HELLENIC REPUBLIC HELLENIC STATISTICAL AUTHORITY Piraeus, 14/05/2015 PRESS RELEASE. Causes of death: 2013

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HELLENIC REPUBLIC HELLENIC STATISTICAL AUTHORITY Piraeus, 14/05/2015 PRESS RELEASE Causes of death: 2013 The Hellenic Statistical Authority announces statistical data reflecting the causes of deaths for the year 2013. The data sources are the death certificates submitted by medical practitioners and, for sudden or violent deaths, by the Forensic Medicine Authorities. In 2013, deaths recorded a decrease by 4,2 %, thus amounting to 111.794 (57.630 men and 54.164 women) in comparison with 116.668 (60.135 men and 56.533 women), which was the corresponding figure for 2012. Following the trend of the latest years, the major causes of death for 2013 were cardiovascular diseases with 46.342 deaths, followed by neoplasms with 28.857 deaths and then by diseases of the respiratory system with 10.924 deaths (Table 1). In comparison with the previous years, the percentage of deaths caused by cardiovascular diseases rose from 10% in 1938 (first year for which analytical data were made available) to 25% in 1956 (first year after the Second World War for which data are available) and up to 41,5 % in 2013. The corresponding percentage of deaths caused by neoplasms rose from 4% in 1938 to 25,8 % in 2013. On the contrary, deaths caused by infectious and parasitic diseases, which in 1938 amounted to 18,5%, have dropped significantly to 1% in 2013 (Table 2, Graph 2). The number of deaths due to suicides, as recorded by the Forensic Medicine and Criminal Investigation Authorities, amounted to 533 in 2013, compared with 508 in 2012. It should be noted that any discrepancies from the corresponding data of other agencies may be on account of different methodology used or other underlying factors, such as the need for time-consuming research by the Forensic Medicine Services in order to investigate the conditions resulting to the death, deaths caused by late effects after a failed suicide attempt, etc. Information: Population and Labour Market Statistics Division Vital and Migration Statistics Section Konstantinos Voulgaris Tel: +30 213 135 2172 E-mail: k.voulgaris@statistics.gr

Table 1. Causes of death: 2000 and 2009 2013 Cause of Death 2000 2009 2010 2011 2012 2013 TOTAL DEATHS 105.170 108.316 109.084 111.099 116.668 111.794 Infectious and parasitic diseases 483 1.183 1.058 952 1.074 1.105 Neoplasms 23.775 27.345 27.177 27.357 28.201 28.857 Endocrine and metabolic diseases, nutrional deficiencies and immonity 1.108 1.404 1.360 1.513 1.472 1.759 Diseases of blood and blood-forming organs 97 211 347 371 421 481 Mental disorders 84 109 98 126 132 137 nervous system and sense organs 1.348 1.517 1.529 1.517 1.947 1.830 circulatory system 52.283 48.453 47.709 47.741 49.728 46.342 of which Heart diseases 32.381 31.976 31.837 31.625 32.735 30.212 Cerebrovascular diseases 18.753 15.493 14.910 15.041 15.868 14.996 Other circulatory system diseases 1.149 984 962 1.075 1.125 1.134 respiratory system 7.994 10.770 10.341 10.335 11.384 10.924 digestive system 2.614 2.585 2.573 2.772 2.918 3.049 genitourinary system 1.606 1.859 1.898 1.782 1.874 2.106 Complications of pregnancy, childbirh and the puerperium 0 4 6 4 1 0 skin and subcutaneous tissue 35 35 31 21 29 28 musculoskeletal system and connective tissue 289 426 548 576 503 371 Congenital anomalies 247 214 256 239 222 195 Certain conditions originating in the perinatal period 277 172 185 146 127 158 Symptoms, signs and indefinable conditions 8.434 8.161 10.414 12.187 13.169 10.979 Violent deaths 4.496 3.868 3.554 3.460 3.466 3.473 of which Accidents related to transport 2.288 1.647 1.430 1.339 1.191 1.096 Other accidents 1.700 1.663 1.553 1.451 1.533 1.624 Suicides 382 391 377 477 508 533 Homicides 125 167 165 186 173 158 Other violence * 1 0 29 7 61 62 * Pursuant to the 9 th Revision of the International Statistical Classification of Diseases, Injuries and Causes of Death (ICD-9) the following are included: cases when it is stated that an investigation by a medical or legal authority has not determined whether the injuries are accidental, suicidal or homicidal; deaths caused by injuries inflicted by law-enforcing agents (including military) on duty in the course of attempting to enforce the Law; deaths caused by injuries during war operations.

Table 2. Evolution of major groups of causes of death: 1938, 1956, 1973, 1993 and 2013 1938 1956 1973 1993 2013 Total deaths 93.766 59.460 77.648 97.419 111.794 circulatory system 9.347 14.893 27.941 47.769 46.342 Neoplasms 3.831 6.928 13.513 21.044 28.857 respiratory system 17.849 3.290 5.899 5.592 10.924 Infectious and parasitic diseases 17.283 3.185 1.470 677 1.105 Violent deaths 2.687 2.821 4.077 4.309 3.473 Other causes 42.769 28.343 24.748 18.028 21.093 Graph 1. Percentage distribution of major groups of causes of death, 2013 Other causes 21% Heart diseases 27% Violent deaths 3% respiratory system 10% Cerebrovascular diseases 13% Neoplasms 26%

Graph 2. Evolution of the percentage distribution of major groups of causes of death for the years 1938, 1956, 1973, 1993 and 2013 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% circulatory system Neoplasms respiratory system Infectious and parasitic diseases Violent deaths 1938 1956 1973 1993 2013

EXPLANATORY NOTES Vital Statistics Legal Framework Coverage Data on the causes of deaths are part of the Vital Statistics Survey, which is being conducted, in its current form, since 1956. In cooperation with the Regional Statistical Offices of ELSTAT, personal statistical data on vital events (births, deaths, marriages, registered partnerships) are collected on a monthly basis from the Civil Register Offices all over Greece. From 1938 onwards, data on the causes of death are compiled on the basis of death certificates filled in by medical practitioners or forensic pathologists. As regards sudden deaths, where the cause of death is not specified and more research is needed, the data on the causes of death are collected through the Forensic Medicine Authorities. The survey produces statistical results on a yearly basis. The survey is fully harmonized with the European statistical practice. It is governed by Law 344/76 concerning the Registration of vital events which lays down the obligations of the Civil Register Offices to collect and then to transmit the data, as well as by Law 3832/2010 on the Hellenic Statistical System. The survey is a census survey and it covers all the deaths, which occur all over Greece. Reference period Definitions Methodology References 1/1/2013-31/12/2013 Death: means the permanent disappearance of all evidence of life at any time after live birth has taken place. Major cause of death: pursuant to the 9th Revision of the International Classification of Diseases (ICD-9) of the World Health Organisation (WHO), is the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury. Vital statistics data, after having been collected from the Civil Register Offices, undergo the necessary quality checks, and then they are processed and tabulated. More information (tables, methodology) is available on the website of ELSTAT, http//www.statistics.gr, at the link: Statistical Themes>Vital Statistics >