The occurrence of chronic diseases in childhood during the last decades in Hungary Gabriella Páll MD, Anna Aszmann MD, Attila Pintér MD, Éva Mramurácz MD. National Institute of Child Health, Hungary

 Demographic features of Hungarian children  Epidemiology of some infectious diseases  Epidemiology of some chronic diseases National Institute of Child Health, Hungary Topics

Live birth/ 1000 in the Hungarian population Similar trend in Western Europe Underlines the importance of children

Crude number and rate of children in the Hungarian population Number of children younger than 18 years Proportion of the children younger than 18 years in the population 24,5%21,9%20,1%

Premature birth in some European countries

Infant mortality rate in some European countries

Morbidity I. Communicable diseases  Decreasing importance  Higher standard of living  Prevention  Therapeutic possibilities  Vaccination  Well organised  98% covered  Home visitor nurses  Primary care paediatricians

Age specific incidence of morbilli in Hungarian children

Age specific incidence of TBC in Hungarian children

Morbidity I. Non-communicable diseases  Growing importance  diabetes (both 1-type, and 2-type)  malignancies,  obesity,  allergies  Earlier start, earlier complications

Age specific incidence of Type-1 Diabetes in Hungary

Age specific incidence of leukemia in Hungary

Overweight and obesity No reliable, nationwide data, based on measure  HBSC  nationwide, representative, questionnaire based, self-reported  Boys: 14-15,5%; girls: 6,5-10,5%  Cross sectional survey in Baranya County  Early 80s: 11,8%  Early 90s: 16,3%

Allergies  No reliable, nationwide data  Asthma  increasing prevalence reported by experts  4-6 % prevalence is estimated  School-health system: 1,5% reported- under-diagnosed  Food-allergy  2,5% among toddlers  Allergic rhinitis  15-21% in adolescence

Summary  The number of children has decreased, what should make the society more sensitive to the health problems of this population group.  As a result of preventive and therapeutic possibilities, the importance of infectious diseases, both in mortality and morbidity has decreased.  The importance of some, non-communicable diseases with pubic health importance, has increased.  These illnesses not only became more frequent, but they are also caracterised by earlier start.

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