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					                                                   COUNTRY HEALTH INFORMATION PROFILE

AMERICAN SAMOA                                        WESTERN PACIFIC REGION HEALTH DATABANK, 2010 Revision


                               INDICATORS                                                      DATA                                               Year      Source

     Demographics                                                       Total                      Male                      Female

1    Area (1 000 km2)                                                              0.20                                                           2006        1

2    Estimated population ('000s)                                                 65.11                    33.24                         31.88   2009 est     2

3    Annual population growth rate (%)                                               …                        …                             …

4    Percentage of population

      - 0–4 years                                                                 11.73                    11.94                         11.51   2009 est     2

      - 5–14 years                                                                24.08                    24.35                         23.80   2009 est     2

      - 65 years and above                                                         4.33                     3.98                          4.70   2009 est     2

5    Urban population (%)                                                         92.70                       …                             …    2009 est     3

6    Crude birth rate (per 1000 population)                                       23.50                       …                             …    2010 est     4

7    Crude death rate (per 1000 population)                                        4.50                       …                             …    2010 est     4

     Rate of natural increase of population (% per annum)                                 a
8                                                                                  1.90                       …                             …    2010 est     4

9    Life expectancy (years)

      - at birth                                                                  72.50                    69.30                         75.90    2000        4

      - Healthy Life Expectancy (HALE) at age 60                                     …                        …                             …

10   Total fertility rate (women aged 15–49 years)                                 4.00                                                          2000 est     4

     Socioeconomic indicators

11   Adult literacy rate (%)                                                         …                        …                             …

12   Per capita GDP at current market prices (US$)                              9041.00                                                          2005 est     5

13   Rate of growth of per capita GDP (%)                                            …

14   Human development index                                                         …

     Environmental indicators                                           Total                      Urban                         Rural

15   Health care waste generation (metric tons per year)                             …                        …                             …

     Communicable and noncommunicable diseases                      Number of new cases                            Number of deaths

16   Selected communicable diseases

      Hepatitis viral

      - Type A                                                     <5                …        …               0              0              0     2003        6

      - Type B                                                     <5                …        …               0              0              0     2003        6

      - Type C                                                     <5                …        …               0              0              0     2003        6

      - Type E                                                     …                 …        …               …             …               …

      - Unspecified                                                 0                0        0               0              0              0     2003        6

      Cholera                                                       0                0        0               0              0              0     2003        6

      Dengue/DHF                                                  419                …        …               …             …               …     2009        7

      Encephalitis                                                  0                0        0               0              0              0     2003        6

      Gonorrhoea                                                   41               30        11              0              0              0     2003        6

      Leprosy                                                       3                2        1               …             …               …     2009        7

      Malaria                                                      …                 …        …               …             …               …

      Plague                                                        0                0        0               0              0              0     2003        6

      Syphilis                                                      3                1        2               0              0              0     2003        6

      Typhoid fever                                                <5                …        …               0              0              0     2003        6

17   Acute respiratory infections                                  …                 …        …              11             …               …     2002        6

     - Among children under 5 years                                …                 …        …               …             …               …




6|   COUNTRY HEALTH INFORMATION PROFILES
                                                                                                                             AMERICAN SAMOA

                                 INDICATORS                                             DATA                                        Year   Source

     Communicable and noncommunicable diseases                 Number of new cases                      Number of deaths

                                                       Total          Male         Female      Total          Male         Female

18   Diarrhoeal diseases                                  …               …            …           0              0            0    2002     6

     - Among children under 5 years                       …               …            …           …             …            …

19   Tuberculosis

      - All forms                                          3              …            …           …             …            …     2007     7

      - New pulmonary tuberculosis (smear-positive)       …               …            …           …             …            …

20   Cancers

      All cancers (malignant neoplasms only)              58              …            …          37             …            …     2002     6

      - Breast                                            …               …            …           …             …            …

      - Colon and rectum                                   7              …            …           3             …            …     2002     6

      - Cervix                                                                         7                                       4    2002     6

      - Leukaemia                                         …               …            …           …             …            …

      - Lip, oral cavity and pharynx                       2              …            …           2             …            …     2002     6

      - Liver                                              4              …            …           0              0            0    2002     6

      - Oesophagus                                         2              …            …           6             …            …     2002     6

      - Stomach                                            7              …            …           5             …            …     2002     6

      - Trachea, bronchus, and lung                        2              …            …           7             …            …     2002     6

21   Circulatory

      All circulatory system diseases                     …               …            …          88             …            …     2002     6

      - Acute myocardial infarction                       …               …            …           …             …            …

      - Cerebrovascular diseases                          …               …            …          17             …            …     2002     6

      - Hypertension                                      …               …            …           9             …            …     2002     6

      - Ischaemic heart disease                           …               …            …           …             …            …

      - Rheumatic fever and rheumatic heart diseases      …               …            …           …             …            …

22   Diabetes mellitus                                 2417            1119          1298         29             …            …     2002     6

23   Mental disorders                                    135              …            …           0              0            0    2003     6

24   Injuries

      All types                                        1500               …            …          26             …            …     2002     6

      - Drowning                                          …               …            …           …             …            …

      - Homicide and violence                            130              …            …          10             …            …     2002     6

      - Occupational injuries                            101              …            …           5             …            …     2002     6

      - Road traffic accidents                            …               …            …           1             …            …     2002     6

      - Suicide                                           35              …            …           4             …            …     2002     6

     Leading causes of mortality and morbidity                   Number of cases                Rate per 100 000 population

25   Leading causes of morbidity (inpatient care)      Total          Male         Female      Total          Male         Female

            1. Dengue fever                            3196               …            …    5380.47              …            …     2001     8

            2. Chickenpox                                325              …            …       547.14            …            …     2001     8

            3. Dog bites                                 319              …            …       537.04            …            …     2001     8

            4. Road traffic injuries                     182              …            …       306.40            …            …     2001     8

            5. Food poisoning                             79              …            …       132.99            …            …     2001     8

            6.                                            …               …            …           …             …            …

            7.                                            …               …            …           …             …            …

            8.                                            …               …            …           …             …            …

            9.                                            …               …            …           …             …            …

            10.                                           …               …            …           …             …            …

                                                                                            COUNTRY HEALTH INFORMATION PROFILES |                7
AMERICAN SAMOA

                              INDICATORS                                                                        DATA                                       Year   Source

                                                                                 Number of deaths                       Rate per 100 000 population

26   Leading causes of mortality                                        Total           Male               Female      Total         Male         Female

          1. Heart diseases                                                45              …                  …        68.70            …             …    2005     8

          2. Malignant neoplasm                                            36              …                  …        54.96            …             …    2005     8

          3. Diabetes mellitus                                             33              …                  …        50.38            …             …    2005     8

          4. Cerebrovascular diseases                                      25              …                  …        38.17            …             …    2005     8

          5. Chronic obstructive pulmonary and allied conditions           21              …                  …        32.06            …             …    2005     8

          6. Pneumonia and influenza                                       12              …                  …        18.32            …             …    2005     8

          7. Hypertension                                                  12              …                  …        18.32            …             …    2005     8

          8. Accidents                                                     11              …                  …        16.79            …             …    2005     8

          9. Perinatal conditions                                           7              …                  …        10.69            …             …    2005     8

          10. Septicaemia                                                   5              …                  …         7.63            …             …    2005     8

     Maternal, child and infant diseases                                        Total                           Male                    Female
27   Percentage of women in the reproductive age group using                                                                                       33.00   2000     6
     modern contraceptive methods
28    Percentage of pregnant women immunized with tetanus toxoid                                                                                      …
     (TT2)
29   Percentage of pregnant women with anaemia                                                                                                        32   2002     6

30   Neonatal mortality rate (per 1000 live births)                                      6.20                             …                           …    2007     9

     Percentage of newborn infants weighing less than 2500 g at birth                              b
31                                                                                       2.85          …                  …      …                    …    2006     8

32   Immunization coverage for infants (%)

      - BCG                                                                                …                              …                           …

      - DTP3                                                                            94.00                             …                           …    2008     7

      - Hepatitis B III                                                                 89.00                             …                           …    2008     7

      - MCV2                                                                               …                              …                           …

      - POL3                                                                            92.00                             …                           …    2008     7

                                                                                  Number of cases                              Number of deaths

33   Maternal causes                                                    Total           Male               Female      Total         Male         Female

      - Abortion                                                                                              …                                       …

      - Eclampsia                                                                                             …                                       …

      - Haemorrhage                                                                                           …                                       …

      - Obstructed labour                                                                                     …                                       …

      - Sepsis                                                                                                …                                       …

34   Selected diseases under the WHO-EPI

      - Congenital rubella syndrome                                         0                  0               0          …             …             …    2008     7

      - Diphtheria                                                          0                  0               0          …             …             …    2008     7

      - Measles                                                             0                  0               0          …             …             …    2009     7

      - Mumps                                                               0                  0               0          …             …             …    2008     7

      - Neonatal tetanus                                                    0                  0               0          …             …             …    2008     7

      - Pertussis (whooping cough)                                          0                  0               0          …             …             …    2008     7

      - Poliomyelitis                                                       0                  0               0          …             …             …    2009     7

      - Rubella                                                             0                  0               0          …             …             …    2008     7

      - Total Tetanus                                                       0                  0               0          …             …             …    2008     7

     Health facilities

35 Facilities with HIV testing and counseling services                                                                                                …




8|   COUNTRY HEALTH INFORMATION PROFILES
                                                                                                                                                                  AMERICAN SAMOA

                                  INDICATORS                                                                                DATA                                               Year   Source

     Health facilities                                                                             Number                                      Number of beds

36   Health infrastructure

      Public health facilities       - General hospitals                                                                    1                                      128         2003     6

                                     - Specialized hospitals                                                            …                                              …

                                     - District/first-level referral hospitals                                          …                                              …

                                     - Primary health care centres                                                          5                                              0   2003     6

      Private health facilities      - Hospitals                                                                        …                                              …

                                     - Outpatient clinics                                                               …                                              …

     Health care financing

37   Total health expenditure

      - amount (in million US$)                                                                                                                                  32.30         2003     10

      - total expenditure on health as % of GDP                                                                                                                        …

      - per capita total expenditure on health (in US$)                                                                                                         500.00         2003     10

     Government expenditure on health

      - amount (in million US$)                                                                                                                                  31.80         2003     10
      - general government expenditure on health as % of total expenditure                                                                                       98.00         2003     10
     on health
      - general government expenditure on health as % of total general                                                                                           14.00         2003     10
     government expenditure
     External source of government health expenditure
      - external resources for health as % of general government                                                                                                 70.00         2003     10
     expenditure on health
     Private health expenditure

      - private expenditure on health as % of total expenditure on health                                                                                         2.00         2003     10
      - out-of-pocket expenditure on health as % of total expenditure on                                                                                               …
     health
      Exchange rate in US$ of local currency is: 1 US$ =                                                                                                               …

38   Health insurance coverage as % of total population

                         INDICATORS                                                                                DATA                                                        Year   Source
39   Human resources for health
                                                                                                     Female




                                                                                                                                                                 Private
                                                                                                                                                      Public
                                                                                                                    Urban




                                                                                                                                   Rural
                                                                            Total




                                                                                        Male




     Physicians                      - Number                                    49        36                 13        …                  …               …           …       2003     6

                                     - Ratio per 1000 population             0.78       0.58           0.21             …                  …               …           …       2003     6

     Dentists                        - Number                                    15            8              7         …                  …               …           …       2003     6

                                     - Ratio per 1000 population             0.24       0.13           0.11             …                  …               …           …       2003     6

     Pharmacists                     - Number                                       2          2              0         …                  …               …           …       2003     6

                                     - Ratio per 1000 population             0.03       0.03           0.00             …                  …               …           …       2003     6

     Nurses                          - Number                                    127           4         123            …                  …               …           …       2003     6

                                     - Ratio per 1000 population             2.03       0.06           1.96             …                  …               …           …       2003     6

     Midwives                        - Number                                       1          0              1         …                  …               …           …       2003     6

                                     - Ratio per 1000 population             0.02       0.00           0.02             …                  …               …           …       2003     6

     Paramedical staff               - Number                                    146       63                 83        …                  …               …           …       2003     6

                                     - Ratio per 1000 population             2.33       1.01           1.33             …                  …               …           …       2003     6

     Community health workers        - Number                                     …        …                  …         …                  …               …           …

                                     - Ratio per 1000 population                  …        …                  …         …                  …               …           …
40   Annual number of                Physicians                                   …        …                  …         …                  …               …           …
     graduates
                                     Dentists                                     …        …                  …         …                  …               …           …

                                     Pharmacists                                  …        …                  …         …                  …               …           …


                                                                                                                                COUNTRY HEALTH INFORMATION PROFILES |                        9
AMERICAN SAMOA

                               INDICATORS                                                                                  DATA                                            Year      Source




                                                                                                  Female




                                                                                                                                                                 Private
                                                                                                                                               Public
                                                                                                                   Urban




                                                                                                                                   Rural
                                                                         Total




                                                                                   Male
40   Annual number of               Nurses                                   …        …                    …           …                   …        …                  …
     graduates
                                    Midwives                                 …        …                    …           …                   …        …                  …

                                    Paramedical staff                        …        …                    …           …                   …        …                  …

                                    Community health workers                 …        …                    …           …                   …        …                  …
41   Workforce losses/              Physicians                               …        …                    …           …                   …        …                  …
     Attrition
                                    Dentists                                 …        …                    …           …                   …        …                  …

                                    Pharmacists                              …        …                    …           …                   …        …                  …

                                    Nurses                                   …        …                    …           …                   …        …                  …

                                    Midwives                                 …        …                    …           …                   …        …                  …

                                    Paramedical staff                        …        …                    …           …                   …        …                  …

                                    Community health workers                 …        …                    …           …                   …        …                  …

                               INDICATORS                                                                                  DATA                                            Year      Source

     Health-related Millennium Development Goals (MDGs)                                   Total                             Male                        Female

42   Prevalence of underweight children under five years of age                                            …                               …                           …

     Infant mortality rate (per 1000 live births)                                                              c
43                                                                                                 11.30                                   …                           …   2006-08     4

44   Under-five mortality rate (per 1000 live births)                                               4.90                                   …                           …    2002       6

45   Proportion of 1 year-old children immunised against measles                                   86.00                                   …                           …    2008       7

46   Maternal mortality ratio (per 100 000 live births)                                           123.00                                                                    2002       6

47   Proportion of births attended by skilled health personnel                                    100.00                                                                    2002       6
      - Percentage of deliveries at home by skilled health personnel (as %                          1.00                                                                    2002       6
     of total deliveries)
      - Percentage of deliveries in health facilities (as % of total deliveries)                   99.00                                                                    2002       6

48   Contraceptive prevalence rate                                                                         …                               …                           …

49   Adolescent birth rate                                                                                 …

50   Antenatal care coverage        - At least one visit                                           70.00                                                                    2002       6

                                    - At least four visits                                                 …

51   Unmet need for family planning                                                                        …                               …                           …

52   HIV prevalence among population aged 15-24 years                                                      …                               …                           …

53   Estimated HIV prevalence in adults                                                                    …                               …                           …

54   Percentage of people with advanced HIV infection receiving ART                                        …                               …                           …

55   Malaria incidence rate per 100 000 population                                                         …                               …                           …

56   Malaria death rate per 100 000 population                                                             …                               …                           …
57 Proportion of population in malaria-risk areas using effective                                          …                               …                           …
   malaria prevention measures
58 Proportion of population in malaria-risk areas using effective                                          …                               …                           …
   malaria treatment measures
59   Tuberculosis prevalence rate per 100 000 population                                            1.00                                   …                           …    2008       7

60   Tuberculosis death rate per 100 000 population                                                 0.00                                   …                           …    2008       7
61   Proportion of tuberculosis cases detected under directly                                       0.00                                   …                           …    2008       7
     observed treatment short-course (DOTS)
62    Proportion of tuberculosis cases cured under directly observed                                       …                               …                           …
     treatment short-course (DOTS)
                                                                                          Total                            Urban                        Rural

63 Proportion of population using an improved drinking water                                       99.00                           99.00                         99.00      2004       6
   source
64 Proportion of population using an improved sanitation facility                                  99.00                           99.00                         99.00      2004       6
65   Proportion of population with access to affordable essential
                                                                                                           …                               …                           …
     drugs on a sustainable basis



10 |   COUNTRY HEALTH INFORMATION PROFILES
                                                                                                                                                            AMERICAN SAMOA

Notes:
 … Data not available
est Estimate
 a   Computed by Information, Evidence and Research Unit of the WHO Regional Office for the Western Pacific
 b   Figure refers to birthweight less than 2501 grams
 c   Revised data and reference year
Sources:
 1   American Samoa Factsheet. ASG Department of Commerce, Statistics Division, American Samoa [www.adsoc.info/AS%20Factsheet.htm].
 2   Population 2000-2015 by 1 and 5 year age groups, February 2010. Secretariat of the Pacific Community (SPC) - Statistics and Demography (SDP) Programme.
     [http://www.spc.int/sdp/index.php?option=com_docman&task=doc_details&gid=158]
 3   Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2008 Revision and World Urbanization
     Prospects: The 2009 Revision. [http://esa.un.org/wup2009/unup/] Accessed on June 2010.
 4   Pacific Island Populations - Estimates and projections of demographic indicators for selected years, Updated April 2010. Secretariat of the Pacific Community (SPC), Statistics and
     Demography Programme. Accessed on June 2010. [http://www.spc.int/sdp/index.php?option=com_docman&task=cat_view&gid=28&dir=ASC&order=name&limit=5&limitstart=0]
 5   American Samoa basic indicators, Pacific Regional Information System - Country Statistics, Secretariat of the South Pacific. Accessed on September 2010
     [http://www.spc.int/prism/Country/AS/ASindex.html]
 6   Department of Health, American Samoa.
 7   WHO Regional Office for the Western Pacific, data received from the technical units.
 8   Statistical Yearbook 2006. Health Information System, ASG Department of Health, American Samoa.
 9   American Samoa Population: 2007 [http://www.asdoc.info/2007_Mid-year_population_estimate.pdf]
 10 ASG Department of Commerce, Statistics Division, American Samoa [www.asdoc.info/Statistics/statshp.htm].




                                                                                                                         COUNTRY HEALTH INFORMATION PROFILES |                             11

				
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