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Kosovo Human Development Report 2010 - UNDP Kosovo - United ...

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Table<br />

4.1<br />

Although these achievements are<br />

impressive, the health outcomes of<br />

Kosovans remain poor in comparison<br />

with neighboring Balkan and other European<br />

nations. For instance, Kosovans<br />

live on average 2 – 6 years less than citizens<br />

of neighboring Balkan countries<br />

and over 11 years less than citizens<br />

of the oldest EU member states (see<br />

Table 4.1). The main causes of death<br />

in <strong>Kosovo</strong> are related to cardiovascular<br />

diseases, followed by malignant diseases,<br />

and diseases of the respiratory<br />

system. 122<br />

Life expectancy at birth in selected European<br />

countries<br />

Life Expectancy at Birth 2006 (years)<br />

Location All Female Male<br />

Albania 71 73 69<br />

Bosnia and Herzegovina 75 78 72<br />

Croatia 76 79 72<br />

Montenegro 74 76 72<br />

Serbia 73 76 71<br />

Slovenia 78 82 74<br />

Macedonia 73 76 71<br />

France 81 84 77<br />

Germany 80 82 77<br />

Luxembourg 80 83 77<br />

EU 15 Average 80.2<br />

<strong>Kosovo</strong>* 69 71 67<br />

Source: WHO SIS (except for <strong>Kosovo</strong>* source SOK 2007);<br />

Life expectancy at birth by gender, check: http://epp.eurostat.ec.europa.eu/tgm/table.<br />

do?tab=table&plugin=1&language=en&pcode=tps00025 (December <strong>2010</strong>).<br />

Due to the Ministry of Health<br />

(MOH) policies and interventions, the<br />

overall immunization coverage has improved<br />

tremendously, from a very low<br />

19 – 40 percent coverage rate following<br />

the 1999 conflict, to above 95 percent<br />

<strong>Kosovo</strong>-wide in 2009. The highest<br />

coverage is for Bacille Calmette-Guérin<br />

and initial doses of Diphtheria-Pertussis-Tetanus<br />

and Oral Polio Vaccine (all<br />

at 97 percent) and the lowest coverage<br />

for Measles, Mumps and Rubella (93<br />

68 | KOSOVO HUMAN DEVELOPMENT REPORT <strong>2010</strong><br />

percent). 123 As a result, morbidity rate<br />

of vaccine preventable diseases has<br />

decreased. There are no noted vaccinepreventable<br />

diseases such as poliomyelitis<br />

and diphtheria, and <strong>Kosovo</strong> was<br />

declared polio-free in 2002 (see Table<br />

4.2). Due to successful routine and campaign<br />

immunization activities, there<br />

have been no measles epidemics registered<br />

in the last ten years in <strong>Kosovo</strong>.<br />

Incidence of tuberculosis has dropped<br />

as well, from 56 per 100,000 in 2004 to<br />

Table<br />

4.2<br />

Number of cases of vaccine<br />

preventable diseases<br />

in <strong>Kosovo</strong> 2008/2009<br />

Disease 2008 2009<br />

Poliomyelitis 0 0<br />

Parotitis 797 731<br />

Measles/Rubella 19 27<br />

Hepatitis B 95 102<br />

Diphtheria 0 0<br />

Whooping Cough 37 28<br />

Tuberculosis 948 901<br />

Tetanus 0 0<br />

Total 1,898 1,789<br />

Source: NIPH Annual <strong>Report</strong> 2009<br />

43 per 100,000 inhabitants in 2009. 124<br />

Other infectious diseases continue<br />

to be widespread in <strong>Kosovo</strong>. 125 In 2009,<br />

there were 115,999 reported cases of<br />

infectious diseases with a morbidity<br />

rate of 5,510 per 100,000 inhabitants.<br />

The most frequently reported diseases<br />

were acute diarrheal syndromes, which<br />

account for almost 43 percent of total<br />

morbidity followed by acute respiratory<br />

tract infections. In 2009, <strong>Kosovo</strong><br />

faced the Influenza A H1N1 virus pandemic<br />

with 308 confirmed cases and<br />

14 deaths caused by the virus. 126 HIV/<br />

AIDS is also a growing concern, despite<br />

a low prevalence rate. Between<br />

1986 and 2009 there were in total 80<br />

registered cases of HIV/AIDS in <strong>Kosovo</strong><br />

(six newly reported in 2009), with 27 re-

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