Health Statistics Ireland 1999 Ireland Statistics Health Health Statistics 1999 Health Statistics 1999 Prepared by Information Management Unit, Department of Health and Children (Pn. 7836) Price: IR£10, e12.70 © Government of Ireland 1999 ISBN: 0-7076-6298-2 BAILE ÁTHA CLIATH ARNA FHOILSIÚ AG OIFIG AN tSOLÁTHAIR Le ceannach díreach ón OIFIG DHÍOLTA FOILSEACHÁN RIALTAIS, TEACH SUN ALLIANCE, SRÁID THEACH LAIGHEAN, BAILE ÁTHA CLIATH 2. nó tríd an bpost ó FOILSEACHÁIN RIALTAIS, AN RANNÓG POST-TRÁCHTA, 4 - 5 BÓTHAR FHEARCHAIR, BAILE ÁTHA CLIATH 2. (Teil: 01 - 6476000; Fax: 01 - 4752760) nó trí aon díoltóir leabhar. DUBLIN PUBLISHED BY THE STATIONERY OFFICE To be purchased directly from the GOVERNMENT PUBLICATIONS SALE OFFICE, SUN ALLIANCE HOUSE, MOLESWORTH STREET, DUBLIN 2. or by mail order from GOVERNMENT PUBLICATIONS, POSTAL TRADE SECTION, 4 - 5 HARCOURT ROAD, DUBLIN 2. (Tel: 01 - 6476000; Fax: 01 - 4752760) or through any bookseller Designed by Brian Kelly Design Associates Printed by Introduction Introduction The mission of the Department of Health and Children is “In a partnership with the providers of health care, and in co-operation with other government departments, statutory and non-statutory bodies, to protect, promote and restore the health and well-being of people by ensuring that health and personal social services are planned, managed and delivered to achieve measurable health and social gain and provide the optimum return on the resources invested.” Statistical data on health status and on the health services are central to furthering this aim since accurate information forms the essential basis for service evaluation, policy formulation and the measurement of health gain. This compendium of health statistics brings together data from a wide variety of sources on demographics, health and health service utilisation. It has been extensively revised and expanded compared with earlier editions. The intention is to provide a statistical overview as well as serving as a resource and reference for those interested in particular aspects of health. The report’s new format reflects the shifting emphasis from illness to the promotion of healthy lifestyles, the need for better information, particularly in the areas of health status, health risks and health determinants, and the continued development of community-based health services. Colour has been introduced to highlight relevant table rows/columns and graphics are used wherever possible to display comparative figures and time trends. The first three sections of the report contain demographic and health status indicators: • Section A — Population and Population Projections; • Section B — Life Expectancy and Vital Statistics; • Section C — Health Status and Lifestyle. The remainder of the report deals with health services provision and associated employment and expenditure statistics: • Section D — Community Health and Welfare Services; • Section E — Children in Care; • Section F — Psychiatric Services; • Section G — Services for the Handicapped; • Section H — Acute Hospital Services; • Section J — District/Community Hospitals and Extended Care; • Section K — Health Service Employment Statistics; • Section L — Expenditure Statistics. Every effort has been made to preserve the continuity of time series from previous editions and, where appropriate, data for three years are provided to ensure that the annual series remain complete. The full Health Statistics Report is also available for downloading in PDF file format from the Department of Health and Children’s website: http://www.doh.ie. The website also includes statistical tables in HTML format which are updated as soon as new information becomes available and are therefore likely to supercede the information in the published report over the coming months. The website also contains much additional information on the delivery of health services, and the Department is committed to the development of its internet applications as the best method for delivering relevant and timely information. The Information Management Unit would like to thank all those involved in the compilation and production of this report. III Introduction The Health Board Areas Donegal North- Western Monaghan Sligo Mayo Leitrim Cavan North- Louth Roscommon Eastern Western West Meath Longford Meath Midland Kildare Dublin Galway Offaly Eastern Wicklow Clare Laois Carlow Tipperary Kilkenny Mid- North Tipperary Western South Limerick Wexford South-Eastern Waterford Southern Kerry Cork IV Contents Contents Page Section A Population and Population Projections Population 2 Figure 1 Total Population: 1841 to 1996 . 2 Table A1 Population of Ireland: Summary Statistics for Census Years 1961 to 1996 . 3 Table A2 Estimated Population by Sex, Each Year 1961 to 1998 . 4 Figure 2 Population Pyramid for Ireland for Census Year 1996 . 5 Table A3 Population of Each Health Board Area for Census Years, 1961 to 1996 . 5 Figure 3 Population by Health Board Area, 1966 and 1996 . 6 Figure 4 Percentage Distribution of Population by Health Board for Census Year 1996 . 6 Table A4 Population of Each Health Board Area: Summary Statistics for Census Year 1996 . 7 Figure 5 Young and Old Dependency Ratios by Health Board Area, 1996 . 8 Table A5 Population and Percentage Distribution by Age for EU countries, 1996 . 8 Figure 6 Percentage Population by Age Group: Ireland and EU, 1996 . 9 Population Projections 10 Table A6 Summary of Assumptions . 10 Table A7 Projected Total Population (000’s), 2001 to 2031 . .11 Figure 7 Projected Population: 1991 to 2031 for Different Assumptions . 11 Table A8 Projected Population (000’s) Classified by Sex and Age Group, 2001 to 2031 . 12 Figure 8 Population Pyramid for 1996 and 2031 . 13 Figure 9 Population Pyramid for 1996 and 2031 . 13 Figure 10 Actual Births: 1980 to 1998 Projected Births: 1999 to 2031 . 14 Figure 11 Projected Population for Younger Age Groups: 1996 to 2031 . 14 Figure 12 Projected Population for Older Age Groups: 1996 to 2031 . 15 Figure 13 Projected Dependency Rations: 1996 to 2031 . 15 Travelling People 16 Table A9 Age Structure of the Traveller Community, 1996 . 16 Table A10 Travellers Classified by Age Group and Sex, 1996 . 16 Table A11 Number of Travellers by Health Board Area, 1996. 17 Figure 14 Comparison of Age Structure of Travellers with Total Population . 17 V Contents Page Section B Life Expectancy and Vital Statistics Life Expectancy 20 Table B1 Life Expectancy at Selected Ages for the Period 1950 to 1995 . 20 Figure 1 Life Expectancy at Birth by Sex for Selected Periods: 1925 to 1995 . 21 Figure 2 Life Expectancy by Age and Sex, 1995 . 21 Table B2 Life Expectancy at Selected Ages for EU Countries . 22 Figure 3 Life Expectancy at Birth for Males and Females in EU Countries . 23 Figure 4 Life Expectancy at Age 65 for Males and Females in EU Countries . 23 Vital Statistics 24 Table B3 Births, Deaths and Marriages: Numbers and Rates, 1953 to 1998 . 24 Figure 5 Births, Deaths and Marriages, 1953 to 1998 . .25 Figure 6 Birth, Mortality and Marriage Rates, 1953 to 1998 . 25 Table B4 Births (Numbers and Rates), Place of Occurrence, Age at Maternity, Previous Children, Births Outside Marriage, 1968, 1978, 1988 and 1998 . .26 Figure 7 Total Fertility Rate, 1968, 1978, 1988 and 1998 . 27 Figure 8 Domiciliary Births as a Percentage of Total Births: 1968, 1978, 1988 and 1998 . 27 Figure 9 Births Outside Marriage as a Percentage of Total Births: 1953 to 1998 . 28 Figure 10 Percentage of Births to Mothers With Three of More Previous Children . 28 Table B5 Number of Births and Birth Rates (per 1,000 population) by Health Board Area, 1998 . 29 Figure 11 Birth Rates by Health Board Area 1998 . 29 Table B6 Birth Rates, Births Outside Marriage, Average Age of Maternity, Fertility Rates - EU Countries, 1995 . .30 Figure 12 Birth Rates: EU Countries . 30 Figure 13 Percentage of Live Births Outside Marriage: EU Countries . 31 Figure 14 Average Age at Maternity: EU Countries . 31 Figure 15 Total Fertility Rate: EU Countries . 32 Table B7 Principal Causes of Death, Crude Death Rates and Age-Standardised Mortality Rates Per 100,000 Population, 1968, 1978, 1988 and 1998 . 34 Figure 16 Deaths by Principal Causes, Percentage Distribution, 1998 . 35 Figure 17 Diseases of the Circulatory System – Trends in Age-Standardised Death Rates, 1970 to 1998 . 35 Figure 18 Cancer - Trends in Age-Standardised Death Rates, 1970 to 1998 . 36 Figure 19 External Causes - Trends in Age-Standardised Death Rates, 1970 to 1998 . .36 VI Contents Page Table B8 Principal Causes of Death and Crude Death Rates per 100,000 Population by Health Board Area 1998 and Age-Standardised Mortality Rates per 100,000 Population by Health Board Area 1993 t0 1997 . 37 Figure 20 Diseases of the Circulatory System - Mortality Rates by Health Board Area, 1993 to 1997 . 38 Figure 21 Cancer - Mortality Rates by Health Board Area, 1993 to 1997 . 38 Figure 22 External Causes of Injury and Poisoning - Mortality Rates by Health Board Area, 1993 to 1997 . 39 Table B9 Age-Standard Mortality Rates per 100,000 Population by Principal Causes: EU Countries . 39 Figure 23 Age-Standardised Mortality Rates for Diseases of the Circulatory System: EU Countries . 40 Figure 24 Age-Standardised Mortality Rates for Cancer: EU Countries . 40 Figure 25 Age-Standardised Mortality Rates for Motor Vehicle Traffic Accidents: EU Countries . 41 Table B10 Estimated Number of Deaths Attributed to Smoking, 1975, 1985, 1990 and 1995 . 41 Figure 26 Estimated Deaths from Smoking as a Percentage of Total Deaths, 1975, 1985, 1990 and 1995 . .42 Figure 27 Estimated Deaths from Smoking in 1995 as a Percentage of Total Deaths: EU Countries . .42 Table B11 Infant, Perinatal, Neonatal and Maternal Mortality, 1968, 1978, 1988 and 1998 . 43 Figure 28 Infant, Neonatal and Perinatal Mortality Rates, 1966 to 1998 . 44 Table B12 Number of Deaths and Rates for Stillbirths, Infant, Neonatal and Perinatal Mortality by Health Board Area, 1998 . 45 Figure 29 Perinatal Mortality Rates 1995, Infant and Neonatal Mortality Rates 1998, by Health Board Area .