Dr Pali LehohlaStatistician-­General

What do South Africans die of?

Findings from registered deaths, 2015

#StatsSA

Death:A permanent

disappearance of all evidence of life after a live birth has occurred

From death to statistics

Reporting of causes of death is based on the underlying

cause:“the disease or injury that initiated the train of events leading directly

to death”

Births and Deaths Registration Act, 1992 Statistics Act, 1999

Doctor verifies death & completes death DHA 1663 form

Submitted to DHA & entered on population register

3

Sent to Stats SA to code causes of death to ICD-­10, process and analyze

ICD-­10Death occurs

1 2

Statistics released

Why register deaths?

§ The data allows us to better understand mortality and causes of death in South Africa and the rest of the provinces

§ Quality of information on mortality and causes of death collected can be improved through:

§ Accurate and full completion of all fields on the death notification form

§ Correct and detailed information on causes of death

Strengths of death registration data § South Africa as a leader in sub-­Saharan Africa : Only country in Africa using:

§ An automated system (IRIS) for coding causes of death § WHO data editing tools (ANACOD & CoDEdit)

§ Training of doctor on death certification

§ To improve the quality of causes of death certification

§ Improving Civil Registration and Vital Statistics Systems (CRVS)

§ Efforts at global, continental and country levels to improve CRVS)

§ Improved coverage of death registration

§ 96% completeness of death registration

§ Deaths registered soon after they occurred (3-­Days regulation)§ Statistics compiled in accordance with WHO standards§ General improvements noted in the quality of data

Limitations of death registration data § 24% of deaths outside health facilities: occurred at home (22,2%) and dead on

arrival (1,8%);; and “other” (26%)§ May compromise proper diagnosis of the causes of death

§ Statistics are coded from what is recorded§ Not all information is accurate or fully completed§ Misreporting and insufficient reporting of causes of death § High proportion of non-­natural deaths unspecified to give a conclusive profile

§ Delayed transfer of data from DHA§ Affects number of deaths processed

Implications for National Development Plan (NDP) Priorities

§ By 2030, South Africa should have:§ Raised life expectancy to at least 70 years§ Reduced maternal, infant and child mortality§ Significantly reduced prevalence of non-­communicable diseases§ Reduced injuries, accidents and violence by 50% from 2010 levels§ Progressively reduced deaths from tuberculosis\

§ Tracking of NDP objectives has implications for setting of Sustainable Development Goals (SDGs) baselines and targets to “ensure healthy lives and promote well-­being for all at all ages” AND to meet the aspirations of Agenda 2063 that “African people have a high standard of living, and quality of life, sound health and well-­being”.

Life Expectancy at birth, 2007−2015

53,356,5

60,9 61,957,3

61,266,6 67,7

55,358,9

63,8 64,8

2007 2010 2014 2015

LIFE EXPECTANCY

DEATH YEAR

Males Females Total deaths

Data source: civil registration deaths and mid-­year population estimates

Life Expectancy at birth, 2015

Data source: civil registration deaths and mid-­year population estimates

NDP Targeted Life Expectancy in

2030

70 years

Females : 67,7 yearsMales : 61,9 years

64,8 years Total 2015 Life Expectancy from registered deaths

Maternal mortality ratios, 2010−2015

247

214

160

132119

119

38

0

50

100

150

200

250

300

2010 2011 2012 2013 2014 2015 MDG 2015 Target

MAR

TENA

L DE

ATHS

PER

100 000 LIVE BIRT

HS

death year

29

24 22 22 22 1918

40

32 31 29 2926

20

0

5

10

15

20

25

30

35

40

45

2010 2011 2012 2013 2014 2015 MDG Target 2015

Deaths per 1000 live births

Death Year

Infant mortality Under-­‐5 child mortality

Infant and child mortality rates, 2010−2015

National Development plan target or actions by 2030 Deaths 2015 show:

q Increase life expectancy to at least 70 years

q Progressively reduced deaths from tuberculosis, HIV disease and other communicable diseases

q Reduced injuries, accidents and violence by 50% from 2010 levels

q 460 236 deaths in 2015 – peak age group 60−64 years

q Communicable diseases: § TB number one leading cause of

death but decreasing proportions especially for females

§ TB & HIV part of top ten causes only for black Africans and coloureds.

§ HIV mostly amongst ages 25−54 years.

q [51 227] non-­natural deaths in 2015 –increase of 3,9% from 2010 levels [49 318].§ Account for 61,3% of deaths to males 20−24 years

National Development plan target or actions by 2030

Deaths 2015 show:

q Significantly reduced prevalence of non-­communicable diseases

q Reduce maternal, infant and child mortality

q Non-­communicable diseases (NCDs) –Account for 55,5% deaths in 2015 – 8,9% points increase from 2010 levels [46,6%].§ In 2015, top three causes for whites and Indian/Asians were NCDs

q In 2015, the 24 216 (5,3%) infant deaths and 31 938 (6,9%) child deaths.

Mortality rates:§ 19 Infant deaths per 1000 live births§ 26 Under-­5 deaths per 1000 live births

§ 119 Maternal deaths per 100 000 live births

Key findings

Number of deaths in South Africa, 1997−2015317 860

366 585

382 624

417 191

456 238

503 335

558 388

578 355

599 593

614 158

606 112

598 165

583 419

551 320

515 427

493 493

475 510

474 659

460 236

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

NUMBER OF DEATHS

Year of death

The number of registered deaths has been declining

since 2007

460 236deaths occurred in South Africa in 2015

Age

Demographic profileSex Geography

0

2

4

6

8

100

1-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Percentage

Age group

2011 2012 2013 2014 2015

The age profile of deaths is starting to normalise as the

proportion of deaths has shifted from young adult to older age

groups

Percentage of deaths by age and year, 2011−2015

0

1

2

3

4

5

6

7

8

9

100

1-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Percentage

Male Female

Age group

Percentage distribution of deaths by age and sex, 2015

Males tend to die at younger ages than females

Provincial distribution of registered deaths, 2015

21,3%

17,7%

14,9%

10,8% 10,2%

7,5% 7,4% 6,9%

3,0%

Gauteng KwaZulu Natal

Eastern Cape

Western Cape

Limpopo North West Mpumalanga Free State Northern Cape

The biggest proportion of deaths were recorded in

Gauteng followed by KwaZulu-­Natal.

Number of deaths per 1 000 population, 2015

LP8,2

MP8,0

GP7,4

KZN7,4

EC9,9

FS11,3

NW9,3

NC11,6

WC8,1

South Africa8,4 deaths per 1 000 population

Northern Cape (11,6) and Free State (11,3) had the highest number of deaths per 1 000

population

How we die

• Communicable diseases • are diseases caused by pathogenic microorganisms and can be spread, directly or indirectly, from one person to another.

• Non-­communicable diseases • are medical conditions or diseases that are non-­infectious or non-­transmissible among people. These last for longer periods of time and progress slowly and include, amongst others

• (WHO, 2013).• Injuries• Non-­natural deaths e.g accidents;; assault;; suicide

0

10

20

30

40

50

601997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Percentage of total deaths

Year of death

Percentage of deaths: Communicable, Non-­communicable and Injuries, 1997−2015

2015Gap was22% points

1997 Gap was24% points

CommunicableNon-­communicable Injuries

0

10

20

30

40

50

60

70

80

01-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Percentage of deaths

Age group

Male

Percentage of deaths: Communicable by age and sex

From Ages 5−44 yearsfemales had higherpercentages of deaths due to communicable

diseases

0

10

20

30

40

50

60

70

80

90

01-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Percentage of deaths

Age group

Male

Generally, there were more female deaths than male deaths due to non-­

communicable diseases

Percentage of deaths: Non-­communicable by age and sex

0

10

20

30

40

50

60

70

0

1-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Percentage of deaths

Age group

Male Female

Percentage of deaths: Injuries by age and sex

Injury deaths for females peak at 29% and much younger age group (5−9)

Above 60% deaths due to injuries for males 20−24 years

39,2%

41,0%

36,1%

37,9%

35,4%

33,7%

32,6%

29,9%

21,2%

33,4%

49,5%

50,1%

52,4%

53,2%

54,5%

54,8%

56,6%

58,4%

65,6%

55,5%

11,2%

8,9%

11,5%

8,9%

10,1%

11,6%

10,8%

11,7%

13,2%

11,1%

Mpumalanga

Limpopo

KwaZulu-­Natal

North West

Free State

Eastern Cape

Northern Cape

Gauteng

Western Cape

South Africa

CD NCD Injuries

Percentage of communicable, non-­communicable and injuries by Province, 2015

Total Deaths460 236

Main groups of causes of death, 2015

17,8%

9,1%

11,1%

Other

TB

HIV disease

Infectious diseases

19,5%

9,6%

6,9%Metabolic diseases

26,0%

20141 Tuberculosis 8,3%

2 Cerebrovascular diseases 5,1%

3 Diabetes mellitus 5,0%

4 Other forms of heart disease 4,8%

5 Influenza and pneumonia 4,8%

6 HIV disease 4,8%

7 Hypertensive diseases 3,9%

8 Intestinal infectious diseases 3,1%

9 Other viral diseases 3,1%

10 Chronic lower respiratory diseases 2,7%

Top ten leading causes of death, 20152015

1 Tuberculosis 7,2%

2 Diabetes mellitus 5,4%

3 Cerebrovascular diseases 5,0%

4 Other forms of heart disease 4,8%

5 HIV disease 4,8%

6 Influenza and pneumonia 4,5%

7 Hypertensive diseases 4,2%

8 Other viral diseases 3,5%

9 Chronic lower respiratory diseases 2,8%

10 Ischaemic heart diseases 2,7%

Males

1 Tuberculosis 20 111 8,3%

2 HIV disease 11 275 4,7%

3 Influenza and pneumonia 10 507 4,4%

4 Other forms of heart disease 10 265 4,3

5 Cerebrovascular diseases 9 696 4,0%

6 Diabetes mellitus 9 657 4,0%

7 Other viral diseases 7 698 3,2%

8 Chronic lower respiratory diseases 7 691 3,2%

9 Hypertensive diseases 7 342 3,0%

10 Ischaemic heart diseases 6 944 2,9%

Top ten leading causes of death by sex

Females

1 Diabetes mellitus 15 396 7,1%

2 Cerebrovascular diseases 13 146 6,1%

3 Tuberculosis 12 811 5,9%

4 Hypertensive diseases 12 078 5,6%

5 Other forms of heart disease 11 894 5,5%

6 HIV disease 10 545 4,9%

7 Influenza and pneumonia 9 970 4,6%

8 Other viral diseases 8 356 3,8%

9 Intestinal infectious diseases 5 292 2,4%

10 Ischaemic heart diseases 5 280 2,4%

Males:

• The top 10 causes consist of 21,4% Non-­Communicable Diseases (NCD’s) and 20,6% Communicable Diseases (CD’s).

• In the top 5 causes there are 2 NCD’s and 3 CD’s

Top ten leading causes of death by sex

Females:

• The top 10 causes consist of 26,7% Non-­Communicable Diseases (NCDs) and 21,4% Communicable diseases (CDs)

• In the top 5 causes there are 4 NCD’s and 1 CD

*Excluding unspecified sex and age

500

1 000

1 500

2 000

2 500

3 000

01-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Num

ber of deaths

Age group

Sex and age distribution of Tuberculosis deaths, 2015

01-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Num

ber of deaths

Age group

Sex and age distribution of Diabetes Mellitus deaths, 2015

N = 20 050

N = 12 794

N = 9 654

N = 15 390

TB concentrated in males of working ages

More women are dying of diabetes from age 45 years

Hot and cold spots for Tuberculosis deaths, 2015

500

1 000

1 500

2 000

2 5000

1-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Number of deaths

Age group

Sex and age distribution of Diabetes Mellitus deaths, 2015

*Excluding unspecified sex and age

More women are dying of diabetes from age 45 years

N = 9 654

N = 15 390

Hot and cold spots for Diabetes Mellitus deaths, 2015

Age adjusted diabetes mellitus, Males Age adjusted diabetes mellitus, Females

The top 10 causes Population group:

• For black Africans: consist of 5 Communicable Diseases (CDs) and 5 Non-­Communicable Diseases (NCDs)

• For Coloureds: 2 CDs (Tuberculosis & HIV disease) and 8 NCDs.

• For White and Indians/Asians: 1 CD (influenza and pneumonia) and 9 NCDs, each.

Three leading causes of death by Population group, 2014

Black Africann : 324 265

TuberculosisHIV DiseaseDiabetes

8,7%5,8%5,4%

123

Whiten : 40 155

Ischaemic heart diseases Other forms of heart disease Chronic lower respiratory diseases

123

11,2%7,1%5,7%

Indian/Asiann : 7 270

Ischaemic heart diseases Other forms of heart disease

123

Diabetes mellitus 15,3%13,1%

6,7%

Colouredn : 32 688

TuberculosisDiabetes mellitus 7,7%

7,0%123 6,7%Chronic lower respiratory diseases

Young people 15−24 years causes of death by population group, 2015

Black Africans89,7%

White2,1%

Coloured7,5%

Indian/Asian0,8%

[N= 18 533]

Black Africans White

Coloured Indian/Asian

*Excluding unspecified population group

Coloured [n= 1 381]

Indian/Asian [n= 146]

Natural causes 38,0% Natural causes 47,3%

Tuberculosis 9,5% Tuberculosis 2,7%

HIV disease 5,3%Other forms of heart

disease 2,7%

Non-­natural causes 62,0% Non-­natural causes 52,7%

Assault 14,3% Assault 6,8%

Transport accidents 6,3% Transport accidents 4,8%

Black Africans[n= 16 616]

White[n= 390]

Natural causes 43,6% Natural causes 35,1%

Tuberculosis 8,7% Tuberculosis 3,3%

HIV disease 6,0% HIV disease 2,8%

Non-­natural causes 56,4% Non-­natural causes 64,9%

Assault 10,7% Transport accidents 11,8%

Transport accidents 4,8% Assault 2,6%

Three leading underlying causes of death for infants

11,2%

12,1%

35,1%

DISORDERS RELATED TO LENGTH OF

GESTAT ION AND FETAL GROWTH

OTHER D ISORDERS

OR IG INAT ING IN THE PER INATAL

PER IOD

RESP IRATORY AND

CARD IOVASCULAR D ISORDERS SPEC IF IC TO

THE PER INATAL PER IOD

NEONATAL (0−28 DAYS)[N: 10 663]

6,1%

14,9%

15,7%

MALNUTR I T ION

INF LUENZA AND

PNEUMON IA

INTEST INAL INFECT IOUS D I S EASES

POST-­‐NEONATAL (29 DAYS -­‐ <1

YEAR)[N: 13 553]

8,4%

9,5%

15,6%

INF LUENZA AND PNEUMON IA

INTEST INAL INFECT IOUS D I S EASES

RESP I RATORY AND

CARD IOVASCULAR D I SORDERS S PEC I F I C TO

THE PER INATAL P ER IOD

INFANTS (<1 YEAR)

[N: 24 216]

Three leading underlying causes of death for children

8,4%

10,1%

11,9%

INF LUENZA AND PNEUMON IA

INTEST INAL INFECT IOUS D I S EASES

RESP I RATORY AND CARD IOVASCULAR

D I SORDERS S PEC I F I C TO THE PER INATAL P ER IOD

UNDER 5-­‐YEARS[N= 31 938]

8,4%

8,6%

12,3%

MALNUTR I T ION

INF LUENZA AND PNEUMON IA

INTEST INAL INFECT IOUS D I S EASES

AGE 1−4[N= 7 722]

Three leading causes of death by age groups, 2015

5,0%

6,8%

8,9%

MALNUTR I T ION

INF LUENZA AND PNEUMON IA

INTEST INAL INFECT IOUS D I S EASES

AGE 1−14 [N= 13 938]

7,4%

10,5%

12,4%

OTHER V I RAL D I S EASES

H IV D I S EASE

TUBERCULOS I S

AGE 15−44 [N= 131 593]

5,1%

7,0%

8,9%

CEREBROVASCULAR D I S EASES

D IABETES MEL L I TUS

TUBERCULOS I S

AGE 45−64 [N= 130 997]

8,2%

9,0%

9,1%

HYPERTENS IVE D I S EASES

CEREBROVASCULAR D I S EASES

D IABETES MEL L I TUS

AGE 65+ [N: 158 270]

Leading causes of death within each province, 2015Influenza and pneumonia

Tuberculosis

Diabetes mellitusOther forms of heart disease

LP

MP

KZN

EC

NW

NC

GP

FS

WC

HIV related deathsThese are deaths attributed to HIV,

Tuberculosis, Influenza and pneumonia, Intestinal infectious diseases, Certain

disorders involving the immune mechanism,Kaposi's sarcoma and Meningitis

HIV related vs non-­HIV related deaths, 1997 -­ 2015

Deaths related to HIV

Deaths not related to HIV

0

100000

200000

300000

400000

500000

600000

7000001997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Number of deaths

Death year

HIV related vs non-­‐HIV related by age in 2015

HIV related deaths

5 000

10 000

15 000

20 000

25 000

30 000

35 000

40 0000

1-­4

5-­9

10-­14

15-­19

20-­24

25-­29

30-­34

35-­39

40-­44

45-­49

50-­54

55-­59

60-­64

65-­69

70-­74

75-­79

80-­84

85-­89

90+

Number of deaths

Age group

HIV related Deaths in25−54 Age Group

[N= 70 547]

Percentage distribution of HIV related deaths 25−54 age group in 2015 by sex

39,6%

48,8%54,9%

58,4%59,7%

61,7%

54,2%

60,4%

51,2%

45,1%

41,6%40,3% 38,3%

45,8%

25-­29 30-­34 35-­39 40-­44 45-­49 50-­54 Total

HIV related Deaths in25−54 Age Group

[N= 70 547]

Non-­natural causes of death

Percentage of non-­natural deaths, 1997 -­ 2015

17,0%

8,7% 9,1%

11,1%

0

4

8

12

16

201997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Percentage of deaths

Death Year

Non-­natural deaths include all external causes of morbidity and mortality

The percentage of non-­natural deaths in South Africa has decreased over the years, but has increased

slightly since 2010

NDP requires a 50% reduction in injuries,

accidents and violence from 2010 levels by 2030

Number of deaths: Communicable, Non-­communicable and Injuries, 1997−2015

4500

54500

104500

154500

204500

254500

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

CD NCD Injuries

Increases in communicable and non-­communicable deaths peaked in 2006.

0,9%

3,4%

12,3%

14,1%

6,7%

62,5%

0,0 20,0 40,0 60,0 80,0

Intentional self-­harm

Complications of medical and surgical care

Transport accidents

Assault

Event of undetermined intent

Other external causes of accidental injury

Percentage of non-­natural deaths by broad groups 2015

Over 62% of non-­natural deaths due to Other external

causes of accidental injury

4,4%

7,4%

15,2%

17,4%

49,6%

Accidental drowning and submersion

Exposure to smoke, fire and flames

Other accidental threats to breathing

Exposure to inanimate mechanical forces

Accidental exposure to other and unspecified factors

Distribution of deaths due to other external causes of accidental injury 2015

Deaths due to other external causes comprise of high percentage of

ill-­defined causes

Transport accident deaths percentage of non-­natural deaths within each province

LP31,9%

MP11,2%

KZN12,2%

EC13,0%

NW17,0%

NC28,9%

GP

FS20,5%

WC6,8%

GP2,5%

South Africa12,3%

Limpopo & Northern Cape had the highest percentage of deaths due to transport accidents

Transport accident deaths percentage of non-­‐natural deaths by District Municipality: 2015

The Waterberg District Municipalityrecorded the highest percentage of deaths due to transport accidents in South

Africa

Rank District Municipality ProvincePercentage of non-­natural deaths in DM

1 Waterberg Limpopo 41,0%

2 John Taolo Gaetsewe North West 38,4%

3 Greater Sekhukhune Limpopo 37,3%

4 Capricorn Limpopo 35,3%

5 Fezile Dabi Free State 34,3%

6 Central Karoo Western Cape 32,5%

7 Namakwa Northern Cape 31,0%

8 Ngaka Modiri Molema North West 30,2%

9 Siyanda Northern Cape 28,7%

10 Frances Baard Northern Cape 27,3%

Ranking of Metro Municipalities

32. Mangaung34. Nelson MM38 City of Tshwane40. City of eThekwini41. Buffalo City 43. City of Cape Town48. City of Johannesburg51. Ekurhuleni MM

Hot and cold spots for Transport deaths, 2015

Assault related deaths percentage of non-­natural deaths within each province

LP7,3%

MP5,6%

KZN13,2%

EC22,3%

NW9,1%

NC21,6%

FS16,1%

WC21,6%

GP9,2%

South Africa14,1%

The Eastern Cape experienced the

highest percentage of deaths due to assault

Assault related deaths percentage of non-­‐natural deaths by District Municipality

The Alfred Nzo District Municipality recorded the highest percentage of deaths due to assault

in South Africa

Rank District Municipality ProvincePercentage of non-­natural deaths in DM

1 Alfred Nzo Eastern Cape 27,7%

2 O.R.Tambo Eastern Cape 27,2%

3 Siyanda Northern Cape 25,9%

4 Central Karoo Western Cape 25,6%

5 Pixley ka Seme Northern Cape 24,8%

6 Chris Hani Eastern Cape 23,3%

7 Lejweleputswa Free State 22,9%

8 Amathole Eastern Cape 22,8%

9 Overberg Western Cape 22,8%

10 Eden Western Cape 22,7%

Ranking of Metro Municipalities

12. City of Cape Town13. Buffalo City 20. Mangaung Municipality25. Nelson MM30. City of eThekwini38. Ekurhuleni MM43. City of Johannesburg50. City of Tshwane

Firearm and breathing related deaths as a percentage of non-­natural deaths within each province

0,0%

5,0%

10,0%

15,0%

20,0%

25,0%

Discharge from firearm Accidental threats to breathing

45,0%

2,1%

Hospital

Emergency Roomoutpatient

1,8%Dead on arrival

22,2%2,9%

Nursing Home

Distribution of deaths by place of death occurrence

*Other, Unknown or Unspecified 26,0%

Home

Conclusions§ The overall number of deaths in South Africa continues to decline

since 2007. § The age and sex profile of deaths shows proportion of deaths

shifting from young adults to older age groups, particularly among females.

§ The profile of the global burden of disease shows that on average South Africans are dying of non-­communicable diseases.

§ Leading causes show that:§ Tuberculosis 1st leading cause in 2014 and 2015 § Diabetes moved up from 3rd position in 2014 to 2nd in 2015§ Diabetes was 1st among females and 5th amongst males § HIV disease was 2nd among males and 6th amongst females

§ Mortality and causes of death 2016 release scheduled for November 2017

§ SADHS § data collection completed. § Currently busy with data analysis§ The Key Indicator Report (KIR) will be released within three months.

Next Steps

The Mortality report, 2015 is also available to

download from the Stats SA app