Health in Switzerland

Last updated
Life expectancy at birth in Switzerland Life expectancy by WBG -Switzerland.png
Life expectancy at birth in Switzerland

Health in Switzerland relates to a variety of issues. Namely, water and sanitation, diet and fitness, various addictions, mental fitness, communicable diseases, hygiene and the environment.

Contents

In the 2023 OECD "Health at a Glance" report, Switzerland's health statistics indicate several advantages relative to the OECD averages. The country records a life expectancy of 83.9 years, which is 3.6 years higher than the OECD average. Its preventable mortality rate is 94 per 100,000 people, which is below the OECD average of 158 per 100,000. The treatable mortality rate in Switzerland, at 39 per 100,000, is also below the OECD average of 79 per 100,000. Additionally, 3.9% of the Swiss population reports their health as bad or very bad, less than the OECD average of 7.9%. The prevalence of diabetes in Switzerland is lower than the OECD average. Switzerland performs better than the OECD benchmarks on 95% of the health indicators analyzed. [1]

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. Switzerland had the twelfth highest level of expected human capital with 25 health, education, and learning-adjusted expected years lived between age 20 and 64 years. [2] According to a study conducted by Swiss insurance company CSS in 2023, about one third of the Swiss "feel unhealthy or ill". [3]

Risk factors

In 2023, Switzerland exhibits a smoking prevalence of 19.1%, higher than the OECD average of 16.0%.[ dubious ] The country's alcohol consumption per capita is closely aligned with the OECD average, at 8.5 litres compared to the OECD's 8.6 litres. Obesity prevalence in Switzerland is notably lower, at 11.3%, compared to the OECD average of 18.4%. Moreover, Switzerland reports fewer deaths from air pollution, with 16 deaths per 100,000 population, versus the OECD average of 28.9. Overall, Switzerland performs better than the OECD average in 90% of the health risk factors reviewed. [1]

Health system resources

In 2023, Switzerland's health system investment notably exceeds OECD averages, with a per capita expenditure of $8049, significantly higher than the OECD's average of $4986 (USD PPP). This expenditure accounts for 11.3% of Switzerland's GDP, compared to the OECD average of 9.2%. The country also has a higher density of healthcare professionals, with 4.4 practicing doctors and 18.4 practicing nurses per 1,000 population, above the OECD averages of 3.7 and 9.2, respectively. Switzerland's hospital bed capacity stands at 4.4 per 1,000 population, on par with the OECD average of 4.3. Switzerland performs better than the OECD standard in 55% of assessed health indicators. [1]

Mental illness

It is estimated that one out of six persons in Switzerland suffers from mental illness. [4] Other studies estimate that between 20 and 30 per cent of the population suffers from clinical psychological disorders. [5] The annual cost for brain disorders is CHF15 billion ($13.7 billion) - more than CHF2,000 per person according to Swiss medical sources (2008). [6]

Switzerland has the highest rate of psychiatrists per population in the OECD (Iceland has half as many psychiatrists as in Switzerland and is ranked second). [7]

Patients in psychiatric clinics can be subjected to medication against their will, isolation and restraint. One in four patients in psychiatric services is now hospitalized against their will. "This figure is surprisingly high compared to other European countries" according to Swiss sources. [8]

The percentage of SMEs that are significantly affected by failures due to mental illnesses in 2022 stands at 26%. [9]

Stress

Studies reveal that over 27% of Swiss workers are stressed and nearly 30% of Swiss people say that they are "emotionally exhausted". Health Promotion Switzerland says that job-related stress results in a loss of productivity worth about $6.6 billion per year or 1% of Switzerland's GDP. [10]

Anxiety

The most common psychiatric illnesses are anxiety disorders with 710,000 cases (2008) [11]

Migraine

Migraine cases as part of "neurological illnesses" stand at 630,000 cases (2008). [12]

Depression

Around 345,000 people saw a doctor about depression in 2008. [13]

Bipolar

As of 2022, about 80,000 people were diagnosed with bipolar disorder. [14]

Schizophrenia

As of 2021, nearly 85,000 people in Switzerland were suffering from schizophrenia. [15]

Sleeping disorders

52% of the Swiss say they have problem sleeping (2022). [16]

Alzheimer

About 150,000 people have Alzheimer in Switzerland (2022). This number is predicted to increase to 315,000 by 2050. [17]

Cancer

Some 23,100 men and 19,650 women were diagnosed with cancer every year between 2013 and 2017, according to a Swiss report; with an increase of 3,350 new cases compared with the previous five-year period (because of an aging population). [18] According to studies, alcohol consumption, smoking and pollution are main factors contributing to cancer. [19]

Addictions

Internet

On average in 2019, 16–25 years olds spend 4 hours on the internet every day. Between 73,000 and 290,000 people in Switzerland had "problematic" time usage of the internet. [20]

Gambling

Nearly 3% of people in Switzerland gamble excessively spending 122 Swiss Francs per month on average. [21] Over 70 thousand persons were banned from Swiss casinos for excessive gambling in 2020. [22]

Illegal drugs

As of 2017, out of a population of 8 million, Swiss people smoke more than half a million joints per day. [23] The Swiss health office estimates there are 220,000 regular consumers of cannabis in Switzerland despite a legal ban. [24]

Drug use is 14% of men and 6.5% of women between 20 and 24 saying they had consumed cannabis in the past 30 days, [25] and 5 Swiss cities were listed among the top 10 European cities for cocaine use as measured in wastewater. [26] [27] Since the early 90's, when drug use was dramatically increasing in urban areas, Switzerland has pioneered effective drug policies of harm reduction, prevention and treatment, including HAT as well as decriminalisation of recreational cannabis use. With the revision of Swiss federal narcotics regulations in 2008, the medical use of cannabis was also legalised. [28]

The number of opioid-related calls made to Tox Info Suisse, the national poisoning hotline, increased by 177% between 2000 and 2019. During the same period, sales of opioids almost doubled, from 14,300 units sold per 100,000 inhabitants to 27,400, with Fentanyl being the third most sold opioid in Switzerland. [29]

Analysis of Swiss police records suggests that participants in medical drug rehabilitation programs tend to reduce cocaine, cannabis and heroin use, [30] and the need to commit other crimes to buy their drugs, such as shoplifting, burglary or car theft. [31] [32]

An estimated 350,000 people in Switzerland are addicted to sleeping pills. [33] As of a 2022 study, a quarter of the Swiss use painkillers. Overall, the study found 55% Swiss respondents had taken medication in the last week. [34]

Alcoholism

According to official statistics, the percentage of adults drinking alcohol every day has decreased by 50% over the past 25 years, from 20% to 11%. Overall, 82% of the population regularly drinks alcoholic beverages. [35] In 2016, Swiss hospitals treated 11,500 people for alcohol poisoning; about half of the patients were diagnosed as alcoholics. Among those who seek help to quit drinking, the average age is 46; 70% are male. [36]

Smoking

Between 2008 and 2018, the percentage of smokers has remained stable at around 27%. [37]

Communicable diseases

HIV/AIDS

By the end of 2020, Switzerland had 236 registered HIV new infections (about a third fewer than in 2019, partly because of the COVID-19 pandemic). In 2018, 17,000 people were infected with HIV/AIDS according to official statistics. [38]

Gonorrhea

Switzerland had 4,000 cases of gonorrhea in 2021. [39]

Chlamydia

In 2021, Switzerland had 12,000 cases of chlamydia which is a sexually transmissible disease. [40]

COVID-19

Chemicals

Carcinogens

Air pollution

Nanoparticles

Soil contamination

In Switzerland, there are officially 38,000 polluted sites, 4,000 of which represent a real threat to groundwater. [44]

Radiation

According to official study, 5G is not harmful to health. Critics say the study was not conducted in "realistic" conditions however. [45]

In 2023, low-level radioactive were found in a landfill in Solothurn. [46]

Water and sanitation

Nutrition and obesity

As of 2017, the share of people classified as overweight (body mass index (BMI) 25 to 30) has remained stable at 42% of the population. However, over the last 25 years, the percentage of obese people (BMI>30) has more than doubled, from 5% in 1992 to 11% in 2017. [47]

Junk foods

Bio food

Sugar based

Fatties

Food additives

Food packaging

Sports and fitness

Since 2002 until 2018, the number of people who are physically active has increased from 62% to 76%. [48]

Major causes of death

Between 2013 and 2017, around 9,400 Swiss men and 7,650 women died from cancer every year. This means that around 30% of all male deaths and 23% of all female deaths were due to cancer. [49] Over the past four decades, the number of suicides per 100,000 residents has dropped from 24.9 to 9.5 (2022). [50]

Family planning

See also

Related Research Articles

<span class="mw-page-title-main">Switzerland</span> Country in Central Europe

Switzerland, officially the Swiss Confederation, is a landlocked country located in west-central Europe. It is bordered by Italy to the south, France to the west, Germany to the north and Austria and Liechtenstein to the east. Switzerland is geographically divided among the Swiss Plateau, the Alps and the Jura; the Alps occupy the greater part of the territory, whereas most of the country's population of 9 million are concentrated on the plateau, which hosts its largest cities and economic centres, including Zürich, Geneva, and Basel.

<span class="mw-page-title-main">Economy of Switzerland</span>

The Economy of Switzerland is one of the world's most advanced and a highly-developed free market economy. The economy of Switzerland has ranked first in the world since 2015 on the Global Innovation Index and third in the 2020 Global Competitiveness Report. According to United Nations data for 2016, Switzerland is the third richest landlocked country in the world after Liechtenstein and Luxembourg. Together with the latter and Norway, they are the only three countries in the world with a GDP per capita (nominal) above US$90,000 that are neither island nations nor ministates.

Extensive telecommunication facilities exist in Switzerland. They include the telephone system, internet, and broadcast media.

<span class="mw-page-title-main">Harm reduction</span> Public health policies which lessen negative aspects of problematic activities

Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to decrease negative consequences of recreational drug use and sexual activity without requiring abstinence, recognizing that those unable or unwilling to stop can still make positive change to protect themselves and others.

<span class="mw-page-title-main">Banking in Switzerland</span>

Banking in Switzerland dates to the early 18th century through Switzerland's merchant trade and has, over the centuries, grown into a complex, regulated, and international industry. Banking is seen as emblematic of Switzerland. The country has a long history of banking secrecy and client confidentiality reaching back to the early 1700s. Starting as a way to protect wealthy European banking interests, Swiss banking secrecy was codified in 1934 with the passage of a landmark federal law, the Federal Act on Banks and Savings Banks. These laws, which were used to protect assets of persons being persecuted by Nazi authorities, have also been used by people and institutions seeking to illegally evade taxes, hide assets, or generally commit financial crime.

<span class="mw-page-title-main">Healthcare in Switzerland</span> Overview of the health care system in Switzerland

Switzerland has universal health care, regulated by the Swiss Federal Law on Health Insurance. There are no free state-provided health services, but private health insurance is compulsory for all persons residing in Switzerland.

Poverty in Switzerland refers to people who are living in relative poverty in Switzerland. In 2018, 7.9% of the population or some 660,000 people in Switzerland were affected by income poverty. Switzerland has also a significant number of working poor, estimated at 145,000 in 2015.

<span class="mw-page-title-main">Crime in Switzerland</span>

Crime in Switzerland is combated mainly by cantonal police. The Federal Office of Police investigates organised crime, money laundering and terrorism.

<span class="mw-page-title-main">Swiss abroad</span> Swiss people living abroad

The Swiss diaspora refers to Swiss people living abroad, also referred to as "fifth Switzerland", alluding to the fourfold linguistic division within the country. The Federal Department of Foreign Affairs (FDFA) cares for Swiss people living abroad.

<span class="mw-page-title-main">Russia–Switzerland relations</span> Bilateral relations

Russia–Switzerland relations are foreign relations between Russia and Switzerland. Switzerland opened a consulate in Saint Petersburg in 1816, upgrading it to a legation 90 years later. The two countries broke off diplomatic relations in 1923, when Russia was going through a period of revolutionary turmoil – and they were not resumed until 1946. Due to the Russian invasion of Ukraine, relations became tense after Switzerland imposed sanctions against Russia. Russia placed Switzerland on a list of "unfriendly countries".

SWI swissinfo.ch is a multilingual international news and information company based in Bern Switzerland. It is a part of the Swiss Broadcasting Corporation. Its content is Swiss-centred, with top priority given to in-depth information on politics, the economy, the arts, science, education, and direct democracy. Switzerland's international political, economic and cultural relations are other key points of focus. The website is available in ten languages.

<span class="mw-page-title-main">Health in Finland</span> Overview of health 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. 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. Among women the leading causes were breast cancer, alcohol related deaths, accidents, suicides, ischaemic heart disease and lung cancer.

<span class="mw-page-title-main">Cannabis in Switzerland</span> Use of cannabis in Switzerland

Cannabis in Switzerland is illegal, though minor possession was decriminalised to a fine in 2012. Several cantons began to allow adults to cultivate and use cannabis in 2012, but this was struck down by federal courts. In 2016, four cities stated they were looking into establishing pilot cannabis clubs. The number of cannabis users in Switzerland is estimated to be around 500,000 among a population of 8 million.

Active euthanasia is illegal in Switzerland, but supplying the means for dying is legal, as long as the action which directly causes death is performed by the one wishing to die. Assisted suicide in the country has been legal since 1941, and Switzerland was the first country in the world to permit any kind of assisted dying. In 2014, a total of 752 assisted suicides were performed, compared to 1,029 non-assisted suicides ; most of the assisted suicides concerned elderly people suffering from a terminal disease. In what critics have termed suicide tourism, Swiss euthanasia organisations have been widely used by foreigners. As of 2008, German citizens were 60 percent of the total number of suicides assisted by the organisation Dignitas.

Heroin-assisted treatment (HAT), or diamorphine-assisted treatment, refers to a type of Medication-Assisted Treatment (MAT) where semi-synthetic heroin is prescribed to opiate addicts who do not benefit from, or cannot tolerate, treatment with one of the established drugs used in opiate replacement therapy such as methadone or buprenorphine. For this group of patients, heroin-assisted treatment has proven superior in improving their social and health situation. Heroin-assisted treatment is fully a part of the national health system in Switzerland, Germany, the Netherlands, Canada, and Denmark. Additional trials are being carried out in the United Kingdom, Norway, and Belgium.

<span class="mw-page-title-main">Substance use disorder</span> Continual use of drugs (including alcohol) despite detrimental consequences

Substance use disorder (SUD) is the persistent use of drugs despite the substantial harm and adverse consequences to one's own self and others, as a result of their use. In perspective, the effects of the wrong use of substances that are capable of causing harm to the user or others, have been extensively described in different studies using a variety of terms such as substance use problems, problematic drugs or alcohol use, and substance use disorder. The National Institute of Mental Health (NIMH) states that "Substance use disorder (SUD) is a treatable mental disorder that affects a person's brain and behavior, leading to their inability to control their use of substances like legal or illegal drugs, alcohol, or medications. Symptoms can be moderate to severe, with addiction being the most severe form of SUD". Substance use disorders (SUD) are considered to be a serious mental illness that fluctuates with the age that symptoms first start appearing in an individual, the time during which it exists and the type of substance that is used. It is not uncommon for those who have SUD to also have other mental health disorders. Substance use disorders are characterized by an array of mental/emotional, physical, and behavioral problems such as chronic guilt; an inability to reduce or stop consuming the substance(s) despite repeated attempts; operating vehicles while intoxicated; and physiological withdrawal symptoms. Drug classes that are commonly involved in SUD include: alcohol (alcoholism); cannabis; opioids; stimulants such as nicotine, cocaine and amphetamines; benzodiazepines; barbiturates; and other substances.

<span class="mw-page-title-main">Opioid epidemic in the United States</span> Ongoing overuse of opioid medication in the US

There is an ongoing opioid epidemic in the United States, originating out of both medical prescriptions and illegal sources. The epidemic began in the United States in the late 1990s, according to the Centers for Disease Control and Prevention (CDC), when opioids were increasingly prescribed for pain management, resulting in a rise in overall opioid use throughout subsequent years.

<span class="mw-page-title-main">Opioid epidemic</span> Deaths due to abuse of opioid drugs

The opioid epidemic, also referred to as the opioid crisis, is the rapid increase in the overuse, misuse/abuse, and overdose deaths attributed either in part or in whole to the class of drugs called opiates/opioids since the 1990s. It includes the significant medical, social, psychological, demographic and economic consequences of the medical, non-medical, and recreational abuse of these medications.

The COVID-19 pandemic in Switzerland is part of the worldwide pandemic of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2. The virus was confirmed to have spread to Switzerland on 25 February 2020 when the first case of COVID-19 was confirmed following a COVID-19 pandemic in Italy. A 70-year-old man in the Italian-speaking canton of Ticino which borders Italy, tested positive for SARS-CoV-2. The man had previously visited Milan. Afterwards, multiple cases related to the Italy clusters were discovered in multiple cantons, including Basel-City, Zürich, and Graubünden. Multiple isolated cases not related to the Italy clusters were also subsequently confirmed.

Drug addiction is defined as out of control use of drugs despite their negative effects. In recent years Jammu and Kashmir in India has seen an exponential increase in the drug use. According to official data shared by the Central Government in Parliament, the number of people affected by drug abuse in Jammu and Kashmir has reached nearly 10 lakh, which is around 8% of the total population of Jammu and Kashmir. On 4 August 2023 the Standing Committee on Social Justice and Empowerment has conveyed to the Parliament of India that approximately 13.50 lakh drug users are estimated to be in Jammu and Kashmir, with the majority falling within the age range of 18 to 75 years.

References

  1. 1 2 3 "OECD Health at a Glance 2023 Country Note - Switzerland" (PDF). Organisation for Economic Co-operation and Development (OECD).
  2. Lim, Stephen; et, al. "Measuring human capital: a systematic analysis of 195 countries and territories, 1990–2016". Lancet. Retrieved 5 November 2018.
  3. "After the Covid pandemic, more than one-third of Swiss report poor health". SWI swissinfo.ch. 2023-09-18. Retrieved 2023-09-25.
  4. "La région lémanique affiche le plus haut taux de dépression". Le Temps. 12 April 2012.
  5. "Up to one in three has psychological problems". 15 April 2012.
  6. "Swiss count the cost of mental illness". 14 January 2008.
  7. "The urgent need to talk about mental illness". 3 November 2014.
  8. "Isolement, contention ou médication forcée: les mesures coercitives traumatisent les jeunes en Suisse". rts.ch (in French). 2024-05-11. Retrieved 2024-05-15.
  9. "Psychological stress saps workforce of most Swiss SMEs". SWI swissinfo.ch. 2023-10-09. Retrieved 2023-10-10.
  10. "Over 27% of Swiss workers are stressed". 10 October 2018.
  11. "Swiss count the cost of mental illness". 14 January 2008.
  12. "Swiss count the cost of mental illness". 14 January 2008.
  13. "More Swiss treated for depression". 9 November 2010.
  14. "Podcast - Troubles bipolaires: Comment c'est de vivre avec?". 3 April 2022.
  15. "Maladie psychique – la schizophrénie touche près de 85'000 personnes en Suisse". 6 March 2021.
  16. "Compter les moutons – Pourquoi la moitié de la Suisse dort mal". 21 June 2022.
  17. "Alzheimer cases will more than double by 2050". SWI swissinfo.ch. 2021-09-21. Retrieved 2023-09-22.
  18. "More Swiss are getting cancer, but fewer are dying from it". 14 October 2021.
  19. "Tabac et alcool figurent en tête des causes de cancer". Le Temps. 19 August 2022.
  20. "What people in Switzerland are addicted to". 5 February 2020.
  21. "What people in Switzerland are addicted to". 5 February 2020.
  22. "Gambling bans spike in Switzerland". 20 September 2021.
  23. "What people in Switzerland are addicted to". 5 February 2020.
  24. "Health office approves first Swiss project to sell cannabis for recreational use". 19 April 2022.
  25. Misicka, Susan (5 February 2020). "What people in Switzerland are addicted to". SWI swissinfo.ch.
  26. sm (10 March 2018). "Zurich is Europe's weekend cocaine capital". SWI swissinfo.ch.
  27. ilj (6 July 2018). "Youth crime: more drug use, less dealing". SWI swissinfo.ch.
  28. Miriam Wolf & Michael Herzig (July 2019). "Inside Switzerland’s Radical Drug Policy Innovation". Stanford SOCIAL INNOVATION Review. Retrieved 28 September 2020.
  29. "Opioid abuse on the rise in Switzerland". 28 June 2022.
  30. Uchtenhagen et al., 1999
  31. Ribeaud, Denis (2004). "Long-term Impacts of the Swiss Heroin Prescription Trials on Crime of Treated Heroin Users". Journal of Drug Issues (Tallahassee, FL: University of Florida): 187.{{cite journal}}: Cite journal requires |journal= (help)
  32. "Switzerland". 7 July 2021.
  33. "What people in Switzerland are addicted to". 5 February 2020.
  34. "Quarter of Swiss use painkillers". SWI swissinfo.ch. 2024-01-29. Retrieved 2024-01-29.
  35. "How healthy are the Swiss?". 30 October 2018.
  36. "What people in Switzerland are addicted to". 5 February 2020.
  37. "How healthy are the Swiss?". 30 October 2018.
  38. "HIV infections drop by a third". 23 November 2020.
  39. "Chlamydia et gonorrhée – la hausse des infections sexuelles inquiète les experts". 23 January 2022.
  40. "Chlamydia et gonorrhée – la hausse des infections sexuelles inquiète les experts". 23 January 2022.
  41. "Research identifies 134 'forever chemicals' hotspots across Switzerland". 25 February 2023.
  42. "Temps présent - Pesticides, à quand la fin du carnage ?". 16 September 2021.
  43. "High levels of dioxin found in Lausanne soils". 11 October 2021.
  44. "La Suisse compte encore près de 38'000 sites pollués à assainir". 2 September 2016.
  45. "5G is not harmful to health, says government report". 28 July 2022.
  46. "Swiss landfill site found to contain low-level radioactive material". SWI swissinfo.ch. 2023-09-07. Retrieved 2023-09-07.
  47. "How healthy are the Swiss?". 30 October 2018.
  48. "How healthy are the Swiss?". 30 October 2018.
  49. "More Swiss are getting cancer, but fewer are dying from it". 14 October 2021.
  50. "Swiss suicide rate continues downward trend". 3 October 2022.