Health in Finland

Overview of health in Finland

Life expectancy at birth in Finland

The major causes of deaths in Finland are cardiovascular diseases, malignant tumors, dementia and Alzheimer's disease, respiratory diseases, alcohol related diseases and accidental poisoning by alcohol.[1] In 2010, the leading causes of death among men aged 15 to 64 were alcohol related deaths, ischaemic heart disease, accident, suicides, lung cancer and cerebrovascular diseases.[2] Among women the leading causes were breast cancer, alcohol related deaths, accidents, suicides, ischemic heart disease and lung cancer.[3]

## Healthcare system

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Main article: Healthcare in Finland

Finland is well known for its high-quality health care. Public health services are available to everyone who lives in the country. Finland has both public health services and private health care services. The Finnish Ministry of Social Affairs and Health supports the welfare of people in Finland via social and health services and by ensuring income security.[4] Local government and the municipalities have the responsibility to organize good social and health care services for the residents.

Finnish health care is focusing on disease prevention and health promotion. Primary health care includes preventive health care system for different age groups: maternal health care for pregnant women, health care for newborn baby and child until school age. School health care is for school aged children and student health care is for youths and young students. In Finland, it is statutory that employers offer health care services to their workers.[5] Organized and comprehensive disease prevention and health promotion system is one of the key factors for a well-functioning system and the health outcomes are good.

Finland has high-quality specialized medical care, and it is usually provided at hospitals. The most demanding treatment is provided in hospital districts and there are five catchment areas, which are University Hospitals of Helsinki, Turku, Tampere, Oulu and Kuopio. Every health care professional is either a licensed professional or professional with a protected occupational title. This means that the individual health care professional has a license to work due to completing a training programme in the relevant legislation and decrees.[6]

## Health status

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A new measure of expected human capital calculated for 195 countries from 1990 to 2016 and defined for each birth cohort as the expected years lived from age 20 to 64 years and adjusted for educational attainment, learning or education quality, and functional health status was published by The Lancet in September 2018. Finland had the highest level of expected human capital: 28·4 health, education, and learning-adjusted expected years lived between age 20 and 64 years.[7]

### Alcohol consumption

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"Alcohol in Finland" redirects here. See also: Finnish alcohol culture.

The total annual alcohol consumption has risen from 7.6 litres (in 1985) to 10.0 litres of 100% alcohol equivalent per capita in 2010. There has been a small reduction in alcohol consumption in the recent years. Alcohol use is highest in the Northern Finland with 10.9 litres and lowest at the Åland Islands with 5.7 litres per person.[8] Although the consumption is average to other western countries, binge drinking with especially teenagers and becoming intoxicated has remained as a characteristic of Finnish drinking habits.[9] Finland has a national alcohol programme to reduce the long-term effects of alcohol consumption. The World Health Organization has published a list of countries by alcohol consumption.

### Smoking rates

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Further information: Smoking in Finland

The percentage of Finnish adults who smoked in 2011

Smoking among adults has shown a marked decline over the past thirty years in most OECD countries. Much of this decline also in Finland can be attributed to policies aimed at reducing tobacco consumption through public awareness campaigns, advertising bans and increased taxation. Smoking in Finland has reduced, and now the smoking rates among adults in Finland in 2009 stood at 18.6%, lower than the OECD average of 22.3%.[10]

### Drug usage

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Drug use is not a major public health problem in Finland. The most commonly used drug is cannabis. According to a study from 2008, the percentage of the population aged 15 to 69 who had at some point in their lives tried cannabis was 13%; 3% of the population had used cannabis within the previous 12 months.[11]

### Obesity

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Overweight and obesity are common in Finland. Half of the adults are overweight, and every fifth adult is obese. The weight in men has increased since the 1970s, in women since the 1980s. Among the Nordic countries, Finland ranks the highest in a percentage of adults who are overweight. In comparison to other European countries, Finland is slightly above the average but overweight is still more common in South Europe and Great Britain. Overweight among children and adolescents has also become widespread. The number of overweight 12- to 18-year-olds has nearly tripled in the past four decades. 10% of boys and 15% of girls in preschool were overweight in a follow-up from 2007 to 2009.[12]

### Communicable diseases

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HIV/AIDS is not a major public health concern in Finland. The prevalence among adult population on 2009 was 0.1%.[13] HIV/AIDS is much more common in other European countries than in Finland, and the countries very near to Finland have much higher prevalence rates, due to increased travel HIV/AIDS rates in Finland may rise. It had the lowest rate of death from communicable diseases in Europe (9 per 100,000) in 2015.[14]

### Noncommunicable diseases

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The most significant public health problems are currently circulatory diseases, cancer, musculoskeletal diseases and mental health problems. Emerging problems are obesity, chronic lung diseases and type 2 diabetes.[15] 300,000 Finns are diagnosed with diabetes. Approximately 200,000 suffer from type 2 diabetes unknowingly and many more have prediabetes. The number of people with diabetes are estimated to double in 10 years.[when?] Most of the incidences[spelling?] could be prevented with healthy life styles, i.e. sufficient level of physical activity, obtaining normal weight and eating healthy.[16]

Proportional mortality (% of total deaths, all ages, both sexes)

Major causes of deaths in Finland are cardiovascular diseases, malignant tumours, dementia and Alzheimer's disease, respiratory diseases, alcohol related diseases and accidental poisoning by alcohol.[17] In 2010, the leading causes of death among men aged 15 to 64 were alcohol related deaths, ischaemic heart disease, accident, suicides, lung cancer and cerebrovascular diseases.[2] Among women the leading causes were breast cancer, alcohol related deaths, accidents, suicides, ischaemic heart disease and lung cancer.[3]

### Mental health

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Suicide mortality in Finland has generally been one of the highest in Europe, but it has reduced to 18 per 100,000 population in 2005. One reason for this may be the large national suicide prevention project which was carried out between 1986 and 1996.[15] The World Health Organization has compiled a list of countries by suicide rate. There is a high level of education of mental health workers in Finland and several effective mental health programs have been conducted within at-risk groups.[18]

## Sustainable Development Goal 3

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### Maternal mortality

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One of the Sustainable development goal 3 (SDG3) targets is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births, by 2030.

Finland is one of the countries that achieved the lowest maternal mortality ratio. After 2010, only three mothers die annually for every 100,000 births.[19]

### Child and infant mortality

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The proposed SDG target for aims to end, by 2030, preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 deaths per 1,000 live births and under-5 mortality to at least as low as 25 deaths per 1,000 live births.

In Finland, the mortality of under 5 years of age was 6.8 deaths per 1,000 live births in 1990, and 2.3 in 2021, and under 1 year of age it was 5.7 deaths per 1,000 live births in 1990 and 1.8 in 2021.[20]

Child mortality in Finland 1990–2021  | 1990  | 2021

|
|

Under-5  | 6.8  | 2.3
Under-1  | 5.7  | 1.8

Life expectancy at birth was 81,5 in Finland in 2021. Among males the life expectancy was 79 and among females 84,1.[21]

Due to the high life expectancy at birth and low maternal and under-5 child mortality rates, it is fair to say that the health care system is effective in Finland.

## Vaccination program in Finland

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In Finland, there is a national vaccination program, which is very comprehensive. Child health clinics, school health care and local health centers offer vaccinations against 12 different diseases for every child, free of charge. HPV vaccines were given first for girls, but from 2020 HPV vaccines are also offered for boys. For adults, the vaccination program recommends giving booster doses of tetanus and diphtheria on a set schedule, and other vaccines are boosted if it is necessary.[22] Free influenza vaccines are offered every year for the vulnerable groups and other risk groups.[23] In 2009, the rotavirus vaccination was introduced and added to the national vaccination program. Before that rotaviruses caused many outbreaks of diarrhea every year. Over 11,000 children under 5-year old required healthcare services such as hospitalisations and outpatient visits, during the biggest outbreaks. [24]

Vaccination program by age for children and adults

Age  | Protection againts  | Vaccine
2 months  | Rotavirus diarrhea  | Rotavirus
3 months  | Pneumonia, ear infections, meningitis and blood poisoning  | Pneumococcal Conjugate (PVC)
3 months  | Rotavirus diarrhea  | Rotavirus
3 months  | Tetanus, whooping cough, polio, diphtheria and Hib diseases (meningitis, laryngitis and blood poisoning)  | 5-in-1 vaccine

DTaP-IPV-Hib

5 months  | Pneumonia, blood poisoning, ear infections, meningitis  | Pneumococcal Conjugate (PCV)
5 months  | Rotavirus diarrhea  | Rotavirus
5 months  | Tetanus, diphtheria, polio, whooping cough and Hib diseases (meningitis, laryngitis and blood poisoning)  | 5-in-1 vaccine

DTaP-IPV-Hib

12 months  | Pneumonia, meningitis, ear infections and blood poisoning  | Pneumococcal Conjugate (PCV)
12 months  | Tetanus, diphtheria, polio, whooping cough and Hib diseases (meningitis, laryngitis and blood poisoning)  | 5-in-1 vaccine

DTaP-IPV-Hib

12-18 months  | Measles, rubella and mumps  | MMR

(recommended to be given at 12 moths of age)

6 months - 6 years  | Influenza (annually)  | Influenza
1,5 - 11 years  | Varicella (Chicken pox)  | Varicella

(only for the children who have not had chicken box before)

4 years  | Tetanus, whooping cough, polio and diphtheria  | 4-in-1 vaccine

DTaP-IPV

6 years  | Measles, rubella, mumps and chicken pox  | MMRV
10-12 years  | Papillomavirus caused cancers (cervical cancer, vaginal cancer, external genitalia cancer, and cancers in anus, penis, head and neck area)  | HPV
14-15 years  | Tetanus, Diphtheria and whooping cough  | dtap (booster)
25 years  | Tetanus, Diphtheria and whooping cough  | dtap (booster)
45 years  | Tetanus and diphtheria  | dT (booster)
65 years  | Diphtheria and tetanus (then every 10 years)  | dT (booster)
65 years  | Influenza (annually)  | Influenza
Countries that have mandatory childhood vaccination policies (2019)

The Finnish Institute for Health and Welfare (THL) and the Ministry of Social Affairs and Health have the responsibility of the decision-making concerning the vaccination program. [25]THL is keeping track of the vaccination coverage within different age and risk groups in Finland, by maintaining a national vaccination register where the data is retrieved from patient record systems. The national vaccination program has been one of the biggest reason that many communicable diseases have almost fully disappeared from the country.[26] [27]

Number of one-year-olds who are not vaccinated against measles, 2021, world map

In 2024, the vaccination coverage among young children born in 2021, is nearly 98 per cent. Around 95 per cent withing the same age group have also been vaccinated against rubella, measles and mumps. [28] The data shows that most of the children in Finland have started the 5-in-1 vaccination series.[27][28] The accurate coverage of vaccinations might be even higher than the data shows and therefore there is still improvement to be done with the regional data collection. [28]

## See also

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* Healthcare in Finland
* Finnish heritage disease
* Northern epilepsy syndrome

## References

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1. ^ "Causes of Death 2009". Statistics Finland. Archived from the original on 4 February 2016. Retrieved 13 December 2011.
2. ^ a b "Leading causes of death among men aged 15 to 64 in 2010". Official Statistics of Finland. Archived from the original on 4 March 2016. Retrieved 6 September 2014.
3. ^ a b "Leading causes of death among women aged 15 to 64 in 2010". Official Statistics of Finland. Archived from the original on 24 June 2016. Retrieved 6 September 2014.
4. ^ "Welfare and health promotion". MINISTRY OF SOCIAL AFFAIRS AND HEALTH. Archived from the original on 15 September 2021. Retrieved 15 September 2021.
5. ^ "Primary health care". Ministry of Social Affairs and Health. Archived from the original on 18 October 2021. Retrieved 15 September 2021.
6. ^ "Healthcare system in Finland". EU Healthcare. Archived from the original on 20 October 2021. Retrieved 15 September 2021.
7. ^ Lim, Stephen; et, al. "Measuring human capital: a systematic analysis of 195 countries and territories, 1990–2016". Lancet. Archived from the original on 11 April 2020. Retrieved 5 November 2018.
8. ^ "Alkoholijuomien kulutus 2010" (PDF). Terveyden ja Hyvinvoinnin Laitos (in Finnish). 2011. Archived (PDF) from the original on 4 March 2016. Retrieved 3 August 2015.
9. ^ "Alcohol use in Finland". National Research and Development Centre for Welfare and Health (Stakes). 2005. Archived from the original on 24 April 2008. Retrieved 18 April 2008.
10. ^ "How Does Finland Compare" (PDF). OECD Health Data 2011. Archived (PDF) from the original on 1 October 2022. Retrieved 13 December 2011.
11. ^ "Drug Situation in Finland 2010". National Institute for Health and Welfare. Archived from the original on 14 January 2012. Retrieved 13 December 2011.
12. ^ "Lihavuuden yleisyys Suomessa". THL (in Finnish). Archived from the original on 7 September 2014. Retrieved 7 September 2014.
13. ^ "European HIV and AIDS statistics". Archived from the original on 16 July 2012. Retrieved 13 December 2011.
14. ^ Ballas, Dimitris; Dorling, Danny; Hennig, Benjamin (2017). The Human Atlas of Europe. Bristol: Policy Press. p. 66\. ISBN 9781447313540.
15. ^ a b "Finland - Health system review 2008" (PDF). European Observatory on Health Systems and Policies. Archived from the original (PDF) on 3 October 2011. Retrieved 13 December 2011.
16. ^ "Diabetes". THL (in Finnish). Archived from the original on 7 September 2014. Retrieved 7 September 2014.
17. ^ "Causes of Death 2009". Statistics Finland. Archived from the original on 4 February 2016. Retrieved 13 December 2011.
18. ^ "The OECD: Finland must make mental health services more widely accessible". STM. Archived from the original on 7 September 2014. Retrieved 7 September 2014.
19. ^ Roser, Max; Ritchie, Hannah (29 February 2024). "Maternal Mortality". Our World in Data. Archived from the original on 10 September 2021. Retrieved 15 September 2021.
20. ^ "Finland". Healthdata. Archived from the original on 15 September 2021. Retrieved 15 September 2021.
21. ^ "Life expectancy at birth, total (years) - Finland". The World Bank. Archived from the original on 5 July 2024. Retrieved 15 September 2021.
22. ^ "Vaccination programme for children and adults". Finnish institute for health and welfare. 7 December 2023. Archived from the original on 5 October 2021. Retrieved 15 September 2021.
23. ^ "Influenza vaccine". Finnish institute for health and welfare. 7 December 2023. Archived from the original on 5 October 2021. Retrieved 15 September 2021.
24. ^ "Rotavirus vaccine". Finnish institute for health and welfare. 17 September 2024.
25. ^ "Vaccinations". Ministry of Social Affairs and Health. 16 September 2024. Archived from the original on 25 May 2024. Retrieved 16 September 2024.
26. ^ "Vaccination coverage". Finnish Institute for Health and Welfare. 16 September 2024. Archived from the original on 15 September 2024. Retrieved 16 September 2024.
27. ^ a b "Vaccination programme for children and adults". Finnish Institute for health and welfare. 16 September 2024. Archived from the original on 15 September 2024. Retrieved 16 September 2024.
28. ^ a b c Virkku, Anniina; Jordman, Camilla (27 March 2024). "The vaccination coverage of young children in Finland is very good – the proportion of unvaccinated children among those born in 2021 is slightly higher than in the previous age groups". Finnish Institute for Health and Welfare. Archived from the original on 16 September 2024. Retrieved 16 September 2024.

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