Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694840334524.pdf (Mauritius)
Island of Mauritius and Island of Rodrigues A publication of the Health Statistics Unit, Ministry of Health and Quality of Life Website: http://health.govmu.org 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.

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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 the Health Statistics Unit are gratefully acknowledged.
N. Jeeanody June, 2017 Chief Health Statistician healthstats@ govmu.org TABLE OF CONTENTS Executive Summary SELECTED HEALTH VARIABLES AND INDICATORS 2016 Part I : Island of Mauritius HEALTH SITUATION ANALYSIS Selected indicators pertaining to the Republic of Mauritius TIME SERIES ON: - Stillbirths Rate 2001-2016 - Infant Mortality Rate 2001-2016 - Under 5 Mortality Rate 2001-2016 - Maternal Mortality Ratio 2001-2016 - Low Birth Weight 2000-2016 - 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 2016 Livebirths, crude birth rate, deaths and crude death rate Stillbirths and infant deaths (numbers and rates) 1993 - 2016 Population and vital statistics by district (numbers) - 2016 Population and vital statistics by district (rates) - 2016 Life expectancy (Republic of Mauritius) 2006 - 2015 Population by region (urban and rural) as at mid-year 2016 Fertility rates 2016 Life expectancy (Island of Mauritius) 2009 - 2015 Population by age-group and sex as at mid-year 2016 INFRASTRUCTURE AND PERSONNEL Health services as at 31.12.2016 Bed situation as at 31.12.2016 Health manpower 2008- 2016 Health manpower (additional data) 2016 MATERNAL AND CHILD HEALTH Maternal and child health activities 2016 Expanded Programme on Immunization 2016 Maternal and child health activities by district - 2016 Maternal and child health activities by district (additional data) - 2016 Activities of the Expanded Programme on Immunization by district - 2016 Indicators related to antenatal care Page i, ii 1-21 * * * * * * * * * * * * * * * * * * * Page relates to data pertaining either to the Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately.
Immunizations reported 2012- 2016 Immunizations coverage rates - 2016 Immunizations coverage rates 2000-2016 Immunizations reported by population covered - 2016 TABLE OF CONTENTS 46 47 48 49 OTHER SERVICES 50 Work performed in hospitals - 2016 51 Haemodialysis, CT-Scan and MRI in Regional Hospitals - 2016 51 Non-traumatic amputations 52 Deliveries performed in general hospitals 2000 - 2016 52 Livebirths registered among teenagers 53 Activity of the X-Ray Department - 2016 53 Out-patient attendances at Specialist Clinics - 2016 53 Out-patient attendances at certain ancilliary services 2014-2016 54 Attendances at Primary Health Care Centres - 2016 55 Summary on pre-primary and primary school health service by district - 2016 56 Primary school health statistics by standard - 2016 57 Cash gift coupons distributed 57 Home Nursing Care Services 57 Noise monitoring 58 Screening of primary and pre-primary school children - 2016 Dental health service activities (Preventive service) 2013 - 2016 58 Dental health service activities (Curative service) 2012 - 2016 59 60 Pathological tests by category - 2016 60 Selected Laboratory confirmed cases of communicable diseases 2005-2016 61 Pathological tests (positivity rates) - 2014- 2016 62 Basic Sanitation and Food Hygiene Statistics 2012 - 2016 62 Statistics on Cigarettes and alcoholic products 63 Activities of the Community Based Rehabilitation Programme 2012-2016 Cases referred abroad by government health services NOTIFIABLE DISEASES Notifiable diseases reported 2001 - 2016 Notifiable diseases reported by month - 2016 Notifiable diseases reported by district - 2016 Certain notifiable diseases reported by age-group and sex - 2016 Acute Flaccid Paralysis (AFP) surveillance 2009-2016 Diseases Surveillance at hospital level - 2016 New cases of specific diseases attending Area & Community Health Centre 2016 HIV/AIDS statistics by sex 1987 - 2016 HIV tests carried out 2016 PRIVATE HEALTH INSTITUTIONS Selected statistics 2002- 2016 Admissions and other attendances by quarter - 2016 Deliveries - 2016 Admissions and other attendances by cause and sex - 2016 Surgical operations and procedures - 2016 63 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 TABLE OF CONTENTS Hospital discharges by cause and sex - 2016 Hospital discharges by ICD chapter and sex - 2016 Hospital discharges by ICD chapter, age-group and sex - 2016 Hospital discharges of children under one year-2016 Hospital discharges due to neoplasm by type and sex - 2016 Hospital discharges due to diseases of the circulatory system by age group and sex -2016 Hospital discharges due to injury & poisoning and sex - 2016 First Attendances at AHC and CHC by cause and sex - 2016 First Attendances at AHC and CHC by ICD chapter and sex - 2016 S. Bharati (eye) Hospital, discharges by cause and sex - 2016 Poudre D'or (chest) Hospital, discharges by cause and sex - 2016 Chest diseases, new cases at out-patient specialist clinics by sex - 2016 Brown Sequard Hospital discharges by cause and sex - 2016 Dermatology, new cases at out-patient specialist clinics by quarter - 2016 E.N.T.
, new cases seen by specialists at OPD clinics by quarter - 2016 E.N.T.

Centre,cases treated as in-patients - 2016 E.N.T.
Centre,Operations on in-patients - 2016 Cardiac Centre,cases treated on in-patients - 2016 New cases of sexually transmitted diseases treated by age and sex - 2016 National Day Care Centres for the Immuno-suppressed, attendances by sex - 2016 Occupational health clinics, new cases seen by sex 2016 Attendances at Ayurvedic Clinics - 2016 New cases of cancer registered -2015 INFANT AND CHILD MORTALITY Discharges from Neonatal Intensive Care Unit by sex - 2016 Infant deaths by age and sex - 2016 Breakdown of infant deaths - 2016 Infant deaths by cause and sex - 2016 Deaths among children aged 0-4 years by cause and sex - 2016 MORTALITY (ALL AGES) Deaths by ICD chapter and sex -2016 Deaths by ICD chapter and age-group -2016 Deaths by principal cause and sex - 2016 Deaths by principal cause, sex and age-group - 2016 Chapter-specific death rates - 2016 Age-specific death rates by sex - 2016 Deaths due to diseases of the circulatory system by age-group and sex - 2016 Deaths due to neoplasms by type and sex - 2016 Deaths due to injury and poisoning by external cause, age group and sex - 2016 * Page relates to data pertaining either to Republic of Mauritius or to the Island of Mauritius and Island of Rodrigues separately 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 TABLE OF CONTENTS Part II : Island of Rodrigues SELECTED HEALTH VARIABLES AND INDICATORS HEALTH SITUATION ANALYSIS POPULATION AND VITAL STATISTICS Stillbirths and Infant Deaths (Numbers and Rates) 1992 - 2016 Population by Age and Sex as at mid-year 2016 HEALTH PERSONNEL Selected Health Manpower Statistics as at end-of-year 2014- 2016 SERVICE STATISTICS Summary of work performed in hospital/Health Centres-2016 Work performed in Maternity Sections-2016 Cases referred to Mauritius by Queen Elizabeth Hospital Out-patient attendances at hospital/Health Centre - 2016 Out-patient attendances at Community Health Centres by quarter - 2016 Activities of the Physiotherapy Department of Queen Elizabeth Hospital - 2016 Activities of the Radiological Department of Queen Elizabeth Hospital - 2016 Activities at the Haemodialysis Unit - 2016 Maternal & Child Health Activities - 2016 Expanded Programme of Immunisation Basic Sanitation and Food hygiene Activities of the Dental Health Service 2012 - 2016 MORBIDITY Distribution of Notifiable Diseases 2001 - 2016 Principal Causes of Hospital and Health Centres Discharges by Sex - 2016 Hospital and Health Centres Discharges by I.C.D.
Chapter & Sex -2016 Principal Causes of First Attendances at C.H.C by Sex - 2016 First Attendances at Community Health Centres by I.C.D.

Chapter & Sex- 2016 INFANT AND CHILD MORTALITY Causes of Infant Deaths - 2016 Causes of Child Deaths - 2016 Infant Deaths by Sex and Age - 2016 MORTALITY (ALL AGES) Principal Causes of Death by Sex - 2016 Deaths by I.C.D.
Chapter and Sex - 2016 Deaths by Age-group and Sex - 2016 GLOSSARY iiiiiiiiiiiiiii 107 109 114 115 116 117 117 117 118 118 119 119 119 120 121 121 122 123 124 125 126 127 128 129 129 130 131 132 133 Health Statistics Report 2016 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 2016 Report are as follows: ISLAND OF MAURITIUS  The estimated resident population as at 31 December 2016 was 1,221,150 compared to 1,220,530 as at 31 December 2015, representing an increase of 620, that is, 0.05%.

 In the period 2000 to 2016, life expectancy at birth increased by 3.0 years for men (from 68.1 to 71.1 years) and by 2.5 years for women (from 75.3 to 77.8 years).
 A total of 12,330 livebirths were registered in 2016 for a Crude Birth Rate of 10.1 per 1000 mid-year resident population compared to 9.9 in 2015 and 14.0 in 2006.

 In 2016, a total of 9,920 deaths were registered for a Crude Death Rate of 8.1 per 1,000 mid-year population compared to 7.8 in 2015 and to 7.3 in 2006.

 The Infant Mortality Rate was 11.6 per 1,000 live births in 2016 compared to 13.7 in 2015 and to 13.5 in 2006.
 An increasing trend was 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.

In the period 2011-2016, the percentage has fluctuated between 17.0% and 17.5%.

 The number of Doctors working in the Ministry of Health and Quality of Life increased from 852 at the end of 2008 to 1,155 in 2016.

 3,686 qualified Nurses and Midwives were in post at the end of 2016 in the public sector compared to 3,179 in 2008.
 There were 3,707 beds in Government Hospitals at the end of 2016, with an average occupancy rate of 75.5%.

 The number of admissions in Government Hospitals in 2016 was 208,847 and the number of operations performed on them was 45,671.

 In 2016, 141,286 cases were seen as outpatients at Orthopaedics clinics, 121,768 at Cardiology clinics, 114,744 at General Medicine clinics, and 99,046 at General Surgery clinics.
1 of 2  Data obtained from the Mauritius Revenue Authority indicate that the number of imported cigarette sticks was 858 million in 2016 compared to 1.0 billion in 2012.

 The number of newly detected HIV/AIDS cases among Mauritians was 319 in 2016 compared to 262 in 2015 and to 320 in 2012.

 25 cases of malaria, all imported, 24 cases of dengue of which 6 locally transmitted and 7 cases of chikungunya, all imported, were reported in 2016.
 Of all deaths recorded in 2016, diseases of the circulatory system were responsible for 35.2%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 24.1%, neoplasm (cancers) for 12.8%, diseases of the respiratory system for 8.9% and injury and poisoning for 5.0%.

ISLAND OF RODRIGUES  The estimated resident population as at 31 December 2016 was 42,396 compared to 42,058 as at 31 December 2015, that is, an increase of 0.8%.
 752 live births were registered in 2016 for a Crude Birth Rate of 17.8 per 1,000 mid- year resident population compared to 16.2 in 2015.

 In 2016, a total of 254 deaths were registered for a Crude Death Rate of 6.0 per 1,000 mid-year population; the rate was equally 6.0 in 2015.

 The Infant Mortality Rate has increased from 11.7 per 1,000 livebirths in 2015 to 14.6 in 2016.

 At the end of 2016, there were 25 Doctors, 3 Dentists and 183 Nurses and Midwives in post in the public sector.
Two Pharmacists were working in the private sector.

 In 2016, 7 cases of HIV/AIDS were registered in the island compared to 11 cases in 2015.

 Of all deaths recorded in 2016, diseases of the circulatory system were responsible for 45.7%, endocrine, nutritional and metabolic diseases (mainly diabetes) for 13.4%, neoplasm (cancers) for 11.4%, diseases of the respiratory system for 6.7% and injury and poisoning for 4.7%.
The Health Statistics Reports are available on the website of the Ministry of Health and Quality of Life (http://health.govmu.org).
2 of 2 i SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF MAURITIUS - 2016 Variable / Indicator Number / Value Denominator POPULATION AND VITAL STATISTICS Estimated mid-year resident population 1,221,213 Population density 655 per square kilometre Estimated mid-year resident population by sex: male female 604,444 (49.5%) 616,769 (50.5%) sex ratio 980 males per 1000 females Estimated end-of-year resident population Population density Estimated female mid-year resident population 15-49 years Percentage of total female population Percentage of total population (both sexes) Estimated mid-year population 60 years and over Percentage of total population Estimated mid-year population 65 years and over Percentage of total population Live births Crude birth rate Deaths (all ages) Crude death rate Stillbirths Stillbirth rate Perinatal deaths Perinatal mortality rate Infant deaths Infant mortality rate Deaths under five years Under-five mortality rate Maternal deaths Maternal mortality ratio Life expectancy at birth @ (years) : Male Female Both Sexes INFRASTRUCTURE AND PERSONNEL 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 1,221,150 310,001 189,913 122,821 12,330 9,920 117 177 143 163 6 71.1 77.8 74.4 655 per square kilometre 50.3 25.4 15.6 10.1 10.1 per 1000 mid-year population 8.1 per 1000 mid-year population 9.4 per 1000 total births 14.2 per 1000 total births 11.6 per 1000 live births 13.2 per 1000 live births 0.49 per 1000 live births 4,360 280 2,769 441 385 inhabitants per bed inhabitants per doctor 3,172 inhabitants per dentist 514 2,376 inhabitants per pharmacist 4,138 295 inhabitants per nurse * Variables and indicators relating to personnel refer to the Republic of Mauritius @ 2015 ii SELECTED HEALTH VARIABLES AND INDICATORS
 ISLAND OF MAURITIUS - 2016 Variable / Indicator Number / Value Denominator MATERNAL AND CHILD HEALTH Births attended by qualified personnel Percentage of all births (registered=12,447) Children with a birthweight of less than 2.5 kg Percentage of live births (in hospitals & private clinics=12,307) Total Fertility Rate Net Reproduction Rate IMMUNIZATION ( PUBLIC SECTOR ONLY) Children immunized against tuberculosis Immunization coverage Children immunized against diphtheria, whooping cough and tetanus (DPT 3rd dose) Immunization coverage Children immunized against measles/mumps/rubella (MMR) Immunization coverage Pregnant women immunized against tetanus (2nd or higher dose) Immunization coverage 99.8 17.2 1.40 0.70 10,531 10,288 9,952 8,186 NOTIFIABLE DISEASES (REPUBLIC OF MAURITIUS) Cases of tuberculosis reported Incidence rate Cases of malaria reported : [all imported/introduced ] Incidence rate Cases of HIV \ AIDS reported (Mauritians) 122 25 319 86.3 per 100 surviving infants 84.3 per 100 surviving infants 81.6 per 100 surviving infants 64.3 per 100 estimated pregnant women 9.7 per 100,000 mid-year population 2.0 per 100,000 mid-year population Incidence rate 25.2 per 100,000 mid-year population 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 3,490 2,393 1,265 882 497 35.2 28.6 24.1 19.6 12.8 10.4 8.9 7.2 5.0 4.1 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 ISLAND OF MAURITIUS 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 refer to the Republic of Mauritius and that pertaining to Rodrigues is given at Page 106.

POPULATION AND VITAL STATISTICS The estimated resident population of the Island of Mauritius at the end of 2016 was 1,221,150 (604,352 males and 616,798 females) compared to 1,220,530 in 2015, growing at a rate of 0.05%.
During the year 2016, a total of 12,330 live births was registered, giving a crude birth rate of 10.1 per thousand mid-year resident population compared to 9.9 in 2015.

Crude birth rates were continuously decreasing in the period 2002-2015.

Life expectancy at birth, which was 68.1 years for males and 75.3 years for females in 2000, has reached 71.1 years and 77.8 years respectively in 2016.

These figures may slightly differ with those of the Republic of Mauritius given in the chart below.
S R A E Y F O O N 78 76 74 72 70 68 66 64 62 60 58 LIFE EXPECTANCY AT BIRTH 77.7 77.8 77.5 73.4 75.3 71.7 68.2 70.4 71.1 71.2 65.6 65.9 61.0 64.4 62.0 58.7 1962 1972 1983 1990 2000 2011 2014 2015 YEAR Men (years) Women (years) 2 ISLAND OF MAURITIUS The number of deaths registered in 2016 was 9,920, corresponding to a crude death rate of 8.1 per thousand mid-year resident population compared to 7.8 in 2015.

In 2016, a significant increase has been noted in the number of deaths.
The number of infant deaths, that is deaths among children aged under one year, registered in 2016 was 143, corresponding to an infant mortality rate (IMR) of 11.6 per thousand live births compared to 13.7 in 2015 and to 15.3 in 2007.

The 2016 IMR figure is the lowest ever recorded one.

Similarly, 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.
Since then, the rate has followed an erratic trend between 8.7 and 10.1.
Opening of NICU E T A R 10 INFANT MORTALITY RATE STILLBIRTH RATE In 2016, the number of maternal deaths registered was 6 compared to 4 in 2015.
The maternal mortality ratio per 1,000 livebirths was 0.49 and 0.33 respectively.

Maternal mortality followed an erratic trend in the period 2010-2016 with an annual average of 6 maternal deaths.
3 ISLAND OF MAURITIUS HEALTH CARE DELIVERY SYSTEM In the Island of Mauritius, as at the end of 2016, there were five regional hospitals namely Dr A.G Jeetoo Hospital, Sir S. Ramgoolam Hospital, Flacq Hospital, Pandit J.Nehru Hospital and Victoria Hospital and two district hospitals namely Souillac Hospital and Mahebourg Hospital.

There were also a psychiatric hospital and 3 other specialized 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 3,707 as at the end of 2016.

In the private sector there were, as at the end of 2016, seventeen private health institutions with a total of 653 beds.

The total number of beds in the public and private sectors as at the end of 2016 was thus 4,360, that is, 280 inhabitants per bed.
All regional and district hospitals and 4 of the 5 specialised hospitals, namely, the Psychiatric, Eye, E.N.T and Cardiac, have an out-patient department.

Out-patient services were also delivered in two community hospitals, five mediclinics, 18 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, AHCs also provide dental care.

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

Five 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 eight day care centres for the Immuno- Suppressed in operation as at the end of 2016.
HEALTH PERSONNEL At the end of 2016, there were 2,769 doctors registered with the Medical Council of the Republic of Mauritius, that is 21.9 doctors per 10,000 population.

1,155 (41.7%) doctors, including 314 specialists, were employed in the public sector.

There were 385 dentists, of whom 69 in the public sector, at the end of 2016.

The corresponding number of pharmacists was 514 and 27 respectively.
The number of qualified nurses and midwives in the public and private sectors was 4,138 of whom 3,686 were employed by the Ministry of Health and Quality of Life.

4 ISLAND OF MAURITIUS INPATIENT SERVICE In 2016, the number of admissions (including re-admissions) to government hospitals in the Island of Mauritius was 208,847 compared to 208,421 in 2015.

Bed occupancy in the public sector was 75.5% in 2016 compared to 77.0% in 2015 and to 73.5% in 2010.
OUT-PATIENT SERVICE In 2016, a total of 5.5 million cases were seen by doctors at the out-patient service points in the public sector, comprising general and specialized hospitals (61%) and primary health care centres (39%).

In 2016, attendances for the treatment of common diseases and injuries, including cases seen by doctor, at the Community Hospitals, Medi Clinics, Area & Community Health Centres were 4.73 million, as compared to 4.68 million in 2015 and 2.83 million in 2000.
An increase of 1% was noted in the number of attendances between 2015 and 2016.

In 2004, the monthly average attendances at the primary health care centres due to scabies were 1,001.

An increasing trend in the incidence of the disease was observed when the monthly average gradually reached 2,469 cases in 2009.

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

The figure which had reached 419 in 2015 further went down to 345 in 2016.

(see chart below).
(see chart below).

Attendances at Primary Health Care Centres due to Scabies 2,469 2,166 1,540 1,3311,351 1,001 1,276 959 e g a r e v A y l h t n o M 3,000 2,500 2,000 1,500 1,000 500 0 710 616 489 419 345 2004200520062007200820092010201120122013201420152016 Year 5 ISLAND OF MAURITIUS 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.
The AH1N1 outbreak has probably contributed to these significant increases.

In 2016, the figure stood at 693,805 compared to 596,824 in 2015 and to 659,891 in 2014.

Monthly attendances due to URTI in the period 2013-2016 are given in the chart below.
CASES OF UPPER RESPIRATORY TRACT INFECTION ATTENDING PUBLIC HEALTH INSTITUTIONS PERIOD: JANUARY 2013 - DECEMBER 2016 S E C N A D N E T T A Y L H T N O M 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 2013 2014 2015 2016 MATERNAL AND CHILD HEALTH The number of first attendances for antenatal examinations by the staff of the Maternal and Child Health Care Services (MCH) at government clinics has increased from 8,381 in 2015 to 8,661 in 2016.
The total number of first and subsequent attendances for antenatal and postnatal examinations and children under 5 years seen at Well Baby clinics has increased from 244,846 in 2015 to 258,569 in 2016.

The percentage of low birth weight (less than 2,500 grammes) among live births in the public sector was 18.2% in 2016 compared to 14.3% in 2000.

The percentage of deliveries by caesarian section occurring in government hospitals was 45.4% in 2016 compared to 26.8% in 2000.
6 ISLAND OF MAURITIUS In 2016, the number of livebirths among mothers aged less than 20 years was 1,036, corresponding to 8.4% of the total livebirths registered compared to 10.7% in 2010 when 1,530 livebirths were registered among teenagers.

The number of shots performed on babies by MCH staff in 2016 was 134,327.

The number of children immunized against diphtheria, whooping cough, tetanus, hepatitis B, HIB and poliomyelitis (3rd dose) was 10,323.
Those immunized against poliomyelitis (3rd dose) was 10,424 and against measles/mumps/rubella (MMR) 9,952.

Two new vaccines were introduced in 2016, namely pneumococcal in March and human papillovirus in August.

SCHOOL HEALTH During the year 2016, the nursing staff responsible for school health visited 536 pre- primary schools and screened 15,879 children.

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

The nursing staff also visited 303 primary schools and screened 42,455 pupils.
23,611 pupils of Standards III, V and VI were submitted to vision tests and 973 of them were found to have vision problem.

10,976 of the new entrants to primary schools were immunized against diphtheria& tetanus (D.T.)

and poliomyelitis.

10,694 of them were also immunized against MMR and 13,540 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 858 million in 2016 compared to 986 million in 2015 and to 1.0 billion in 2012.

As indicated in the chart below, the estimated yearly per capita cigarette consumption has followed a decreasing trend from 856 sticks in 2011 to 679 sticks in 2016.
7 ISLAND OF MAURITIUS Yearly* per capita cigarette**sticks consumption 2012-2016 795.7 776.7 789.2 781.3 678.9 850.0 800.0 750.0 700.0 650.0 600.0 2012 2013 2014 2015 2016 * based on data from January to December ** imported Data submitted by the MRA indicate that the number of litres of imported or locally produced alcoholic products was 53 million in 2016 compared to 51 million in 2014.

The estimated yearly per capita litres of alcoholic beverage for 2016 was 42 litres.
The chart given below indicates an increase in the consumption of alcoholic beverages since 2014.

Yearly* per capita litres of alcohol intake** 2012-2016 42.4 42.2 41.6 41.8 40.5 43.0 42.5 42.0 41.5 41.0 40.5 40.0 39.5 2012 2013 2014 2015 2016 *based on data from January to December ** imported 8 ISLAND OF MAURITIUS DENTAL HEALTH The total number of attendances at government dental clinics (static and mobile) in 2016 was 308,673, out of which 53,802, that is 17.4%, were among children aged under 12 years.
23,342 (7.6%) were cases seen by dental specialists.

The number of cases treated for paradontal diseases was 37,912 and the number of surgical operations on jaws, including surgical extractions of roots and impacted teeth, was 4,924.

PRIVATE HEALTH INSTITUTIONS The total number of cases seen for treatment, including admissions, at the 17 private hospitals and clinics having in-patient services was 233,966 in 2016.

25,006 of these cases have undergone surgical operations and procedures.
3,606 live births and stillbirths that occurred in these institutions represented 29% of total births registered in the whole island compared to 14% in 2002.

15.0% of live births had low birth weight (less than 2,500 grammes); the corresponding figure was 6.9% in 2002.

The percentage of caesarian section on total births was 57.8% in 2016 compared to 40.6% in 2002.

MORBIDITY The first case of AIDS in the Republic of Mauritius was notified in October 1987.
As at the end of 2016 a total of 6,922 cases of HIV/AIDS were detected, of whom 6,671 (5,061 males, 1,610 females) were Mauritians.

72.9% of the 6,671 HIV infected Mauritians were in the age-group 25 to 49 years and 17.9% in the age-group 15 to 24 years.
Distribution of HIV/AIDS cases #by sex and age * group (1987 – 2016) Agegroup (Years) Male Female Total <5 5-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60+ Total 21 9 92 624 1018 926 763 688 479 265 112 64 5,061 *Age at detection 17 19 154 324 318 242 200 138 91 63 24 38 28 246 948 1,336 1,168 963 826 570 328 136 20 1,610 # Mauritians 84 6,671 9 ISLAND OF MAURITIUS As shown on the chart that follows, the number of new HIV/AIDS cases is more significant among the male than among the female.
1,610 of the 6,671 Mauritian cases of HIV and AIDS registered as at the end of December 2016 were females, that is, 24%.

The percentage of new female cases remains constant, that is about 40% in the period 2013 to 2016 as compared to 12% in 2005 and 24% in 2010.
% of HIV/AIDS by gender for period 2001- Male Female HIV tests conducted by the Virology Laboratory of the Ministry of Health & Quality of Life and positivity rates during the last 7 years are as follows: Year No.
of tests Number of positive cases 2010 2011 2012 2013 2014 2015 2016 84,432 85,858 86,028 88,151 86,063 83,133 80,648 580 417 327 271 333 269 329 HIV Positivity Rate (%) 0.69 0.49 0.38 0.31 0.39 0.32 0.41 10 ISLAND OF MAURITIUS 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 68% 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 84% in 2006.

In 2016, it stood at 32.6% as compared to 34.7% in 2015.

In the period 1987-2016, 0.9% of all newly detected cases of HIV was due to Mother to Child Transmission (MTCT).
The distribution of the 6,671 infected Mauritians by mode of transmission is shown in the pie-chart below: All HIV/AIDS cases registered among Mauritians from October 1987 to December 2016 by mode of transmission Mother to Child Transmission, 0.9% Injecting Drug Users, 65.9% Heterosexual, 25.8% Heterosexual/ Injecting Drug Users, 4.9% Homosexual/ Bisexual, 1.2% Other & Undetermined, 1.4% After the epidemic of chikungunya in 2005 and 2006, only 10 cases, all imported, have been reported between 2007 and 2015; in 2016, 7 cases were reported.
In the period 2011- 2013, a few imported cases of dengue were registered.

In 2016, there were 24 reported cases compared to 64 in 2014 and to 91 in 2015.

Some cases detected in the past 3 years were locally transmitted ones; the outbreaks were rapidly dealth with.

11 ISLAND OF MAURITIUS 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 69 cases among children less than 15 years of age have been detected in the country between August 2003 and December 2016.

The AFP Rate per 100,000 children (<15 years) was 2.9 in 2016 with 7 new cases.
Deliveries constituted 4.9% of all cases treated as in-patients in government general hospitals in 2016.

Among other principal causes of discharges, there were Diabetes Mellitus with 3.0%, Diarrhoea and gastroenteritis with 3.2% and Acute Upper Respiratory Infections with 3.8%.
The distribution by ICD-10 chapters indicates that 10.5% of all cases treated were due to “Pregnancy, childbirth and the puerperium”, 10.4% due to “Injury and Poisoning”, 10.0% due to “Diseases of the Respiratory System” and 10.1% due to “Disease of the Circulatory System”.
In 2016, of the 17,761 cases (10,932 males and 6,829 females) treated as in-patients in government general hospitals due to consequences of external causes, 6,903 (38.9%) were following “Falls”, 2,059 (11.6%)following “Transport Accidents” and 1,659 (9.3%) following “Assaults”.

Of the 795 (4.5%) cases treated as in-patients following “Attempted suicides”, 392 (49.3%) 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.

From 2010 to 2016, it varies between 9.3% and 10.1%.

The number of admissions in government general hospitals due to “Acute Bronchiolitis” had drastically increased from 293 in 2003 to peak at 1,465 in 2009, representing an average annual increase of 67% during that period.
In 2016, it decreases to 745 as compared to 1,081 in 2015 (see table given below).

This disease affects mostly children below the age of 5 years (97.2% of admitted cases in 2016).
12 ISLAND OF MAURITIUS 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).
However, the number of admissions due to “Asthma” have decreased in the period 2012 and 2016, probably because many patients have access to nebulisers at primary health care level.
13 ISLAND OF MAURITIUS Admissions due to certain respiratory diseases Diseases Sex 2012 2013 2014 2015 2016 Male 3624 3,095 3,673 2,918 3,121 Female 3479 3,199 3,671 2,882 3,305 Acute upper respiratory infections Acute bronchitis and bronchiolitis Total Male Female Total Male Pneumonia Female Bronchitis, Total Male emphysema and Female other chronic obstructive pulmonary diseases Total 1,730 1,715 1,391 1,178 1,650 Male 1,098 1,059 1,020 1,061 835 Asthma Female 1,403 1,431 1,356 1,305 1,246 Total 2,501 2,490 2,376 2,366 2,081 In 2016, of the 2,554 cases treated as in-patient at the Cardiac Centre, 1,125 (44.0%) were for “Angina pectoris”, 903 (35.4%) for “Chronic Ischaemic heart diseases” and 79 (3.1%) for “Mitral stenosis and other rheumatic mitral valve diseases”.
A total of 1,294 operations, including re-opening cases, was performed at the Centre of which 896 (69.2 %) were cardiac surgeries.

5,772 (64.9%) of the 8,894 cases treated as in-patients at S.Bharati (Eye) Hospital in 2016 were due to cataract.

Among the cataract cases, 5,684 (98.5%) were operated upon.

817 cases were treated as in-patient at the hospital for “injuries and other consequences of external causes”.
14 ISLAND OF MAURITIUS During the year 2016, 459 in-patients were treated at the Poudre d’Or (Chest) Hospital of whom 297 (64.7%) were males.

Asthma was the morbid condition for 36 patients (10 males, 26 females), followed by Pulmonary tuberculosis with 145 patients (108 males, 37 females), with a percentage of 7.8 and 31.6 respectively.

22 patients died at the Hospital, giving a fatality ratio of 4.8%.
Of the 1,165 new cases diagnosed at the out-patient specialist clinics in chest diseases during the year 2016, 77 (6.6%) were diagnosed with pulmonary tuberculosis.

Among the non-tuberculous diseases, asthma was in first place with 393 new cases, that is, 33.7% of all new cases diagnosed.
Of the 4,681 in-patients treated at Brown Sequard Hospital in 2016, mental and behavioural disorders due to the use of alcohol accounted for 1,800 cases (1,615 males, 185 females), that is 38.5%, followed by Schizophrenia with 1,149 cases (24.5%).
The principal causes of admissions in government general and specialised hospitals in the year 2016 are given below: Cause GENERAL HOSPITALS Pregnancy, Childbirth and the Puerperium 1 2 3 Injuries and poisoning Diseases of the Respiratory System Diseases of the genito-urinary system Heart Diseases Cancers and other neoplasms Diarrhoea and gastroenteritis Diabetes Gastritis and duodenitis Hypertensive Diseases SPECIALISED HOSPITALS Cataract (Eye Hospital) Heart Diseases (Cardiac Centre) Mental &behavioural disorders due to use of alcohol (Psychiatric Hospital) Acute pharyngitis &tonsilitis (ENT Hospital) Pulmonary Tuberculosis (Chest Hospital) * including re-admissions Number of in-patients* Male Female Total % Total - Male Female Total 5,772 3,209 2,563 2,424 764 1,660 7.3 4.5 3.9 3.2 3.0 2.8 2.4 64.9 94.9 1,615 185 1,800 38.5 1,079 1,192 2,271 45.9 108 37 145 31.6 15 ISLAND OF MAURITIUS Of the 302 cases treated as in-patients in 2016 at the Neonatal Intensive Care Unit, located in the complex of Victoria and SSRN hospitals, 165 (54.6%) were for disorders related to length of gestation and fetal growth, 51 (16.9%) for respiratory and cardiovascular disorders specific to the perinatal periodand 32 (10.6%) for infections specific to the perinatal period.
There were 64 deaths among those 302 cases, giving a fatality ratio of 21.2%.

The number of new cases diagnosed at the specialist clinics in dermatology in 2016 were 16,203 of which 3,931 (24.3%) was skin infections (1,739 of fungal and 624 of parasitic origin).

16.9% of new cases were treated for eczema, 7.9% for psoriasis and similar disorders, and 5.4% for acne.
Of the 4,950 cases treated as in-patients at the ENT Hospital in 2016, 1,538 (31.1%) were for “acute tonsilitis”,733 (14.8%) for “acute pharyngitis” and 303 (6.1%) for “otalgia and effusion of ear”.

Another 5.2% 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 1,303 operations were performed on in-patients at the centre, of which 449 (34.5%) were “excision on tonsils and adenoids”.
The number of new cases diagnosed at out-patient specialized clinics in ENT in 2016 was 9,249 representing a 10.6% increase when compared to 8,360 in 2015.

Diseases and conditions of ear accounted for 3,747 new cases (40.5% of the total new cases diagnosed) followed by diseases and conditions of nose for 3,191 (34.5%) and diseases and conditions of throat for 2,234 (24.2%).
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 2016, the number of reported cases of sexually transmitted infections diagnosed at the skin disease clinic of regional hospitals was 354 (234 males, 120 females).
86 cases of “gonococcal infections”, 83 “venereal warts”, 153 “syphilis” and 17 “herpes simplex” were reported.

In 2016, eight Day Care Centres for the immuno-suppressed were operational, namely at the Volcy Pougnet Health Centre, Victoria, SSRN, J.Nehru, Flacq, Mahebourg and Souillac hospitals and Yves Cantin Community hospitals.

354 first attendances of HIV/AIDS 16 ISLAND OF MAURITIUS patients were registered in 2016.
322 persons received the “Post-HIV Exposure Prophylaxis” and 1,499 persons were seen for “voluntary counseling”.

The leading causes of first attendances at the community hospitals, mediclinics, area and community health centres for the treatment of common diseases and injuries in 2016 were Upper Respiratory Tract Infection (URTI) with 21.7%.
Other common causes of first attendances were cough, pain in throat, chest pain, wheezing, hiccough, sneezing with 7.6% and superficial injury, open wound, sprain/strain, fractures, burns and other injuries with 4.9%.

Another 5.5% were treated for fever/pain all over.


The distribution by ICD chapters shows that 31.4% of first attendances at the above mentioned dispensary service points were due to “Diseases of Respiratory System” and 9.1% due to “Diseases of the musculoskeletal system and connective tissue”.

They were followed by the “Diseases of digestive system” with 7.0%, “Injuries, poisoning and certain other consequences of external causes” with 5.0% and Diseases of the eye and adnexa” with 2.9%.
The leading causes of attendance in 2016 at the community hospitals, medi clinics, area health centres and community health centres, where common diseases and minor injuries are treated, are given below.
CAUSE- (I.C.D.10) Male Female Total Number 1 Diseases of the respiratory system 308,894 327,747 636,641 Diseases of the musculoskeletal system &connective tissues Cough/pain in throat/chest pain/sneezing 2 3 4 Diseases of the digestive system 5 6 7 Fever/pain all over Injury and poisoning Certain infectious &parasitic diseases Diseases of the skin & 8 subcutaneous tissue 9 Neck pain/ backache 10 Headache, dizziness and giddiness 89,389 95,216 184,605 76,055 78,576 154,631 69,224 73,382 142,606 55,431 56,801 112,232 56,324 45,383 101,707 44,621 46,034 90,655 40,902 43,637 84,539 34,421 32,877 36,561 37,374 70,982 70,251 17 ISLAND OF MAURITIUS Of the 2,489 new cases of cancer that were registered by the National Cancer Register in 2015 (1,400 in 2009), the most common types among males were that of prostate gland with 12.8%, trachea bronchus and lung with 9.2% and colon with 9.1%.
The main types of cancer among females were that of breast (34.3%) followed by that of colon (8.8%), cervix uteri (6.7%) and corpus uteri (4.4%).

CAUSE OF DEATH Heart diseases and Diabetes mellitus were the first two principal underlying causes of mortality in 2016, with 1,934 (19.5%) and 2,329 (23.5%) deaths respectively; Cancer and other Neoplasm of all sites taken together was in the third position with 1,265 (12.8%) deaths.
Deaths due to Cerebrovascular diseases which amounted to 993 (10.0%) was in the fourth position followed by Hypertensive Diseases with 509 deaths (5.1%).

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 35.2% of all deaths in 2016.

Endocrine nutritional and metabolic diseases (Chapter 1V) with 24.1% were in second place followed by Neoplasms (Chapter II) with 12.8%.
Of the 3,490 deaths due to Diseases of the Circulatory System in 2016, 1,934 (55.4%) were due to Heart diseases.

Stroke and other Cerebrovascular diseases accounted for another 993 (28.5%) deaths.

21.2% of the 3,490 deaths occurred among persons aged less than 60 years.

Of the 1,265 deaths due to Neoplasms in 2016, the most common types of cancer were that of trachea, bronchus and lung and female breast with 12.3% and 13.9% respectively, colon with 9.0%, prostate with 4.7% and of stomach with 5.6%.
45 persons died due to leukaemia (3.6%).

Of the 497 deaths due to external causes in 2016, 33.2% were due to transport accidents, 19.7% due to suicides, 4.0% due to assaults, 8.7% due to accidental drowning and submersion, and 4.6% due to exposure to smoke, fire and flames.

In 2016, a total of 882 (8.9%) deaths was attributable to respiratory diseases.

The yearly percentages of deaths due to these diseases indicate an increasing trend since 2008 (see chart given below).
18 ISLAND OF MAURITIUS % DEATHS DUE TO RESPIRATORY DISEASES 8.2 7.8 6.4 8.2 8.2 8.6 9.6 9.2 8.9 12 10 D E 8 A 6 T 4 H 2 S 0 % T O T A L 2008 2009 2010 2011 2012 2013 2014 2015 2016 Year Of all the respiratory conditions causing death in 2016, pneumonia was the main one with 208 deaths (23.6%).

10.1% of deaths due to this infectious respiratory disease occurred among persons aged less than 45 years.

The principal causes of death in the year 2016 is given below: CAUSES (ICD - 10) Male Female Total No.
% Number of Deaths Diabetes Mellitus Heart Diseases Cancers and other tumours Cerebrovascular Diseases Diseases of the Respiratory System Hypertensive Disease Injury & Poisoning (Consequences of External Causes) Certain infectious & parasitic diseases Cirrhosis of liver, liver abcess, chronic liver disease and its sequelae Renal failures As at the end of 2016, a total of 1,210 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 105 in 2012; in 2016, 117 deaths were reported due to HIV/AIDS compared to 87 in 2015.

19 ISLAND OF MAURITIUS Congenital anomalies with 34 deaths were the principal killers of children under one year in 2016, that is 23.8% of the total (143) followed by septicaemia and infections specific to perinatal period (13.3%).
Some other causes of infant deaths were sudden infant death syndrome with 6 deaths (4.2%), slow fetal growth, fetal malnutrition and disorders related to short gestation and low birth weight 8 (5.6%) and Intrauterine Hypoxia and birth asphyxia 11 (7.7%).

6 maternal deaths were registered in 2016.
The causes for the year 2012 to 2016 are given below @ Caesarian Section done NoAge at deathNoAge at deathNoAge at deathNoAge at deathNoAge at deathPostpartum haemorrhage--139129----Antepartum or intrapartum haemorrhage (with coagulation defect)--130@------Disruption of obstetric wound and other compl of puerperium 119-------Complications following abortion237 39------226 19Eclampsia and other maternal hypertension225 28@135@121@231 32227@ 23Amniotic fluid, pulmonary and other obstetric embolism133--145@----Sepsis, pyrexia and other puerperal infections--115@------Diseases of the Circulatory System complicating pregnancy, childbirth and puerperium--130124--130@Placental Disorders----------Abdominal or ectopic pregnancy--133--132133Diseases of the Resp.
System compl.

pregnancy, childbirth and puerperium1251 35@ 128@----Diseases of the digestive System compl.
pregnancy, childbirth and puerperium121237, 35@137121--Death from any obstetric cause occuring more than 42 days147------Infections of genitourinary tract in pregnancy----134----TOTAL997462016Maternal Deaths by cause with age-at-death (years)2012201320142015CausesYear 20 ISLAND OF MAURITIUS TRENDS IN CAUSE-SPECIFIC MORTALITY % underlying cause of death over total death registered ICD- 9 ICD-10 Year 2000 2005 2010 2011 2012 2013 2014 2015 2016 Total Deaths 7,806 8,422 8,891 8,951 9,103 9,231 9,438 9,496 9,920 CAUSE: Heart Diseases (%) Cerebrovascular Diseases (%) Other Diseases of Circulatory system (%) All Circulatory (%) Diabetes Mellitus(%) Total Circulatory and DM (%) The above table indicates that the percentages of “Diabetes Mellitus” as underlying cause of death is slightly decreasing during the recent years.
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.

1,265 persons died due to cancers in 2016.

Mortality from this group of diseases has followed an increasing trend from 9.4% of total deaths in 2000 to 12.8% in 2016.
21 ISLAND OF MAURITIUS Death Rate per 100,000 population due to NCD's in Mauritius R a t e 560 540 520 500 480 460 440 420 547 527 500 521 486 474 497 477 488 467 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Year After 2010, an increasing trend has been observed in mortality rates 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 547 per 100,000 population in 2016 compared to 477 in 2011.

It has been noted that mortality due to all causes has significantly increased from 9,496 in 2015 to 9,920 in 2016.
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 1992 in regards to Stillbirth, Infant Mortality and Under-5 Mortality.

However, an erratic trend has been noted in maternal mortality ratios due to small absolute number of maternal deaths registered and a decreasing trend in the number of livebirths.
The percentage of low birthweight (< 2.5 Kg) among livebirths that occurred in public and private health institutions in the Island of Mauritius has continued to increase till 2010 and the trend has stabilized between 17.0% and 17.5% in the period 2011-2016.
*************************************** Health Indicators - Republic of Mauritius Infant mortality rate Under five mortality rate Maternal mortality ratio Early neonatal mortality rate Late neonatal mortality rate Neonatal mortality rate Post-neonatal mortality rate Population per doctor Population per dentist Population per hospital bed % of deaths due to Unit Per 1,000 Live Births Per 1,000 live births Number of inhabitants HIV/AIDS Tuberculosis Diseases of the Circulatory System % Diabetes Neoplasms Death rate due to road traffic injury Per 100,000 Mid Year Population Death rate due to suicides Life expectancy at birth: * estimates Male Female Both Sexes Average number of years * 71.4 78.0 74.7 2 2 23 STATISTICS RELATING TO STILLBIRTHS 2001 – 2016 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* No.
of Stillbirths Stillbirth Rate # No.

of Stillbirths Stillbirth Rate # No.
of Stillbirths Stillbirth Rate # *excluding the outer islands # per thousand total live births and stillbirths Stillbirth Rate - Republic of Mauritius e t a R 13 12 11 10 YEAR 24 INFANT MORTALITY STATISTICS 2001- 2016 ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* YEAR No.
of Infant Deaths Infant Mortality Rate @ No.

of Infant Deaths Infant Mortality Rate @ No.
of Infant Deaths Infant Mortality Rate @ *excluding the outer islands @ per thousand live births Infant Mortality Rate - Republic of Mauritius e t a R 16 15 14 13 12 11 10 Year UNDER 5 MORTALITY STATISTICS 2001 – 2016 25 YEAR ISLAND OF MAURITIUS No.
of Under five Deaths Under five Mortality Rate @ *excluding the outer islands 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 15.6 15.5 13.2 ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS* Under five Mortality Rate @ Under five Mortality Rate @ No.

of Under five Deaths No.
of Under five Deaths @ per thousand live births Under Five Mortality Rate - Republic of Mauritius 20.0 19.0 18.0 17.0 16.0 15.0 14.0 13.0 12.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 26 MATERNAL MORTALITY STATISTICS 2001- 2016 ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS@ YEAR No.of Maternal Deaths Maternal Mortality ratio * No.of Maternal Deaths Maternal Mortality ratio * No.of Maternal Deaths Maternal Mortality ratio * * per 1,000 live births @ excluding the outer islands 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 0.55 0.33 0.49 1 2 - - - - - - - 1 - - - - 2 - 1.20 2.50 - - - - - - - 1.40 - - - - 2.9 - Maternal Mortality Ratio - Republic Of Mauritius 0.90 0.80 0.70 0.60 I O T A R 0.50 0.40 0.30 0.20 0.10 0.00 YEAR 27 LOW BIRTH WEIGHT * (as a percentage of live births with known birthweight) 2000-2016 YEAR ISLAND OF MAURITIUS ISLAND OF RODRIGUES REPUBLIC OF MAURITIUS@ @ - excluding the outer islands * - less than 2,500 grammes Low Birth Weight Low Birth Weight Low Birth Weight 20.0 1 20.0 18.0 0.9 18.0 16.0 0.8 14.0 16.0 0.7 12.0 0.6 14.0 10.0 0.5 8.0 12.0 0.4 6.0 10.0 0.3 4.0 % % % 0.2 0.1 2.0 8.0 0.0 6.0 0 4.0 2.0
 0.0 ISLAND OF MAURITIUS ISLAND OF RODRIGUES year year year ISLAND OF MAURITIUS ISLAND OF RODRIGUES Year 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 28 Island of Mauritius Statistics on Caesarian Section (CS) Government Hospitals Private Clinics Island of Mauritius Number of CS % CS on total deliveries Number of CS % CS on total deliveries Number of CS % CS on total deliveries CS Rate % 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 2002 2004 2006 2008 2010 2012 2014 2016 Government Hospitals Private Clinics Island of Mauritius Cases treated for complications following abortion, including spontaneous 29 Year 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Government Hospitals Private Clinics Total Cases treated for complications of abortion, including spontaneous N u m b e r 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 0 Private Clinics Government Hospitals 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 30 ISLAND OF MAURITIUS CASES TREATED AS IN-PATIENTS IN GOVERNMENT GENERAL HOSPITALS DUE TO SOME SELECTED DISEASES Disease / Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Disease / Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Diabetes Mellitus Female 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 2,785 2,657 2,424 Gastro-Enteritis Female 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 3,314 3,345 3,111 Male 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 2,792 2,756 2,647 Male 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 2,622 2,510 2,315 Total 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 5,577 5,413 5,071 Total 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 5,936 5,855 5,426 Hypertensive Disease Female 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 2,344 2,411 2,448 Bronchial Asthma Female 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 1,356 1,305 1,246 Total 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 3,748 3,963 4,153 Total 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 2,376 2,366 2,081 Male 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 1,404 1,552 1,705 Male 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 1,020 1,061 835 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 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Male 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 30,586 37,781 34,724 Gastro-Enteritis Female 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 30,135 38,909 35,368 Total 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 60,721 76,690 70,092 Disease of the Respiratory System* Female Total Male 184,994 193,393 197,563 204,064 382,557 397,457 190,477 206,008 396,485
* figures for 2011 to 2015 adjusted using URTI Surveillance data Disease / Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Male 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 9,256 9,360 9,314 Diabetes Mellitus Hypertension Female 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 10,129 9,957 9,180 Total 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 19,385 19,317 18,494 Male 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 11,432 11,144 10,271 Female 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 12,033 11,484 10,792 Total 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 23,465 22,628 21,063 INCIDENCE OF SOME COMMUNICABLE DISEASES (REPORTED CASES) REPUBLIC OF MAURITIUS Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 HIV/AIDS (MAURITIANS) MALARIA # PULMONARY TUBERCULOSIS @ FOOD POISONING Number Incidence Rate * Number Incidence Rate * Number Incidence Rate * Number Incidence Rate * * per 100,000 mid-year population # all imported/introduced cases @ including non – Mauritians 3 2 ISLAND OF
 MAURITIUS MORTALITY DUE TO MAIN NON-COMMUNICABLE DISEASES NUMBER OF DEATHS REGISTERED IN WHOLE ISLAND 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Underlying cause of death: DIABETES MELLITUS HEART DISEASES 1,778 2,018 1,921 1,934 1,878 1,762 CEREBROVASCULAR DISEASES HYPERTENSIVE DISEASES RENAL FAILURE CANCER CHRONIC RESPIRATORY DISEASES REPUBLIC OF MAURITIUS 33 Estimated resident population by sex, 31 December 2016 Island Both Sexes Male Female Density per Km Island of Mauritius Island of Rodrigues Agalega & St.Brandon 1,221,150 604,352 616,798 42,396 20,832 21,564 274 174 100 Republic of Mauritius 1,263,820 625,358 638,462 654 385 10 630 49.5% 50.5% Estimated resident population1/ by broad age group and sex Age group (Years) Male 1st July 2016 Female B. Sexes <1 1 - 4 5 - 9 10 - 14 15 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60-64 65+ All ages 625,206 638,267 1,263,473 1a based on 2011 population census data adjusted for underenumeration of young children 1b excluding Agalega and St Brandon ISLAND OF MAURITIUS POPULATION AND VITAL STATISTICS 2001-2016 Year 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Estimated mid year population No of livebirths Crude Birth Rate No of deaths Crude Death Rate Estimated end of year population 1,160,083 1,167,995 1,176,323 1,183,533 1,190,361 1,195,676 1,200,887 1,204,955 1,207,842 1,210,391
Live births registered and crude birth rate, Republic of Mauritius Number of live births registered Crude birth rate Island Island of Mauritius 2015 12,057 2016 12,330 Island of Rodrigues 681 752 Republic of Mauritius 12,738 13,082 2015 9.9 16.2 10.1 2016 10.1 17.8 10.4 The number of live births were 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.

In 2016, a total of 13,082 live births were registered compared to 12, 738 in 2015.

CBR has increased from 10.1 in 2015 to 10.4 in 2016.
Deaths and crude death rate, Republic of Mauritius Number of deaths registered Crude death rate Island Island of Mauritius 2015 9,496 2016 9,920 Island of Rodrigues 251 254 Republic of Mauritius 9,747 10,174 2015 2016 7.8 6.0 7.7 8.1 6.0 8.1 An increasing trend has been observed in mortality during the recent years.

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.
CDR has significantly increased from 7.7 in 2015 to 8.1 in 2016.
Population Growth rate between 2015 and 2016 =0.1% % Population aged less than15 years = 19.0% % Population aged 60 years and over = 15.4% % Population aged 65 years and over =10.0% 35 ISLAND OF MAURITIUS STILLBIRTHS, PERINATAL, NEONATAL AND INFANT DEATHS 1993- 2016 STILLBIRTHS EARLY NEO- NATAL DEATHS PERINATAL DEATHS LATE NEO- NATAL DEATHS NEONATAL DEATHS POST-NEONATAL DEATHS INFANT DEATHS YEAR NUMBER RATE NUMBER RATE NUMBER RATE NUMBER RATE NUMBER RATE NUMBER @ + @ + @ Per 1,000 total births ( live births and stillbirths) + RATE + NUMBER RATE + +
159 12.2 179 14.1 165 13.7 7.6 49 4.0 143 11.6 + Per 1,000 live births 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 7.INFANT DEATHS: Deaths under 1 year REPUBLIC OF MAURITIUS RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (NUMBERS) - 2016 36 DISTRICT Area Estimated Mid-year (Square Population Kilometres) Marriages Civil * Live Births Deaths Natural Increase Still- births Estimated Infant End-of-Year Deaths Population PORT LOUIS 119,554 42.7 912 1,675 1,280 PAMPLEMOUSSES 140,279 178.7 1,476 1,511 1,004 RIV.
DU REMPART 108,042 147.6 1,029 1,024 FLACQ 138,543 297.9 1,080 1,112 GRAND PORT 112,985 260.3 SAVANNE 68,547 244.8 891 627 1,035 656 843 865 921 584 PLAINES WILHEMS 368,558 203.3 2,276 3,655 3,326 MOKA BLACK RIVER RODRIGUES TOTAL * By district of residence of bridegroom RESIDENT POPULATION AND VITAL STATISTICS BY DISTRICT (RATES) - 2016 Density per Square Kilometres (End of year year Population) Marriage Rate Rate per 1000 of the Mid-year Population Crude death rate Rate of natural increase Stillbirth Rate@ Infant Mortality Rate+ DISTRICT PORT LOUIS PAMPLEMOUSSES RIV.
DU REMPART FLACQ GRAND PORT SAVANNE 2,795 786 732 465 434 280 PLAINES WILHEMS 1,811 MOKA BLACK RIVER RODRIGUES REPUBLIC 362 316 408 642 Crude Birth Rate @ rate per 1000 total births (live births and stillbirths) + rate per 1000 live births LIFE EXPECTANCY AT BIRTH (YEARS)* Sex Male Female Both Sexes 2006 69.3 76.2 72.7 2007 69.5 76.5 72.9 2008 69.7 76.9 73.2 2009 69.8 77.0 73.3 2010 70.1 77.4 73.7 2011@ 70.4 77.5 73.9 2012 70.7 77.7 74.1 2013 71.0 77.6 74.2 2014 71.1 77.8 74.4 2015 71.2 77.8 74.4 * Calculation based on 3 year period @ based on census data 37 ISLAND OF MAURITIUS ESTIMATED MID-YEAR RESIDENT POPULATION OF TOWNS - 2016 MUNICIPAL COUNCIL AREA @ Port Louis Beau Bassin-Rose Hill Vacoas-Phoenix Curepipe Quatre Bornes URBAN POPULATION RURAL POPULATION POPULATION 148,870 104,544 106,253 79,001 77,492 516,160 (42.3%) 705,053 (57.7%) TOTAL POPULATION 1,221,213 @ according to boundaries subsequent to Proclamations No.
8 of 1990 and No.
15 of 1991 FERTILITY RATES 2016 Island of Mauritius Island of Rodrigues Republic of Mauritius Crude birth rate General fertility rate Total fertility rate Gross reproduction rate Net reproduction rate 10.10 39.30 1.40 0.70 0.70 17.80 68.40 2.30 1.10 1.10 10.40 40.30 1.40 0.70 0.70 Note : For definitions, see glossary LIFE EXPECTANCY AT BIRTH (YEARS) * SEX 2009 2010 2011 2012 2013 2014 2015 MALE FEMALE BOTH SEXES 69.7 77.0 73.3 70.0 77.4 73.6 70.4 77.5 77.5 73.9 70.6 77.7 77.3 74.1 70.9 77.6 77.5 74.2 71.0 77.8 77.5 74.3 71.1 77.8 74.4 74.4 * Calculation based on a 3 year period 38 ISLAND OF MAURITIUS ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2016 AGE-GROUP MALE FEMALE BOTH SEXES (YEARS) 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 - 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 16 & OVER 18 & OVER 21 & OVER 60 & OVER 65 & OVER Number 6,168 26,468 37,772 45,777 48,016 48,356 44,600 43,101 49,371 41,783 42,634 46,742 39,593 32,115 23,436 12,758 8,072 4,639 3,043 % 1.0 4.4 6.2 7.6 7.9 8.0 7.4 7.1 8.2 6.9 7.1 7.7 6.6 5.3 3.9 2.1 1.3 0.8 0.5 Number % Number % 105,850
MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 35.84 35.20 385.35 37.51 36.68 423.42 36.69 35.93 404.32 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 39 MAIN HEALTH INSTITUTIONS AS AT END OF 2016 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 *** Mediclinic + 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 Detoxication 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 5 18 116 145 159 149 13 56 3 5 6 8 3 1 1 17 342 7 11 Ø Souillac, Mahebourg and Q.Elizabeth Hospital *** Y. Cantin and Long Mountain **** at QEH, M.Lubin & La Ferme HC ## excluding 16 supply centres + Belvedère, L'Escalier, Plaine Verte,Triolet and Goodlands ** in Regional Hospital +++ outside hospital compound @ at Mahebourg Hospital - 1 2 - - - - - - - 3**** 14 14 15 17 1 3 - - 1 1 - - - - 2 - - INSTITUTION Government Hospitals Private Clinics TOTAL Bed Situation as at end of 2016 Island of Rodrigues* 178 0 178 Island of Mauritus 3,707 653 4,360 Republic of Mauritius 3,885 653 4,538 * A decrease has been noted in the number of beds (2 wards at La Ferme were closed for renovation) Y E A R 2008 2009 2010 2011 2012 2013 2014 2015 2016 REPUBLIC OF MAURITIUS SELECTED HEALTH MANPOWER STATISTICS AS AT END OF YEAR 2008- 2016 R R E E B B M M U U N N 0 0 0 0 0 0 , , , , , , , , , , , , 0 0 1 1 R R E E P P N N O O I I T T A A L L U U P P
, , , , , , GRADE GRADE DOCTOR Employed by 1,077 Mins.
of Health@ 852 1,000 1,054 887 967 970 7.1 8.0 8.4 7.7 7.7 6.8 8.5 1,111 8.8 1,155 9.1 - of which specialists (275) (277) (288) (284) In private practice 598 588 533 591 (284) 722 (290) (300) 992 1,352 (301) 1,439 (314) 1,614 T O T A L 1,450 11.6 1,475 11.8 1,500 12.0 1,561 12.4 1,722 13.7 2,046 16.2 2,429 19.3 2,550 20.2 2,769 21.9 Of which specialist* (559) (580) (610) (642) (676) (718) (734) (788) (813) DENTIST Employed by Mins.
of Health 61 0.5 In private practice 174 59 191 0.5 66 194 0.5 66 202 0.5 59 242 0.5 58 293 0.5 58 308 0.5 58 322 0.5 # 69 316 # 0.5 4 4 0 0 T O T A L PHARMACIST 235 1.9 250 2.0 260 2.1 268 2.1 301 2.4 351 2.8 366 2.9 380 3.0 385 3.0 Employed by Mins.
of Health 20 0.2 19 0.2 19 0.2 23 0.2 23 0.2 23 0.2 27 0.2 27 0.2 27 0.2 In private practice 328 348 T O T A L QUALIFIED NURSE & MIDWIFE 367 386 381 400 3.1 2.8 385 408 3.2 409 432 437 460 3.4 3.7 467 494 470 497 3.9 3.3 487 514 4.1 3.9 Employed by 3,331 Mins.
of Health 3,179 3,187 3,202 3,089 3,051 3,174 25.5 24.3 25.4 24.6 25.4 25.5 26.4 3,461 27.4 3,686 29.2 In Private practice 221 313 426 581 686 761 794 669 452 T O T A L 3,400 27.3 3,500 28.0 3,600 28.8 3,670 29.3 3,737 29.7 3,963 31.5 4,125 32.7 4,130 32.7 4,138 32.7 @ excluding doctors (included in figure in private practice) working under the " Bank of Doctors" scheme and Pre-Registration House Officers (253) * including those employed by the Ministry of Health & QL Source: Establishment Division/Medical Council/Nursing Council/Commission for Health with adjustments for under/over reporting # estimate NB: Number of officers in the public sector includes those on Rodrigues Establishment 41 Selected Health Personnel in post at the Ministry of Health & Q L & government health institutions as at end of 2016@ Cadre / Grade# Number Cadre / Grade# Number Administrative Cadre Human Resource Cadre Office Management Cadre Management Support Officer incl Office Supervisor 20 49 67 Community Health Development Motivator Community Health Care Officer Sanitary Engineer 253 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 32 39 54 46 112 4 377 Health Statistician Statistical Officer Demographer Analyst Hospital Administration Cadre Blood Bank Cadre Pathological Laboratory Assistant 10 Community Health Rehabilitation Officer Medical Specialist 314 Medical Social Worker Medical Officer (Non specialist) 841 Welfare Assistant 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 69 27 5 12 28 5 6 7 5 66 3 33 21 39 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 Technologist Pharmacy Technician ( inc. Stores Manager) Public Health & Food Safety Inpector Health Surveillance Officer Insecticide Sprayer Operator Rodent Control Cadre Catering Cadre Orthopaedic Technician (incl Assistant) Medical Imaging Technologist 107 Surgical Technologist Medical Imaging Assistant Radiation Therapist Nuclear Medicine Technologist Nurse / Midwife Educator 40 10 4 11 Permanencier Ambulance Driver Ambulance Care Attendant Ward Assistant Nursing Cadre (incl Psychiatry) 3,417 Cook Midwife 121 Attendant (Hospital Services) Public Health Nursing officer Specialised Nurse (including Diabetes) 64 84 Linen Officer Laundry Attendant Health Care Assistant (General) Source:Human Resource Division of the Ministry of Health & Quality of life 1,188 Mortuary Attendant # for each specified grade, the figures include officers in higher posts (e.g Statistical Officer includes Senior and Principal) @ Some 13,900 officers were holding substantive posts at the Ministry of Health & QL, including hospitals and health centres etc.
42 REPUBLIC OF MAURITIUS MATERNAL AND CHILD HEALTH ACTIVITIES IN PUBLIC SECTOR - 2016 (excluding activities carried out at Regional Hospitals) DOMICILIARY VISITS BY MIDWIFE/NURSE ACTIVITY ANTENATAL POSTNATAL TOTAL DOMICILIARY VISITS 973 3,137 4,110 10,651 9 0 10,660 CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR SPECIALISED TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT TOTAL CASES REFERRED EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAMINATIONS BY MIDWIFE/NURSE First attendances Subsequent attendances ANTENATAL EXAMINATIONS BY DOCTOR* First attendances Subsequent attendances POSTNATAL EXAMINATIONS BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING Number of attendances of whom reported underweight of whom reported overweight 15061430 EXAM.
OF CHILDREN UNDER 5 YEARS BY DOCTOR First attendances Subsequent attendances TOTAL ATTENDANCES AT CLINIC 6,627 15,580 280,107 9,508 40,045 10,114 38,253 5,351 1,266 513 304 153,363 * of which 1,347 and 5,636 cases examined by specialists at first and subsequent attendances respectively.

STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION - 2016 IMMUNIZATIONS PERFORMED BABIES B.C.G.

M.M.R.

D.P.T.

& H.I.B, HEP.
B, O.P.V & IPV@: 1st dose 2nd dose 3rd dose (excluding Hep B) Booster dose (excluding Hep B) Hepatitis B only@: 3rd dose D.T, O.P.V & HEP.B : 1st dose 2nd dose 3rd dose Booster dose (excluding Hep B) ROTAVIRUS: 1st dose 2nd dose Pneumococcal*: 1st dose 2nd dose 3rd dose 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) # (gils in std V): 1st dose HPV IMMUNIZATION OF PRIMARY SCHOOL CHILDREN * No data obtained for 5 schools for Rodrigues * Pneumococcal vaccine started in March 2016 # HPV started in August 2016 in Mauritius and in September in Rodrigues, only 1st dose done in 2016 @ following re-scheduling of vaccine as from end of 2015 11,251 10,581 11,140 9,825 11,049 9,360 8,215 72 103 101 871 11,119 10,567 9,158 6,905 1,021 111,338 8,235 7,342 1,386 16,963 128,301 11,090 11,364 13,962 6,334 42,750 43 STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES AT GOVERNMENT CLINICS BY DISTRICT – 2016 (excluding activities carried out at Regional Hospitals - - - - - - - - - - - - - - 9 - - - 9 - DISTRICT ACTIVITY DOMICILIARY VISITS BY MIDWIFE/NURSE ANTENATAL POSTNATAL TOTAL DOMICILIARY VISITS CASES REFERRED TO HEALTH CENTRES & HOSPITALS BY DOCTOR FOR TREATMENT BY MIDWIFE/NURSE AFTER ANTENATAL VISIT BY MIDWIFE/NURSE AFTER POSTNATAL VISIT EXAMINATIONS CARRIED OUT AT CLINIC ANTENATAL EXAM.
BY MIDWIFE/ NURSE First attendances Subsequent attendances ANTENATAL EXAM.

BY DOCTOR* First attendances Subsequent attendances 3,419 3,363 3,820 POSTNATAL EXAM.
BY DOCTOR First attendances Subsequent attendances CHILDREN SEEN FOR GROWTH MONITORING 638 10 896 95 712 141 971 253 150 42 147 36 494 4 424 3 246 45 4,678 629 Total number of attendances 14,956 18,612 15,132 34,457 10,041 4,971 29,599 11,479 8,322 147,569 Reported underweight Reported Overweight EXAM.
OF CHILDREN UNDER 5 YRS BY DOCTOR 63 73 15 9 - - 232 95 14 8 30 124 27 5 4 25 77 16 513 304 First attendances 686 925 583 Subsequent attendances Total exam of children under 5 yrs by doctor 1,509 2,689 2,423 2,195 3,614 3,006 947 2,439 3,386 772 1,142 391 612 1,914 1,003 1,416 2,733 4,149 448 1,056 1,504 459 977 6,627 15,580 1,436 22,207 TOTAL ATTENDANCES AT CLINIC 27,007 32,524 28,841 49,143 18,081 10,882 55,329 19,599 17,163 258,569 * 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 – 2016 (excluding activities carried out at Regional Hospitals) PLAINES SAV- ANNE WILHEMS PAMPLE- PORT LOUIS MOUSSES RIV.
DU REMPART FLACQ PORT GRAND MOKA BLACK RIVER TOTAL % 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 975 937 938 1,124 800 511 2,119 566 691 8,661 100.0 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 TOTAL FIRST DETERMINATIONS 796 811 1,011 916 742 508 1,934 514 570 7,802 100.0 STATISTICS RELATING TO THE EXPANDED PROGRAMME ON IMMUNIZATION BY DISTRICT – 2016 DISTRICT IMMUNIZATIONS PERFORMED PORT PAMPLE- LOUIS MOUSSES RIV.
DU REMPART GRAND FLACQ PORT SA- VANNE PLAINES WILHEMS MOKA BLACK RIVER TOTAL 1,340 1,145 CHILDREN: B.C.G.

M.M.R.

D.P.T & H.I.B, HEP.
B & O.P.V/IPV: 1st dose 2nd dose 3rd dose@ Booster dose# Hepatitis B #: 3rd dose ROTAVIRUS: 1st dose 1,252 1,140 1,330 927 1,022 1,336 2nd dose Pneumococcal: 1st dose 2nd dose 3rd dose D.T , O.P.V & HEP.B: 1st dose 2nd dose 3rd dose Booster dose TOTAL ATTENDANCES FOR IMMUNIZATION OF CHILDREN TOTAL VACCINATION SHOTS PERFORMED ON BABIES PREGNANT WOMEN *: TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) TOTAL ATTENDANCES FOR IMMUNIZATIONS OF PREGNANT WOMEN # A total of 138 Hepatitis B (any dose) and 387 IPV (any dose) were administered to babies * including immunizations carried out at Regional Hospitals @ with IPV & without Hep B 45 ISLAND OF MAURITIUS INDICATORS RELATED TO ANTENATAL CARE IN GOVERNMENT SERVICE Gestational age at first attendance for antenatal care YEAR 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 % Of First Attendances by gestational age 3 Months or less Between 3 and 6 Months 6 Months or over 23.0 23.8 23.9 25.1 25.7 26.1 25.4 30.0 30.8 31.8 32.1 33.2 65.9 64.2 63.6 62.7 61.1 61.1 62.6 59.0 59.5 58.4 58.4 58.0
 11.1 12.0 12.5 12.2 13.2 12.9 12.0 11.0 9.7 9.8 9.5 8.8 Haemoglobin level (mg/dl) at first determination of antenatal cases % Antenatal Cases by Haemoglobin Level YEAR 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Below 10.0 (Moderate or severe anaemia) 13.5 11.8 13.1 12.0 13.4 13.1 14.2 13.0 13.5 14.9 11.3 11.7 10.0 to 10.9 11.0 or above (Mild anaemia) (Normal) 24.9 24.2 25.5 22.4 21.9 25.0 24.0 25.1 25.1 26.0 25.0 23.7 61.6 64.0 61.4 65.6 64.7 61.9 61.8 61.9 61.4 59.1 63.7 64.6 IMMUNISATIONS REPORTED BY GOVT SERVICES AND PRIVATE INTERNATIONAL VACCINATION CENTRES 46 ISLAND OF MAURITIUS 2012 – 2016 YEAR DISEASE IMMUNIZED AGAINST TUBERCULOSIS (B.C.G.)
1st dose 2nd dose DIPHTHERIA, PERTUSSIS, TETANUS, POLIOMYELITIS & HEPATITIS B (D.P.T, H.I.B, HEP.B & O.P.V/IPV ) 3rd dose ( excluding Hep B) 3rd dose (Hep B only) 2012 2013 2014 2015 2016 11,845 11,042 10,851 10,143 10,531 11,807 11,097 10,808 9,988 10,385 11,896 11,197 10,849 10,178 9,097 11,754 11,306 10,771 10,289 10,323 - - - - 8,215 Booster Dose(excluding Hep B) 10,652 10,708 9,915 9,572 8,867 ROTAVIRUS PNEUMOCOCCAL 1st dose 2nd dose 1st dose 2nd dose 3rd dose (DIPHTHERIA 1st dose TETANUS, 2nd dose POLIOMYELITIS & 3rd dose - - - - - 87 121 150 - - - - - 134 189 186 - - - - - 94 135 211 7,674 10,374 6,702 9,852 - - - 106 118 151 8,636 6,495 935 72 103 101 HEP B ) YELLOW FEVER INFLUENZA @ TETANUS $ TYPHOID FEVER Booster dose ( exclude HEP.
B) 14,364 14,567 13,916 12,950 11,980 1,996 1,898 1,945 1,802 2,008 99,209 94,959 110,269 102,144 100,921 209,809 210,482 209,325 213,125 209,371 724 952 1,252 761 1,040 INFECTIOUS HEPATITIS "A" 9,748 8,960 8,323 11,796 10,328 1st dose INFECTIOUS 2nd dose HEPATITIS "B" 3rd dose 4th & higher dose Booster dose Unspecified dose MENINGITIS 3,296 3,737 3,057 4,140 5,214 MEASLES/ MUMPS/ RUBELLA (MMR) 25,587 24,701 23,719 22,572 20,677 HUMAN PAPILLOMA VIRUS (HPV) 1st dose - - - - 5,979 @ 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 – 2016 DISTRICT Surviving Infants# Number Coverage @ Number Coverage @ Number Coverage @ Number Coverage @ Number Coverage @ BCG MMR BABIES DPT HEPATITIS B POLIO TETANUS TOXOID PREGNANT WOMEN PORT LOUIS PAMPLEMOUSSES RIVIERE DU REMPART FLACQ GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER 1,416 1,393 1,168 1,404 1,113 652 3,256 797 999 1,340 1,244 1,033 1,218 930 579 2,651 687 849 ISLAND OF MAURITIUS 12,198 10,531 RODRIGUES 730 720 REPUBLIC OF MAURITIUS 12,928 11,251 Rate 94.6 89.3 88.4 86.8 83.6 88.8 81.4 86.2 85.0 86.3 98.6 87.0 Rate (3rd dose) Rate (3rd dose) Rate (3rd dose) Rate # : live births less infant deaths registered in 2016 @ based on surviving infants &: based on
 estimated pregnant women DISTRICT PERFORMANCE – 2016 GOVERNMENT CLINICS Coverage Rate for DPT 3rd dose Less than 80% 80% to 89% Number of districts 2 4 90% and above 4 Number (2nd & higher dose) 987 921 1,032 962 749 565 1,797 576 597 8,186 542 8,728 Coverage & Rate 66.8 64.0 83.6 65.7 64.5 83.0 52.9 69.3 57.3 64.3 70.1 64.7 4 7 EXPANDED PROGRAMME ON IMMUNIZATION AT GOVERNMENT CLINICS REPUBLIC OF MAURITIUS IMMUNISATION** COVERAGE RATES 2000 - 2016 BABIES ( 0-1 year ) VACCINE BCG DPT (3rd dose) POLIO (3rd dose) MMR* (1st dose) PREGNANT WOMEN TETANUS TOXOID (2nd & higher dose) 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 62.8
YEAR 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 ** See Glossary for full name of vaccines Babies 1st dose 10,385 10,385 Babies attending 1st dose 10,374 10,374 49 ISLAND OF MAURITIUS DISTRIBUTION OF IMMUNIZATIONS REPORTED IN 2016 BY SECTION OF POPULATION COVERED NUMBER OF IMMUNIZATIONS DISEASE IMMUNIZED AGAINST POPULATION COVERED Govt Services Private International Vaccination Centres# TOTAL TUBERCULOSIS (B.C.G) Babies attending M.C.H.
Clinics 10,531 - 10,531 DIPHTHERIA, PERTUSSIS, TETANUS,HIB POLIOMYELITIS & attending HEPATITIS B M.C.H.

Clinics ( D.P.T, H.I.B, HEP.

B & O.P.V / I.P.V) 2nd dose 3rd dose (excluding Hep B) 3rd dose (Hep B only) Booster dose (Excluding HEP.B) 9,097 10,323 8,215 8,867 - - - - 9,097 10,323 8,215 8,867 - - ROTAVIRUS ( 4 valents) M.C.H Clinics PNEUMOCOCCAL Babies attending MCH clinics (4 valents) DIPHTHERIA TETANUS, Babies attending M.C.H.
Clinics 2nd dose 1st dose 2nd dose 3rd dose 1st dose 2nd dose 3rd dose POLIOMYELITIS & HEPATITIS B (D.T, O.P.V & HEP B) YELLOW FEVER INFLUENZA Babies attending M.C.H.

Clinics Primary Schools New Entrants Booster dose (exclude Hep.
B) Persons travelling abroad Persons travelling abroad Old persons* (Trivalent inc AH1N1) ## Children between 6 months to 2 years, health personnel, patients with chronic condition@, etc TETANUS TETANUS Persons travelling abroad Pregnant women attending Pregnant women attending Antenatal Clinics Antenatal Clinics Primary School Leavers Injured persons attending Health Institutions 1st dose 2nd dose Booster dose Booster dose 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 1st dose 2nd dose 3rd dose 4th & higher dose Booster dose 9,852 8,636 6,495 935 72 103 101 862 10,976 - 1,801 90,000 10,800 - 7,645 6,835 1,351 13,540 180,000 880 10,253 958 748 567 853 158 Persons travelling abroad Unspecified dose - MENINGITIS Persons travelling abroad MEASLES/MUMPS/RUBELLA (MMR) Babies attending M.C.H.
Clinics Primary Schools New Entrants Persons travelling abroad 5,141 9,952 10,694 - HUMAN PAPILLOMA VIRUS (HPV- 2 valents) Primary school children (std V) 1st dose 5,979 * aged 60 years & over include by Ministry of Social Security include AH1N1 vaccine @ persons aged less than 60 years ( by Ministry of Health) # City Clinic and Fortis Darne Clinic - - - - - - - - - 142 207 - - 121 - - - - - - 160 75 - - - - - 95 73 - - 31 - ## including Rodrigues ISLAND OF MAURITIUS SUMMARY OF WORK PERFORMED IN HOSPITALS - 2016 CASES SEEN BY DOCTOR HOSPITAL NUMBER OF ADMISSIONS Average length of stay (day) Number of Deaths Daily available beds Percentage occupancy NUMBER OF OPERATIONS $ PERFORMED Sorted OPD Unsorted OPD TOTAL* Accident & Emergency Department IN- PATIENTS OUT- PATIENTS DR. A.G. JEETOO (P.Louis) S.S.R.N.
(Pamplemousses) FLACQ (Central Flacq) J. NEHRU (Rose Belle) VICTORIA & P.M.O.C.

(Quatre Bornes) MAHEBOURG SOUILLAC - 1,904 @ SUB-TOTAL (GENERAL) 185,945 4.0 5,068 2,724 74.4 35,242 BROWN SEQUARD (PSYCHIATRY) (Beau Bassin) Long stay patients Others POUDRE D'OR (CHEST) S. BHARATI (EYE) (Moka) E.N.T.
CENTRE (Vacoas) CARDIAC CENTRE (Pamplemousses) - - 7,911 1,224 1,294 - - - - - - - - - - 1,211 4,780 - 261,099 165,225 119,593 545,917 170,040 180,078 107,934 458,052 119,141 112,226 128,625 359,992 142,569 209,166 59,819 84,879 126,343 50,300 319,212 264,844 136,956 610,966 16,765 28,590 105,174 5 0 29,351 - 114,230 1,046,713 894,832 571,998 2,513,543 22,647 27,704 - 50,351 - 122,297 157,377 - 15,465 # 73,038 13,867 13,797 - - - - 15,465 195,335 171,244 13,797 TOTAL (GENERAL + SPECIALISED) 208,847 4.8 5,172 3,629 75.5 45,671 5,991 1,349,034 1,038,703 571,998 2,959,735 $ 20,446 requiring General Anaesthesia NB: (a) L.Mountain and Y.Cantin Community Hospital do not have in-patient services # seen at Chest Clinic (Port Louis) @ eye surgeries (as from 2015) (b) a total of 5,494,713 cases have been seen by doctor in all public health institutions (3,370,650 at hospitals) * excluding 410,915 emergency cases seen mainly at sorted OPD CT-SCAN AND MRI PERFORMED ON GOVERNMENT HOSPITAL PATIENTS 2015 & 2016 51 HOSPITAL Dr. A.G. JEETOO SSSRN FLACQ J. NEHRU VICTORIA QUEEN ELIZABETH # SUB TOTAL PRIVATE & TOTAL NUMBER OF EXAMINATIONS 2015 2016 CT - SCAN 6,751 - * 1,850 @ 6,628 523 15,752 291 16,043 MRI 1,358 939 - 1,575 3,872 106 3,978 CT - SCAN 7,284 * - 2,442 6,731 825 17,298 27 17,309 MRI 1,692 + 88 - 1,569 3,349 16 3,365 @ out of order during several months * out of order in 2015 & 2016 # operational as from July 2014 + out of order and majority cases referred to Jeetoo Hospital & Mostly from Flacq Hospital NON-TRAUMATIC AMPUTATIONS PERFORMED IN GOVERNMENT HOSPITALS 2012-2016 ISLAND OF MAURITIUS 2012 2013 2014 2015 CATEGORY Male Female Both Sexes Male Female New amputees 224 106 330 250 Re-amputation 133 36 169 148 98 52 Both Sexes Male Female 348 250 102 200 169 53 Both Sexes 352 222 357 142 499 398 150 548 419 155 574 Male Female 2016 Male Female Both Sexes Both Sexes 246 163 409 101 347 306 119 425
Sexes Both Sexes TOTAL (Amputations) Number of patients amputated % Diabetic 91.1 94.9 92.3 86.8 90.4 87.8 92.1 93.9 92.5 91.9 85.1 90.0 93.0 92.4 92.9 HAEMODIALYSIS PERFORMED ON GOVERNMENT HOSPITAL PATIENTS 2015- 2016 (see page 119 for data of Rodrigues) HOSPITAL/CENTRE Dr. A.G. JEETOO SSSRN FLACQ J. NEHRU VICTORIA SOUILLAC SUB TOTAL PRIVATE TOTAL NUMBER OF HAEMODIALYSIS PERFORMED 2015 20,430 26,022 29,982 19,448 27,653 9,114 132,649 47,627 180,276 2016# 21,492 28,989 29,151 19,599 27,692 10,934 137,857 53,107 190,964 # At the end of 2016, there were 908 patients on dialysis in the 5 regional hospitals and Souillac Hospital; another 356 government hospital patients were on dialysis in private centres, making a total of 1,264 patients (1,228 patients as at end of 2015) 52 ISLAND OF MAURITIUS WORK PERFORMED IN MATERNITY SECTIONS OF GOVERNMENT GENERAL HOSPITALS 2000- 2016 DELIVERY BIRTH LIVE BIRTH STILL-BIRTH TOTAL NORMAL# INSTRU- SECTION MENTAL CAESARIAN Total of which Low Birthweight * No No.
No.
2000 11,944 382 4,508 % Total + * birthweight of less than 2,500 grammes x per 1,000 total live births and stillbirths # mostly by midwife 4,125 3,970 No.
No.

% No.

Ratex No.
@ live births + stillbirths + CS Rate (%) % of births@ registered in whole island 86.1 85.7 86.1 85.5 85.5 84.0 82.1 82.5 80.1 79.4 78.3 77.7 77.5 75.2 73.0 72.9 70.8 NB: in 2016, (a) 81 and 3 deliveries occurred with twins and triplet respectively (b) 487 births were reported as "premature" (5.6%) Livebirths registered among teenagers* (whole island) Age -group (years) 2010 2011 2012 2013 2014 2015 2016 10 -14 15 -19 19 24 14 28 27 27 1,511 1,449 1,392 1,179 1,078 1,010 Live births among mothers aged <20 years@ 1,530 1,473 1,406 1,207 1,105 1,037 24 1,012 1,036 * Source: Statistics Mauritius @ no live births occurred in girls aged less than 10 years 53 ISLAND OF MAURITIUS ACTIVITY OF THE X-RAY DEPARTMENT*-2016 Examination Extremities Chest Spine Skull Abdomen Echography (ultra sound) Angiogram Number Examination 260,942 Mammography 173,985 Angioplasty 84,841 72,292 53,002 30,881 4,322 Pyelogram (intravenous) ERCP Barium Swallow Barium Enema # Dental Number 1309 1204 # 426 200 153 136 68 C-Arm / O.T NB: a total of 705,413 (665,139 in 2015) examinations were performed by the X-Ray Department including MRI and CT-Scan * See page 51 for figures pertaining to MRI and CT-Scan # including 910 angiogram and angioplasty performed during same intervention Barium Meal 2,257 58 SORTED OUT-PATIENT ATTENDANCES# AT SPECIALISED CLINICS -2016 Specialty Orthopaedics
 Cardiology General Medicine General Surgery Ophthalmology@ Psychiatry Dermatology Obstetrics Gynaecology Oncology Paediatrics Number Specialty Number 141,286 Physical Medicine 121,768 Chest Disease 114,744 ENT 99,046 98,910 89,663 49,055 44,580 44,164 37,619 37,384 Diabetology Neurosurgery Endocrinology Neurology Nephrology/Renal Transplant Cardiac Surgery Plastic Surgery Geriatrics 29,954 29,555 28,409 11,566 11,049 9,689 6,686 5,371 3,962 3,719 1,355 # excluding emergency cases seen (as from 2015) @ including 15,566 refractions only OUT-PATIENT ATTENDANCES AT CERTAIN ANCILLIARY SERVICES Service Physiotherapy Occupational Therapy Speech Therapy Audiology Podiatry@ 2014 138,165 44,074 10,095 10,983 3,673 Retinal screening 22,730 @ increases due to extension of services Number 2015 155,576 43,816 10,860 11,869 3,494 27,318 2016 152,252 36,952 11,738 13,821 5,116 29,619 ATTENDANCES* FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH CENTRES AND COMMUNITY HEALTH CENTRES - 2016 .
i n o g e R CENTRE AND DISTRICT TOTAL s e c n a d n e t t a l a t o T .

i n o g e R CENTRE AND DISTRICT TOTAL s e c n a d n e t t a l a t o T .
i n o g e R CENTRE AND DISTRICT TOTAL 54 FLACQ 3 LADY RAMGOOLAM MEDICLINIC 3 FLACQ AHC 3 BEL AIR AHC 3 BRAMSTHAN AHC 3 Belle Mare CHC 3 Bon Accueil CHC 3 Camp De Masque Pavé CHC 3 Camp Ithier CHC 3 Caroline CHC 3 Clemencia CHC 3 Dr Saxena (Camp de Masque)CHC 3 Ecroignard CHC 3 G.R.S.E CHC 3 Lalmatie CHC 3 La Lucie Roy CHC 3 Laventure CHC 3 Mare La Chaux CHC 3 Medine Camp De Masque CHC 3 Olivia CHC 3 Pellegrin (R.F.Palmer) CHC 3 Poste De Flacq CHC 3 Quatre Cocos CHC 3 Quatre Soeurs CHC 1 St Julien D'Hotman CHC 3 St Julien Village CHC 3 Sebastopol (Lesur) CHC 3 Trou D'Eau Douce CHC TOTAL SAVANNE 4 CHEMIN GRENIER AHC 4 TYACK AHC 4 Baie Du Cap CHC 4 Camp Diable CHC 4 Chamouny (Prof.Cerene) CHC 4 Grand Bois CHC TOTAL RIVIERE DU REMPART 2 GOODLANDS AHC# 2 RIVIERE DU REMPART AHC 2 Amaury CHC 2 Barlow CHC 2 Belle Vue Maurel CHC 2 Cap Malheureux CHC 2 Cottage CHC 2 Esp.Trébuchet (K.Ramdanee) CHC 2 Grand Bay CHC 2 Grand Gaube CHC 2 Petit Raffray CHC 2 Piton CHC 2 Plaines Des Roches CHC 2 Poudre D'Or CHC 2 Roches Noires CHC 2 Vale CHC TOTAL ROSE HILL AHC Bassin CHC# Beau Bassin (Odette Leal) CHC Coromandel CHC Floreal CHC Forest Side CHC PLAINES WILHEMS B.BASSIN (L.Twining St) AHC 1 CASTEL AHC 5 CUREPIPE ROAD AHC 5 5 QUATRE BORNES AHC 5 5 VACOAS (Club road ) AHC 5 1 1 5 5 5 Glen Park CHC 5 Highlands CHC 5 Midlands CHC 5 5 5 5 5 5 5 5 Wooton CHC TOTAL Pandit Sahadeo (Vacoas) CHC Phoenix CHC SSR (Ollier) CHC Stanley CHC Trefles (Jacques Rougeot)CHC Swami Krishnanand (H/Rood) CHC La Caverne CHC MOKA Camp Thorel CHC 3 DR MAHLER(Mt.
Blanche)AHC 1 QUARTIER MILITAIRE AHC 1 DR QUENUM (St Pierre) AHC 1 1 Dagotiere CHC 5 Dubreuil CHC L'Avenir CHC 1 1 La Laura CHC 1 M.de Speville (Esp/Q.M.)
CHC 3 Melrose CHC 1 Moka CHC Pailles CHC 1 Pailles West CHC 1 Providence CHC 1 Ripailles CHC 1 TOTAL GRAND PORT L'ESCALIER MEDICLINIC 4 ROSE BELLE AHC 4 Bambous Virieux CHC 4 4 Cluny CHC 4 Grand Sable CHC 4 Mare D`Albert CHC 4 Mare Tabac CHC 4 New Grove CHC 4 Nouvelle France CHC 4 Old Grand Port CHC Plaine Magnien CHC 4 Riviere Des Creoles CHC 4 Riviere Du Poste CHC 4 Saint Hubert CHC 4 Trois Boutiques CHC PAMPLEMOUSSES L.MOUNTAIN COMM HOSPITAL TRIOLET MEDICLINIC Baie Du Tombeau CHC Bon Air CHC Calebasses (Human S.Trust) CHC Congomah CHC Crève Coeur CHC 2 2 2 Arsenal CHC 1 2 2 2 2 2 D'Epinay CHC Fond Du Sac CHC 2 Le Hochet (S.K.Patel) CHC 1 Pamplemousses CHC 2 Petite Julie CHC 2 Plaine Des Papayes CHC 2 Pointe Aux Piments CHC 2 Terre Rouge CHC 2 2 Trou aux Biches 2 Villebague CHC TOTAL BLACK RIVER BAMBOUS AHC Beaux Songes CHC Case Noyale CHC Chamarel CHC Flic En Flac CHC Shri R Jugnauth (Palma) CHC La Gaulette CHC 5 DR CANTIN Comm.
HOSPITAL 1 1 Albion CHC 5 5 5 5 5 5 1 M. Leal (La Tour Koenig) CHC 1 5 5 Petite Riviere CHC Pointe Aux Sables CHC Tamarin CHC TOTAL PORT LOUIS 1 DR Hyderkhan(P/Verte) Mediclinic 1 DR BOULOUX (Cassis) AHC 1 1 1 1 1 1 Vallee Des Pretres CHC 1 Vallee Pitot CHC Cité La Cure (Dr Mahler) CHC Eastern CHC Roche Bois CHC Sainte Croix CHC Tranquebar CHC TOTAL s e c n a d n e t t a l a t o T ISLAND TOTAL ** of which in Health Regions$$ Region 1 (Dr Jeetoo Hospital) Region 2 (SSRN Hospital) Region 3 (Flacq Hospital) Region 4 ( J.Nehru Hospital) Region 5 (Victoria Hospital) 4,732,358 1,140,949 1,198,366 817,794 612,998 962,251 TOTAL 409,458 $$ excluding Out-patient at hospitals * based on monthly returns received and adjusted for under/over reporting and on yearly trends.
# No return has been received from Goodlands Medi clinic , Bassin CHC and Nouvelle France CHC.

The total attendances of these 3 centres are estimates based on total cases seen by doctor ** at Community Hospitals (180,955), Mediclinics (701,116 ), Area Health Centre (1,089,884 ) and Community Health Centre (2,760,403).
** excluding MCH (280,107 ), Vaccination (128,301 ), Family Planning (63,208) and Dental (211,472 ) SUMMARY ON PRE-PRIMARY SCHOOL HEALTH PROGRAMME - 2016 55 Q C A L F DISTRICT ACTIVITY AND RESULT T R O P .

V I R - SCREENING BY NURSING STAFF No.
of schools visited 106 47 64 43 48 40 110 44 34 536 7 543 No.

of children on roll 4,010 1,567 1,697 1,299 1,733 1,226 4,026 1,489 1,448 18,495 334 18,829 No.

of children screened 3,349 1,349 1,477 1,173 1,491 1,023 3,488 1,284 1,245 15,879 244 16,123 Scabies 2 Nits and lice 149 Dental carries 624 No.

of children referred to dentist 452 - 84 362 220 - 64 352 221 - 58 154 138 4 82 247 249 12 48 156 149 3 206 537 442 1 95 276 227 No.

of children referred to M.C.H.


clinics for immunization 266 31 43 - 38 27 159 79 29 78 51 864 301 3,009 75 67 2,173 710 - 2 60 60 - 51 866 3,069 2,233 710 SUMMARY ON PRIMARY SCHOOL HEALTH PROGRAMME - 2016 Normal Schools cialis # ols DISTRICT ACTIVITY AND RESULT SCREENING BY NURSING STAFF No.
of schools visited# T R A P M E R A K O M T R O P T R O P e p S 315 303 .

V I R 12 25 38 35 31 18 18 18 65 29 26 U D S E No.

of children on roll 12,092 7,952 7,197 4,430 7,703 5,068 23,070 3,935 4,489 487 76,423 2,423 78,846 No.

of children screened 4,393 6,612 7,046 2,993 4,874 3,142 8,365 2,004 2,616 410 42,455 1,231 43,686 Scabies 7 2 0 0 11 14 5 1 Nits and lice 237 507 803 182 415 296 610 222 Dental problems 1,616 1,681 1,881 422 931 527 1,278 545 No.
of children referred to dentist 1,048 714 719 400 931 526 875 543 16 300 756 336 1 10 42 19 57 3,582 8 1 65 3,583 9,679 144 9,823 6,111 125 6,236 VISION SURVEY (Std III,V& VI) No.

of children screened 2,730 2,252 2,399 2,096 2,401 1,565 6,961 1,763 1,413 31 23,611 398 24,009 No.

with defective vision No.
referred to specialists 233 45 70 29 4 47 38 38 103 103 66 65 341 340 78 68 IMMUNIZATIONS PERFORMED D.T - POLIO (New entrants) MMR (New entrants) 1486 1255 952 883 1054 754 3256 1417 1187 952 888 1004 699 3219 Tetanus Toxoid (School leavers) 1818 1530 1154 1101 1395 902 3878 # mostly in Plaines Wilhems (14), Port Louis(2), Pamplemousses (1) and Moka (1) 741 729 946 38 33 575 579 740 2 2 20 20 76 973 770 0 0 973 770 10,976 388 11,364 10,694 396 11,090 13,540 422 13,962 d e s i l a i c e p S ) # S S ( l s o o h c s 487 410 1 10 42 19 VI 100 0 0 Total 76,423 42,455 57 3,582 9,679 6,111 SS# 31 2 2 TOTAL 10,694 10,976 13,540 Total 2,423 1,231 8 1 144 125 56 Primary School Health Statistics – 2016 ISLAND OF MAURITIUS SCREENING BY NURSING STAFF IN : NORMAL SCHOOLS STANDARD: I II III IV V VI Number of children on roll 12,545 10,046 12,647 11,396 13,644 15,658 Number of children screened 10,951 2,229 8,855 2,613 12,093 5,304 Number of children having the following : Scabies Nits and/or lice Dental caries of whom referred to dentist 23 2 3 695 217 606 2,687 522 2,045 1,971 134 1,329 3 279 677 215 16 1,292 2,874 2,001 9 483 832 442 VISION SURVEY ON CHILDREN IN: Number of children surveyed Number of children with visual problem of whom referred to eye specialist STANDARD: III V 11,149 12,331 346 305 625 463 SS# 20 20 76 VI 430 204 - - 15 15 IMMUNIZATION PERFORMED MMR (Standard I) D.T - Polio (Standard I) Tetanus (Standard VI) # Specialised Schools Normal Schools 10,674 10,956 13,464 ISLAND OF RODRIGUES SCREENING BY NURSING STAFF IN : STANDARD: I Number of children on roll Number of children screened 439 277 Number of children having the following : II 340 106 III 362 191 IV 406 138 Scabies Nits and/or lice Dental caries of whom referred to dentist 5 - 1 - 51 32 15 15 - - 21 21 - - 13 13 V 446 315 3 - 29 29 VISION SURVEY ON CHILDREN IN: STANDARD: Number of children surveyed Number of children with visual problem of whom referred to eye specialist III 191 - - V 207 - - IMMUNIZATION PERFORMED MMR (Standard I) D.T - Polio
 (Standard I) Tetanus (Standard VI) VI Total 398 - - - - - 396 388 422 57 ISLAND OF MAURITIUS Summary Statistics on Noise Monitoring performed by the Environmental Health Engineering Unit Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Number of Complaints Received & Attended Number of Complaints justified Noise Monitoring Visits during Weekends and * after Office Hours Number of Notices Served 313 558 526 620 562 626 657 859 777 738 234 149 194 203 203 229 292 374 323 381 - - 605 1,553 1,751 1,753 1,622 1,489 1,588 1,548 13 10 34 25 14 8 32 26 27 15 * by Noise Monitoring Squad ( as from July 2009) Republic of Mauritius Cash Gift Coupons distributed at government MCH Clinics Mauritius Rodrigues Year No of Cash Coupons No of Cash Coupons First Second Third Fourth First Second Third Fourth Statistics on Home Nursing Care Services Year Number of visits Health Region Port Louis Pamplemousses / Riviere du Rempart Flacq Grand Port / Savanne Plaine Wilhems Rodrigues TOTAL ISLAND OF MAURITIUS SCREENING* OF PRIMARY & PRE-PRIMARY SCHOOL CHILDREN# - 2016 58 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 Primary 3 19 196 212 52 9 115 37 13 10 1 46 31 - 55 128 287 297 301 3 9 220 662 146 5 34 65 5 34 4 74 54 5 38 208 1,126 350 893 ACTIVITIES OF THE DENTAL HEALTH SERVICE 2013-2016 PREVENTIVE SERVICE* ACTIVITY PLACE POPULATION COVERED 2013 2014 2015 2016 Well Baby Clinics in Area & Community Health Pre-Primary schools N E R D L I H C No.
of children 6-9 months No.

of children 10-23 months No.

of children 24-35 months No.

of schools visited No.

of pupils (3-5 years) TOTAL - - - - - - @ - - - - - - - - - - - - @ - - - - - - Pre-Primary, Primary, & Secondary Schools Other places (community) No.

of pre-primary schools visited No.

of pre-primary school children reached No.

of primary schools visited No.

of primary school children reached 90 74 81 232 3,020 2,355 2,380 7,602 129 39,224 106 36,616 112 29,860 81 30,929 No.
of secondary schools visited No.

of secondary school children reached No.

of nursing mothers reached in well- baby clinics No.
of persons reached in SWC/COM/other centres No of persons screened in mobile dental clinics - - - 1,966 3,705 1 326 - 899 - 2 122 - - - 1 185 - 85 - TOTAL 47,915 40,196 32,362 38,801 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 2012-2016 ATTENDANCES Cases seen by dentists: 2012 2013 Number 2014 2015 2016 Children < 5 years Children aged 5-11 years Persons aged 12 years & above 6,928 65,091 238,302 6,408 62,133 242,615 5,629 54,522 234,680 5,241 52,383 230,607 5,210 48,592 231,529 SUBTOTAL 310,321 311,156 294,831 288,231 285,331 Cases seen by specialist: oral surgeons orthodontists endodontists TOTAL ATTENDANCES 11,230 7,339 4,053 332,943 11,022 7,831 4,316 334,325 11,774 7,915 4,317 318,837 12,387 7,867 4,127 312,612 11,563 7,470 4,309 # 308,673 # of which 211,472 (68.5%) seen at Primary Health Care Centres (2016) TABLE B: DISTRIBUTION OF CASES SEEN BY TYPE OF DENTAL CARE Dental care 2012 2013 2014 2015 2016 Number 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 Number 2014 1,101 33 4,503 16 2015 1,027 56 4,899 3 2016 923 85 4,726 0 60 REPUBLIC OF MAURITIUS Pathological tests carried out in public laboratories – 2016 Section Bacteriology Biochemistry Blood Transfusion Cytology Haematology Histology Parasitology Virology & STI * Total * Sexually Transmitted Infections Island of Mauritius TESTS SPECIMENS 83,839 470,361 Rodrigues SPECIMENS 4,792 TESTS 14,118 Republic of Mauritius TESTS SPECIMENS 88,631 484,479 4,819,629 6,975,492 109,024 156,828 4,928,653 7,132,320 281,740 11,357 816,938 14,511 5,916 25,634 287,656 842,572 - - 11,357 14,511 1,087,382 4,401,860 35,970 115,756 1,123,352 4,517,616 11,465 148,479 271,057 77,080 236,797 371,118 - 6,603 16,614 - 6,753 19,464 11,465 155,082 287,671 77,080 243,550 390,582 6,714,948 13,364,157 178,919 338,553 6,893,867 13,702,710 Details of some pathological tests carried out in Blood Transfusion Services – 2016 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 Island of Mauritius TESTS 60,753 SPECIMENS 13,375 Rodrigues SPECIMENS 1,090 TESTS 5,450 Republic of Mauritius TESTS 66,203 SPECIMENS 14,465 980 1,669 13,784 17,414 642 3,934 6,194 17,001 54,130 643 - - 190 992 37 44,365 192,989 1,485 457 43,674 46,996 39,392 2,932 189,077 124,832 108,553 - 3,322 1,147 966 - - 484 4,961 105 7,415 - 19,464 5,735
 1,484 980 1,669 13,974 18,406 679 3,934 6,194 17,485 59,091 748 45,850 200,404 457 46,996 48,143 40,358 2,932 208,541 130,567 110,037 Selected Laboratory* Confirmed Cases of Communicable Diseases 2005 – 2016 Disease Gonorrhoea Haemophilus influenza Type B Hepatitis A Hepatitis B Hepatitis C Leptospirosis Meningitis Meningococcal Syphilis Typhoid Fever * Government services Year - 44 23 - 3 15 - 2 44 - 3 31 2 7 56 - 1 331 332 371 272 330 264 276 290 1,952 2,026 1,839 1,660 1,735 1,637 1,502 1,598 1,713 1,901 1,833 1,279 23 2 16 - 18 2 20 3 45 2 64 1 37 1 33 2 55 - 30 - 39 - 28 - 557 432 462 317 327 132 425 457 465 866 686 1087 - 1 4 - - 3 2 1 3 - 3 2 61 REPUBLIC OF MAURITIUS POSITIVITY RATES OF PATHOLOGICAL TESTS CARRIED OUT IN PUBLIC LABORATORIES ON CERTAIN SELECTED PATHOGENIC CONDITIONS 2014-2016 2014 2015 2016 SPECIMENS SPECIMENS SPECIMENS POSITIVE CASES POSITIVE CASES POSITIVE CASES TESTED No.
TESTED RATE (%) No.

TESTED RATE (%) No.

RATE (%) 5,450 5,348 4,072 PATHOGENIC CONDITION A. Communicable Diseases (I) Microbiology 1.
Stools (i) Selected parasites identified : Entamoeba histolytica Precystic amoebae Trichuris ova Ascaris ova Giardia lamblia Hookworm ova Strongyloides larvae Shistosoma ova 27 21 40 40 3 2 8 - 185 110 2 1 0.5 0.4 0.7 0.7 0.1 - 0.1 - 5.7 3.4 0.1 - 2869 2891 555 (ii) Selected bacterial pathogens: 3222 Non-typhoidal salmonella Campylobacter Shigella species Salmonella typhi 2.

Throat Swabs 3372 Streptococcus group A 80 2.4 3.


Cerebrospinal Fluid ( selected pathogens) 660 Haemophilus influenzae type b Streptoccus pneumoniae Streptococcus group B Cryptococcus neoformans Neisseria meningitidis 4.

Gonorrhoea 5.

Malaria 4,270 56,762 - 7 6 3 - 44 20 - 1.1 0.9 0.5 - 1.0 2,815 - 64,812 6.
Toxoplasma antibodies* 2,641 252 9.5 2,681 559 60,695 58,951 2,359 784 6,170 69,481 81,025 3 264 1,901 157 30 - 866 686 0.5 0.4 3.2 6.7 3.8 - 1.2 0.8 601 60,835 60,742 3,196 600 2,460 70,435 81,626 (II) Virology Hepatitis A Hepatitis B (HBs Ag) Hepatitis C Cytomegalovirus Leptospirosis Chikungunya Syphilis (VDRL) Human immuno-deficiency virus (HIV) B. Non-Communicable Disease Cancer-related tests On histological examinations (tissue) On cytological examinations (smears) On haematological examinations (Bone marrow) * IgM antibodies only - 9 21 29 2 - 7 - 100 106 6 - - 0.2 0.4 0.5 0.0 - 0.1 - 3.5 3.7 0.2 - 3246 2628 2 4 20 27 - 2 8 - 113 54 1 - - 0.1 0.5 0.7 - - 0.2 - 3.5 1.7 - - 44 1.5 26 1.0 526 2,394 67,454 2,641 458 51,426 38,756 2,274 707 0.4 0.5 0.4 0.4 - 1.1 0.0 5.7 1.2 0.5 3.0 1.7 6.5 - 3,352 1.0 0.7 56,478 82,028 2 3 2 2 - 31 32 154 7 276 1,833 55 39 - 686 585 - 2 2 3 - 56 25 158 1 290 1,279 28 28 7 1,087 847 1,809 529 84 - 0.4 0.4 0.6 - 2.3 - ISLAND OF MAURITIUS STATISTICS RELATING TO THE FIELDS OF BASIC SANITATION AND FOOD HYGIENE ( 2012- 2016) ACTIVITIES 2012 2013 2014 2015 2016 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 96,208 6,185 109 111 105,210 4,734 68 74 90,536 3,947 63 58 80,068 3,860 57 38 69,113 3,939 59 44 34,471 31,012 19,213 20,388 20,906 Foodstuffs unfit for consumption seized and destroyed (kg) 381,807 312,247 813,235 2,005,931 564,029 No.

of contraventions No.


of cases sentenced 973 814 689 719 395 412 285 391 434 365 No of imported food containers examined 14,026 15,480 16,236 16,533 17,480 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 dengue surveillance SEAPORT No.

of ships given pratique No.

of ships visited for malaria surveillance No.

of ships inspected for issue of deratting exemption certificate No.
of deratting of ships performed 1,202 2,578 855 6,067 47 1,028 289,599 429,866 147,262 2,969 455 257 124 NB: Drastic changes due to administrative reason and/or unforseen circumstances * including SARS and Avian Flu Republic of Mauritius Number of imported cigarette sticks* Product 2012 2013 2014 2015 2016 Cigarettes (No of sticks) 1,000,560,000 978,520,000 995,540,000 986,480,000 857,960,000 Number of litres of imported or produced alcoholic products* Product Beer Fruit Wine Spirits (including imported Rum, Whiskey Liquor and Compounded Spirits) Total alcoholic products (litre) * Source: Mauritius Revenue Authority 2012 2013 2014 2015 2016 36,395,782 35,502,683 34,538,749 35,925,183 36,669,815 4,356,091 4,668,462 4,632,119 4,508,690 4,386,189 12,597,301 12,184,676 11,912,513 12,298,449 12,326,840 53,349,174 52,355,821 51,083,381 52,732,322 53,382,844 63 ISLAND OF MAURITIUS ACTIVITIES OF THE COMMUNITY BASED REHABILITATION@ PROGRAMME 2012- 2016 ACTIVITY 2012 2013 SUMMARY FIGURES Number 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* DETAILS OF VISITS TO INSTITUTIONS BY STAFF 10,968 1,030 47,516 7,280 1,575 2,100 1,557 1,744
Day care centres 405 Pre-primary schools 252 Specialised institutions 265 Primary schools 95 Social security offices 654 200 Other institutions @ see page 53 for attendances at rehabilitation service departments * including walking sticks 413 274 273 110 758 272 YEAR CASES REFERRED ABROAD BY GOVERNMENT HOSPITAL SERVICES TREATMENT Eye Neurosurgical Cardiac Other* Total number of patients * leukaemia, orthopaedics, ENT, Cancer etc REPUBLIC OF MAURITIUS NEW CASES OF CERTAIN NOTIFIABLE DISEASES## REPORTED TO SANITARY AUTHORITIES 2001 – 2016 HIV / AIDS@ DISEASE YEAR 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 N A I T I R U A M 55 98 225 525 921 542 546 538 548 568 401 320 260 322 262 - I R U A M - N O N N A I T 14 4 15 10 7 13 22 19 7 12 16 7 11 11 7 2016 319 10 S I S A I B E O M A 8 - - - - A Y N U G N U K C I H C - - - - 1381&& 1 11,165 - - - - - - - - 1 - 1& - - 5& 1& 1& - 2& - 7& E U G N E D - - - - - - - 1& 252&& 11& 8& 13& 19& 64 91 24 * G N I N O S I O P D O O F 23 33 60 160 29 78 766 129 718 156 445 264 390 169 82 Y S O R P E L - - - - 1 - 1 - 1 2 2 - 1 3 2 147 1 S I S O R I P S O T P E L 3 1 3 3 6 6 9 3 7 28 17 16 25 16 30 17 MALARIA S U O E N E G I D N I - - - - - - - - - - - - - - - - D E T R O P M I 63 38 40 45 35 38 42 27 23 52 54 30 49 19 32 25 $ S E L S A E M 1 8 679 110 11 3
 13 12 15 - - - - - - - D E C U D O R T N I 3 1 - 3 1 - - - - - - 3 - 1 - - ## No cases of Schistosomiasis has been reported since 1998 # Cerebrospinal ( Hib, Streptoccus pneumonia and neisseria) * In Rodrigues, 26 cases in 2014, 40 cases in 2015 and 36 in 2016 (mostly fish poisoning) @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome ₤ all imported cases (as from 2014) TETANUS TUBERCULOSIS** $ # S I T I G N I N E M 14 11 10 10 14 4 18 12 7 5 7 3 2 1 1 1 A I R E H T P I D - - - - - - - - 5 - - - - - - - M U R O T A N - O E N - - - - - - - - - - - - - - - - L A T A N O E N - N O N 1 - - 1 - - 1 - 1 - 1 - - - - - PULMONARY MAURITIAN NON- MAURITIAN OTHER 112 106 107 118 117 104 97 102 109 106 111 122 111 96 105 - 21 14 11 6 7 11 4 4 11 2 6 11 23 23 100 18 1 10 3 1 4 4 - 2 4 6 - 2 8 6 1 4 H G U O C G N I P O O H W $ ) S I S U T R E P ( - - - - - - 1 - 1 - - - - 1 - - D I O H P Y T 1 1 2 1 5 4 15 6 5 3 5 4 5 1₤ 1₤ 2₤ 6 4 $ 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 - 2016 DISEASE HIV / AIDS@ MALARIA TUBERCULOSIS * FOOD GONORRHOEA# POISONING DENGUE LOCALLY TRANSMITTED AND IMPORTED NON-MAURITIAN LEPTOSPIROSIS SYPHILIS# IMPORTED N A I T I R U A M 23 21 26 24 27 27 24 27 31 43 28 18 MONTH JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER - 1 - - 1 1 1 - 1 3 2 - 9 5 11 3 3 3 6 6 9 11 33 48 8 8 6 4 7 7 11 4 6 5 12 8 86 1 2 4 2 - - - 4 4 5 - 2 - 2 2 2 2 4 5 - - - - - 4 - 1 - 1 1 3 4 6 1 2 2 10 9 3 5 16 25 23 10 9 13 17 13 Y R A N O M L U P 8 11 8 7 14 9 8 8 12 11 11 11 R E H T O - - - - - - - - - - 1 3 FILARIASIS 6 5 2 6 11 - 8 9 3 8 22 15 8 19 TOTAL 319 10 147 24 17 25 153 118 4 111 @ Human Immuno-Deficiency Virus / Acquired
 immuno-deficiency syndrome * Forms of tuberculosis notifiable in Mauritius are : respiratory, skeletal, of meninges and central nervous system # excluding Rodrigues DISTRIBUTION OF NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY DISTRICT - 2016 REPUBLIC OF MAURITIUS DENGUE MALARIA TUBERCULOSIS PULMONARY DISEASE HIV / AIDS@ FOOD POISONING (MAURITIAN) DISTRICT PORT LOUIS PAMPLEMOUSSES RIVIERE DU REMPART FLACQ GRAND PORT SAVANNE PLAINES WILHEMS MOKA BLACK RIVER RODRIGUES # 118 72 46 25 21 13 13 52 1 23 7 - - 6 1 - 13 10 9 36 * GONORRHOEA LEPTOSPIROSIS SYPHILIS LOCALLY TRANSMITTED IMPORTED IMPORTED 9 12 3 5 5 3 43 1 5 19 - 6 - - - - - - - - 2 4 1 3 1 - 7 - - - - 4 - 1 4 3 3 1 1 - 5 2 - - 4 - 9 1 4 - 65 24 3 8 2 2 38 3 8 55 N A I T I R U A M 31 11 4 12 1 4 25 5 7 - N A I T I R U A M N O N 2 2 2 1 2 - 6 2 1 - TYPHOID FEVER+ 6 6 1 - - - - - 1 - - - TOTAL 319 147 105 6 18 17 25 208 100 18 2 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome * mostly fish poisoning # - includes 10 cases of unknown address + all imported cases REPUBLIC OF MAURITIUS DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES BY AGE-GROUP AND SEX - 2016 DISEASE & SEX HIV / AIDS@ MAURITIAN FOOD POISONING GONORRHOEA# MALARIA SYPHILIS# (IMPORTED) PULMONARY TUBERCULOSIS MAURITIAN/NON- MAURITIAN 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 2 6 54 49 46 26 7 2 19 41 35 19 10 3 7 13 9 13 10 1 3 10 14 31 15 8 5 8 - 10 36 22 4 2 1 1 7 2 1 - - - - - 6 3 10 4 - TOTAL 190 129 56 91 75 11 23 - 1 - - - - 1 2 1 15 46 16 7 3 2 90 - 18 26 16 2 1 - 63 - 1 12 20 16 15 15 6 7 - 5 10 8 5 6 5 79 39 @ Human Immuno-Deficiency Virus / Acquired immuno-deficiency syndrome # excluding Rodrigues See page 89 for additional statistics on Sexually Transmitted Infections 68 ISLAND OF MAURITIUS ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE* 2009-2016 YEAR 2009 2010 2011 2012
 2013 2014 2015 2016 Number of AFP reported cases 1 5 2 6 5 6 6 7 Rate per 100,000 population <15 years * Republic of Mauritius 0.4 1.7 0.7 2.3 1.9 2.4 2.4 2.9 DISEASE SURVEILLANCE AT HOSPITAL LEVEL# - 2016 DISEASE Gastro-enteritis Upper respiratory tract infection1 Conjunctivitis2 MONTH January February March April May June July August September October November December Year # General Hospitals (including Long Mountain)@ including Rodrigues 1. including ENT Hospital 2. including Moka (Eye) Hospital Fever 3,814 4,917 4,356 2,659 3,091 2,849 3,357 2,983 3,204 2,457 1,760 1,565 37,012 NEW CASES ATTENDING AREA AND COMMUNITY HEALTH CENTRES - 2016 MONTH January February March April May June July August September October November December Year DISEASE Gastro- enteritis 5,860 5,893 6,052 5,577 6,132 5,910 5,084 5,674 6,625 6,237 5,538 5,510 70,092 Upper respiratory tract infection* 28,842 38,247 39,353 29,573 40,966 44,994 45,356 41,353 51,746 36,902 24,569 18,610 440,511 Conjunctivitis Scabies 3,651 3,984 3,839 3,941 3,978 3,459 2,709 3,424 3,459 3,539 3,201 3,148 42,332 413 312 368 399 398 378 253 299 360 320 311 325 4,136 * Source: Health Records Division STATISTICS RELATING TO NOTIFICATION OF HIV / AIDS CASES AND DEATHS 1987 – 2016 69 REPUBLIC OF MAURITIUS NEW CASES OF HIV / AIDS NOTIFIED @ DEATHS REGISTERED AMONG HIV / AIDS CASES of which HIV as underlying cause of death** PERIOD 1987-1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 E L A M 113 32 34 59 167 464 815 455 452 402 436 433 298 215 151 190 155 190 MAURITIAN NON-MAURITIAN TOTAL ( MAURITIAN) ## E L A M E F 58 18 21 39 58 61 106 87 94 136 112 135 103 105 109 132 107 129 H T O B S E X E S 171 50 55 98 225 525 921 542 546 538
 548 568 401 320 260 322 262 319 E L A M 49 3 12 3 12 8 5 9 16 12 6 8 10 6 7 7 4 7 E L A M E F 10 4 2 1 3 2 2 4 6 7 1 4 6 1 4 4 3 3 H T O B S E X E S 59 7 14 4 15 10 7 13 22 19 7 12 16 7 11 11 7 10 E L A M 162 35 46 62 179 472 820 464 468 414 442 441 308 221 158 197 159 197 E L A M E F 68 22 23 40 61 63 108 91 100 143 113 139 109 106 113 136 110 132 H T O B S E X E S 230 57 69 102 240 535 928 555 568 557 555 580 417 327 271 333 269 329 E L A M 38 10 5 9 11 16 38 35 56 55 43 89 95 106 99 100 99 119 E L A M E F 13 3 3 4 8 6 6 9 13 7 5 15 16 10 15 15 9 30 H T O B S E X E S 51 13 8 13 19 22 44 44 69 62 48 104 111 116 114 115 108 149 TOTAL 5,061 1,610 6,671 184 67 251 5,245 1,677 6,922 1,023 187 1,210 ## Since 2005 information obtained from the Civil Status Office are used to update figures related to death ** ICD-10 … … … … … … 21 31 65 52 47 93 108 105 102 103 87 117 STATISTICS RELATING TO HIV TESTS CARRIED OUT AT VIROLOGY LAB 2016 Positive cases CATEGORY Number of tests Number Rate per 100 tests Blood donors - Island of Mauritius Blood donors - Island of Rodrigues Immigrant workers /Expariates Request for visa purposes (outgoing Mauritians) Cardiac and renal patients 43,680 1,440 5,173 45 5,556 Screening on target groups 5,651 Antenatal cases screened - Island of Mauritius Antenatal cases screened - Island of Rodrigues Persons of high risk groups* Others# TOTAL TESTS 11,355 1,165 11,039 327 85,431 12 - 9 - 1 68 51 3 158 27 329 - - 0.03 0.17 0.02 1.20 0.45 0.26 1.43 8.26 0.39 * Commercial Sex workers, Injecting drug users, Homo/bisexual, patients/contact tracing, S.H.C.
and Syphilis positive patients # including persons referred to lab services for confirmation after undergone voluntary rapid tests.

70 ISLAND OF MAURITIUS SELECTED STATISTICS ON PRIVATE HEALTH INSTITUTIONS * 2002 – 2016 YEAR NUMBER OF PRIVATE CLINICS NO.

OF BEDS AS AT 31ST DEC. Live births Number % of Births % No.
2,620 2,533 2,638 2,837 2,784 2,758 3,033 2,950 3,064 3,080 3,051 3,085 3,422 3,245 3,570 Low Birth Weight Still- births Total Caesarian on Total % Births @ in whole Island 13.6 13.6 14.3 15.7 16.6 16.9 19.4 20.1 21.3 21.9 22.0 23.8 26.8 26.9 28.9 @ registered live births and stillbirths * with in-patient medical treatment services ADMISSIONS AND OTHER ATTENDANCES AT PRIVATE HEALTH INSTITUTIONS * - 2016 Period Number First Quarter 63,033 Second Quarter 55,686 Third Quarter 59,608 Fourth Quarter Whole Year 55,639 233,966 TOTAL BIRTHS BY TYPE OF DELIVERY $ IN PRIVATE HEALTH INSTITUTIONS *- 2016 TYPE OF DELIVERY Normal# Caesarian Instrumental Total First Quarter Second Quarter Third Quarter Fourth Quarter 291 513 81 885 343 519 85 947 302 523 50 875 311 530 58 899 Whole Year 1,247 2,085 274 3,606 *with medical treatment services $ based on data received from 17 private health institutions and adjusted for under reporting # including 145 by ventouse reported by one institution (124 in 2015) DISTRIBUTION OF CASES TREATED AT PRIVATE HEALTH INSTITUTIONS * BY CAUSE AND SEX - YEAR 2016 71 ISLAND OF MAURITIUS I.C.D.
CHAPTER CAUSE OF ATTENDANCE (including admissions) (W.H.O.

International Classification of Diseases 10th Revision) 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 Gastritis & 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 Not classified by cause Sub-Total Number# FEMALE 1,882 262 1162 294 434 68 723 222 52 234 259 8963 537 764 712 274 380 327 728 1005 658 312 516 517 283 126 232 1,531 331 MALE - - 86 41 1622 164 601 487 1884 119 34 1,365 1,636 752 960 173 759 687 317 TOTAL * Clinic/hospital with medical treatment services # based on data with details on diseases received from 17 institutions and adjusted for under/over reporting GRAND TOTAL 116,553 117,413 233,966 72 ISLAND OF MAURITIUS SURGICAL OPERATIONS AND PROCEDURES PERFORMED AT PRIVATE HEALTH INSTITUTIONS* - 2016 Body Site/Type of intervention 1.
Brain, spinal and other nervous system 2.

Thyroid, adrenal and other endocrine system 3.

Eye and adnexa 4.

Ear and mastoid process 5.

Nose, mouth and pharynx 6.

Lung, diaphragm and other respiratory system 7 Heart, arteries, veins and other cardiovascular system 8.

9.

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

proctological) 10.

Kidney, ureter,bladder and other urinary system 11.
Prostate,testis, penis and other male genital organs 12.

Ovary, uterus, vagina and other gynaecological procedures 13.

Antepartum, labour, delivery and postpartum procedures 14.

Neck, spine, pelvis,limbs and other musculoskeletal system 15.

Dermatological and plastic procedures(skin, soft tissue) 16.

Breast 17.
Diagnostic,therapeutic, client support and other non- invasive and cognitive interventions MALE FEMALE BOTH SEXES NUMBER 38 54 30 67 68 121 % - - 845 949 29 848 271 - 2,434 1,047 747 827 476 891 910 167 4.9 0.9 2,434 13.0 1,047 1,592 1,776 505 5.6 8.5 9.5 2.7 1,739 9.3 TOTAL (classified interventions) 7,643 11,065 18,708 100.0 18 Interventions not classified by body site/type 3,257 3,041 6,298 TOTAL (interventions) 10,900 14,106 25,006 * with medical treatment services 73 ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY SEX - 2016 CAUSE (I.C.D - 10) 1 Deliveries (including by caesarian etc) 2 Diarrhoea and gastroenteritis of presumed infectious origin 3 Acute Upper Respiratory infections 4 Diabetes mellitus Acute myocardial infarction and other ischaemic heart diseases 5 6 Gastritis and duodenitis 7 8 9 Hypertensive disease 10 Infections of the skin and subcutaneous tissue Abdominal and pelvic pain Fractures 11 Dorsopathies 12 Cerebrovascular disease 13 Anaemias 14 Mental and behavioural disorders due to use of alcohol 15 Non-inflammatory disorders of female genital tract 16 Asthma 17 Poisonings and toxic effects of drugs and other substances 18 Malaise and fatigue 19 Dyspnoea and other abnormalities of breathing 20 Pain in throat and chest 21 Epilepsy 22 Fever of unknown origin 23 Calculus of kidney and ureter 24 Convulsions, elsewhere classified (excluding newborns) 25 Nausea and vomiting 26 Diseases of male genital organs 27 Complications following spontaneous and other abortions 28 Varicose veins of lower extremities 29 Disorders of breast MALE FEMALE TOTAL No.
2,315 3,121 2,647 2,806 2,443 1,537 2,536 1,705 2,275 1,610 1,827 827 2,158 835 1,102 889 859 1,123 987 620 1,010 989 493 1,337 398 57 % 0.0 2.9 4.0 3.4 3.6 3.1 2.0 3.2 2.2 2.9 2.1 2.3 1.1 2.7 0.0 1.1 1.4 1.1 1.1 1.4 1.3 0.8 1.3 1.3 0.6 1.7 0.0 0.5 0.1 No.
8,422 3,111 3,305 2,424 1,458 2,349 2,046 1,392 2,448 1,411 1,346 1,433 1,859 217 2,415 1,246 1,086 1,284 889 616 693 593 433 652 647 1,125 721 1,247 % 9.1 3.4 3.6 2.6 1.6 2.5 2.2 1.5 2.6 1.5 1.5 1.5 2.0 0.2 2.6 1.3 1.2 1.4 1.0 0.7 0.7 0.6 0.5 0.7 0.7 0.0 1.2 0.8 1.3 No.
8,422 5,426 6,426 5,071 4,264 4,792 3,583 3,928 4,153 3,686 2,956 3,260 2,686 2,375 2,415 2,081 2,188 2,173 1,748 1,739 1,680 1,213 1,443 1,641 1,140 1,337 1,125 1,119 1,304 % Bronchitis, emphysema and other chronic obstructive pulmonary diseases 892 1.1 758 0.8 1,650 1.0 31 Gastrointestinal haemorrhage, unspecified 32 Disorders of menstruation 33 Renal colic 34 Heart Failures 35 Benign neoplasm of uterus 36 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium 37 Pneumonia 38 Renal failures All other causes TOTAL Note: The above table is based on data received on in-patients from the regional and district hospitals.
The table on page 50 contains the total number of cases treated at regional, district and specialised hospitals.

74 ISLAND OF MAURITIUS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY I.C.D - 10 CHAPTER AND SEX - 2016 DISCHARGES * CAUSE ( ICD - 10 ) MALE FEMALE TOTAL No.

% No.

% No.
% Certain infectious & parasitic diseases 2,788 Neoplasms 2,478 3.6 3.2 3,518 4,144 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 1,502 1.9 2,059 4,084 3,224 1,996 675 76 5.2 4.1 2.5 0.9 0.1 4,308 1,090 1,666 872 114 Diseases of the circulatory system 8,975 11.4 8,390 Diseases of the respiratory system 8,251 10.5 8,857 Diseases of the digestive system 7,870 10.0 5,527 Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue 3,404 2,996 Diseases of the genitourinary system Pregnancy, childbirth & the puerperium - 0.0 18,058 19.5 18,058 10.5 Certain conditions originating in the perinatal period Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 1,283 1.6 1,311 308 0.4 193 1.4 0.2 2,594 501 1.5 0.3 10,785 13.7 10,891 11.7 21,676 12.7 1.
2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.
17 18 19 & 20 Injury, poisoning & certain other consequences of external causes 21 Factors influencing health status & contact with health services 10,932 13.9 6,829 1,994 2.5 1,802 7.4 1.9 17,761 10.4 3,796 2.2 T O T A L 78,529 100.0 92,699 100.0 171,228 100.0 * 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 - 2016 CAUSES (ICD 10th REVISION) Under 1 year 1 - 4 years 5 - 12 years 13- 19 years 20- 39 years 40- 59 60 years Under 1 year & over years 1 - 4 years 5 - 12 13- 19 years years 20- 39 years 40- 59 years 60 years & over NUMBER (M A L E S) NUMBER (F E M A L E S) 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 Diseases of the musculoskeletal system & connective tissue Diseases of the genitourinary system Pregnancy, childbirth & the puerperium 13.

14 15 16 17.
18 Certain conditions originating in the perinatal period 1,283 Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified - 6 6 1 10 666 44 35 4 20 - 5 1 22 2 8 6 1,374 82 37 25 108 - - 12 11 107 2 3 22 949 244 103 73 220 - - 26 253 118 5 2 31 348 235 243 107 154 - - 327 1,044 491 16 9 625 1,065 1,759 809 754 961 - - 1,668 1,491 761 164 24 3,535 1,374 3,144 2,037 424 491 480 29 4,746 2,475 2,362 1,284 893 1,393 1,936 640 1,509 - - - - 5 0 8 6 2 12 550 36 27 6 10 - 1,311 8 1 31 9 7 1 1,083 74 39 21 32 - - 88 79 94 30 12 3 2 61 41 25 14 68 2 4 17 724 191 73 48 98 2 - - 19 - 12 - 6 - - 1 7 5 251 498 636 545 1,828 3,371 3,656 225 440 609 1,045 2,096 2,400 4,076 19.& 20 Injury, poisoning & certain other consequences of external causes 21.
Factors influencing health status & contact with health services 77 352 754 875 3,527 3,470 1,877 64 294 464 737 1,544 1,456 2,270 189 21 64 91 310 719 600 193 28 52 117 517 504 391 T o t a l 2,888 3,273 4,249 3,505 14,495 25,986 24,133 2,681 2,741 3,038 6,952 27,923 20,795 28,569 CHILDREN UNDER ONE YEAR CERTAIN PRINCIPAL CAUSES OF GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) - 2016 * 76 ISLAND OF MAURITIUS NUMBER OF DISCHARGES CAUSE ( I.C.D - 10 ) MALE FEMALE 1.

Acute Upper Respiratory infections 2.


Acute bronchitis and bronchiolitis 3.

4.

Slow fetal growth, fetal malnutrition and disorders related to short gestation and low birthweight Newborn affected by maternal factors and by complications of pregnancy, labour and delivery 5.

Diarrhoea and gastro-enteritis of presumed infectious origin 6.

Nausea and vomiting , including newborns 7.

Septicaemia and infections specific to the perinatal period 8.

Fever of unknown origin 9.


Diseases of the Digestive System 10.

Abdominal and pelvic pain 11.

Intrauterine hypoxia and birth asphysia 12.

Convulsions, including newborns 13.

Infections of the skin and subcutaneous tissue 14.

Cough 15.

Congenital deformities of feet 16.

Pneumonia, including newborns 17.

Diseases of the Genito-urinary System 18.

Diseases of the Nervous System 19.

Congenital malformations of the circulatory system 20.

Dyspnoea and other abnormalities of breathing 21.


Respiratory distress of newborn 22.

Neonatal aspiration syndromes 23.

Anaemias, including newborns 24.

Cleft lip and cleft palate 25.

Diseases of the musculoskeletal system and connective tissue 26.

Fractures 27.
Fractures 27.

Asthma All other causes TOTAL TOTAL % 10.9 9.9 10.2 9.4 4.8 2.9 3.2 2.8 1.4 1.0 1.1 0.8 0.8 0.7 0.5 0.5 0.5 0.3 0.3 0.6 0.7 0.4 0.5 0.3 0.2 0.2 0.1 No.
605 554 569 523 265 160 176 154 80 58 61 44 45 38 28 28 30 14 15 35 37 24 27 17 10 13 8 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 ) 996 955 2,888 2,681 1,951 5,569 35.0 100.0 77 ISLAND OF MAURITIUS NEOPLASMS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) BY TYPE AND SEX - 2016 TYPE OF NEOPLASM (I.C.D - 10) 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 Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour TOTAL NUMBER OF DISCHARGES MALE FEMALE TOTAL 143 34 83 110 136 31 30 13 41 205 11 34 17 55 5 136 54 102 50 - ISLAND OF MAURITIUS GENERAL HOSPITALS DISCHARGES (INCLUDING DEATHS) DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2016 MALES FEMALES TOTAL CAUSES (I.C.D.
10) Under 30 years 30-44 45-59 60-74 75+ Under years years years years 30 years years 30-44 45-59 60-74 years years 75+ Under years 30 years years 30-44 45-59 60-74 years years 75+ years ALL AGES Acute rheumatic fever Chronic rheumatic heart disease - - - 1 - 2 - 2 - - 2 - - - 1 4 - 5 2 2 2 0 0 1 1 6 0 7 2 2 5 16 Hypertensive diseases 44 192 595 643 231 29 217 673 931 598 73 409 1,268 1,574 829 4,153 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 6 8 - 24 2 18 3 3 9 24 24 47 121 453 372 94 159 696 666 217 4 62 18 23 8 2 - - T O T A L (Circulatory system) 212 904 3,113 3,355 1,391 188 717 2,063 3,107 2,315 400 1,621 5,176 6,462 3,706 17,365 79 ISLAND OF MAURITIUS INJURY AND POISONING DISCHARGES FROM GENERAL HOSPITAL (including deaths) BY EXTERNAL CAUSE AND SEX - 2016 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 DISCHARGES MALE FEMALE 1,673 386 4,003 2,900 TOTAL No.
2,059 6,903 198 107 283 67 23 33 105 98 124 779 1,149 177 55 171 1,024 98 765 - 63 57 59 72 18 10 56 93 34 261 164 342 139 41 43 161 191 158 843 1,622 507 231 23 138 635 69 635 - 1,656 408 78 309 1,659 167 1,400 - TOTAL 10,932 6,829 17,761 80 ISLAND OF MAURITIUS CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES AT THE COMMUNITY HOSPITALS, MEDICLINICS, AREA HEALTH & COMMUNITY HEALTH CENTRES - 2016 (See also distribution of first attendances by I.C.D.
Chapter on page 81) CAUSE (I.C.D.
10) 1 Upper Respiratory Tract Infection (URTI)@ 2 Cough, pain in throat, chest pain, wheezing, hiccough, sneezing 3 Fever / pain all over 4 Superficial injury, open wound, sprain/strain, fractures, burns and other injuries 5 Abdominal and epigastric pain 6 Gastritis and duodenitis 7 Influenza 8 Spondylosis, neck pain, low back pain, backache 9 Headache, dizziness, giddiness 10 Gastroenteritis and diarrhoea of presumed infectious origin 11 Rheumatism, muscular pain, myalgia, pain in limb 12 Sinusitis, rhinitis, nasal polyp, blocked nose 13 Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue 14 Nausea and vomiting 15 Bronchitis, emphysema, asthma 16 Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs FIRST ATTENDANCES * MALE FEMALE TOTAL No.
% Conjunctivitis 18 Gout , arthritis, pain in joint 20,881 18,720 19 Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess 18,849 21,451 19,507 19,278 42,332 38,227 38,127 20 Otitis, wax in ear, earache and other diseases of the ear and mastoid process 17,284 17,318 34,602 21 Localised swelling, mass, lump of skin, rash 22 Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) 23 Hypertension 24 Cystitis, urinary tract infection 25 Diabetes Mellitus 26 Swelling gum, gingivitis, dental caries, stomatitis, disease of lip 27 Diseases of the eye and adnexa (excluding conjunctivitis) 28 Helminthiasis (worms) 29 Migraine and other diseases of the nervous system 30 Haematuria, painful micturation, retension of urine 31 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders 32 Varicose veins of lower extremities, haemorrhoids,oesophageal varices 33 Hypotension and other diseases of the circulatory system 34 Anemias 35 Alcoholism 36 Scabies All other causes TOTAL Refer to page 54 for statistics on attendances by health centre * based on the Monthly Returns of Sick Treated received @ Source: Health Records Division 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 - 2016 CHAPTER TOTAL (I.C.D.

10) MALE FEMALE FIRST ATTENDANCES * No.
% Certain infectious & parasitic diseases 44,621 46,034 90,655 Neoplasms 96 143 239 Diseases of the blood & blood-forming organs and certain disorders involving the immune mechanism 3,318 5,680 8,998 Endocrine, nutritional & metabolic diseases 10,589 10,625 21,214 Mental & behavioural disorders Diseases of the nervous system Diseases of the eye & adnexa Diseases of the ear & mastoid process Diseases of the circulatory system 5,143 6,164 28,637 17,284 19,552 2,763 7,386 29,725 17,318 22,184 7,906 13,550 58,362 34,602 41,736 4.5 0.0 0.4 1.0 0.4 0.7 2.9 1.7 2.1 Diseases of the respiratory system 308,894 327,747 636,641 31.4 Diseases of the digestive system Diseases of the skin & subcutaneous tissue Diseases of the musculoskeletal system & connective tissue 69,224 40,902 73,382 43,637 142,606 84,539 89,389 95,216 184,605 Diseases of the genitourinary system 7,883 24,755 32,638 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 593 471 593 882 1,403 2,298 411 895 268,773 293,331 562,104 27.7 56,324 45,383 101,707 5.0 7.0 4.2 9.1 1.6 0.0 0.0 0.1 1.
2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17 18 19 T O T A L 978,099 1,047,776 2,025,875 100.0 * based on the Monthly Return of Sick Treated received Refer to page 54 for statistics on attendances by health centre CASES # TREATED AS IN-PATIENTS AT S. BHARATI (EYE) HOSPITAL - 2016 82 CAUSE NUMBER OF CASES * NUMBER OPERATED UPON (I.C.D.
10) MALE FEMALE 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 Cataract 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 Ocular pain 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 No 20 104 59 22 51 215 150 102 51 % 0.2 1.2 0.7 0.2 0.6 2.4 1.7 1.1 0.6 MALE FEMALE TOTAL - 579 95 40 7 125 197 136 17 13 13 12 4 4 4 3 - 94 8 289 466 338 38 25 40 25 13 5 6 8 - 238 817 1.1 0.1 3.2 5.2 3.8 0.4 0.3 0.4 0.3 0.1 0.1 0.1 0.1 0.0 9.2 81 176 2.0 53 - 141 96 174 1 8 1 2 1 1 1 1 - 241 83 38 - 104 62 108 1 10 1 3 1 3 1 - - 79 67 91 0 245 158 282 2 18 2 5 2 4 2 1 - 320 150 TOTAL 4,430 4,464 8,894 100.0 3,451 3,749 7,200 * including number operated upon # based on data received (see page 50 for total admissions and operations) CASES TREATED AS IN-PATIENTS AT POUDRE D'OR (CHEST) HOSPITAL – 2016 83 DISEASE (I.C.D.
10) 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 DEATHS DISCHARGES* (INC.
DEATHS) MALE FEMALE TOTAL MALE FEMALE 4 - - - - - 5 - - - - - - - - - - - - - - - - 8 - 17 2 - - - - - 1 - - - - - - 2 - - - - - - - - - - - 5 6 - - - - - 6 - - - - - - 2 - - - - - - - - - 8 - 22 108 8 - - - - 14 - 8 - - - - 37 5 - - - - 6 - 3 - - - - 10 26 6 - 5 1 15 2 - 1 1 114 4 297 5 - 1 - 6 0 - - 1 66 6 162 TOTAL No.
% 145 31.6 13 - - - - 20 - 11 - - - - 36 11 - 6 1 21 2 - * diseases distribution based on database received from Records Office (see page 50 for total admissions) CASES SEEN AT OUT-PATIENT SPECIALIST CLINICS IN CHEST DISEASES – 2016 DISEASE MALE FEMALE TOTAL No.
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 HIV with infections or diseases 49 28 1 - - 5 - 6 - 13 16 21 16 18 187 - 4 - 16 2 2 - - 4 - - 2 - 4 - 7 8 22 11 10 206 2 1 - 18 - - - - % 6.6 0.4 0.0 0.0 0.6 0.0 0.9 0.0 1.7 2.1 3.7 2.3 2.4 77 5 - - 7 - 10 - 20 24 43 27 28 393 33.7 2 5 0 34 2 2 0 0 0.2 0.4 0.0 2.9 0.2 0.2 0.0 0.0 Other diseases of the respiratory system Other diseases Total cases diagnosed (First attendances) SUBSEQUENT ATTENDANCES TOTAL 235 - 591 8,292 8,883 251 - 574 7,963 8,537 486 - 41.7 0.0 1,165 100.0 16,255 17,420 Note: Cases whose condition necessitated immediate admission have been excluded from the above figures CASES TREATED AS IN-PATIENTS AT BROWN SEQUARD PSYCHIATRIC HOSPITAL - 2016 84 CAUSE FEMALE MALE TOTAL (I.C.D.
10) No.

% No.

% No.
% Dementia Epileptic Psychosis NOS 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 use and use of volatile solvents Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances Schizophrenia Delusional disorder Acute psychotic episode Schizoaffective psychosis NOS Psychosis unspecified Hypomania Bipolar affective disorder Depressive episode Persistent mood disorders Anxiety disorders Obsessive compulsive disorder Dissociative (conversion) disorders 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 mental & behavioural causes Other causes T O T A L - 34 4 56 145 - - 6 1 - 85 114 2 3 - - 7 506 1 110 - 24 9 83 38.4 0.1 8.3 0.0 1.8 0.7 6.3 200 15.2 - - 3 4 4 42 60 - - ISLAND OF MAURITIUS QUARTERLY DISTRIBUTION OF NEW CASES DIAGNOSED AT OUT-PATIENT SPECIALIST CLINICS IN DERMATOLOGY - 2016 DISEASE FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER T O T A L NUMBER % 180 226 276 200 882 ACNE Pemphigus BULLOUS DERMATOSIS Pemphigoid D. Herpetiformis CONGENITAL ANOMALIES OF THE TEGUMENT CORNS AND CALLOSITIES Lupus Erythematosus DISEASES OF CONNECTIVE TISSUE Scleroderma
 Rheumatoid arthritis DISEASES OF NAIL AND HAIR DISORDERS OF PIGMENTATION Vitiligo Melanosis of face Other DRUG INDUCED DERMATOSIS Atopic dermatitis 188 229 328 185 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 Parasitic INFECTIONS Pyococcal Viral ULCER OF LOWER LIMBS URTICARIA ALL OTHER DISEASES TOTAL 3,823 4,000 4,733 3,647 16,203 100.0 86 NEW CASES# DIAGNOSED AT OUT-PATIENT CLINICS SPECIALISED IN ENT IN 2016 DISEASE FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER 57 38 79 48 34 61 57 86 57 T O T A L NUMBER 63 31 225 189 % 2.4 2.0 52 249 2.7 39 79 57 26 201 2.2 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 18 60 46 Tinnitus 143 Conductive deafness 34 Sensorineural deafness 143 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 38 59 34 38 35 125 212 80 84 42 18 77 35 84 Chronic tonsillitis 163 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 Other diseases and conditions (including neoplasm) 69 59 63 11 22 34 15 E A R N O S E T H R O A T TOTAL 2,054 2,137 2,730 2,328 9,249 100.0 # based on monthly returns received from E.N.T centre and other hospitals 87 CASES TREATED AS IN-PATIENTS AT E.N.T HOSPITAL# - 2016 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 804
Total No.
74 72 14 84 303 54 733 1538 99 176 31 41 144 145 255 240 24 96 66 71 253 17 65 143 % 1.5 1.5 0.3 1.7 6.1 1.1 14.8 31.1 2.0 3.6 0.6 0.8 2.9 2.9 5.2 4.8 0.5 1.9 1.3 1.4 5.1 0.3 1.3 2.9 Other causes TOTAL 119 2,546 93 2,404 212 4,950 4.3 100.0 OPERATIONS PERFORMED ON IN-PATIENTS AT E.N.T.
HOSPITAL# - 2016 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.
51 216 66 19 41 50 29 449 22 65 23 116 27 50 45 34 1,303 % 3.9 16.6 5.1 1.5 3.1 3.8 2.2 34.5 1.7 5.0 1.8 8.9 2.1 3.8 3.5 2.6 100.0 # 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# - 2016 Cases treated Causes (ICD -10) Rheumatic fever with heart involvement Mitral stenosis Other rheumatic mitral valve diseases Other chronic rheumatic heart diseases Double valve 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 Abdominal aortic aneurysm 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 Total Male Female Total % 0.0 0.3 2.8 0.0 0.4 44.0 6.0 35.4 0.0 2.1 1.9 0.2 0.9 0.9 0.2 0.3 0.0 3.0 0.0 0.9 0.2 0.4 100.0 8 8 NB:total operations performed =1,294 of which Vascular Surgery (39), Neuro Surgery (235), Cardiac Surgery (896), Atrio-ventricular fistula (100) and general surgery (23) .
# based on data received (see page 50 for total admissions and operations) * hypertensive/diabetic/failure REPORTED CASES OF CERTAIN SEXUALLY TRANSMITTED INFECTION DIAGNOSED AT SKIN DISEASE CLINICS OF GOVERNMENT HOSPITALS- 2016 ISLAND OF MAURITIUS CAUSE Under 20 years 20 -29 years 30 - 39 years 40 - 49 years 50 years & over ALL AGES Gonococcal infections Venereal warts Syphilis Herpes simplex Other and unspecified TOTAL Male 10 3 16 1 - 30 Female Male 36 1 8 10 46 18 3 5 - 32 95 - Female Male 22 7 10 14 16 26 1 6 - - 49 53 Female Male 4 8 7 - - 19 2 14 16 1 - 33 Female Male 3 3 5 - - 11 1 13 2 - - 16 Female - - 1 - - 1 Male 75 32 90 7 - 204 Female 11 51 63 10 - 135 Total 86 83 153 17 - 339 HIV/AIDS cases seen for treatment (first attendances) MALE FEMALE ATTENDANCE AT THE NATIONAL DAY CARE CENTRES* FOR THE IMMUNO-SUPPRESSED - 2016 2 1 43 81 62 32 13 234 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 TOTAL 8 13 77 117 78 43 18 354 14,438 14,792 12,042 131 322 1,499 143 47 6,092 53 23,079 * at Volcy Pougnet Centre, Victoria, SSRN, JNH, Flacq, Yves Cantin, Mahebourg and Souillac Hospitals NB: As at the end of 2016, there were 3,360 patients on ARV in Mauritius, including 295 in prisons @ mostly cases referred by private doctors 90 Island of Mauritius Cases of occupational and work related diseases diagnosed during screening sessions at Government Occupational Health Clinics 2016 Condition Male Female Total Diseases caused by chemical agents Diseases caused by physical agents Biological agents Occupational respiratory diseases Occupational skin diseases Occupational musculo-skeletal disorders Occupational cancer Others 9 1 1 9 9 77 - - Total (cases diagnosed) 106 4 1 - 1 7 28 - - 41 Attendances at screening sessions: First attendances 1,428 691 Subsequent attendances 5,690 1,324 13 2 1 10 16 105 - - 147 2,119 7,014 TOTAL ATTENDANCES 7,118 2,015 9,133 Pre employment medical fitness examinations Number of persons examined 3,738 1,992 5,730 91 CAUSES @ OF ATTENDANCES* AT GOVERNMENT AYURVEDIC (OUT-PATIENT) CLINICS – 2016 CAUSES TYPE OF DISEASE AYURVEDIC TERMS TOTAL % 1 2 3 4 Diseases of skeletal/osseous system Diseases related to blood and plasma Symptoms involving head and neck Gastritis and other diseases of digestive system Asthi Vaha Srotas 14,495 20.3 Rasa Vaha Srotas 434 0.6 Urdhwa Jatrugataroga 7,294 10.2 Annavaha Srotas 8,185 11.4 5 Diabetes mellitus Madhumeha rogas 6 Diseases of adipose system Medho Vaha Srotas 7,035 4,402 9.8 6.2 7 Diseases of haemopoitic system Rakta Vaha Srotas 10,236 14.3 9 Diseases of respiratory system Pranavaha Srotas 3,382 10 Mental disorder Mano Vaha Srotas 3,241 11 Diseases of muscular System Mamsagata Vaha Srotas 12 Hypertensive diseases Uccha Raktachapa Dab 1,883 2,883 13 Paralysis tremors, neuritis and other diseases of the nervous system Vata Vikara 2,838 14 Urinary Disorder Mutra vaha Srotas 1,645 15 Common gynaecological disorders Artava Srotas 635 16 Diseases of reproductive system Sukra Vaha Srotas 17 Common pediatric diseases Balaroga 18 Diseases of body fluids system Udhakavahas Srotas 19 Other diseases 1,217 545 840 301 4.7 4.5 2.6 4.0 4.0 2.3 0.9 1.7 0.8 1.2 0.4 TOTAL 71,491 100.0 @ A patient with 2 distinct diseases are counted twice etc.
* New and follow-up cases NUMBER OF ATTENDANCES BELVEDERE MEDI CLINIC L'ESCALIER MEDI CLINIC SSRN HOSPITAL VICTORIA HOSPITAL LA SOURCE FLACQ TOTAL MALE 2,003 3,397 5,381 4,160 1,659 16,600 FEMALE TOTAL 3,392 7,123 7,003 8,302 3,895 29,715 5,395 10,520 12,384 12,462 5,554 46,315 92 REPUBLIC OF MAURITIUS NEW CASES OF CANCER REGISTERED* – 2015 TOTAL LIP, ORAL CAVITY AND PHARYNX 48 4.4 SITE OF TUMOUR (ICD -10) Hypopharynx, oropharynx and nasopharynx Tongue Salivary glands Mouth Other & ill-defined sites of lip, oral cavity and pharynx Stomach Oesphagus Colon Rectum Gall bladder Liver and intra-hepatic bile ducts Pancreas Other & ill-defined sites of digestive organs TOTAL DIGESTIVE ORGANS Trachea, bronchus and lung Larynx Other & ill-defined sites of respiratory system TOTAL RESPIRATORY SYSTEM TOTAL BONES, JOINTS AND ARTICULAR CARTILAGE Lymphomas Leukaemias Multiple Myelomas Other TOTAL HAEMATOLOGICAL MALIGNANCIES TOTAL SKIN TOTAL CONNECTIVE, SUBCUTANEOUS & SOFT TISSUES TOTAL BREAST Cervix uteri Ovary Corpus uteri Vagina and vulva Other & ill-defined sites of female genital organs TOTAL FEMALE GENITAL ORGANS Prostate gland Testis Other and ill-defined sites of male genital organs TOTAL MALE GENITAL ORGANS Bladder Kidney, pelvis and ureter TOTAL URINARY TRACT Brain, meninges and other sites of Central Nervous System Eye and adnexa TOTAL EYE & CENTRAL NERVOUS SYSTEM Thyroid gland Other endocrine glands TOTAL ENDOCRINE GLANDS ALL OTHER SITES MALE FEMALE TOTAL Number % Number % Number % 1.0
- 18 8 - 8 84 4.5 2.0 6.6 1.7 0.0 1.7 0.7 0.0 0.7 7.8 GRAND TOTAL (ALL SITES) 1,082 100.0 1,407 100.0 2,489 100.0 * Source: National Cancer Register 93 ISLAND OF MAURITIUS CASES TREATED AS IN-PATIENTS AT THE NEONATAL INTENSIVE CARE UNITS * - 2016 (The figures given below are included in all tables pertaining to discharges from government general hospitals ) CAUSE (ICD-10 Classifications) NUMBER OF CASES @ MALE FEMALE OF WHOM PASSED AWAY @ TOTAL FEMALE TOTAL 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.

Birth trauma 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 Other congenital malformations Diseases of respiratory system.
Other diseases 82 32 20 - 1 3 2 8 9 3 5 - - 1 1 - - - TOTAL * Victoria and SSRN Hospitals @ based on data obtained from the Health Records Division 167 83 19 12 - - - 2 1 6 7 1 2 - - - 2 - - 135 165 51 32 - 1 5 3 16 10 4 - - - 1 14 - - - 16 - 4 7 - - - - 3 1 302 - 4 - - - 1 1 - 37 13 5 5 - - 1 - - 1 1 1 - - - - - - - 29 15 9 - - - 2 - - - 1 5 - - - 2 1 - 27 64 94 ISLAND OF MAURITIUS INFANT DEATHS BY SEX AND DETAILED AGE - 2016 AGE AT DEATH Under 1 day 1 day 2 days 3 days 4 days 5 days 6 days Sub-total 0 - 6 days 7 - 13 days 14 - 20 days 21 - 27 days Sub-total 0 - 27 days 28 - 59 days 2 months 3 months 4 months 5 months MALE FEMALE TOTAL No.
% No.

% No.
% 7 10 3 4 2 3 2 31 11 4 7 53 13 1 3 2 - 9.3 13.3 4.0 5.3 2.7 4.0 2.7 41.3 14.7 5.3 9.3 70.7 17.3 1.3 4.0 2.7 0.0 8 9 5 2 3 2 - 11.8 13.2 7.4 2.9 4.4 2.9 0.0 29 42.6 3 4 5 41 10 4 1 - - 4.4 5.9 7.4 60.3 14.7 5.9 1.5 0.0 0.0 15 19 8 6 5 5 2 60 14 8 12 94 23 5 4 2 - 10.5 13.3 5.6 4.2 3.5 3.5 1.4 42.0 9.8 5.6 8.4 65.7 16.1 3.5 2.8 1.4 0.0 Sub-total under 6 months 72 96.0 56 82.4 128 89.5 6 months 7 months 8 months 9 months 10 months 11 months - 1 - - 2 - 0.0 1.3 0.0 0.0 2.7 0.0 5 3 1 1 2 - 7.4 4.4 1.5 1.5 2.9 0.0 5 4 1 1 4 - 3.5 2.8 0.7 0.7 2.8 0.0 TOTAL UNDER ONE YEAR 75 100.0 68 100.0 143 100.0 BREAKDOWN OF INFANT DEATHS BY CAUSES AND SEX - 2016 ISLAND OF MAURITIUS CAUSE Early Neo-Natal Deaths Late Neo-Natal Deaths (I.C.D.
10 ) MALE FEMALE MALE FEMALE TOTAL No.

% Neo-Natal Deaths Post Neonatal Deaths MALE FEMALE TOTAL No.

% MALE FEMALE TOTAL No.

% 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 All other causes TOTAL - - - - - 10 2 3 2 - - 1 - - - - - - - 6 4 3 3 - - - - - - - - - - 0.0 0.0 - - 0.0 1 0.0 0.0 - - 16 26.7 3 6 6 5 - - 1 - - 10.0 - 10.0 2 8.3 8 0.0 1 0.0 1.7 - - 0.0 1 0.0 1 13 31 13 29 26 43.3 60 100.0 5 22 - - - - - 1 - 1 2 - - 2 2 - 4 - - 1 - - 4 - 3 0.0 0.0 - - 2.9 1 0.0 0.0 - - 11.8 13 0.0 2 8.8 5 10 29.4 10 1 - 2 3 1 9 2.9 1 0.0 - 5.9 1 8.8 1 2.9 1 26.5 18 12 34 100.0 53 - - - - - 7 4 4 5 - - 2 2 - - - 1 - - 0.0 0.0 1.1 0.0 0.0 20 21.3 6 9 6.4 9.6 15 16.0 1 - 3 3 1 1.1 0.0 3.2 3.2 1.1 - - 1 - - 7 1 - 1 - - 1 - - 17 41 35 37.2 94 100.0 11 22 1 - 1 - 1 7 1 2 3 - - - 3 - 8 1 - 2 - 1 2.0 0.0 4.1 0.0 2.0 14 28.6 9 5 2 2 4 - - 1 3 - 4.1 4.1 8.2 0.0 0.0 2.0 6.1 0.0 19 38.8 27 100.0 49 96 ISLAND OF MAURITIUS SELECTED CAUSES OF INFANT DEATHS - 2016 CAUSE MALE FEMALE (I.C.D.
10 ) NUMBER OF DEATHS 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 All other causes* TOTAL - - 2 - - 20 3 5 11 1 - 2 1 1 29 75 1 - 1 - 1 14 5 6 8 - - 2 5 - 25 68 1 - 3 - 1 34 8 11 19 1 - 4 6 1 0.7 0.0 2.1 0.0 0.7 23.8 5.6 7.7 13.3 0.7 0.0 2.8 4.2 0.7 54 143 37.8 100.0 SELECTED CAUSES OF DEATHS AMONG CHILDREN AGED 0-4 YEARS - 2016 CAUSE MALE FEMALE (I.C.D.
10 ) NUMBER OF DEATHS 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 Drowning All other causes* TOTAL 1 - 2 - 1 20 3 5 11 1 - 2 1 1 - 2 35 85 1 - 1 - 1 20 5 6 8 - - 2 5 - 2 1 26 78 * including pulmonary haemorrhage (6 deaths) and respiratory distress (20 deaths) 2 - 3 - 2 40 8 11 19 1 - 4 6 1 2 3 61 163 1.2 0.0 1.8 0.0 1.2 24.5 4.9 6.7 11.7 0.6 0.0 2.5 3.7 0.6 1.2 1.8 37.4 100.0 DEATHS (ALL AGES) BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION OF DISEASES AND SEX - 2016 97 ISLAND OF MAURITIUS CAUSE ( ICD - 10 ) MALE DEATHS FEMALE TOTAL 1.
Certain infectious & parasitic diseases 2.

Neoplasms 171 594 3.1 75 1.7 246 2.5 10.9 671 15.0 1,265 12.8 No.

% No.

% No.

% 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 33 0.6 36 0.8 69 0.7 1,285 23.5 1,108 24.8 2,393 24.1 69 109 - - 1.3 2.0 - - 8 55 - - 0.2 77 1.2 164 - - - - 0.8 1.7 0.0 0.0 9.

Diseases of the circulatory system 1,817 33.3 1,673 37.5 3,490 35.2 10.

Diseases of the respiratory system 11.
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 12.

13.

14.

15.

16.

17.


18.
19 & 20 490 245 22 5 87 - 43 29 62 9.0 392 4.5 102 0.4 0.1 1.6 - T O T A L 5,460 100.0 4,460 100.0 9,920 100.0 DEATHS BY CHAPTER OF THE INTERNATIONAL CLASSIFICATION AND BY AGE-GROUP - 2016 ISLAND OF MAURITIUS - 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 0 6 42 2 1 - - CHAPTER (I.C.D.10) 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.

Certain conditions originating in the perinatal period 17.

18.

19.
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 1 - 4 1 - - - - 1 2 - - - - 43 20 1 2 75 s r a e y 4 - 1 1 1 - 1 - 1 - - - 3 - - - - - - - - 3 10 s r a e y 2 1 - 5 - 2 1 - - - - - - 1 1 - - - - 3 - 2 10 s r a e y 9 1 - 3 1 - 4 - - - 4 - - 3 3 - - - 1 - 4 - 32 51 s r a e y 9 3 - 0 2 39 26 4 19 18 28 - - 69 33 21 1 2 2 - 2 4 s r a e y 9 5 - 0 4 88 141 6 376 35 34 - - 420 - 18 888 2 - 16 42 - - - - - - 448 1,296 2 3 1 - - - - 39 75 94 4 2 21 - - 373 129 17 1 63 - - 13 44 5 - - - - - - - - - - - - - - - 1 4 - - - - - - - 3 - - - 1 - - - 1 - 1 - - 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 9 5 - 0 4 17 200 6 177 4 11 - - s r a e y 0 6 42 445 23 913 2 36 - - 187 1,454 34 22 2 4 17 - - - 4 338 76 22 5 50 - - - 52 43 13 21 5 17 2 7 - - 29 11 3 2 5 3 5 - 1 - r a e y 1 r e d n U 3 - 6 1 - - - - 3 5 1 - - - - 82 s r a e y 4 - 1 2 1 - 1 - 1 - - - 3 - - - s r a e y 2 1 - 5 s r a e y 9 1 - 3 1 - - 3 8 1 - - - - - - 4 1 - - - 1 - 5 - - 4 6 - - - - 1 1 - - - - 1 - 34 6 5 5 6 2 - 1 6 20 6 22 - 36 67 52 47 9 36 20 35 - - 98 44 24 3 7 5 5 - 3 4 s r a e y 0 6 L A T O T 84 246 865 1,265 41 1,801 18 78 - - 69 2,393 77 164 - - 2,750 3,490 9 8 711 205 39 6 113 - - - 882 347 48 19 158 6 82 53 105 341 12 553 39 45 - - 635 109 116 6 6 38 - - - 17 96 124 138 530 157 2179 152 6959 497 9920 14 6 2 1 - 3 10 1 4 12 - 4 16 121 389 130 1467 109 3458 0 68 17 141 27 712 3501 143 99 ISLAND OF MAURITIUS SELECTED PRINCIPAL CAUSES OF DEATH (ALL AGES) – 2016 (See page 81 for deaths by ICD-10 chapters) CAUSE (I.C.D - 10) MALE FEMALE TOTAL No.
% No.

% No.
% 10.9 1,143 11.5 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 123 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 - 40 - - All other causes 1,324 24.2 970 21.7 2,294 23.1 T O T A L 5,460 100.0 4,460 100.0 9,920 100.0 SELECTED PRINCIPAL CAUSES OF DEATHS BY AGE-GROUP AND SEX - 2016 ISLAND OF MAURITIUS M A L E S Under 15 years years years 15-29 30-44 45-59 years 75+ years 15 years years years F E M A L E S 15-29 30-44 45-59 years Under 75+ years 15 years years years 15-29 30-44 45-59 years Under B O T H S E X E S 60-74 years 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 60-74 years 251 37 61 4 16 186 62 577 62 - 22 - 10 12 17 21 32 11 1 32 24 8 2 1 - - - - - - - - - - - - - - - 2 - 1 - 2 - - - 2 - 1 4 4 2 1 - - 25 10 5 1 10 34 16 37 3 - 1 2 - - - - - 3 - 6 - 53 27 - 6 75 - 2 1 - - 10 3 8 - 27 29 7 7 202 159 39 23 9 12 102 44 348 26 - 6 - 9 15 8 6 12 3 9 1 35 16 1 10 385 222 31 96 2 21 197 96 288 32 - 9 - 2 8 9 32 54 12 4 29 11 3 1 - 2 - - - - - - - - - - - - - - 2 1 - 1 1 - 1 1 1 - 2 2 3 - 3 - 2 - - - - - - 1 2 - - - 5 3 2 34 4 5 3 6 3 11 2 28 1 15 - 4 2 1 1 - 3 2 1 - 4 5 1 3 68 60-74 years 152 25 28 4 17 131 63 445 16 56 15 28 13 4 9 - 16 9 5 5 6 1 1 46 17 13 3 9 56 25 155 9 71 8 12 5 4 2 - 8 4 - 2 2 4 2 282 70 157 9 31 269 199 447 6 32 8 19 6 4 8 - 65 24 3 15 - - 1 1 2 - - - - - - - - - - - - - - 4 1 1 1 3 - 1 1 3 - 3 6 7 2 4 - 2 1 - - - - - 4 2 6 - 53 32 3 8 109 29 15 8 7 13 45 18 65 4 15 2 4 4 2 1 - 13 5 9 - 75+ years 504 101 253 11 52 466 295 735 38 32 17 19 8 12 17 32 119 36 7 44 11 3 2 TOTAL 1,143 239 386 41 125 993 509 2,329 155 176 71 63 49 49 54 59 208 71 38 85 165 98 20 1 0 0 Accidental drowning and submersion All other causes 3 91 6 436 1 408 2 86 2 170 1 322 - 474 5 177 7 758 1 882 43 2,751 T O T A L 100 185 439 1278 1890 1568 96 61 173 629
 1372 2129 196 246 612 1907 3262 3697 9920 101 CHAPTER-SPECIFIC DEATH RATES PER 10,000 MID-YEAR RESIDENT POPULATION - 2016 CHAPTER (I.C.D.
10) MAURITIUS RODRIGUES REPUBLIC No.

of Deaths Death No.

of Death Rate Rate Deaths No.

of Deaths Death Rate 1.

Certain infectious & parasitic diseases 246 2.0 2.

Neoplasms 1,265 10.4 4 29 1 0.9 6.9 250 2.0 1,294 10.2 0.2 70 0.6 69 0.6 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 7.

Diseases of the eye & adnexa 8.


Diseases of the ear & mastoid process 2,393 19.6 34 8.0 2,427 19.2 77 164 - - 0.6 1.3 0.0 0.0 1 8 - - 0.2 1.9 0.0 0.0 78 172 - - 0.6 1.4 0.0 0.0 9.

Diseases of the circulatory system 3,490 28.6 116 27.4 3,606 28.5 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 882 347 48 19 158 15.
Pregnancy, childbirth & the puerperium 6 16.

Certain conditions originating in the perinatal period 17.

18.

Congenital malformations, deformations & chromosomal abnormalities Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 19.
Injury, poisoning & certain other consequences of external causes 82 53 124 1.0 7.2 2.8 0.4 0.2 1.3 0.0 0.7 0.4 17 - - TOTAL 9,920 81.2 254 60.1 10,174 80.5 102 ISLAND OF MAURITIUS DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2016 DEATHS DEATH RATES AGE-GROUP MALE FEMALE BOTH SEXES Cumulative Number Number Number Percentage Percentage (years) 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 - 84 85 & over MALE FEMALE BOTH SEXES ALL AGES 5,460 4,460 9,920 100.0 - 9.0 7.2 8.1 100.0 185.3 157.3 166.0 ISLAND OF MAURITIUS DEATHS DUE TO DISEASES OF THE CIRCULATORY SYSTEM BY AGE-GROUP AND SEX - 2016 M A L E S F E M A L E S B O T H S E X E S CAUSES (I.C.D.
10) Under 15-29 30-44 45-59 60-74 years years 15 years years years 75+ years 15 years years years 15-29 30-44 45-59 years Under 60-74 years Under 75+ years 15 years years 15-29 30-44 45-59 60-74 years years years 75+ years TOTAL Acute Myocardial Infarction Other Ischaemic Heart diseases 1 - - - 18 121 183 139 7 38 68 83 - - 1 4 34 105 175 1 1 22 155 288 314 - - 12 47 107 - - 7 50 115 190 781 362 Total (Ischaemic Heart diseases) 1 - 25 159 251 222 - 1 4 46 152 282 1 1 29 205 403 504 1,143 Cardiac Arrest Heart Failure Other heart diseases - - - - 5 23 2 10 39 5 11 21 61 37 20 96 31 23 - 2 - - 3 1 5 4 9 13 17 12 28 25 21 157 - - 8 70 2 3 15 40 - 9 20 36 56 33 89 62 41 253 101 63 386 239 166 1 0 3 Total (Heart diseases)* 1 7 51 242 369 372 2 6 21 88 226 549 3 13 72 330 595 921 1,934 Hypertensive diseases Intracranial haemorrhage and cerebral infarction Stroke, not specified as haemorrhage or infarction Other cerebrovascular diseases - - - - 2 16 44 2 26 49 62 42 96 20 2 - 8 - 53 144 177 - - - - - - - - 2 3 8 - 3 - - 25 24 32 - 63 34 97 - 199 37 232 - - - - - 2 18 69 125 295 5 34 73 76 57 2 11 85 241 409 - - - - - 509 245 748 - Total (cerebrovascular diseases) - 4 34 102 186 197 - 3 11 56 131 269 - 7 45 158 317 466 993 Other diseases of the circulatory system - - 7 11 10 4 - 1 2 2 6 11 T O T A L (Circulatory system) 1 13 108 399 627 669 2 10 36 171 426 1028 - 3 1 9 13 16 15 54 23 144 570 1053 1697 3490 104 ISLAND OF MAURITIUS DEATHS DUE TO NEOPLASMS BY TYPE AND SEX 2016 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 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 skin 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 36 16 40 54 22 23 34 14 16 123 5 6 6 3 - 59 5 18 7 10 19 4 15 21 11 - - TOTAL 594 671 1,265 Deaths due to External Causes , by Age-group and Sex - 2016 ISLAND OF MAURITIUS CAUSES (ICD - 10) Under 5 years 5 - 12 years 13- 19 years 20- 39 years 40- 59 years 60 years & over Under 5 years 5 - 12 years 13- 19 years 20- 39 years 40- 59 years 60 years & over Under 5 years 5 - 12 years 13- 19 years 20- 39 years 40- 59 years 60 years & over TOTAL MALE FEMALE B O T H S E X E S 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 - - 3 1 - - 1 - - - - - - - - 1 - - - - - 1 - - - - - - - - 20 52 44 15 13 3 3 4 4 3 9 8 2 2 3 1 8 29 21 - 1 5 1 - - 1 2 3 5 9 - - 2 - - 1 - 1 6 - - - 2 - - 35 22 7 1 - 3 4 1 9 - 1 3 6 17 - 1 - 1 - - 1 - - - - - - - - - - 1 - - - 2 - - - - - - 1 - - - - 1 - - 1 - - - - - 2 - - - 2 - 3 - - 1 - - 8 - 1 2 - - - 4 2 4 - - 2 1 2 1 1 1 3 1 5 - 6 7 1 2 - 5 - - 1 - - 2 1 18 - 1 - 4 1 - 1 1 - - - - - - - - 1 1 - - - 2 1 - - - - - 1 - - 20 - 3 - - 2 - 1 6 - - 2 2 - - 54 9 11 2 2 4 1 8 48 17 17 3 3 6 5 5 41 29 8 3 - 8 4 1 37 22 10 - 2 7 1 0 - 2 3 6 6 14 - 165 56 43 9 5 23 12 15 75 2 6 20 17 1 0 5 - 1 5 7 35 49 - 0 T O T A L 5 2 32 121 130 109 3 4 4 17 27 43 8 6 36 138 157 152 497 106 107 SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF RODRIGUES - 2016 Variable/Indicator Number/Value Denominator POPULATION AND VITAL STATISTICS Estimated mid-year resident population 42,260 Population density 406 per square kilometre Estimated mid-year resident population by sex: male female 20,762 21,498 (49.1%) (50.9%) Estimated end-of-year resident population 42,396 Population density 408 per square kilometre sex ratio 966 males per 1000 females Estimated female mid-year resident population 15-49 years 10,976 Percentage of total female population Percentage of total population (both sexes) Estimated mid-year population 60 years and over Percentage of total population Estimated mid-year population 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) INFRASTRUCTURE AND PERSONNEL Beds Population : bed ratio Doctors Population : doctor ratio Dentists Population : dentist ratio Nurses (including midwives) Population
 : nurse ratio Male Female Both Sexes 51.1 26.0 11.6 8.1 17.8 per 1000 mid-year population 6.0 per 1000 mid-year population 13.1 per 1000 total births 22.3 per 1000 total births 14.6 per 1000 live births 14.6 per 1000 live births - per 1000 live births 238 inhabitants per bed 1,696 inhabitants per doctor 14,132 inhabitants per dentist 232 inhabitants per nurse 4,902 3,418 752 254 10 17 11 11 - 73.7 78.6 76.1 178 25 3 183 108 SELECTED HEALTH VARIABLES AND INDICATORS ISLAND OF RODRIGUES - 2016 (cont.)
Variable/Indicator Number/Value Denominator MATERNAL AND CHILD HEALTH Births attended by qualified personnel Percentage of all births reported by hospitals (746) Children with a birthweight of less than 2.5 kg Percentage of live births (hospital & health centres= 741) Total Fertility Rate Net Reproduction Rate IMMUNIZATION Children immunized against tuberculosis Immunization coverage Children immunized against diphtheria, whooping cough, tetanus, Hib Immunization coverage 99.6 78 720 718 Children immunized against measles/mumps/rubella (MMR) 629 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 542 - - 7 116 34 29 17 12 10.5 2.3 1.1 98.6 per 100 surviving infants 98.4 per 100 surviving infants 86.2 per 100 surviving infants 70.1 per 100 estimated pregnant women - - per 10,000 mid-year population per 10,000 mid-year population 1.7 per 10,000 mid-year population 45.7 27.4 13.4 8.0 11.4 6.9 6.7 4.0 4.7 2.8 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 ISLAND OF RODRIGUES An analysis of the health situation Rodrigues Island, administratively autonomous, is of volcanic origin, with an area of 104 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 42,058 in 2015 to 42,396 in 2016; the growth rate was 0.8%.

The population density at the end of 2016 was 408 inhabitants per square kilometer.
The proportion of population aged under 15 years decreased from 30.9 % in 2006 to 27.1 % in 2016, while in the same period, the proportion of elderly population (aged 65 years and above) increased from 6.5 % to 8.1 %.

During the last 10 years, the total dependency ratio has decreased from 597.3 per 1,000 mid year population aged 15-64 years to 542.3; the young age dependency ratio decreased from 492.9 to 418.8 while the old age dependency ratio increased from 104.5 to 124.9.
Based on the 2011 Population Census data, life expectancy at birth in Rodrigues was estimated to be 73.7 years for men and 78.6 years for women in 2016.

The number of live births registered in 2015 and 2016 was 681 and 752 respectively, corresponding to an increase in crude birth rate from 16.2 per 1,000 mid-year population to 17.8.

The crude death rate was 6.0 per 1,000 mid-year population in 2015 and 2016 equally with 251 and 254 deaths respectively.
110 ISLAND OF RODRIGUES The number of infant deaths, that is deaths among children aged under one year, registered in 2015 and 2016 was 8 and 11 respectively, corresponding to an increase in the infant mortality rate from 11.7 per 1,000 live births to 14.6.

In the same period, stillbirth rate also increased from 10.2 per 1,000 births to 13.1.
HEALTH DELIVERY SYSTEM In the Island of Rodrigues, at the end of 2016, there were one hospital with 146 beds and two health centres with in-patient facilities equipped with a total of 32 beds.

This brought the total number of beds in government institutions providing in-patient facilities to 178 as compared to 176 in 2006.

Patients in need of tertiary health care are referred to Mauritius as and when required.
At the end of 2016, there were 14 Community Health Centres, providing primary health care 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 2016, there were 25 doctors in the Island of Rodrigues that is one doctor for 1,696 inhabitants compared to 2,327 inhabitants in 2006.
There were 3 dentists 200120022003200420052006200720082009201020112012201320142015201605101520253023.324.227.216.613.91417.220.621.811.714.612.27.317.924.813.213.417.57.66.911.14.310.94.311.5INFANT MORTALITY RATESTILLBIRTH RATE10.213.123.415.412.322.28.5 111 ISLAND OF RODRIGUES that is one for 14,132 inhabitants at the end of 2016 while in 2006 the ratio was one for 18,615 inhabitants.
Some 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 183 at the end of 2016, that is one nurse/midwife for 232 inhabitants compared to one for 240 inhabitants in 2006.

IN-PATIENT SERVICE The total number of admissions at Queen Elizabeth Hospital and the two Health Centres (Mont Lubin and La Ferme) was 10,846 in 2016, while in 2015 it was 11,382.
The percentage decrease in admissions over the one-year period was 4.7%.

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

OUT-PATIENT SERVICE The total number of attendances at the out-patient departments, that is the Accident & Emergency and the Sorted/Unsorted Unit at Queen Elizabeth Hospital, Mont Lubin and La Ferme Health Centres was 195,439 in 2016, while in 2006 it was 171,317.
In 2016, the number of attendances for the treatment of common diseases and injuries at Community Health Centres was 45,107 as compared to 57,348 in 2015, that is, a 21.3% decrease.

MATERNAL AND CHILD HEALTH In 2016, a total of 743 births (including 2 stillbirths) were reported by the Maternity Section of Queen Elizabeth Hospital, Mont Lubin HC and La Ferme HC.
741 live births were attended by trained personnel, out of which 78 were low birth weight babies (less than 2500 grammes) representing 10.5% as compared to 13.2 % in 2015 and 11.0% in 2014.

In 2016, a total of 746 live births were reported by the MCH services.

720 babies were immunized against Tuberculosis (BCG) by MCH staff, 718 babies against Diphtheria, Haemophilus influenza type B, hepatitis B and oral Polio Vaccine (3rd dose) and 629 against Measles/mumps/rubella (MMR).
Rotavirus vaccine was introduced in March 2015 and a total of 969 (1st dose 530, 2nd dose 439) shots were performed.

In 2016, there were 1,460 shots (1st dose 745 and 2nd dose 715) 112 ISLAND OF RODRIGUES DENTAL HEALTH The total number of attendances at the three dental clinics in 2016 was 17,356 while in 2006 it was 14,247.

This represented an increase of 21.8% during the 10-year period.
MORBIDITY The number of discharged patients in 2016 was 10,390, out of which 826 (7.9%) were treated for Complications of pregnancy, childbirth and the puerperium (excluding Normal deliveries and Complications following abortions), 576 (5.5%) for Injuries (crushing & superficial injuries, fractures, open wounds, dislocation, sprain and strains and 604 (5.8%) for Delivery without mention of complications).
In 2016, the principal diseases contributing to first attendances at the 14 Community Health Centres were tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat and URTI with 1,944 attendances (16.4%) followed by cough, pain in throat, chest pain, wheezing, hiccough and sneezing with 1,259 attendances (10.6%).

Fever/pain all over with 904 attendances (7.6%) stood in the third position.
Diseases grouped by ICD chapters indicate that Diseases of respiratory system was 15.2 % of total first attendances at Community Health Centres in 2006 compared to 28.5 % in 2016.

During the same period, first attendances due to Infectious and parasitic diseases increased from 6.1% to 10.9 %.

Diseases of the musculoskeletal and connective tissue were 14.7 % of first attendances in 2006 compared to 7.6% in 2016; the high percentage in 2006 was probably due to the outbreak of chikungunya in the island.
The number of cases treated for scabies at community health centres in Rodrigues has continuously decreased from 693 in 2011 to 201 in 2015.

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).

However, the number of attendances due to scabies has increased to 239 in 2016.

113 ISLAND OF RODRIGUES CAUSE OF DEATH In 2016, 254 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 45.7% of all deaths.

Diabetes and other endocrine, nutritional & metabolic disorders with 13.4% were in the second position followed by Cancer and other Neoplasms with 11.4%, Diseases of the respiratory system (6.7%) and Diseases of the digestive system (3.5%).
During the period 2000-2016, seven maternal deaths have been registered in the Island of Rodrigues.

No maternal death has been registered in 2016 whereas 2 such deaths were reported in 2015.
ISLAND OF RODRIGUES STILLBIRTHS, PERINATAL, NEONATAL AND INFANT DEATHS 1992 - 2016 STILLBIRTHS EARLY NEONATAL DEATHS PERINATAL DEATHS LATE NEONATAL DEATHS NEONATAL DEATHS NUMBER 5 3 2 2 4 7 3 10 6 24 12 12 15 6 5 8 3 8 3 8 7 10 RATE @ 6.8 4.0 2.8 2.8 5.8 9.0 3.7 12.2 7.3 24.8 13.2 13.4 17.5 7.6 6.9 11.1 4.3 10.9 4.3 11.5 10.2 13.1 NUMBER 6 12 11 8 4 15 11 13 12 15 4 13 8 6 6 9 10 5 2 9 4 7 RATE z 8.2 16.1 15.2 11.2 5.9 19.5 13.6 16.0 14.7 15.8 4.5 14.8 9.5 7.7 8.3 12.6 14.3 6.9 2.9 13.1 5.9 9.3 NUMBER 11 15 13 10 8 22 14 23 18 39 16 25 23 12 11 17 13 13 5 17 11 17 RATE @ NUMBER 14.9 20.1 17.9 14.0 11.7 28.4 17.3 28.0 22.0 40.2 17.6 28.0 26.8 15.2 15.2 23.5 18.5 17.7 7.1 24.4 16.0 22.3 3 2 - - 2 1 3 2 2 3 1 5 3 3 - - 1 3 - - 2 4 RATE z 4.1 2.7 - - 2.9 1.3 3.7 2.5 2.5 3.2 1.1 5.7 3.6 3.8 - - 1.4 4.1 - - 2.9 5.3 NUMBER 9 14 11 8 6 16 14 15 14 18 5 18 11 9 6 9 11 8 2 9 6 11 RATE z - z Per 1,000 live births YEAR 1992 1994 1995 1996 1997 1999 2000 2001 2002 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 POST-NEONATAL DEATHS NUMBER RATE z INFANT DEATHS NUMBER 18 15 16 14 13 21 16 19 19 21 11 24 13 13 10 10 12 15 6 15 8 11 RATE z - @ Per 1,000 total births ( live births and stillbirths) DEFINITIONS: 1.
STILLBIRTH: A child born dead after the 28th week of pregnancy 2.

EARLY NEONATAL DEATHS: Deaths occurring in the 1st week of life 3.

PERINATAL DEATHS: Stillbirths plus early neonatal deaths 4.

LATE NEONATAL DEATHS: Deaths between 1 week and 4 weeks 5.

NEONATAL DEATHS: Deaths under 4 weeks 6.

POST-NEONATAL DEATHS: Deaths between 4 weeks and 1 year 7.
INFANT DEATHS: Deaths under 1 year 115 ISLAND OF RODRIGUES ESTIMATED MID-YEAR RESIDENT POPULATION BY AGE AND SEX - 2016 AGE-GROUP MALE FEMALE BOTH SEXES Number % Number % Number % (years) 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 - 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 16 & OVER 18 & OVER 21 & OVER 60 & OVER 65 & OVER MEAN AGE MEDIAN AGE DEPENDENCY RATIO* 540.06 * [(Population under 15 + population 65 & over) / Population 15 - 64] x 1000 544.54 SELECTED HEALTH PERSONNEL AS AT END-OF-YEAR IN THE PUBLIC SECTOR 116 ISLAND OF RODRIGUES as at 31.
12.

2014 as at 31.

12.

2015 as at 31.

12.
2016 MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL Medical Officer (all grades) Dental Surgeon Senior Dental Assistant Dental Assistant Nursing Administrator * Nursing Supervisor * Charge Nurse */ward manager Nursing Officer Nursing Officer with Midwifery Principal/Senior midwife Midwife Public 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 19 2 - - 1 3 19 50 - - - 2 1 1 2 1 2 - 2 - 1 2 5 - 1 - - 2 - - 2 - - * including officers appointed in an acting capacity 4 0 1 3 1 3 19 45 2 3 22 1 - - - - 3 1 - 3 - - 2 2 - - - 1 3 19 53 - - - 2 1 1 2 1 2 - 2 - 1 2 5 - 1 - - 2 - - 2 - - 4 0 1 3 1 3 19 55 2 13 12 1 - - - - 3 1 - 3 - - 2 2 - - - 1 4 19 52 - - - 2 1 1 2 1 1 1 2 - 1 3 5 - 1 - - 2 - - - - - 4 - 1 3 1 4 20 51 3 13 12 1 - - - - 4 - - 3 - - 1 3 - SELECTED HEALTH MANPOWER STATISTICS AS AT END-OF-YEAR Doctor Dentist Pharmacist@ Nurse and Midwife Health Inspector Laboratory Technologist Medical Imaging Technologist Dispenser Health Records Staff @ in the private sector as at 31.
12.

2014 as at 31.

12.

2015 as at 31.

12.

2016 NUMBER 23 2 2 171 4 6 3 10 14 POPULATION PER GRADE 1,817 20,894 20,894 244 10,447 6,965 13,929 4,179 2,985 NUMBER 26 2 2 185 4 6 3 10 14 POPULATION PER GRADE 1,618 21,029 21,029 227 10,515 7,010 14,019 4,206 3,004 NUMBER POPULATION PER GRADE 25 3 2 183 4 6 3 10 17 1,696 14,132 21,198 232 10,599 7,066 14,132 4,240 2,494 117 ISLAND OF RODRIGUES SUMMARY OF WORK PERFORMED IN HOSPITAL/HEALTH CENTRES* - 2016 Institution Number of beds No.
of admissions Percentage Bed Occupancy Male Female Both Sexes Quarter 1st 2nd 3rd 4th Number of Deaths Year Number of Operations performed Minor Major Total Q. Elizabeth 146 3,885 5,465 9,350 58.8 62.3 58.4 53.3 58.2 98 779 1,126 1,905 Hospital Mont Lubin H.C. 24 236 684 920 28.0 30.9 18.0 13.0 22.4 La Ferme H.C. & 8 164 412 576 16.2 10.7 10.4 3.4 11.5 - - .

.

.

.

.

.

.

.

.

.

.

.


T o t a l 178 4,285 6,561 10,846 48.8 51.3 46.6 45.0 47.6 98 779 1126 1,905 * with in-patient services & Male and female wards closed for renovation .

.
not applicable (no operations are performed at Mont Lubin H.C. and La Ferme H.C.) WORK PERFORMED IN MATERNITY SECTIONS - 2016 Deliveries Outcome of Deliveries Low Birthweight# Normal Caesarian Other @ Total Stillbirths Live births Total births Number % Live births Stillbirth Rate * % Caesarian Section 482 240 3 725 2 725 727 76 10.5 2.8 33.1 8 8 - - - - 8 8 - - 8 8 8 8 2 25.0 - - - - - - Institution Q. Elizabeth Hospital Mont Lubin H.C. La Ferme H.C. T o t a l 498 240 3 741 2 741 743 78 10.5 2.7 32.4 NB: Hospitals services reported a total of 746 births ( including 3 born before arrival) @ forceps delivery,breech delivery etc.
# birthweight of less than 2,500 grammes * per 1,000 total births CASES REFERRED TO MAURITIUS BY QUEEN ELIZABETH HOSPITAL Number of patients of whom accompanied by: Nursing Officer Relative 2013 413 107 295 2014 433 135 331 2015 495 176 440 2016 443 146 400 118 ISLAND OF RODRIGUES OUT-PATIENT ATTENDANCES – 2016 Number of out-patient attendances INSTITUTION Accident & Emergency/unsorted OPD# Sorted OPD# Other * TOTAL HOSPITAL QUEEN ELIZABETH II 43,692 22,322 9,186 75,200 HEALTH CENTRES MONT LUBIN LA FERME T o t a l 37,350 28,952 109,994 12,158 8,535 43,015 22,837 10,407 42,430 72,345 47,894 195,439 * Follow up for injections , dressings etc.
# seen by doctor ATTENDANCES FOR TREATMENT OF COMMON DISEASES AND INJURIES AT COMMUNITY HEALTH CENTRES – 2016 C E N T R E 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter ALLEE TAMARIN 31 47 42 50 BAIE AUX HUITRES 1,249 1,346 1,195 1,206 BAIE TOPAZE CASCADE JEAN-LOUIS GRAND BAIE MALARTIC MANGUES PETIT GABRIEL PORT SUD EST RIVIERE COCOS ROCHE BON DIEU SOUPIRS BATATRAND MONTAGNE GOYAVE T O T A L 11,915 11,639 11,448 10,105 Total 170 4,996 1,748 1,508 863 913 5,034 11,265 6,776 3,800 2,612 1,871 1,816 1,735 45,107 119 ISLAND OF RODRIGUES ACTIVITIES CARRIED OUT AT QUEEN ELIZABETH HOSPITAL-2016 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 Male 152 543 695 416 1,425 1,841 NUMBER Female 154 377 531 533 1,838 2,371 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 14,934 examinations were carried out on 12,363 patients.
TOTAL* C. HAEMODIALYSIS UNIT DETAIL Dialysis done on patients@ Patients as at end of year @ during 642 sessions Total 306 920 1,226 949 3,263 4,212 NUMBER 6,061 3,826 1,708 1,034 2,275 2 1 4 23 14,934 NUMBER 3,440 26 120 ISLAND OF RODRIGUES STATISTICS RELATING TO MATERNAL AND CHILD HEALTH ACTIVITIES - 2016 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 % 368 378 101 43.4 44.6 12.0 847 100.0 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 30 54 184 259 309 % 3.6 6.5 22.0 31.0 37.0 TOTAL 836 100.0 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 847 6,371 847 6,389 673 637 5,794 of whom reported underweight Nil of whom reported overweight Nil EXAM.
OF CHILDREN UNDER 5 YEARS BY DOCTOR# First attendances Subsequent attendances TOTAL ATTENDANCES * of which 868 were referred to hospital # figures are estimates based on attendances for cash gifts 507 1,272 23,337 STATISTICS RELATING TO EXPANDED PROGRAMME ON IMMUNIZATION - 2016 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/IPV: 1st dose 2nd dose 3rd dose* (excluding Hep B) HEPATITIS B 3rd dose Booster dose (excl.Hep B) ROTAVIRUS* 1st dose 2nd dose PNEUMOCOCCAL@ 1st dose 2nd dose 3rd dose D.T, O.P.V & HEP.B: 1st dose 2nd dose 3rd dose Booster dose (excl.
Hep B) TOTAL ATTENDANCES PREGNANT WOMEN TETANUS TOXOID: 1st dose 2nd dose Booster dose (1 year after 2nd dose) TOTAL ATTENDANCES * started in March 2015 @ started in June 2016 ACTIVITIES RELATING TO BASIC SANITATION AND FOOD HYGIENE -2016 720 629 755 728 726 278 531 745 715 522 410 86 - - - - 6,845 590 507 35 1,132 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 1,540 153 - - 5,542 2,202 - - 136 558 139 328 1,514 15,048 269 122 ISLAND OF RODRIGUES TABLE A: ATTENDANCES AT DENTAL CLINICS 2012 – 2016 Attendances Cases seen by dentists: 2012 2013 Children < 5 years Children aged 5-11 years Persons aged 12 years & above SUBTOTAL 583 3,107 11,003 14,693 532 3,520 10,528 14,580 Cases seen by specialists: Number 2014 525 4,390 12,106 17,021 2015 2016 526 3,552 11,690 15,768 657 3,490 12,724 16,871 Orthodontists Oral Surgeons TOTAL ATTENDANCES 245 109 15,047 267 113 14,960 389 176 17,586 456 163 16,387 372 113 17,356 TABLE B: CASES SEEN BY TYPE OF DENTAL CARE Dental care 2012 2013 Number 2014 2,392 2,445 3,115 22 162 402 23 154 244 127 1,011 13 134 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 NB: Drastic changes in certain yearly figures are mainly due to administrative reasons - 156 TABLE C: ORTHODONTIC ACTIVITY ACTIVITY No of impressions taken No of appliances delivered No of appliances repaired 2012 42 40 2 2013 39 39 - Number 2014 60 56 - 2015 49 47 - 2016 46 46 - DISTRIBUTION OF CERTAIN NOTIFIABLE DISEASES REPORTED TO SANITARY AUTHORITIES 2001 – 2016 ISLAND OF RODRIGUES DISEASE YEAR 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 @ S D I A / V
 I H - - 2 1 3 5 9 7 5 8 9 5 4 3 11 7 S I S A I B E O M A - - - 1 5 - - - - - - - - - - - D O O F * G N I N O S I O P 15 4 - 3 - - - 2 13 9 26 7 1 26 40 36 # A E O H R R O N O G … … … … … … … … … … … … … 15 17 19 HEPATITIS # B C Y S O R P E L S I S O R I P S O T P E L A I R A L A M ) D E T R O P M I ( S E L S A E M # S I T I G N I N E M … … … … … … … … … … 8 10 9 9 12 21 … - … - … - … - … - … - … - … - … - … - - 7 - 3 - 6 - 6 8 - 14 - - - - - - - - - - - - - 1 - - - 1 - - - - - - 1 - - 1 - - - - - 27 6 6 - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 # S I L I H P Y S … … … … … … … … … … … … … 15 18 55 TUBERCULOSIS* PULMONARY OTHER - 1 - 2 1 - 1 - 3 - - 1 1 2 - - - - - - - - - - - - - - - - - - 1 2 3 * The following forms of tuberculosis are notifiable: respiratory, skeletal, of meninges and central nervous system @ Human Immuno-Deficiency Virus/Acquired immuno-deficiency syndrome N.B.
553 cases of chikungunya were reported in 2006 mostly in April # Source: Rodrigues Laboratory Services (positive samples) * mostly fish poisonong case as from 2014 124 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF DISCHARGES FROM HOSPITAL AND HEALTH CENTRES - 2016 (The distribution of discharges by I.C.D.

Chapter is on page 125) DISCHARGES C A U S E (ICD-10) FEMALE MALE No.
Complications of pregnancy, childbirth and the puerperium Delivery without mention of complications Injuries (Crushing & superficial injuries, fractures, open wounds , dislocations, sprains & strains) Diabetes mellitus Acute upper respiratory infections Bronchitis (chronic and unspecified, emphysema, and asthma) Hypertensive disease Gastritis and duodenitis Nausea and vomiting 10 Ill-defined intestinal infections (colitis, enteritis, gastro-enteritis, diarrhoea) 11 Epilepsy 12 Heart diseases # 13 Cellulitis and abscess 14 Abdominal pain 15 Dorsopathies including spondylopathies 16 Poisonings and toxic effects 17 Anaemias 18 Complications following spontaneous and other abortions 19 Fever (Pyrexia) of unknown origin 20 Malaise and fatigue 21 Diseases of eye and adnexa 22 23 Convulsions Cerebrovascular disease 24 Non-dependent abuse of alcohol 25 Symptoms involving heart beat & cardiac murmurs 26 Alcohol dependence syndrome 27 Appendicitis 28 Symptoms involving urinary system 29 Headache 30 Non-inflammatory disorders of vagina 31 Dyspnoea and other abnormalities of breathing 32 Rheumatism, unspecified 33 Chest pain 34 Gout All other causes T O T A L - - 418 185 174 158 130 127 118 100 154 128 103 82 67 87 42 - 68 42 59 65 49 56 22 53 24 41 5 - TOTAL % # 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 – 2016 CHAPTER DISCHARGES (I.C.D.

10th Revision ) MALE FEMALE TOTAL 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 196 67 51 200 236 185 59 20 355 501 371 165 148 218 No.

343 281 157 526 423 297 116 44 699 147 214 106 326 187 112 57 24 344 521 1,022 326 164 197 505 697 329 345 723 % 3.3 2.7 1.5 5.1 4.1 2.9 1.1 0.4 6.7 9.8 6.7 3.2 3.3 7.0 15.
Pregnancy, childbirth & the puerperium - 1,562 1,562 15.0 16.
Certain conditions originating in the perinatal period 116 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 26 622 593 61 126 13 242 39 2.3 0.4 699 1,321 12.7 300 270 893 331 8.6 3.2 T O T A L 4,190 6,200 10,390 100.0 Note: The above table is based on data received on discharged patients from Hospital/ Health Centres.
The table on page 120 contains the total number of admissions at Hospital/Health Centres.

126 ISLAND OF RODRIGUES CERTAIN PRINCIPAL CAUSES OF FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES - 2016 CAUSE (I.C.D.

10TH REVISION) MALE FEMALE T O T A L No.


% 1 Tonsilitis, laryngitis, nasopharyngitis (common cold), sore throat, URTI 2 Cough, pain in throat, chest pain, wheezing, hiccough, sneezing 3 Fever / pain all over 4 Influenza 5 Gastroenteritis and diarrhoea of presumed infectious origin 6 Sinusitis, rhinitis, nasal polyp, blocked nose 7 Abdominal and epigastric pain 8 Helminthiasis (worms).
9 Gout , arthritis, pain in joint 10 Gastritis and duodenitis 11 Superficial injury, open wound, spain/strain, fractures, burns and other injuries 12 Headache, dizziness, giddiness 13 Dermatitis, eczema , itching, ingrowing nail, acne, vitiligo and other diseases of the skin and subcutaneous tissue (excluding skin abscess etc - see below) 14 Nausea and vomiting 15 Spondylosis, neck pain, low back pain, backache 16 Scabies.
17 Conjunctivitis 18 Rheumatism, muscular pain, myalgia, pain in limb 19 Cystitis, urinary tract infection 20 Vaginitis, bleeding PV, leukorrhoea, menstrual disorders 21 22 Malaise, fatigue , weakness, blackout, fainting and other symptoms and signs Otitis, wax in ear, earache and other diseases of the ear and mastoid process 23 Localised swelling, mass, lump of skin, rash 24 Indigestion, constipation, irritable bowel syndrome, anal / rectal abscess 25 Bronchitis, emphysema, asthma 26 Skin abscess , boil, cellulitis, cyst, septic leg (non-diabetic) 27 Swelling gum, gingivitis, dental caries, stomatitis, disease of lip 28 Anemias 29 Malnutrition and other nutritional deficiencies 30 Hypertension All other causes - T O T A L 5,309 6,538 11,847 100.0 175 276 451 127 ISLAND OF RODRIGUES FIRST ATTENDANCES AT COMMUNITY HEALTH CENTRES FOR THE TREATMENT OF COMMON DISEASES AND INJURIES BY I.C.D.
CHAPTER AND SEX – 2016 FIRST ATTENDANCES CHAPTER (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 608 - 12 31 3 31 144 61 53 680 1 60 36 10 84 176 77 73 TOTAL No.

1,288 1 72 67 13 115 320 138 126 % 10.9 0.0 0.6 0.6 0.1 1.0 2.7 1.2 1.1 10.

Diseases of the respiratory system 1,470 1,902 3,372 28.5 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 Congenital malformations, deformations & chromosomal abnormalities 17.
18 370 197 450 100 - 1 1 248 234 453 338 - - - 618 431 903 438 - 1 1 5.2 3.6 7.6 3.7 0.0 0.0 0.0 Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 1,546 2,011 3,557 30.0 19 & 20 Injury, poisoning & certain other consequences of external causes 231 155 386 3.3 T O T A L 5,309 6,538 11,847 100.0 128 ISLAND OF RODRIGUES EARLY NEONATAL DEATHS - 2016 ( Deaths under one week [ age group 0 - 6 days ] ) NUMBER OF DEATHS CAUSE ( I.C.D.
10 ) Birth asphyxia Respiratory distress syndrome Congenital malformation of heart Neonatal cardiac failure Osteogenesis imperfecta Multiple congenital malformations TOTAL EARLY NEONATAL DEATHS MALE FEMALE - - - 1 1 1 3 1 1 - - 1 1 4 TOTAL % 14.3 14.3 14.3 14.3 14.3 28.6 100.0 No.
1 1 1 1 1 2 7 LATE NEONATAL DEATHS - 2016 ( Deaths between one and four weeks [ age group 7 - 27 days ] ) CAUSE (ICD-10) Aspiration pneumonia Respiratory distress syndrome Congenital malformation of heart Total Late Neonatal Deaths NUMBER OF DEATHS MALE FEMALE TOTAL 1 2 - 3 - - 1 1 1 2 1 4 POST-NEONATAL DEATHS – 2016 ( Deaths between four weeks and one year [ age group 28 - 364 days ] ) CAUSE ( I.C.D.
10) NUMBER OF DEATHS MALE FEMALE TOTAL Total Post Neonatal Deaths - - - INFANT DEATHS – 2016 ( Deaths under one year [ age group 0 - 364 days ] ) CAUSE ( I.C.D.

10 ) Birth asphyxia Respiratory distress syndrome Congenital malformation of heart Neonatal cardiac failure Aspiration pneumonia Osteogenesis imperfecta Multiple congenital malformations TOTAL INFANT DEATHS NUMBER OF DEATHS MALE FEMALE TOTAL No.
- - 2 1 1 1 1 6 1 1 1 - - 1 1 1 3 2 1 1 1 2 5 11 % 9.1 27.3 18.2 9.1 9.1 9.1 18.2 100.0 129 ISLAND OF RODRIGUES CHILD@ DEATHS - 2016 CAUSE (I.C.D 10) Child deaths Total @ aged 1-4 years NUMBER OF DEATHS Male Female Total - - - - - - INFANT ( UNDER ONE YEAR) DEATHS BY SEX AND DETAILED AGE - 2016 MALE FEMALE TOTAL No.

% No.

% No.
AGE AT DEATH Under 1 day 1 day 2 days 3 days 4 days 5 days 6 days Sub-total 0 - 6 days 7 - 13 days 14 - 20 days 21 - 27 days Sub-total 0 - 27 days 28 - 59 days 2 months 3 months 4 months 5 months 2 1 - - - - - 3 2 1 - 6 - - - - - 33 - 16.7 - - - - 1 2 1 - - - - 50.0 4 33.3 16.7 - - - 1 20.0 40.0 - - 20.0 - - 80.0 - - 20.0 3 2 1 - 1 7 2 1 1 - - % 27.3 18.2 9.1 0.0 9.1 0.0 0.0 63.6 18.2 9.1 9.1 100.0 5 100.0 11 100.0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 100.0 11 100.0 - - - - - - - - - - - - - - - - - Sub-total under 6 months 6 100.0 5 6 months 7 months 8 months 9 months 10 months 11 months - - - - - - - - - - - - TOTAL UNDER ONE YEAR 6 100.0 5 100.0 11 100.0 130 ISLAND OF RODRIGUES SELECTED CAUSES OF DEATH (ALL AGES) – 2016 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.
% 24 18.8 15 11.9 39 15.4 1.6 2 1.6 2 - - 1 0.8 19 14.8 3.9 5 7.8 10 5.6 7 3.2 4 - - 6 4.8 21 16.7 7.1 24 19.0 9 3 - - - 2 2 2.3 - - - 1.6 1 8 1 2 1 0.8 6.3 0.8 1.6 0.8 1.6 - - 0.8 1 - - - - 0.8 1 - - 1.6 2 0.8 1 0.8 1 - - - - 0.8 1 1.6 2 - - - - - - 6.3 8 - - - - - - 1.6 2 - - 3.1 4 0.8 1 1.6 2 - - 2.3 3 0.8 1 1.6 2 1 0.8 4 3.1 27 21.1 21 16.7 128 100.0 126 100.0 9 6 - 7 3.5 2.4 - 2.8 40 15.7 5.5 14 34 13.4 4 8 1 2 3 2 1.6 3.1 0.4 0.8 1.2 0.8 1 1 2 2 - 3 - 8 - 2 4 3 3 3 5 0.4 0.4 0.8 0.8 - 1.2 0.0 3.1 - 0.8 1.6 1.2 1.2 1.2 2.0 48 18.9 254 100.0 131 ISLAND OF RODRIGUES DEATHS (ALL AGES) BY I.C.D.
CHAPTER AND SEX - 2016 CAUSE ( ICD - 10 ) MALE DEATHS FEMALE TOTAL No.

% No.

% No.

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.

Certain conditions originating in the perinatal period 17.

Congenital malformations, deformations & chromosomal abnormalities 18.
Symptoms, signs & abnormal clinical & laboratory findings, not elsewhere classified 19.
Injury, poisoning & certain other consequences of external causes 0.8 14.3 - - 4 29 1 % 1.6 11.4 0.4 19.0 34 13.4 3 11 1 10 1 5 - - 54 11 8 1 - 5 - 3 2 3 2.3 8.6 0.8 7.8 0.8 3.9 - - 1 18 24 - 3 - - - 2.4 - - 42.2 62 49.2 8.6 6.3 0.8 - 3.9 - 2.3 1.6 6 1 3 - 1 - 2 3 4.8 0.8 2.4 - 0.8 - 1.6 2.4 2.3 - - 1 8 - - 116 17 - - 9 4 6 5 5 3 0.4 3.1 - - 45.7 6.7 3.5 1.6 - 2.4 - 2.0 2.0 1.2 10 7.8 2 1.6 12 4.7 T O T A L 128 100.0 126 100.0 254 100.0 132 ISLAND OF RODRIGUES DISTRIBUTION OF DEATHS BY AGE-GROUP AND SEX, AND AGE-SPECIFIC DEATH RATES PER 1,000 MID-YEAR RESIDENT POPULATION - 2016 DEATHS DEATH RATES AGE-GROUP (years) MALE FEMALE BOTH SEXES Number Number Number Percentage Percentage Cumulative MALE BOTH FEMALE 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 - 84 85 & over 6 - - - - 1 4 3 2 3 4 8 9 10 17 16 16 16 13 5 - - - - 1 1 - 3 2 2 7 7 10 5 19 18 16 30 11 - - - - ALL AGES 128 126 254 100.0 6.2 5.9 6.0 133 GLOSSARY REPULIC OF MAURITIUS For the purpose of this report, the Republic of Mauritius comprises the main land called “Mauritius” or “Island of Mauritius” and the “Island of Rodrigues” which is located 560 km north-east of Mauritius.
RESIDENT POPULATION The “resident population” comprises all persons residing in the country at a point in time.

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 CHILDBEARING YEARS 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.

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.
The irreversible cessation of all the following (i) total cerebral function (ii) spontaneous function of the respiratory system and spontaneous function of the circulatory system.

DEATH CERTIFICATE A legal document signed by a medical practitioner indicating the morbid conditions which lead directly to death and to state any antecedent conditions giving rise to this cause.

EPIDEMIC Infections diseases occurring suddenly in numbers clearly in excess of normal expectancy.
FECUNDITY FERTILITY FOETAL DEATH 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.
(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.

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).

134 GLOSSARY 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 NATURAL INCREASE 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.

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 PARADONTAL DISEASES POSTNATAL EXAMINATIONS 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 Disease of the soft tissue surrounding the tooth Examination and care of mother after delivery VITAL STATISTICS Demographic data on live births, stillbirths, deaths and marriages.
AGE-SPECIFIC FERTILITY RATE FERTILITY RATES 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 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.

GENERAL FERTILITY RATE GROSS REPRODUCTION RATE NET REPRODUCTION RATE 135 GLOSSARY 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.

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

MORTALITY RATES AGE SPECIFIC DEATH RATE The number of deaths for a specific age/age group divided by mid year population for this age/age group and multiplied by 10,000.
CAUSE SPECIFIC DEATH RATE Number of deaths due to a specific disease/s divided by mid year population multiplied by 10,000 CRUDE DEATH RATE The number of deaths registered during a calendar year, divided by the estimated mid-year population, and multiplied by 1,000; expressed per 1,000 mid-year population.
INFANT MORTALITY RATE The number of deaths of children under the age of one year (0-364 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
NEONATAL MORTALITY RATE The number of deaths of children under the age of four weeks (0- 27 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
136 GLOSSARY EARLY NEONATAL MORTALITY RATE The number of deaths of children under the age of one week, (0-6 days) registered during a calendar year, divided by the number of live births registered during the same year, and multiplied by 1,000; expressed per 1,000 live births.
LATE NEONATAL MORTALITY RATE POST-NEONATAL MORTALITY RATE PERINATAL MORTALITY RATE CHILD (OR EARLY CHILDHOOD) MORTALITY RATE UNDER FIVE MORTALITY RATE MATERNAL MORTALITY RATIO INCIDENCE RATE The number of deaths of children aged between one week and four weeks (7-27 days) registered during a calendar year, divided by the number of live births registered during the same year , and multiplied by 1,000; expressed per 1,000 live births.
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.
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.
137 GLOSSARY MORBIDITY RATES PREVALENCE RATE 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.
B.C.G D.P.T H.I.B O.P.V HEP.B M.M.R D.T T.T IPV HPV ABBREVIATIONS PERTAINING TO VACCINES Bacille Calmette-Guerin (tuberculosis) Diphtheria, Pertussis (whooping cough) and Tetanus Haemophilus Influenzae Type B Oral Polio Hepatitis B Measles, Mumps and Rubella Diphtheria and Tetanus Tetanus Toxoid Inactivated Polio Human Papillo Virus 