2022-11-17-世界卫生组织-Oral_Health_Romania_2022_country_profile_2页_660kb
报告摘要
Oral Health Country Profile Summary
Core Content Overview
This document presents a comprehensive overview of the oral health situation in a country, including disease burden, risk factors, economic impact, and the national health system's response. The data is sourced from various international organizations and studies, providing a reliable basis for understanding the current state of oral health in the region.
Main Oral Disease Burden
The following data highlights the prevalence of key oral diseases in the country:
| Oral Disease | Prevalence (%) |
|---|---|
| Untreated caries of deciduous teeth in children 1-9 years | 48.2 |
| Untreated caries of permanent teeth in people 5+ years | 41.3 |
| Severe periodontal disease in people 15+ years | 17.5 |
| Edentulism in people 20+ years | 12.4 |
These figures are based on the Global Burden of Disease Study 2019 (GBD2019) and reflect the proportion of the population affected by these conditions.
Lip and Oral Cavity Cancer
| Category | Number of New Cases | Incidence Rate (per 100 000 population) |
|---|---|---|
| Female | 322 | 1.3 |
| Male | 1 607 | 10.0 |
| Total | 1 929 | 5.4 |
Lip and oral cavity cancer is a significant public health concern, with a higher incidence rate among males compared to females.
Risk Factors for Oral Diseases
The following risk factors are associated with the country's oral health status:
| Risk Factor | Value |
|---|---|
| Per capita availability of sugar (g/day) | 74.3 |
| Prevalence of current tobacco use, 15+ years (%) | 28.4 |
| Per capita alcohol consumption, 15+ years (litres of pure alcohol/year) | 12.3 |
Tobacco use and alcohol consumption are notably higher among males, while sugar availability is a national average.
Economic Impact
The economic burden of oral diseases in the country includes:
- Total expenditure on dental healthcare (US$ million): 376
- Per capita expenditure on dental healthcare (US$): 19
- Total productivity losses due to 5 oral diseases (US$ million): 1 150
- Affordability of fluoride toothpaste: Affordable
- Labour days needed to buy annual supply of fluoride toothpaste per person: 0.5
The affordability of fluoride toothpaste is a positive indicator, as it suggests that the recommended annual supply can be obtained with minimal economic burden.
National Health System Response
Policies and Measures
| Policy | Status |
|---|---|
| Implementation of tax on sugar-sweetened beverages (SSB) | No |
| Existence of a national oral health policy/strategy/action plan | Yes |
| Presence of dedicated staff for oral health working on NCDs at the MoH | ... |
| Noma recognized as a national public health problem | No |
The country has a national oral health policy in place but does not currently implement a tax on sugar-sweetened beverages. Noma is not recognized as a national public health problem.
Oral Health Workforce
| Profession | Data Year | Total Number | Per 10 000 Population |
|---|---|---|---|
| Dental assistants and therapists | 2011 | 5 440 | ... |
| Dental prosthetic technicians | ... | ... | ... |
| Dentists | 2017 | 15 653 | 8.0 |
The country has 8 dentists per 10 000 population, indicating a moderate level of dental care availability. Data for dental assistants and prosthetic technicians is incomplete.
Availability of Procedures in Primary Care
| Procedure | Availability |
|---|---|
| Oral health screening for early detection of oral diseases | Unavailable |
| Urgent treatment for providing emergency oral care & pain relief | Unavailable |
| Basic restorative dental procedures to treat existing dental decay | Unavailable |
Basic oral health procedures are not available in primary care facilities, suggesting a lack of access to essential dental services at the grassroots level.
Oral Health Interventions in Health Benefit Packages
| Intervention | Coverage (% of population) |
|---|---|
| Routine and preventive oral health care | Yes |
| Essential curative oral health care | Yes |
| Advanced curative oral/dental care | No |
| Rehabilitative oral health care | No |
The country includes routine and preventive oral care in its health benefit packages but excludes advanced and rehabilitative care, limiting access to comprehensive dental services.
Notes and References
- Total population (2020): 19,442 thousand
- Per capita current health expenditure (PPP, 2019): 1907 international dollars
- Data sources: United Nations, WHO, Global Burden of Disease Study 2019, and WHO NCD Country Capacity Survey.
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