: 131 000 Income Group: Low Age-standardized death rates* 600

Percentage of population living in urban areas: 21.3% Population proportion between ages 30 and 70 years: 2 . % Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 14% Cancers 6%

age-standardized death rate per 100,000

500

females

400

Chronic respiratory diseases 2% Diabetes 2%

300

200 Other NCDs 12%

100

0

Communicable, maternal, perinatal and nutritional conditions 52%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 40,000 NCDs are estimated to account for 37% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

7,000 6,000 Number of deaths

7,000

Number of deaths, under 70 years Females

6,000 Number of deaths 5,000 4,000

5,000 4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 13% 1.8 25.2% 1.1% females 1% 0.3 21.4% 1.8% total 6% 1.1 23.2% 1.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

stonia Total population: 1 291 000 Income Group: High Age-standardized death rates 700

Percentage of population living in urban areas: 9.5% Population proportion between ages 30 and 70 years: 52.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 2% Other NCDs 11% Injuries 5%

age-standardized death rate per 100,000

600 500

females Diabetes 1%

400 300

Chronic respiratory diseases 2%

200 100 Cancers 24%

Cardiovascular diseases 55%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 15,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

18% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 16.2 50.6% 20.9% females 21% 5.3 43.0% 20.4% total 31% 10.3 46.3% 20.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

thiopia Total population: 91 729 000 Income Group: Low Age-standardized death rates* 250

Percentage of population living in urban areas: 17.0% Population proportion between ages 30 and 70 years: 2 .4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 10% Cardiovascular diseases 9%

age-standardized death rate per 100,000

females 200

Cancers 6% Chronic respiratory diseases 3% Diabetes 1%

150

100

Other NCDs 11%

50 Communicable, maternal, perinatal and nutritional conditions 60%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 91,000 NCDs are estimated to account for 30% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

15% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 6.2 28.0% 0.7% females ... 2.2 23.9% 1.5% total ... 4.2 25.9% 1.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

72

Noncommunicable Diseases Country Profiles 2014

Fi i Total population: 875 000 Income Group: pper middle Age-standardized death rates* 700

Percentage of population living in urban areas: 52.2% Population proportion between ages 30 and 70 years: 41.7% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 12% Injuries 8%

age-standardized death rate per 100,000

600 500

females

Cardiovascular diseases 35%

400 300 Other NCDs 13%

200 100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 16%

Cancers 11% Chronic respiratory diseases 5%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 5,900 NCDs are estimated to account for 80% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

31% .

2,000 1,800 Number of deaths 1,600 1,400

2,000 1,800 1,600

Number of deaths, under 70 years Females

Number of deaths

1,400 1,200 1,000 800 600 400 200

1,200 1,000 800

600 400 200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 5.5 30.1% 20.3% females ... 0.5 27.8% 41.1% total ... 3.0 28.9% 30.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

73

Noncommunicable Diseases Country Profiles 2014

Finland Total population: 5 408 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 83.7% Population proportion between ages 30 and 70 years: 52. % Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 2% Injuries 6%

age-standardized death rate per 100,000

250

females

200 Other NCDs 25%

Cardiovascular diseases 40%

150

100 Diabetes 1% Chronic respiratory diseases 3%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 23%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 51,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

11% .

Number of deaths (thousands)

9 8 7

9

Number of deaths, under 70 years Females

8 7 6 5

6 5

4 3

4 3 2

2 1 0 2000 2002 2004 2006 Cancers

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 27% 17.5 38.9% 23.3% females 20% 7.3 30.3% 22.8% total 24% 12.3 34.5% 23.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

74

Noncommunicable Diseases Country Profiles 2014

France Total population: 3 937 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 85.8% Population proportion between ages 30 and 70 years: 50.3% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 7% Cardiovascular diseases 28%

age-standardized death rate per 100,000

females 200

150 Other NCDs 22%

100

50 Diabetes 2%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 4%

Cancers 31%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 554,000 NCDs are estimated to account for 87% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

11% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 39% 17.8 33.5% 19.1% females 32% 7.1 22.5% 17.4% total 36% 12.2 27.7% 18.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

es No No es No es D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

75

Noncommunicable Diseases Country Profiles 2014

Gabon Total population: 1 33 000 Income Group: pper middle Age-standardized death rates* 300

Percentage of population living in urban areas: 8 .2% Population proportion between ages 30 and 70 years: 30.4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 8% Cardiovascular diseases 16%

age-standardized death rate per 100,000

250

females

Cancers 4%

200

Chronic respiratory diseases 3% Diabetes 2%

150

100 Other NCDs 11%

50

0

Communicable, maternal, perinatal and nutritional conditions 56%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 15,000 NCDs are estimated to account for 3 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

15% .

1,400 1,200 Number of deaths

1,400

Number of deaths, under 70 years Females

1,200 Number of deaths 1,000 800

1,000 800 600 400 200 0 2000 2002 2004 2006 Cancers

600 400 200

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 19% 17.3 36.1% 7.7% females 3% 4.6 29.6% 20.0% total 11% 10.9 32.8% 13.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Gambia Total population: 1 791 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 57.3% Population proportion between ages 30 and 70 years: 25.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 9% Cardiovascular diseases 12% Cancers 3% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

females

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 59%

Other NCDs 13%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 15,000 NCDs are estimated to account for 32% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

2,000 1,800 Number of deaths 1,600 1,400

2,000 1,800 1,600

Number of deaths, under 70 years Females

Number of deaths

1,400 1,200 1,000 800 600 400 200

1,200 1,000 800

600 400 200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 32% 5.5 35.7% 2.1% females 3% 1.4 30.1% 13.6% total 17% 3.4 32.9% 7.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

77

Noncommunicable Diseases Country Profiles 2014

Georgia Total population: 4 358 000 Income Group: Lower middle Age-standardized death rates* 700

Percentage of population living in urban areas: 52.8% Population proportion between ages 30 and 70 years: 49.1% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions Other NCDs 3% 6% Diabetes 1% Chronic respiratory diseases 4% Injuries 3%

age-standardized death rate per 100,000

600 500

females

400 300 Cancers 14%

200 100 Cardiovascular diseases 69%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 50,000 NCDs are estimated to account for 93% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

22% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 55% 12.6 45.4% 16.2% females 3% 3.4 40.4% 27.0% total 27% 7.7 42.7% 22.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

78

Noncommunicable Diseases Country Profiles 2014

Germany Total population: 82 800 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 73.9% Population proportion between ages 30 and 70 years: 54.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 4%

age-standardized death rate per 100,000

250

females Other NCDs 17%

200

Cardiovascular diseases 40%

150 Diabetes 3%

100 Chronic respiratory diseases 5%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 26%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 8 ,000 NCDs are estimated to account for 91% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

160 140 120

160 140

Number of deaths, under 70 years Females

120 100 80 60 40 20

100 80 60

40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 16.8 34.9% 25.9% females 25% 7.0 28.4% 24.4% total 30% 11.8 31.5% 25.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

79

Noncommunicable Diseases Country Profiles 2014

Ghana Total population: 25 3 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 51.9% Population proportion between ages 30 and 70 years: 30.9% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 8% Cardiovascular diseases 18%

age-standardized death rate per 100,000

350 300 250

females

Cancers 5% Chronic respiratory diseases 2% Diabetes 2% Communicable, maternal, perinatal and nutritional conditions 51%

200 150

100 50

Other NCDs 14%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 210,000 NCDs are estimated to account for 42% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

20% .

Number of deaths (thousands)

Number of deaths (thousands)

30 25

30 25

Number of deaths, under 70 years Females

20 15 10 5 0 2000

20 15

10 5 0 2000 2002 2004 2006 2008 2010 2012

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 14% 7.8 28.2% 4.1% females 7% 1.9 26.5% 10.9% total 10% 4.8 27.3% 7.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No es es es es es No No No

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Noncommunicable Diseases Country Profiles 2014

Greece Total population: 11 125 000 Income Group: High Age-standardized death rates* 300

Percentage of population living in urban areas: 1.4% Population proportion between ages 30 and 70 years: 54.5% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 6% Other NCDs 8%

Injuries 4%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 48%

200

Diabetes 1%

150

Chronic respiratory diseases 7%

100

50 Cancers 26%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 112,000 NCDs are estimated to account for 91% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 13% . Number of deaths, under 70 years Males Number of deaths (thousands) Number of deaths, under 70 years Females

Number of deaths (thousands)

16 14

16 14

12 10 8

12 10 8

6 4 2 0 2000 2002 2004 2006 Cancers

6 4

2 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 14.6 28.5% 20.4% females 34% 6.2 26.4% 19.9% total 40% 10.3 27.4% 20.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

es No es es es es D No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Grenada Total population: 105 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 39.1% Population proportion between ages 30 and 70 years: 3 .5% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 730

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 17.9 33.4% 13.7% females ... 7.3 28.2% 30.7% total ... 12.5 30.7% 22.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Guatemala Total population: 15 083 000 Income Group: Lower middle Age-standardized death rates* 180

Percentage of population living in urban areas: 49.8% Population proportion between ages 30 and 70 years: 28.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 18% Cardiovascular diseases 14%

age-standardized death rate per 100,000

160

140 120 100 Cancers 12%

80 60 40

Chronic respiratory diseases 3% Diabetes 5% Communicable, maternal, perinatal and nutritional conditions 34%

20 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 14%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 80,000 NCDs are estimated to account for 47% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

14% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 20% 7.5 26.2% 12.8% females 2% 0.5 19.2% 24.8% total 10% 3.8 22.4% 19.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Guinea Total population: 11 451 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 35.4% Population proportion between ages 30 and 70 years: 28.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 12% Cancers 4% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

350 300 250

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 61% Other NCDs 11%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 119,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

21% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 23% 1.4 33.4% 3.9% females 2% 0.1 31.9% 4.8% total 13% 0.7 32.7% 4.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

84

Noncommunicable Diseases Country Profiles 2014

Guinea- issau Total population: 1 4 000 Income Group: Low Age-standardized death rates* 450

Percentage of population living in urban areas: 43.9% Population proportion between ages 30 and 70 years: 29.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 11% Cancers 3% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

400

350 300 250

200 150 100

Other NCDs 10%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 64%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 20,000 NCDs are estimated to account for 28% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

22% .

2,500 2,000

2,500 2,000

Number of deaths, under 70 years Females

Number of deaths

Number of deaths

1,500 1,000

1,500 1,000 500

500 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 6.4 32.7% 2.4% females ... 1.7 29.9% 7.4% total ... 4.0 31.2% 4.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Guyana Total population: 795 000 Income Group: Lower middle Age-standardized death rates* 800

Percentage of population living in urban areas: 28.4% Population proportion between ages 30 and 70 years: 35.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 15%

age-standardized death rate per 100,000

700 600 500

Cardiovascular diseases 33%

400 300 200 100

Communicable, maternal, perinatal and nutritional conditions 18%

0

Other NCDs 14%

Cancers 10% Diabetes 9% Chronic respiratory diseases 1%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: ,300 NCDs are estimated to account for 7% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

37% .

1,600 1,400 Number of deaths 1,200

1,600 1,400

Number of deaths, under 70 years Females

Number of deaths

1,200 1,000 800 600 400 200

1,000 800 600

400 200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 27% 11.7 31.4% 8.6% females 6% 4.7 27.1% 27.1% total 16% 8.1 29.4% 17.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

86

Noncommunicable Diseases Country Profiles 2014

Haiti Total population: 10 174 000 Income Group: Low Age-standardized death rates* 500

Percentage of population living in urban areas: 53.4% Population proportion between ages 30 and 70 years: 32.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9%

age-standardized death rate per 100,000

450 400

Cardiovascular diseases 24%

350 300 250 200 150 100 Communicable, maternal, perinatal and nutritional conditions 42% Cancers 7% Chronic respiratory diseases 1% Diabetes 5%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 12%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 89,000 NCDs are estimated to account for 48% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 10.1 30.0% 7.7% females ... 2.9 24.6% 8.1% total ... 6.4 27.2% 7.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Honduras Total population: 7 93 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 52.2% Population proportion between ages 30 and 70 years: 31.4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 16%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 27%

200

150

100

Communicable, maternal, perinatal and nutritional conditions 23% Cancers 14%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 13%

Diabetes 2%

Chronic respiratory diseases 5%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3 ,000 NCDs are estimated to account for 1% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

1 %.

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 5.7 27.6% 12.1% females ... 2.3 21.2% 24.3% total ... 4.0 24.3% 18.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

88

Noncommunicable Diseases Country Profiles 2014

Hungary Total population: 9 97 000 Income Group: pper middle Age-standardized death rates 600

Percentage of population living in urban areas: 9.5% Population proportion between ages 30 and 70 years: 55.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 2% Other NCDs 12% Diabetes 2% Chronic respiratory diseases 4% Injuries 5%

age-standardized death rate per 100,000

500

females

Cardiovascular diseases 49%

400

300

200

100 Cancers 26%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 129,000 NCDs are estimated to account for 93% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 20.4 45.2% 27.6% females 27% 7.1 38.9% 27.6% total 31% 13.3 41.8% 27.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es D No No es es No es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

89

Noncommunicable Diseases Country Profiles 2014

Iceland Total population: 32 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 93.7% Population proportion between ages 30 and 70 years: 48.8% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 4% Injuries 6%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 33% Other NCDs 19%

150

100 Diabetes 2%

50 Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 30%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

10% .

250 200

250 200

Number of deaths, under 70 years Females

Number of deaths

Number of deaths

150 100

150 100 50

50 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 19% 9.8 27.7% 24.4% females 18% 4.3 17.0% 22.1% total 19% 7.1 22.3% 23.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No No No No No es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

90

Noncommunicable Diseases Country Profiles 2014

India Total population: 1 240 000 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 31.3% Population proportion between ages 30 and 70 years: 40.1% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 26%

age-standardized death rate per 100,000

350 300 250

females

200 150 100 50

Communicable, maternal, perinatal and nutritional conditions 28%

Cancers 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 12%

Diabetes 2%

Chronic respiratory diseases 13%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 9,81 ,000 NCDs are estimated to account for 0% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

2 %.

Number of deaths (thousands)

2,500 2,000

2,500 2,000

Number of deaths, under 70 years Females

1,500 1,000

1,500 1,000 500

500 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 25% 8.0 21.3% 1.3% females 4% 0.5 21.0% 2.4% total 15% 4.3 21.1% 1.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

91

Noncommunicable Diseases Country Profiles 2014

Indonesia Total population: 247 000 000 Income Group: Lower middle Age-standardized death rates* 500

Percentage of population living in urban areas: 50.7% Population proportion between ages 30 and 70 years: 42. % Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 22% Injuries 7%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100

Cardiovascular diseases 37%

Other NCDs 10% Diabetes 6%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 5%

Cancers 13%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1551000 NCDs are estimated to account for 71% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

350 300 250 200 150 100 50 0 2000 2002

350

Number of deaths, under 70 years Females

300 250 200

150 100 50

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 67% 1.1 29.1% 2.6% females 3% 0.1 26.6% 6.9% total 35% 0.6 27.8% 4.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

92

Noncommunicable Diseases Country Profiles 2014

Iran (Islamic Republic of) Total population: 7 424 000 Income Group: pper middle Age-standardized death rates* 600

Percentage of population living in urban areas: 9.1% Population proportion between ages 30 and 70 years: 41.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 14%

age-standardized death rate per 100,000

500

females Communicable, maternal, perinatal and nutritional conditions 10%

400

Cardiovascular diseases 46%

300

200

Other NCDs 11%

100

Diabetes 2% Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 13%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 395,000 NCDs are estimated to account for 7 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

70 60 50 40 30 20 10 0 2000 2002

70

Number of deaths, under 70 years Females

60 50 40

30 20 10

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 26% 1.7 26.1% 12.4% females 1% 0.3 22.4% 26.5% total 14% 1.0 24.3% 19.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Ira Total population: 32 778 000 Income Group: pper middle Age-standardized death rates* 600

Percentage of population living in urban areas: .5% Population proportion between ages 30 and 70 years: 29.5% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 19% Cardiovascular diseases 33%

age-standardized death rate per 100,000

500

400

300

200

Communicable, maternal, perinatal and nutritional conditions 19%

100 Cancers 10%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 12%

Diabetes 4%

Chronic respiratory diseases 3%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1 7,000 NCDs are estimated to account for 2% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 0.9 25.5% 20.6% females 4% 0.1 23.3% 33.4% total 18% 0.5 24.4% 27.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

D No D es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

94

Noncommunicable Diseases Country Profiles 2014

Ireland Total population: 4 57 000 Income Group: High Age-standardized death rates 350

Percentage of population living in urban areas: 2.2% Population proportion between ages 30 and 70 years: 50.5% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 6% Injuries 6%

age-standardized death rate per 100,000

300 250

Cardiovascular diseases 32%

200 150

Other NCDs 17%

100 50

Diabetes 2%

Chronic respiratory diseases 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 30%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 27,000 NCDs are estimated to account for 88% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

11% .

5,000 4,500 Number of deaths 4,000 3,500

5,000 4,500 4,000

Number of deaths, under 70 years Females

Number of deaths

3,500 3,000 2,500 2,000 1,500 1,000 500

3,000 2,500 2,000

1,500 1,000 500 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 16.8 35.6% 26.2% females ... 7.1 23.0% 24.2% total ... 11.9 29.2% 25.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es No es es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

95

Noncommunicable Diseases Country Profiles 2014

Israel Total population: 7 44 000 Income Group: High Age-standardized death rates 200

Percentage of population living in urban areas: 91.9% Population proportion between ages 30 and 70 years: 42.8% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 9% Injuries 5% Cardiovascular diseases 26%

age-standardized death rate per 100,000

180 160

females

140 120 100 80 60 40 Other NCDs 22%

20 0

Diabetes 6%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 5%

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 41,000 NCDs are estimated to account for 8 % of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is 9% . Number of deaths, under 70 years Males Number of deaths, under 70 years Females

6,000 5,000 Number of deaths

6,000

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 4.0 23.8% 23.2% females 17% 1.7 18.8% 29.0% total 26% 2.8 21.2% 26.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D No es No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

96

Noncommunicable Diseases Country Profiles 2014

Italy Total population: 0 885 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 8.4% Population proportion between ages 30 and 70 years: 55.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 4% Injuries 4%

age-standardized death rate per 100,000

females 200 Other NCDs 17%

150

Cardiovascular diseases 37%

100

Diabetes 4%

50

Chronic respiratory diseases 5%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 29%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 573,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

10% .

Number of deaths (thousands)

80 70 60

80 70

Number of deaths, under 70 years Females

60 50 40 30 20 10

50 40 30

20 10 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 9.7 33.4% 21.2% females 18% 3.9 29.0% 18.5% total 25% 6.7 31.1% 19.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

97

Noncommunicable Diseases Country Profiles 2014

amaica Total population: 2 7 9 000 Income Group: pper middle Age-standardized death rates* 350

Percentage of population living in urban areas: 52.0% Population proportion between ages 30 and 70 years: 40.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 14% Injuries 7%

age-standardized death rate per 100,000

300 250

females

Cardiovascular diseases 37%

200 150

Other NCDs 11%

100 50

Diabetes 11%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 3%

Cancers 17%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 20,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

17% .

3,000 2,500 Number of deaths

3,000

Number of deaths, under 70 years Females

2,500 Number of deaths 2,000

2,000 1,500 1,000 500 0 2000 2002 2004 2006 Cancers

1,500 1,000 500

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 7.1 31.7% 9.7% females ... 2.8 27.5% 37.5% total ... 4.9 29.5% 24.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

98

Noncommunicable Diseases Country Profiles 2014

apan Total population: 127 000 000 Income Group: High Age-standardized death rates 200

Percentage of population living in urban areas: 91.3% Population proportion between ages 30 and 70 years: 54.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 13% Injuries 8% Cardiovascular diseases 29%

age-standardized death rate per 100,000

180 160

females

140 120 100 80 60 40 Diabetes 1% Other NCDs 12%

20 0 Chronic respiratory diseases 7% Cancers 30%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,192,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

9% .

Number of deaths (thousands)

160 140 120

160 140

Number of deaths, under 70 years Females

120 100 80 60 40 20

100 80 60

40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 34% 10.4 30.5% 5.8% females 11% 4.2 23.2% 4.4% total 22% 7.2 26.7% 5.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

99

Noncommunicable Diseases Country Profiles 2014

ordan Total population: 7 009 000 Income Group: pper middle Age-standardized death rates* 500

Percentage of population living in urban areas: 82.7% Population proportion between ages 30 and 70 years: 35.1% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 11% Communicable, maternal, perinatal and nutritional conditions 13%

age-standardized death rate per 100,000

450 400

females Cardiovascular diseases 35%

350 300 250 200 150 100

Other NCDs 16%

50 0

Diabetes 7%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 3%

Cancers 15%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2 ,000 NCDs are estimated to account for 7 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

20% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 47% 1.2 21.1% 24.0% females 6% 0.2 16.5% 36.4% total 26% 0.7 18.9% 30.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

100

Noncommunicable Diseases Country Profiles 2014

azakhstan Total population: 1 271 000 Income Group: pper middle Age-standardized death rates 1200

Percentage of population living in urban areas: 53. % Population proportion between ages 30 and 70 years: 43.9% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 10%

age-standardized death rate per 100,000

1000

females

800 Other NCDs 10%

600 Diabetes 1%

400 Chronic respiratory diseases 4% Cardiovascular diseases 54% Cancers 15%

200

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 158,000 NCDs are estimated to account for 84% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

34% .

Number of deaths (thousands)

50 45 40 35

50 45 40

Number of deaths, under 70 years Females

35 30 25 20 15 10 5

30 25 20

15 10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 40% 15.7 37.8% 19.1% females 9% 5.5 32.7% 27.6% total 24% 10.3 35.0% 23.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry NR = Country replied to survey but did not give a response to specific question

es No NR NR NR NR es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

101

Noncommunicable Diseases Country Profiles 2014

enya Total population: 43 178 000 Income Group: Low Age-standardized death rates* 300

Percentage of population living in urban areas: 24.0% Population proportion between ages 30 and 70 years: 27.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 10% Cardiovascular diseases 8% Cancers 7% Chronic respiratory diseases 1% Diabetes 1%

age-standardized death rate per 100,000

250

females

200

150

Other NCDs 9%

100

50 Communicable, maternal, perinatal and nutritional conditions 64%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3 9,000 NCDs are estimated to account for 27% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

40 35 30

40 35

Number of deaths, under 70 years Females

30 25 20 15 10 5

25 20 15

10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 26% 7.4 30.7% 2.1% females 1% 1.3 26.7% 6.2% total 13% 4.3 28.7% 4.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

102

Noncommunicable Diseases Country Profiles 2014

iribati Total population: 101 000 Income Group: Lower middle Age-standardized death rates* Percentage of population living in urban areas: 43.9% Population proportion between ages 30 and 70 years: 40.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 820

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 67% 5.5 28.7% 37.7% females 37% 0.4 18.8% 53.8% total 52% 3.0 23.6% 46.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

es No No es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

103

Noncommunicable Diseases Country Profiles 2014

uwait Total population: 3 250 000 Income Group: High Age-standardized death rates 450

Percentage of population living in urban areas: 98.3% Population proportion between ages 30 and 70 years: 45.8% Proportional mortality (% of total deaths, all ages, both sexes) males Injuries 11%

age-standardized death rate per 100,000

400

females Communicable, maternal, perinatal and nutritional conditions 16%

350 300 250

Cardiovascular diseases 41%

200 150 100 Other NCDs 12%

50 0

Diabetes 4%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 2%

Cancers 14%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: ,100 NCDs are estimated to account for 73% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

12% .

1,800 1,600 Number of deaths 1,400

1,800

Number of deaths, under 70 years Females

1,600 Number of deaths 1,400 1,200 1,000

1,200 1,000

800 600

800 600 400

400 200 0 2000 2002 2004 2006 Cancers

200 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 0.2 21.9% 37.5% females 4% 0.0 16.4% 49.8% total 19% 0.1 20.0% 42.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

es No No No No No D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

104

Noncommunicable Diseases Country Profiles 2014

yrgyzstan Total population: 5 474 000 Income Group: Low Age-standardized death rates 800

Percentage of population living in urban areas: 35.3% Population proportion between ages 30 and 70 years: 35.9% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 11% Injuries 9%

age-standardized death rate per 100,000

700 600 500

females

400 300 200 100 Diabetes 1% Chronic respiratory diseases 4% Other NCDs 16%

Cardiovascular diseases 49%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 10%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3 ,000 NCDs are estimated to account for 80% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

28% .

Number of deaths (thousands)

10 9 8 7

10 9 8

Number of deaths, under 70 years Females

7 6 5 4 3 2 1

6 5 4

3 2 1 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 45% 6.7 34.5% 10.9% females 2% 2.0 31.1% 19.8% total 23% 4.3 32.7% 15.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

105

Noncommunicable Diseases Country Profiles 2014

Lao People s Democratic Republic Total population: 4 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 34.3% Population proportion between ages 30 and 70 years: 30.4% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9% Cardiovascular diseases 22%

age-standardized death rate per 100,000

400

350 300 250

200 150 100 Communicable, maternal, perinatal and nutritional conditions 43%

Cancers 11%

50 0 Diabetes 2%

Chronic respiratory diseases 5%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 8%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 4 ,000 NCDs are estimated to account for 48% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

7 6 5 4 3 2 1 0 2000 2002

7

Number of deaths, under 70 years Females

6 5 4

3 2 1

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 12.5 24.1% 1.4% females 4% 2.3 20.4% 3.7% total 26% 7.3 22.2% 2.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

No No No No es No D No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

106

Noncommunicable Diseases Country Profiles 2014

Latvia Total population: 2 0 0 000 Income Group: High Age-standardized death rates 700

Percentage of population living in urban areas: 7.7% Population proportion between ages 30 and 70 years: 52.2% Proportional mortality (% of total deaths, all ages, both sexes) males females Diabetes 3% Chronic respiratory diseases 1% Communicable, maternal, perinatal and nutritional conditions 2% Other NCDs 9% Injuries 5%

age-standardized death rate per 100,000

600 500

400 300

200 100

Cancers 22%

Cardiovascular diseases 58%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 29,000 NCDs are estimated to account for 93% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

8,000 7,000 Number of deaths 6,000

8,000 7,000

Number of deaths, under 70 years Females

Number of deaths

6,000 5,000 4,000 3,000 2,000 1,000

5,000 4,000 3,000

2,000 1,000 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 19.7 46.9% 22.4% females 20% 6.3 41.8% 27.0% total 32% 12.3 44.0% 24.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

107

Noncommunicable Diseases Country Profiles 2014

Lebanon Total population: 4 47 000 Income Group: pper middle Age-standardized death rates* 500

Percentage of population living in urban areas: 87.2% Population proportion between ages 30 and 70 years: 43.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 6% Injuries 9%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100

Other NCDs 8% Diabetes 4%

Cardiovascular diseases 47%

Chronic respiratory diseases 4%

50 0 Cancers 22%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 21,000 NCDs are estimated to account for 85% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

12% .

4,000 3,500 Number of deaths 3,000

4,000 3,500

Number of deaths, under 70 years Females

Number of deaths

3,000 2,500 2,000 1,500 1,000 500

2,500 2,000 1,500

1,000 500 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 3.9 32.9% 25.8% females 22% 0.8 25.1% 29.0% total 32% 2.4 28.8% 27.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

No D D D es D es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

108

Noncommunicable Diseases Country Profiles 2014

Lesotho Total population: 2 052 000 Income Group: Lower middle Age-standardized death rates* 350

Percentage of population living in urban areas: 27. % Population proportion between ages 30 and 70 years: 27.1% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 9% Cardiovascular diseases 12% Cancers 3% Chronic respiratory diseases 3% Diabetes 3%

age-standardized death rate per 100,000

300

males 250

females

200 150 Other NCDs 6%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 64%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 29,000 NCDs are estimated to account for 27% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

2,500 2,000

2,500 2,000

Number of deaths, under 70 years Females

Number of deaths

Number of deaths

1,500 1,000

1,500 1,000 500

500 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 10.8 32.9% 2.6% females ... 2.5 33.5% 24.0% total ... 6.5 33.3% 14.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

109

Noncommunicable Diseases Country Profiles 2014

Liberia Total population: 4 190 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 48.2% Population proportion between ages 30 and 70 years: 28.4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 8% Cardiovascular diseases 11% Cancers 5% Chronic respiratory diseases 6% Diabetes 2%

age-standardized death rate per 100,000

300 250

females

200 150

100 50 Communicable, maternal, perinatal and nutritional conditions 58%

Other NCDs 10%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 34,000 NCDs are estimated to account for 34% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

21% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 18% 7.5 32.0% 2.8% females 2% 2.0 28.7% 6.8% total 10% 4.7 30.3% 4.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

110

Noncommunicable Diseases Country Profiles 2014

Libya Total population: 155 000 Income Group: pper middle Age-standardized death rates* 500

Percentage of population living in urban areas: 77.7% Population proportion between ages 30 and 70 years: 39.7% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 10% Cardiovascular diseases 43% Injuries 12%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100

Other NCDs 12%

50 0

Diabetes 5% Chronic respiratory diseases 4%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 14%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2 ,000 NCDs are estimated to account for 78% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

18% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 45% 0.1 39.5% 19.9% females 1% 0.0 31.4% 36.4% total 23% 0.1 35.7% 27.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

111

Noncommunicable Diseases Country Profiles 2014

Lithuania Total population: 3 028 000 Income Group: High Age-standardized death rates 600

Percentage of population living in urban areas: 7.1% Population proportion between ages 30 and 70 years: 51.7% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 3% Injuries 8%

age-standardized death rate per 100,000

500

females

400

Other NCDs 12%

300

Diabetes 1% Chronic respiratory diseases 2%

200

100

Cancers 20%

Cardiovascular diseases 54%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 35,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

22% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 24.4 47.5% 24.8% females 25% 7.9 42.9% 29.9% total 33% 15.4 45.0% 27.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

112

Noncommunicable Diseases Country Profiles 2014

Luxembourg Total population: 524 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 85.4% Population proportion between ages 30 and 70 years: 53.4% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 6%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 33%

150

Other NCDs 16%

100 Diabetes 2%

50

Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 31%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3, 00 NCDs are estimated to account for 87% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

11% .

700 600 Number of deaths

700

Number of deaths, under 70 years Females

600 Number of deaths 500 400

500 400 300 200 100 0 2000 2002 2004 2006 Cancers

300 200 100

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 22% 16.8 30.5% 26.3% females 25% 7.2 21.7% 25.8% total 24% 11.9 26.0% 26.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No No es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

113

Noncommunicable Diseases Country Profiles 2014

Madagascar Total population: 22 294 000 Income Group: Low Age-standardized death rates* 450

Percentage of population living in urban areas: 32. % Population proportion between ages 30 and 70 years: 28.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 18%

age-standardized death rate per 100,000

400

350 300 250 Cancers 8% Chronic respiratory diseases 3% Diabetes 1% Other NCDs 9%

200 150 100 Communicable, maternal, perinatal and nutritional conditions 51%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1 0,000 NCDs are estimated to account for 39% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 2.9 35.6% 1.7% females ... 0.7 32.2% 1.5% total ... 1.8 33.9% 1.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

114

Noncommunicable Diseases Country Profiles 2014

Malawi Total population: 15 90 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 15.7% Population proportion between ages 30 and 70 years: 24.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 7% Cardiovascular diseases 12% Cancers 5% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 8%

age-standardized death rate per 100,000

350 300 250

200 150 100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 65%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 151,000 NCDs are estimated to account for 28% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 23% 4.5 39.4% 2.6% females 5% 0.5 33.6% 6.0% total 14% 2.5 36.4% 4.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

115

Noncommunicable Diseases Country Profiles 2014

Malaysia Total population: 29 240 000 Income Group: pper middle Age-standardized death rates* 450

Percentage of population living in urban areas: 72.8% Population proportion between ages 30 and 70 years: 41.0% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 16% Injuries 11%

age-standardized death rate per 100,000

400

350 300 250

Cardiovascular diseases 36%

200 150 100 Other NCDs 12% Diabetes 3%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 7%

Cancers 15%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 14 ,000 NCDs are estimated to account for 73% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 2.5 26.2% 10.4% females 1% 0.2 22.1% 17.6% total 23% 1.3 24.2% 14.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Maldives Total population: 338 000 Income Group: pper middle Age-standardized death rates* 450

Percentage of population living in urban areas: 41.2% Population proportion between ages 30 and 70 years: 34.9% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 12% Injuries 7%

age-standardized death rate per 100,000

400

350 300 250 Cardiovascular diseases 39%

200 150 100

Other NCDs 18%

50 0

Diabetes 2%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 10%

Cancers 12%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,300 NCDs are estimated to account for 81% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

1 %.

400 350 Number of deaths 300

400 350

Number of deaths, under 70 years Females

Number of deaths

300 250 200 150 100 50

250 200 150

100 50 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 42% 2.3 26.6% 5.9% females 7% 0.1 20.0% 20.2% total 25% 1.2 23.4% 12.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). NR = Country replied to survey but did not give a response to specific question

No No No No NR No No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Mali Total population: 14 854 000 Income Group: Low Age-standardized death rates* 600

Percentage of population living in urban areas: 34.9% Population proportion between ages 30 and 70 years: 24.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 8% Cardiovascular diseases 11% Cancers 4% Chronic respiratory diseases 4% Diabetes 2%

age-standardized death rate per 100,000

500

females

400

300 Other NCDs 11%

200

100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 60%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 170,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

2 %.

Number of deaths (thousands)

20 18 16 14

20 18 16

Number of deaths, under 70 years Females

14 12 10 8 6 4 2

12 10 8

6 4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 28% 2.2 24.7% 2.1% females 2% 0.0 26.7% 6.3% total 15% 1.1 25.8% 4.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Malta Total population: 428 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 94.8% Population proportion between ages 30 and 70 years: 54.2% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 4%

age-standardized death rate per 100,000

250

females Other NCDs 15%

200

Cardiovascular diseases 39%

150

Diabetes 2%

100 Chronic respiratory diseases 4%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 31%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

12% .

600 500 Number of deaths

600

Number of deaths, under 70 years Females

500 Number of deaths 400

400 300 200 100 0 2000 2002 2004 2006 Cancers

300 200 100

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 9.7 32.6% 27.3% females 20% 4.2 25.3% 30.3% total 25% 7.0 28.9% 28.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Marshall Islands Total population: 53 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 71.8% Population proportion between ages 30 and 70 years: 40.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 350

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 36% ... 26.9% 37.9% females 7% ... 19.1% 52.4% total 21% ... 22.8% 45.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

es No es No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Mauritania Total population: 3 79 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 41.5% Population proportion between ages 30 and 70 years: 30.5% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 8% Cardiovascular diseases 12% Cancers 4% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

250

males 200

females

150

100

Other NCDs 11%

50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 61%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 30,000 NCDs are estimated to account for 32% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

1 %.

3,500 3,000 Number of deaths

3,500

Number of deaths, under 70 years Females

3,000 Number of deaths 2,500 2,000

2,500 2,000 1,500 1,000 500 0 2000 2002 2004 2006 Cancers

1,500 1,000 500

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 29% 0.2 32.9% 3.7% females 4% 0.0 29.1% 21.7% total 17% 0.1 30.9% 12.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Mauritius Total population: 1 240 000 Income Group: pper middle Age-standardized death rates 450

Percentage of population living in urban areas: 41.8% Population proportion between ages 30 and 70 years: 51. % Proportional mortality (% of total deaths, all ages, both sexes) Communicable, maternal, perinatal and nutritional conditions 8% Injuries 6%

age-standardized death rate per 100,000

400

males females

350 300 250 Other NCDs 12%

Cardiovascular diseases 31%

200 150 100

50 0

Diabetes 26%

Cancers 12% Chronic respiratory diseases 5%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 9,100 NCDs are estimated to account for 85% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

3,000 2,500 Number of deaths

3,000

Number of deaths, under 70 years Females

2,500 Number of deaths 2,000

2,000 1,500 1,000 500 0 2000 2002 2004 2006 Cancers

1,500 1,000 500

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 39% 5.9 38.5% 13.2% females 5% 1.4 34.2% 23.6% total 21% 3.6 36.3% 18.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

122

Noncommunicable Diseases Country Profiles 2014

Mexico Total population: 121 000 000 Income Group: pper middle Age-standardized death rates 200

Percentage of population living in urban areas: 78.1% Population proportion between ages 30 and 70 years: 40.5% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 11% Injuries 12%

age-standardized death rate per 100,000

180 160

Cardiovascular diseases 24%

140 120 100 80 60 40

Cancers 12% Other NCDs 21%

20 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 14%

Chronic respiratory diseases 6%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 05,000 NCDs are estimated to account for 77% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

1 %.

Number of deaths (thousands)

140 120 100 80 60 40 20 0 2000 2002

140

Number of deaths, under 70 years Females

120 100 80

60 40 20

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 27% 12.4 25.8% 26.3% females 8% 2.6 20.1% 37.4% total 17% 7.2 22.8% 32.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

es No es es es es D es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Micronesia (Federated tates of) Total population: 103 000 Income Group: Lower middle Age-standardized death rates* Percentage of population living in urban areas: 22. % Population proportion between ages 30 and 70 years: 28.9% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 40

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 6.0 33.9% 28.1% females ... 0.5 24.3% 53.2% total ... 3.3 29.0% 40.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Monaco Total population: 38 000 Income Group: High Age-standardized death rates* Percentage of population living in urban areas: 100.0% Population proportion between ages 30 and 70 years: 50.3% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 320

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... ... ... ... females ... ... ... ... total ... ... ... ...

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Mongolia Total population: 2 79 000 Income Group: Lower middle Age-standardized death rates* 800

Percentage of population living in urban areas: 8.5% Population proportion between ages 30 and 70 years: 40.5% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10%

age-standardized death rate per 100,000

700 600 500

males

females

Communicable, maternal, perinatal and nutritional conditions 11%

400 300 200 100 Other NCDs 15%

Cardiovascular diseases 43%

Diabetes 1%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 3%

Cancers 17%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 19,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

32% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 11.7 38.1% 10.4% females 6% 2.2 27.5% 18.3% total 27% 6.9 32.7% 14.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

126

Noncommunicable Diseases Country Profiles 2014

Montenegro Total population: 21 000 Income Group: pper middle Age-standardized death rates* 600

Percentage of population living in urban areas: 3.3% Population proportion between ages 30 and 70 years: 50. % Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 2% Injuries 5%

age-standardized death rate per 100,000

500

females

Other NCDs 6% Diabetes 2% Chronic respiratory diseases 1%

400

300

200

Cancers 23%

100

Cardiovascular diseases 61%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 5,800 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

22% .

1,400 1,200 Number of deaths

1,400

Number of deaths, under 70 years Females

1,200 Number of deaths 1,000 800

1,000 800 600 400 200 0 2000 2002 2004 2006 Cancers

600 400 200

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 13.5 45.4% 23.3% females ... 4.1 38.5% 21.7% total ... 8.7 41.7% 22.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

127

Noncommunicable Diseases Country Profiles 2014

Morocco Total population: 32 521 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 57.0% Population proportion between ages 30 and 70 years: 40.9% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 18% Injuries 7%

age-standardized death rate per 100,000

400

350 300 250

Cardiovascular diseases 34%

200 150 100 Other NCDs 14% Cancers 11%

50 0 Diabetes 12%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 4%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 20 ,000 NCDs are estimated to account for 75% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

45 40 35

45

Number of deaths, under 70 years Females

40 35 30 25

30 25

20 15

20 15 10

10 5 0 2000 2002 2004 2006 Cancers

5 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 32% 1.9 31.2% 10.5% females 2% 0.1 33.6% 21.9% total 17% 0.9 32.4% 16.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Mozambi ue Total population: 25 203 000 Income Group: Low Age-standardized death rates* 300

Percentage of population living in urban areas: 31.2% Population proportion between ages 30 and 70 years: 25.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 11% Cardiovascular diseases 7% Cancers 4% Chronic respiratory diseases 1% Diabetes 1%

age-standardized death rate per 100,000

250

females

200 Other NCDs 10%

150

100

50 Communicable, maternal, perinatal and nutritional conditions 66%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 313,000 NCDs are estimated to account for 23% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

30 25 20 15 10 5 0 2000 2002

30

Number of deaths, under 70 years Females

25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 3.5 40.9% 2.3% females ... 1.1 35.8% 7.2% total ... 2.3 38.1% 4.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es es es es es es No No No

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Noncommunicable Diseases Country Profiles 2014

Myanmar Total population: 52 797 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 32. % Population proportion between ages 30 and 70 years: 44.2% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 11%

age-standardized death rate per 100,000

300 250

males females Communicable, maternal, perinatal and nutritional conditions 30%

Cardiovascular diseases 25%

200 150

100 50

Cancers 11%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 11%

Diabetes 3%

Chronic respiratory diseases 9%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 441,000 NCDs are estimated to account for 59% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

24% .

Number of deaths (thousands)

80 70 60

80 70

Number of deaths, under 70 years Females

60 50 40 30 20 10

50 40 30

20 10 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 1.4 31.1% 1.9% females 7% 0.0 26.7% 6.0% total 22% 0.7 28.9% 4.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

Namibia Total population: 2 259 000 Income Group: pper middle Age-standardized death rates* 400

Percentage of population living in urban areas: 38.4% Population proportion between ages 30 and 70 years: 31.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 21%

age-standardized death rate per 100,000

350 300 250

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 47%

Cancers 5%

Chronic respiratory diseases 4% Diabetes 4% Other NCDs 9%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 14,000 NCDs are estimated to account for 43% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

20% .

2,000 1,800 Number of deaths 1,600 1,400

2,000 1,800 1,600

Number of deaths, under 70 years Females

Number of deaths

1,400 1,200 1,000 800 600 400 200

1,200 1,000 800

600 400 200 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 30% 16.7 38.6% 3.6% females 9% 5.4 33.6% 15.0% total 20% 10.8 36.0% 9.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

es No D D es No No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

131

Noncommunicable Diseases Country Profiles 2014

Nauru Total population: 10 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 100.0% Population proportion between ages 30 and 70 years: 40.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 40

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 52% 5.9 37.0% 67.7% females 50% 1.1 25.5% 74.4% total 51% 3.5 31.1% 71.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

es No es es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

132

Noncommunicable Diseases Country Profiles 2014

Nepal Total population: 27 474 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 17.0% Population proportion between ages 30 and 70 years: 33.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 22%

age-standardized death rate per 100,000

300 250

200 150

Communicable, maternal, perinatal and nutritional conditions 30%

Cancers 8%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 14%

Diabetes 3%

Chronic respiratory diseases 13%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 18 ,000 NCDs are estimated to account for 0% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

22% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 37% 4.4 23.3% 1.3% females 25% 0.2 24.9% 1.6% total 30% 2.2 24.2% 1.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

D No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

133

Noncommunicable Diseases Country Profiles 2014

Netherlands Total population: 1 714 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 83.2% Population proportion between ages 30 and 70 years: 53.5% Proportional mortality (% of total deaths, all ages, both sexes) Communicable, maternal, perinatal and nutritional conditions 6% Injuries 4% Cardiovascular diseases 29%

males age-standardized death rate per 100,000

females 200 Other NCDs 20%

150

100 Diabetes 2%

50 Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 33%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 140,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 29% 14.0 32.5% 18.1% females 23% 6.0 22.7% 19.5% total 26% 9.9 27.5% 18.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No No No No es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

134

Noncommunicable Diseases Country Profiles 2014

New ealand Total population: 4 4 0 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 8 .2% Population proportion between ages 30 and 70 years: 49.3% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 6%

age-standardized death rate per 100,000

females 200

Other NCDs 18%

Cardiovascular diseases 32%

150

100 Diabetes 3%

50 Chronic respiratory diseases 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 29%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 28,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

11% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 21% 15.7 25.0% 27.3% females 19% 6.3 18.3% 29.3% total 20% 10.9 21.6% 28.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

No No No No es No D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

135

Noncommunicable Diseases Country Profiles 2014

Nicaragua Total population: 5 992 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 57.5% Population proportion between ages 30 and 70 years: 33.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 30%

age-standardized death rate per 100,000

females 250 Communicable, maternal, perinatal and nutritional conditions 15%

200

150

100

50 Other NCDs 21%

Cancers 12% Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 6%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 29,000 NCDs are estimated to account for 73% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

7,000 6,000 Number of deaths

7,000

Number of deaths, under 70 years Females

6,000 Number of deaths 5,000 4,000

5,000 4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 8.7 28.6% 15.4% females ... 1.5 20.9% 28.8% total ... 5.0 24.7% 22.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No No No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

136

Noncommunicable Diseases Country Profiles 2014

Niger Total population: 17 157 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 17.8% Population proportion between ages 30 and 70 years: 24.9% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 9% Cancers 2% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 10%

age-standardized death rate per 100,000

350 300 250

200 150 100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 68%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 180,000 NCDs are estimated to account for 25% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

18 16 14

18

Number of deaths, under 70 years Females

16 14 12 10

12 10

8 6

8 6 4

4 2 0 2000 2002 2004 2006 Cancers

2 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 9% 0.5 47.6% 1.5% females 1% 0.1 35.1% 3.4% total 5% 0.3 41.5% 2.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

137

Noncommunicable Diseases Country Profiles 2014

Nigeria Total population: 1 9 000 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 49. % Population proportion between ages 30 and 70 years: 27.7% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10% Cardiovascular diseases 7% Cancers 3% Chronic respiratory diseases 1% Diabetes 2% Other NCDs 11%

age-standardized death rate per 100,000

250

males 200

females

150

100

50 Communicable, maternal, perinatal and nutritional conditions 66%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,083,000 NCDs are estimated to account for 24% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

250 200

250 200

Number of deaths, under 70 years Females

150 100

150 100 50

50 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 10% 14.9 33.5% 4.6% females 2% 5.1 36.1% 8.4% total 6% 10.1 34.8% 6.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

138

Noncommunicable Diseases Country Profiles 2014

Niue Total population: 1 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 37.9% Population proportion between ages 30 and 70 years: 39.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 10

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 13.3 ... ... females ... 2.6 ... ... total ... 8.0 ... ...

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

139

Noncommunicable Diseases Country Profiles 2014

Norway Total population: 4 994 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 79.4% Population proportion between ages 30 and 70 years: 51.3% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 8% Injuries 5%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 33%

200 Other NCDs 19%

150

100 Diabetes 2%

50 Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 41,000 NCDs are estimated to account for 87% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

11% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 28% 10.8 37.1% 23.0% females 26% 4.7 29.0% 20.1% total 27% 7.7 33.0% 21.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

140

Noncommunicable Diseases Country Profiles 2014

Oman Total population: 3 314 000 Income Group: High Age-standardized death rates* 500

Percentage of population living in urban areas: 73.4% Population proportion between ages 30 and 70 years: 34.2% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 15%

age-standardized death rate per 100,000

450 400

males females

350 300 250 200 150 100 Communicable, maternal, perinatal and nutritional conditions 17%

Cardiovascular diseases 33%

50 0 Other NCDs 13%

Cancers 10% Diabetes 10% Chronic respiratory diseases 2%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 9,500 NCDs are estimated to account for 8% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

18% .

2,500 2,000

2,500 2,000

Number of deaths, under 70 years Females

Number of deaths

Number of deaths

1,500 1,000

1,500 1,000 500

500 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 13% 1.2 27.4% 18.9% females 1% 0.4 22.2% 23.8% total 8% 0.9 25.4% 20.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

141

Noncommunicable Diseases Country Profiles 2014

Pakistan Total population: 179 000 000 Income Group: Lower middle Age-standardized death rates* 350

Percentage of population living in urban areas: 3 .2% Population proportion between ages 30 and 70 years: 32.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 11% Cardiovascular diseases 19%

age-standardized death rate per 100,000

300 250

200 150

Cancers 8%

100 50 Communicable, maternal, perinatal and nutritional conditions 38%

Chronic respiratory diseases 6%

Diabetes 3% Other NCDs 15%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1,332,000 NCDs are estimated to account for 50% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

21% .

Number of deaths (thousands)

200 180 160 140

200 180 160

Number of deaths, under 70 years Females

140 120 100 80 60 40 20

120 100 80

60 40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 0.1 25.6% 3.3% females 7% 0.0 24.8% 7.8% total 23% 0.1 25.2% 5.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

142

Noncommunicable Diseases Country Profiles 2014

Palau Total population: 21 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 84.2% Population proportion between ages 30 and 70 years: 40.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 120

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 37% 13.2 31.6% 43.8% females 9% 2.6 21.9% 53.7% total 23% 7.9 26.6% 48.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes D = Country responded don t know

es D es es es es D es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

143

Noncommunicable Diseases Country Profiles 2014

Panama Total population: 3 802 000 Income Group: pper middle Age-standardized death rates 250

Percentage of population living in urban areas: 75.3% Population proportion between ages 30 and 70 years: 41.5% Proportional mortality (% of total deaths, all ages, both sexes) males Injuries 13% Cardiovascular diseases 29% Communicable, maternal, perinatal and nutritional conditions 17%

age-standardized death rate per 100,000

females 200

150

100

50 Other NCDs 15% Cancers 17% Diabetes 5% Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 19,000 NCDs are estimated to account for 70% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

13% .

3,500 3,000 Number of deaths

3,500

Number of deaths, under 70 years Females

3,000 Number of deaths 2,500 2,000

2,500 2,000 1,500 1,000 500 0 2000 2002 2004 2006 Cancers

1,500 1,000 500

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 23% 11.2 31.2% 19.2% females 4% 4.7 21.9% 31.5% total 14% 8.0 26.6% 25.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

144

Noncommunicable Diseases Country Profiles 2014

Papua New Guinea Total population: 7 1 7 000 Income Group: Lower middle Age-standardized death rates* 200

Percentage of population living in urban areas: 12.5% Population proportion between ages 30 and 70 years: 32.8% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10% Cardiovascular diseases 8% Cancers 9%

age-standardized death rate per 100,000

180 160

males

females

140 120 100 80 60 40 Communicable, maternal, perinatal and nutritional conditions 48%

Chronic respiratory diseases 6%

Diabetes 6%

20 0

Other NCDs 13%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 5 ,000 NCDs are estimated to account for 42% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

2 %.

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 55% 5.1 18.3% 11.7% females 27% 1.0 15.2% 20.6% total 41% 3.0 16.7% 16.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No D No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

145

Noncommunicable Diseases Country Profiles 2014

Paraguay Total population: 87 000 Income Group: Lower middle Age-standardized death rates* 350

Percentage of population living in urban areas: 1.9% Population proportion between ages 30 and 70 years: 34.9% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 15% Cardiovascular diseases 32% Injuries 13%

age-standardized death rate per 100,000

300 250

200 150

100 50 Other NCDs 14% Cancers 16%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 7%

Chronic respiratory diseases 3%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 32,000 NCDs are estimated to account for 72% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

8,000 7,000 Number of deaths 6,000

8,000 7,000

Number of deaths, under 70 years Females

Number of deaths

6,000 5,000 4,000 3,000 2,000 1,000

5,000 4,000 3,000

2,000 1,000 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 30% 12.4 32.0% 15.2% females 8% 5.2 22.6% 20.8% total 19% 8.8 27.3% 17.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

146

Noncommunicable Diseases Country Profiles 2014

Peru Total population: 29 988 000 Income Group: pper middle Age-standardized death rates* 200

Percentage of population living in urban areas: 77.3% Population proportion between ages 30 and 70 years: 39.5% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 10% Cardiovascular diseases 22%

age-standardized death rate per 100,000

180 160

females

140 120 100 80 60 40

Communicable, maternal, perinatal and nutritional conditions 24%

Cancers 20%

20 0 Other NCDs 18% Chronic respiratory diseases 4%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 2%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 132,000 NCDs are estimated to account for % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

11% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 12.4 24.0% 10.5% females ... 3.8 18.1% 20.7% total ... 8.1 21.0% 15.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No es No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

147

Noncommunicable Diseases Country Profiles 2014

Philippines Total population: 9 707 000 Income Group: Lower middle Age-standardized death rates 500

Percentage of population living in urban areas: 48.8% Population proportion between ages 30 and 70 years: 35.2% Proportional mortality (% of total deaths, all ages, both sexes) Injuries 8%

age-standardized death rate per 100,000

450 400

males females

350 300 250 200 150 100

Communicable, maternal, perinatal and nutritional conditions 25%

Cardiovascular diseases 33%

50 0 Other NCDs 13% Diabetes 6%

Cancers 10%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 5%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 571,000 NCDs are estimated to account for 7% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

28% .

Number of deaths (thousands)

180 160 140

180

Number of deaths, under 70 years Females

160 140 120 100

120 100

80 60

80 60 40

40 20 0 2000 2002 2004 2006 Cancers

20 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 44% 9.2 25.0% 4.6% females 10% 1.7 20.4% 8.0% total 27% 5.4 22.6% 6.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

148

Noncommunicable Diseases Country Profiles 2014

Poland Total population: 38 211 000 Income Group: High Age-standardized death rates* 500

Percentage of population living in urban areas: 0.9% Population proportion between ages 30 and 70 years: 53.7% Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 3% Other NCDs 10% Injuries 6% Cardiovascular diseases 49%

age-standardized death rate per 100,000

450 400

females

350 300 250 200 150 100

Diabetes 2% Chronic respiratory diseases 4%

50 0

Cancers 26%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 374,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 19.8 43.0% 23.8% females 27% 5.8 39.5% 26.7% total 32% 12.5 41.2% 25.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

No No es es es es D es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

149

Noncommunicable Diseases Country Profiles 2014

Portugal Total population: 10 04 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 1.1% Population proportion between ages 30 and 70 years: 54.8% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 10% Injuries 4%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 32% Other NCDs 15%

200

150

100

Diabetes 5%

50

Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 28%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 97,000 NCDs are estimated to account for 8 % of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

18 16 14

18

Number of deaths, under 70 years Females

16 14 12 10

12 10

8 6

8 6 4

4 2 0 2000 2002 2004 2006 Cancers

2 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 30% 18.7 38.2% 21.6% females 15% 7.6 31.2% 26.3% total 22% 12.9 34.5% 24.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

150

Noncommunicable Diseases Country Profiles 2014

atar Total population: 2 051 000 Income Group: High Age-standardized death rates* 250

Percentage of population living in urban areas: 98.8% Population proportion between ages 30 and 70 years: 54.2% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 23%

males age-standardized death rate per 100,000

females 200 Communicable, maternal, perinatal and nutritional conditions 8%

Cardiovascular diseases 24%

150

100

50

Cancers 18%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 17%

Diabetes 9%

Chronic respiratory diseases 1%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,700 NCDs are estimated to account for 9% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

14% .

1,200 1,000 Number of deaths

1,200

Number of deaths, under 70 years Females

1,000 Number of deaths 800

800 600 400 200 0 2000 2002 2004 2006 Cancers

600 400 200

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 1.8 27.1% 31.3% females ... 0.4 19.1% 38.1% total ... 1.5 25.0% 33.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

151

Noncommunicable Diseases Country Profiles 2014

Republic of orea Total population: 49 003 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 83.2% Population proportion between ages 30 and 70 years: 5 .0% Proportional mortality (% of total deaths, all ages, both sexes) Injuries 13% Communicable, maternal, perinatal and nutritional conditions 8%

males age-standardized death rate per 100,000

females 200

Cardiovascular diseases 25%

150

100

Other NCDs 15%

50 Diabetes 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 5%

Cancers 30%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2 ,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

9% .

Number of deaths (thousands)

70 60 50 40 30 20 10 0 2000 2002

70

Number of deaths, under 70 years Females

60 50 40

30 20 10

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 49% 21.0 17.8% 7.2% females 8% 3.9 14.3% 8.3% total 28% 12.3 16.0% 7.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

152

Noncommunicable Diseases Country Profiles 2014

Republic of Moldova Total population: 3 514 000 Income Group: Lower middle Age-standardized death rates 800

Percentage of population living in urban areas: 47.7% Population proportion between ages 30 and 70 years: 50.3% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 4% Injuries 7%

age-standardized death rate per 100,000

700 600 500

Other NCDs 12%

Cardiovascular diseases 59%

400 300 200 100

Diabetes 1% Chronic respiratory diseases 3%

0

Cancers 14%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 43,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

2 %.

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 25.9 41.3% 9.9% females 5% 8.9 39.6% 31.0% total 24% 16.8 40.4% 21.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

153

Noncommunicable Diseases Country Profiles 2014

Romania Total population: 21 755 000 Income Group: pper middle Age-standardized death rates 600

Percentage of population living in urban areas: 52.8% Population proportion between ages 30 and 70 years: 53.8% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 4% Other NCDs 10% Diabetes 1% Chronic respiratory diseases 3% Injuries 4% Cardiovascular diseases 58%

age-standardized death rate per 100,000

500

females

400

300

200

100

Cancers 20%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 254,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

70 60 50 40 30 20 10 0 2000 2002

70

Number of deaths, under 70 years Females

60 50 40

30 20 10

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 22.6 41.3% 16.9% females 18% 6.8 39.6% 21.2% total 28% 14.4 40.4% 19.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No No No es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

154

Noncommunicable Diseases Country Profiles 2014

Russian Federation Total population: 143 000 000 Income Group: High Age-standardized death rates 1000

Percentage of population living in urban areas: 73.8% Population proportion between ages 30 and 70 years: 52.9% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Other NCDs 8% Injuries 8%

age-standardized death rate per 100,000

900 800

females

Cardiovascular diseases 60%

700 600 500 400 300 200

Diabetes 0% Chronic respiratory diseases 2%

100 0

Cancers 16%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,102,000 NCDs are estimated to account for 8 % of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

30% .

Number of deaths (thousands)

700 600 500 400 300 200 100 0 2000 2002

700

Number of deaths, under 70 years Females

600 500 400

300 200 100

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 59% 23.9 37.5% 18.6% females 25% 7.8 38.1% 32.9% total 40% 15.1 37.8% 26.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

155

Noncommunicable Diseases Country Profiles 2014

Rwanda Total population: 11 458 000 Income Group: Low Age-standardized death rates* 400

Percentage of population living in urban areas: 19.1% Population proportion between ages 30 and 70 years: 2 .3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 13% Cardiovascular diseases 13%

age-standardized death rate per 100,000

350 300 250

females

Cancers 7%

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 52%

Chronic respiratory diseases 1% Diabetes 2%

Other NCDs 12%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 78,000 NCDs are estimated to account for 3 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 15.1 36.5% 4.2% females ... 5.0 32.6% 4.4% total ... 9.8 34.4% 4.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

156

Noncommunicable Diseases Country Profiles 2014

aint itts and Nevis Total population: 54 000 Income Group: High Age-standardized death rates* Percentage of population living in urban areas: 32.0% Population proportion between ages 30 and 70 years: 43.1% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 450

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 12% 11.8 42.7% 31.7% females 3% 4.7 32.9% 49.2% total 7% 8.2 37.6% 40.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

No No No No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

157

Noncommunicable Diseases Country Profiles 2014

aint Lucia Total population: 181 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 17.5% Population proportion between ages 30 and 70 years: 44.5% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 1,300

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 15.1 35.1% 11.4% females ... 5.9 26.2% 30.8% total ... 10.4 30.5% 21.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No No No No No No No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

158

Noncommunicable Diseases Country Profiles 2014

aint incent and the Grenadines Total population: 109 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 49.3% Population proportion between ages 30 and 70 years: 42.9% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 700

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 9.2 32.1% 15.4% females ... 3.9 25.6% 31.3% total ... 6.6 28.8% 23.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

159

Noncommunicable Diseases Country Profiles 2014

amoa Total population: 189 000 Income Group: Lower middle Age-standardized death rates* Percentage of population living in urban areas: 19.9% Population proportion between ages 30 and 70 years: 33.4% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 1,000

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 6.6 34.6% 43.6% females ... 0.6 26.3% 65.5% total ... 3.6 30.6% 54.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No es es es es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

160

Noncommunicable Diseases Country Profiles 2014

an Marino Total population: 31 000 Income Group: High Age-standardized death rates* Percentage of population living in urban areas: 94.1% Population proportion between ages 30 and 70 years: 55.0% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 320

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... ... ... ... females ... ... ... ... total ... ... ... ...

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

No No es es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

161

Noncommunicable Diseases Country Profiles 2014

ao Tome and Principe Total population: 188 000 Income Group: Lower middle Age-standardized death rates* Percentage of population living in urban areas: 2.7% Population proportion between ages 30 and 70 years: 27.2% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 1,200

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 8% 11.5 40.2% 5.5% females 3% 2.9 36.2% 13.2% total 6% 7.1 38.1% 9.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

No No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

162

Noncommunicable Diseases Country Profiles 2014

audi Arabia Total population: 28 288 000 Income Group: High Age-standardized death rates* 500

Percentage of population living in urban areas: 82.3% Population proportion between ages 30 and 70 years: 42.7% Proportional mortality (% of total deaths, all ages, both sexes)* males females Communicable, maternal, perinatal and nutritional conditions 13% Injuries 9%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100 Other NCDs 14% Cardiovascular diseases 46%

50 0

Diabetes 5% Chronic respiratory diseases 3% Cancers 10%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 90,000 NCDs are estimated to account for 78% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 0.3 26.0% 28.6% females 1% 0.1 21.5% 39.1% total 22% 0.2 24.2% 33.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

es No No es es es D No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

163

Noncommunicable Diseases Country Profiles 2014

enegal Total population: 13 72 000 Income Group: Lower middle Age-standardized death rates* 250

Percentage of population living in urban areas: 42.5% Population proportion between ages 30 and 70 years: 2 .4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 9% Cardiovascular diseases 10%

age-standardized death rate per 100,000

females 200

Cancers 5% Chronic respiratory diseases 2%

150

Diabetes 3%

100 Other NCDs 14%

50

0

Communicable, maternal, perinatal and nutritional conditions 57%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 98,000 NCDs are estimated to account for 34% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 16% 1.1 34.3% 2.6% females 1% 0.1 30.0% 10.8% total 8% 0.6 32.1% 6.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). D = Country responded don t know

No No No No No No D No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

164

Noncommunicable Diseases Country Profiles 2014

erbia Total population: 9 553 000 Income Group: pper middle Age-standardized death rates 600

Percentage of population living in urban areas: 5 .4% Population proportion between ages 30 and 70 years: 52.7% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal Injuries and nutritional 4% conditions 2% Cardiovascular diseases 54%

age-standardized death rate per 100,000

500

females

Other NCDs 10% Diabetes 3% Chronic respiratory diseases 4%

400

300

200 Cancers 23%

100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 113,000 NCDs are estimated to account for 95% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

25% .

Number of deaths (thousands)

30 25 20 15 10 5 0 2000 2002

30

Number of deaths, under 70 years Females

25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 38% 19.7 45.6% 26.3% females 27% 5.9 40.1% 23.3% total 32% 12.6 42.8% 24.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

165

Noncommunicable Diseases Country Profiles 2014

eychelles Total population: 92 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 53. % Population proportion between ages 30 and 70 years: 49.4% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 20

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 8.7 39.6% 14.6% females 8% 2.4 32.2% 33.7% total 20% 5.6 35.9% 23.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

es No No No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

166

Noncommunicable Diseases Country Profiles 2014

ierra Leone Total population: 5 979 000 Income Group: Low Age-standardized death rates* 700

Percentage of population living in urban areas: 39.2% Population proportion between ages 30 and 70 years: 29.2% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 9% Cancers 2% Chronic respiratory diseases 1% Diabetes 2%

age-standardized death rate per 100,000

600 500

400 300

Other NCDs 12%

200 100

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 66%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 102,000 NCDs are estimated to account for 2 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

27% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 48% 14.0 36.7% 3.6% females 20% 3.6 36.0% 9.8% total 34% 8.7 36.4% 6.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

167

Noncommunicable Diseases Country Profiles 2014

ingapore Total population: 5 303 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 100.0% Population proportion between ages 30 and 70 years: 5 .2% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 19% Injuries 5%

age-standardized death rate per 100,000

females 200

Cardiovascular diseases 31%

150

100

Other NCDs 11%

50

Diabetes 1% Chronic respiratory diseases 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 30%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 23,000 NCDs are estimated to account for 7 % of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

10% .

5,000 4,500 Number of deaths 4,000 3,500

5,000 4,500 4,000

Number of deaths, under 70 years Females

Number of deaths

3,500 3,000 2,500 2,000 1,500 1,000 500

3,000 2,500 2,000

1,500 1,000 500 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 2.8 25.0% 7.0% females ... 1.2 20.1% 7.1% total ... 2.0 22.6% 7.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es No No es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

168

Noncommunicable Diseases Country Profiles 2014

lovakia Total population: 5 44 000 Income Group: High Age-standardized death rates 600

Percentage of population living in urban areas: 54.7% Population proportion between ages 30 and 70 years: 55.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Other NCDs 10% Diabetes 1% Chronic respiratory diseases 2% Injuries 5%

age-standardized death rate per 100,000

500

females

Cardiovascular diseases 54%

400

300

200

100

Cancers 23%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 51,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 39% 20.5 42.7% 25.4% females 19% 6.1 37.2% 25.4% total 29% 13.0 39.8% 25.4%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

169

Noncommunicable Diseases Country Profiles 2014

lovenia Total population: 2 0 8 000 Income Group: High Age-standardized death rates 350

Percentage of population living in urban areas: 49.9% Population proportion between ages 30 and 70 years: 55.9% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions 4% Injuries 8%

age-standardized death rate per 100,000

300 250

Other NCDs 13%

Cardiovascular diseases 38%

200 150 Diabetes 1% Chronic respiratory diseases 3%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 33%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 19,000 NCDs are estimated to account for 88% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

13% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 28% 16.3 46.4% 29.5% females 21% 7.0 40.3% 27.8% total 24% 11.6 43.2% 28.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es No es No es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

170

Noncommunicable Diseases Country Profiles 2014

olomon Islands Total population: 550 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 20.5% Population proportion between ages 30 and 70 years: 30.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 20%

age-standardized death rate per 100,000

350 300 250

Communicable, maternal, perinatal and nutritional conditions 30% Cancers 10%

200 150 100 50

Chronic respiratory diseases 6%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Other NCDs 16%

Diabetes 8%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 3,000 NCDs are estimated to account for 0% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

700 600 Number of deaths

700

Number of deaths, under 70 years Females

600 Number of deaths 500 400

500 400 300 200 100 0 2000 2002 2004 2006 Cancers

300 200 100

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 45% 3.1 22.3% 22.6% females 18% 0.3 20.1% 37.7% total 32% 1.7 21.2% 30.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

171

Noncommunicable Diseases Country Profiles 2014

omalia Total population: 10 195 000 Income Group: Low Age-standardized death rates* 300

Percentage of population living in urban areas: 37.7% Population proportion between ages 30 and 70 years: 24.8% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 6% Cancers 4% Chronic respiratory diseases 1% Diabetes 1%

age-standardized death rate per 100,000

250

females

200

Other NCDs 7%

150

100

50 Communicable, maternal, perinatal and nutritional conditions 69%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 140,000 NCDs are estimated to account for 19% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 0.9 33.9% 3.1% females ... 0.1 29.0% 6.4% total ... 0.5 31.4% 4.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

172

Noncommunicable Diseases Country Profiles 2014

outh Africa Total population: 52 38 000 Income Group: pper middle Age-standardized death rates* 500

Percentage of population living in urban areas: 2.0% Population proportion between ages 30 and 70 years: 38.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 18%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100 Communicable, maternal, perinatal and nutritional conditions 48% Chronic respiratory diseases 3% Cancers 7%

Diabetes 6%

50 0 Other NCDs 10%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 08,000 NCDs are estimated to account for 43% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

27% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 28% 18.4 35.2% 21.0% females 8% 4.2 32.4% 41.0% total 18% 11.0 33.7% 31.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

outh udan Total population: 10 838 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 18.0% Population proportion between ages 30 and 70 years: 27.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 10% Cardiovascular diseases 9% Cancers 5% Chronic respiratory diseases 2% Diabetes 1% Other NCDs 10%

age-standardized death rate per 100,000

300 250

200 150

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 63%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 12 ,000 NCDs are estimated to account for 2 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... ... ... ... females ... ... ... ... total ... ... ... ...

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

174

Noncommunicable Diseases Country Profiles 2014

pain Total population: 4 755 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 77.4% Population proportion between ages 30 and 70 years: 55.7% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 3%

age-standardized death rate per 100,000

females 200 Other NCDs 21%

Cardiovascular diseases 31%

150

100 Diabetes 3%

50 Chronic respiratory diseases 9%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 28%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 398,000 NCDs are estimated to account for 92% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

11% .

Number of deaths (thousands)

60 50 40 30 20 10 0 2000 2002

60

Number of deaths, under 70 years Females

50 40

30 20 10

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 33% 15.9 30.2% 26.5% females 27% 6.7 24.0% 26.7% total 30% 11.2 27.0% 26.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry D = Country responded don t know

No es es es es es es D No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

175

Noncommunicable Diseases Country Profiles 2014

ri Lanka Total population: 21 098 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 15.1% Population proportion between ages 30 and 70 years: 4 .7% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 14%

age-standardized death rate per 100,000

400

females Communicable, maternal, perinatal and nutritional conditions 11%

350 300 250

Cardiovascular diseases 40%

200 150 100 Other NCDs 10%

50 0

Diabetes 7%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Chronic respiratory diseases 8%

Cancers 10%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 138,000 NCDs are estimated to account for 75% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

35 30 25 20 15 10 5 0 2000 2002

35

Number of deaths, under 70 years Females

30 25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 7.3 30.5% 2.6% females 1% 0.3 26.2% 7.4% total 15% 3.7 28.2% 5.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

176

Noncommunicable Diseases Country Profiles 2014

udan Total population: 37 195 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 33.2% Population proportion between ages 30 and 70 years: 29.1% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 13% Cardiovascular diseases 12% Cancers 5% Chronic respiratory diseases 2% Diabetes 2%

age-standardized death rate per 100,000

250

females

200

150

100

Other NCDs 13%

50 Communicable, maternal, perinatal and nutritional conditions 53%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 297,000 NCDs are estimated to account for 34% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

40 35 30

40 35

Number of deaths, under 70 years Females

30 25 20 15 10 5

25 20 15

10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 4.8 35.1% 3.8% females ... 0.6 28.8% 8.2% total ... 2.7 32.0% 6.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

177

Noncommunicable Diseases Country Profiles 2014

uriname Total population: 535 000 Income Group: pper middle Age-standardized death rates 300

Percentage of population living in urban areas: 9.7% Population proportion between ages 30 and 70 years: 42. % Proportional mortality (% of total deaths, all ages, both sexes) males Injuries 15%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 28%

200

150

Communicable, maternal, perinatal and nutritional conditions 17%

100

50 Other NCDs 16%

Cancers 15%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 7%

Chronic respiratory diseases 2%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,500 NCDs are estimated to account for 8% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

13% .

600 500 Number of deaths

600

Number of deaths, under 70 years Females

500 Number of deaths 400

400 300 200 100 0 2000 2002 2004 2006 Cancers

300 200 100

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 9.4 32.1% 16.0% females ... 3.9 25.8% 33.9% total ... 6.6 28.9% 25.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

178

Noncommunicable Diseases Country Profiles 2014

waziland Total population: 1 231 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 21.2% Population proportion between ages 30 and 70 years: 2 .0% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 9% Cardiovascular diseases 11%

age-standardized death rate per 100,000

400

females

Cancers 3%

350 300 250

Chronic respiratory diseases 3% Diabetes 3%

200 150 100

Other NCDs 8%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 63%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 14,000 NCDs are estimated to account for 28% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

21% .

1,800 1,600 Number of deaths 1,400

1,800

Number of deaths, under 70 years Females

1,600 Number of deaths 1,400 1,200 1,000

1,200 1,000

800 600

800 600 400

400 200 0 2000 2002 2004 2006 Cancers

200 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 16% 10.6 35.1% 5.2% females 2% 1.1 31.5% 32.4% total 9% 5.7 33.2% 19.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

179

Noncommunicable Diseases Country Profiles 2014

weden Total population: 9 511 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 85.2% Population proportion between ages 30 and 70 years: 50.9% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 5% Injuries 5%

age-standardized death rate per 100,000

250

females Other NCDs 18%

200

Cardiovascular diseases 41%

150 Diabetes 2%

100

50

Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 25%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 91,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

10% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 25% 12.9 34.9% 19.9% females 24% 5.5 26.8% 17.3% total 24% 9.2 30.8% 18.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

180

Noncommunicable Diseases Country Profiles 2014

witzerland Total population: 7 997 000 Income Group: High Age-standardized death rates 250

Percentage of population living in urban areas: 73.7% Population proportion between ages 30 and 70 years: 54.5% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 4% Injuries 6%

age-standardized death rate per 100,000

females 200 Other NCDs 22%

Cardiovascular diseases 35%

150

100

50

Diabetes 2% Chronic respiratory diseases 4%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2,000 NCDs are estimated to account for 91% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

9% .

Number of deaths (thousands)

9 8 7

9

Number of deaths, under 70 years Females

8 7 6 5

6 5

4 3

4 3 2

2 1 0 2000 2002 2004 2006 Cancers

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 31% 15.2 30.4% 20.7% females 22% 6.4 19.2% 14.5% total 26% 10.7 24.5% 17.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry No No es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

181

Noncommunicable Diseases Country Profiles 2014

yrian Arab Republic Total population: 21 890 000 Income Group: Lower middle Age-standardized death rates* 600

Percentage of population living in urban areas: 5 .1% Population proportion between ages 30 and 70 years: 33.0% Proportional mortality (% of total deaths, all ages, both sexes)* males

age-standardized death rate per 100,000

500

females

Cardiovascular diseases 28%

400

300

Injuries 48%

200 Cancers 10%

100 Communicable, maternal, perinatal and nutritional conditions 6%

Chronic respiratory diseases 2% Other NCDs 5% Diabetes 1%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 135,000 NCDs are estimated to account for 4 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

20 18 16 14

20 18 16

Number of deaths, under 70 years Females

14 12 10 8 6 4 2

12 10 8

6 4 2 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 2.3 26.4% 20.7% females ... 0.1 23.4% 33.5% total ... 1.2 24.9% 27.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No es No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

182

Noncommunicable Diseases Country Profiles 2014

Ta ikistan Total population: 8 009 000 Income Group: Low Age-standardized death rates* 700

Percentage of population living in urban areas: 2 .5% Population proportion between ages 30 and 70 years: 31.4% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8%

age-standardized death rate per 100,000

600 500

400 300

Communicable, maternal, perinatal and nutritional conditions 30%

Cardiovascular diseases 38%

200 100 Cancers 8% Other NCDs 11%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 1%

Chronic respiratory diseases 4%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 48,000 NCDs are estimated to account for 2% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

29% .

Number of deaths (thousands)

9 8 7

9

Number of deaths, under 70 years Females

8 7 6 5

6 5

4 3

4 3 2

2 1 0 2000 2002 2004 2006 Cancers

1 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 4.3 32.9% 7.2% females ... 1.4 29.1% 10.0% total ... 2.8 30.9% 8.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No es es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

183

Noncommunicable Diseases Country Profiles 2014

Thailand Total population: 785 000 Income Group: pper middle Age-standardized death rates* 300

Percentage of population living in urban areas: 34.1% Population proportion between ages 30 and 70 years: 54.3% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 11% Cardiovascular diseases 29%

age-standardized death rate per 100,000

250

females Communicable, maternal, perinatal and nutritional conditions 18%

200

150

100

50

Other NCDs 12%

Cancers 17% Diabetes 4% Chronic respiratory diseases 9%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 501,000 NCDs are estimated to account for 71% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

1 %.

Number of deaths (thousands)

100 90 80 70

100 90 80

Number of deaths, under 70 years Females

70 60 50 40 30 20 10

60 50 40

30 20 10 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 13.8 24.1% 5.0% females 3% 0.8 20.7% 12.2% total 24% 7.1 22.3% 8.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

184

Noncommunicable Diseases Country Profiles 2014

The former ugoslav Republic of Macedonia Total population: 2 10 000 Income Group: pper middle Age-standardized death rates 600

Percentage of population living in urban areas: 59.3% Population proportion between ages 30 and 70 years: 52.4% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 2% Other NCDs 5% Diabetes 4% Chronic respiratory diseases 3% Injuries 3%

age-standardized death rate per 100,000

500

females

400

300

200 Cancers 22%

100

Cardiovascular diseases 61%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 20,000 NCDs are estimated to account for 95% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

22% .

5,000 4,500 Number of deaths 4,000 3,500

5,000 4,500 4,000

Number of deaths, under 70 years Females

Number of deaths

3,500 3,000 2,500 2,000 1,500 1,000 500

3,000 2,500 2,000

1,500 1,000 500 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 10.2 41.0% 22.2% females ... 3.2 37.0% 20.0% total ... 6.7 39.0% 21.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

No es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

185

Noncommunicable Diseases Country Profiles 2014

Timor-Leste Total population: 1 114 000 Income Group: Lower middle Age-standardized death rates* 450

Percentage of population living in urban areas: 28.3% Population proportion between ages 30 and 70 years: 22.3% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 9% Cardiovascular diseases 20%

age-standardized death rate per 100,000

400

350 300 250

200 150 100

Cancers 11%

50 0

Communicable, maternal, perinatal and nutritional conditions 47%

Chronic respiratory diseases 4% Diabetes 2% Other NCDs 7%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 7,000 NCDs are estimated to account for 44% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

24% .

1,200 1,000 Number of deaths

1,200

Number of deaths, under 70 years Females

1,000 Number of deaths 800

800 600 400 200 0 2000 2002 2004 2006 Cancers

600 400 200

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 1.0 24.6% 1.4% females ... 0.1 20.8% 4.0% total ... 0.6 22.7% 2.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

186

Noncommunicable Diseases Country Profiles 2014

Togo Total population: 43 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 38.0% Population proportion between ages 30 and 70 years: 28.2% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 8% Cardiovascular diseases 11% Cancers 4% Chronic respiratory diseases 1% Diabetes 2%

age-standardized death rate per 100,000

300 250

males

females

200 150 Other NCDs 12%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 62%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 5,000 NCDs are estimated to account for 30% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

20% .

Number of deaths (thousands)

8 7 6

8 7

Number of deaths, under 70 years Females

6 5 4 3 2 1

5 4 3

2 1 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 14% 3.8 33.3% 2.8% females 2% 0.9 29.8% 5.7% total 8% 2.3 31.5% 4.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

187

Noncommunicable Diseases Country Profiles 2014

Tonga Total population: 105 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 23.4% Population proportion between ages 30 and 70 years: 32.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 700

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 3.0 32.6% 46.6% females 12% 0.2 27.5% 68.5% total 27% 1.6 30.0% 57.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

es es es es es es No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

188

Noncommunicable Diseases Country Profiles 2014

Trinidad and Tobago Total population: 1 337 000 Income Group: High Age-standardized death rates 500

Percentage of population living in urban areas: 13.7% Population proportion between ages 30 and 70 years: 49.5% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 9% Injuries 11%

age-standardized death rate per 100,000

450 400

females

Cardiovascular diseases 32%

350 300 250 200 150 100 Cancers 16% Other NCDs 15%

50 0

Diabetes 14% Chronic respiratory diseases 3%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 13,000 NCDs are estimated to account for 80% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

2 %.

3,500 3,000 Number of deaths

3,500

Number of deaths, under 70 years Females

3,000 Number of deaths 2,500 2,000

2,500 2,000 1,500 1,000 500 0 2000 2002 2004 2006 Cancers

1,500 1,000 500

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 9.7 32.4% 20.6% females ... 3.9 26.6% 37.5% total ... 6.7 29.4% 29.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

No es es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

189

Noncommunicable Diseases Country Profiles 2014

Tunisia Total population: 10 875 000 Income Group: pper middle Age-standardized death rates* 450

Percentage of population living in urban areas: .3% Population proportion between ages 30 and 70 years: 45.0% Proportional mortality (% of total deaths, all ages, both sexes)* Communicable, maternal, perinatal and nutritional conditions 11% Injuries 7%

age-standardized death rate per 100,000

400

males females

350 300 250 Other NCDs 11% Cardiovascular diseases 49%

200 150 100

Diabetes 5%

50 0

Chronic respiratory diseases 5%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 12%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 0,000 NCDs are estimated to account for 82% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 52% 3.0 29.3% 12.8% females 11% 0.0 28.8% 31.7% total 32% 1.5 29.0% 22.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No es No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

190

Noncommunicable Diseases Country Profiles 2014

Turkey Total population: 73 997 000 Income Group: pper middle Age-standardized death rates* 600

Percentage of population living in urban areas: 71.5% Population proportion between ages 30 and 70 years: 43. % Proportional mortality (% of total deaths, all ages, both sexes)* males Communicable, maternal, perinatal and nutritional conditions 7% Other NCDs 7% Injuries 7%

age-standardized death rate per 100,000

500

females

400 Diabetes 2%

300 Chronic respiratory diseases 8%

200

100

Cardiovascular diseases 47%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 22%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 422,000 NCDs are estimated to account for 8 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

120 100 80 60 40 20 0 2000 2002

120

Number of deaths, under 70 years Females

100 80

60 40 20

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 42% 4.4 21.2% 21.7% females 13% 0.5 22.8% 34.0% total 27% 2.0 22.0% 27.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No es es es No es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

191

Noncommunicable Diseases Country Profiles 2014

Turkmenistan Total population: 5 173 000 Income Group: pper middle Age-standardized death rates* 900

Percentage of population living in urban areas: 48.7% Population proportion between ages 30 and 70 years: 38.2% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10%

age-standardized death rate per 100,000

800

males

700 600 500

females

Communicable, maternal, perinatal and nutritional conditions 13%

400 300 200 Other NCDs 12%

Cardiovascular diseases 50%

100 0

Diabetes 2% Chronic respiratory diseases 4% Cancers 9%

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 45,000 NCDs are estimated to account for 7 % of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

41% .

Number of deaths (thousands)

14 12 10 8 6 4 2 0 2000 2002

14

Number of deaths, under 70 years Females

12 10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 7.6 33.3% 12.9% females ... 1.3 28.9% 13.5% total ... 4.3 31.0% 13.2%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No es es es es es es es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

192

Noncommunicable Diseases Country Profiles 2014

Tuvalu Total population: 10 000 Income Group: pper middle Age-standardized death rates* Percentage of population living in urban areas: 50. % Population proportion between ages 30 and 70 years: 39.7% Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 90

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 2.5 ... ... females ... 0.5 ... ... total ... 1.5 ... ...

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes … = no data available

es No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

193

Noncommunicable Diseases Country Profiles 2014

ganda Total population: 3 34 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 15. % Population proportion between ages 30 and 70 years: 22.5% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 13% Cardiovascular diseases 9% Cancers 5% Chronic respiratory diseases 2% Diabetes 1%

age-standardized death rate per 100,000

300 250

200 150

Other NCDs 10%

100 50

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 60%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 353,000 NCDs are estimated to account for 27% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

21% .

Number of deaths (thousands)

40 35 30

40 35

Number of deaths, under 70 years Females

30 25 20 15 10 5

25 20 15

10 5 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 16% 14.4 36.0% 3.8% females 3% 5.2 32.5% 4.7% total 10% 9.8 34.2% 4.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

194

Noncommunicable Diseases Country Profiles 2014

kraine Total population: 45 530 000 Income Group: Lower middle Age-standardized death rates 900

Percentage of population living in urban areas: 8.9% Population proportion between ages 30 and 70 years: 52.8% Proportional mortality (% of total deaths, all ages, both sexes) males females Communicable, maternal, perinatal and nutritional conditions Other NCDs 5% 7% Diabetes 0% Injuries 5%

age-standardized death rate per 100,000

800

700 600 500

Cardiovascular diseases 68%

Chronic respiratory diseases 2%

400 300 200 Cancers 13%

100 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 8 ,000 NCDs are estimated to account for 90% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

28% .

Number of deaths (thousands)

200 180 160 140

200 180 160

Number of deaths, under 70 years Females

140 120 100 80 60 40 20

120 100 80

60 40 20 0 2000 2002 2004 2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 49% 22.0 47.7% 15.9% females 14% 7.2 43.1% 25.7% total 30% 13.9 45.1% 21.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

195

Noncommunicable Diseases Country Profiles 2014

nited Arab mirates Total population: 9 20 000 Income Group: High Age-standardized death rates* 400

Percentage of population living in urban areas: 84.4% Population proportion between ages 30 and 70 years: 45.9% Proportional mortality (% of total deaths, all ages, both sexes)* males

age-standardized death rate per 100,000

350 300 250

females

Injuries 23%

Cardiovascular diseases 30%

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 12%

Cancers 13% Other NCDs 16% Chronic respiratory diseases 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Diabetes 3%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 9,700 NCDs are estimated to account for 5% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

19% .

4,500 4,000 Number of deaths 3,500

4,500

Number of deaths, under 70 years Females

4,000 Number of deaths 3,500 3,000 2,500

3,000 2,500

2,000 1,500

2,000 1,500 1,000

1,000 500 0 2000 2002 2004 2006 Cancers

500 2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 5.5 21.1% 30.0% females ... 0.8 13.3% 39.9% total ... 4.3 19.1% 32.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available

No No No No No No es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

196

Noncommunicable Diseases Country Profiles 2014

nited ingdom Total population: 2 783 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 79. % Population proportion between ages 30 and 70 years: 51.0% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 7% Injuries 4%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 31% Other NCDs 20%

200

150

100

Diabetes 1%

50 Chronic respiratory diseases 8%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 29%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 557,000 NCDs are estimated to account for 89% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

12% .

Number of deaths (thousands)

90 80 70

90

Number of deaths, under 70 years Females

80 70 60 50

60 50

40 30

40 30 20

20 10 0 2000 2002 2004 2006 Cancers

10 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 22% 16.5 30.7% 26.0% females 22% 6.9 25.0% 27.7% total 22% 11.6 27.7% 26.9%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es es es es es es es No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

197

Noncommunicable Diseases Country Profiles 2014

nited Republic of Tanzania Total population: 47 783 000 Income Group: Low Age-standardized death rates* 300

Percentage of population living in urban areas: 2 .7% Population proportion between ages 30 and 70 years: 2 .0% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 12% Cardiovascular diseases 9% Cancers 5% Chronic respiratory diseases 1% Diabetes 2%

age-standardized death rate per 100,000

250

females

200

150 Other NCDs 13%

100

50 Communicable, maternal, perinatal and nutritional conditions 58%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 403,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

1 %.

Number of deaths (thousands)

45 40 35

45

Number of deaths, under 70 years Females

40 35 30 25

30 25

20 15

20 15 10

10 5 0 2000 2002 2004 2006 Cancers

5 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 11.4 31.6% 3.4% females ... 4.0 29.4% 6.4% total ... 7.7 30.5% 5.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes). … = no data available ND = Country did not respond to country capacity survey

ND ND ND ND ND ND ND ND ND

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

198

Noncommunicable Diseases Country Profiles 2014

nited tates of America Total population: 318 000 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 82.4% Population proportion between ages 30 and 70 years: 50.3% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 6% Injuries 6%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 31% Other NCDs 23%

200

150

100

50

Diabetes 3% Chronic respiratory diseases 8% Cancers 23%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 2, 5 ,000 NCDs are estimated to account for 88% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

14% .

Number of deaths (thousands)

450 400 350

450

Number of deaths, under 70 years Females

400 350 300 250

300 250

200 150

200 150 100

100 50 0 2000 2002 2004 2006 Cancers

50 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 13.6 18.2% 31.1% females ... 4.9 17.8% 34.8% total ... 9.2 18.0% 33.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es es es es es es es es es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

199

Noncommunicable Diseases Country Profiles 2014

ruguay Total population: 3 395 000 Income Group: High Age-standardized death rates 300

Percentage of population living in urban areas: 92.5% Population proportion between ages 30 and 70 years: 45.7% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 8% Injuries 7%

age-standardized death rate per 100,000

250

females

Cardiovascular diseases 30%

200

150

Other NCDs 19%

100

50

Diabetes 2% Chronic respiratory diseases 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 27%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 31,000 NCDs are estimated to account for 85% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males

17% .

6,000 5,000 Number of deaths

6,000

Number of deaths, under 70 years Females

5,000 Number of deaths 4,000

4,000 3,000 2,000 1,000 0 2000 2002 2004 2006 Cancers

3,000 2,000 1,000

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 29% 11.3 39.9% 21.1% females 21% 4.2 31.0% 28.1% total 25% 7.6 35.1% 24.8%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No es es es No No es

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

200

Noncommunicable Diseases Country Profiles 2014

zbekistan Total population: 28 541 000 Income Group: Lower middle Age-standardized death rates 800

Percentage of population living in urban areas: 3 .2% Population proportion between ages 30 and 70 years: 37.2% Proportional mortality (% of total deaths, all ages, both sexes) males Communicable, maternal, perinatal and nutritional conditions 14% Injuries 7%

age-standardized death rate per 100,000

700 600 500

females

400 300 200 100

Other NCDs 12%

Cardiovascular diseases 54%

Diabetes 2% Chronic respiratory diseases 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cancers 8%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 184,000 NCDs are estimated to account for 79% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

31% .

Number of deaths (thousands)

45 40 35

45

Number of deaths, under 70 years Females

40 35 30 25

30 25

20 15

20 15 10

10 5 0 2000 2002 2004 2006 Cancers

5 0 2000 2002 2004 2006 2008 2010 2012

2008 Diabetes

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 22% 7.9 26.7% 12.8% females 3% 1.3 22.7% 17.4% total 13% 4.6 24.7% 15.1%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry es No No No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

201

Noncommunicable Diseases Country Profiles 2014

anuatu Total population: 247 000 Income Group: Lower middle Age-standardized death rates* Percentage of population living in urban areas: 24.9% Population proportion between ages 30 and 70 years: 32. % Proportional mortality (% of total deaths, all ages, both sexes)*

No Data vailable

No Data vailable

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Cancers Diabetes

Total deaths: 1,100

Premature mortality due to NCDs*

Number of deaths, under 70 years Males

Number of deaths, under 70 years Females

No Data vailable

No Data vailable

2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 43% 2.5 36.9% 21.0% females 8% 0.2 30.7% 34.2% total 25% 1.4 33.8% 27.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * ee Explanatory Notes

No No No No No No es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

202

Noncommunicable Diseases Country Profiles 2014

enezuela ( olivarian Republic of) Total population: 29 955 000 Income Group: pper middle Age-standardized death rates 300

Percentage of population living in urban areas: 93.5% Population proportion between ages 30 and 70 years: 40.8% Proportional mortality (% of total deaths, all ages, both sexes) males

age-standardized death rate per 100,000

250

females

Injuries 22%

Cardiovascular diseases 30%

200

150

100

Communicable, maternal, perinatal and nutritional conditions 11%

50 Other NCDs 12% Cancers 15% Diabetes 7% Chronic respiratory diseases 3%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 143,000 NCDs are estimated to account for 7% of total deaths.

Premature mortality due to NCDs

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

1 %.

Number of deaths (thousands)

30 25 20 15 10 5 0 2000 2002

30

Number of deaths, under 70 years Females

25 20

15 10 5

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) ... 12.7 34.5% 26.6% females ... 5.2 23.1% 33.9% total ... 8.9 28.7% 30.3%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry … = no data available

es No No es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

203

Noncommunicable Diseases Country Profiles 2014

iet Nam Total population: 90 79 000 Income Group: Lower middle Age-standardized death rates* 300

Percentage of population living in urban areas: 31.0% Population proportion between ages 30 and 70 years: 44.1% Proportional mortality (% of total deaths, all ages, both sexes)* Injuries 10%

age-standardized death rate per 100,000

250

males 200

females

Communicable, maternal, perinatal and nutritional conditions 16%

Cardiovascular diseases 33%

150

100

Other NCDs 13%

50

Diabetes 3% Chronic respiratory diseases 7% Cancers 18%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 520,000 NCDs are estimated to account for 73% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

17% .

Number of deaths (thousands)

120 100 80 60 40 20 0 2000 2002

120

Number of deaths, under 70 years Females

100 80

60 40 20

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 46% 12.1 25.7% 1.2% females 2% 0.2 20.5% 2.1% total 23% 6.6 23.1% 1.7%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No es es No es No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

emen Total population: 23 852 000 Income Group: Lower middle Age-standardized death rates* 500

Percentage of population living in urban areas: 32.3% Population proportion between ages 30 and 70 years: 25.8% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 11% Cardiovascular diseases 21%

age-standardized death rate per 100,000

450 400

350 300 250 200 150 100 Communicable, maternal, perinatal and nutritional conditions 50% Cancers 5% Chronic respiratory diseases 3% Diabetes 2% Other NCDs 8%

50 0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 1 3,000 NCDs are estimated to account for 39% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

23% .

Number of deaths (thousands)

25 20

25 20

Number of deaths, under 70 years Females

15 10

15 10 5

5 0 2000

2002

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 35% 0.4 26.9% 9.2% females 11% 0.1 23.4% 19.8% total 23% 0.3 25.1% 14.5%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

No No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

205

Noncommunicable Diseases Country Profiles 2014

ambia Total population: 14 075 000 Income Group: Lower middle Age-standardized death rates* 400

Percentage of population living in urban areas: 39.2% Population proportion between ages 30 and 70 years: 24.4% Proportional mortality (% of total deaths, all ages, both sexes)* males Injuries 11% Cardiovascular diseases 8% Cancers 4% Chronic respiratory diseases 1% Diabetes 1% Other NCDs 8%

age-standardized death rate per 100,000

350 300 250

females

200 150 100 50 Communicable, maternal, perinatal and nutritional conditions 67%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 147,000 NCDs are estimated to account for 23% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

18% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 24% 6.5 34.1% 1.0% females 4% 1.6 31.5% 6.2% total 14% 4.0 32.8% 3.6%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No es es es es es No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Noncommunicable Diseases Country Profiles 2014

imbabwe Total population: 13 724 000 Income Group: Low Age-standardized death rates* 350

Percentage of population living in urban areas: 38. % Population proportion between ages 30 and 70 years: 24.1% Proportional mortality (% of total deaths, all ages, both sexes)* males females Injuries 8% Cardiovascular diseases 9% Cancers 10%

age-standardized death rate per 100,000

300 250

200 150

Chronic respiratory diseases 3% Diabetes 1%

100 50

Other NCDs 7%

0

2000

2002

2004

2006

2008

2010 Cancers Diabetes

2012

Communicable, maternal, perinatal and nutritional conditions 62%

Cardiovascular Diseases Chronic Respiratory Diseases

Total deaths: 138,000 NCDs are estimated to account for 31% of total deaths.

Premature mortality due to NCDs*

The probability of dying between ages 30 and 70 years from the 4 main NCDs is Number of deaths, under 70 years Males Number of deaths (thousands)

19% .

Number of deaths (thousands)

12 10 8 6 4 2 0 2000 2002

12

Number of deaths, under 70 years Females

10 8

6 4 2

2004

2006 Cancers

2008 Diabetes

2010

2012

0 2000

2002

2004

2006

2008

2010

2012

Cardiovascular Diseases

Chronic Respiratory Diseases

Other NCDs

Adult risk factors males Current tobacco smoking (2011) Total alcohol per capita consumption, in litres of pure alcohol (2010) Raised blood pressure (2008) Obesity (2008) 25% 10.8 30.1% 2.4% females 1% 0.8 31.6% 11.6% total 12% 5.7 30.9% 7.0%

National systems response to NCDs Has an operational NCD unit/branch or department within the Ministry of Health, or equivalent 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 harmful use of alcohol Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity Has an operational policy, strategy or action plan to reduce the burden of tobacco use Has an operational policy, strategy or action plan to reduce unhealthy diet and/or promote healthy diets Has evidence-based national guidelines/protocols/standards for the management of major NCDs through a primary care approach Has an NCD surveillance and monitoring system in place to enable reporting against the nine global NCD targets Has a national, population-based cancer registry * The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data (see Explanatory Notes).

es No No No No No No No No

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014.

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Informations clés
Type de document Publications
Date d'adoption
Source Organisation mondiale de la santé