Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694840183013.pdf (Mauritius)
F O R E W O R D The Health Statistics Unit of the Ministry of Health and Quality of Life has been publishing, since 1975, an annual report on health statistics pertaining to the Island of Mauritius and since 1988, one pertaining to the Island of Rodrigues.

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This report contains information on population and vital statistics, infrastructure and personnel, morbidity, mortality and the activities of almost all health services pertaining to the Island of Mauritius and to the Island of Rodrigues.
A few data relates to the Republic of Mauritius.

3.

Health Statistics included in this report is based on data available as at the end of May 2013.

Consequently, a few figures may be ultimately revised.

Similarly, certain figures pertaining to 2012 and earlier years included in this report differ from those published in previous editions.
Furthermore, based on the 2011 Population Census data, certain previously published figures pertaining to population and vital statistics have been revised by Statistics Mauritius.

4.

Based on information obtained from other sources or otherwise, a few data pertaining to certain health services, including in the private sector, have been adjusted for under or over reporting, mainly for trend analysis.

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5.

The data relating to population, including those required to compile most vital statistics, the main source of which is the Civil Status Office, have been obtained from Statistics Mauritius.

Other data have been either collected directly by the Health Statistics Unit, or obtained mostly from the Health Records Division and other Sections/Units/Divisions of the Ministry of Health & Quality of Life and the Commission for Health in Rodrigues.

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The valuable assistance from the various sectors and the spirit of team work among the staff of Health Statistics Unit are gratefully acknowledged.
N. Jeeanody June, 2014 Chief Health Statistician healthstats@mail.gov.mu TABLE OF CONTENTS Part I : Island of Mauritius SELECTED HEALTH VARIABLES AND INDICATORS 2013 HEALTH SITUATION ANALYSIS Selected indicators pertaining to the Republic of Mauritius TIME SERIES ON: - Stillbirths Rate 1990-2013 - Infant Mortality Rate 1990-2013 - Under 5 Mortality Rate 1990-2013 - Maternal Mortality Ratio 1990-2013 - Low Birth Weight 1990-2013 - Statistics on Caesarian Section - Complications following abortions ( including spontaneous ) - Admissions due to Selected diseases - First attendances at Primary Health Care Centres for Selected diseases - Incidence rates of certain communicable diseases - Mortality due to main Non-Communicable diseases POPULATION AND VITAL STATISTICS Estimated resident population by sex 31 December 2013 Livebirths, crude birth rate, deaths and crude death rate Stillbirths and neonatal deaths (numbers and rates) 1990 - 2013 Population and vital statistics by district (numbers) - 2013 Population and vital statistics by district (rates) - 2013 Life expectancy (Republic of Mauritius) 2000 - 2013 Population by region (urban and rural) as at mid-year 2013 Fertility rates 2013 Life expectancy (Island of Mauritius) 2000 - 2013 Population by age-group and sex as at mid-year 2013 INFRASTRUCTURE AND PERSONNEL Health services as at 31.12.2013 Bed situation as at 31.12.2013 Health manpower 2004- 2013 Health manpower (additional data) 2013 MATERNAL AND CHILD HEALTH Maternal and child health activities 2013 Expanded Programme on Immunization 2013 Maternal and child health activities by district - 2013 Maternal and child health activities by district (additional data) - 2013 Activities of the Expanded Programme on Immunization by district - 2013 Indicators related to antenatal care * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately.
Page i, ii 1- * * * * * * * * * * * * * * * * * * IMMUNIZATIONS Immunizations reported 2009 - 2013 Immunizations coverage rates - 2013 Immunizations coverage rates 1995-2013 Immunizations reported by population covered - 2013 46 47 48 49 * * OTHER SERVICES 50 Work performed in hospitals - 2013 51 Haemodialysis, CT-Scan and MRI in Regional Hospitals - 2013 51 Non-traumatic amputations 52 Deliveries performed in general hospitals 2000 - 2013 52 Livebirths registered among teenagers 53 Activity of the X-Ray Department - 2013 53 Out-patient attendances at Specialist Clinics - 2013 53 Out-patient attendances at certain ancilliary services 2010-2013 54 Attendances at Primary Health Care Centres - 2013 55 Summary on pre-primary and primary school health service by district - 2013 56 Primary school health statistics by standard - 2013 57 NCD mobile Screening Service 57 Cash gift coupons distributed 57 Home Nursing Care Services 57 Noise monitoring 58 Screening of primary and pre-primary school children - 2013 Dental health service activities (Preventive service) 2010 - 2013 58 Dental health service activities (Curative service) 2009 - 2013 59 60 Pathological tests by category - 2013 60 Selected Laboratory confirmed cases of communicable diseases 2002-2013 61 Pathological tests (positivity rates) - 2011- 2013 62 Basic Sanitation and Food Hygiene Statistics 2009 - 2013 62 Statistics on Cigarettes and alcoholic products 63 Activities of the Community Based Rehabilitation Programme 2009-2013 NOTIFIABLE DISEASES Notifiable diseases reported 2000 - 2013 Notifiable diseases reported by month - 2013 Notifiable diseases reported by district - 2013 Certain notifiable diseases reported by age-group and sex - 2013 Acute Flaccid Paralysis (AFP) surveillance 2006-2013 Diseases Surveillance at hospital level - 2013 New cases of specific diseases attending Area & Community Health Centre 2013 HIV/AIDS statistics by sex 1987 - 2013 HIV tests carried out 2011 - 2013 PRIVATE HEALTH INSTITUTIONS Selected statistics 2000- 2013 Admissions and other attendances by quarter - 2013 Deliveries - 2013 Admissions and other attendances by cause and sex - 2013 Surgical operations and procedures - 2013 64 65 66 67 68 68 68 69 69 70 70 70 71 72 * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately.
* * * * * * * * * * * MORBIDITY Hospital discharges by cause and sex - 2013 Hospital discharges by ICD chapter and sex - 2013 Hospital discharges by ICD chapter, age-group and sex - 2013 Hospital discharges of children under one year-2013 Hospital discharges due to neoplasm by type and sex - 2013 Hospital discharges due to diseases of the circulatory system by age group -2013 Hospital discharges due to injury & poisoning and sex - 2013 First Attendances at AHC and CHC by cause and sex - 2013 First Attendances at AHC and CHC by ICD chapter and sex - 2013 S. Bharati (eye) Hospital, discharges by cause and sex - 2013 Poudre D'or (chest) Hospital, discharges by cause and sex - 2013 Chest diseases, new cases at out-patient specialist clinics by sex - 2013 Brown Sequard Hospital discharges by cause and sex - 2013 Dermatology, new cases at out-patient specialist clinics by quarter - 2013 E.N.T.
, new cases seen by specialists at OPD clinics by quarter - 2013 E.N.T.

Centre,cases treated as in-patients - 2013 E.N.T.
Centre,Operations on in-patients - 2013 Cardiac Centre,cases treated on in-patients - 2013 New cases of sexually transmitted diseases treated by age and sex - 2013 National Day Care Centres for the Immuno-suppressed, attendances by sex - 2013 Occupational health clinics, new cases seen by sex 2013 Attendances at Ayurvedic Clinics - 2013 Common cases of cancer INFANT AND CHILD MORTALITY Discharges from Neonatal Intensive Care Unit by sex - 2013 Infant deaths by age and sex - 2013 Breakdown of infant deaths - 2013 Infant deaths by cause and sex - 2013 Deaths among children aged 0-4 years by cause and sex - 2013 MORTALITY (ALL AGES) Deaths by ICD chapter and sex - 2013 Deaths by ICD chapter and age-group - 2013 Deaths by principal cause and sex - 2013 Deaths by principal cause, sex and age-group - 2013 Chapter-specific death rates - 2013 Age-specific death rates by sex - 2013 Deaths due to diseases of the circulatory system by age-group and sex - 2013 Deaths due to neoplasms by type and sex - 2013 Deaths due to injury and poisoning by external cause, age group and sex - 2013 73 74 75 76 77 78 79 80 81 82 83 83 84 85 86 87 87 88 89 89 90 91 92 * 93 94 95 96 96 97 98 99 100 101 * 102 103 104 105 * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately.
Part II : Island of Rodrigues SELECTED HEALTH VARIABLES AND INDICATORS HEALTH SITUATION ANALYSIS POPULATION AND VITAL STATISTICS Stillbirths and Infant Deaths (Numbers and Rates) 1991 - 2013 Population by Age and Sex as at mid-year 2013 HEALTH PERSONNEL Selected Health Manpower Statistics as at end-of-year 2011- 2013 SERVICE STATISTICS Summary of work performed in hospital/Health Centres-2013 Work performed in Maternity Sections-2013 Out-patient attendances at hospital/Health Centre - 2013 Out-patient attendances at Community Health Centres by quarter - 2013 Activities of the Physiotherapy Department of Queen Elizabeth Hospital - 2013 Activities of the Radiological Department of Queen Elizabeth Hospital - 2013 Activities at the Haemodialysis Unit - 2013 Maternal & Child Health Activities - 2013 Expanded Programme of Immunisation Basic Sanitation and Food hygiene Activities of the Dental Health Service 2009 - 2013 MORBIDITY Distribution of Notifiable Diseases 1992 - 2013 Principal Causes of Hospital and Health Centres Discharges by Sex - 2013 Hospital and Health Centres Discharges by I.C.D.
Chapter & Sex - 2013 Principal Causes of First Attendances at C.H.C by Sex - 2013 First Attendances at Community Health Centres by I.C.D.

Chapter & Sex- 2013 INFANT AND CHILD MORTALITY Causes of Infant Deaths - 2013 Causes of Child Deaths - 2013 Infant Deaths by Sex and Age - 2013 MORTALITY (ALL AGES) Principal Causes of Death by Sex - 2013 Deaths by I.C.D.
Chapter and Sex - 2013 Deaths by Age-group and Sex - 2013 GLOSSARY  107 109 114 115 116 117 117 118 118 119 119 119 120 121 121 122 123 124 125 126 127 128 129 129 130 131 132 133 Health Statistics Report 2013 Executive Summary Every year, the Ministry of Health and Quality of Life publishes a report on health statistics.
The report contains information on population and vital statistics, infrastructure and personnel, morbidity (illness), mortality (cause of death), and the activities of almost all health services pertaining to the Island of Mauritius and to the Island of Rodrigues.

Data on population and vital statistics published in the report have been obtained from Statistics Mauritius.
The salient features of the 2013 Report are as follows: ISLAND OF MAURITIUS  The estimated resident population as at 31 December 2013 was 1,218,060 compared to 1,216,133 as at 31 December 2012, representing an increase of 1,927, that is 0.16%; in the period 2000 to 2013, life expectancy at birth increased by 2.5 years for men  (from 68.1 to 70.6 years) and by 2.4 years for women (from 75.3 to 77.7years);  a total of 12,986 live births were registered in 2013 for a Crude Birth Rate of 10.7 per 1000 mid-year resident population compared to 11.3 in 2012 and 16.9 in 2000;    in 2013, a total of 9,231 deaths were registered for a Crude Death Rate of 7.6 per 1,000 mid-year population; the Infant Mortality Rate, 15.3 per 1,000 live births in 2007, has decreased to 12.2 in 2013; the increasing trend observed in Mauritius during the last 2 decades in the percentage of low birth weight, that is, from 7.9% in 1990 to 17.4% in 2010, has halted in 2011 when it dropped to 17.1%.
The percentage slightly went down from 17.2 in 2012 to 17.0 in 2013;  the number of Doctors working in the Ministry of Health and Quality of Life increased from 777 at the end of 2005 to 1054 in 2013;  at the end of 2013, 3,118 qualified Nurses and Midwives were in post in the public sector compared to 2,732 in 2005;  there were 3,581 beds in Government Hospitals at the end of 2013, with an average occupancy rate of 75.9%;  the number of in-patients in Government Hospitals in 2013 was 212,520 and the number of operations performed on them was 41,468;  in 2013, a total of 1,060,362 cases were seen as outpatient at specialised clinics in government hospitals, of which 150,119 at Orthopaedics clinics, 136,125 at General Medicine clinics, 115,073 at Cardiology clinics and 100,281 at General Surgery clinics; 1 of 2  data obtained from the Mauritius Revenue Authority indicate that the number of imported cigarette sticks was 978.5 million in 2013 compared to 1.3 billion in 2009;  the number of newly detected HIV/AIDS cases among Mauritians, which almost doubled every year between 2001-2005 (55 in 2001, 98 in 2002, 225 in 2003, 525 in 2004 and 921 in 2005), dropped to 542 in 2006.
The number continued to decrease to reach 260 in 2013;  49 cases of malaria and 19 cases of dengue, all imported or introduced, have been reported in 2013; no case of chikungunya was reported;  of all deaths recorded in 2013, diseases of the circulatory system were responsible for 31.0%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 25.2%, neoplasm (cancers) for 13.4%, diseases of the respiratory system for 8.6% and injury and poisoning for 5.3%; ISLAND OF RODRIGUES  The estimated resident population as at 31 December 2013 was 41,504 compared to a population of 41,083 as at 31 December 2012, that is, an increase of 1.0%;  702 live births were registered in 2013 for a Crude Birth Rate of 17.0 per 1,000 mid- year resident population compared to 17.4 in 2012;   in 2013, a total of 209 deaths were registered for a Crude Death Rate of 5.1 per 1,000 mid-year population; the Infant Mortality Rate significantly decreased from 20.6 per 1,000 live births in 2012 to 8.5 per 1,000 live births in 2013;  at the end of 2013, there were 19 Doctors, 3 Dentists and 158 Nurses and Midwives in post in the public sector.
Two Pharmacists were working in the private sector;  in 2013, 4 cases of HIV/AIDS were registered in the island compared to 5 cases in 2012;  of all deaths recorded in 2013, diseases of the circulatory system were responsible for 40.2%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 21.5%, neoplasm (cancers) for 12.9%, diseases of the respiratory system for 6.2% and injury and poisoning for 3.3%.
The Health Statistics Reports are available on the website of the Ministry of Health & Quality of Life (http://health.gov.mu).
2 of 2 - i - SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF MAURITIUS - 2013 ISLAND OF MAURITIUS - 2013 Variable / Indicator Number / Value Denominator POPULATION AND VITAL STATISTICS Estimated mid-year resident population 1,217,341 Population density 653 per square kilometre Estimated mid-year resident population by sex: male female 602,493 614,848 (49.5%) (50.5%) sex ratio 980 males per 1000 females Estimated end-of-year resident population 1,218,060 Population density 653 per square kilometre Estimated female mid-year resident population 15-49 years 316,083 Percentage of total female population Percentage of total population (both sexes) Estimated mid-year population 60 years and over 167,466 Percentage of total population Estimated mid-year population 65 years and over 104,253 Percentage of total population 51.4 26.0 13.8 8.6 12,986 9,231 114 194 159 189 9 70.6 77.7 74.1 Live births Crude birth rate Deaths (all ages) Crude death rate Stillbirths Stillbirth rate Perinatal deaths Perinatal mortality rate Infant deaths Infant mortality rate Deaths under five years Under-five mortality rate Maternal deaths Maternal mortality ratio Life expectancy at birth (years) : Male Female Both Sexes INFRASTRUCTURE AND PERSONNEL Beds - public & private sectors Population : bed ratio Doctors - public & private sectors* Population : doctor ratio Dentists - public & private sectors* Population : dentist ratio Pharmacists - public & private sectors* Population : pharmacist ratio Nurses (including midwives) - public & private sectors* Population : nurse ratio * refers to the Republic of Mauritius 10.7 per 1000 mid-year population 7.6 per 1000 mid-year population 8.7 per 1000 total births 14.8 per 1000 total births 12.2 per 1000 live births 14.6 per 1000 live births 0.69 per 1000 live births 4,271 285 inhabitants per bed 2,046 616 351 3,589 460 2,739 3,879 inhabitants per doctor inhabitants per dentist inhabitants per pharmacist 325 inhabitants per nurse - ii – SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF MAURITIUS - 2013
 Variable / Indicator MATERNAL AND CHILD HEALTH Births attended by qualified personnel Number / Value Denominator 13,048 Percentage of all births (registered=13,100) 99.6 Children with a birthweight of less than 2.5 kg 2,172 Percentage of live births (in hospitals & private clinics=12,750) Total Fertility Rate Net Reproduction Rate IMMUNIZATION ( PUBLIC SECTOR ONLY) Children immunized against tuberculosis 1.41 0.68 11,042 17.0 Immunization coverage Children immunized against diphtheria, whooping cough, tetanus, hepatitis B, Hib and poliomyelitis (3rd dose) Immunization coverage Children immunized against measles/mumps/rubella (MMR) Immunization coverage Pregnant women immunized against tetanus (2nd or higher dose) Immunization coverage 11,306 11,504 8,987 NOTIFIABLE DISEASES (REPUBLIC OF MAURITIUS) Cases of tuberculosis reported 141 86.1 per 100 surviving infants 88.1 per 100 surviving infants 89.7 per 100 surviving infants 65.6 per 100 surviving infants 11.2 per 100,000 mid- year population Incidence rate Cases of malaria reported : [all imported/introduced ] Incidence rate Cases of HIV \ AIDS reported (Mauritians) Incidence rate CAUSE OF DEATH Deaths due to diseases of the circulatory system Percentage of total deaths Disease-specific death rate Deaths due to endocrine, nutritional and metabolic diseases Percentage of total deaths Disease-specific death rate Deaths due to neoplasms Percentage of total deaths Disease-specific death rate Deaths due to diseases of the respiratory system Percentage of total deaths Disease-specific death rate Deaths due to injury and poisoning Percentage of total deaths Disease-specific death rate 49 260 2,858 3.9 20.7 31.0 23.5 2,326 1,233 25.2 19.1 795 489 13.4 10.1 8.6 6.5 5.3 4.0 per 100,000 mid- year population per 100,000 mid- year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population 1 AN ANALYSIS OF THE HEALTH SITUATION
 This analysis of the health situation in Mauritius includes discussion on population and related vital events, on health care delivery system, services and personnel, and on activities carried out in public and private health institutions.
The morbidity patterns and mortality trends have also been discussed.

A few parts refers to the Republic of Mauritius and that pertaining to Rodrigues is given at Page 109.

POPULATION AND VITAL STATISTICS Based on the 2011 Population Census data, certain previously published figures pertaining to population and related vital statistics have been revised by Statistics Mauritius.

A total of 1,236,817 residents were enumerated in the Republic of Mauritius as at mid 2011.
However, due to an under-enumeration of children, the population has been adjusted to 1,252,404.

This figure is lower than the previous estimate of 1,286,051 as at mid 2011 based on the 2000 Census data.

The difference is explained by a change in the definition of ‘resident’ used at the 2011 Census and a revised estimate of emigration of residents during the inter-census period of 2000 to 2011.
The estimated resident population of the Island of Mauritius at the end of 2013 was 1,218,060 (602,831 males and 615,229 females) compared to 1,216,133 in 2012, growing at a rate of 0.2%.

During the year 2013, a total of 12,986 live births was registered, giving a crude birth rate of 10.7 per thousand mid-year resident population compared to 16.9 in 2000.

Life expectancy at birth, which was 68.1 years for males and 75.3 years for females in 2000, has reached 70.6 years and 77.7 years respectively in 2013.
These figures slightly differ with those of the Republic of Mauritius as given in the chart below.

LIFE EXPECTANCY AT BIRTH - REPUBLIC OF MAURITIUS S R A E Y F O O N 78 76 74 72 70 68 66 64 62 60 58 65.9 61.0 62.0 58.7 77.7 70.7 75.3 68.2 73.4 65.6 71.7 64.4 1962 1972 1983 1990 2000 2012 YEAR Men (years) Women (years) 2 The number of deaths registered in 2013 was 9,231, corresponding to a crude death rate of 7.6 per thousand mid-year resident population compared to 7.5 in 2012 and to 6.8 in 2000.
Every year, mortality in Mauritius increases during the winter season with higher number of deaths occurring in the months of July, August and to a lesser extent, September.
Month January February March April May June July August September October November December Year The number of infant deaths, that is deaths among children aged under one year, registered in 2013 was 159, corresponding to an infant mortality rate (IMR) of 12.2 per thousand live births compared to 13.4 in 2012.
The IMR which was 19.6 in 1995 increased to 22.2 in 1996.

Following the opening of the Neonatal Intensive Care Service at Victoria Hospital in May 1999, the IMR drastically fell from 19.2 in 1999 to 15.8 in 2000.

The 2013 IMR is the lowest ever recorded.

As shown in the chart below, a decreasing trend has been noted in stillbirth rate from 13.4 per 1,000 total births in 2000 to 6.6 in 2010.
The stillbirth rate which then increased to 9.6 and 9.5 in 2011 and 2012 respectively, has decreased to 8.7 in 2013.
22.2 25 20 20.3 19.4 19.2 Opening of NICU 15 10 E T A R In 2013, the number of maternal deaths registered was equal to that in 2012, that is, 9 compared to 4 in 2010 and 5 in 2011.
The maternal mortality ratio per 1,000 live births was 0.69 in 2013 compared to 0.65 in 2012.

Maternal mortality followed an erratic trend with an annual average of 6 to 7 maternal deaths in the period 2006-2013 compared to the average of 11 deaths registered in the period 1990-1997.

HEALTH CARE DELIVERY SYSTEM In the Island of Mauritius, as at the end of 2013, there were five regional hospitals and two district hospitals namely Souillac Hospital and Mahebourg Hospital.
There were also a psychiatric hospital and 3 other specialised hospitals for chest diseases, eye diseases, ear, nose, and throat (E.N.T.)

diseases, and a Cardiac Centre.

The number of beds in government health institutions was 3,581 as at the end of 2013.

In the private sector there were, as at the end of 2013, seventeen private health institutions with a total of 690 beds.

The total number of beds in the public and private sectors as at the end of 2013 was thus 4,271, that is, 285 inhabitants per bed.
All regional and district hospitals and four of the 5 specialised hospitals, namely, the Psychiatric, Eye, E.N.T and Cardiac hospitals have an out-patient department.

Out-patient services were also delivered in two community hospitals, four medi clinics, 19 Area Health Centres (AHC) and 116 Community Health Centres (CHCs).

The basic services delivered at CHCs include the treatment of common diseases and injuries, maternal and child care, and family planning.
In addition to these services, AHC also provide dental care.

This service was also delivered in a few CHC’s.

5 Ayurvedic Clinics were providing outpatient care.

Out-patient care was also provided in the private sector, including clinics and dispensaries on sugar estates.

There were also a chest clinic and four day care centres for the Immuno- Suppressed in operation as at the end of 2013.
HEALTH PERSONNEL At the end of 2013, there were 2,046 doctors registered with the Medical Council of the Republic of Mauritius, that is 16.2 doctors per 10,000 population.

1,054 (51.5%) doctors, including 290 specialists, were employed in the public sector.

There were 351 dentists, of whom 58 in the public sector, at the end of 2013.

The corresponding number of pharmacists was 460 and 23 respectively.
The number of qualified nurses and midwives in the public and private sectors was 3,879 of whom 3,118 were employed by the Ministry of Health & Quality of Life.

INPATIENT SERVICE In 2013, the number of admissions (including re-admissions) to government hospitals in the Island of Mauritius was 212,520 compared to 204,736 in 2012.

Bed occupancy in the public sector was 75.9% in 2013 compared to 73.5% in 2010 and 69.9% in 2000.
OUT-PATIENT SERVICE In 2013, a total of 5.2 million cases was seen by doctors at the out-patient service points in the public sector, comprising of general and specialized hospitals (59.9%) and primary health care centres (40.1%).

The number of outpatient consultations at hospitals was 3,118,603 in 2013 compared to 3,058,973 in 2012 whereas that at primary health centres the corresponding figures were 2,085,916 and 2,088,897.
4 In 2013, attendances for the treatment of common diseases and injuries at the community hospitals, medi clinics, area & community health centres were 4.37 million, as compared to 2.83 million in 2000 and 4.20 million in 2012.

An increase of 4% was noted in the number of attendances between 2012 and 2013.

In 2004, the monthly average attendances at the primary health care centres due to scabies were 1,001 compared to 1,287 for the period 2000 to 2003.
Afterwards, an increasing trend in the incidence of the disease was observed when the monthly average rose from 1,331 cases in 2005 to reach 2,469 cases in 2009.

Following the setting up of an enhanced surveillance system, the increasing trend has been reversed.

The monthly average for the year 2010 dropped to 1,276, representing a 48% decrease when compared to that of 2009.

The figure which had reached 710 in 2012 went down to 616 in 2013.

(see chart below).
Attendances at Primary Health Care Centres due to Scabies 3,000 2,500 2,469 2,166 2,000 1,500 1,000 e g a r e v A y l h t n o M 1,359 1,360 1,273 1,156 1,001 1,540 1,331 1,351 1,276 959 710 616 500 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Year Available data indicate that the number of cases treated for Upper Respiratory Tract Infections (URTI) at all public health institutions drastically increased from 414,600 in 2008 to 608,000 in 2009 and 709,000 in 2010.
In 2013, the figure stood at 659,991 compared to 656,137 in 2012 and to 602,956 in 2011.

The AH1N1 outbreak has probably contributed to these significant increases.

Monthly attendances due to URTI in the period 2011-2013 are given in the chart below.
5 CASES OF UPPER RESPIRATORY TRACT INFECTION ATTENDING PUBLIC HEALTH INSTITUTIONS PERIOD: JANUARY 2011 - DECEMBER 2013 S E C N A D N E T T A Y L H T N O M 100,000 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC MATERNAL AND CHILD HEALTH The number of first attendances for antenatal examinations by the M.C.H staff at government clinics was 15,963 in 2000, 11,214 in 2010 and 9,703 in 2013.
The total number of first and subsequent attendances for antenatal and postnatal examinations and children under 5 years seen at Well Baby clinics decreased from 284,386 in 2012 to 278,256 in 2013.

The percentage of low birth weight (less than 2,500 grammes) among live births in the public sector, which increased from 14.3% in 2000 to 19.2% in 2010, has remained unchanged in 2011 and in 2012.

In 2013, it slightly decreased to 18.6%.


The percentage of deliveries by caesarian section occurring in government hospitals increased from 26.8% in 2000 to 42.4% in 2009; since then, it has stabilized between 40.4% and 41.5%; it went up to 42.4% in 2013.

The number of babies immunized against tuberculosis (B.C.G.)

by M.C.H.

staff in 2013 was 11,042.

The number of children immunized against diphtheria, whooping cough, tetanus, hepatitis B and HIB (3rd dose) was 11,306.
Those immunized against poliomyelitis (3rd dose) was 11,492 and against measles/mumps/rubella (MMR) 11,504.

The figures refer to the activities of M.C.H.

staff at government vaccination centres.

6 SCHOOL HEALTH During the year 2013, the nursing staff responsible for school health visited 511 pre- primary schools and screened 16,113 children.

5% of these children were reported to have nits and lice.

The nursing staff also visited 282 primary schools and screened 51,965 pupils.
29,763 pupils of Standards III, V and VI were submitted to vision tests and 1,006 of the 1,212 children with defective vision were referred to specialist.

13,500 of the new entrants to primary schools were immunized against diphtheria & tetanus (D.T.)

and poliomyelitis.

13,182 of them were also immunized against MMR and 15,705 primary school leavers were immunized against tetanus.
CIGARETTE AND ALCOHOLIC PRODUCTS Data obtained from the Mauritius Revenue Authority (MRA) indicate that the number of imported cigarette sticks was 978.5 million in 2013 compared to 1.3 billion in 2009.

As indicated in the chart below, the estimated yearly per capita cigarette consumption has decreased from 1,046 sticks to 777 sticks during the last 5 years.
Yearly* per capita cigarette** sticks consumption 2009-2013 1046.4 840.8 855.5 795.7 776.7 1200.0 1000.0 800.0 600.0 400.0 200.0 0.0 2009 2010 2011 2012 2013 *based on data from January to December ** imported + produced Data submitted by the MRA indicate that the number of litres of imported or locally produced alcoholic products has decreased from 56.0 million in 2011 to 52.4 million in 2013.
During the same period, the estimated yearly per capita litres of alcohol intake followed a decreasing trend from 44.7 litres to 41.6 litres.
7 Yearly* per capita litres of alcohol intake** 2009-2013 44.6 44.7 43.9 42.4 41.6 46.0 45.0 44.0 43.0 42.0 41.0 40.0 39.0 2009 2010 2011 2012 2013 * based on data from January to December ** imported + produced DENTAL HEALTH The total number of attendances at government dental clinics (static and mobile) in 2013 was 334,325, out of which 68,541, that is 20.5%, were among children aged under 12 years; 23,169 (6.9%) were cases seen by dental specialists.
The number of cases treated for paradontal diseases was 36,297 and the number of surgical operations on jaws, including surgical extractions of roots and impacted teeth, was 8,588.

PRIVATE HEALTH INSTITUTIONS WITH IN-PATIENT SERVICE The total number of cases seen for treatment, including admissions, at the 17 private hospitals and clinics in 2013 was 197,329.

23,404 of these cases have undergone surgical operations and procedures.
3,097 live births and stillbirths that occurred in these institutions represented 23.8% of total births registered in the whole island compared to 13.7% in 2000.

12.0% of live births had low birth weight (less than 2,500 grammes); the corresponding figure was 4.7% in 2000.

The percentage of caesarian section on total births, which increased from 35.3 in 2000 to 56.3 in 2011, slightly decreased to 54.4% in 2013.

8 MORBIDITY The first case of AIDS in the Republic of Mauritius was notified in October 1987.
As at the end of 2013, a total of 5,991 cases of HIV/AIDS were detected, of whom 5,768 (4,526 males, 1,242 females) were Mauritians.

74.4% of the 5,768 HIV infected Mauritians were in the age-group 25 to 49 years and 18.2% in the age-group 15 to 24 years.
Distribution of HIV/AIDS cases # by sex and age * group (1987 – 2013) Age group (Years) Male Female Total <5 5-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-59 60+ Total 17 6 78 552 944 856 677 621 420 308 47 4526 *Age at detection 12 9 118 257 256 193 151 109 64 62 29 15 196 809 1200 1049 828 730 484 370 11 1242 # Mauritians 58 5768 As shown on the chart that follows, the number of new HIV/AIDS cases is more significant among the male than among the female.
1,242 of the 5,768 Mauritian cases of HIV and AIDS registered as at the end of December 2013 were females, that is, 21.5%.

The percentage of new female cases was 41.9% in 2013 compared to 32.8% in 2012 and to 25.7% in 2011.

The increase in female cases observed during the recent years is mainly explained by the decreasing trend in the incidence coupled with the reduction in the transmission due to injecting drug use.
The situation in 2013 as regards to the gender differential is thus comparable to that of 2002.

HIV tests conducted by the Virology Laboratory of the Ministry of Health & Quality of Life and positivity rates during the last 5 years are as follows: 9 Year No.
of tests Number of positive cases HIV Positivity Rate (%) 2009 2010 2011 2012 2013 83,350 84,432 85,858 86,028 88,194 555 580 417 327 271 0.67 0.69 0.49 0.38 0.31 The downward trend in the HIV positivity rates is the result of the successful implementation of several bold measures to contain the disease and to prevent the bridging of the virus to the overall population, that is, from a concentrated epidemic to a generalised one.
This has been made possible through the holistic approach which commits various governmental and non-governmental stakeholders.

At the beginning of the epidemic, the mode of transmission of the HIV virus was predominantly heterosexual.

The rising incidence as from year 2000 was driven by Injecting Drug Users (IDUs) acting as the main mode of transmission.
The gradual shift in mode of transmission from heterosexual to IDUs became evident in 2003 when 66% of the new cases were detected among the IDUs as compared to only 14% in 2002.

The shift reached its peak in 2005 (92%) and dropped to 86% in 2006, 80% in 2007 and 72% in 2008.

It was 73% equally in 2009 and 2010.

It decreased to 68% in 2011 and further dropped to 47% in 2012 and to 38% in 2013.
The distribution of the 5,508 infected Mauritians by mode of transmission is shown in the pie-chart below: 10 After the epidemic of chikungunya in 2005 and 2006, only 8 cases, all imported, have been reported between 2007 and 2012; one in 2007, five in 2010, one in 2011 and one in 2012; no case of chikungunya has been reported in 2013.

Eleven cases of dengue were reported in 2010 compared to 252 cases in 2009.
In 2011, 2012 and 2013, there were 8, 13 and 19 reported cases respectively, all of which were imported.

Active surveillance for all “Acute Flaccid Paralysis” cases started in August 2003 in the Republic of Mauritius, covering both the public and private sectors.

The objective of the AFP Surveillance, as set by the World Health Organisation, is to detect any possible presence of polio virus in view to its eradication from the globe.
The target for certification is a non- polio AFP detection rate of >2 cases/100,000 population aged <15 years.

A total of 50 cases among children less than 15 years of age have been detected in the country between August 2003 and December 2013; of whom 21 (42%) were less than 5 years old.

The AFP Rate per 100,000 children (<15 years) was 1.9 with 5 new cases in 2013 compared to 2.3 with 6 new cases in 2012.
Deliveries constituted 5.3% of all cases treated as in-patients in government general hospitals in 2013.

Among other principal causes of discharges, there were Diabetes Mellitus with 3.9%, Diarrhoea and gastroenteritis with 4.3% and Acute Upper Respiratory Infections with 3.6%.
The distribution by ICD-10 chapters indicates that 11.2% of all cases treated were due to “Pregnancy, childbirth and the puerperium”, 11.0% due to “Injury and Poisoning”, 9.5% due to “Diseases of the Respiratory System” and 9.2% due to “Disease of the Circulatory System”.
In 2013, of the 19,277 cases (12,096 males and 7,181 females) treated as in-patients in government general hospitals due to consequences of external causes, 7,564 (39.2%) were following “Falls”, 2,074 (10.8%) following “Transport Accidents” and 2,098 (10.9 %) following “Assaults”.

Of the 1,061 (5.5%) cases treated as in-patients following “Attempted suicides”, 524 (49.4%) were females.
Admissions due to respiratory diseases in government general hospitals had significantly increased from 6.2% of all admissions in 2005 to 10.1% in 2009, the year of the AH1N1 epidemic.

It then stabilised around 9.5% from 2010 to 2013 except in 2012 when it was 10.1%.

The number of admissions in government general hospitals due to “Acute Bronchiolitis” had drastically increased from 293 in 2003 to 1,465 in 2009, representing an average annual increase of 67% during that period.
A significant decrease has been observed in 2010 with 783 admissions.

A decrease of 7.5% has been noted between 2011 (947 admissions) and 2013 (876 admissions) (see table given below).

This disease affects mostly children below the age of 5 years (94.5% of admitted cases in 2013).
11 Admissions due to “Acute Bronchiolitis” Year/Age <1 year 1-4 years 5 & above All Ages Other respiratory diseases that have contributed to increase pressure on government in-patient services are “Acute Upper Respiratory Infections”, “Acute bronchitis and bronchiolitis”, “Pneumonias” and, “Bronchitis, emphysema and other chronic obstructive pulmonary diseases” (see table given below).
Admissions due to these diseases have increased during the last 10 years, whereas admissions due to “Asthma” have decreased between 2007 and 2013, probably because many patients may have access to nebulisers at primary health care centre level.
Admissions due to certain respiratory diseases 12 Diseases Sex 2003 2007 2011 2012 2013 Acute upper respiratory infections Acute bronchitis and bronchiolitis Male 1,918 2,021 3,079 3624 3,095 Female 1,547 1,896 3,008 3479 3,199 Total 3,465 3,917 6,087 7103 6,294 Male 241 843 891 822 1,077 Female 167 550 622 647 1,026 Total 408 1,393 1,513 1469 2,103 Male 269 233 247 280 353 Pneumonia Female 211 161 227 276 365 Total 480 394 474 556 718 Bronchitis, emphysema and Male 550 336 657 914 820 other chronic obstructive Female 408 300 693 816 895 pulmonary diseases Total 958 636 1,350 1730 1,715 Male 1,538 1,650 1,238 1098 1,059 Asthma Female 1,735 1,693 1,518 1403 1,431 Total 3,273 3,343 2,756 2501 2,490 In 2013, of the 3,137 cases treated as in-patient at the Cardiac Centre, 1,762 (56.2%) were for “Angina pectoris”, 771 (24.6%) for “Chronic Ischaemic heart diseases” and 112 (3.6%) for “Mitral stenosis and other rheumatic mitral valve diseases”.
A total of 1,292 operations, including re-opening cases, was performed at the Centre of which 713 (55.2 %) were cardiac surgeries.

Cataract was responsible for 4,610 of the 7,422 cases treated as in-patients at S.Bharati (Eye) Hospital in 2013 (that is 62.1%).

Among the cataract cases, 4,478 (97.1%) were operated upon.

633 cases were treated as in-patient at the hospital for “injuries and other consequences of external causes”.
13 During the year 2013, 1,012 in-patients were treated at the Poudre d’Or (Chest) Hospital of whom 641 (63.3%) were males.

Asthma was the morbid condition for 231 patients (130 males, 101 females), followed by Pulmonary tuberculosis with 204 patients (115 males, 89 females), with a percentage of 22.8 and 20.2 respectively.

43 patients died at the Hospital, giving a fatality rate of 4.2%.
Of the 1,086 new cases diagnosed at the out-patient specialist clinics in chest diseases during the year 2013, 78 (7.2%) were diagnosed with tuberculosis, of which 54 pulmonary.

Among the non-tuberculous diseases, asthma was in first place with 460 new cases, that is, 42.4% of all new cases diagnosed.
Of the 4,364 in-patients treated at Brown Sequard Hospital in 2013, mental and behavioural disorders due to the use of alcohol accounted for 1,817 cases (1,623 males, 194 females), that is 41.6%, followed by Schizophrenia with 1,289 cases (29.5%).
The principal causes of admissions in government general and specialized hospitals in the year 2013 are given below: Cause GENERAL HOSPITALS Number of in-patients* Male Female Total % Total 1 Pregnancy, Childbirth and the Puerperium - 19,571 19,571 11.2 2 Diseases of the Respiratory System 7,970 8,707 16,677 3 Injuries 9,335 4,788 14,123 4 Diseases of the genito-urinary system 4,363 7,396 11,759 5 Heart Diseases 6 Diabetes 7 Diarrhoea and gastroenteritis 8 Gastritis and duodenitis 9 Hypertensive Diseases 10 Mental & behavioural disorders due to use of alcohol SPECIALISED HOSPITALS 1 Cataract (Eye Hospital) 4,519 3,492 8,011 3,281 3,521 6,802 3,358 4,162 7,520 2,397 2,336 4,733 1,499 2,398 3,897 2,125 203 2,328 Male Female Total 2,190 2,420 4,610 2 Heart Diseases (Cardiac Centre) 1,860 986 2,846 9.6 8.1 6.7 4.6 3.9 4.3 2.7 2.2 1.3 62.1 90.7 3 4 Mental & behavioural disorders due to use of alcohol (Psychiatric Hospital) Acute pharyngitis & tonsilitis (ENT Hospital) 1,623 194 1,817 41.6 1,192 1,683 2,875 43.3 5 Pulmonary Tuberculosis (Chest Hospital) 115 89 204 20.2 * including re-admissions 14 Of the 373 cases treated as in-patients in 2013 at the Neonatal Intensive Care Unit, located in the complex of Victoria and SSRN hospitals, 190 (50.9%) were for disorders related to length of gestation and fetal growth, 61 (16.4%) for respiratory and cardiovascular disorders specific to the perinatal period and 55 (14.7%) for infections specific to the perinatal period.
There were 86 deaths among those 373 cases, giving a fatality rate of 23.1%.

The fatality rate has continued to decrease from 28.1% in 2011 to 26.9% in 2012 and to 23.1% in 2013.

The number of new cases diagnosed at the specialist clinics in dermatology in 2013 were 15,411 of which 4,278 (27.8%) were skin infections (1,746 of fungal and 921 of parasitic origin).

17.9% of new cases were treated for eczema, 8.1% for psoriasis and similar disorders, and 6.2% for acne.
Of the 6,639 cases treated as in-patients at the E.N.T Hospital in 2013, 1,670 (25.2%) were for “acute tonsilitis”, 1205 (18.2%) for “acute pharyngitis” and 464 (7.0%) for “otalgia and effusion of ear”.

Another 5.6% of the in-patients were treated for “localized swelling mass and lump of skin and subcutaneous tissue mainly of head and neck”.

A total of 1,499 operations were performed on in-patients at the centre, of which 452 (30.2%) were “excision on tonsils and adenoids”.
The number of new cases diagnosed at out-patient specialised clinics in ENT in 2013 was 9,845 representing a 32% increase when compared to 7,473 in 2012.

Diseases and conditions of ear accounted for 3,869 new cases (39.3% of the total new cases diagnosed) followed by diseases and conditions of nose for 3,524 (35.8%) and diseases and conditions of throat for 2,369 (24.1%).
Tonsilitis (acute or chronic), pharyngitis (acute, chronic or granular), allergic rhinitis, sinusitis (acute or chronic), sensorineural deafness, epistaxis, tinnitus and otitis externa were the most common diseases diagnosed at the centre.

In 2013, the number of reported cases of sexually transmitted infections diagnosed at the skin disease clinic of regional hospitals was 217 (168 males, 49 females).
105 cases of “gonococcal infections”, 81 “venereal warts”, 25 “syphilis” and 2 “herpes simplex” were reported.

In 2013, four Day Care Centres for the immuno-suppressed were operational, namely at the Volcy Pougnet Health Centre and Victoria, SSRN, and J.Nehru hospitals.

566 first attendances of HIV/AIDS patients were registered in 2013.

404 persons received the “Post- HIV Exposure Prophylaxis” and 1,180 persons were seen for “voluntary counseling”.
15 The leading causes of first attendances at the community hospitals, medi clinics, area and community health centres for the treatment of common diseases and injuries in 2013 were tonsillitis, laryngitis, nasopharyngitis, sore throat and URTI with 18.0%.

Other common causes of first attendances were superficial injury, open wound, sprain/strain, fractures, burns and other injuries with 7.2% and cough, pain in throat, chest pain, wheezing, hiccough, sneezing with 7.9%.
Another 6.6% were treated for fever/pain all over.

The distribution by ICD chapters shows that 27.6% of first attendances at the above mentioned dispensary service points were due to “Diseases of Respiratory System” and 10.1% due to “Diseases of the musculoskeletal system and connective tissue”.

They were followed by the “Injuries” with 7.4%, “Diseases of digestive system” with 6.5% “, Diseases of the skin and subcutaneous tissue” with 5.1% and “Infectious and parasitic diseases” with 4.7%.
The leading causes of attendance in 2013 at the community hospitals, medi clinics, area health centres and community health centres, where common diseases and minor injuries are treated, are given below.

3.

4.

5.

CAUSE- (I.C.D.10) 1.

Diseases of the respiratory system 2.

Diseases of the musculoskeletal system &connective tissues Injury and poisoning Cough/pain in throat/chest pain/sneezing Fever/pain all over 6.

Diseases of the digestive system 7.

Diseases of the skin & subcutaneous tissue 8.


Certain infectious &parasitic diseases 9.

Neck pain/ backache 10.

Abdominal /epigastric pain (symptoms) .


Male 252,122 92,745 76,573 72,215 60,408 59,313 47,053 43,417 Female 268,950 98,346 62,559 76,193 64,271 63,079 48,841 44,532 40,577 42,060 Total Number 521,072 191,091 139,132 148,408 124,679 122,392 95,894 87,949 82,639 35,778 40,801 76,579 In the period 2009-2012, an annual average of 1,745 new cases of cancer was registered in the Republic of Mauritius compared to an average of 1,392 in the period 2005- 2008.
Of every 5 new cases registered during 2009-2012, 3 were among women.

In the same period, the most common cancers among men were of colon/rectum (13.1%), prostate (12.1%), skin (8.0%), Lip/Oral Cavity/Pharynx (7.9%) and Trachea/Bronchus/Lung (7.8%) and; among women, they were of breast (37.8%), cervix uteri (8.3%), colon/rectum (8.2%), corpus uteri (5.4%) and skin (4.6%).
Significant increase has been registered in prostate and skin cancer among men and in cancer of colon/rectum, skin and corpus uteri among women.

16 CAUSE OF DEATH Heart diseases and Diabetes mellitus were the first two principal underlying causes of mortality in 2013, with 1,630 (17.7%) and 2,267 (24.6%) deaths respectively; Cancer and other Neoplasm of all sites taken together was in the third position with 1,233 (13.4%) deaths.
Deaths due to Cerebrovascular diseases which amounted to 745 (8.1%) was in the fourth position followed by Hypertensive Diseases with 440 deaths (4.8%).

The distribution of deaths by Chapter of the International Classification of Diseases (10th Revision) showed that Diseases of the Circulatory System (Chapter IX) were responsible for 31.0% of all deaths in 2013.

Endocrine nutritional and metabolic diseases (Chapter 1V) with 25.2% were in second place followed by Neoplasms (Chapter II) with 13.4%.
Of the 2,858 deaths due to Diseases of the Circulatory System in 2013, 1,630 (57.0%) were due to Heart diseases.

Stroke and other Cerebrovascular diseases accounted for another 745 (26.1%) deaths.

21.5% of the 2,858 deaths occurred among persons aged less than 60 years.

Of the 1,233 deaths due to Neoplasms in 2013, the most common types of cancer were that of trachea, bronchus and lung and female breast with 12.9% and 13.3% respectively, colon with 7.5%, stomach with 6.0% and of prostate with 5.8%.
31 persons died due to leukaemia (2.5%).

Of the 489 deaths due to external causes in 2013, 29.4% were due to transport accidents, 20.0% due to suicides, 8.8% due to assaults, 5.9% due to accidental drowning and submersion, and 4.3% due to exposure to smoke, fire and flames.

In 2013, a total of 795 (8.6%) deaths was attributable to respiratory diseases.

The yearly percentages of deaths due to these diseases indicate an increasing trend between 2008 (6.4%) and 2013 (see chart given below).
17 % DEATHS DUE TO RESPIRATORY DISEASES 8.2 7.8 8.6 6.4 8.2 8.2 % T O T A L D E A T H S 10 9 8 7 6 5 4 3 2 1 0 2008 2009 2010 2011 2012 2013 Year Of all the respiratory conditions causing death in 2013, pneumonia was the main one with 206 deaths (25.9%).

11.2% of deaths due to this infectious respiratory disease occurred among persons aged less than 45 years.
The principal causes of death in the year 2013 are given below: CAUSES (ICD - 10) 1 Diabetes Mellitus 2 Heart Diseases 3 Cancers and other tumours 4 Diseases of the Respiratory System 5 Cerebrovascular Diseases 6 Injury & Poisoning (Consequences of External Causes) 7 Hypertensive Disease 8 Septicaemia & other infectious & parasitic diseases 9 Cirrhosis of liver, liver abscess, chronic liver disease and its sequelae 10 Renal failures 11 Other causes TOTAL Number of Deaths Male Female 1,153 929 631 466 390 363 197 207 157 1,114 701 602 329 355 126 243 93 34 Total No.
% As at the end of 2013, a total of 838 Mauritians registered as HIV/AIDS cases were known to have passed away (since 1987).

All reported deaths were not due to HIV/AIDS.


The number of deaths registered due to HIV as underlying cause of death as stated in the death certificates, which was 21 in 2005, had reached 108 in 2011; in 2013, 102 deaths were reported due to HIV/AIDS compared to 105 in 2012.

It has to be noted that since 2005, information obtained from Civil Status Office are used to update figures related to death.
The causes of death, as mentioned in the death certificate, are coded according to the International Classification of Diseases (ICD-10) of the World Health Organisation.

Deaths due to retroviral infection have been re-classified as HIV following in-depth investigation.

Certain figures on mortality therefore differ from previously published data.
Congenital anomalies with 33 deaths were the principal killers of children under one year in 2013, that is 20.8% of the total (159) followed by slow fetal growth, fetal malnutrition and disorders related to short gestation and low birth weight, with 17 deaths (10.7%).

Some other causes of infant deaths were septicaemia and infections specific to perinatal period (10.1%), Intrauterine Hypoxia and birth asphyxia (5.7%) and sudden infant death syndrome (4.4%).

9 maternal deaths were registered in 2013.
The causes for the year 2009 to 2013 are given below: 19 NoAge at deathNoAge at deathNoAge at deathNoAge at deathNoAge at deathPostpartum haemorrhage1401----139Antepartum or intrapartum haemorrhage (with coagulation defect)3------1Disruption of obstetric wound and other compl of puerperium------119--Complications following abortion138----237,39Eclampsia and other maternal hypertension------225,28@1Amniotic fluid, pulmonary and other obstetric embolism21233133Sepsis, pyrexia and other puerperal infections--------1Diseases of the Circulatory System complicating pregnancy, childbirth and puerperium--1281--130Placental Disorders124--------Abdominal or ectopic pregnancy2131----133Diseases of the Resp.
System compl.

pregnancy, childbirth and puerperium11251Diseases of the digestive System compl.
pregnancy, childbirth and puerperium121237,35@Death from any obstetric cause occuring more than 42 days147TOTAL104599 @ Caesarean Section doneISLAND OF MAURITIUSMaternal Deaths by cause with age-at-death (years)20132011201020092012CausesYear28@30 3919 3822@ 21@37@323832@30@35@15@35@35@31@ TRENDS IN CAUSE-SPECIFIC MORTALITY 20 In 2005, Mauritius adopted the 10th Revision of the International Classification of Diseases (ICD-10) for mortality coding.
This shift and other improvements in the coding process have resulted into discontinuities in trends of certain specific causes of death.

Percentages of death due to a few major diseases relating to previous years have been adjusted.
% underlying cause of death over total death registered ICD-9 ICD-10 Year 1990 1995 2000 2005 2010 2011 2012 2013 Total Deaths 6,854 7,298 7,806 8,422 8,891 8,951 9,103 9,231 CAUSE: Heart Diseases (%) 20.4 21.5 21.8 22.8 18.1 17.2 17.9 17.7 Cerebrovascular Diseases (%) Other Diseases of Circulatory system (%) 9.3 9.6 9.8 10.8 8.4 8.4 7.5 8.1 3.8 4.2 4.2 3.7 5.7 5.5 5.9 5.2 All Circulatory (%) 33.5 35.3 35.8 37.3 32.2 31.1 31.4 31.0 Diabetes Mellitus(%) 12.2 14.8 19.0 21.1 23.6 25.4 26.5 24.6 Total Circulatory and DM (%) 45.7 50.1 54.8 58.4 55.8 56.5 57.9 55.6 The above table indicates that there has been a slow increase in the percentages of death due to “Heart diseases” till 2005.
Since then, a decreasing trend has been noted.

On the other hand, a more rapid increase has been noted in regards to “Diabetes mellitus” over the past two decades.

It has to be noted that W.H.O guidelines are applied for the selection of the underlying cause of death according to the ICD-10.

Of all persons whose cause of death have been assigned to “Diabetes Mellitus”, around 40% ultimately died with “Heart Diseases” and another 30% with “Strokes” as direct cause of death.
1,233 persons died due to cancers in 2013.

Mortality from this group of diseases has increased from 9.4% of total deaths in 2000 to 13.4% in 2013.
21 Death Rate per 100,000 population due to main NCD's in Mauritius 504 488 486 497 500 467 477 474 2006 2007 2008 2009 2010 2011 2012 2013 Year R a t e 510 500 490 480 470 460 450 440 Between 2006 and 2011, a decreasing trend was observed in mortality due to main Non Communicable Diseases, namely heart diseases, strokes, diabetes, cancers and chronic respiratory diseases, as depicted by the above chart.
Death rate due to these chronic diseases was 474 per 100,000 population in 2010 compared to 504 in 2006.

However, the rate increased from 477 in 2011 to 497 in 2012 and to 500 in 2013.

The rates referring to the years prior to 2013 differ from previously published figures because population data have been revised by Statistics Mauritius in light of the 2011 Census.
TRENDS IN SELECTED HEALTH INDICATORS Figures related to the following health indicators for the Islands of Mauritius and Rodrigues as well as for the Republic of Mauritius, together with charts, are given at page 23- 27:, Stillbirth Rates, Infant Mortality Rates, Under-5 Mortality Rates, Maternal Mortality Ratios and % Low Birthweight.
As indicated by the specific line graphs, general decreasing trends have been observed in Mauritius as from 1990 in regards to Stillbirth, Infant Mortality and Under-5 Mortality.

However, an erratic trend has been noted in maternal mortality ratios.
The percentage of low birthweight (< 2.5 Kg) among live births that occurred in public and private health institutions, which was 7.9% in 1990 in the Island of Mauritius, has continued to increase to reach 17.4% in 2010 then slightly decreased to 17.0% in 2013.

In Rodrigues, it increased from 5.6% in 1990 to 15.5% in 2011.

However, it went down to 11.5% and 9.5% in 2012 and 2013 respectively.
*************************************** Health Indicators - Republic of Mauritius Unit 2006 2007 2008 2009 2010 2011 2012 2013 Infant mortality rate 14.1 15.3 14.4 13.4 12.5 12.9 13.7 12.1 Maternal mortality ratio Per 1,000 Live Births 0.17 0.36 0.37 0.65 0.33 0.34 0.62 0.66 Under five mortality rate Early neonatal mortality rate Late neonatal mortality rate Neonatal mortality rate Post-neonatal mortality rate Perinatal mortality rate Population per doctor Population per dentist Population per hospital bed % of deaths due to HIV/AIDS Tuberculosis Diseases of the circulatory system Diabetes Neoplasms Death rate due to road traffic injury Death rate due to suicides Per 1,000 live births Per1,000 live and still births No of inhabitants 6,407 5,447 5,301 4,996 4,813 4,680 4,178 3,589 300 292 293 280 287 292 282 283 % Per 100,000 Mid Year Population 9.8 10.3 6.9 9.5 8.2 9.7 9.2 7.9 23 STATISTICS RELATING TO STILLBIRTHS 1990 - 2013 ISLAND OF MAURITIUS ISLAND OF RODRIGUES No.
of Stillbirths 348 386 286 333 271 297 264 253 221 219 263 234 197 205 167 173 135 157 159 133 95 136 132 114 Stillbirth Rate # 15.7 17.7 12.7 15.1 12.7 14.8 13.0 12.9 11.7 11.1 13.4 12.2 10.2 10.9 9.1 9.6 8.0 9.6 10.1 9.0 6.6 9.6 9.5 8.7 No.

of Stillbirths 17 14 5 4 3 2 2 4 6 7 3 10 6 15 24 12 12 15 6 5 8 3 8 3 Stillbirth Rate # 20.7 18.1 6.8 6.0 4.0 2.8 2.8 5.8 8.6 9.0 3.7 12.2 7.3 17.9 24.8 13.2 13.4 17.5 7.6 6.9 11.1 4.3 10.9 4.3 REPUBLIC OF MAURITIUS* No.
of Stillbirths 365 400 291 337 274 299 266 257 227 226 266 244 203 220 191 185 147 172 165 138 103 139 Stillbirth Rate # 15.9 17.7 12.5 14.9 12.4 14.3 12.6 12.7 11.5 11.0 13.0 12.2 10.1 11.2 9.8 9.7 8.3 10.0 10.0 8.9 6.8 9.4 140 117 9.6 8.5 YEAR 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 *excluding the outer islands # per thousand total live births and stillbirths Stillbirth Rate - Republic of Mauritius 19 17 15 13 11 Year 24 INFANT MORTALITY STATISTICS 1990- 2013 ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* YEAR 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 No.
of Infant Deaths 434 388 408 424 379 388 445 393 364 375 306 263 278 230 256 237 225 248 223 195 177 177 184 159 Infant No.

of Infant Mortality Infant Mortality Rate @ Deaths Rate @ No.
of Infant Deaths 462 413 426 438 394 404 459 406 376 396 322 282 297 250 277 248 249 261 236 205 187 189 199 165 Infant Mortality Rate @ 20.4 18.6 18.6 19.6 18.1 19.7 22.1 20.3 19.3 19.5 15.9 14.3 14.9 12.9 14.4 13.2 14.1 15.3 14.4 13.4 12.5 12.9 13.7 12.1 *excluding the outer islands @ per thousand live births 1012141618202224RateYearInfant Mortality Rate -Republic of Mauritius UNDER 5 MORTALITY STATISTICS 1990 - 2013 25 ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* YEAR No.
of Under five Under five Mortality Rate @ 22.4 20.9 21.1 22.1 20.9 22.6 24.2 22.5 21.3 21.3 17.9 16.4 16.7 15.4 16.1 15.9 16.1 17.2 16.4 16.2 14.6 15.6 15.3 14.6 Deaths No.
of Under five Under five Mortality Rate @ 41.1 35.5 30.1 24.2 21.5 24.8 22.4 19.1 23.2 29.9 24.8 24.6 30.7 29.1 24.4 14.5 31.8 15.4 19.2 13.9 16.8 21.5 23.4 12.8 Deaths 33 27 22 16 16 18 16 13 16 23 20 20 25 24 23 13 28 13 15 10 12 15 17 9 No.
of Under five Under five Mortality Rate @ 23.1 21.4 21.4 22.1 20.9 22.7 24.2 22.3 21.4 21.7 18.2 16.8 17.3 16.0 16.5 15.8 16.9 17.1 16.6 16.1 14.7 15.9 15.7 14.5 Deaths 521 474 490 494 456 467 502 447 416 440 368 330 346 309 317 298 298 292 271 247 221 234 228 198 *excluding the outer islands @ per thousand live births Under Five Mortality Rate - Republic of Mauritius e t a R 24 22 20 18 16 14 12 YEAR 26 MATERNAL MORTALITY STATISTICS 1990- 2013 ISLAND OF MAURITIUS YEAR No.of Maternal Deaths Maternal Mortality ratio * * per 1,000 live births @ excluding the outer islands 0.69 0.70 0.41 0.28 0.71 0.61 0.30 0.52 0.21 0.36 0.15 0.21 0.05 0.22 0.16 0.22 0.18 0.37 0.38 0.68 0.28 0.36 0.65 0.69 Maternal Mortality ratio * ISLAND OF RODRIGUES No.of Maternal Deaths - 2 1 - - - - - - - 1 1 2 - - - - - - - 1 - - - - 2.63 1.37 - - - - - - - 1.24 1.20 2.50 - - - - - - - 1.40 - - - REPUBLIC OF MAURITIUS@ No.of Maternal Deaths Maternal Mortality ratio * Maternal Mortality Ratio - Republic Of Mauritius I O T A R 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 YEAR LOW BIRTH WEIGHT * (as a percentage of live births with known birthweight) 1990 - 2013 27 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS@ @ - excluding the outer
16.4 17.1 17.0 17.0 16.7 @ - excluding the outer islands * - less than 2,500 grammes Low Birth Weight 20.0 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 % ISLAND OF MAURITIUS ISLAND OF RODRIGUES Year 28 Island of Mauritius Statistics on Caesarian Section (CS) Government Hospitals Private Clinics Island of Mauritius Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Number of CS 4,508 4,510 4,714 4,960 5,117 4,851 4,953 5,071 4,984 4,919 4,633 4,399 4,367 4,110 % CS on total deliveries 26.8 28.0 28.8 31.6 33.0 32.6 36.1 38.0 39.9 42.4 41.5 40.4 41.0 42.4 Number of CS % CS on total deliveries Number of CS % CS on total deliveries Year Cases treated for complications following abortion, including spontaneous 29 Year 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Government Hospitals Private Clinics Total Cases treated for complications of abortion, including spontaneous 2,500 2,000 1,500 1,000 500 0 r e b m u N Year Government Hospitals Private Clinics 30 ISLAND OF MAURITIUS CASES TREATED AS IN-PATIENTS IN GOVERNMENT GENERAL HOSPITALS DUE TO SOME SELECTED DISEASES Disease / Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Disease / Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Diabetes Mellitus Hypertensive Disease Male 2,527 2,428 2,186 3,046 3,318 3,482 3,063 2,476 3,009 3,650 3,162 3,439 3,533 3,281 Male 3,250 2,166 2,867 2,181 2,815 2,420 3,843 3,079 3,490 2,509 2,698 3,161 2,416 3,358 Female 3,170 3,024 2,887 3,766 3,829 4,038 3,843 2,911 3,506 4,224
 3,702 3,755 3,642 3,521 Gastro-Enteritis Female 3,417 2,330 3,027 2,378 3,037 2,734 4,100 3,245 3,756 2,967 3,200 3,978 3,245 4,162 Total 5,697 5,452 5,073 6,812 7,147 7,520 6,906 5,387 6,515 7,874 6,864 7,194 7,175 6,802 Total 6,667 4,496 5,894 4,559 5,852 5,154 7,943 6,324 7,246 5,476 5,898 7,139 5,661 7,520 Male 1,810 1,650 1,475 1,936 1,812 1,832 1,723 2,235 2,398 1,852 1,696 1,912 1,742 1,499 Male 1,794 1,565 1,573 1,538 1,453 1,507 1,613 1,650 1,299 1,282 1,211 1,238 1,098 1,059 Female 2,842 2,252 2,101 2,586 2,440 2,394 2,400 3,441 3,336 2,601 2,345 2,794 2,724 2,398 Bronchial Asthma Female 1,893 1,616 1,667 1,735 1,689 1,668 1,577 1,693 1,469 1,387 1,354 1,518 1,404 1,431 Total 4,652 3,902 3,576 4,522 4,252 4,226 4,123 5,676 5,734 4,453 4,041 4,706 4,466 3,897 Total 3,687 3,181 3,240 3,273 3,142 3,175 3,190 3,343 2,768 2,669 2,565 2,756 2,502 2,490 31 ISLAND OF MAURITIUS FIRST ATTENDANCES FOR THE TREATMENT OF SOME SELECTED DISEASES AT THE COMMUNITY HOSPITALS, MEDI-CLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES Disease / Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Disease / Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Male 24,111 23,063 30,029 27,261 29,333 29,686 32,905 29,490 33,036 27,102 28,834 30,685 29,901 31,351 Male 8,721 10,797 11,169 9,649 9,137 11,717 12,311 8,238 8,297 6,529 7,159 7,589 8,104 9,191 Gastro-Enteritis Disease of the Respiratory System Female 24,687 23,562 31,746 29,009 30,663 32,045 33,700 30,955 34,576 28,536 30,171 32,108 30,347 31,476 Diabetes Mellitus Female 8,927 11,508 12,213 10,506 9,812 12,654 12,845 9,098 8,992 7,332 7,689 8,279 9,053 9,698 Total 48,798 46,625 61,775 56,270 59,996 61,731 66,605 60,445 67,612 55,638 59,005 62,793 60,248 62,827 Total 17,648 22,305 23,382 20,155 18,949 24,371 25,156 17,336 17,289 13,861 14,848 15,868 17,157 18,889 Male 197,363 184,994 193,393 190,477 178,608 183,640 181,462 184,487 212,454 247,318 223,242 210,612 232,986
 252,122 Male 10,720 13,500 15,447 12,522 10,818 13,006 14,296 9,283 9,290 7,486 7,621 8,586 9,736 11,332 Female 209,389 197,563 204,064 206,008 189,064 197,766 194,913 198,061 229,970 270,233 244,812 230,452 251,708 268,950 Hypertension Female 10,855 13,981 16,713 13,423 11,789 14,336 15,168 10,312 9,440 8,134 8,034 9,189 10,780 11,832 Total 406,752 382,557 397,457 396,485 367,672 381,406 376,375 382,548 442,424 517,551 468,054 441,064 484,694 521,072 Total 21,575 27,481 32,160 25,945 22,607 27,342 29,464 19,595 18,730 15,620 15,655 17,775 20,516 23,164 REPUBLIC OF MAURITIUS INCIDENCE OF SOME COMMUNICABLE DISEASES (REPORTED CASES) HIV/AIDS (MAURITIANS) MALARIA PULMONARY TUBERCULOSIS FOOD POISONING * per 100,000 mid-year population Year Number Incidence Rate * Number Incidence Rate * Number Incidence Rate * Number Incidence Rate * ISLAND OF MAURITIUS MORTALITY DUE TO MAIN NON-COMMUNICABLE DISEASES NUMBER OF DEATHS REGISTERED IN WHOLE ISLAND Underlying cause of death: DIABETES MELLITUS HEART DISEASES CEREBROVASCULAR DISEASES HYPERTENSIVE DISEASES RENAL FAILURE CANCER CHRONIC RESPIRATORY DISEASES 2,277
REPUBLIC OF MAURITIUS1/ Estimated resident population by sex, 31 December 2013 Island Both Sexes Male Female Density per Km Island of Mauritius 1,218,060 602,831 615,229 Island of Rodrigues 41,504 20,467 21,037 Agalega & St.Brandon 274 174 100 Republic of Mauritius 1,259,838 623,472 636,366 653 399 4 618 Estimated resident population2/ by broad age group and sex 49.4% 50.6% Age group (Years) <1 1 - 4 5 - 9 10 - 14 15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60-64 65+ 1st July 2013 Female B. Sexes 6,734 13,853 Male All ages 622,861 635,792 1,258,653 1/ based on 2011 population census data adjusted for underenumeration of young children 2/ excluding Agalega and St Brandon 34 Live births registered and crude birth rate, Republic of Mauritius Live births are constantly decreasing in Mauritius.
A total of 22,602 live births were registered in 1990 with a CBR of 21.3 per 1,000 population compared to 17.0 in 2000 when 20,205 live births were registered Deaths and crude death rate, Republic of Mauritius/ A slight increasing trend has been observed in mortality probably due to the ageing population.
In 1990, a total of 7,031 deaths were registered with a CDR of 6.6 per 1,000 population compared to 7.0 in 2003 when 8,520 deaths were registered  Population Growth rate between 2012 and 2013 =0.2%  % Population aged less than15 years = 20.7%  % Population aged 60 years and over = 13.7%  % Population aged 65 years and over = 8.5%                        2012201320122013 Island of Mauritius13,766 12,986 11.3 10.7 Island of Rodrigues728 702 17.4 17.0 Republic of Mauritius14,494 13,688 11.5 10.9 Number of live births registeredCrude birth rateIsland2012201320122013 Island of Mauritius9,103 9,231 7.5 7.6 Island of Rodrigues240 209 5.4 5.1 Republic of Mauritius9,343 9,440 7.4 7.5 Number of deaths registeredCrude death rateIsland 35 ISLAND OF MAURITIUS STILLBIRTHS, PERINATAL AND NEONATAL DEATHS 1990 - 2013 STILLBIRTHS EARLY NEO- NATAL DEATHS PERINATAL DEATHS LATE NEO- NATAL DEATHS NEONATAL DEATHS POST- NEONATAL DEATHS NUMBER RATE @ NUMBER RATE + NUMBER RATE @ NUMBER RATE NUMBER RATE NUMBER + + RATE + 121
YEAR 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 8.7 @ Per 1,000 total births ( live births and stillbirths) 114 6.2 80 194 14.8 42 3.2 122 9.4 2.8 + Per 1,000 live births 37 DEFINITIONS 1.STILLBIRTHS: Children born dead after 28 weeks of gestation 5.NEONATAL DEATHS: Deaths under 4 weeks 2.EARLY NEONATAL DEATHS: Deaths occurring in the 1st week of life 6.POST-NEONATAL DEATHS: Deaths 3.PERINATAL DEATHS: Stillbirths plus early neonatal deaths between 4 weeks and 1 year 4.LATE NEONATAL DEATHS: Deaths between 1 week and 4 weeks REPUBLIC OF MAURITIUS RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (NUMBERS) - 2013 36 DISTRICT Estimated Mid-year Population Area (Square Civil Kilometres) Marriages Live Births Deaths Natural Increase Infant Still- births Deaths Estimated End-of-Year Population * PORT LOUIS 120,748 42.7 753 1,552 1,122 430 138,575 178.7 1,635 1,624 1,003 621 PAMPLEMOUSSES RIV.
DU REMPART 107,699 147.6 834 1,031 703 FLACQ 137,922 297.9 1,038 1,438 877 GRAND PORT 112,776 260.3 845 1,181 850 68,760 244.8 611 703 541 SAVANNE PLAINES WILHEMS MOKA 369,170 203.3 2,153 3,604 3,056 548 27 42 82,890 230.5 476 803 564 BLACK RIVER 78,801 259.0 1,048 1,050 515 RODRIGUES TOTAL 1,258,653 1,968.8 9,575 13,688 9,440 4,248 117 165 1,259,564 * By district of residence of bridegroom RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (RATES) - 2013 DISTRICT PORT LOUIS PAMPLEMOUS SES RIV.
DU REMPART FLACQ GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER RODRIGUES REPUBLIC Mid year Population Density per Square Kilometres 2,828 775 730 463 433 281 1,816 360 304 397 639 Rate per 1000 of the Mid-year Population Marriage Rate Crude Birth Rate Crude death rate Stillbirth Rate@ Infant Mortality Rate+ Rate of natural increase End of year Population Density per Square Kilometres @ rate per 1000 total births (live births and stillbirths) + rate per 1000 live births LIFE EXPECTANCY AT BIRTH (YEARS)* Sex Male Female Both Sexes 2000@ 2013# 70.7 77.7 74.1 * Calculation based on 3 year period @ based on census data # provisional ISLAND OF MAURITIUS 37 ESTIMATED MID-YEAR RESIDENT POPULATION OF TOWNS - 2013 MUNICIPAL COUNCIL AREA @ POPULATION Port Louis Beau Bassin-Rose Hill Vacoas-Phoenix Curepipe Quatre Bornes URBAN POPULATION RURAL POPULATION 139,865 105,121 106,448 79,369 77,559 508,362 (41.8%) 708,979 (58.2%) TOTAL POPULATION 1,217,341 @ according to boundaries subsequent to Proclamations No.
8 of 1990 and No.
15 FERTILITY RATES 2013 Island of Mauritius Island of Rodrigues Republic of Mauritius Crude birth rate General fertility rate Total fertility rate Gross reproduction rate Net reproduction rate 10.7 40.46 1.41 0.70 0.68 Note : For definitions, see glossary 17.0 65.22 2.17 1.05 1.01 10.9 41.27 1.44 0.71 0.69 LIFE EXPECTANCY AT BIRTH (YEARS) * SEX 2000 2008 2009 2010 2011 2012 2013# MALE FEMALE BOTH SEXES 68.1 75.3 71.7 69.1 76.1 72.6 69.3 76.5 72.9 69.4 76.7 73.1 69.7 77.0 73.3 70.1 77.2 73.7 70.6 77.7 74.1 * Calculation based on a 3 year period # provisional 38 ISLAND OF MAURITIUS ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2013 MALE AGE-GROUP FEMALE BOTH SEXES (YEARS) Number % Number % Number % UNDER 1 6,762 1.1 6,397 1.0 1 - 4 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - & OVER ALL AGES 602,493 100.0 614,848 100.0 1,217,341 100.0 UNDER 5 35,376 5.9 34,575 61,942 10.3 59,905 5.6 9.7 69,951 121,847 76,825 12.8 74,869 12.2 151,694 28,527 4.7 28,263 4.6 56,790 5 - 11 12 - 19 16 - 18 UNDER 15 126,282 21.0 122,179 19.9 248,461 UNDER 18 154,760 25.7 150,155 24.4 304,915 UNDER 21 184,174 30.6 179,494 29.2 363,668 15 - 49 15 - 59 15 - 64 322,149 53.5 316,083 51.4 638,232 402,640 66.8 398,774 64.9 801,414 432,798 71.8 431,829 70.2 864,627 15 & OVER 476,211 79.0 492,669 80.1 968,880 18 & OVER 447,733 74.3 464,693 75.6 912,426 21 & OVER
 418,319 69.4 435,354 70.8 853,673 60 & OVER 73,571 12.2 93,895 15.3 167,466 65 & OVER 43,413 7.2 60,840 9.9 104,253 MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 34.7 33.7 392.1 36.3 35.1 423.8 35.5 34.4 407.9 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 5.7 10.0 12.5 4.7 20.4 25.0 29.9 52.4 65.8 71.0 79.6 75.0 70.1 13.8 8.6 39 MAIN HEALTH INSTITUTIONS AS AT END OF 2013 PUBLIC SECTOR Island of Mauritius Island of Rodrigues Regional (Principal) General Hospital District General Hospital Ø Health Centre (with in-patient service) Psychiatric Hospital Chest Hospital Eye Hospital E.N.T.
Centre Cardiac Centre Community Hospital *** Medi clinic + Area Health Centre+++ Community Health Centre Maternal and Child Health Clinic Vaccination Clinic (babies) Family Planning Clinic ## Health Office Dental Static Clinic (including oral surgery and orthodontics) Dental Mobile Clinic Ayurvedic Clinic Dialysis Clinic** Day Care Centre for the Immuno-suppressed Methadone Substitution Therapy Centre++ Chest Clinic PRIVATE SECTOR Private Clinic/Hospital (with in-patient service) Pharmaceutical retail outlet Dialysis Clinic (including those in private clinics) Sugar Estate Dispensary 5 2 - 1 1 1 1 1 2 4 19 116# 145 159 149 13 56 3 5 6 4 4 1 17 293 7 10 - 1 2 - - - - - - - 3**** 14 14### 15 17 1 3 - - 1 1 - - - 2 - - Ø Souillac, Mahebourg and Q.Elizabeth Hospital +++ outside hospital compound *** Y. Cantin and Long Mountain + Belvedère, L'Escalier, Plaine Verte and Triolet ** in Regional Hospital ## excluding 16 supply centres # excluding 14 additional sub-centres for vaccination (EPI) without MCH services ### excluding one centre with EPI service only **** at QEH, M.Lubin & La Ferme HC ++ one residential and 3 daycare Bed Situation as at end of 2013 INSTITUTION Government Hospitals Private Clinics Island of Mauritus 3,581 690 Island of Rodrigues 181 - Republic of Mauritius 3,762 690 TOTAL 4,271 181 4,452 REPUBLIC OF MAURITIUS SELECTED HEALTH MANPOWER STATISTICS AS AT END OF YEAR 2004 - 2013 Y E A R 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 GRADE DOCTOR R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P R E B M U N 0 0 0 , 0 1 R E P N O I T A L U P O P Employed by Mins.
of Health@ 775 - of which specialists (258) In private practice 528 6.3 6.3 777 (263) 565 6.9 856 (253) 544 6.8 844 (257) 581 6.8 852 (275) 598 7.1 887 (277) 588 7.7 967 (288) 533 7.7 970 (284) 591 1,000 8.0 (284) 722 1,054 8.4 (290) 992 T O T A L Of which specialist* DENTIST 1,303 10.6 1,342 10.9 1,400 11.3 1,425 11.5 1,450 11.6 1,475 11.8 1,500 12.0 1,561 12.4 1,722 13.7 2,046 16.2 (483) (522) (676) (580) (495) (559) (509) (642) (610) (718) Employed by Mins.
of Health 58 0.5 In private practice T O T A L PHARMACIST Employed by Mins.
of Health 20 0.2 In private practice 266 22 266 0.2 22 280 0.2 22 305 0.2 20 328 0.2 19 367 0.2 19 381 0.2 23 385 0.2 23 409 0.2 23 437 0.2 T O T A L 286 2.3 288 2.3 302 2.4 327 2.6 348 2.8 386 3.1 400 3.2 408 3.3 432 3.4 460 3.7 QUALIFIED NURSE & MIDWIFE Employed by Mins.
of Health 2,774 22.7 2,732 22.2 2,905 23.5 3,093 24.9 3,179 25.5 3,187 25.5 3,174 25.4 3,089 24.6 3,051 24.3 3,118 24.7 In Private practice 163 170 182 207 221 313 426 581 686 761 T O T A L 2,937 24.0 2,902 23.6 3,087 25.0 3,300 26.6 3,400 27.3 3,500 28.0 3,600 28.8 3,670 29.3 3,737 29.7 3,879 30.8 @excluding doctors (included in figure in private practice) working under the " Bank of Doctors" scheme and Pre-Registration House Officers (375) * including those employed by the Ministry of Health & QL Source: Establishment Division/Medical Council/Nursing Council with adjustments for under/over reporting NB: The rates pertaining to health personnel per 10,000 population for the year 2004 to 2012 differ from previously published figures because population data have been revised by Statistics Mauritius in light of 2011 Census 41 Selected Health Personnel in post at the Ministry of Health & Q L as at end of 2013@ Cadre / Grade# Number Cadre / Grade# Number Administrative Cadre Human Resource Cadre Office Management Cadre 17 29 55 Community Health Development Motivator Community Health Care Officer Sanitary Engineer Management Support Officer incl Office Supervisor 232 Health Engineering Officer Confidential Secretary Word Processing Cadre Office Care Attendant Finance Cadre Procurement & Supply Cadre Internal Control Cadre Health Records Cadre Health Information, Education and Communication Cadre Medical Specialist Medical Officer (Non specialist) Dentist (including specialist) Pharmacist Ayurvedic Medical Officer Nutritionist Occupational Therapy Cadre Speech Therapists & Audiologist Speech and Hearing Therapy Assistant Clinical Psychologist Hospital Physicist Dental Assistant EEG Technician ECG Technician Physiotherapist Physiotherapy Assistant Medical Imaging Technologist Medical Imaging Assistant Radiation Therapist Nuclear Medicine Technologist Nurse / Midwife Educator 29 49 61 44 131 5 395 11 290 764 58 23 5 13 23 3 9 5 5 71 2 29 17 28 Health Statistician Statistical Officer Demographer Analyst (Health) Hospital
 Administration Cadre Blood Bank Cadre Pathological Laboratory Assistant Community Health Rehabilitation Officer Medical Social Worker Welfare Assistant Clinical Scientist (Biochemistry or Virology) Scientific Officer Vector Biology and Control Division Vector Biology & Control Laboratory Technician (Entomology) Bio-Medical Engineering Technician Government Analyst Technical Officer (Chemical Laboratory) Medical Laboratory Technician Pharmacy Technician ( inc. Stores Manager) Public Health & Food Safety Inpector Health Surveillance Officer Insecticide Sprayerman Rodent Control Cadre Catering Cadre Orthopaedic Technician (incl Assistant) 114 Surgical Technologist 49 11 4 12 Permanencier Ambulance Driver Ambulance Care Attendant Ward Assistant Nursing Cadre (incl Psychiatry) 2,946 Cook Midwife Public Health Nursing officer Specialised Aids Nurse 131 Hospital Care Attendant 34 7 Linen Officer Laundry Attendant Health Care Assistant (General) 1,004 Mortuary Attendant Source: Establishment Division of the Ministry of Health & Quality of life # for each specified grade, the figures include officers in higher posts (e.g Statistical Officer includes Senior and Principal) @ a total of 13,500 officers were holding substantive posts at the Ministry of Health & QL, including hospitals and health centres etc.
NB: exclude "Bank of Doctors/Nurses" 42 REPUBLIC OF MAURITIUS MATERNAL AND CHILD HEALTH ACTIVITIES IN PUBLIC SECTOR - 2013 (excluding activities carried out at Regional Hospitals) A C T I V I T Y DOMICILIARY VISITS BY MIDWIFE/NURSE ANTENATAL POSTNATAL TOTAL DOMICILIARY VISITS CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR SPECIALISED TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT TOTAL CASES REFERRED EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAMINATIONS BY MIDWIFE/NURSE First attendances Subsequent attendances ANTENATAL EXAMINATIONS BY DOCTOR* First attendances Subsequent attendances POSTNATAL EXAMINATIONS BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING Number of attendances 472 of whom reported underweight of whom reported overweight 202 EXAM.
OF CHILDREN UNDER 5 YEARS BY DOCTOR First attendances Subsequent attendances TOTAL ATTENDANCES AT CLINIC * of which 1,472 and 6,389 cases examined by specialists at first and subsequent attendances respectively.

STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION - 2013 IMMUNIZATIONS PERFORMED BABIES B.C.G.

M.M.R.

D.P.T.

& H.I.B, HEP.
B & O.P.V: 1st dose 2nd dose 3rd dose Booster dose (excluding Hep B) D.T, O.P.V & HEP.B : 1st dose 2nd dose 3rd dose Booster dose (excluding Hep B) ATTENDANCES FOR IMMUNIZATION OF CHILDREN (a) PREGNANT WOMEN (including Regional Hospitals) TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) ATTENDANCES FOR IMMUNIZATION OF PREGNANT WOMEN (b) TOTAL ATTENDANCES FOR IMMUNIZATION (a+b) PRIMARY SCHOOL CHILDREN MMR (std I) DT & OPV (std I) TETANUS TOXOID (STD VI) IMMUNIZATION OF PRIMARY SCHOOL CHILDREN STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES AT GOVERNMENT CLINICS BY DISTRICT - 2013 (excluding activities carried out at Regional Hospitals DISTRICT ACTIVITY DOMICILIARY VISITS BY MIDWIFE/NURSE ANTENATAL 79 178 24 31 202 216 231 29 19 1,009 POSTNATAL TOTAL DOMICILIARY VISITS CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAM.
BY MIDWIFE/ NURSE First attendances Subsequent attendances ANTENATAL EXAM.

BY DOCTOR* First attendances Subsequent attendances POSTNATAL EXAM.

BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING Total number of attendances Reported underweight Reported Overweight EXAM.
OF CHILDREN UNDER 5 YRS BY DOCTOR First attendances Subsequent attendances - - 1 4 - 4 - - - - - 2 2 - - - - - - 846 18 472 - 419 13 5,312 603 12,996 24 14 18,043 4 2 15,201 - - TOTAL ATTENDANCES AT CLINIC 28,887 35,305 29,658 45,980 22,927 13,657 60,093 21,142 20,607 278,256 * includes cases examined by specialist at first as well as subsequent attendances 44 STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES AT GOVERNMENT CLINICS BY DISTRICT - 2013 (excluding activities carried out at Regional Hospitals % DISTRICT ACTIVITY REGISTRATION OF GESTATIONAL AGE AT FIRST ATTENDANCE FOR ANTENATAL TREATMENT 3 months or less Between 3 and 6 months 6 months and over TOTAL FIRST ATTENDANCES FIRST DETERMINATION OF HAEMOGLOBIN LEVEL (mg/dl) OF ANTENATAL CASES below 9.0 9.0 to 9.9 10.0 to 10.9 11.0 to 11.9 12.0 or above 2,027
25.1 33.9 27.5 898 987 945 1,103 796 580 2,027 593 651 8,580 100.0 STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION BY DISTRICT - 2013 TOTAL FIRST DETERMINATIONS DISTRICT IMMUNIZATIONS PERFORMED CHILDREN 1,032 1,231 1,035 1,093 1,118 1,171 11 11 13 39 T R O P D N A R G Q C A L F 1,312 1,416 1,092 1,070 1,314 1,319 1,352 1,340 1,124 1,117 1,119 1,025 1 1 - 63 15 22 12 89 E N N A V A S 670 633 657 647 649 656 5 6 9 50 S M E H L I W E N I A L P 2,702 2,853 2,758 2,782 2,737 2,615 43 62 51 396 R E V I R K C A L B 984 926 929 957 933 747 30 47 55 172 A K O M 720 800 761 757 771 738 9 9 7 62 L A T O T 11,042 11,504 11,097 11,197 11,306 10,708 134 189 186 1,067 B.C.G.
1,288 M.M.R.

1,235 1,242 1,340 D.P.T & H.I.B, HEP.
B & O.P.V: 1st dose 2nd dose 3rd dose Booster dose# D.T , O.P.V & HEP.B: 1st dose 2nd dose 3rd dose Booster dose# 1,302 1,276 1,329 1,110 1,217 1,249 1,298 1,306 11 25 28 137 9 6 11 59 TOTAL ATTENDANCES FOR IMMUNIZATION OF CHILDREN PREGNANT WOMEN *: 7,741 7,737 6,754 8,118 6,685 3,982 16,999 4,634 5,780 68,430 TETANUS TOXOID: 1st dose 2nd dose 872 793 Booster dose 943 801 (1 year after 2nd dose) 215 220 796 713 266 1,131 997 859 749 604 525 1,801 1,565 574 582 664 494 8,244 7,219 226 113 59 424 175 70 1,768 TOTAL ATTENDANCES FOR IMMUNIZATIONS OF PREGNANT WOMEN # Excluding Hepatitis * including immunizations carried out at Regional Hospitals 1,880 1,964 1,775 2,354 1,721 1,188 3,790 1,331 1,228 17,231 45 ISLAND OF MAURITIUS INDICATORS RELATED TO ANTENATAL CARE IN GOVERNMENT SERVICE Gestational age at first attendance for antenatal care YEAR 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 % Of First Attendances by gestational age 3 Months or less Between 3 and 6 Months 6 Months or over Haemoglobin level (mg/dl) at first determination of antenatal cases % Antenatal Cases by Haemoglobin Level Below 10.0 (Moderate or severe anaemia) 10.0 to 10.9 11.0 or above (Mild anaemia) (Normal) YEAR 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 46 ISLAND OF MAURITIUS IMMUNISATIONS REPORTED BY GOVT SERVICES AND PRIVATE INTERNATIONAL VACCINATION CENTRES 2009 - 2013 YEAR DISEASE IMMUNIZED AGAINST TUBERCULOSIS (B.C.G.)
DIPHTHERIA, PERTUSSIS, TETANUS, POLIOMYELITIS & HEPATITIS B (D.P.T, H.I.B, HEP.B & O.P.V ) (DIPHTHERIA TETANUS, POLIOMYELITIS & HEP B ) YELLOW FEVER INFLUENZA@ TETANUS $ TYPHOID FEVER INFECTIOUS HEPATITIS "A" 2009 2010 2011 2012 2013 12,821 12,484 12,172 11,845 11,042 1st dose 2nd dose 3rd dose 12,642 13,088 13,376 12,277 12,487 12,487 12,098 12,087 11,896 11,807 11,896 11,754 11,097 11,197 11,306 Booster Dose# (excluding HEP.

B) 1st dose 2nd dose 3rd dose Booster dose ( exclude HEP.
B) INFECTIOUS HEPATITIS "B" 1st dose 2nd dose 3rd dose 4th & higher dose Booster dose Unspecified dose MENINGITIS MEASLES/ MUMPS/ RUBELLA (MMR) 1,849 28,147 2,948 27,515 3,340 26,432 3,296 25,587 3,737 24,701 @ include vaccination done by Ministry of Social Security for old age persons (see pg 49) $ Injured persons, primary school leavers and pregnant women REPUBLIC OF MAURITIUS EXPANDED PROGRAMME ON IMMUNISATION AT GOVERNMENT CLINICS IMMUNISATION COVERAGE RATES AND PERFORMANCE INDICATORS - 2013 BCG BABIES MMR PREGNANT WOMEN DPT/HEPATITIS B/HIB/POLIO$ TETANUS TOXOID Surviving Infants# DISTRICT Number Coverage @ Number Coverage @ Number Coverage @ Rate Rate (3rd dose) Rate PORT LOUIS PAMPLEMOUSSES RIVIERE DU REMPART FLACQ GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER ISLAND OF MAURITIUS RODRIGUES REPUBLIC OF MAURITIUS $: Excluding 186 doses of DT - POLIO ( 3rd dose ) # : live births less infant deaths registered in 2013 &: based on estimated pregnant women @ based on surviving infants Numbe r (2nd & higher dose) 1,008 1,021 979 1,223 862 584 1,989 757 564 8,987 519 9,506 Coverage & Rate 58.7 60.3 86.8 80.0 67.8 78.5 53.1 80.2 61.0 65.6 74.6 66.0 4 7 DISTRICT PERFORMANCE -
 2013 GOVERNMENT CLINICS Coverage Rate for DPT 3rd dose Less than 80% 80% to 89% 90% and above Number of districts 1 3 6 EXPANDED PROGRAMME ON IMMUNIZATION AT GOVERNMENT CLINICS REPUBLIC OF MAURITIUS IMMUNISATION** COVERAGE RATES 1995 - 2013 VACCINE BCG DPT, HEPATITIS B & HIB# (3rd dose) POLIO (3rd dose) MMR* TETANUS TOXOID (2nd & higher dose) BABIES ( 0-1 year ) PREGNANT WOMEN Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius Mauritius Rodrigues Republic of Mauritius 79.8
77.8 71.0 77.0 74.8 75.5 74.2 71.7 73.3 75.0 79.8 81.8 83.2 86.1 82.5 79.6 75.4 70.7 66.0 4 8 YEAR 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 ** See Glossary for full name of vaccines # With Hepatitis B as from 1996 & HIB from 2006 * In 1996, Measles was gradually replaced by MMR 49 ISLAND OF MAURITIUS DISTRIBUTION OF IMMUNIZATIONS REPORTED IN 2013 BY SECTION OF POPULATION COVERED Babies DISEASE IMMUNIZED POPULATION COVERED AGAINST TUBERCULOSIS (B.C.G) Babies attending M.C.H.
Clinics DIPHTHERIA, PERTUSSIS, TETANUS,HIB POLIOMYELITIS & HEPATITIS B ( D.P.T, H.I.B, HEP.

B & O.P.V) DIPHTHERIA TETANUS, attending M.C.H.

Clinics Babies attending M.C.H.

Clinics 1st dose 2nd dose 3rd dose Booster dose (Excluding HEP.B) 1st dose 2nd dose 3rd dose Booster dose (exclude Hep.

B) POLIOMYELITIS & HEPATITIS B (D.T, O.P.V & HEP B) YELLOW FEVER Babies attending M.C.H.
Clinics Primary Schools New Entrants Persons travelling abroad INFLUENZA (Trivalent inc AH1N1) Persons travelling abroad Old persons* Children between 6 months to 2 years, health personnel, patients with chronic condition@, etc Persons travelling abroad TETANUS Pregnant women attending Antenatal Clinics Primary School Leavers Injured persons attending Health Institutions TYPHOID FEVER INFECTIOUS HEPATITIS "A" Persons travelling abroad Persons travelling abroad INFECTIOUS HEPATITIS "B" Mainly Dialysis Patients, Medical and Para- medical Staff, Policemen and Firemen MENINGITIS Persons travelling abroad Persons travelling abroad MEASLES/MUMPS/RUBELLA (MMR) Babies attending M.C.H.
Clinics Primary Schools New Entrants Persons travelling abroad * aged 60 years & over ( by Ministry of Social Security) include AH1N1 vaccine @ persons aged less than 60 years ( by Ministry of Health) # City Clinic and Fortis Darne Clinic 1st dose 2nd dose Booster dose 1st dose 2nd dose 3rd dose 4th & higher dose Booster dose Unspecified dose NUMBER OF IMMUNIZATIONS Govt Services Private International Vaccination Centres# TOTAL 11,042 11,097 11,197 11,306 - - - - 11,042 11,097 11,197 11,306 10,708 - 134 189 186 1,067 13,500 - 1,702 80,000 - - - - - 8 196 - 14,909 - - 8,244 7,219 1,768 15,705 177,546 857 8,839 633 527 404 456 87 - 3,632 11,504 13,182 - 50 - - - - - 95 121 - - - - - 89 105 - - 15 10,708 134 189 186 1,067 13,500 8 1,898 80,000 14,909 50 8,244 7,219 1,768 15,705 177,546 952 8,960 633 527 404 456 87 89 3,737 11,504 13,182 15 SUMMARY OF WORK PERFORMED IN HOSPITALS - 2013 CASES SEEN BY DOCTOR NUMBER OF Average Number HOSPITAL ADMISSIONS length of stay (day) of Deaths Percentage occupancy Daily available beds NUMBER OF OPERATIONS$ PERFORMED Unsorted OPD TOTAL Sorted OPD Accident & Emergency Department IN-PATIENTS OUT- PATIENTS DR. A.G. JEETOO (P.Louis) 40,850 3.8 962 524 81.5 5,961 S.S.R.N.
(Pamplemousses) 31,812 3.7 792 486 66.8 FLACQ (Central Flacq) J. NEHRU (Rose Belle) VICTORIA & P.M.O.C.
(Quatre Bornes) MAHEBOURG SOUILLAC SUB-TOTAL (GENERAL) BROWN SEQUARD (PSYCHIATRY) (Beau Bassin) Long stay patients 26,778 28,331 49,904 5,403 6,085 189,163 3.7 3.6 4.6 1.2 1.1 3.8 423 715 1,532 - 8 4,432 337 451 719 60 49 2,626 80.2 62.8 87.1 29.0 36.4 74.9 32 297.7 4 446 91.7 Others 4,682 14.6 12 242 70.1 POUDRE D'OR (CHEST) 1,018 14.9 43 61 68.4 6,446 4,853 4,431 10,961 - - 32,652 - - - - - - - - - - - - S. BHARATI (EYE) (Moka) E.N.T.
CENTRE (Vacoas) CARDIAC CENTRE (Pamplemousses) TOTAL (GENERAL + SPECIALISED) 7,735 6,631 3,259 212,520 1.8 1.9 4.9 4.6 - 5 81 4,577 64 53 67 3,559 58.0 64.1 64.8 75.9 6,149 1,375 1,292 41,468 1,179 4,061 - 5,240 $ 19,915 requiring General Anaesthesia # seen at Chest Clinic (Port Louis) 255,327 154,390 147,591 557,308 156,994 183,758 155,498 496,250 112,974 116,209 147,053 376,236 5 0 142,316 138,700 57,245 338,261 277,028 96,361 81,666 1,122,666 259,682 15,507 20,585 888,831 122,225 - - 658,935 111,868 102,251 629,612 2,641,109 24,079 30,638 - 16,941 144,705 149,203 - 73,446 13,825 24,657 - - - - - 54,717 16,941 218,151 163,028 24,657 1,440,653 1,048,338 629,612 3,118,603 51 ISLAND OF MAURITIUS HAEMODIALYSIS, CT-SCAN AND MRI PERFORMED ON GOVERNMENT HOSPITAL PATIENTS - 2013 NUMBER OF EXAMINATIONS HOSPITAL/CENTRE NUMBER OF HAEMODIALYSIS PERFORMED# CT - SCAN Dr. A.G. JEETOO SSSRN FLACQ J. NEHRU VICTORIA SOUILLAC# 17,312 23,642 25,133 18,111 26,934 6,609 261 3,354 3,436 4,962 MRI 1242 637 - 1,304 SUB TOTAL 117,741 12,013 3,183 PRIVATE TOTAL 37,336 155,077 2,681 14,694 143 3,326 # At the end of the year, there were 787 patients on dialysis in the 5 regional hospitals and Souillac Hospital; another 265 government hospital patients were on dialysis in private centres.
Non-traumatic amputations performed in government hospitals 2009 2010 2011 2012 2013 CATEGORY New amputees 178 102 280 213 78 291 203 80 283 225 106 331 249 98 347 Re-amputation 88 40 128 88 31 119 118 32 150 132 36 168 149 52 201 TOTAL (Amputations) of which diabetic % Diabetic 87.2 90.1 88.2 91.0 97.2 92.7 87.9 94.6 89.6 89.4 95.1 91.0 88.9 92.0 89.8 52 ISLAND OF MAURITIUS WORK PERFORMED IN MATERNITY SECTIONS OF GOVERNMENT GENERAL HOSPITALS 2000- 2013 DELIVERY BIRTH # L A M R O N L A T N E M U R T S N I No No.
No.

N A I R A S E A C N O I T C E S % Total + LIVE BIRTH STILL-BIRTH TOTAL l a t o T of which Low Birthweight * No.

No.

% No.

Ratex No.
% of whole island births @ * birthweight of less than 2,500 grammes @ based on Statistics Mauritius data on place of birth x per 1,000 total live births and stillbirths + CS Rate (%) # mostly by midwife NB: in 2013, (a) 81 and 2 deliveries occurred with twins and triplets respectively (b) 431 births were reported as "premature" (4.4%) Livebirths registered among teenagers* (whole island) Age 2009 2010 2011 2012 2013 Live births among mothers aged <20 years % of all live births registered * Source: Statistics Mauritius 1,640 1,519 1,469 1,402 1,202 11.2 10.6 10.5 10.2 9.5 53 ISLAND OF MAURITIUS ACTIVITY OF THE X-RAY DEPARTMENT*-2013 Examination Extremities Chest Spine Skull Abdomen Echography (ultra sound) Angiogram C-Arm / O.T NB: a total of 650,716 (598,525 in 2012) examinations were performed by the X-Ray Department including MRI and CT-Scan * See page 51 for figures pertaining to MRI and CT-Scan Examination Angioplasty Mammography Pyelogram (intravenous) Barium Meal Barium Enema Dental + Occlusal Barium Swallow
 Cholangiopancreatogram Number 241,392 164,800 77,587 75,622 46,186 21,312 3,293 1,627 Number 908 744 560 544 501 190 175 164 OUT-PATIENT ATTENDANCES# AT SPECIALISED CLINICS -2013 Specialty Orthopaedics General Medicine Cardiology General Surgery Psychiatry Ophthalmology@ Gynaecology Obstetrics Dermatology Paediatrics Number 150,119 136,125 115,073 100,281 92,281 91,204 76,946 53,952 46,356 38,813 Specialty Oncology Chest Disease ENT Physical Medicine Neurosurgery/Neurology Cardiac Surgery Endocrinology Nephrology/Renal Transplant Plastic Surgery Geriatrics Number 31,231 29,890 26,798 25,457 8,011 6,310 4,183 3,823 3,645 1,445 # Total attendances= 1,060,362 (992,205 in 2012) of which 18,419 cases of NCD seen at District and Community Hospitals (in 2013) @ including 12,144 refractions only OUT-PATIENT ATTENDANCES AT CERTAIN ANCILLIARY SERVICES Service 2011 Physiotherapy Occupational Therapy Speech Therapy Audiology Podiatry Retinal screening@ @ increases due to extension of services 91,794 44,692 13,544 12,793 2,659 13,705 Number 2012 95,749 39,911 11,403 11,581 2,531 21,722 2013 93,107 37,198 11,193 11,676 4,104 24,581 54 ATTENDANCES* FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES - 2013 .
CENTRE AND DISTRICT TOTAL FLACQ LADY RAMGOOLAM MEDICLINIC FLACQ AHC BEL AIR AHC BRAMSTHAN AHC Belle Mare CHC Bon Accueil CHC Camp De Masque Pavé CHC Camp Ithier CHC Caroline CHC Clemencia CHC Dr Saxena (Pellegrin) CHC Ecroignard CHC G.R.S.E CHC Lalmatie CHC La Lucie Roy CHC Laventure CHC Mare La Chaux CHC Medine Camp De Masque CHC Olivia CHC Pellegrin (R.F.Palmer) CHC Poste De Flacq CHC Quatre Cocos CHC Quatre Soeurs CHC St Julien D'Hotman CHC St Julien Village CHC Sebastopol (Lesur) CHC Trou D'Eau Douce CHC TOTAL SAVANNE CHEMIN GRENIER AHC TYACK AHC Baie Du Cap CHC Camp Diable CHC Chamouny (Prof.Cerene) CHC Grand Bois CHC TOTAL RIVIERE DU REMPART GOODLANDS AHC RIVIERE DU REMPART AHC Amaury CHC Barlow CHC Belle Vue Maurel CHC Cap Malheureux CHC Cottage CHC Esp.Trébuchet (K.Ramdanee) CHC Grand Bay CHC Grand Gaube CHC Petit Raffray CHC Piton CHC Plaines Des Roches CHC Poudre D'Or CHC Roches Noires CHC Vale CHC TOTAL d n e t t a s e c n a l a t o T .
i n o g e R CENTRE AND DISTRICT TOTAL PLAINES WILHEMS B.BASSIN (L.Twining St) AHC CASTEL AHC CUREPIPE ROAD AHC QUATRE BORNES AHC ROSE HILL AHC VACOAS (Club road ) AHC$ Bassin CHC Beau Bassin (Odette Leal) CHC Coromandel CHC Floreal CHC Forest Side CHC Glen Park CHC Highlands CHC Midlands CHC Pandit Sahadeo (Vacoas) CHC Phoenix CHC SSR (Ollier) CHC Stanley CHC Trefles (Jacques Rougeot)CHC Swami Krishnanand (H/Rood) CHC La Caverne CHC& Wooton CHC TOTAL MOKA DR MAHLER(Mt.
Blanche)AHC QUARTIER MILITAIRE AHC DR QUENUM (St Pierre) AHC Camp Thorel CHC Dagotiere CHC Dubreuil CHC L'Avenir CHC La Laura CHC M.de Speville (Esp/Q.M.)
CHC Melrose CHC Moka CHC Pailles CHC Pailles West CHC Providence CHC Ripailles CHC TOTAL GRAND PORT L'ESCALIER MEDICLINIC ROSE BELLE AHC Bambous Virieux CHC Cluny CHC Grand Sable CHC Mare D`Albert CHC Mare Tabac CHC New Grove CHC Nouvelle France CHC Old Grand Port CHC Plaine Magnien CHC Riviere Des Creoles CHC Riviere Du Poste CHC Saint Hubert CHC Trois Boutiques CHC d n e t t a s e c n a l a t o T .
TOTAL 358,855 CENTRE AND DISTRICT TOTAL PAMPLEMOUSSES L.MOUNTAIN COMM HOSPITAL TRIOLET MEDICLINIC# Arsenal CHC Baie Du Tombeau CHC Bon Air CHC Calebasses (Human S.Trust) CHC Congomah CHC Crève Coeur CHC D'Epinay CHC Fond Du Sac CHC Le Hochet (S.K.Patel) CHC Pamplemousses CHC Petite Julie CHC Plaine Des Papayes CHC Pointe Aux Piments CHC Terre Rouge CHC Trou aux Biches Villebague CHC TOTAL BLACK RIVER DR CANTIN Comm.
HOSPITAL BAMBOUS AHC Albion CHC Beaux Songes CHC Case Noyale CHC Chamarel CHC Flic En Flac CHC Shri R Jugnauth (Palma) CHC La Gaulette CHC M. Leal (La Tour Koenig) CHC Petite Riviere CHC Pointe Aux Sables CHC Tamarin CHC TOTAL PORT LOUIS DR Hyderkhan(P/Verte) Mediclinic DR BOULOUX (Cassis) AHC Cité La Cure (Dr Mahler) CHC Eastern CHC Roche Bois CHC Sainte Croix CHC Tranquebar CHC Vallee Des Pretres CHC Vallee Pitot CHC TOTAL ISLAND TOTAL ** of which in Health Regions $$ Region 1 (Dr Jeetoo Hospital) Region 2 (SSRN Hospital) Region 3 (Flacq Hospital) Region 4 ( J.Nehru Hospital) Region 5 (Victoria Hospital) $$ excluding Out-patient at hospitals l a t o T d n e t t a s e c n a * based on monthly returns received and adjusted for under/over reporting and yearly trends.
$ upgraded into AHC in 2013 & became CHC in 2013 # upgraded into Medi clinic in new building in November 2013 .

** at Community Hospitals (188,578), Medi clinics ( 378,172 ), Area Health Centre (1,208,860 ) and Community Health Centre ( 2,598,587 ).
** excluding MCH (297,351 ), Vaccination (90,773 ), Family Planning ( 80,134 ) and Dental (225,875 ) ** of which (2,085,916 ) seen by doctor, that is, 40.1% of all cases seen by doctor in government outpatient services (5,204,519 ) SUMMARY ON PRE-PRIMARY SCHOOL HEALTH PROGRAMME - 2013 55 S I U O L T R O P S E S S U O M - E L P M A P T R A P M E R U D Q C A L F .

V I R DISTRICT ACTIVITY AND RESULT SCREENING BY NURSING STAFF No.

of schools visited No.

of children on roll No.


of children screened Scabies Nits and lice Dental carries No.

of children referred to dentist No.


of children referred to M.C.H.

clinics for immunization 2 32 6 62 2 82 204 274 419 3 101 297 6 84 9 53 299 145 15 288 589 3 38 25 114 71 854 5 - 76 854 141 242 2,610 96 2,706 28 231 387 232 299 141 557 140 134 2,149 63 2,212 45 59 44 9 13 21 269 140 122 722 - 722 SUMMARY ON PRIMARY SCHOOL HEALTH PROGRAMME - 2013 DISTRICT DISTRICT ACTIVITY AND .
V I R Normal Schools # ols o h c d S cialis RESULT SCREENING BY NURSING STAFF No.
of schools visited# No.

of children on roll No.

of children screened Scabies Nits and lice Dental problems No.

of children referred to dentist VISION SURVEY (Std III,V& VI) No.

of children screened No.

with defective vision No.
referred to specialists IMMUNIZATIONS PERFORMED D.T - POLIO (New entrants) MMR (New entrants) Tetanus Toxoid (School leavers) # mostly in Plaines Wilhems (14), Port Louis(4), Riviere du Rempart(1), Pamplemousses (2) and Black River (1) 56 Primary School Health Statistics - 2013 ISLAND OF MAURITIUS SCREENING BY NURSING STAFF IN : NORMAL SCHOOLS Number of children on roll Number of children screened STANDARD: I 14,850 II 12,642 III 15,535 IV 13,991 V 16,213 VI SS# 765 583 2 25 81 72 Total 91,791 51,965 108 4,564 11,111 8,474 Number of children having the following : Scabies Nits and/or lice Dental caries of whom referred to dentist VISION SURVEY ON CHILDREN IN: STANDARD: Number of children surveyed Number of children with visual problem of whom referred to eye specialist IMMUNIZATION PERFORMED MMR (Standard I) D.T - Polio (Standard I) Tetanus (Standard VI) # Specialised Schools III 14463 500 409 V 15,123 702 592 VI 155 8 4 SS Total 22 29,763 2 1 1,212 1,006 Normal Schools 13,143 13,455 15,641 SS# TOTAL 39 45 64 13,182 13,500 15,705 ISLAND OF RODRIGUES SCREENING BY NURSING STAFF IN : STANDARD: I Number of children on roll Number of children screened Number of children having the following : Scabies Nits and/or lice Dental caries of whom referred to dentist II 801 696 III 849 732 IV 820 713 V 770 673 862 800 16 21 13 12 12 2 105 81 8 162 151 8 168 160 4 168 150 1 131 89 VISION SURVEY ON CHILDREN IN: STANDARD: Number of children surveyed Number of children with visual problem of whom referred to eye specialist III 825 20 28 V 755 18 19 VI 334 0 0 IMMUNIZATION PERFORMED MMR (Standard I) D.T - Polio (Standard I) Tetanus (Standard VI) Total 4,944 4,354 83 27 827 712 Total 1,914 38 47 VI 842 740 9 4 93 81 783 708 681 57 ISLAND OF MAURITIUS STATISTICS ON NCD MOBILE SERVICE Population Reached: Number of adults screened and /or sensitised at worksites and localities Number of
 students of secondary/tertiary/vocational institutions screened and sensitised 2010 2011 2012 2013 127,437 87,340 95,106 67,563 25,807 26,414 26,074 26,225 Republic of Mauritius Cash Gift Coupons* distributed at government MCH Clinics Year 2006 2007 2008 2009 2010 2011 2012 2013 First 10,466 9,108 7,909 7,730 7,519 7,306 6,888 6,705 Mauritius No of Cash Coupons Second 12,888 11,367 10,981 10,023 9,493 9,057 8,977 8,645 Third 11,947 10,916 10,276 9,412 8,623 7,965 7,608 7,301 Fourth 9,326 8,718 8,233 7,177 7,010 6,147 5,805 5,566 Rodrigues No of Cash Coupons Second 653 723 749 683 629 622 586 573 Third 599 691 687 608 561 531 502 529 Fourth 449 608 566 480 510 440 375 407 First 399 403 416 424 469 618 547 495 ISLAND OF MAURITIUS Statistics on Home Nursing Care Services Port Louis Pamplemousses / Riviere du Rempart Flacq 1 2 3 4 Grand Port / Savanne Plaine Wilhems 5 TOTAL Number of visits 2011 2012 7,386 6,219 7,575 6,402 8,328 35,910 4,404 11,979 7,495 6,188 6,299 36,365 2010 6,701 5,632 7,311 6,264 8,370 34,278 2013 4,930 10,629 8,772 6,936 5,226 36,493 Summary Statistics on Noise Monitoring performed by the Environmental Health Engineering Unit Year Number of Complaints Received & Attended Number of Complaints where noise nuisance were detected Number Noise Monitoring Visits during of during Weekends Notices and after Office Served Hours* 2005 2006 2007 2008 2009 2010 2011 2012 2013 250 203 313 558 526 620 562 626 657 * by Noise Monitoring Squad ( as from July 2009) 239 199 234 149 194 203 203 229 292 - - - - 605 1553 1751 1753 1622 - - 13 10 34 25 14 8 32 58 ISLAND OF MAURITIUS SCREENING* OF PRIMARY & PRE-PRIMARY SCHOOL CHILDREN# - 2013 Children reported with: Abdominal pain Pallor Pityriasis versicolor Skin diseases Eye defects Hearing impairment and other ear disorders Speech disorders Asthma (known) Enlarged tonsils/tonsillitis Upper respiratory tract infections Congenital anomalies: Cleft palate/lip Congenital heart disease Undescended testis Dyslexia Mental
 & behavioural disorders Underweight Overweight Other conditions No.
of children referred to specialists * for specific diseases by doctor or nursing staff # all children not covered Pre-primary 1 10 36 331 34 8 67 41 24 17 Primary 9 19 146 1,067 128 5 45 275 24 26 5 42 31 - 45 519 318 258 350 - 90 56 7 88 221 1,422 619 1,080 ACTIVITIES OF THE DENTAL HEALTH SERVICE 2010-2013 PREVENTIVE SERVICE* ACTIVITY PLACE POPULATION COVERED 2010 2011 2012 2013 Well Baby Clinics in Area & Community Health Centres Pre-Primary schools Pre-Primary, Primary, & Secondary Schools No.
of children 6-9 months No.

of children 10-23 months - - - - - - - - No.

of children 24-35 months - - - - No.

of schools visited 549 - - - No.

of pupils (3-5 years) 19,972 - - - - TOTAL 19,972 - - - No.

of pre-primary schools visited No.

of pre-primary school children reached No.

of primary schools visited No.

of primary school children reached No.

of secondary schools visited No.

of secondary school children reached No.

of nursing mothers reached in well-baby clinics No.
of persons reached in SWC/COM/other centres 382 13,721 99 13,743 15 286 73 90 10,726 2,570 3,020 188 111 129 18,010 34,827 39,224 5 - 28 1,640 3,332 218 - - - - - Other places (community) 5,007 1,571 470 1,966 No of persons screened in mobile dental clinics 2,044 3,701 3,610 3,705 TOTAL 36,155 37,340 41,695 47,915 Source: Dental Health Services * drastic changes due to administrative reasons @ no fluoride distribution to children 59 ISLAND OF MAURITIUS DENTAL CURATIVE SERVICES TABLE A: ATTENDANCES AT DENTAL CLINICS 2009-2013 ATTENDANCES Cases seen by dentists: Children < 5 years Children aged 5-11 years Persons aged 12 years & above SUBTOTAL Cases seen by specialist: oral surgeons orthodontists endodontists TOTAL ATTENDANCES 2009 2010 Number # of which 225,875(67.6%) seen at AHC's and CHC's TABLE B: DISTRIBUTION OF CASES SEEN BY TYPE OF DENTAL CARE Number 2011 Dental care 2009 2010 2012 2013 EXTRACTION AND TOOTH RESTORATION Deciduous teeth extracted School children Temporary fillings inserted in : deciduous teeth permanent teeth Permanent fillings inserted : amalgam composite Permanent teeth extracted Adults Temporary fillings inserted Permanent fillings inserted : amalgam composite Teeth extracted OTHER DENTAL CARE Treatment of paradontal disease Surgical operations on jaws, etc.
Treatment of fracture of jaws Endodontic treatment Treatment of dental cysts Treatment of temporo-mandibular joint Application of pit and fissure sealants Cases treated under general anaesthesia TABLE C: ORTHODONTIC ACTIVITY Activity No.
of appliances delivered No.

of patients with cleft palate No.

of appliances activated No.
of appliances repaired 2009 959 26 4,223 70 2010 861 41 3,560 70 Number 2011 719 35 3,857 56 2012 940 34 3,785 85 2013 962 42 3,933 17 60 REPUBLIC OF MAURITIUS Pathological tests carried out in public laboratories - 2013 Section Bacteriology Biochemistry Blood Transfusion Cytology Haematology Histology Parasitology Virology & STI * Island of Mauritius Rodrigues Republic of Mauritius SPECIMENS 83,096 3,658,771 255,866 TESTS 391,302 4,849,225 1,035,881 11,205 14,571 1,024,335 10,354 140,375 341,233 2,676,983 75,835 221,472 431,347 SPECIMENS 3,049 83,020 2,396 - 29,572 - 5,730 11,412 TESTS 9,213 104,200 8,410 - 94,305 - 5,832 14,201 SPECIMENS 86,145 3,741,791 258,262 TESTS 400,515 4,953,425 1,044,291 11,205 14,571 1,053,907 10,354 146,105 2,771,288 75,835 227,304 352,645 445,548 Total 5,525,235 9,696,616 135,179 236,161 5,660,414 9,932,777 * Sexually Transmitted Infections # including tests performed at Blood Tranfusion Service @ Significant increase compared to 2012 due to decentralisation of services and opening of new laboratories Details of pathological tests carried out in Blood Transfusion Services - 2013 Tests Antenatal Antibody Screening Antigen Typing Cord Blood Cross-Matched Cases Direct Coomb's test Donor Testing Human Leucocyte Antigen Transfusion Transmitted Infections Type & Screen Unit of Blood XM'd Total Island of Mauritius Rodrigues Republic of Mauritius SPECIMENS 15,368 2,514 1,198 5,759 34,695 494 49,324 349 49,442 32,863 63,860 255,866 TESTS 68,272 11,139 1,198 13,379 195,895 929 214,543 463 219,732 174,968 135,363 1,035,881 SPECIMENS - - - 193 859 48 - - - 597 699 2,396 TESTS - - - 512 4,225 144 - - - 2,830 699 8,410 SPECIMENS 15,368 2,514 1,198 5,952 35,554 542 49,324 349 49,442 33,460 64,559 258,262 TESTS 68,272 11,139 1,198 13,891 200,120 1,073 214,543 463 219,732 177,798 136,062 1,044,291 Selected Laboratory* Confirmed Cases of Communicable Diseases 2002 - 2013 Year 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Disease Gonorrhoea Haemophilus influenza Type B Hepatitis A Hepatitis B Hepatitis C Leptospirosis Meningitis Meningococcal Syphilis Typhoid Fever * Government services - 44 371 23 15 - 3 272 - 2 330 1,213 2,033 2,713 1,952 2,026 1,839 1,660 1,735 1,637 1,502 1,598 1,713 18 - 169 1 20 1 42 - 160 646 - 2 23 2 557 - 16 - 432 1 18 2 462 4 20 3 317 - 45 2 64 1 37 1 327 132 425 - 3 2 33 2 457 1 55 - 465 3 61 REPUBLIC OF MAURITIUS POSITIVITY RATES OF PATHOLOGICAL TESTS CARRIED OUT IN PUBLIC LABORATORIES ON CERTAIN SELECTED PATHOGENIC CONDITIONS 2011-2013 2011 2012 2013 SPECIMENS SPECIMENS SPECIMENS POSITIVE CASES POSITIVE CASES POSITIVE CASES TESTED 4,373 RATE (%) 3.7 TESTED 5,069 No.
96 RATE (%) 1.9 TESTED No.

RATE (%) 5,070 120 2.4 PATHOGENIC CONDITION Parasites identified : Entamoeba histolytica Precystic amoebae Trichuris ova Ascaris ova Endolimax nana Giardia lamblia Hookworm ova Other 1.

Stools ( selected pathogens) 3068 Non-typhoidal salmonella Campylobacter Shigella species Salmonella typhi No.

162 25 14 25 30 6 8 3 51 254 66 8 - 0.6 0.3 0.6 0.7 0.1 0.2 0.1 1.2 8.3 2.2 0.3 - 20 11 16 19 3 4 2 21 124 65 4 1 0.4 0.2 0.3 0.4 0.1 0.1 0.0 0.4 4.8 2.5 0.2 0.0 2582 2.
Throat Swabs 2971 2556 Streptococcus group A 3.
Cerebrospinal Fluid ( selected pathogens) 442 Haemophilus influenza type B Streptoccus pneumoniae Streptococcus group B Cryptoccus neoformans Neisseria meningitidis Gonorrhoea Syphilis (VDRL) Malaria Human immuno-deficiency virus (HIV) 2,576 66,748 56,684 85,197 232 7.8 86 3.4 - 5 3 - 1 12 425 54 417 - 1.1 0.7 - 0.2 0.5 0.6 0.1 0.5 489 2,883 67,772 54,938 83,823 - 3 4 1 2 23 457 33 327 - 0.6 0.8 0.2 0.4 0.8 0.7 0.1 0.4 29 13 13 23 6 6 - 30 0.6 0.3 0.3 0.5 0.1 0.1 0.0 0.6 207 6.4 76 2 3 2.4 0.1 0.1 37 1.1 - 3 1 3 - - 0.5 0.2 0.5 0.0 15 465 49 271 0.4 0.7 0.1 0.3 3226 3381 598 3,394 71,168 56,328 85,877 On histological examinations (tissue) On cytological examinations (smears) On haematological examinations (Bone marrow) 12,027 9,595 134 Toxoplasma antibodies (HBs Ag) Hepatitis A Hepatitis B Hepatitis C Cytomegalovirus Leptospirosis Chikungunya * IGM antibodies only 1,656 855 55,665 55,158 1,463 604 1,409 1,325 13.8 9,596 1,547 16.1 9,986 1,611 16.1 698 32 101* 144* 3 272 1,598 53 33 1 7.1 0.4 0.5 2.8 2.9 5.2 0.1 1,965 609 63,544 61,665 1,950 818 1,950 251* 2 330 1,713 42 55 - 12.8 0.3 0.5 2.8 2.2 6.7 0.0 62 ISLAND OF MAURITIUS STATISTICS RELATING TO THE FIELDS OF BASIC SANITATION AND FOOD HYGIENE ( 2009 - 2013) ACTIVITIES 2009 2010 2011 2012 2013 BASIC SANITATION No.
of premises and other sites inspected No.

of notices issued No.

of sanitary contraventions No.

of cases sentenced FOOD HYGIENE No.

of inspections carried out Foodstuffs unfit for consumption seized and destroyed (kg) No.

of contraventions No.

of cases sentenced No of imported food containers examined INSPECTION OF PUBLIC PLACES Cinema halls & other entertainment places Dormitories ( including Boarding Houses) Industrial establishments Schools AIRPORT No.

of planes disinsectised on arrival No.


of planes disinsectised before departure No.

of passengers put under malaria surveillance No.

of passengers put under chikungunya surveillance No.

of passengers put under surveillance for AH1N1 No.

of passengers put under surveillance for other infectious diseases* No.

of inspections of airport area - No.

of nuisances detected - No.

of nuisances abated SEAPORT No.

of ships given pratique No.

of ships visited for malaria surveillance No.
of ships inspected for issue of deratting - - - 27,207 32,116 56,828 147,262 195,138 11 - - - - - - - - - - - 2,410 2,536 449 775 2,759 599 2,969 455 - - - 3,177 625 251 104 exemption certificate 266 No.
of deratting of ships performed 111 NB: Drastic changes due to administrative reason and/or unforseen circumstances * including SARS and Avian Flu 297 89 277 118 257 124 Republic of Mauritius (Source : MRA) Number of imported cigarette sticks* Product Cigarettes (No of sticks) 2009 2010 2011 2012 2013 1,306,406,000 1,052,497,000 1,072,869,000 1,000,560,000 978,520,000 Number of litres of imported or produced alcoholic products* Product Beer Fruit Wine Spirits (including imported Rum, Whiskey Liquor and Compounded Spirits) 2009 36,098,478 5,283,713 2010 37,204,361 4,892,802 2011 37,753,912 5,184,531 2012 36,395,782 4,356,091 2013 35,502,683 4,668,462 13,408,464 13,695,466 13,097,458 12,597,301 12,184,676 Total alcoholic products (litre) 54,790,655 55,792,629 56,035,901 53,349,174 52,355,821 63 ISLAND OF MAURITIUS ACTIVITIES OF THE COMMUNITY BASED REHABILITATION@ PROGRAMME 2009- 2013 ACTIVITY YEAR 2009 2010 2011 2012 2013 SUMMARY FIGURES Cumulative total of disabled as at end-of-year New cases of disabled registered during year Number of visits to disabled Number of referrals of disabled Number of appliances delivered to disabled Number of visits to institutions by staff DETAILS OF REFERRALS OF DISABLED To social security offices To hospitals To health centres To National Council for the Rehabilitation of the Disabled Persons (NCRD) To orthopaedic workshop To day care centres To specialised schools To Pre-Primary Schools To Primary Schools To other institutions DETAILS OF APPLIANCES DELIVERED TO DISABLED Walking aids Wheelchairs Adapted appliances Splints/calipers Hearing aids Artificial limbs Other appliances* 627 435 259
Artificial limbs Other appliances* DETAILS OF VISITS TO INSTITUTIONS BY STAFF Day care centres Pre-primary schools Specialised institutions Primary schools Social security offices Other institutions @ see page 53 for attendances at rehabilitation service departments REPUBLIC OF MAURITIUS NEW CASES OF CERTAIN NOTIFIABLE DISEASES## REPORTED TO SANITARY AUTHORITIES 2000 - 2013 YEAR 2000 2001 2002 2003 2004 2005 2006 2007 HIV / AIDS@ DISEASE S I S A I B - E O M A 1 8 - A Y N U G N U K C I H C - - - G N I N O S I O P D O O F 62 23 33 S I S O R I P S O T P E L 3 3 1 Y S O R P E L - - - MALARIA S U O E N E G I D N I - - - D E T R O P M I 62 63 38 D E C U D O R T N I - 3 1 E U G N E D - - - N A I T I R U A M 50 55 98 - I R U A M - N O N N A I T 7 14 4 - - - - - 1& - - 3 - 1381&& 1 - 11,165 1& - - - - - 5& - 1& - 1& 3 - - ## No cases of Diphteria have been reported in 2010-2013 ; no such case was reported since 1986 except in 2009 when 5 cases were reported 40 - 60 45 - 160 35 1 29 38 - 78 42 1 766 27 - 129 252&& 718 23 1 11& 52 2 156 8& 54 2 445 13& 30 - 264 19& 390 1 25 - - - - 1 - - - - - - - - - - - - - - - - - # Cerebrospinal ( Hib, Streptoccus pneumonia and neisseria) @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome (See page 69 for additional data).
NB: Data on Infective Hepatitis (lab-confirmed) at page 60 S U N A T E T L A T A N O E N - N O N 1 1 - - 1 - - 1 - 1 - 1 - - S I S A I M O S O T S I H C S - - - - - - - - - - - - - - M U R O T A N - O E N - - - - - - - - - - - - - - $ S E L S A E M 4 1 8 679 110 11 3 13 12 15 - - - - $ # S I T I G - N I N E M 18 14 11 10 10 14 4 18 12 7 5 7 3 2 TUBERCULOSIS** PULMONARY MAURI- TIAN 131 112 106 107 118 117 104 97 102 109 106 111 122 NON- MAUTI AN 8 - 21 14 11 6 7 11 4 4 11 2 6 R E H T O 2 1 10 3 1 4 4 - 2 4 6 - 2 D I O H P Y T 10 1 1 2 1 5 4 15 6 5 3 5 4 122 11 8 5 6 4 H G U O C G N I P O O H W $ ) S I S U T R E P ( - - - - - - - 1 - 1 - - - - $ Sources include hospitals and laboratories ** Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system & imported/secondary to imported cases only && outbreak localised mostly in Port Louis REPUBLIC OF MAURITIUS DISTRIBUTION OF NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY MONTH - 2013 DISEASE HIV / AIDS@ MONTH N A I T I R U A M - N O N N A I T I R U A M MALARIA TUBERCULOSIS * FOOD GONOR- LEPROSY LEPTOS- POISONING RHOEA PIROSIS INDI- IM- GENOUS PORTED INTRO- DUCED SYPHILIS Y R A N O M L U P JANUARY 21 4 53 15 - 4 - 4 - 1 11 FEBRUARY 25 - 115 16 - 3 - 2 - - 10 MARCH 23 2 9 9 1 6 - 2 - 1 12 APRIL 20 1 18 10 - 1 - 4 - 7 8 MAY JUNE JULY 23 1 17 9 - 3 - 6 - - 9 20 - 113 10 - - - 3 - 1 12 20 - 10 5 - 1 - 7 - 1 7 AUGUST 22 - 1 10 - 1 - 5 - 4 14 SEPTEMBER 14 1 - 5 - 2 - 3 - 1 10 OCTOBER 25 1 27 6 - 2 - 7 - 4 13 NOVEMBER 27 - 10 4 - 1 - 3 - 5 14 DECEMBER 20 1 17 6 - 1 - 3 - - 13 TYPHOID FEVER 1 - - - 1 6 5 - - - - - 3 - R E H T O 1 - - 2 - - 1 - - 2 2 - TOTAL 260 11 390 105 1 25 - 49 - 25 133 5 8 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome * Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system See page 89 for additional statistics on Sexually Transmitted Infections DISTRIBUTION OF NOTIFIABLE DISEASES REPORTED TO SANITARY
 AUTHORITIES BY DISTRICT - 2013 DISEASE HIV / AIDS@ MALARIA TETANUS TUBERCULOSIS * FOOD GONOR- LEP- LEPTOS- POISONING RHOEA ROSY PIROSIS SYPHILIS INDI- GENO US IM- PORTED INTRO- DUCED DISTRICT - N O N N A I T I R U A M N A I T I R U A M PORT LOUIS 83# PAMPLEMOUSSES RIVIERE DU REMPART FLACQ GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER RODRIGUES 36 14 15 12 5 73 3 15 4 60 21 3 40 58 29 44 19 115 1 34 12 1 6 1 1 34 5 11 - TOTAL 260 11 390 105 M U R O T A N O E N - - - - - - - - - - L A T A N O E N - N O N - - - - - - - - - - Y R A N O M L U P 84 15 4 4 2 3 14 3 4 - R E H T O 2 - 1 - - 1 3 - 1 - TYPHOID FEVER - - - 2 6 6 1 - - 1 1 - 5 25 - - 133 8 - - - - - - - - 1 - 1 2 4 - 3 3 5 4 - 3 1 25 - - - - - - - - - - - 3 1 2 3 2 4 24 4 6 - 49 - - - - - - - - - - - 4 - - 1 - - 20 - - - @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome * Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system # - includes 11 cases of unknown address DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES REPUBLIC OF MAURITIUS BY AGE-GROUP AND SEX - 2013 DISEASE & SEX HIV / AIDS@ FOOD POISONING GONORRHOEA MALARIA SYPHILIS TUBERCULOSIS (PULMONARY) MAURITIAN (IMPORTED) AGE-GROUP (YEARS) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE Less than 1 0 10 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 & over - 3 41 47 37 21 2 2 11 49 26 13 8 - 69 47 46 10 9 1 - 71 49 34 22 14 14 4 - 16 61 17 4 4 - TOTAL 151 109 182 208 102 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome See page 89 for additional statistics on Sexually Transmitted Infections - - 2 1 - - - 3 - - 19 12 9 3 2 45 1 - 1 - 1 - 1 4 - 2 7 9 1 1 - 20 - 2 3 - - - - 5 - 2 15 20 24 23 10 94 - 3 11 3 8 6 8 39 6 7 68 ISLAND OF MAURITIUS ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE* 2006-2013 YEAR Number of AFP reported cases Rate per 100,000 population <15 years * Republic of Mauritius 2006 2007 2008 8 2.6 8 2.7
 5 1.7 2009 1 0.35 2010 2011 2012 2013 5 1.7 2 0.7 6 2.3 5 1.9 DISEASE SURVEILLANCE AT HOSPITAL LEVEL# - 2013 DISEASE Gastro- enteritis Upper respiratory tract infection1 Conjunctivitis 2 Cases (0-4 years) admitted in government general hospital due to pneumonia MONTH January February March April May June July August September October November December Year # General Hospitals (including Long Mountain) 1. including ENT Hospital 2. including Moka (Eye) Hospital NEW CASES ATTENDING AREA AND COMMUNITY HEALTH CENTRES - 2013 MONTH January February March April May June July August September October November December Year DISEASE Gastro- enteritis 5,646 5,833 5,201 4,866 4,936 4,993 6,261 5,490 5,466 4,998 4,449 4,688 62,827 Upper respiratory tract infection 21,882 27337 32835 26960 39383 43778 47611 36632 41215 39405 24089 17656 398,783 Conjunctivitis Scabies 2,675 2,864 2,597 2,807 2,939 2,639 2,874 2,794 2,818 3,192 2,699 2,589 33,487 678 631 591 661 612 606 659 564 576 608 574 628 7,388 STATISTICS RELATING TO NOTIFICATION OF HIV / AIDS CASES AND DEATHS 1987 - 2013 69 REPUBLIC OF MAURITIUS NEW CASES OF HIV / AIDS NOTIFIED @ DEATHS REGISTERED AMONG HIV / AIDS CASES PERIOD MAURITIAN NON-MAURITIAN TOTAL ( MAURITIAN)## E L A M 113 32 34 59 167 464 815 455 452 402 436 433 298 215 151 4526 E L A M E F 58 18 21 39 58 61 106 87 94 136 112 135 103 105 109 1242 H T O B S E X E S 171 50 55 98 225 525 921 542 546 538 548 568 401 320 260 5768 E L A M 49 3 12 3 12 8 5 9 16 12 6 8 10 6 7 166 E L A M E F 10 4 2 1 3 2 2 4 6 7 1 4 6 1 4 57 H T O B S E X E S E L A M E L A M E F 68 22 23 40 61 63 108 91 100 143
4692 E L A M E F 68 22 23 40 61 63 108 91 100 143 113 139 109 106 113 1299 H T O B S E X E S 230 57 69 102 240 535 928 555 568 557 555 580 417 327 271 5991 E L A M 38 10 5 9 11 16 38 35 56 55 43 89 95 106 99 705 E L A M E F 13 3 3 4 8 6 6 9 13 7 5 15 16 10 15 133 H T O B S E X E S 51 13 8 13 19 22 44 44 69 62 48 104 111 116 114 838 1987-1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 TOTAL of which HIV as under- lying cause of death** … … … … … … 21 31 65 52 47 93 108 105 102 I N N O N - R E S I D E N T P O P U L A T I O N ## Since 2005 information obtained from the Civil Status Office are used to update figures related to death ** revised STATISTICS RELATING TO HIV TESTS CARRIED OUT 2011 - 2013@ STATISTICS RELATING TO HIV TESTS CARRIED OUT 2011 - 2013@ 2011 CATEGORY CATEGORY 2011 f o s t s e t r e b m u N 44,286 838 8,735 8,467 Positive cases f o 2012 Positive cases Positive cases 2013 Positive cases s t s e t 0 0 1 r e b m u N s t s e t r e p e t a R 0.03 - 2.97 44,286 0.19 - 838 - 8,735 1.91 8,467 - 33 0.24 - r e b m u n 12 - 259 16 - - - 30 - - r e b m u n s t s e t f o r r e e b b m m u N u 46,250 n 943 8,107 7,837 9 - 194 12 8 23 - - - 259 3,314 4,778 75 16 2 638 12,333 - 38 - 557 49,442 1 1,155 7,728 7,274 e 0 t a 0 R 1 0.02 - 2.39 0.03 0.10 e t a R - 35 - 3,978 - 2.97 1.57 0.19 0.31 579 4,385 0.31 - 11,915 632 - r e b m u n 17 - 153 10 - - 46 15 29 - 1 r e p s t s e t e 0 t a 0 R 1 0.03 - 1.98 0.14 - - 1.05 2.59 0.24 - 0.09 - 3,300 1,248 1 - 0.08 1,071 - Blood donors - Island of Mauritius Blood donors - Island of Rodrigues Persons of high risk groups* Blood donors - Island of Mauritius Migrant workers (incoming foreigners) Request for visa purposes (outgoing Mauritians) Blood donors - Island of Rodrigues Cardiac and renal patients (including dialysis) undergoing surgery and their blood donors Persons of high risk groups* 33 3,300 Screening on target groups ( prison inmates, sailors & TB patients) 5,238 100 Migrant
 workers (incoming foreigners) Voluntary testing 900 Request for visa purposes (outgoing Mauritians) Antenatal cases screened $ - Island of Mauritius 12,763 Antenatal cases screened $ - Island of Rodrigues 729 Cardiac and renal patients (including dialysis) 569 undergoing surgery and their blood donors Others# TOTAL TESTS£ 0.38 Screening on target groups 85,858 86,028 0.49 327 417 ( prison inmates, sailors & TB patients) * Commercial Sex workers, Injecting drug users, Homo/bisexual, patients/contact tracing, S.H.C.
and Syphilis positive patients including at NDCCI # Other outreach activities/Drug addicts Rehabilitation Centres/Post Mortems/insurance/survey @ refers to Republic of Mauritius 900 $ excluding known HIV/AIDS cases (28 in 2011 and 45 in 2012 and 60 in 2013) £ excl BB/Apheresis and repeats Voluntary testing - - Antenatal cases screened $ - Island of Mauritius 12,763 30 0.24 5,238 100 1.91 88,194 271 0.31 f o r e b m u N s t s e t 2012 r e b m u n Positive cases Positive cases r e p e t a R s t s e t 0 0 1 f o r e b m u N s t s e t 2013 r e b m u n r e p e t a R s t s e t 0 0 1 46,250 9 0.02 49,442 17 0.03 943 - - - - 8,107 7,837 194 2.39 8 0.10 153 1.98 10 0.14 1,155 7,728 7,274 23 - - 35 - - 3,314 - - 3,978 - - 4,778 75 1.57 4,385 46 1.05 638 2 0.31 579 15 2.59 12,333 38 0.31 11,915 29 0.24 Antenatal cases screened $ - Island of Rodrigues Others# TOTAL TESTS£ 729 569 - - 557 - - 632 - - - - 1,248 1 0.08 1,071 1 0.09 85,858 417 0.49 86,028 327 0.38 88,194 271 0.31 * Commercial Sex workers, Injecting drug users, Homo/bisexual, patients/contact tracing, S.H.C.
and Syphilis positive patients including at NDCCI 70 ISLAND OF MAURITIUS SELECTED STATISTICS ON PRIVATE HEALTH INSTITUTIONS * 2000 - 2013 YEAR NUMBER OF PRIVATE CLINICS NO.

OF BEDS AS AT 31ST DEC. No.
Live births % Low Birth Weight Number of Still- births Total Births % Caesarian on Total % of whole Island birth @ @ based on Statistics Mauritius data * with in-patient medical treatment services ADMISSIONS AND OTHER ATTENDANCES AT PRIVATE HEALTH INSTITUTIONS * - 2013 Period Number First Quarter Second Quarter Third Quarter Fourth Quarter Whole Year 50,143 47,255 48,193 51,738 197,329 TOTAL BIRTHS BY TYPE OF DELIVERY$ IN PRIVATE HEALTH INSTITUTIONS *- 2013 TYPE OF DELIVERY First Quarter Second Quarter Third Quarter Fourth Quarter Normal# Caesarian Instrumental Total 226 354 95 250 488 87 309 472 110 675 825 891 255 371 80 706 *with medical treatment services $ based on data received from 17 private health institutions and adjusted for under reporting # including 153 by ventouse at one institution (46 in 2010, 84 in 2011 and 143 in 2012) Whole Year 1,040 1,685 372 3,097 71 ISLAND OF MAURITIUS DISTRIBUTION OF CASES TREATED AT PRIVATE HEALTH INSTITUTIONS * BY CAUSE AND SEX - YEAR 2013 CAUSE OF ATTENDANCE (including admissions) Number# I.C.D.
CHAPTER (W.H.O.

International Classification of Diseases 10th Revision) MALE FEMALE TOTAL I II III IV V VI VII VIII IX X XI XII XIII XIV XV XVI XVII XVIII XIX &XX XXI Infectious colitis,enteritis,gastroenteritis and diarrhoea Septicaemia and other infectious and parasitic diseases Malignant Neoplasms (Cancer, Hodgkin's, lymphoma, leukemia etc.)

Benign and other Neoplasms (Fibroid of uterus, carcinoma in situ, brain tumor etc.)
Anemias Coagulation defects and other diseases of the blood and blood- forming organs and certain disorders involving the immune mechanism Diabetes Mellitus and related complications (coma, cataract,gangrene, renal, etc.)
Disorders of thyroid & other endocrine, nutritional and metabolic diseases Alcoholism Depression and other mental and behavioural disorders Epilepsy and other diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process Hypertension and related complications (renal , heart etc.)
Myocardial, Ischaemic and other heart disease Stroke and other cerebrovascular diseases Varicose veins and haemorrhoids Hypotension and other diseases of the circulatory system Influenza and pneumonia Bronchitis & bronchiolitis Sinusitis & rhinitis Asthma Emphysema and other diseases of the respiratory system Gastric & duodenal ulcer Appendicitis and hernia Pancreas and liver diseases Calculus (stone) of gallbladder and bile duct Gastritis and other diseases of the digestive system Lupus erythematosus and other diseases of the skin and subcutaneous tissue Rheumatism and other diseases of the musculoskeletal system and connective tissue Diseases of the genital organs, including breast and menstrual disorders Renal failure Cystitis and other diseases of the genitourinary system Complications following spontaneous and other abortions Deliveries and other conditions associated with pregnancy, childbirth and the puerperium Certain conditions originating in the perinatal period (newborns) Congenital malformations, deformations and chromosomal abnormalities Fever , headache, pain all over, malaise and fatigue, senility, syncope and collapse All other symptoms, signs and ill-defined conditions Fractures and other injuries Adverse effects & other poisonings Attendances/admissions for observations, examinations or investigations only - 132 706 494 - Sub-Total 59,882 63,183 123,065 Not classified by cause (outpatients of one institution) GRAND TOTAL 36,422 96,304 37,842 101,025 74,264 197,329 * Clinic/hospital with medical treatment services # based on data with details on diseases received from 17 institutions and adjusted for under/over reporting 72 ISLAND OF MAURITIUS SURGICAL OPERATIONS AND PROCEDURES PERFORMED AT PRIVATE HEALTH INSTITUTIONS* - 2013 MALE FEMALE BOTH SEXES NUMBER % 1.
Brain, spinal and other nervous system 32 16 48 0.3 2.

Thyroid, adrenal and other endocrine system 18 30 48 0.3 3.

Eye and adnexa 1,189 1,422 2,611 15.9 4.

Ear and mastoid process 70 93 163 1.0 5.

Nose, mouth and pharynx 477 558 1,035 6.3 6.

Lung, diaphragm and other respiratory system 26 11 37 0.2 7 Heart, arteries, veins and other cardiovascular system 149 117 266 1.6 8.

Bone marrow,lymph nodes, spleen and other blood and blood forming organs 5 11 16 0.1 9.
Stomach, duodenal, appendix, gallbladder and other digestive system (incl.

proctological) 1,455 1,290 2,745 16.7 10.

Kidney, ureter,bladder and other urinary system 544 207 751 4.6 11.

Prostate,testis, penis and other male genital organs 536 - 536 3.3 12.

Ovary, uterus, vagina and other gynaecological procedures 13.

Antepartum, labour, delivery and postpartum procedures - - 1,960 1,960 11.9 1,227 1,227 7.5 14.

Neck, spine, pelvis,limbs and other musculoskeletal system 705 621 1,326 8.1 15.
Dermatological and plastic procedures(skin, soft tissue) 867 795 1,662 10.1 16.

Breast 28 401 429 2.6 17.
Diagnostic,therapeutic, client support and other non-invasive and cognitive interventions 875 730 1,605 9.7 TOTAL (classified interventions) 6,976 9,489 16,465 100.0 18 Interventions not classified by body site/type 3,229 3,710 6,939 TOTAL (interventions) 10,205 13,199 23,404 * with medical treatment services 73 ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY SEX - 2013 CAUSE (I.C.D - 10) Deliveries (including by caesarian etc) Diarrhoea and gastroenteritis of presumed infectious origin Diabetes mellitus Acute Upper Respiratory infections Acute myocardial infarction and other ischaemic heart diseases Gastritis and duodenitis Abdominal and pelvic pain Hypertensive disease Fractures Dorsopathies Infections of the skin and subcutaneous tissue Non-inflammatory disorders of female genital tract Poisonings and toxic effects of drugs and other substances Malaise and fatigue Asthma Cerebrovascular disease Mental and behavioural disorders due to use of alcohol Anaemias Pain in throat and chest Dyspnoea and other abnormalities of breathing Bronchitis, emphysema and other chronic obstructive pulmonary diseases Nausea and vomiting Epilepsy Fever of unknown origin Convulsions, elsewhere classified (excluding newborns) Diseases of male genital organs Complications following spontaneous and other abortions Disorders of menstruation Gastrointestinal haemorrhage, unspecified Calculus of kidney and ureter Disorders of breast Heart Failures Renal colic Varicose veins of lower extremities Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium Benign neoplasm of uterus Pneumonia Renal failures All other causes TOTAL MALE FEMALE TOTAL No.
% No.
% No.
% Note: The above table is based on data received on in-patients from the regional and district hospitals.
The table on page 50 contains the total number of cases treated at regional, district and specialised hospitals.

74 ISLAND OF MAURITIUS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY I.C.D - 10 CHAPTER AND SEX - 2013 CAUSE ( ICD - 10 ) 1.

Certain infectious & parasitic diseases DISCHARGES * MALE No.

% FEMALE No.

% TOTAL No.

% 3,852 4.9 4,651 4.8 8,503 4.9 2.

Neoplasms 1,955 2.5 3,555 3.7 5,510 3.2 3.

4.


Diseases of the blood & blood- forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 817 1.0 1,630 1.7 2,447 1.4 4,411 5.6 5,107 5.3 9,518 5.5 5.

Mental & behavioural disorders 2,713 3.5 1,226 1.3 3,939 2.3 6.

Diseases of the nervous system 1,970 2.5 1,703 1.8 3,673 2.1 7.

Diseases of the eye & adnexa 8.

Diseases of the ear & mastoid process 74 88 0.1 63 0.1 137 0.1 0.1 101 0.1 189 0.1 9.
Diseases of the circulatory system 8,181 10.4 7,967 8.3 16,148 9.2 10.

Diseases of the respiratory system 7,970 10.2 8,707 9.0 16,677 9.5 11.

Diseases of the digestive system 7,271 9.3 5,259 5.5 12,530 7.2 12.

13.

14.

15.

16.
17 18 19 & 20 21 Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes Factors influencing health status & contact with health services 2,825 3.6 2,008 2.1 4,833 2.8 3,414 4.4 3,332 3.5 6,746 3.9 4,363 5.6 7,396 7.7 11,759 6.7 - T O T A L 78,368 100.0 96,274 100.0 174,642 100.0 * based on data received NB: For total number of admissions, see Page 50 ISLAND OF MAURITIUS GENERAL HOSPITAL DISCHARGES (INCLUDING DEATHS) BY ICD-10 CHAPTER, AGE-GROUP AND SEX - 2013 CAUSES Under 1 - 4 5 - 12 13- 19 20- 39 40- 59 60 years Under 1 - 4 5 - 12 13- 19 20- 39 40- 59 60 years (I.C.D.
10th REVISION) 1 year years years years years years & over 1 year years years years years years & over M A L E S F E M A L E S Certain infectious & parasitic diseases 340 915 608 1.

2.

3.

Neoplasms Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 4.

Endocrine, nutritional & metabolic diseases 5.

Mental & behavioural disorders 6.

7.

8.

9.


Diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process Diseases of the circulatory system 10.

Diseases of the respiratory system 11 Diseases of the digestive system 12.

Diseases of the skin & subcutaneous tissue 13.

Diseases of the musculoskeletal system & connective tissue 14 Diseases of the genitourinary system 15 Pregnancy, childbirth & the puerperium 16 Certain conditions originating in the perinatal period 17.
18 19.

& 20 21.
Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes Factors influencing health status & contact with health services - 1,595 106 113 42 25 116 - - 71 314 120 84 175 - - 62 223 51 66 45 112 127 2 5 37 404 263 219 95 160 - - - - - 17 - 10 - 3 - - 2 1 28 6 20 4 24 27 110 9 5 16 107 248 45 18 32 - - 45 93 66 98 8 - 36 1,100 1,371 1,985 601 1,103 760 1,848 2,817 1,869 772 1,057 567 701 1,204 - 906 933 - - 10 1,593 1,753 - - 2 - - T o t a l 3,504 4,056 4,558 3,721 15,577 25,836 21,116 3,140 3,335 3,550 7,359 30,204 22,629 26,057 76 ISLAND OF MAURITIUS CHILDREN UNDER ONE YEAR* CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) - 2013 NUMBER OF DISCHARGES CAUSE ( I.C.D - 10 ) MALE FEMALE 1.
Acute Upper Respiratory infections 2.

3.

4.

5.

6.

7.

8.

9.


Slow fetal growth, fetal malnutrition and disorders related to short gestation and low birthweight Diarrhoea and gastro-enteritis of presumed infectious origin Acute bronchitis and bronchiolitis Nausea and vomiting , including newborns Septicaemia and infections specific to the perinatal period Newborn affected by maternal factors and by complications of pregnancy, labour and delivery Fever of unknown origin Diseases of the Digestive System 10.

Abdominal and pelvic pain 11.


Intrauterine hypoxia and birth asphyxia 12.

Infections of the skin and subcutaneous tissue 13.

Convulsions, including newborns 14.

Cough 15.

Congenital deformities of feet 16.

Pneumonia, including newborns 17.

Dyspnoea and other abnormalities of breathing 18.

Respiratory distress of newborn 19.

Neonatal aspiration syndromes 20.

Anaemias, including newborns 21.

Diseases of the Genito-urinary System 22.

Diseases of the Nervous System 23.

Fractures 24.

Asthma 25.


Diseases of the musculoskeletal system and connective tissue 26.

Cleft lip and cleft palate 27 Congenital malformations of the circulatory system TOTAL No.
644 640 615 594 293 254 246 209 78 73 63 55 52 44 44 34 34 29 27 26 25 19 18 14 13 12 10 % 9.7 9.6 9.3 8.9 4.4 3.8 3.7 3.1 1.2 1.1 0.9 0.8 0.8 0.7 0.7 0.5 0.5 0.4 0.4 0.4 0.4 0.3 0.3 0.2 0.2 0.2 0.2 All other causes TOTAL 1,250 3,504 1,229 2,479 37.3 3,140 6,644 100.0 Note: Healthy babies born in hospitals and not requiring special care are excluded from the above figures.
* includes babies admitted in the Neonatal Intensive Care Units ( see page 93 ) 77 ISLAND OF MAURITIUS NEOPLASMS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY TYPE AND SEX - 2013 TYPE OF NEOPLASM (I.C.D - 10) MALE FEMALE TOTAL Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of oesophagus Malignant neoplasm of stomach Malignant neoplasm of colon Malignant neoplasm of rectosigmoid junction, rectum, anus and anal canal Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Other malignant neoplasm of digestive organs Malignant neoplasm of larynx Malignant neoplasm of trachea,bronchus and lung Other malignant neoplasm of respiratory and intrathoracic organs Malignant neoplasm of bone and articular cartilage Malignant neoplasm of skin, including melanoma Malignant neoplasm of mesothelial and soft tissue Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of other and unspecified parts of the uterus Other Malignant neoplasms of female genital organs Malignant neoplasm of prostrate Other malignant neoplasm of male genital organs Malignant neoplasm of bladder Other malignant neoplasm of urinary tract Malignant neoplasm of eye and adnexa Malignant neoplasm of central nervous system, including brain Malignant neoplasm of other , ill-defined, secondary, unspecified and multiple sites Hodgkin's disease Non-Hodgkin's lymphoma Leukaemia Other malignant neoplasms of lymphoid, haematopoietic and related tissue Carcinoma in situ of cervix uteri Benign neoplasm of skin Benign neoplasm of breast Leiomyoma of uterus Benign neoplasm of ovary Benign neoplasm of urinary organs Benign neoplasm of brain and other parts of central nervous system 119 40 104 109 134 35 51 12 52 154 10 14 15 23 8 144 32 99 36 - - - 8 32 48 33 74 16 18 15 834 3 1 3 64 96 90 101 16 37 15 834 3 1 11 Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour 432 360 792 TOTAL 1,955 3,555 5,510 ISLAND OF MAURITIUS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2013 MALES FEMALES TOTAL CAUSES (I.C.D.
10) Under 30 years 30-44 45-59 60-74 75+ years years years years Under 30 years 30-44 45-59 60-74 75+ years years years years Under 30 years 30-44 years 45-59 60-74 75+ years years years ALL AGES Acute rheumatic fever Chronic rheumatic heart disease Hypertensive diseases Acute Myocardial Infarction Other Ischaemic Heart diseases Pulmonary embolism Conduction disorders and cardiac arrhythmias Heart failure Other heart diseases Cerebrovascular diseases (strokes) Diseases of arteries,arterioles and capillaries Phlebitis, thrombophlebitis,venous embolism and thrombosis Varicose veins of lower extremities Haemorrhiods Other Diseases of circulatory system T O T A L (Circulatory system) - 4 527 412 857 2 166 85 83 449 21 35 133 43 39 - 3 506 320 776 6 318 196 79 538 14 29 76 32 47 - 1 221 96 277 4 193 98 45 237 11 9 14 10 21 - 1 30 6 9 2 13 6 9 6 5 8 14 29 54 - 2 229 13 55 3 44 8 21 68 6 35 179 44 24 2 4 753 80 393 8 176 91 56 223 6 32 - 3 833 199 618 3 327 237 69 363 13 32 260 111 38 29 24 26 - - - ISLAND OF MAURITIUS INJURY AND POISONING DISCHARGES FROM GENERAL HOSPITAL (INCLUDING DEATHS) BY EXTERNAL CAUSE AND SEX-2013 DISCHARGES MALE FEMALE CAUSE (I.C.D.- 10 ) Transport Accidents Falls Contact with sharp glass, knife and non-powered hand tool Foreign body entering into or through eye or natural orifice Exposure to other Inanimate Mechanical Forces Exposure to Animate Mechanical Forces Accidental Drowning and Submersion Exposure to Electric Current Exposure to Smoke, Fire and Flames Contact With Heat
 and Hot Substances Contact With Venomous Animals and Plants Accidental Poisoning by & Exposure to Noxious Substances Other & Unspecified accidents Intentional Self-Poisoning by drugs Intentional Self-Poisoning by Pesticides Other Intentional Self-Harm Assault Poisoning of Undetermined Intent Complications Of Medical and Surgical Care Other and unspecified External Causes TOTAL 1,729 4,393 183 103 277 84 11 48 70 138 134 744 1,453 274 70 193 1,418 146 628 - TOTAL No.
ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH & COMMUNITY HEALTH CENTRES - 2013 (See also distribution of first attendances by I.C.D.

Chapter on page 81) CAUSE (I.C.D.


10) FIRST ATTENDANCES * MALE FEMALE TOTAL No.
% 1 Tonsilitis, laryngitis, nasopharyngitis, sore throat and Upper Respiratory Tract Infection (URTI) 164,117 175,245 339, 236 18.0 2 Cough, pain in throat, chest pain, wheezing, hiccough, sneezing 3 Superficial injury, open wound, sprain/strain, fractures, burns and other injuries 4 Fever / pain all over 5 Influenza 6 Spondylosis, neck pain, low back pain, backache 7 Abdominal and epigastric pain 8 Gastritis and duodenitis Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue 9 10 Rheumatism, muscular pain, myalgia, pain in limb 11 Headache, dizziness, giddiness 12 Gastroenteritis and diarrhoea of presumed infectious origin 13 Sinusitis, rhinitis, nasal polyp, blocked nose 14 Nausea and vomiting 15 Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs 16 Gout , arthritis, pain in joint 17 Bronchitis, emphysema, asthma 18 Conjunctivitis 19 Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess 20 Otitis, wax in ear, earache and other diseases of the ear and mastoid process 21 Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) 22 Hypertension 23 Localised swelling, mass, lump of skin, rash 24 Diabetes Mellitus 25 Cystitis, urinary tract infection 26 Helminthiasis (worms) 27 Diseases of the eye and adnexa (excluding conjunctivitis) 28 Swelling gum, gingivitis, dental caries, stomatitis, disease of lip 29 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders 30 Migraine and other diseases of the nervous system 31 Varicose veins of lower extremities, haemorrhoids,oesophageal varices 32 Haematuria, painful micturation, retension of urine 33 Scabies 34 Alcoholism 35 Anemias 36 Hypotention and other diseases of the circulatory diseases All other causes TOTAL Refer to page 54 for statistics on attendances by health centre * based on the Monthly Returns of Sick Treated received 72,215 76,193 148,408 75,728 59,195 134,923 60,408 64,271 124,679 40,391 43,195 83,586 40,577 42,060 82,637 35,778 40,801
- ISLAND OF MAURITIUS FIRST ATTENDANCES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES BY I.C.D.
CHAPTER - 2013 CHAPTER (I.C.D.

10) FIRST ATTENDANCES * MALE FEMALE TOTAL No.

% 1.

Certain infectious & parasitic diseases 43,417 44,532 87,949 2.

Neoplasms 43 138 181 3.

Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 1,843 4,060 5,903 4.

Endocrine, nutritional & metabolic diseases 10,542 11,128 21,670 5.

Mental & behavioural disorders 6,090 2,624 8,714 6.

Diseases of the nervous system 4,401 5,842 10,243 7.
Diseases of the eye & adnexa 24,390 25,871 50,261 8.

Diseases of the ear & mastoid process 15,155 15,173 30,328 9.

Diseases of the circulatory system 17,364 19,714 37,078 4.7 0.0 0.3 1.1 0.5 0.5 2.7 1.6 2.0 10.

Diseases of the respiratory system 252,122 268,950 521,072 27.6 11.

Diseases of the digestive system 59,313 63,079 122,392 12.

Diseases of the skin & subcutaneous tissue 47,053 48,841 95,894 6.5 5.1 13.

Diseases of the musculoskeletal system & connective tissue 92,745 98,346 191,091 10.1 14.
Diseases of the genitourinary system 6,593 23,341 29,934 15.

Pregnancy, childbirth & the puerperium 0 725 16.
Certain conditions originating in the perinatal period 87 115 725 202 1.6 0.0 0.0 17 18 Congenital malformations, deformations & chromosomal abnormalities 942 1,091 2,033 0.1 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 249,969 280,712 530,681 28.1 19 Injury, poisoning & certain other consequences of external causes 76,573 62,559 139,132 7.4 T O T A L 908,642 976,841 1,885,483 100.0 * based on the Monthly Return of Sick Treated received Refer to page 54 for statistics on attendances by health centre 82 CASES # TREATED AS IN-PATIENTS AT S. BHARATI (EYE) HOSPITAL - 2013 NUMBER OF CASES * NUMBER OPERATED UPON CAUSE (I.C.D.
10) TOTAL MALE FEMALE MALE FEMALE TOTAL Chalazion Other disorders of eyelid Disorders of lacrimal system Disorders of orbit Disorders of conjunctiva Keratitis Other disorders of sclera and cornea Iridocyclitis Other disorders of iris and ciliary body 6 30 9 9 33 47 101 13 23 17 30 32 7 11 29 76 13 9 No 23 60 41 16 44 76 177 26 32 % Cataract 2,190 2,420 4,610 62.1 2,126 2,352 4,478 Other disorders of lens Disorders of choroid Disorders of retina Glaucoma Disorders of vitreous body and globe Disorders of optic nerve and visual pathways Disorders of ocular muscles, binocular movement, accomodation and refraction Visual disturbances and blindness 39 1 210 87 190 19 40 90 20 2 150 58 108 9 33 53 Ocular pain 266 215 Other diseases of eye and adnexa Cancer and other neoplasms Congenital diseases of eye Other diseases Burn and corrosion Injuries and other consequences of external causes Surgical follow up care, examination and other non-morbid factors TOTAL 1 4 - 6 - 478 42 2 9 2.0 1.0 - 155 27 59 3 360 145 298 28 73 143 481 3 13 2 7 - 633 69 0.8 0.0 4.9 2.0 4.0 0.4 1.0 1.9 6.5 0.0 0.2 0.0 0.1 0.0 8.5 0.9 34 1.0 160 28 143 3 30 18 44 1 4 - 2 - 142 33 18 1 118 21 86 3 26 11 39 2 6 2 - - 36 20 52 2 278 49 229 6 56 29 83 3 10 2 2 - 178 53 * including number operated upon # based on data received (see page 50 for total admissions and operations) 3,934 3,488 7,422 100.0 2,916 2,884 5,800 83 CASES TREATED AS IN-PATIENTS AT POUDRE D'OR (CHEST) HOSPITAL - 2013 DISEASE DEATHS DISCHARGES (INC.
DEATHS) (I.C.D.
10) MALE FEMALE TOTAL MALE FEMALE Pulmonary tuberculosis Pulmonary fibrosis Other Respiratory tuberculosis Tuberculosis of Bones and Joints Other tuberculosis Miliary tuberculosis Cancer of bronchus & lung Cancer of other respiratory and Intrathoracic organs Pneumonia Acute bronchitis Chronic Bronchitis Bronchitis not elsewhere specified Emphysema Asthma Bronchiectasis Alveolitis Abscess of lung and mediastinum Emphyema Pleurisy without mention of tuberculosis HIV with pulmonary tuberculosis HIV with pneumonia HIV with other respiratory infections HIV with other infections or diseases Other diseases of the respiratory system Other diseases TOTAL 1 5 - - - 1 8 - 3 - - - - 3 1 - 1 - 1 6 - 2 - - - 32 2 2 - - - - 3 - - - - - - - - - 2 - - - - - - 1 1 11 3 7 - - - 1 11 - 3 - - - - 3 1 - 3 - 1 6 - 2 - 1 1 43 115 38 - - - 2 50 1 26 4 2 3 - 130 10 8 47 - 54 24 4 11 2 104 6 641 89 19 - - - - 27 2 4 - 1 - - 101 5 3 20 2 23 17 - 5 - 48 5 371 CASES SEEN AT OUT-PATIENT SPECIALIST CLINICS IN CHEST DISEASES - 2013 TOTAL No.
% 204 20.2 5.6 57 0.0 - 0.0 - 0.0 - 0.2 2 7.6 77 0.3 3 3.0 30 0.4 4 0.3 3 0.3 3 0.0 - 231 22.8 1.5 15 1.1 11 6.6 67 0.2 2 7.6 77 4.1 41 0.4 4 1.6 16 0.2 2 152 15.0 1.1 11 1,012 100.0 DISEASE MALE FEMALE Pulmonary tuberculosis Pulmonary fibrosis Other respiratory tuberculosis Tuberculosis of bones and joints Other tuberculosis Miliary tuberculosis Cancer of lung & bronchus Cancer of other respiratory and intrathoracic organs Pneumonias Acute bronchitis Chronic bronchitis Bronchitis not otherwise specified Emphysema Asthma Bronchiectasis Abscess of lung and mediastinum Emphyema Pleurisy, without mention of tuberculosis HIV with pulmonary tuberculosis HIV with pneumonia HIV with other respiratory infections Other diseases of the respiratory system Other diseases Total cases diagnosed (First attendances) 37 17 - 1 1 1 4 - 8 3 13 0 - 217 1 19 - 20 2 2 4 211 4 565 17 5 - - - - 4 1 4 4 7 1 - 243 - 8 1 9 1 - 2 213 1 521 TOTAL No.
54 22 - 1 1 1 8 1 12 7 20 1 - 460 1 27 1 29 3 2 6 424 5 1,086 % 5.0 2.0 0.0 0.1 0.1 0.1 0.7 0.1 1.1 0.6 1.8 0.1 0.0 42.4 0.1 2.5 0.1 2.7 0.3 0.2 0.6 39.0 0.5 100.0 SUBSEQUENT ATTENDANCES 8,341 7,514 15,855 TOTAL 8,906 8,035 16,941 Note: Cases whose condition necessitated immediate admission have been excluded from the above figures CASES TREATED AS IN-PATIENTS AT BROWN SEQUARD PSYCHIATRIC HOSPITAL - 2013 84 CAUSE MALE FEMALE TOTAL (I.C.D.

10) No.

% No.

% No.
% Dementia 12 0.4 33 2.5 45 1.0 Epileptic Psychosis NOS 41 1.4 27 2.0 68 1.6 Unspecified mental disorders due to brain damage and dysfunction and to physical disease Mental and behavioural disorders due to use of alcohol Mental and behavioural disorders due to use of opioids/cannabinoids Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances 6 0.2 3 0.2 9 0.2 1,623 53.5 194 14.6 1,817 41.6 1 0.0 - 0.0 1 0.0 93 3.1 3 0.2 96 2.2 Schizophrenia 706 23.3 583 43.8 1,289 29.5 Delusional disorder 4 Acute psychotic episode Schizoaffective psychosis NOS Psychosis unspecified Hypomania Bipolar affective disorder Depressive episode 106 - 68 9 42 109 Persistent mood disorders 1 Anxiety disorders 5 Obsessive compulsive disorder - 0.1 3.5 0.0 2.2 0.3 1.4 3.6 0.0 0.2 0.0 Dissociative (conversion) disorders 2 0.1 2 - 81 68 - 0.0 2.7 2.2 4 52 33 0.0 1 1 0.0 - 0.0 7 - Puerperal psychosis NOS Mental retardation Conduct disorders Parkinsonism Alzheimer Degenerative disease of nervous system, unspecified Grand mal seizures, unspecified (with or without petit mal) Epilepsy, unspecified Sleep disorders Other causes T O T A L Other mental & behavioural causes 9 9 0.3 10 0.8 19 0.4 11 - 0.4 10 0.0 1 0.3 0.8 11 14 25 0.8 0.1 0.8 1.1 21 1 20 39 0.5 0.0 0.5 0.9 3,032 100.0 1,332 100.0 4,364 100.0 1 68 - 37 13 52 0.1 5 5.1 174 0.0 0 2.8 105 1.0 3.9 22 94 166 12.5 275 - 7 - ISLAND OF MAURITIUS QUARTERLY DISTRIBUTION OF NEW CASES DIAGNOSED AT OUT-PATIENT SPECIALIST CLINICS IN DERMATOLOGY - 2013 No.
DISEASE FIRST QUARTER SECOND QUARTER THIRD QUARTER T O T A L FOURTH QUARTER NUMBER % 3 BULLOUS DERMATOSIS Pemphigoid - ACNE Pemphigus 221 3 231 6 1 295 10 206 4 - - 4 D. Herpetiformis - - - CONGENITAL ANOMALIES OF THE TEGUMENT CORNS AND CALLOSITIES Lupus Erythematosus 6 87 1 DISEASES OF CONNECTIVE TISSUE Scleroderma - 4 122 4 3 21 137 7 4 Rheumatoid arthritis - - - DISEASES OF NAIL AND HAIR 206 195 262 175 DISORDERS OF PIGMENTATION Vitiligo Melanosis of face Other DRUG INDUCED DERMATOSIS 63 29 34 49 43 21 21 21 44 42 24 46 54 63 32 29 Atopic dermatitis Contact dermatitis: ECZEMA industrial origin other origin Stasis eczema LICHEN PLANUS NEOPLASM OF SKIN Malignant Benign PHOTODERMATITIS PSORIASIS AND SIMILAR DISORDERS ROSACEA SEBORRHEIC DERMATITIS Fungal SKIN INFECTIONS Parasitic Pyococcal Viral ULCER OF LOWER LIMBS URTICARIA ALL OTHER DISEASES 86 202 89 42 - TOTAL 3,634 3,807 4,501 3,469 15411 100.0 86 NEW CASES# DIAGNOSED AT OUT-PATIENT CLINICS SPECIALISED IN ENT IN 2013 DISEASE( I.C.D 1975 Revision ) FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER T O T A L NUMBER % Acute non-suppurative otitis media Acute suppurative otitis media Chronic tubotympanic suppurative otitis media Chronic atticoantral suppurative otitis media Unspecified chronic suppurative otitis media Otitis externa Impacted cerumen Tinnitus Conductive deafness Sensorineural deafness Eustachian tube disorders Foreign body in ear Ear injury All other diseases and
 conditions of ear Acute nasopharyngitis Sinusitis (acute) (chronic) Allergic rhinitis Epistaxis Nasal polyps Deflected nasal septum Foreign body in nose Fracture of nasal bone All other diseases and conditions of nose Acute tonsillitis Chronic tonsillitis Hypertrophy of tonsils and adenoids Pharyngitis (acute) (chronic) (granular) Laryngitis (acute) (chronic) Tongue tie Foreign body in throat All other diseases and conditions of throat R A E E S O N T A O R H T Other diseases and conditions (including neoplasm) TOTAL 2,186 2,276 2,904 2,479 9,845 100.0 # based on monthly returns received from E.N.T centre and other hospitals 87 CASES TREATED AS IN-PATIENTS AT E.N.T HOSPITAL# - 2013 Causes (ICD-10) Male Female Cancer and other neoplasm Otitis externa and other disorders of external ears Suppurative and unspecified otitis media Hearing loss Otalgia and effusion of ear Other diseases of the ear and mastoid Acute pharyngitis Acute tonsilitis Sinusitis Nasal polyp and other disorders of nose and nasal sinuses Peritonsilar abscess Other diseases of the respiratory system Epistaxis (Haemorrhage from nose) Dysphagia (Difficulty from swallowing) Localised swelling mass and lump of skin and subcutaneous tissue mainly of head and neck Diseases of oral cavity, salivary glands & jaws Delayed Speech Voices disturbances Headache
 including facial pains Foreign body in ear Foreign body in nostril, pharynx and other respiratory tract Foreign body in alimentary tract Fracture of skull and facial bones Injury and other consequences of external causes Other causes* * including pain throat (20) and fever (35) TOTAL - 32 68 248 3,428 Total No.
% OPERATIONS PERFORMED ON IN-PATIENTS AT E.N.T.
HOSPITAL# - 2013 Operations / Procedures Male Female Application, insertion or removal procedures on external ear/NOSE Other procedures on ear and mastoid processes Examination and other procedures on nose Application, insertion or removal procedures on nasal sinuses Other procedures on nasal sinuses Oral surgery Excision and other procedures on mouth Excision on tonsils and adenoids Procedures on pharynx Procedures on larynx Procedures on other respiratory system Examination and other procedures on oesophagus Reduction of fracture of facial bone Dermatological and plastic procedures Diagnostic and therapeutic intervention Other procedures TOTAL Total No.
42 198 137 51 46 49 44 452 39 76 20 122 39 58 71 55 1,499 % 2.8 13.2 9.1 3.4 3.1 3.3 2.9 30.2 2.6 5.1 1.3 8.1 2.6 3.9 4.7 3.7 100.0 # based on data obtained from the Health records Department (See page 50 for total admissions and operations) CASES TREATED AS IN-PATIENTS AT THE CARDIAC CENTRE# - 2013 Causes (ICD -10) Cases treated Male Female Total Rheumatic fever with heart involvement Mitral stenosis Other rheumatic mitral valve diseases Other chronic rheumatic heart diseases Angina pectoris Acute Myocardial infarction Chronic ischaemic heart diseases Nonrheumatic mitral valve disorders Nonrheumatic aortic valve disorders Pulmonary valve disorders Left ventricular and other heart failure Cardiac septal defect Other heart diseases Cerebrovascular diseases Peripheral vascular disease Artetiovenous fistula acquired Other diseases of the circulatory system Congenital malformations of the heart and other circulatory system Renal diseases* Other causes % 0.0 0.2 3.3 0.6 56.2 1.6 24.6 0.2 1.9 4.9 0.3 0.6 0.4 0.1 0.1 1.7 0.3 1.1 1.1 0.7 Total 1,992 1,145 3,137 100.0 NB:total operations performed =1,292 of which Vascular Surgery (67), Neuro Surgery (184), Cardiac Surgery (713) and general surgery (300) and renal transplant (17).
# based on data received (see page 50 for total admissions and operations) * hypertensive/diabetic/failure ISLAND OF MAURITIUS REPORTED CASES OF CERTAIN SEXUALLY TRANSMITTED INFECTION DIAGNOSED AT SKIN DISEASE CLINIC OF GOVERNMENT HOSPITAL- 2013 Under 20 years 20 -29 years 30 - 39 years 40 - 49 years 50 years & over ALL AGES CAUSE Male Female Male Female Male Female Male Female Male Female Gonococcal infections Venereal warts Syphilis Herpes simplex Genital herpes TOTAL 16 2 2 - - 20 - 7 2 - - 9 61 16 7 1 1 86 2 16 3 - 1 22 17 16 9 - - 42 1 12 - - - 4 7 1 - 2 13 14 - 1 - 1 - 2 4 1 1 - - 6 - 3 - - - 3 Male 102 42 20 1 3 168 Female 3 39 5 1 1 49 Total 105 81 25 2 4 217 ATTENDANCE AT THE NATIONAL DAY CARE CENTRES* FOR THE IMMUNO-SUPPRESSED - 2013 HIV/AIDS cases seen for treatment (first attendances) MALE FEMALE TOTAL 8 9 Under 10 years 10-19 years 20-29 years 30-39 years 40-49 years 50-59 years 60 years & over A.
Total first attendances B.

Subsequent attendances of HIV/AIDS cases for treatment/follow-up Total attendances for treatment Attendances of patients on ARV treatment (included above) C. PMTCT D. Post -HIV Exposure Prophylaxis E. Voluntary counselling F. Police Case G. Visa purpose H. Screening (expatriates) I.
Other (premarital, medical purpose@, etc) Total attendances - * at Volcy Pougnet Centre, Victoria, SSRN and JNH Hospitals @ mostly cases referred by private doctors NB: As at the end of 2013, there was 1,635 patients on ARV in Mauritius (and 20 in Rodrigues) 90 Island of Mauritius Cases of occupational and work related diseases diagnosed during screening sessions at Occupational Health Clinics 2013 Condition Male Female Total Diseases caused by chemical agents 16 Diseases caused by physical agents Biological agents Occupational respiratory diseases Occupational skin diseases Occupational musculo-skeletal disorders Occupational cancer Others 2 1 5 19 84 - - Total (cases diagnosed) 127 2 0 0 3 11 24 - - 40 Attendances at screening sessions: First attendances 1,482 615 Subsequent attendances 5,669 1,298 18 2 1 8 30 108 - - 167 2,097 6,967 TOTAL ATTENDANCES 7,151 1,913 9,064 Pre employment medical fitness examinations Number of persons examined 2,390 1,379 3,769 CAUSES @ OF ATTENDANCES* AT GOVERNMENT AYURVEDIC (OUT-PATIENT) CLINICS - 2013 91 TYPE OF DISEASE AYURVEDIC TERMS TOTAL % CAUSES 1 Diseases of skeletal/osseous system Asthi Vaha Srotas 2 Diseases related to blood and plasma Rasa Vaha Srotas 13,368 1,116 3 Symptoms involving head and neck Urdhwa Jatrugataroga 9,219 4 Gastritis and other diseases of digestive system Annavaha Srotas 5 Diabetes mellitus Madhumeha rogas 6 Diseases of adipose system Medho Vaha Srotas 7 Diseases of haemopoitic system Rakta Vaha Srotas 8 Diseases of lower intestinal system Purisha Vaha Srotas 9 Diseases of respiratory system Pranavaha Srotas 10 Mental disorder Mano Vaha Srotas 9,105 4,961 4,713 12,280 170 3,782 4,002 11 Diseases of muscular System Mamsagata Vaha Srotas 3,645 12 Hypertensive diseases Uccha Raktachapa Dab 2,903 13 Paralysis tremors, neuritis and other diseases of the nervous system Vata Vikara 14 Urinary Disorder Mutra vaha Srotas 15 Common gynaecological disorders Artava Srotas 16 Diseases of reproductive system Sukra Vaha Srotas 17 Common pediatric diseases Balaroga 18 Diseases of body fluids system Udhakavahas Srotas 19 Other diseases TOTAL 3,456 2,985 1,399 1,379 822 824 294 80,423 16.6 1.4 11.5 11.3 6.2 5.9 15.3 0.2 4.7 5.0 4.5 3.6 4.3 3.7 1.7 1.7 1.0 1.0 0.4 100.0 NB: As from 2013, a new set of disease classifications has been introduced.
Certain figures given above may therefore not be directly comparable to data published in previous reports @ A patient with 2 distinct diseases are counted twice etc.
* New and follow-up cases BELVEDERE MEDI CLINIC L'ESCALIER MEDI CLINIC SSRN HOSPITAL VICTORIA HOSPITAL LA SOURCE FLACQ TOTAL NUMBER OF ATTENDANCES MALE 2,312 2,936 4,571 4,908 2,179 16,906 FEMALE 3,675 5,431 9,127 9,607 5,038 32,878 TOTAL 5,987 8,367 13,698 14,515 7,217 49,784 92 REPUBLIC OF MAURITIUS New cases of Cancer registered * COMMON CANCERS AMONG MEN Sn 2001 - 2004 2005 - 2008 2009 - 2012 (4 years) (4 years) (4 years) Site Period Number Colon/Rectum Prostate Skin Lip/Oral Cavity/Pharynx Trachea/Bronchus/Lung Stomach Bladder Lymphoma Leukaemias Other TOTAL 268 230 108 205 206 151 131 105 83 778 2,265 % Total 11.8 10.2 4.8 9.1 9.1 6.7 5.8 4.6 3.7 34.3 100.0 Number 320 241 132 177 220 182 112 92 100 710 2,286 % Total 14.0 10.5 5.8 7.7 9.6 8.0 4.9 4.0 4.4 31.1 100.0 Number 373 345 227 225 221 170 124 116 88 953 2,842 % Total 13.1 12.1 8.0 7.9 7.8 6.0 4.4 4.1 3.1 33.5 100.0 Sn COMMON CANCERS AMONG WOMEN 2001 - 2004 2005 - 2008 2009 - 2012 (4 years) (4 years) (4 years) Period Period Number Site 1 2 3 4 Breast Cervix Uteri Colon/Rectum Corpus Uteri Skin Ovary Stomach Leukaemias Trachea/Bronchus/Lung Other TOTAL % Total 34.3 12.3 7.3 4.0 3.0 4.5 2.8 2.6 2.5 26.7 100.0 Number 1,239 334 250 149 102 183 83 73 78 789 3,280 % Total 37.8 10.2 7.6 4.5 3.1 5.6 2.5 2.2 2.4 24.1 100.0 Number 1,564 344 341 225 192 175 99 89 77 1,031 4,137 % Total 37.8 8.3 8.2 5.4 4.6 4.2 2.4 2.2 1.9 24.9 100.0 1,066 382 226 124 92 139 87 81 79 830 3,106 * Source: National Cancer Register 93 ISLAND OF MAURITIUS CASES TREATED AS IN-PATIENTS AT THE NEONATAL INTENSIVE CARE UNITS * - 2013 (The figures given below are included in all tables pertaining to discharges from government general hospitals) CAUSE (ICD-10 Classifications) NUMBER OF CASES @ FEMALE TOTAL MALE OF WHOM PASSED AWAY @ TOTAL FEMALE MALE Disorders related to length of gestation and fetal growth.
Respiratory and cardiovascular disorders specific to the perinatal period.

Infections specific to the perinatal period.

104 86 190 22 16 37 24 61 9 5 35 20 55 10 8 Birth trauma 2 1 3 - 1 38 14 18 1 - - - - - - Digestive system disorders of fetus and newborn Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery.

Haemorrhagic and haematological disorders of fetus and newborn.
Transitory endocrine and metabolic disorders specific to fetus and newborn Conditions involving the integument and temperature regulation of foetus and newborn Other disorders originating in the perinatal period.

Congenital malformation of the nervous system Congenital malformations of the circulatory system.

Congenital malformations of the respiratory system.

Congenital malformations of digestive system.


Congenital malformation and deformities of the musculoskeletal system 2 - 2 2 2 4 3 2 5 - 1 1 7 9 16 - - - - - - 1 - - - 4 3 7 4 - 1 3 4 - 1 3 - 3 2 - 3 1 4 1 - 1 1 2 1 1 Other congenital malformations - 1 1 - - Diseases of respiratory system.
6 - 6 1 - Other diseases 6 3 9 1 2 TOTAL * Victoria and SSRN Hospitals @ based on data obtained from the Health Records Division 216 157 373 51 35 - 1 - - - 4 1 2 1 2 - 1 3 86 94 ISLAND OF MAURITIUS INFANT DEATHS BY SEX AND DETAILED AGE - 2013 AGE AT DEATH No.

% No.

% No.
% MALE FEMALE TOTAL Under 1 day 1 day 2 days 3 days 4 days 5 days 6 days 14 11 3 7 5 4 3 15.6 12.2 3.3 7.8 5.6 4.4 3.3 8 8 5 7 2 2 1 11.6 11.6 7.2 10.1 2.9 2.9 1.4 Sub-total 0 - 6 days 47 52.2 33 47.8 22 19 8 14 7 6 4 80 17 15 13.8 11.9 5.0 8.8 4.4 3.8 2.5 50.3 10.7 9.4 7 - 13 days 14 - 20 days 21 - 27 days 8 7 6 8.9 7.8 6.7 9 8 4 13.0 11.6 5.8 10 6.3 Sub-total 0 - 27 days 68 75.6 54 78.3 122 76.7 28 - 59 days 10 11.1 5 7.2 15 9.4 2 months 3 months 4 months 5 months Sub-total under 6 months 6 months 7 months 8 months 9 months 10 months 11 months TOTAL UNDER ONE YEAR 1 3 - 2 84 5 1 - - - - - 0.0 - 1.1 0.0 1 1 1.4 1.4 2 1 0.0 - 0.0 - 0.0 - 0.0 - 3.8 0.0 1.3 0.6 0.0 0.0 100.0 69 100.0 159 100.0 BREAKDOWN OF INFANT DEATHS BY CAUSES AND SEX - 2013 ISLAND OF MAURITIUS Early Neo-Natal Deaths Late Neo-Natal Deaths Neo-Natal Deaths Post Neonatal Deaths CAUSE TOTAL TOTAL TOTAL (I.C.D.
10 ) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE No.

% No.

% No.
% Diarrhoea and gastroenteritis of presumed infectious origin Meningitis - - Acute Bronchitis and Acute Bronchiolitis Asthma Pneumonia Congenital anomalies Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight Intrauterine Hypoxia and birth asphyxia Septicaemia and infections specific to the perinatal period Neonatal haemorrhage Birth Trauma Disseminated intravascular coagulation in newborn Sudden Infant Death Syndrome Ingestion of food causing suffocation - - 1 11 10 3 3 - - 2 1 - - - - - - 5 7 3 3 - - 1 1 - - - - - 1 6 6 - - 3 2 - 16 20.0 17 21.3 0.0 0.0 - - 0.0 0.0 1.3 7.5 7.5 0.0 0.0 3.8 2.5 0.0 36.3 1 - 3 5 - - 3 1 - - 1 - 7 - - 3 - 3 9 - 3 7 2 - 3 2 - 0.0 0.0 7.1 0.0 7.1 - - 1 - 4 21.4 16 0.0 10 7.1 16.7 4.8 0.0 7.1 4.8 0.0 3 6 1 - 2 2 - - - 2 - - 9 7 6 7 1 - 4 2 - - - 2 - - 4 - 3 4 1 - 3 1 - 3 - - 3 - 4 0.0 0.0 2.5 0.0 3.3 25 20.5 17 13.9 9 7.4 13 10.7 2 - 6 4 - 1.6 0.0 4.9 3.3 0.0 1 - 6 - - 7 - - 1 - - - - - 39 32.0 7 1 - - - 2 1 - - 2 - - - 3 - 6 122 100.0 22 15 All other causes TOTAL 16 47 13 33 29 80 100.0 21 21 42 100.0 10 23.8 23 68 16 54 TOTAL No.
% 2 - 6 - 2 8 - - 3 - - - 3 - 5.4 0.0 16.2 0.0 5.4 21.6 9 5 0.0 0.0 8.1 0.0 0.0 0.0 8.1 0.0 13 35.1 37 100.0 96 ISLAND OF MAURITIUS SELECTED CAUSES OF INFANT DEATHS - 2013 CAUSE MALE FEMALE TOTAL (I.C.D.

10 ) NUMBER OF DEATHS No.
% Diarrhoea and gastroenteritis of presumed infectious origin Meningitis Acute Bronchitis and Acute Bronchiolitis Asthma Pneumonia Congenital anomalies Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight Intrauterine Hypoxia and birth asphyxia Septicaemia and infections specific to the perinatal period Neonatal haemorrhage Birth Trauma Disseminated intravascular coagulation in newborn Sudden Infant Death Syndrome Ingestion of food causing suffocation All other causes* TOTAL 1 - 7 - 4 23 10 3 7 1 - 2 2 - 30 90 1 - 2 - 2 10 7 6 9 1 - 4 5 - 22 69 2 - 9 - 6 33 17 9 16 2 - 6 7 - 52 159 1.3 0.0 5.7 0.0 3.8 20.8 10.7 5.7 10.1 1.3 0.0 3.8 4.4 0.0 32.7 100.0 SELECTED CAUSES OF DEATHS AMONG CHILDREN AGED 0-4 YEARS - 2013 CAUSE NUMBER OF DEATHS (I.C.D.
10 ) MALE FEMALE TOTAL No.
% Diarrhoea and gastroenteritis of presumed infectious origin Meningitis Acute Bronchitis and Acute Bronchiolitis Asthma Pneumonia Congenital anomalies Slow foetal growth, foetal malnutrition and disorders related to short gestation and low birth weight Intrauterine Hypoxia and birth asphyxia Septicaemia and infections specific to the perinatal period Neonatal haemorrhage Birth Trauma Disseminated intravascular coagulation in newborn Sudden Infant Death Syndrome Ingestion of food causing suffocation Accidents Assaults All other causes* 1 - 7 1 7 25 10 3 10 1 - 2 2 - 1 - 3 - 4 - 3 13 4 - 11 1 10 38 7 17 6 9 2.1 0.0 5.8 0.5 5.3 20.1 9.0 4.8 10 20 10.6 1 2 - - 4 5 1 1 6 7 1 2 - - 1.1 0.0 3.2 3.7 0.5 1.1 0.0 32.3 100.0 61 189 * including pulmonary haemorrhage (8 deaths) and respiratory distress (18 deaths) 26 84 35 105 TOTAL 97 ISLAND OF MAURITIUS DEATHS (ALL AGES) BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION OF DISEASES AND SEX - 2013 DEATHS CAUSE ( ICD - 10 ) MALE FEMALE TOTAL 1.
Certain infectious & parasitic diseases No.

% No.

% No.

% 207 4.0 93 2.3 300 3.2 2.

Neoplasm 631 12.3 602 14.7 1,233 13.4 Diseases of the blood & blood- forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 3.

4.

5.

Mental & behavioural disorders 6.

Diseases of the nervous system 25 0.5 19 0.5 44 0.5 1,181 23.0 1,145 27.9 2,326 25.2 75 78 1.5 1.5 6 63 0.1 1.5 81 141 0.9 1.5 7.

Diseases of the eye & adnexa - 0.0 8.


Diseases of the ear & mastoid process - 0.0 - - 0.0 - 0.0 0.0 - 0.0 9.

Diseases of the circulatory system 10.

Diseases of the respiratory system 11.
Diseases of the digestive system 1,538 30.0 1,320 329 9.1 93 5.0 466 255 32.1 2,858 31.0 8.6 3.8 795 348 8.0 2.3 Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes 12.
13.

14.

15.

16.

17.

18.

19 & 20 14 0.3 16 0.4 30 0.3 10 0.2 9 0.2 19 0.2 116 2.3 89 2.2 205 2.2 - 0.0 9 0.2 9 0.1 48 0.9 39 0.9 87 0.9 28 0.5 17 0.4 45 0.5 89 1.7 132 3.2 221 2.4 363 7.1 126 3.1 489 5.3 T O T A L 5,124 100.0 4,107 100.0 9,231 100.0 DEATHS BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION AND BY AGE-GROUP - 2013 ISLAND OF MAURITIUS CHAPTER (I.C.D.10) 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.
Certain infectious & parasitic diseases Neoplasms Diseases of the blood & blood- forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases Mental & behavioural disorders Diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes T O T A L r a e y 1 r e d n U 2 - - 2 - - - - - 11 1 - - 1 48 2 2 - 1 - 2 - - - 5 - - - - - - 23 2 2 - - 1 M A L E S s r a e y 2 1 - 5 s r a e y 9 1 - 3 1 s r a e y 9 3 - 0 2 s r a e y 4 - 1 F E M A L E S B O T H S E X E S s r a e y 9 5 - 0 4 + s r a e y 0 6 r a e y 1 r e d n U s r a e y 4 - 1 s r a e y 2 1 - 5 s r a e y 9 1 - 3 1 s r a e y 9 3 - 0 2 s r a e y 9 5 - 0 4 + s r a e y 0 6 r a e y 1 r e d n U s r a e y 4 - 1 s r a e y 2 1 - 5 s r a e y 9 1 - 3 1 s r a e y 9 3 - 0 2 s r a e y 9 5 - 0 4 + s r a e y 0 6 L A T O T - 3 - - - 1 - - 1 2 1 - - - - 1 - 3 2 3 - 1 1 7 - - 2 1 - - - 1 - - - 51 24 5 14 8 19 - - 65 34 24 1 - 8 - 2 6 78 72 170 429 7 13 318 845 48 22 - - 372 84 113 4 7 18 27 - - 1,098 329 116 9 3 32 74 - - - - 14 67 25 138 109 87 3 - 1 - - - - - 1 6 - - - - - 39 10 6 3 3 1 - 1 - 1 - - 1 2 - 1 - 1 - - 3 - 1 - 1 - - - 3 - - 1 - - - - - - - 2 - 6 - - - - - 2 - - 1 1 - - - 1 1 - 1 1 13 29 2 23 51 207 364 3 13 16 186 942 - 7 - - 23 16 6 1 3 5 8 - 1 3 3 9 - - 148 32 16 3 1 12 - - - 3 41 - - 1,145 272 71 11 5 70 - - - 3 119 10 18 32 56 5 - 1 2 - - - - 1 17 1 - - 1 - 87 33 8 3 5 3 - 2 - 3 - - 1 7 - 1 - 1 - - 5 - 2 - 4 - - - 4 - - 2 2 1 - - - - - 3 -
 2 3 - 1 1 9 - - 3 2 - - - 2 1 - 1 1 64 53 101 377 123 793 300 1,233 7 10 26 44 30 8 26 - - 88 50 30 2 3 504 1,787 2,326 51 31 - - 520 116 129 7 8 21 68 - - 81 141 - - 2,243 601 187 2,858 795 348 20 8 30 19 13 44 144 205 8 - 3 9 - - - - - - ISLAND OF MAURITIUS SELECTED PRINCIPAL CAUSES OF DEATH (ALL AGES) - 2013 (See page 81 for deaths by ICD-10 chapters) CAUSE (I.C.D - 10) MALE FEMALE TOTAL No.
% No.

% No.
% Acute myocardial infarction and other ischaemic heart diseases Heart Failures Cardiac Arrest Pulmonary heart diseases Other heart diseases Cerebrovascular disease Hypertensive disease Diabetes mellitus Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of breast Malignant neoplasm of stomach Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of liver and intrahepatic bile duct Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of pancreas Malignant neoplam of prostate Pneumonia Asthma Pulmonary oedema Bronchitis, emphysema and other chronic obstructive pulmonary diseases Land Transport Accidents Suicide Homicides Accidental drowning and submersion Accidents caused by fire and flames Diseases of liver (inc. alcoholic cirrhosis) Renal failures Senility Septicaemia unspecified Gastrointestinal haemorrhage unspecified - All other causes T O T A L 1,172 5,124 22.9 820 20.0 100.0 4,107 100.0 1,992 9,231 21.6 100.0 SELECTED PRINCIPAL CAUSES OF DEATHS BY AGE-GROUP AND SEX - 2013 ISLAND OF MAURITIUS - 5 1 - - - 1 - - - - - - - - - 1 - - 5 1 1 - 2 - - - 4 3 - - 3 3 - 5 - - - - - - - - 4 2 7 - 34 26 7 12 s r a e y 4 4 - 0 3 34 25 - 2 11 21 13 32 4 - 3 - 1 3 - - 7 5 18 1 25 28 9 6 s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y + 5 7 5
 1 r e d n U s r a e y 9 2 - 5 1 s r a e y 4 4 - 0 3 s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y s r a e y + 5 7 5 1 r e d n U s r a e y 9 2 - 5 1 s r a e y 4 4 - 0 3 s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y s r a e y + 5 7 l a t o T T O T A L 147 238 230 37 4 1 14 72 37 293 25 1 9 - 9 19 9 5 21 5 8 4 28 22 7 3 32 18 5 17 145 69 509 63 - 19 - 12 17 14 24 23 18 4 30 21 5 5 1 42 34 3 24 149 78 314 25 - 8 - 6 11 6 42 51 29 2 43 6 2 - 1 - - - - 2 2 - - - - - - - - - - 2 - - - 3 2 - 1 - 2 1 1 1 3 1 2 - 3 1 - - - - - 3 4 1 - 3 9 3 - 4 5 3 1 3 12 4 30 - 14 2 3 - 1 1 - 2 - 6 1 4 2 1 - 42 16 3 3 5 33 24 168 11 69 11 19 4 2 3 - 7 8 2 - 5 1 4 3 126 287 24 12 3 11 69 55 433 17 49 10 29 9 9 10 - 9 11 5 4 8 1 4 1 53 63 7 23 236 159 481 14 29 11 17 7 6 6 - 72 31 5 15 5 - 3 1 - - - 1 2 2 - - - - - - - 1 - - 7 1 1 - 5 2 - 1 4 5 1 1 4 6 1 7 - 3 1 - - - - - 7 6 8 - 37 35 10 12 38 30 3 3 14 33 17 62 4 14 5 3 1 4 1 - Causes (I.C.D.
10) Acute myocardial infarction and other ischaemic heart diseases Heart Failures Cardiac Arrest Pulmonary heart diseases Other heart diseases Cerebrovascular disease Hypertensive disease Diabetes mellitus Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of breast Malignant neoplasm of stomach Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of liver and intrahepatic bile duct Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of pancreas Malignant neoplasm of prostate Pneumonia Asthma Pulmonary oedema Bronchitis, emphysema and other chronic obstructive pulmonary diseases Land Transport Accidents Suicide Homicides Accidental drowning and submersion All other causes T O T A L 101 CHAPTER-SPECIFIC DEATH RATES PER 10,000 MID-YEAR RESIDENT POPULATION - 2013 CHAPTER (I.C.D.
10) Certain infectious & parasitic diseases MAURITIUS RODRIGUES REPUBLIC No.

of Death No.

of Death No.


of Death Deaths Rate 2.5 300 Deaths 4 Rate Deaths Rate 2.4 304 1.0 Neoplasms 1,233 10.1 27 6.5 1,260 10.0 Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 44 0.4 1 0.2 45 0.4 Endocrine, nutritional & metabolic diseases 2,326 19.1 45 10.9 2,371 18.8 Mental & behavioural disorders Diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process 81 0.7 141 1.2 - - 0.0 0.0 9.
Diseases of the circulatory system 2,858 23.5 10.

Diseases of the respiratory system 795 6.5 11.

Diseases of the digestive system 348 2.9 12.
Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium 30 19 205 9 0.2 0.2 1.7 0.1 Certain conditions originating in the perinatal period 87 0.7 Congenital malformations, deformations & chromosomal abnormalities 45 0.4 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 221 1.8 Injury, poisoning & certain other consequences of external causes 489 4.0 2 4 - - 84 13 8 1 2 5 - TOTAL 9,231 75.8 209 50.6 9,440 75.0 1.
2.

3.

4.

5.

6.

7.

8.

13.

14.

15.

16.

17.

18.

19.
102 ISLAND OF MAURITIUS DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2013 DEATHS DEATH RATES AGE-GROUP (years) MALE FEMALE BOTH SEXES Number Number Number Percentage Cumulative Percentage MALE FEMALE BOTH SEXES Under 1 1 - 4 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - & over ALL AGES 5,124 4,107 9,231 100.0 - 8.5 6.7 7.6 DEATHS DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2013 M A L E S F E M A L E S B O T H S E X E S - 4 34 147 238 230 4 42 126 287 Cardiac Arrest Heart Failure Other heart diseases - - 1 - 3 3 Total (Heart diseases)* 1 10 - 25 13 72 13 4 37 15 18 32 22 34 42 27 203 310 333 37 69 78 s r a e y 4 4 - 0 3 s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y + 5 7 5 1 r e d n U s r a e y 27 114 163 145 7 33 75 85 11 37 35 26 2 3 9 1 35 101 116 - 9 7 - - - - s r a e y 9 2 - 5 1 - - - 1 2 2 5 1 - - - - - 2 2 - s r a e y 4 4 - 0 3 3 1 3 5 4 16 4 7 5 - s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y + 5 7 5 1 r e d n U s r a e y s r a e y 9 2 - 5 1 s r a e y 4 4 - 0 3 s r a e y 9 5 - 5 4 s r a e y 4 7 - 0 6 s r a e y + 5 7 l a t o T 28 80 177 14 46 110 3 16 8 69 24 12 24 14 63 53 30 176 433 55 159 - - - - - 3 3 - 16 18 28 2 17 50 199 - 1 9 - - 4 30 142 243 322 741 - 8 47 121 195 371 4 38 189 364 517 1,112 1 5 5 3
- - - 17 61 124 237 440 18 53 53 54 186 14 52 151 315 532 1 - 10 16 27 5 1 r e d n U s r a e y - - s r a e y 9 2 - 5 1 4 - - - - - - 3 - - CAUSES (I.C.D.
10) Acute Myocardial Infarction Other Ischaemic Heart diseases Total (Ischaemic Heart diseases) Hypertensive diseases Intracranial haemorrhage and cerebral infarction Stroke, not specified as haemorrhage or infarction Other cerebrovascular diseases Total (cerebrovascular diseases) Other diseases of the circulatory system T O T A L (Circulatory system) - 3 21 72 145 149 2 3 12 33 69 236 2 6 33 105 214 385 745 - 1 3 4 8 6 1 14 109 316 532 566 - 4 - 9 1 3 5 12 33 129 305 840 - 5 1 4 7 13 18 43 23 142 445 837 1,406 2,858 104 ISLAND OF MAURITIUS DEATHS DUE TO NEOPLASMS BY TYPE AND SEX 2013 TYPE OF NEOPLASM (ICD-10) MALE FEMALE TOTAL Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of oesophagus Malignant neoplasm of stomach Malignant neoplasm of colon Malignant neoplasm of rectosigmoid junction, rectum, anus and anal canal Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Other malignant neoplasm of digestive organs Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Other malignant neoplasm of respiratory and intrathoracic organs Malignant neoplasm of bone and articular cartilage Malignant neoplasm of skin, including melanoma Malignant neoplasm of mesothelial and soft tissue Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of other and unspecified parts of the uterus Other Malignant neoplasms of female genital organs Malignant neoplasm of prostrate Other malignant neoplasm of male genital organs Malignant neoplasm of bladder Other malignant neoplasm of urinary tract Malignant neoplasm of eye and adnexa Malignant neoplasm of central nervous system, including brain Malignant neoplasm of other , ill-defined, secondary, unspecified and multiple sites Hodgkin's disease Non-Hodgkin's lymphoma Leukaemia Other malignant neoplasms of lymphoid, haematopoietic and related tissue Benign neoplasm of ovary organs Benign neoplasm of urinary organs Benign neoplasm of brain and other parts of central nervous system
 Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour 51 31 39 46 25 28 29 11 11 117 18 15 35 47 15 20 20 14 - 42 2 4 6 4 7 1 71 2 22 11 - 12 29 3 12 23 6 - 2 24 6 4 - 6 164 35 33 36 5 7 1 6 27 3 8 8 6 1 - TOTAL 631 602 1,233 Deaths due to External Causes , by Age-group and Sex - 2013 ISLAND OF MAURITIUS M A L E F E M A L E B O T H S E X E S CAUSES (ICD - 10) 5 r e d n U s r a e y 9 1 - 3 1 s r a e y 9 3 - 0 2 s r a e y 9 5 - 0 4 s r a e y & s r a e y 0 6 r e v o 5 r e d n U s r a e y 33 27 s r a e y 2 1 - 5 2 - - - - - - - - - - - 8 1 4 1 - - - 1 6 - - 1 46 2 12 4 5 3 6 8 7 5 - - 3 7 4 30 24 - 2 - 1 10 12 9 2 - 1 3 16 2 5 - - 5 - - 1 2 1 1 - - 1 1 - 3 - 2 3 5 9 3 16 - 25 138 109 87 - - - - - - 1 - - - - - Transport Accidents Falls Accidental Drowning and Submersion Ingestion of food causing obstruction of respiratory tract Exposure to Electric Current Exposure to Smoke, Fire and Flames Other and unspecified accidents Suicide by chemicals and noxious substances Suicide by hanging Suicide by fire Suicide by other and unspecified means Assault Accidental poisoning by exposure to noxious substances and/or of undetermined intent Complications of medical and surgical care Other and unspecified External causes T O T A L s r a e y 2 1 - 5 1 - 1 - - - - - 1 - - - 9 1 - 3 1 s r a e y 9 3 - 0 2 s r a e y 9 5 - 0 4 s r a e y 1 - - - - - - 2 5 - - 2 7 - - - - 3 - 1 3 - - 1 5 1 3 - - 5 - 1 1 - - 5 & s r a e y 0 6 r e v o 13 - 2 - - 3 17 1 - - - 7 3 - 1 1 1 - - 6 - - 2 - 9 1 10 18 32 11 1 56 5 r e d n U s r a e y 1 - - 1 - 1 1 - - - - - - 1 - 5 s r a e y 2 1 - 5 3 - 1 - - - - - 1 - - - 9 1 - 3 1 s r a e y 9 1 4 1 - - - 3 11 - - 3 9 3 - 0 2 s r a e y 53 2 12 4 5 6 6 9 33 - 2 11 9 5 - 0 4 s r a e y & s r a e y 0 6 r e v o l a t o T 38 40 144 8 8 - - 8 7 5 25 - 1 17 9 4 - 1 6 33 3 5 - - 20 29 6 6 21 47 20 75 - 3 12 43 1 0 5 3 1 3 2 2 11 1 - 9 - 2 35 5 5
 18 27 52 4 1 12 156 141 143 489 1 - - 1 - 1 - - - - - - - 1 - 4 107 ISLAND OF RODRIGUES - 2013 SELECTED HEALTH VARIABLES AND INDICATORS Variable/Indicator Number/Value Denominator POPULATION AND VITAL STATISTICS Estimated mid-year resident population 41,312 Population density 397 per square kilometre Estimated mid-year resident population by sex: male female sex ratio 20,368 (49.3%) 20,944 (50.7%) Estimated end-of-year resident population Population density Estimated female mid-year resident population 15-49 years Percentage of total female population 41,504 10,740 Percentage of total population (both sexes) Estimated mid-year population 60 years and over Percentage of total population Estimated mid-year population 65years and over Percentage of total population Live births Crude birth rate Deaths (all ages) Crude death rate Stillbirths Stillbirth rate Perinatal deaths Perinatal mortality rate Infant deaths Infant mortality rate Deaths under five years Under-five mortality rate Maternal deaths Maternal mortality ratio Life expectancy at birth (years) - male Life expectancy at birth (years) - female Life expectancy at birth (years) - Both Sexes INFRASTRUCTURE AND PERSONNEL Beds Population : bed ratio Doctors Population : doctor ratio Dentists Population : dentist ratio Nurses (including midwives) Population : nurse ratio 973 males per 1000 females 399 per square kilometre 51.3 26.0 10.7 7.6 17.0 per 1000 mid-year population 5.1 per 1000 mid-year population 4.3 per 1000 total births 7.1 per 1000 total births 8.5 per 1000 live births 12.8 per 1000 live births - per 1000 live births 4,410 3,150 702 209 3 5 6 9 - 72.8 (2012) 78.5 (2012) 75.6 (2012) 181 19 3 158 229 inhabitants per bed 2,184 inhabitants per doctor 13,835 inhabitants per dentist 263 inhabitants per nurse 108 ISLAND OF RODRIGUES - 2013 SELECTED HEALTH VARIABLES AND INDICATORS Variable/Indicator Number/Value Denominator MATERNAL AND CHILD HEALTH Births attended by qualified personnel Percentage of all
 births reported by hospitals ( 687) Children with a birthweight of less than 2.5 kg Percentage of live births (hospital & health centres=685) Total Fertility Rate Net Reproduction Rate IMMUNIZATION Children immunized against tuberculosis Immunization coverage Children immunized against diphtheria, whooping cough, tetanus, hepatitis B, Hib and poliomyelitis (3rd dose) Immunization coverage 99.9 9.5 2.2 1.0 98.0 per 100 surviving infants 686 65 682 653 Children immunized against measles/mumps/rubella (MMR) 651 Immunization coverage Pregnant women immunized against tetanus (2nd or higher dose) Immunization coverage NOTIFIABLE DISEASES Cases of malaria reported Incidence rate Cases of tuberculosis reported Incidence rate Cases of HIV / AIDS reported Incidence rate CAUSE OF DEATH Deaths due to diseases of the circulatory system Percentage of total deaths Disease-specific death rate Deaths due to endocrine, nutritional and metabolic diseases Percentage of total deaths Disease-specific death rate Deaths due to neoplasms Percentage of total deaths Disease-specific death rate Deaths due to diseases of the respiratory system Percentage of total deaths Disease-specific death rate Deaths due to injury and poisoning Percentage of total deaths Disease-specific death rate 519 - - 4 84 45 27 13 7 93.8 93.5 74.6 - - 1.0 40.2 20.3 21.5 10.9 12.9 6.5 6.2 3.1 3.3 1.7 per 100 surviving infants per 100 surviving infants per 100 surviving infants per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population per 10,000 mid-year population 109 An Analysis of the health situation Rodrigues Island, administratively autonomous, is of volcanic origin, with an area of 104.0 km2, and is located 560 km north-east of Mauritius.
In general, the population is scattered over the island, with no dominant towns, except the administrative centre, Port Mathurin.

POPULATION AND VITAL STATISTICS The estimated end-of-year resident population of the Island of Rodrigues increased from 41,083 in 2012 to 41,504 in 2013; the growth rate was 1.0%.

The population density at the end of 2013 was 399 inhabitants per square kilometer.
The proportion of population aged under 15 years decreased from 30.9 % in 2003 to 28.5 % in 2013, while the proportion of elderly population (aged 65 years and above) increased from 5.9 % to 7.6 %.

During the last 10 years, the total dependency ratio has decreased from 582.0 per 1,000 mid year population aged 15-64 years to 567.9; the young age dependency ratio decreased from 489.0 to 447.0 while the old age dependency ratio increased from 93.1 to 119.4.
Based on the 2011 Population Census data, life expectancy at birth in Rodrigues is estimated to be 72.8 years for men and 78.5 years for women.

The number of live births registered in 2012 and 2013 was 728 and 702 respectively, corresponding to a decrease in the crude birth rate from 17.4 per 1,000 mid-year population to 17.0.

The crude death rate was 5.4 per 1,000 mid-year population in 2012 while in 2013, it was 5.1 when 209 deaths were registered.
I I S H T R B E V L 0 0 0 1 r e p E T A R , INFANT MORTALITY RATE STILLBIRTH RATE 110 The number of infant deaths, that is deaths among children aged under one year, registered in 2003 and 2013 was 20 and 6 respectively, corresponding to a decrease in the infant mortality rate (IMR) from 24.2 per 1,000 live births to 8.5.
The 2013 IMR is the lowest ever registered one.

In 2004, the stillbirth rate was 24.8 per 1,000 births with 24 stillbirths.

After this peak, a decreasing trend has been observed.

The rate decreased from 10.9 in 2012 to 4.3 in 2013 with only 3 registered still births.

HEALTH DELIVERY SYSTEM In the Island of Rodrigues, at the end of 2013, there were one hospital with 127 beds and two health centres with in-patient facilities equipped with a total of 54 beds.
This brought the total number of beds in government institutions providing in-patient facilities to 181 as compared to 177 in 2003.

Patients in need of tertiary health care are referred to Mauritius as and when required.

At the end of 2013, there were 14 Community Health Centres, providing basic services including treatment of common diseases and injuries, maternal and child health care and family planning.
There were three dental clinics, namely at Queen Elizabeth Hospital, Mont Lubin Health Centre, and La Ferme Health Centre.

There was also a Health Office at Port Mathurin.

HEALTH PERSONNEL At the end of 2013, there were 19 doctors in the Island of Rodrigues that is one doctor for 2,184 inhabitants compared to 2,147 inhabitants in 2003.

There were 3 dentists that is one for 13,835 inhabitants at the end of 2013 while in 2003 it was one for 18,252 inhabitants.
Almost all of these health professionals are employees of the Ministry of Health & Quality of Life posted to the island on tour service basis.

The number of qualified nurses and midwives was 158 at the end of 2013,that is one nurse/midwife for 263 inhabitants compared to one for 287 inhabitants in 2003.

IN-PATIENT SERVICE The number of admissions at Queen Elizabeth Hospital and the two Health Centres (Mont Lubin and La Ferme) was 10,120 in 2013, while in 2012 it was 12,236.
The percentage decrease in admissions during the one-year period was 17.3%.

The highest number of admissions ever recorded was in 2006 with 13,695, mostly due to the outbreak of chikungunya.

OUT-PATIENT SERVICE 111 The total number of attendances at the out-patient departments, that is the Accident & Emergency and the Sorted/Unsorted Unit at Queen Elizabeth Hospital, Mont Lubin and La Ferme Health Centres was 183,472 in 2013, while in 2003 it was 163,847.
In 2013, the number of attendances for the treatment of common diseases and injuries at Community Health Centres was 48,805 as compared to 49,074 in 2012, that is, a 0.5% decrease.

MATERNAL AND CHILD HEALTH In 2013, a total of 687 births (including 2 stillbirths) occurred at Queen Elizabeth Hospital, Mont Lubin HC and La Ferme HC.

Out of the 685 live births attended by trained personnel, 65 were with a low birth weight (less than 2500 grammes) representing 9.5 % as compared to 11.5 % in 2012.
In 2013, a total of 682 live births were reported by the MCH services.

682 babies were immunized against Tuberculosis (BCG) by MCH staff, 653 babies against Diphtheria, Haemophilus (3rd dose) and 651 against influenza Measles/mumps/rubella (MMR).

type B, hepatitis B and oral Polio Vaccine DENTAL HEALTH The total number of attendances at the three dental clinics in 2013 was 14,960 while in 2003 it was 12,304.

This represented an increase of 21.6 % during the 10-year period.
MORBIDITY The number of discharged patients in 2013 was 10,236 of whom 803 (7.8 %) were treated for Complications of pregnancy, childbirth and the puerperium (excluding Normal deliveries and Complications following abortions), 621 (6.1%) for Delivery without mention of complications and 592 (5.8%) for Injuries (crushing & superficial injuries, fractures, open wounds, dislocation, sprain and strains).
112 In 2013, the diseases responsible for the highest number of first attendances at the 14 Community Health Centres were tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat and URTI with 2,695 attendances (17.8%) followed by cough, pain in throat, chest pain, wheezing, hiccough and sneezing with 2,409 attendances (15.9%).

Fever/pain all over with 1,531 attendances (10.1%) stood in the third position.
Diseases grouped by ICD chapters indicate that Diseases of respiratory system was 24.2 % of total first attendances in 2003 compared to 24.3 % in 2013.

During the same period, first attendances due to Infectious and parasitic diseases increased from 7.8 % to 8.2 %.

Diseases of the musculoskeletal and connective tissue were 9.3 % of first attendances in 2003 compared to 8.7% in 2013; in 2006, they represented 14.7% probably due to the outbreak of chikungunya.
The number of cases treated for scabies in primary health care centres in Rodrigues continued to decrease from 693 in 2011 to 641 in 2012 and to 417 in 2013 representing a decrease of 35% between 2012 and 2013.

This decrease is mainly explained by the setting up of an enhanced surveillance system in Rodrigues in 2012 following the increasing trend observed between 2008 and 2011.

(See chart below) CAUSE OF DEATH 113 In 2013, 209 deaths were registered in Rodrigues.
The distribution of deaths by the chapters of the International Classification of Diseases (ICD-10), as shown in the pie–chart below, indicates that Heart and other diseases of the circulatory system were responsible for 40.2 % of all deaths.

Diabetes and other endocrine, nutritional & metabolic disorders with 21.5% were in the second position followed by Cancer and other Neoplasms with 12.9 %, Diseases of the respiratory system (6.2 %) and Injuries and other consequences of external causes (3.3%).
During the period 2000-2013, five maternal deaths have been registered in the Island of Rodrigues: one in 2000, one in 2001, 2 in 2002 and one in 2010.
*********************************** ISLAND OF RODRIGUES STILLBIRTHS, PERINATAL, NEONATAL AND INFANT DEATHS 1991 - 2013 STILLBIRTHS EARLY NEONATAL DEATHS PERINATAL LATE NEONATAL DEATHS DEATHS NEONATAL DEATHS POST-NEONATAL INFANT DEATHS DEATHS NUMBER RATE @ NUMBER RATE z NUMBER RATE @ NUMBER RATE z NUMBER RATE z NUMBER RATE z NUMBER RATE z YEAR @ Per 1,000 total births ( live births and stillbirths) DEFINITIONS: 1.
STILLBIRTH: A child born dead after the 28th week of pregnancy - 2 - - 2 3 1 3 2 2 1 3 1 5 3 3 - 2.6 4.1 - 2.7 - - 2.9 4.3 1.3 3.7 2.5 2.5 1.2 3.2 1.1 5.7 3.6 3.8 - 17 13 13 5 23.5 - 1.4 18.5 17.7 4.1 7.1 - - - z Per 1,000 live births 5.
NEONATAL DEATHS: Deaths under 4 weeks 2.

EARLY NEONATAL DEATHS: Deaths occurring in the 1st week of life 6.

POST-NEONATAL DEATHS: Deaths between 4 weeks and 1 year 3.

PERINATAL DEATHS: Stillbirths plus early neonatal deaths 7.

INFANT DEATHS: Deaths under 1 year 4.
LATE NEONATAL DEATHS: Deaths between 1 week and 4 weeks 115 ISLAND OF RODRIGUES ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2013 AGE- MALE FEMALE BOTH SEXES GROUP (years) UNDER 1 Number % Number % Number % - 4 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85 & OVER ALL AGES UNDER 5 5 - 11 12 - 19 16 - 18 UNDER 15 UNDER 18 UNDER 21 15 - 49 15 - 59 15 - 64 12 & over 15 & OVER 18 & OVER 21 & OVER 60 & OVER 65 & OVER MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 30.623 28.373 564.242 31.521 29.119 571.546 31.078 28.759 567.937 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 SELECTED HEALTH PERSONNEL AS AT END-OF-YEAR IN THE PUBLIC SECTOR 116 ISLAND OF RODRIGUES Medical Officer (all grades) Dental Surgeon Senior Dental Assistant Dental Assistant Nursing Administrator * Nursing Supervisor * Charge Nurse * Nursing Officer Nursing Officer with Midwifery Principal/Senior midwife Midwife Community Health Nursing Officer Principal Health Inspector Senior Health Inspector Health Inspector Principal Medical Laboratory Technologist Medical /Senior Medical Laboratory Technologist Senior Medical Imaging Technologist Medical Imaging Technologist Radiographic Assistant/Senior R. A.
Principal Dispenser Senior Dispenser Dispenser Physiotherapy Assistant Senior Health Records Officer Senior Health Records Clerk Higher Health Records Clerk Health Records Clerk Statistical Assistant Supervisor/Senior Sup.

(Family Planning) Community Health Care Officer Health Care Assistant E.C.G.

Technician as at 31.

12.

2011 MALE 11 2 - - 1 3 19 48 - - - FEMALE 5 - 1 3 - 3 15 40 3 4 22 TOTAL 16 2 1 3 1 6 34 88 3 4 22 as at 31.

12.
12.

2012 FEMALE 5 1 1 3 - 3 19 33 3 4 22 MALE 14 1 - - 1 3 20 49 - - - TOTAL 19 2 1 3 1 6 39 82 3 4 22 as at 31.

12.
2013 FEMALE 7 1 1 3 1 3 19 34 2 3 22 MALE 12 2 - - 1 3 20 47 - - - TOTAL 19 3 1 3 2 6 39 81 2 3 22 2 1 1 2 - 3 1 2 - 1 2 5 - 1 - - 2 - - 2 - - 1 - - - 1 1 - - 3 - - 2 2 - - 2 1 2 - 1 2 5 - 1 - - 2 - - 2 - - 1 - - - 1 2 - - 3 - - 2 2 - - 1 2 5 - 1 - - 2 - - 2 - - 1 - - - - 2 - - 3 - - 2 2 - * including officers appointed in an acting capacity SELECTED HEALTH MANPOWER STATISTICS AS AT END-OF-YEAR as at 31.
12.

2011 as at 31.

12.

2012 as at 31.

12.
2013 Doctor Dentist Pharmacists@ Nurse and Midwife Health Inspector Laboratory Technologist Medical Imaging Technologist Dispenser Health Records Staff NUMBER 16 2 2 POPULATION PER GRADE 2,542 20,338 20,338 161 253 4 5 3 10 15 10,169 8,135 13,558 4,068 2,712 NUMBER POPULATION PER GRADE NUMBER POPULATION PER GRADE 20# @ in the private sector # including one doctor in the private sector (2012) 117 ISLAND OF RODRIGUES SUMMARY OF WORK PERFORMED IN HOSPITAL/HEALTH CENTRES* - 2013 Institution Number of beds No.
of admissions Percentage Bed Occupancy Male Female Both Sexes Quarter 1st 2nd 3rd 4th Number of Operations performed Number of Deaths Year Minor Major Total Q. Elizabeth 127 3,696 4,825 8,521 49.7 52.6 54.6 57.1 53.6 91 824 991 1,815 Hospital Mont Lubin H.C. 28 275 815 1,090 28.1 36.6 30.7 27.8 30.8 - .

.

.

.

.

.

La Ferme H.C. 26 107 402 509 15.2 12.0 8.2 11.5 11.7 - .

.

.

.

.

.

T o t a l 181 4,078 6,042 10,120 41.8 44.7 44.7 46.5 44.4 91 824 991 1,815 * with in-patient services .

.
not applicable (no operations are performed at Mont Lubin H.C. and La Ferme H.C.) WORK PERFORMED IN MATERNITY SECTIONS - 2013 Deliveries Outcome of Deliveries Low Birthweight# Institution Normal Caesarian Forcep Total Stillbirths Stillbirth Rate & % Caesarian Section Live births Total births Number % Live births Q. Elizabeth Hospital Mont Lubin H.C. La Ferme H.C. T o t a l 446* 11 5 462 218 5 669 2 669 671 64 9.6 3.0 32.6 - - 218 - - 5 11 5 685 - - 2 11 5 11 5 685 687 1 65 - - - 20.0 - - - 9.5 2.9 31.8 * includes breech (1) and born before arrival (1) @ forceps delivery,breech delivery etc.
# birthweight of less than 2,500 grammes & per 1,000 total births 118 ISLAND OF RODRIGUES OUT-PATIENT ATTENDANCES - 2013 INSTITUTION Accident & Emergency/unsorted OPD# Sorted OPD# Other * TOTAL Number of out-patient attendances HOSPITAL QUEEN ELIZABETH II 36,992 21,305 14,193 72,490 HEALTH CENTRES MONT LUBIN LA FERME T o t a l 36,669 29,053 102,714 11,228 6,924 39,457 12,419 60,316 14,689 50,666 41,301 183,472 * Follow up for injections , dressings etc.
# seen by doctor ATTENDANCES FOR TREATMENT OF COMMON DISEASES AND INJURIES AT COMMUNITY HEALTH CENTRES - 2013 C E N T R E 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Total ALLEE TAMARIN BAIE AUX HUITRES BAIE TOPAZE 66 55 77 63 261 1,602 1,548 1,500 1,229 5,879 314 349 374 358 1,395 CASCADE JEAN-LOUIS 229 237 398 310 1,174 GRAND BAIE MALARTIC MANGUES PETIT GABRIEL PORT SUD EST RIVIERE COCOS ROCHE BON DIEU SOUPIRS BATATRAND MONTAGNE GOYAVE 499 358 888 883 2,628 T O T A L 10,841 12,294 13,377 12,293 48,805 119 ISLAND OF RODRIGUES ACTIVITIES CARRIED OUT AT QUEEN ELIZABETH HOSPITAL-2013 A. PHYSIOTHERAPY DEPARTMENT CASES SEEN IN-PATIENT# New cases Follow-up Total cases First Attendances OUT-PATIENT Subsequent Attendances # in wards or at the physiotherapy unit Total Attendances NUMBER Male Female Total 102 180 282 192 630 822 103 182 285 218 776 994 205 362 567 410 1,406 1,816 B. RADIOLOGICAL DEPARTMENT EXAMINATIONS GENERAL PROCEDURES PROCEDURES WITH BARIUM Extremities Chest Spine Abdomen Skull Meal Swallow Enema SPECIAL PROCEDURES (including intravenous pyelography, urethrography, hysterosalpingography and cholecystography) * The 10,151 examinations were carried out on 7,969 patients.
TOTAL* C. HAEMODIALYSIS UNIT DETAIL Dialysis done on patients@ Patients as at end of year @ during 838 sessions NUMBER 4,398 2,524 787 767 1,589 9 9 32 36 10,151 NUMBER 3,173 30 120 ISLAND OF RODRIGUES STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES - 2013 REGISTRATION OF GESTATIONAL AGE AT FIRST ATTENDANCE FOR ANTENATAL TREATMENT 3 months or less Between 3 and 6 months 6 months and over TOTAL FIRST ATTENDANCES Number % 290 39.8 323 44.4 115 15.8 728 100.0 FIRST DETERMINATION OF HAEMOGLOBIN LEVEL % OF ANTENATAL CASES below 9.0 9.0 to 9.9 10.0 to 10.9 11.0 to 11.9 12.0 or above 34 4.7 57 7.9 170 23.4 281 38.7 184 25.3 726 100.0 TOTAL EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAMINATIONS BY MIDWIFE/NURSE First attendances Subsequent attendances ANTENATAL EXAMINATIONS BY DOCTOR* First attendances Subsequent attendances POSTNATAL EXAMINATIONS BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING Number of attendances of whom reported underweight Nil of whom reported overweight Nil 728 4,901 717 4,797 571 572 6,809 EXAM.
OF CHILDREN UNDER 5 YEARS BY DOCTOR# First attendances Subsequent attendances TOTAL ATTENDANCES * of which 650 were referred to hospital # figures are estimates based on attendances for cash gifts 495 1,509 21,099 STATISTICS RELATING TO EXPANDED PROGRAMME ON IMMUNIZATION - 2013 121 ISLAND OF RODRIGUES EXPANDED PROGRAMME ON IMMUNIZATION BABIES B.C.G.

M.M.R.

D.P.T.

& H.I.B, HEP.


B & O.P.V: 1st dose 2nd dose 3rd dose Booster dose (excl.Hep B) D.T, O.P.V & HEP.B: 1st dose 2nd dose 3rd dose Booster dose (excl.

Hep B) 682 651 678 666 653 672 - - - - TOTAL ATTENDANCES 4,002 PREGNANT WOMEN TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) 591 490 29 TOTAL ATTENDANCES 1,110 ACTIVITIES RELATING TO BASIC SANITATION AND FOOD HYGIENE -2013 ACTIVITIES NUMBER BASIC SANITATION No.

of premises and other sites inspected No.


of notices issued No.

of sanitary contraventions No.

of cases sentenced FOOD HYGIENE No.

of inspections carried out Foodstuffs units for consumption seized and destroyed/disposed (kg)* No.

of contraventions No.

of cases sentenced INSPECTION OF PUBLIC PLACES Cinema hall & other entertainment places Dormitories ( including Boarding Houses) Industrial establishments Hospitals/Health Centres & Schools OTHER No.
of passengers put under surveillance for: malaria No of passengers visited for chikungunya and dengue No.
of times given pratique to ships/aircrafts * excluding liquid food # of which 28 tons of flour 1,064 272 - - 4,422 29,925# 2 - 140 259 69 297 639 10,376 144 122 ISLAND OF RODRIGUES TABLE A: ATTENDANCES AT DENTAL CLINICS 2009 - 2013 Attendances Cases seen by dentists: Number 2009 2010 2011 2012 2013 Children < 5 years Children aged 5-11 years Persons aged 12 years & above SUBTOTAL 633 2,685 11,688 15,006 610 3,056 12,015 15,681 488 3,302 11,685 15,475 583 3,107 11,003 14,693 532 3,520 10,528 14,580 Cases seen by specialists: Orthodontists Oral Surgeons 178 139 189 64 174 131 245 109 267 113 TOTAL ATTENDANCES 15,323 15,934 15,780 15,047 14,960 TABLE B: DISTRIBUTION OF CASES SEEN BY TYPE OF DENTAL CARE Dental care 2009 2010 2011 2012 2013 Number EXTRACTION AND TOOTH RESTORATION Deciduous teeth extracted Schoolchildren Temporary fillings inserted in : deciduous teeth permanent teeth Permanent fillings inserted : Amalgam Composite Permanent teeth extracted Adults Temporary fillings inserted Permanent fillings inserted : Amalgam Composite Teeth extracted OTHER DENTAL CARE Treatment of paradontal disease (scaling) Treatment of dental abscess Surgical operations on jaws and surgical extractions Application of pit and fissure sealants Endodontic treatment 343 1,155 507 5 96 365 957 381 3 108 371 925 553 344 141 451 680 514 543 143 413 697 351 77 166 NB: Drastic changes in yearly figures are mainly due to administrative reasons TABLE C: ORTHODONTIC ACTIVITY ACTIVITY No of impressions taken No of appliances delivered No of appliances repaired 2009 2010 Number 2011 2012 2013 26 24 - 31 27 16 26 25 1 42 40 2 39 39 - ISLAND OF RODRIGUES DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SNITARY AUTHORITIES 1992-2013 DISEASE @ S D I A / V I H S I S A I B E O M A G N I N O S I O P D O O F A E
HEPATITIS# Y S O R P E L S I S O R I P S O T P E L ) D E T R O P M I ( A I R A L A M TUBERCULOSIS* S E L S A E M S I L I H P Y S Y R A N O M L U P 1 1 5 4 - - - - - - - - - - - - - 1 5 - - - - - - - - - - - - - - 1 - - - - 2 1 3 5 9 7 5 8 9 5 4 YEAR 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 * The following forms of tuberculosis are notifiable: respiratory, skeletal, of meninges and central nervous system @ Human Immuno-Deficiency Virus/Acquired immuno-deficiency syndrome # Source: Rodrigues Laboratory Services (positive samples) N.B.
553 cases of chikungunya were reported in 2006 mostly in April B … … … … … … … … … … … … … … … … … … … 8 10 9 - - - - - - - - - - - 27 6 6 - - - - - - - - 1 - - - 21 1 16 - - 15 4 - 3 - - - 2 13 9 26 7 1 C … … … … … … … … … … … … … … … … … … … 7 3 6 - - - - - - - - - - - - - - - - - - - - - 1 1 1 - - - 1 - - - - - - - - - - - - - - - - 2 - - - - - - 3 - - - - - - - - - - - - - - - - - - - 1 1 - - 1 - - - - - - 1 - - 1 - - - - - - - - - - - - - - - - - - - - - 1 - - - - 1 1 3 1 1 - - - - - 2 1 1 3 1 R E V E F D I O H P Y T - - - - - - - - - - - - - - - - - - - - - - R E H T O - - - - - - - - - - - - - - - - - - - - - - h g u o C i g n p o o h W ) s i s s u t r e P ( 1 2 3 - - - - - - - - - - - - - - - - - - - - - - 124 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF DISCHARGES FROM HOSPITAL AND HEALTH CENTRES - 2013 (The distribution of discharges by I.C.D.
Chapter is on page 125) DISCHARGES C A U S E (ICD-10) TOTAL MALE FEMALE Complications of pregnancy, childbirth and the puerperium 1 2 Delivery without mention of complications - - 803 621 3 Injuries (Crushing & superficial injuries, fractures, open wounds , dislocations, sprains & strains) 4 Diabetes mellitus Epilepsy 5 6 Ill-defined intestinal infections (colitis, enteritis, gastro- enteritis, diarrhoea) Bronchitis (chronic and unspecified, emphysema, and asthma) Acute upper respiratory infections 7 8 Hypertensive disease 9 10 Cellulitis and abscess 11 Gastritis and duodenitis 12 Nausea and vomiting 13 Heart diseases # 14 Anaemias 15 Poisonings and toxic effects 16 Abdominal pain 17 Fever (Pyrexia) of unknown origin 18 Dorsopathies including spondylopathies 19 Complications following spontaneous and other abortions 20 Convulsions 21 Diseases of eye and adnexa 22 Cerebrovascular disease 23 Alcoholic psychoses 24 Malaise and fatigue 25 Symptoms involving heart beat & cardiac murmurs 26 Non-inflammatory disorders of vagina 27 Alcohol dependence syndrome 28 Headache 29 Non-dependent abuse of alcohol 30 Appendicitis 31 Symptoms involving urinary system 32 Dyspnoea and other abnormalities of breathing 33 Rheumatism, unspecified 34 Chest pain 35 Gout All other causes T O T A L No.
% - - # excluding "Acute rheumatic fever", "Hypertensive disease" and "Diseases of pulmonary circulation" 125 ISLAND OF RODRIGUES DISCHARGES FROM HOSPITAL AND HEALTH CENTRES BY I.C.D.
(10th REVISION ) CHAPTER AND SEX - 2013 CHAPTER DISCHARGES (I.C.D.

10th Revision ) MALE FEMALE 1.

Certain infectious & parasitic diseases 2.

Neoplasms 3.

Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 4.

Endocrine, nutritional & metabolic diseases 5.

Mental & behavioural disorders 6.

Diseases of the nervous system 7.

Diseases of the eye & adnexa 8.

Diseases of the ear & mastoid process 9.

Diseases of the circulatory system 10.


Diseases of the respiratory system 11.

Diseases of the digestive system 12.

Diseases of the skin & subcutaneous tissue 13.

Diseases of the musculoskeletal system & connective tissue 14.

Diseases of the genitourinary system 15.

Pregnancy, childbirth & the puerperium 16.
17 18 19 & 20 21 Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes Factors influencing health status & contact with health services 194 92 75 241 204 211 49 18 326 542 313 219 143 195 - 202 39 511 544 110 257 126 122 375 158 132 44 23 412 531 294 185 144 444 1,539 176 20 595 299 132 TOTAL No.
451 218 197 616 362 343 93 41 738 1,073 607 404 287 639 1,539 378 59 % 4.4 2.1 1.9 6.0 3.5 3.4 0.9 0.4 7.2 10.5 5.9 3.9 2.8 6.2 15.0 3.7 0.6 1,106 10.8 843 242 8.2 2.4 T O T A L 4,228 6,008 10,236 100.0 Note: The above table is based on data received on discharged patients from Hospital/ Health Centres.

The table on page 117 contains the total number of admissions at Hospital/Health Centres.
* including 268 cases with diagnosis "under observation" 126 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES - 2013 CAUSE (I.C.D.
10TH REVISION) MALE FEMALE 26 27 28 29 Tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat, URTI 1,087 Cough, pain in throat, chest pain, wheezing, hiccough, sneezing Fever / pain all over Abdominal and epigastric pain Sinusitis, rhinitis, nasal polyp, blocked nose Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue Spondylosis, neck pain, low back pain, backache Headache, dizziness, giddiness Helminthiasis (worms).
Gastritis and duodenitis Scabies.
Gout , arthritis, pain in joint Rheumatism, muscular pain, myalgia, pain in limb Gastroenteritis and diarrhoea of presumed infectious origin Superficial injury, open wound, spain/strain, fractures, burns and other injuries Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs 970 661 240 250 255 245 158 203 174 179 153 120 117 169 67 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders - Nausea and vomiting Otitis, wax in ear, earache and other diseases of the ear and mastoid process Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) Conjunctivitis Bronchitis, emphysema, asthma Cystitis, urinary tract infection Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess Influenza Localised swelling, mass, lump of skin, rash Hypertension Swelling gum, gingivitis, dental caries, stomatitis, disease of lip Anemias T O T A L No.
2,695 2,409 1,531 % Malnutrition and other nutritional deficiencies All other causes 169 268 T O T A L 5,925 9,211 15,136 100.0 127 ISLAND OF RODRIGUES FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES BY I.C.D.
CHAPTER AND SEX - 2013 CHAPTER (I.C.D.

10th REVISION) MALE FEMALE FIRST ATTENDANCES TOTAL No.
% Certain infectious & parasitic diseases 506 729 1,235 Neoplasms - 1 Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases Mental & behavioural disorders Diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process Diseases of the circulatory system Diseases of the respiratory system 1,471 2,205 3,676 24.3 Diseases of the digestive system Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system 303 341 525 52 397 478 786 370 700 819 1,311 422 Pregnancy, childbirth & the puerperium - - - Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 19 & 20 Injury, poisoning & certain other consequences of external causes T O T A L - - - - 1 1 2,214 169 5,925 3,578 5,792 117 286 9,211 15,136 100.0 1.
2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18 4.6 5.4 8.7 2.8 0.0 0.0 0.0 38.3 1.9 128 ISLAND OF RODRIGUES EARLY NEONATAL DEATHS - 2013 ( Deaths under one week [ age group 0 - 6 days ] ) CAUSE ( I.C.D.

10 ) Septicaemia TOTAL EARLY NEONATAL DEATHS NUMBER OF DEATHS MALE FEMALE 2 2 - - No.
2 2 TOTAL % 100.0 100.0 LATE NEONATAL DEATHS - 2013 ( Deaths between one and four weeks [ age group 7 - 27 days ] ) CAUSE (ICD-10) Total Late Neonatal Deaths NUMBER OF DEATHS MALE - FEMALE - TOTAL - POST-NEONATAL DEATHS - 2013 ( Deaths between four weeks and one year [ age group 28 - 364 days ] ) CAUSE ( I.C.D.
10) Septicaemia Bronchopneumonia Aspiration of stomach contents Acute gastroenteritis Total Post Neonatal Deaths NUMBER OF DEATHS MALE FEMALE TOTAL - - - 1 1 1 1 1 - 3 1 1 1 1 4 INFANT DEATHS - 2013 ( Deaths under one year [ age group 0 - 364 days ] ) CAUSE ( I.C.D.

10 ) Septicaemia specific to the perinatal period Brochopneumonia Acute gastroenteritis Aspiration of stomach contents TOTAL INFANT DEATHS NUMBER OF DEATHS MALE FEMALE 2 - 1 1 1 - - 3 1 3 No.
3 1 1 1 6 TOTAL % 50.0 16.7 16.7 16.7 100.0 129 129 ISLAND OF RODRIGUES CHILD@ DEATHS - 2013 NUMBER OF DEATHS Female 1 - 1 Total 1 2 3 CAUSE (I.C.D 10) Leukodystrophy Cerebral palsy Total @ aged 1-4 years Male - 2 2 INFANT ( UNDER ONE YEAR) DEATHS BY SEX AND DETAILED AGE - 2013 AGE AT DEATH MALE FEMALE TOTAL No.

% No.

% No.
% Under 1 day - - - - 1 day 2 days 3 days 4 days 5 days 6 days 1 33.3 1 33.3 - - - - - - - - - - - - - - - - - - - - - 1 1 - - - - - 16.7 16.7 - - - - Sub-total 0 - 6 days 2 66.7 - - 2 33.3 7 - 13 days 14 - 20 days 21 - 27 days - - - - - - - - - - - - Sub-total 0 - 27 days 2 66.7 28 - 59 days 2 months 3 months 4 months 5 months - - - - - - - - 1 33.3 - 1 - 1 - - - 33.3 - 33.3 - - - - - 1 - 1 - 1 - - - 2 33.3 16.7 - 16.7 - 16.7 Sub-total under 6 months 3 100.0 2 66.7 83.3 5 6 months 7 months 8 months 9 months 10 months 11 months - - - - - - - - - - - - 1 33.3 1 16.7 - - - - - - - - - - - - - - - - - - - - TOTAL UNDER ONE YEAR 3 100.0 3 100.0 6 100.0 130 ISLAND OF RODRIGUES SELECTED CAUSES OF DEATH (ALL AGES) - 2013 Acute myocardial infarction and other ischaemic heart diseases Heart Failures Cardiac Arrest Pulmonary heart disease Other heart diseases Cerebrovascular disease Hypertensive disease Diabetes mellitus Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of breast Malignant neoplasm of stomach Malignant neoplasm of uterus (inc. cervix uteri) Malignant neoplasm of hepatocellular Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of pancreas Malignant neoplasm of prostate Pneumonia Asthma Pulmonary oedema Chronic obstructive airway disease Land Transport Accidents Suicide Homicide Accidental drowning and submersion Diseases of liver (inc. alcoholic cirrhosis) Renal failures Senility Septicaemia unspecified Gastrointestinal haemorrhage unspecified All other causes T O T A L MALE FEMALE TOTAL No.
% No.

% No.
% 23 20.4 11 11.5 34 16.3 - 2 - 1 10 8 17 7 - 3 - - 1 - 5 1 2 - - - 1 - 1 - 4 3 1 - - 1.8 - 0.9 8.8 7.1 15.0 6.2 - 2.7 - - 0.9 - 4.4 0.9 1.8 - - - 0.9 - 0.9 - 3.5 2.7 0.9 - 2 3 - 1 8 14 24 1 2 - 1 - - 1 - 2 3 - - - 1 - - - 1 2 2 1 2.1 3.1 - 1.0 8.3 14.6 25.0 1.0 2.1 - 1.0 - - 1.0 - 2.1 3.1 - - - 1.0 - - - 1.0 2.1 2.1 1.0 2 5 - 2 18 22 41 8 2 3 1 0 1 1 5 3 5 - - - 2 - 1 0 5 5 3 1 1.0 2.4 - 1.0 8.6 10.5 19.6 3.8 1.0 1.4 0.5 - 0.5 0.5 2.4 1.4 2.4 - - - 1.0 - 0.5 - 2.4 2.4 1.4 0.5 23 113 20.4 100.0 16 96 16.7 39 18.7 100.0 209 100.0 131 ISLAND OF RODRIGUES DEATHS (ALL AGES) BY I.C.D.
CHAPTER AND SEX - 2013 CAUSE ( ICD - 10 ) MALE FEMALE TOTAL DEATHS 1.

Certain infectious & parasitic diseases 2.

Neoplasms 3.

4.

Diseases of the blood & blood- forming organs and certain disorders involving the immune mechanism Endocrine, nutritional & metabolic diseases 5.

Mental & behavioural disorders 6.

Diseases of the nervous system 7.

Diseases of the eye & adnexa 8.

Diseases of the ear & mastoid process 9.

Diseases of the circulatory system 10.

Diseases of the respiratory system 11.


Diseases of the digestive system 12.

13.

Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue 14.

Diseases of the genitourinary system 15.

16.

17.

18.

19.
16.

17.

18.

19.

Pregnancy, childbirth & the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified Injury, poisoning & certain other consequences of external causes T O T A L No.

% No.

2 21 1.8 18.6 1 0.9 2 6 - % 2.1 6.3 - No.
4 27 1 % 1.9 12.9 0.5 19 16.8 26 27.1 45 21.5 1 2 - - 44 7 5 - 1 3 - 2 - 1 4 0.9 1.8 - - 38.9 6.2 4.4 - 0.9 2.7 - 1.8 - 0.9 3.5 1 2 - - 40 6 3 1 1 2 - 1 - 2 3 1.0 2.1 - - 41.7 6.3 3.1 1.0 1.0 2.1 - 1.0 - 2.1 3.1 2 4 - - 84 13 8 1 2 5 - 3 - 3 7 1.0 1.9 - - 40.2 6.2 3.8 0.5 1.0 2.4 - 1.4 - 1.4 3.3 113 100.0 96 100.0 209 100.0 132 ISLAND OF RODRIGUES DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2013 DEATHS DEATH RATES MALE FEMALE BOTH SEXES Number Number Number Percentage Cumulative Percentage MALE FEMALE BOTH SEXES AGE-GROUP (years) Under 1 1 - 4 5 - 9 10 - 14 3 2 3 1 6 3 2.9 1.4 - - - - 1 1 2 1.0 15 - 19 - - - - 20 - 24 1 1 2 1.0 25 - 29 - - - - - 34 - 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85 & over 3 2 4 3 8 16 12 18 16 13 11 ALL AGES GLOSSARY AGE-GROUP A period covering several years relating to the age of members of a population.
Usually expressed in a range of age last birthday, for example 15-19 years.

This age-group concerns all persons who have reached 15 years of age, but who have not reached twenty years.

A person aged 19 years, 11 months and 29 days would be included in that age-group.

ANTENATAL EXAMINATIONS Care and examination of expecting mothers during pregnancy BIRTHWEIGHT The first weight of the foetus or newborn obtained after birth.
This weight should be measured preferably within the first hour of life before significant postnatal weight loss has occurred.

BIRTHWEIGHT (LOW) A birthweight of less than 2,500 grammes (up to, and including 2,499 grammes).

CAUSES OF DEATH All diseases, morbid conditions or injuries which either resulted in or contributed to death and the circumstances of the accident or violence which produced any such injuries.

CHILDBEARING YEARS The period of her life during which a woman can reproduce.
For the purpose of international comparisons, this is arbitrarily assumed to be in the age-group 15-49 years.

DEATH DEATH CERTIFICATE EPIDEMIC FECUNDITY FERTILITY FOETAL DEATH The irreversible cessation of all the following (i) total cerebral function (ii) spontaneous function of the respiratory system and spontaneous function of the circulatory system.
A legal document signed by a medical practitioner indicating the morbid conditions which lead directly to death and to state any antecedent conditions giving rise to this cause.

Infections diseases occurring suddenly in numbers clearly in excess of normal expectancy.

The physiological capacity to reproduce.

The actual reproductive performance.


Foetal death is death prior to the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy; the death is indicated by the fact that after such separation the foetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.

(W.H.O.

definition).


A distinction is made between early foetal death (abortion) and late foetal death (stillbirth), the dividing line being the 28th week of gestation.

134 GESTATIONAL AGE The duration of gestation is measured from the first day of the last menstrual period, and is usually expressed in completed weeks.

(W.H.O.

definition).

LIFE EXPECTANCY The average number of years left to a person to live, if current mortality trends were to continue.
Life expectancy at birth is a much used health indicator.

In most societies the expectancy for females is a few years longer than for males.
LIFE TABLES LIVE BIRTH MORBIDITY MORTALITY NATALITY Any of various tables describing mortality and survival data for groups of individuals at specific times or over defined intervals Live birth is the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which, after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each product of such a birth is considered live born.
(W.H.O.

definition).

The measurement of illness in a population.

The frequency and characteristics of deaths in a population.

The frequency and characteristics of births in a population.

NATURAL INCREASE The excess of live births over deaths in a population during a given time period, usually a calendar year.

In a few societies the excess is negative, that is there is a "natural decrease".
NEONATAL INTENSIVE CARE Provision of treatment to newborns who are in critical conditions (normally after birth) necessitating life saving care.

NUPTIALITY PANDEMIC The frequency and characteristics of marriages in a population.
A widespread epidemic of a disease distributed or occurring widely throughout a region/country/continent or globally PARADONTAL DISEASES Disease of the soft tissue surrounding the tooth POSTNATAL EXAMINATIONS Examination and care of mother after delivery VITAL STATISTICS Demographic data on live births, stillbirths, deaths and marriages.
FERTILITY RATES AGE-SPECIFIC FERTILITY RATE The number of live births to women in each of the five-year age-groups, 15-19, 20-24, ...,45-49, registered during a calendar year, divided by the estimated mid-year female population in the respective age-group, and multiplied by 1,000; expressed per 1,000 women in the relevant age- group.
CRUDE BIRTH RATE GENERAL FERTILITY RATE GROSS REPRODUCTION RATE NET REPRODUCTION RATE TOTAL FERTILITY RATE 135 The number of live births registered during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population.

The number of live births registered during a calendar year, divided by the estimated mid-year female population aged 15-49 years, and multiplied by 1,000; expressed per 1,000 women aged 15-49 years.
The definition and modes of computation and expression of this rate are similar to those of the Total Fertility Rate, except that only children of the female sex are taken into consideration.

As more often than not, in any given year, more boys than girls are born, the Gross Reproduction Rate is usually slightly less than half the Total Fertility Rate.
This rate is an improvement of the Gross Reproduction Rate, in that it takes into consideration the fact that some women die before reaching the end of their childbearing years, and therefore their contribution to reproduction would be less than that assumed in the computation of the Gross Reproduction Rate.

The Net Reproduction Rate is therefore always less than the Gross Reproduction Rate.
A Net Reproduction Rate of 1.00 denotes replacement level fertility, that is the women are having just enough daughters to "replace" them in the population.

The average number of children that would be born alive to an average woman during her life-time if she were to be subjected during her childbearing years (15-49) to the age-specific fertility rates observed in a given calendar year.
Usually computed by adding the age-specific fertility rates (in five-year age-groups, 15-19, 20-24, ..., 45-49), multiplying by five, and dividing by 1,000; expressed as a number, usually given correct to two places of decimal.

MORTALITY RATES AGE SPECIFIC DEATH RATE The number of deaths for a specific age/age group divided by mid year population for this age/age group and multiplied by 10,000.
CAUSE SPECIFIC DEATH RATE CRUDE DEATH RATE Number of deaths due to a specific disease/s divided by mid year population multiplied by 10,000 The number of deaths registered during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population.
INFANT MORTALITY RATE The number of deaths of children under the age of one year (0-364 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
136 NEONATAL MORTALITY RATE The number of deaths of children under the age of four weeks (0-27 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
EARLY NEONATAL MORTALITY RATE The number of deaths of children under the age of one week, (0-6 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
LATE NEONATAL MORTALITY RATE POST-NEONATAL MORTALITY RATE PERINATAL MORTALITY RATE CHILD (OR EARLY CHILDHOOD) MORTALITY RATE UNDER FIVE MORTALITY RATE MATERNAL MORTALITY RATIO The number of deaths of children aged between one week and four weeks (7-27 days) registered during a calendar year, divided by the number of live births registered during the same year , and multiplied by 1,000; expressed per 1,000 live births.
The number of deaths of children aged between four weeks and one year (28-364 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
The sum of the number of stillbirths and the number of deaths of children under the age of one week (0-6 days) registered during a calendar year, divided by the sum of the number of live births and the number of stillbirths registered during the same year, and multiplied by 1,000; expressed per 1,000 total live births and stillbirths.

Sometimes the Perinatal Mortality Rate is expressed per 1,000 live births, in which case the divisor in the computation is the number of live births only.
The number of deaths of children aged between one year and five years (1-4 years) registered during a calendar year, divided by the estimated mid-year population aged between one year and five years (1-4 years), and multiplied by 1,000; expressed per thousand mid-year population aged between one year and five years (1-4 years).
The number of deaths of children aged under five years (0-4 years) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.

The number of (female) deaths ascribed to complications of pregnancy, childbirth and the puerperium registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
INCIDENCE RATE PREVALENCE RATE 137 MORBIDITY RATES The number of new cases of a disease registered (or notified) during a given year, divided by the estimated mid-year population, and multiplied by 10 raised to the power of a convenient digit, which depends upon the frequency of the particular disease.

For example, in the Island of Mauritius, in 2002, the incidence rate of pulmonary tuberculosis was 8.9 new cases per 100,000 mid-year population.
The number of persons suffering from a particular disease at a given point in time, usually 30th June or 31st December of a given year, divided by the estimated population at the same point in time, and multiplied by 10 raised to the power of a convenient digit, which depends upon the frequency of the particular disease.

Difficult to compute on a regular basis through lack of disease registers.

The prevalence rates of specific diseases are occasionally estimated by means of population based surveys.
OTHER RATES BED OCCUPANCY RATE The percentage of the sum of all occupied beds days divided by the sum of all available bed days.

CRUDE MARRIAGE RATE The number of persons civilly married during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population.
STILLBIRTH (OR LATE FOETAL MORTALITY) RATE The number of stillbirths registered during a calendar year, divided by the sum of the number of live births and the number of stillbirths registered during the same year, and multiplied by 1,000; expressed per 1,000 total live births and stillbirths.
ABBREVIATIONS PERTAINING TO VACCINES B.C.G D.P.T H.I.B O.P.V HEP.B M.M.R D.T T.T Bacille Calmette-Guerin (tuberculosis) Diphtheria, Pertussis (whooping cough) and Tetanus Haemophilus Influenzae Type B Oral Polio Vaccine Hepatitis B Measles, Mumps and Rubella Diphtheria and Tetanus Tetanus Toxoid  