The Council of Ministers adopted the Annual Report on the State of Citizens’ Health for 2022, the Council of Ministers announced.
According to the data from the report, in 2022, the trend of decreasing birth rates is maintained, with the number of live births decreasing by 2,082 compared to the previous year. At the same time, the total birth rate (8.8%) has increased compared to 2021 (8.5%) and approaches the level of the EU indicator (8.7%).
Bulgaria continues to have the highest overall mortality rate among EU countries, although in 2022 there was a decrease compared to the previous year – 18.4 per 1,900 people compared to 21.7% for 2021 and 11.5% on average for the EU. The main reason for the reduction of the high mortality rate is the abatement of the COVID-19 pandemic, from which 9,000 people died in Bulgaria in 2022 compared to 27,588 people in 2021.
The structure of mortality by cause has changed since the emergence of COV1D-19, which in 2021 was the second leading cause of death. In 2022, however, mortality from COVID-19 decreased and now occupies the third position as a cause of death (7.6%) after diseases of the circulatory organs (59.8%) and neoplasms (13.7%).
The infant mortality rate (4.8%) has decreased significantly compared to 2021 (5.6%) and is the lowest recorded to date, but remains higher than in the EU (3.2%). In the structure of deaths in children, up to the age of 1, the largest number of deaths is due to certain conditions occurring during the perinatal period, congenital anomalies, deformities and chromosomal aberrations, diseases of the respiratory system and circulatory organs, causing 32.4% of all deaths at this age.
In 2022, for the first time in recent years, an increase in the incidence of malignant neoplasms was observed (405.8%, at 392.3% for 2021, 399.3% for 2020 and 434.9% for 2019), with the highest incidence of breast cancer in women (92.2%), cancer of the digestive organs (90.2%) and cancer of the male genital organs (81.4%).
In Bulgaria, in recent years, a permanent trend has been observed to reduce the incidence of active tuberculosis from 39.1 per 100,000 in 2006. to 11.9 per 100,000 in 2022.
The report also presents the activities of public health protection, state health control, implementation of the country’s immunization calendar, programs, projects and plans in the field of public health. Lifestyle risk factors such as smoking, alcohol use, unhealthy diet and reduced physical activity are examined, the high level of which is directly linked to the high level of morbidity and mortality from chronic non-communicable diseases.
From the data and analyses, the conclusion is forced that the state of public health and the health of citizens is not at the required level, compared to the data for other countries. Chronic non-communicable diseases, which are the main cause of death and reduced working capacity, remain a serious challenge.
In view of this, it is necessary to carry out targeted policies regarding the promotion, prevention and early diagnosis of these diseases, of complex policies to increase the quality of life and well-being of people, as efforts must be supported by economic, social, educational and other measures, as well as the personal efforts of people to improve their lifestyle and limit harmful habits.
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2023-12-28 14:17:00
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