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    Disease Globally & Locally: Dr. N Sivarajah Faculty of Medicine, University of Jaffna August 09, 2012

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    dewkmc
    The document provides demographic and health statistics for Sri Lanka from 1871 to 2011 including: - Population growth from 2.4 million in 1871 to 20.2 million in 2011 with increasing population density. - Declining crude birth and death rates over time along with decreasing infant, child and maternal mortality. - Shifting leading causes of hospitalization and mortality, with non-communicable diseases increasing. - Rising life expectancy at birth for both males and females since the early 20th century. - Increasing literacy rates countrywide since the late 19th century.

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    Disease Globally & Locally: Dr. N Sivarajah Faculty of Medicine, University of Jaffna August 09, 2012

    Uploaded by

    dewkmc
    34 views25 pages
    The document provides demographic and health statistics for Sri Lanka from 1871 to 2011 including: - Population growth from 2.4 million in 1871 to 20.2 million in 2011 with increasing population density. - Declining crude birth and death rates over time along with decreasing infant, child and maternal mortality. - Shifting leading causes of hospitalization and mortality, with non-communicable diseases increasing. - Rising life expectancy at birth for both males and females since the early 20th century. - Increasing literacy rates countrywide since the late 19th century.

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    The document provides demographic and health statistics for Sri Lanka from 1871 to 2011 including: - Population growth from 2.4 million in 1871 to 20.2 million in 2011 with increasing population density. - Declining crude birth and death rates over time along with decreasing infant, child and maternal mortality. - Shifting leading causes of hospitalization and mortality, with non-communicable diseases increasing. - Rising life expectancy at birth for both males and females since the early 20th century. - Increasing literacy rates countrywide since the late 19th century.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    Download as ppt, pdf, or txt
    34 views25 pages

    Disease Globally & Locally: Dr. N Sivarajah Faculty of Medicine, University of Jaffna August 09, 2012

    Uploaded by

    dewkmc
    The document provides demographic and health statistics for Sri Lanka from 1871 to 2011 including: - Population growth from 2.4 million in 1871 to 20.2 million in 2011 with increasing population density. - Declining crude birth and death rates over time along with decreasing infant, child and maternal mortality. - Shifting leading causes of hospitalization and mortality, with non-communicable diseases increasing. - Rising life expectancy at birth for both males and females since the early 20th century. - Increasing literacy rates countrywide since the late 19th century.

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    Download as ppt, pdf, or txt
    of 25

    AHS Basic Community Health

    2012 batch

    Disease
    Globally & Locally
    Dr. N Sivarajah
    Faculty of Medicine, University of Jaffna
    August 09, 2012

    AHS 2012

    WORLD POPULATION TRENDS


    1750 - 1998
    5884

    6000
    5385
    5000
    4432

    4000

    3696
    3037

    3000
    2526

    2000

    1650

    1262
    978
    1000

    791

    0
    1750

    1800

    1850

    1900

    1950

    1960

    YEAR
    AHS 2012

    1970

    1980

    1990

    1998

    Reached on
    October 12,
    1999

    Since
    Origin of
    World

    1800
    1
    billion

    130
    years

    1930
    2
    billion

    1960
    3
    billion

    1974
    4
    billion

    1987
    5
    billion

    1999
    6
    billion

    2025
    8
    billion

    15 years
    12 years

    30
    years
    12 years
    AHS 2012

    Iceberg of Disease

    Symptomatic Disease

    What is seen by the


    Physician

    Pre-symptomatic Disease
    What is in the
    community and not seen
    by the Physician

    Dr. N Sivarajah

    2012
    MS B 31:AHS
    Trends
    in Mortality &
    Morbidity

    Health Trends in the World

    Dr. N Sivarajah

    AHS 2012

    Leading Causes of Hospitalization - 2006


    Rank
    Order

    Cause of
    Hospitalization

    Morbidity

    Rank
    Order

    Cause of
    Hospitalization

    Morbidity

    Traumatic Injuries

    17.0 %

    Diseases of the
    Urinary tract

    3.9 %

    Diseases of the
    Respiratory System

    10.4 %

    Intestinal Infectious
    diseases

    3.8 %

    Ill defined conditions

    8.4 %

    Diseases of the
    skin &
    Subcutaneous
    tissue

    3.6 %

    Viral diseases

    7.3

    10

    Diseases of the
    Musculoskeletal
    system

    3.3 %

    Diseases of GI Tract

    5.9 %

    11

    Hypertensive
    diseases

    2.6 %

    Direct & Indirect


    obstetric causes

    5.1 %

    Dr. N Sivarajah

    Source: Annual health Bulletin 2006.


    Ministry of Health, Sri Lanka
    (http://www.epid.lk)

    2012
    MS B 31:AHS
    Trends
    in Mortality &
    Morbidity

    Leading Causes of Hospital Deaths 2006


    (per 100, 000 population)
    Rank
    Order

    Cause of Death

    Mortality
    (%)

    Rank
    Order

    Cause of Death

    Mortality
    (%)

    Ischemic Heart Disease

    20.5

    Zoonotic & other


    Bacterial Diseases

    8.0

    Pulmonary Heart Disease


    & Diseases of the
    Pulmonary Circulation

    16.5

    Diseases of the
    Urinary system

    7.8

    Neoplasms

    16.3

    Symptoms, signs &


    abnormal clinical &
    Laboratory findings

    7.7

    Cerebro-vascular
    Diseases

    14.5

    10

    Pneumonia

    7.3

    Diseases of the
    Respiratory system,
    excluding diseases of the
    Upper Respiratory tract

    11.4

    11

    Traumatic Injuries

    6.2

    Diseases of the GIT

    11.3

    Dr. N Sivarajah

    Source: Annual Health Bulletin 2006.


    Ministry of Health, Sri Lanka
    (http://www.epid.lk)
    AHS 2012

    TRENDS IN HOSPITALIZATION (Major NCDs)

    500
    400
    300
    200
    100
    0

    IHD
    HT

    Year

    Dr. N Sivarajah

    AHS 2012

    00
    20

    99
    19

    95
    19

    90
    19

    85
    19

    19

    19

    80

    DM

    75

    Cases /100,000

    Trends in Hospitalization of
    IHD, HT & DM 1975-2000 in SL

    Trends in Hospital Deaths- 1997-2006


    ISCHAEMC HEART
    DISEASE

    14

    P
    E
    R
    C
    E
    N
    T
    A
    G
    E

    DISEASES OF GIT

    12.6%

    12
    10

    9.7%

    9.9%

    9..1%

    8.9%

    8
    6

    6.5%

    NEOPLASM
    S

    2
    0

    1997

    Dr. N Sivarajah

    1998

    1999

    2000

    2001

    2002

    YEAR
    AHS
    2012

    2003

    2004

    2005

    2006

    Trends in Hospitalization for selected Infectious


    Diseases - 1985 2006
    (per 100.000 population)
    INTESTINAL
    INFECTIONS

    MALARIA

    HELMINTHIASIS

    Dr. N Sivarajah

    AHS 2012

    10

    Trends in Hospitalization for Diabetes 1985 2006


    (Hospitalization per 100, 000 population)
    Note: Data excludes North and Eastern Provinces
    296.8
    265.2

    204.8

    86.6

    87.5

    1985

    1990

    Dr. N Sivarajah

    78.6

    1995

    2000

    2012
    MS B 31:AHS
    Trends
    in Mortality &
    Morbidity

    2005

    2006
    11

    Hospitalization for Asthma 1985 2006


    (Per 100,000 population)
    Note: Data excludes North and Eastern Provinces
    1000.0
    900.0

    910.4

    800.0

    894.8
    700.0

    817.3

    779.3

    600.0
    500.0

    554.7

    400.0
    300.0

    395.0

    200.0
    100.0
    0.0

    1985

    1990

    1995

    2000

    2005

    2006

    YEAR
    Dr. N Sivarajah

    AHS 2012

    12

    Injury, Poisoning & consequence of external


    causes
    (per 100,000 population)
    3,809.00

    2006

    3,460.60

    2005

    3,345.70

    2000

    2,552.10

    1995

    1990

    1,799.80

    1985

    1,669.40

    Dr. N Sivarajah

    AHS 2012

    13

    Crude Birth Rates, Crude Death Rates,


    Infant and Maternal Mortality Rates
    Census
    Year

    Population
    (Census)

    CBR (per
    1000
    population)

    CDR (per
    1000
    population)

    IMR (per 1000


    live Births)

    MMR (per
    10,000 Live
    births)

    1871

    2 400 300

    28.5

    19.4

    1881

    2 759 738

    27.1

    27.2

    170

    1891

    3 007 789

    31.9

    28.7

    170

    1901

    3 555 954

    37.5

    27.6

    170

    1911

    4 106 350

    38.0

    34.8

    218

    1921

    4 498 605

    40.7

    31.2

    192

    210

    1931

    5 306 871

    37.4

    22.1

    158

    208

    1946

    6 653 339

    37.4

    19.8

    141

    155

    1953

    8 097 700

    38.7

    10.9

    71

    49

    1963

    10 582 064

    34.1

    8.5

    56

    24

    1971

    12 711 143

    30.1

    7.7

    47

    12

    1981

    14 850 001

    28.0

    6.0

    34.4(1979)

    9 (1979)

    2001

    18 732 256

    18.9

    5.9

    12.2

    2.3

    Dr. N Sivarajah

    AHS 2012

    14

    AHS 2012

    15

    Demographic Characteristics

    Land area
    62,705 sq. km
    Maximum length
    435kms.
    Maximum width
    225 kms.
    Census Population (2011) 20.2 m
    Population density (2011) 323 persons /sq. km.
    Provinces
    8
    Districts
    25
    Divisional Secretaries areas
    321

    Dr. N Sivarajah

    AHS 2012

    16

    Demographic Characteristics

    Land area
    62,705 sq. km
    Maximum length
    435kms.
    Maximum width
    225 kms.
    Census Population (2011) 20.2 m
    Population density (2011) 323 persons /sq. km.
    Provinces
    8
    Districts
    25
    Divisional Secretaries areas
    321
    Source: Census of Population & Housing 2011 Preliminary report .

    Dr. N Sivarajah

    AHS 2012

    www.statistics.gov.lk

    17

    RATES FOR SRI LANKA


    CENSUS POPULATION (2001)

    18,732,256

    CRUDE BIRTH RATE

    18.9 per 1000 population

    CRUDE DEATH RATE

    5.9 per 1000 Population

    INFANT MORTALITY RATE

    12.2 per 1000 live births

    MATERNAL MORTALITY RATE 2.3 per 10.000 Live births


    NEONATAL MORTALITY RATE
    (2002)

    8.4 per 1000 Live births

    UNDER 5 MORTALITY RATE


    (2002)

    13.4 per 1000 Live births

    Source: Census of Population and Housing.2001 Department of Census & statistics.


    In Annual Health Bulletin. 2002 . pp ix-xii
    Dr. N Sivarajah

    AHS 2012

    18

    Crude Birth Rates, Crude Death Rates,


    Infant and Maternal Mortality Rates
    Census
    Year

    Population
    (Census)

    CBR (per
    1000
    population)

    CDR (per
    1000
    population)

    IMR (per 1000


    live Births)

    MMR (per
    10,000 Live
    births)

    1871

    2 400 300

    28.5

    19.4

    1881

    2 759 738

    27.1

    27.2

    170

    1891

    3 007 789

    31.9

    28.7

    170

    1901

    3 555 954

    37.5

    27.6

    170

    1911

    4 106 350

    38.0

    34.8

    218

    1921

    4 498 605

    40.7

    31.2

    192

    210

    1931

    5 306 871

    37.4

    22.1

    158

    208

    1946

    6 653 339

    37.4

    19.8

    141

    155

    1953

    8 097 700

    38.7

    10.9

    71

    49

    1963

    10 582 064

    34.1

    8.5

    56

    24

    1971

    12 711 143

    30.1

    7.7

    47

    12

    1981

    14 850 001

    28.0

    6.0

    34.4(1979)

    9 (1979)

    2001

    18 732 256

    18.9

    5.9

    12.2

    2.3

    2011

    20,277,597

    Dr. N Sivarajah

    AHS 2012

    19

    TRENDS IN BIRTH & DEATH RATES


    CBR increased during
    first half of the century

    Significant decrease
    in CBR was in mid
    50s - (between 1981
    and 1991 25%
    decrease)
    Dr. N Sivarajah

    CRUDE BIRTH & DEATH RATES - 1871 TO 2001


    80
    34.8
    70

    31.2

    27.6
    28.7

    60

    PER 1000 POPULATION

    Compulsory
    registration contributed
    to it

    22.1

    19.8

    27.2
    50

    10.9

    19.4

    37.5
    30

    8.5

    40.7

    40

    38.7

    37.4

    38

    37.4

    28.5

    7.7
    34.1

    31.9

    6
    30.1

    27.1

    28
    5.9

    20

    18.9

    10

    AHS 2012

    1871

    1881

    1891

    1901

    1911

    1921

    1931

    1946

    1953

    1963

    1971

    1981

    2001

    CENSUS YEARS

    20

    Expectation of life at Birth


    Period

    Male

    Female

    Period

    Male

    Female

    1900-1902

    36.4

    34.2

    1962-1964

    63.3

    63.0

    1910-1912

    33.4

    29.3

    1965

    63.7

    65.0

    1920-1922

    32.7

    30.7

    1967

    64.8

    66.9

    1946-1947

    46.8

    44.7

    1971

    64.2

    67.1

    1948

    54.9

    53.0

    1981

    67.8

    71.7

    1949

    56.1

    54.8

    1991-1996

    69.5

    74.2

    1950

    56.4

    54.8

    1996-2001

    70.7

    75.4

    1952

    57.6

    55.5

    1953

    58.8

    57.5

    Dr. N Sivarajah

    AHS 2012

    21

    Expectation of Life at Birth


    EXPECTATION OF LIFE AT BIRTH BY SEX
    80

    EXPECTATION OF LIFE IN YEARS

    70

    60
    50

    40

    Male

    Female

    30

    20
    10

    0
    '1900- '1910- 1920- 19461902 1912 1922 1947

    1948

    1949

    1950

    1952

    1953 19621964

    1965

    1967

    1971

    1981 1991- 19961996 2001

    PERIOD

    AHS 2012

    22

    LITERACY RATE BY SEX - 1881 - 1994


    100
    92.5
    87.9

    91.1

    90
    85.8

    85.6

    83.2

    80
    75.9

    PERCENT lITERATE

    70

    70.9

    70.1

    67.5

    60
    56.3
    50

    53.6

    47.2

    40

    Male

    43.8

    42

    female

    36.1
    30

    29.8
    21.2

    20
    12.5

    10

    8.5
    3.1

    5.3

    0
    1881

    1891

    1901

    1911

    1921

    1946

    1953

    1963

    1971

    1981

    1994

    YEAR

    Dr. N Sivarajah

    AHS 2012

    23

    References
    K Park (2000) Parks text book of
    Preventive and Social Medicine. 19th
    Edition. M/s Banarsidas Bhanot India.
    Annual Health Bulletin 2006, Ministry of
    Health, Sri Lanka
    http://www.epid.lk for Annual Health
    Bulletin 2006
    www.jaffnahealth.org
    Dr. N Sivarajah

    AHS 2012

    24

    AHS 2012

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