1. 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

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

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

4. Crude number and rate of children in the Hungarian population 199219972002 Number of children younger than 18 years 2 533 9002 223 1002 038 200 Proportion of the children younger than 18 years in the population 24,5%21,9%20,1%

5. Premature birth in some European countries

6. Infant mortality rate in some European countries

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

8. Age specific incidence of morbilli in Hungarian children

9. Age specific incidence of TBC in Hungarian children

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

11. Age specific incidence of Type-1 Diabetes in Hungary

12. Age specific incidence of leukemia in Hungary

13. 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%

14. 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

15. 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.

16. Thank you for your attention! National Institute of Child Health