Health, lifestyle, health care use and supply, causes of death; from 1900

Tabeltoelichting

Toelichting onderwerpen

Demographic key figures

Total number of people residing in the Netherlands on 1 January, number of live born children and persons deceased.

Population on January 1

Total number of people residing in the Netherlands on 1 January. In the
population statistics compiled by Statistics Netherlands, inhabitants are
people registered in the municipal population registers.
In principle, everybody living in the Netherlands for an indefinite
period is recorded in the population register of the municipality of
residence. The population register does not include persons for whom
official exceptions are made (e.g. diplomats and NATO military
personnel), and persons residing in the Netherlands illegally.

Live born children

Baby showing some sign of life after birth, regardless of pregnancy
duration.

Deaths

Person declared dead by an authorized doctor. The figures refer to the
deaths of persons included in the Dutch population registers (residents),
irrespective of country of death. Non-residents who die in the
Netherlands are not included.

Health status

Health as perceived by the person him/herself as well as health as
assessed by medical professionals; the latter in terms of occurrence of
notifiable infectious diseases, HIV/AIDS, use of medication, and private
sector sickness absence.

Persons in (very) good health

People answering 'good' or 'very good' to the question 'Generally
speaking, how is your health?'. Other possible answers are 'moderate',
'bad' and 'very bad'.

Persons with complete dentures

The percentage of persons in the population aged 16 years or older with
upper and lower dentures. From 2010 these figures are no longer available.

Occurrence of infectious diseases

Some notifiable infectious diseases and HIV/AIDS.

Notifiable infectious diseases

Infectious diseases that are required under the Public Health Act to be
reported to the Area Health Authority.
The table includes only infectious diseases:
- for which data are available for more than 20 years,
- with at least more than 100 cases in one year of observation,
- for which all the figures refer to (more or less) the same disease
- for which figures give an overall impression of the absolute extent,
trends and outbreaks.

Mumps

Epidemic parotitis.
ICD-codes:
ICD-9: 072;
ICD-10: B26.
The notification requirement was abolished in 1999, but was reinstated in
December 2008 .
Included in the National Vaccination Programme since 1987.

Typhoid

Figures for 1900-1929 include paratyphoid B. From 1930 onwards separate
figures are presented for paratyphoid B.
ICD-codes:
ICD-9: 002.0;
ICD-10: A01.0.
Notification requirement since 1872.

Diphtheria

ICD-codes:
ICD-9: 032;
ICD-10: A30.
Included in the National Vaccination Programme since 1957.
Notification requirement since 1872.

Hepatitis A

ICD-codes:
ICD-9: 070.1;
ICD-10: B15.
Notification requirement since 1950.

Whooping Cough

Pertussis.
ICD-codes:
ICD-9: 033.0, 033.1 en 033.9;
ICD-10: A37.0, A37.1 en A37.9.
Included in the National Vaccination Programme since 1957.
Notification requirement since 1975.

Legionnaires' disease

ICD-codes:
ICD-9: 482.8;
ICD-10: A48.1.
Notification requirement since 1987.

Malaria

ICD-codes:
ICD-9: 084;
ICD-10: B50-B54.
Notification requirement since 1940.

Measles

ICD-codes:
ICD-9: 055;
ICD-10: B05.
Included in the National Vaccination Programme since 1976.
Notification requirement since 1975.

Meningococcal disease

Meningococcal meningitis and meningococcal septicaemia: systemic
infections caused by the bacteria Neisseria meningitides.
ICD-codes:
ICD-9: 036;
ICD-10: A39.
Meningococ subtype C included in the National Vaccination Programme since
2002.

Paratyphoid B

Figures for 1900-1929 include paratyphoid B. From 1930 onwards separate
figures are presented for paratyphoid B.
ICD-codes:
ICD-9: 002.2;
ICD-10: A01.2.
Notification requirement since 1928.

Polio

Poliomyelitis.
ICD-codes:
ICD-9: 045;
ICD-10: A80.
Included in the National Vaccination Programme since 1957.
Notification requirement since 1923.

Q Fever

ICD-codes:
ICD-9: 083.0;
ICD-10: A78.
Notification requirement since 1975.

Rubella

German measles.
ICD-codes:
ICD-9: 056 en 771.0;
ICD-10: B06 en P35.0.
Included in the National Vaccination Programme since 1974.
Notification requirement since 1950.

Shigella

Bacillary dysentery.
ICD-codes:
ICD-9: 004;
ICD-10: A03.
Notification requirement since 1873.

Tuberculosis

ICD-codes:
ICD-9: 010-018;
ICD-10: A15-A19.
Notification requirement since 1980. As the tuberculosis
database is dynamic (expanding), the number of diagnoses for recent years
must be treated as provisional figures.

AIDS/HIV

In the period 1987 to 1998, physicians reported 80-90% of patients diagnosed with AIDS to the Health Inspection on a voluntary basis. This gave a good representation of the distribution of HIV. Since the introduction of more effective HIV therapy in 1996, the number of new diagnoses of AIDS has dropped substantially, and the registration of AIDS diagnoses is therefore no longer suitable for HIV-monitoring purposes.
Since 2002 the HIV Monitoring Foundation (HMF) collects data on all patients infected with HIV; therefore, the table also contains data on HIV infections. At the start of the epidemic, only HIV-infected patients were registered who were treated with antiviral drugs. Only from 2001, all HIV-infected patients were registered regardless of the treatment received.
From 1999 onwards, figures on AIDS consist of new AIDS diagnoses among registered HIV patients, as monitored by the SHM. (In 2003, the voluntary notification system for AIDS was formally abolished).

AIDS

Acquired Immune Deficiency Syndrome.
ICD-codes:
ICD-9: 042-044;
ICD-10: B20-B24.
Up to and including 1998, patients diagnosed with AIDS were reported to
the Health Inspection. From 1999 onwards, figures on AIDS consist of new
AIDS diagnoses in the HMF national HIV monitoring database.
As the HIV monitoring database is dynamic (expanding), the number of
diagnoses for recent years must be treated as provisional figures.

HIV-infected

Human Immunodeficiency Virus, virus responsible for the Acquired Immune
Deficiency Syndrome (AIDS).
ICD-codes:
ICD-9: 042-044;
ICD-10: B20-B24.
Diagnose based on the SHM HIV monitoring database. As the HIV monitoring
database is dynamic (expanding), the number of diagnoses for recent years
must be treated as provisional figures.

Use of medication/food supplements

The use of medication and food supplements such as vitamins, minerals and herbal preparations in the fortnight preceding the interview.
Due to changes in methodology and questionnaire, data before and after 2010 cannot fully be compared.

% prescribed

Use of medicines or food supplements prescribed by a physician. Birth
control pills and medicines prescribed during hospital admissions are not
included.
Until 2010, this concerns only the use of medicines.

% non-prescribed

Use of non-prescribed medication or food supplements. Until 2010, this
concerns only the use of medicines.

Sickness absence

The number of days employees are absent because of illness (excluding
maternity leave) as a percentage of the total number of working or
calender days. The figures refer to all businesses and institutions,
until 2004 excluding the public sector. From 2005 also absence beyond one
year is included.

Lifestyle

Some factors that may influence health: smoking, drinking alcohol, being
overweight and use of the contraceptive pill.

Smoking, 16 years or older

Up to 2001, persons aged 16 years or older were asked about whether they
smoked - and if so how many cigarettes per day - through a written
questionnaire. In 2001 the method was changed slightly and questions were
asked orally in a computer assisted interview. Subsequent response
analysis did not show a break in series as a result of this new method.

Smokers

The percentage of persons in the population aged 16 years or older who
answered 'yes' to the question 'Do you smoke?'.

Heavy smokers

Percentage of persons in the population aged 16 years or older who smoke
20 or more cigarettes per day.

Alcohol consumption, 16 years or older

Questions about drinking alcoholic beverages and how often respondents
had drunk at least six units in one day in the six months preceding the
interview were asked through a written questionnaire.

Drinkers

Percentage of persons in the population aged 16 years or older who
occasionally or regularly drink alcoholic beverages.

Heavy drinkers

Percentage of persons in the population aged 16 years or older who are heavy drinkers. Up to 2012 the definition of a heavy drinker was a person that drinks at least 6 glasses of alcohol on one day at least once a week. From 2012 onwards there is a distinction between men and women. For men still goes that a heavy drinker is a person who drinks at least 6 glasses of alcohol on one day at least once a week. For women goes that a heavy drinker is a person who drinks at least 4 glasses of alcohol on one day at least once a week. Due to this change in definition the figures of before 2012 and from 2012 onwards cannot be compared very well.

Overweight

The Body Mass Index (BMI) is used to calculate whether a person is overweight. It is calculated by dividing a person's weight (in kilograms) by their height (in metres) squared. Adults with a BMI of 25 kg/m² or more are overweight.

Data on respondents with unknown weight or height and respondents with an improbable weight for their height are not used. Until 2013, date were excluded for persons aged 20 years or older with a BMI lower than 14 or higher than 45 kg/m² and persons younger than 20 years with a BMI lower than 10 or higher than 45 kg/m². From 2014, for both age groups the upper limit of BMI has been increased to 50 kg/m², whereas the lower limit has not been changed.

Overweight persons

Percentage of persons in the population aged 20 years or older with a
Body Mass Index (BMI) of 25.0 kg/m² or higher.

Moderately overweight

Percentage of persons in the population aged 20 years or older with a
Body Mass Index (BMI) of 25.0 to 30.0 kg/m².

Seriously overweight (obese)

Percentage of persons in the population aged 20 years or older with a
Body Mass Index (BMI) of 30.0 kg/m² or higher.

Use of contraceptive pill

Percentage of women aged 16 to 50 years who use an oral contraceptive.
In 2017-2019: percentage of sexually active women aged 16 to 50 years who use an oral contraceptive.
Percentages of 2017-2019 therefore can not be compared to earlier years. Percentages from 2020 onwards are comparable to figures of 2016 and before.
Sexually active women are women who have had sex in the 12 monthes preceeding the interview.

Use of health care services

Contacts with health professionals and hospital admissions.

Contacts with health professionals

Percentage of persons in the population aged 0 years or older who had contacted the health professional concerned at least once in the 12 months preceding the survey date.
Due to changes in methodology and questionnaire, data before and after 2010 cannot fully be compared.

General practitioner (GP)

Contacts with a GP in the Netherlands:
- visits to a GP,
- GP home visits,
- telephone consultations,
- other contacts
Contacts with a locum and the emergency GP service are included, contacts
with the GP surgery assistant are not.

Medical specialist

Contacts with a specialist in the Netherlands:
- at the outpatient clinic,
- in hospital,
- at the emergency department,
- at practice outside the hospital or
- at a private clinic.
Contacts with specialists during hospital admissions are not included.

Dentist

Visits to a dentist in the Netherlands. Contacts with the dental
hygienist, orthodontist and oral surgeon are not included.

Physiotherapist or exercise therapist

Contact with a therapist for physical or exercise therapy. Physio- or
exercise therapy during hospital admission is not included.
Until 2010, the figures are restricted to physiotherapy.

Alternative healer

Contacts with a homeopath, anthroposophist, acupuncturist, chiropractor,
osteopath, phyto therapist or herbalist, naturopath, magnetizer or
paranormal healer, faith healer or religious healer and / or other healer.

Hospital admissions by some diagnoses

Overnight admissions to general and university hospitals and hospitals specialising in one type of disease. Admissions are included if the date of discharge is within the year under review. Starting 2013, one-day admissions are counted only in case of death of the patient or transport to an other hospital.

Diagnoses are recorded according to the 'International Classification of Diseases'. Up to 2013 version 9 was used (ICD-9-CM), From 2013 onwards version 10 (ICD-10) is used.

Diagnoses are classified according to the International Shortlist for Hospital Morbidity Tabulation (ISHMT). Categories are definied slightly different using ICD-9 (up to 2013) or ICD-10 (from 2013).

Figures on diagnoses refer to the principal diagnosis registered at each admission, as indicated at discharge form the hospital.

The figures are expressed per 10 000 of the population in the year under review.

All diagnoses

Total hospital admissions.
ICD-codes:
ICD-9: 001-999, V01-V82
ICD-10: A00-Z99 (excluding V, W, X and Y codes).

Certain infectious and parasitic dis.

Certain infectious and parasitic diseases.
ICD-codes:
ICD-9: 001-033, 034.1-099.2, 099.5-134.9, 136.0, 136.2-139.8, 279.5-279.6
ICD-10: A00-B99.

Neoplasms

Neoplasms, subdivided into malignant and non-malignant neoplasms.
ICD-codes:
ICD-9: 140-239
ICD-10: C00-D48.

Total neoplasms

ICD-codes:
ICD-9: 140-239
ICD-10: C00-D48.

Malignant neoplasms

Cancer.
ICD-codes:
ICD-9: 140-208
ICD-10: C00-C97.

Total malignant neoplasms

Cancer.
ICD-codes:
ICD-9: 140-208
ICD-10: C00-C97.

Malign. neopl. of colon, rectum & anus

Malignant neoplasm of colon, rectosigmoid junction, rectum, anus and anal
canal.
ICD-codes:
ICD-9: 153-154
ICD-10: C18-C21.

Malign. neopl. of trachea, bronch., lung

Malignant neoplasms of trachea, bronchus and lung.
ICD-code:
ICD-9: 162
ICD-10: C33-C34.

Malignant neoplasm of breast

Malignant neoplasm of breast.
ICD-codes:
ICD-9: 174-175
ICD-10: C50.

Malignant neoplasm of bladder

Malignant neoplasm of bladder.
ICD-code:
ICD-9: 188
ICD-10: C67.

Dis. of blood/blood forming organs

Diseases of the blood and blood forming organs and certain disorders
involving the immune mechanism.
ICD-codes:
ICD-9: 135, 279.0-279.3, 279.8-279.9, 280-288, 289.0, 289.4-289.9
ICD-10: D50-D89.

Total dis. of blood/blood forming org.

Total of diseases of the blood and blood forming organs and certain
disorders involving the immune mechanism
ICD-codes:
ICD-9: 135, 279.0-279.3, 279.8-279.9, 280-288, 289.0, 289.4-289.9
ICD-10: D50-D89.

Anaemias

ICD-codes:
ICD-9: 280-285
ICD-10: D50-D64.

Endocrine, nutritional & metabol. dis.

Endocrine, nutritional and metabolic diseases.
ICD-codes:
ICD-9: 240-278
ICD-10: E00-E90.

Total endocr., nutr. and metabol. dis.

Total of endocrine, nutritional and metabolic diseases.
ICD-codes:
ICD-9: 240-278
ICD-10: E00-E90.

Diabetes mellitus

ICD-code:
ICD-9: 250
ICD-10: E10-E14.

Mental and behavioural disorders

ICD-codes:
ICD-9: 290-319
ICD-10: F00-F99.

Diseases of the nervous system

ICD-codes:
ICD-9: 320-359, 435
ICD-10: G00-G99.
From 2013 onwards ISHMT-definitions use ICD-10, resulting in inclusion of sleaping disorders in disdases of the nervous system.

Diseases of the eye and adnexa

Including adjoining and accompanying structures such as eye socket,
eyelids, tear gland and eye nerve.
ICD-codes:
ICD-9: 360-379
ICD-10: H00-H59.

Diseases of the ear and mastoid process

ICD-codes:
ICD-9: 380-389
ICD-10: H60-H95.

Diseases of the circulatory system

ICD-codes:
ICD-9: 390-434, 436-445, 447-459
ICD-10: I00-I99.

Total dis. of the circulatory system

Total diseases of the circulatory system
ICD-codes:
ICD-9: 390-434, 436-445, 447-459
ICD-10: I00-I99.

Angina pectoris

ICD-code:
ICD-9: 413
ICD-10: I20.

Acute myocardial infarction

ICD-code:
ICD-9: 410
ICD-10: I21-I22.

Conduction disord. and card. disrhythm.

Conduction disorders and cardiac arrhythmias
ICD-codes:
ICD-9: 426-427
ICD-10: I44-I49.

Heart failure

ICD-code:
ICD-9: 428
ICD-10: I50.

Cerebrovascular diseases

ICD-codes:
ICD-9: 430-434, 436-438
ICD-10: I60-I69.

Diseases of the respiratory system

ICD-codes:
ICD-9: 034.0, 460-519
ICD-10: J00-J99.

Total dis. of the respiratory system

Total diseases of the respiratory system
ICD-codes:
ICD-9: 034.0, 460-519
ICD-10: J00-J99.

Acute upper respirat. inf. & influenza

Acute upper respiratory infections and influenza.
ICD-codes:
ICD-9: 034.0, 460-465, 487, 488
ICD-10: J00-J11.

Pneumonia

ICD-codes:
ICD-9: 480-486
ICD-10: J12-J18.

Chronic dis. of tonsils and adenoids

Chronic diseases of tonsils and adenoids.
ICD-code:
ICD-9: 474
ICD-10: J35.

Other dis. of upper respiratory tract

Other diseases of upper respiratory tract.
ICD-codes:
ICD-9: 470-473, 475-478
ICD-10: J30-J34, J36-J39.

Chron. pulmonary dis. and bronchiect.

Chronic obstructive pulmonary disease and bronchiectasis.
ICD-codes:
ICD-9: 490-492, 494, 496
ICD-10: J40-J44, J47.

Diseases of the digestive system

ICD-codes:
ICD-9: 520-579
ICD-10: K00-K93.

Total diseases of the digestive system

ICD-codes:
ICD-9: 520-579
ICD-10: K00-K93.

Diseases of appendix

ICD-codes:
ICD-9: 540-543
ICD-10: K35-K38.

Inguinal hernia

ICD-code:
ICD-9: 550
ICD-10: K40.

Cholelithiasis

ICD-code:
ICD-9: 574
ICD-10: K80.

Diseases of skin and subcutaneous tissue

ICD-codes:
ICD-9: 680-709
ICD-10: L00-L99.

Dis. of musculoskeletal system..

Diseases of the musculoskeletal system and connective tissue.
ICD-codes:
ICD-9: 099.3, 136.1, 279.4, 446, 710-739
ICD-10: M00-M99.

Total dis. of musculoskel. system...

Total diseases of the musculoskeletal system and connective tissue.
ICD-codes:
ICD-9: 099.3, 136.1, 279.4, 446, 710-739
ICD-10: M00-M99.

Coxarthrosis

Arthrosis of hip.
ICD-codes:
ICD-9: 715.15, 715.25, 715.35, 715.95
ICD-10: M16.

Gonarthrosis

Arthrosis of knee.
ICD-codes:
ICD-9: 715.16, 715.26, 715.36, 715.96
ICD-10: M17.

Intervertebral disc disorders

ICD-code:
ICD-9: 722
ICD-10: M50, M51.

Soft tissue disorders

ICD-codes:
ICD-9: 726, 727.0, 727.2-727.9, 728.0-728.3, 728.6-728.9, 729
ICD-10: M60-M79.

Diseases of the genitourinary system

ICD-codes:
ICD-9: 099.4, 580-598, 599.0-599.6, 599.8-599.9, 600-629, 788.0
ICD-10: N00-N99.

Total dis. of genitourinary system

Total diseases of the genitourinary system.
ICD-codes:
ICD-9: 099.4, 580-598, 599.0-599.6, 599.8-599.9, 600-629, 788.0
ICD-10: N00-N99.

Urolithiasis

ICD-codes:
ICD-9: 592, 594, 788.0
ICD-10: N20-N23.

Hyperplasia of prostate

ICD-code:
ICD-9: 600
ICD-10: N40.

Disorders of breast

ICD-codes:
ICD-9: 610-611
ICD-10: N60-N64.

Pregnancy, childbirth and puerperium

ICD-codes:
ICD-9: 630-676
ICD-10: O00-O99.

Total pregnancy, childbirth, puerperium

Total pregnancy, childbirth and the puerperium.
ICD-9: 630-676
ICD-10: O00-O99.

Compl. of pregnancy, antenatal period

Complications of pregnancy predominantly in the antenatal period.
ICD-codes:
ICD-9: 640-646, 651-659
ICD-10: O10-O48.

Compl. of pregnancy, labour and delivery

Complications of pregnancy predominantly during labour and delivery.
ICD-codes:
ICD-9: 660-668, 669.0-669.4, 669.8-669.9
ICD-10: O60-O75.

Certain conditions in perinatal period

Certain conditions originating in the perinatal period.
ICD-codes:
ICD-9: 760-779
ICD-10: P00-P96.

Total conditions in the perinatal period

Certain conditions originating in the perinatal period.
ICD-codes:
ICD-9: 760-779
ICD-10: P00-P96.

Short gestation and low birth weight

Disorders related to short gestation and low birth weight.
ICD-code:
ICD-9: 765
ICD-10: P07.

Congenital anomalies

Congenital malformations, deformations and chromosomal abnormalities.
ICD-codes:
ICD-9: 740-759
ICD-10: Q00-Q99.

Symptoms, signs, laboratory findings

Symptoms, signs and abnormal clinical and laboratory findings, not
elsewhere classified.
ICD-codes:
ICD-9: 599.7, 780-787, 788.1-788.9, 789-799
ICD-10: R00-R99.

Total symptoms, signs, lab. findings

Total symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.
ICD-codes:
CD-9: 599.7, 780-787, 788.1-788.9, 789-799
ICD-10: R00-R99.

Pain in throat and chest

ICD-codes:
ICD-9: 784.1, 786.5
ICD-10: R07.

Abdominal and pelvic pain

ICD-code:
ICD-9: 789.0
ICD-10: R10.

Injury, poisoning, other external causes

Injury, poisoning and certain other consequences of external causes.
ICD-codes:
ICD-9: 800-999
ICD-10: S00-T98.

Total injury, poisoning, oth. ext. cause

Total injury, poisoning and certain other consequences of external causes.
ICD-codes:
ICD-9: 800-999
ICD-10: S00-T98.

Intracranial injury

ICD-codes:
ICD-9: 800.1-800.4, 800.6-800.9, 801.1-801.4, 801.6-801.9, 803.1-803.4,
803.6-803.9, 804.1-804.4, 804.6-804.9, 850-854
ICD-10: S06.

Fracture of femur

ICD-codes:
ICD-9: 820-821
ICD-10: S72.

Fracture of lower leg, including ankle

ICD-codes:
ICD-9: 823-824
ICD-10: S82.

Poisonings by drugs, medicaments etc.

Poisonings by drugs, medicaments and biological substances and toxic
effects of substances chiefly nonmedicinal as to source.
ICD-codes:
ICD-9: 960-989
ICD-10: T36-T65.

Compl. surg. medical care, n.e.c.

Complications of surgical and medical care, not elsewhere classified.
ICD-codes:
ICD-9: 996-999
ICD-10: T80-T88.

Factors influencing health status

Factors influencing health status and contact with health services.
ICD-codes:
ICD-9: V01-V82
ICD-10: Z00-Z99.

Total factors influencing health status

Total factors influencing health status and contact with health services.
ICD-codes:
ICD-9: V01-V82
ICD-10: Z00-Z99.

Liveborn infants

Liveborn infants according to place of birth ("healthy newborn babies").
ICD-codes:
ICD-9: V30-V39
ICD-10: Z38.

Other care (e.g. radio and chemother.)

Other medical care (including radiotherapy and chemotherapy sessions).
ICD-codes:
ICD-9: V07.1, V58
ICD-10: Z51.

Care supply

Quantitative data on hospitals, health professionals and costs of care.

Quantitative hospital data

Total number of beds, hospital admissions, nursing days, and average
duration of hospitalisation per admission for all hospitals (general,
university and specialised hospitals including revalidation centres).
Figures for 1932-1964 exclude sanatoriums for tuberculosis patients and
clinics for patients with neuroses; figures until 1972 exclude military
hospitals. Source: 1925-1964: Public Health Inspectorate.

Beds

Until 2006: actual beds (for both in-patient and out-patient treatment). This is the average number of beds a health care institution uses in its
daily care schedule. Including beds in hospital psychiatric wards
(PAAZ/PUK beds). Source: until 2002 the annual survey among hospitals and rehabilitation institutions, by Statistics Netherlands, 2002-2005 performed by Prismant.
From 2006: The number of actual beds at health care providers (academic hospitals, general hospitals, categoral hospitals and rehabilitation institutions), for stay and (clinical, day-and part-time) treatment, excluding PAAZ/PUK beds and including cribs for healthy newborns and beds in rehabilitation institutions. Infomation comes from DigiMV (web survey) and is part of the annual Corporate Responsibility document. Independent Treatment Centers (ZBCs) are not included, unless they are part of a hospital group. In the latter case, the beds of the ZBCs are counted.

PAAZ: psychiatric ward of a general hospital
PUK: psychiatric university clinic

Hospital admissions

The number of new periods of hospitalisation for which one or more
nursing days are charged. Hospital births are counted as admissions, with
the exception of out-patient births. Internal transfers, i.e. within the
same hospital, are not counted as new admissions. Healthy babies who stay
in the hospital during their mother's admission are counted as
admissions. Until 2006, admissions to hospital psychiatric wards
(PAAZ/PUK admissions) are included. From 2006 PAAZ admissions are
excluded, and from 2008 this also applies for PUK admissions.
PAAZ: psychiatric ward of a general hospital
PUK: psychiatric university clinic

Nursing days

Calendar day for which a patient is charged, falling within the period
from hospital admission to discharge. The day of admission, if admission
is before 20.00 hrs, and the day of discharge are counted as nursing
days. Also includes absence days. An absence day is a day, but not the
day of discharge, before a night which a patient does not spend in
hospital. These days mostly fall in planned three-day (max.) absence
periods. Absence days cannot be declared at the nursing rate concerned.
Absence days following pre-operative screening may not be declared as
absence days (or nursing days) and cannot be charged at all. Nursing days
of patients in special units, such as those for intensive care, etc. are
included.
- if admission takes place at or later than 20.00 hrs, the day of the
admission is not counted as the first nursing day.
- if the patient dies on the day of admission or discharges himself
against doctor's advice, the day is counted as a nursing day.
- an admission lasting for less than 24 hours is considered a normal
nursing day.
Until 2006, nursing days at hospital psychiatric wards (PAAZ/PUK days)
are included. From 2006 PAAZ days are excluded, and from 2008 this also
applies for PUK days.
PAAZ: psychiatric ward of a general hospital
PUK: psychiatric university clinic

Average period of hospitalisation

Number of nursing days in a given period divided by the number of
patients admitted.

Health professions

Until 1998, the figures refer either to the number of active professionals or to the number of registered professionals on 31 December of the year concerned, depending on the profession.

From 1999, the figures apply to qualified medically trained professionals registered in the official health professions register (BIG-register) on the reference date (last Friday in September), who are employed in the Dutch care sector or care-related activities, depending on the type of profession. They include Dutch residents and non-residents who work in the Netherlands.

General practitioners (GPs)

Up to 1998: The number of active general practitioners, including self-employed and
those employed by others.

From 1999: the number of BIG-registered general practitioners working in the Dutch care sector.

Medical specialists

Persons registered as a physician specialising in one of the official areas of medicine as designated by the board of medical specialists.

Up to 1983: number of active professionals; From 1984 to 1998: registered professionals.
From 1999: the number of BIG-registered medical specialists working in the Dutch care sector.

Social welfare doctors

Physicians who treat medical problems related to living, housing and job situation, including occupational physicians, insurance physicians and public health physicians.

Up to 1998: the number of registered social welfare doctors.
From 1999: the number of BIG-registered social welfare doctors working in the Dutch care sector, or care-related activities.

Care-related activities:
Activities that are not officially part of the Dutch care sector, but where care professionals may be expected to be active, e.g. in education, government, or in care-related industries such as health insurance or the pharmaceutical industry.

Dentists

Up to 1998: Professionally active dentists.
From 1999: the number of BIG-registered dentists working in the Dutch care sector.

Pharmacists

Persons trained and licensed to prepare and sell medicine.

Up to 1998: Pharmacists active in pharmacies or hospitals.
From 1999: the number of BIG-registered pharmacists working in the Dutch care sector or in pharmacies (not included in the care sector).

Midwives/obstetricians

Persons trained to monitor pregnancies through regular check-ups, and to assist during childbirth.

Up to 1998: midwives/obstetricians active in their own practice, in hospitals or as locums.
From 1999: the number of BIG-registered midwives/obstetricians working in the Dutch care sector.

Expenditures on care

Expenditure on health and social care including child care, in current and constant prices. All activities within the area of health and social care are considered, irrespective of whether it concerns a major or minor activity of the economic units. These figures refer to a broader definition than internationally used in the System of Health Accounts, that refers to health care including long term nursing care (health).

Expenditure in current prices

The expenditure is expressed in euros of the year under review. In this way the series gives the development of the value of the expenditure.

Care expenditure volume index

Care expenditure per capita

Total expenditure on care, per capita.

Costs as a percentage of the GDP

Total expenditure on care expressed as a percentage of the gross domestic
product (GDP).

Birth and life expectancy

Perinatal mortality, average age of mother at birth of first child,
number of multiple births and (healthy) life expectancy at birth.

Perinatal mortality

Total number of stillbirths after a pregnancy of at least 28 weeks, plus
babies who die in the seven days following birth.

Infant mortality

Number of live born children who die before their first birthday.

Average age of the mother at 1st birth

Arithmetic average of the ages of mothers of all live born first
children. The mother's age is her age on 31 December of the year the
child is born.

Multiple births

Deliveries of two or more babies from the same pregnancy.

Life expectancy at birth

Number of years a baby is expected to live when it is born, according to
the life expectancy tables. Life expectancy tables show how many babies
per 100,000 will reach the age of 0.5, 1.5, 2.5 years etc. on the basis
of the mortality rate for a given period or birth cohort.

Men

Women

Healthy life expectancy at birth

Number of years a baby is expected to live in good health when it is
born. Good health is defined as absence of chronic disease, absence of
physical limitations, or perceived good health.

Life expect. in experienced good health

The calculation of healthy life expectancy is based on the answer to the
question 'How is your general state of health?' People who reply 'good'
or 'excellent' are defined as healthy. Questions on self-reported health
are included in the Integrated System of Social Surveys (POLS).

Men

Women

Life expect. without physical limit.

Life expectancy without major physical problems is calculated on the
basis of data on long- term limitations in mobility, sight and hearing.
People who reply 'yes, without difficulty' or 'yes, with a little
difficulty' are defined as having no physical limitations.
- Can you follow a conversation in a group of 3 or more people (with or
without a hearing aid)?
- Can you have a conversation with one other person (with or without a
hearing aid)?
- Is your sight good enough to read the small print in the newspaper
(with or without glasses or contact lenses)?
- Are you able to recognise somebody's face at a distance of 4 metres
(with or without glasses or contact lenses)?
- Can you carry an object weighing 5 kilos, for example a shopping bag,
over a distance of 10 metres?
- Can you bend down from an upright position to pick something up from
the floor?
- Can you walk a distance of 400 metres without stopping (with or without
a walking stick)?
These questions are included in the Integrated System of Social Surveys
(POLS) and are asked only of persons aged 12 years or older. In the
calculation of life expectancy without physical limitations it is assumed
that these disorders do not occur in persons under the age of 12.

Men

Women

Life expectancy without chronic dis.

A number of diseases leading to death or seriously affecting quality of
life were selected to determine life expectancy without chronic disease.
People who did not have or had not had any of the following diseases in
the twelve months preceding the survey are defined as not suffering from
chronic disease.
- serious heart condition and/or myocardial infarction (12 years or older)
- asthma, chronic bronchitis, pulmonary emphysema or chronic non-specific
pulmonary disease
- cancer
- stroke (12 years or older)
- diabetes
- serious or chronic gastrointestinal disorders
- chronic arthritis (Bechterew's disease, chronic rheumatism, rheumatoid
arthritis)
- serious or chronic backache (including slipped disk)
- degenerative arthritis in hips or knees (12 years or older)
- hypertension (high blood pressure)
- migraine or recurring serious headaches
Questions on chronic diseases are included in the Integrated System of
Social Surveys (POLS). Serious heart condition and/or myocardial
infarction, stroke and degenerative arthritis in hips or knees) are
assumed not to occur in children under 12 years of age.

Men

Women

Causes of death

Deaths by main primary cause of death per 100 000 of the average
population. The average population is half the population at the start of a given period, plus half of the population at the end of that period.

The basis for the classification and coding used for mortality by cause of death is the International Classification of Diseases and Related Health Problems (ICD; World Health Organisation (WHO)). The ICD-8 was in use from 1969 to 1978, the ICD-9 from 1979 to 1996 and the ICD-10 since 1996.

All causes of death

Total deaths per 100 000 of the average population.
ICD-codes:
ICD-9: 001-E999.
ICD-10: A00-Y98.

Infectious and parasitic diseases

Deaths from infectious and parasitic diseases per 100 000 of the average
population.
ICD-codes:
ICD-9: 001-139, 279.8 (specific Statistics Netherlands code. European
code: 040-042).
ICD-10: A00-B99.

Total infectious and parasitic dis.

Deaths from infectious and parasitic diseases per 100 000 of the average
population.
ICD-codes:
ICD-9: 001-139, 279.8 (specific Statistics Netherlands code. European
code: 040-042).
ICD-10: A00-B99.

Tuberculosis

Deaths from tuberculosis per 100 000 of the average population.
ICD-codes:
ICD-9: 010-018, 137.
ICD-10: A15-A19, B90.

Malignant neoplasms

Deaths from malignant neoplasms (cancers), including neoplasms of
lymphatic and blood forming tissue, per 100 000 of the average
population.
ICD-codes:
ICD-9: 140-208.
ICD-10: C00-C97.

Total malignant neoplasms

Deaths from malignant neoplasms, including neoplasms of lymphatic and
blood forming tissue, per 100 000 of the average population.
ICD-codes:
ICD-9: 140-208.
ICD-10: C00-C97.

Malignant neoplasms of digestive org.

Deaths from malignant neoplasms of digestive organs per 100 000 of the
average population.
ICD-codes:
ICD-9: 150-159.
ICD-10: C15-C26.

Malignant neoplasms respiratory....

Deaths from malignant neoplasms of respiratory and intrathoracic organs
per 100 000 of the average population.
ICD-codes:
ICD-9: 160-165.
ICD-10: C30-C39.

Malignant neoplasms of breast

Deaths from breast cancer per 100 000 of the average population.
ICD-codes:
ICD-9: 174-175.
ICD-10: C50.

Diseases of the circulatory system

Deaths from diseases of the circulatory system per 100 000 of the average
population.
ICD-codes:
ICD-9: 390-459.
ICD-10: I00-I99.

Diseases of the circulatory system

Deaths from diseases of the circulatory system per 100 000 of the average
population.
ICD-codes:
ICD-9: 390-459.
ICD-10: I00-I99.

Ischaemic heart diseases

Deaths from ischaemic heart disease including acute myocardial infarction
per 100 000 of the average population.
Because of a change in classification, figures for before 1969 are not
comparable with later figures.
ICD-codes:
ICD-9: 410-414.
ICD-10: I20-I25.

Cerebrovascular diseases

Deaths from cerebrovascular disease (stroke) per 100 000 of the average
population.
ICD-codes:
ICD-9: 430-438.
ICD-10: I60-I69.

Influenza

Deaths from influenza per 100 000 of the average population.
ICD-codes:
ICD-9: 487.
ICD-10: J09-J11.

Chronic lower respiratory diseases

Deaths from chronic lower respiratory diseases per 100 000 of the average
population.
ICD-codes:
ICD-9: 490-494, 496.
ICD-10: J40-J47.

Diseases of the digestive system

Deaths from diseases of the digestive system per 100 000 of the average
population.
ICD-codes:
ICD-9: 520-579.
ICD-10: K00-K93.

Diseases of the genitourinary system

Deaths from diseases of the genitourinary system per 100 000 of the
average population.
ICD-codes:
ICD-9: 580-629.
ICD-10: N00-N99.

Total dis. of the genitourinary system

Deaths from diseases of the genitourinary system per 100 000 of the
average population.
ICD-codes:
ICD-9: 580-629.
ICD-10: N00-N99.

Nephritis and nephrotic syndrome

Deaths from nephritis and nephrotic syndrome per 100 000 of the average
population.
ICD-codes:
ICD-9: 580-583.
ICD-10: N00-N05.

Pregnancy, childbirth and the puerperium

Deaths from complications during pregnancy, childbirth and the puerperium
per 100 000 of the average population.
ICD-codes:
ICD-9: 630-676.
ICD-10: O00-O99.

Congenital anomalies

Deaths as a result of congenital malformations, deformations and
chromosomal abnormalities per 100 000 of the average population.
ICD-codes:
ICD-9: 740-759.
ICD-10: Q00-Q99.

External causes of mortality

Deaths from external causes (injury, poisoning and trauma) per 100 000 of
the average population.
ICD-codes:
ICD-9: E800-E999.
ICD-10: V01-Y98.

Total external causes of mortality

Deaths from external causes (injury, poisoning and trauma) per 100 000 of
the average population.
ICD-codes:
ICD-9: E800-E999.
ICD-10: V01-Y98.

Transport accidents

Deaths as a result of transport accidents (including road, railway, water
and air transport) per 100 000 of the average population.
ICD-codes:
ICD-9: E800-E848.
ICD-10: V01-V99.

Accidental falls

Deaths as a result of accidental falls per 100 000 of the average
population.
ICD-codes:
ICD-9: E880-E888.
ICD-10: W00-W19, X59.

Accidental drowning

Deaths by accidental drowning per 100 000 of the average population.
ICD-codes:
ICD-9: E910.
ICD-10: W65-W74.

Suicide

Deaths by suicide per 100 000 of the average population.
ICD-codes:
ICD-9: E950-E959.
ICD-10: X60-X84.