6.1.4. Mortality by causes, sex, statistical regions and districts

Statistical domain
Mortality by causes, sex, statistical regions and districts
Time series
Zdr_6.1.4_Umr_EN.xls

MORTALITY BY CAUSES, SEX AND STATISTICAL REGIONS IN 2023
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Bulgaria Severozapaden
Total Male Female Total Male Female
Total 1 566.8 1 689.8 1 453.0 2 035.2 2 227.3 1 856.0
Infectious and parasitic diseases (A00-B99) 7.9 9.5 6.4 9.0 11.5 6.7
Tuberculosis (A15-A19, B90) 1.1 1.7 0.4 2.5 4.3 0.9
AIDS (HIV-disease) (B20-B24) 0.2 0.4 0.1 - - -
Viral hepatitis (B15-B19, B94.2) 0.6 0.7 0.4 1.2 1.2 1.2
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 6.0 6.6 5.4 5.2 5.9 4.6
Neoplasms (C00-D48) 258.8 306.2 214.9 329.5 395.7 267.7
Malignant neoplasms (C00-C97) 257.4 304.5 213.8 328.1 393.8 266.8
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 5.4 9.1 1.9 7.6 13.3 2.3
Malignant neoplasm of oesophagus (C15) 3.0 4.9 1.3 4.0 6.2 2.0
Malignant neoplasm of stomach (C16) 14.3 18.0 10.9 16.0 18.3 13.9
Malignant neoplasm of colon, rectum and anus (C18-C21) 39.0 47.2 31.4 48.2 59.0 38.2
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 10.2 13.0 7.6 9.7 13.7 6.1
Malignant neoplasm of pancreas (C25) 17.1 18.2 16.1 21.7 26.4 17.4
Malignant neoplasm of larynx (C32) 4.4 8.4 0.8 6.0 11.8 0.6
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 48.8 74.9 24.7 61.1 94.3 30.1
Malignant melanoma of skin (C43) 2.1 2.6 1.7 2.1 2.2 2.0
Malignant neoplasm of breast (C50) 18.3 0.8 34.5 25.3 0.9 48.0
Malignant neoplasm of cervix uteri (C53) 4.9 - 9.5 8.2 - 15.9
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 5.6 - 10.7 5.4 - 10.4
Malignant neoplasm of ovary (C56) 5.5 - 10.6 6.7 - 13.0
Malignant neoplasm of prostate (C61) 15.0 31.3 - 19.9 41.3 -
Malignant neoplasm of kidney (C64) 5.6 7.2 4.1 6.1 7.1 5.2
Malignant neoplasm of bladder (C67) 9.6 15.2 4.5 12.0 20.8 3.8
Malignant neoplasm of brain and central nervous system (C70-C72) 9.1 9.8 8.4 11.2 11.5 11.0
Malignant neoplasm of thyroid (C73) 0.6 0.5 0.7 0.6 0.6 0.6
Hodgkin disease and lymphomas (C81-C86) 3.6 4.3 2.8 5.1 5.6 4.6
Leukaemia (C91-C95) 6.0 7.2 4.9 8.4 10.2 6.7
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 2.6 2.5 2.7 3.0 4.0 2.0
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 26.6 28.8 24.6 39.5 45.3 34.2
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.4 1.6 1.1 1.3 1.9 0.9
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.6 1.4 1.7 3.1 4.0 2.3
Endocrine, nutritional and metabolic diseases (E00-E89) 22.2 20.9 23.3 45.4 45.6 45.1
Diabetes mellitus (E10-E14) 21.6 20.3 22.8 45.4 45.6 45.1
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 0.6 0.5 - - -
Mental and behavioural disorders (F01-F99) 1.2 1.6 0.8 3.6 4.0 3.2
Dementia (F01, F03) 0.4 0.2 0.5 1.5 0.6 2.3
Alcohol abuse (including alcoholic psychosis) (F10) 0.4 0.9 - 1.2 2.5 -
Drug dependence, toxicomania (F11-F16, F18-F19) 0.0 0.1 - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.4 0.5 0.3 0.9 0.9 0.9
Diseases of the nervous system and the sense organs (G00-H95) 13.7 15.3 12.1 18.3 21.7 15.0
Parkinson’s disease (G20) 2.3 2.3 2.2 4.5 4.7 4.3
Alzheimer’s disease (G30) 0.9 0.7 1.1 1.5 2.2 0.9
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 10.5 12.3 8.8 12.3 14.9 9.8
Diseases of the circulatory system (I00-I99) 957.1 964.3 950.4 1 213.8 1 234.2 1 194.7
Ischaemic heart diseases (I20-I25) 192.7 216.7 170.5 198.1 221.9 176.0
of which:            
Acute myocardial infarction (I21-I22) 77.6 101.6 55.3 66.9 89.7 45.7
Other ischaemic heart diseases (I20, I23-I25) 115.2 115.1 115.3 131.2 132.2 130.2
Other heart diseases (I30-I51) 317.9 321.7 314.3 446.6 450.0 443.4
Cerebrovascular diseases (I60-I69) 278.0 258.4 296.2 398.3 392.9 403.4
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 168.5 167.6 169.3 170.7 169.4 171.9
Diseases of the respiratory system (J00-J99) 76.3 92.9 61.0 96.7 122.0 73.2
Influenza (J09-J11) 0.4 0.6 0.2 0.3 0.6 -
Pneumonia (J12-J18) 34.8 42.5 27.7 36.4 46.9 26.6
Chronic lower respiratory diseases (J40-J47) 17.9 22.3 13.8 37.6 46.6 29.2
of which:            
Asthma (J45-J46) 0.4 0.4 0.4 0.4 - 0.9
Other chronic lower respiratory diseases (J40-J44, J47) 17.5 21.9 13.4 37.1 46.6 28.4
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 23.2 27.5 19.3 22.5 27.9 17.4
Diseases of the digestive system (K00-K92) 70.1 96.3 45.8 102.9 136.5 71.5
Ulcer of stomach, duodenum and jejunum (К25-К28) 3.4 4.4 2.5 4.6 6.5 2.9
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 29.5 49.8 10.8 39.2 66.1 14.2
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 37.1 42.1 32.5 59.0 63.9 54.4
Diseases of the skin and subcutaneous tissue (L00-L99) 1.0 0.6 1.3 1.9 0.9 2.9
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.7 0.5 0.8 0.7 0.3 1.2
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) 0.0 0.1 0.0 0.1 0.3 -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.6 0.5 0.7 0.6 - 1.2
Diseases of the genitourinary system (N00-N99) 29.5 32.6 26.7 37.7 46.2 29.8
Diseases of kidney and ureter (N00-N29) 29.0 31.6 26.6 36.8 44.7 29.5
Other diseases of the genitourinary system (N30-N99) 0.5 1.0 0.1 0.9 1.6 0.3
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.1 - 0.1 0.1 - 0.3
Certain conditions originating in the perinatal period (P00-P96) 2.0 2.1 1.9 1.8 2.5 1.2
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.2 1.4 1.0 1.8 2.5 1.2
Symptoms, signs, ill-defined causes (R00-R99) 73.7 72.3 75.0 105.6 113.3 98.4
Sudden infant death syndrome (R95) 0.1 0.2 0.1 0.3 0.6 -
Unknown and unspecified causes (R96-R99) 43.0 49.4 37.1 62.1 77.0 48.3
Other symptoms, signs, ill-defined causes (R00-R94) 30.5 22.7 37.8 43.1 35.7 50.1
External causes of morbidity and mortality (V01-Y98) 34.7 53.6 17.2 51.2 72.0 31.8
Accidents (V01-X59, Y85-Y86) 19.5 29.6 10.0 33.8 45.0 23.4
of which:            
Transport accidents (V01-V99,Y85) 6.8 11.2 2.8 11.1 17.4 5.2
Accidental falls (W00-W19) 5.3 6.6 4.2 12.9 12.4 13.3
Drowning and accidental submersion '(W65-W74) 1.3 2.3 0.5 1.9 3.1 0.9
Accidental poisoning (W65-W74) 0.8 1.3 0.3 0.9 1.2 0.6
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.2 8.3 2.3 7.0 10.9 3.5
Suicide and intentional self-harm (X60-X84, Y87.0) 7.0 11.1 3.2 9.6 15.2 4.3
Homicide, assault (X85-Y09, Y87.1) 0.9 1.4 0.5 1.8 2.5 1.2
Events of undetermined intent (Y10-Y34, Y87.2) 6.1 9.5 3.0 4.8 7.8 2.0
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 1.2 2.0 0.5 1.2 1.6 0.9
Codes for special purposes (U00-U85) 15.2 18.0 12.6 12.0 14.3 9.8
of which COVID-19 (U07.1-U07.2) 15.2 18.0 12.5 12.0 14.3 9.8
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Severen tsentralen Severoiztochen
Total Male Female Total Male Female
Total 1 855.7 2 023.6 1 701.9 1 560.7 1 676.3 1 453.4
Infectious and parasitic diseases (A00-B99) 8.5 8.6 8.4 15.0 16.6 13.6
Tuberculosis (A15-A19, B90) 1.8 3.4 0.3 1.0 1.3 0.7
AIDS (HIV-disease) (B20-B24) 0.1 - 0.3 - - -
Viral hepatitis (B15-B19, B94.2) 0.1 - 0.3 0.1 - 0.2
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 6.4 5.2 7.6 13.9 15.4 12.6
Neoplasms (C00-D48) 294.6 352.0 242.0 265.0 309.0 224.1
Malignant neoplasms (C00-C97) 291.8 348.6 239.8 263.3 307.0 222.7
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 6.3 11.3 1.7 7.4 13.3 1.9
Malignant neoplasm of oesophagus (C15) 4.1 7.0 1.4 2.4 4.5 0.5
Malignant neoplasm of stomach (C16) 17.1 22.3 12.3 14.3 17.6 11.2
Malignant neoplasm of colon, rectum and anus (C18-C21) 48.1 53.9 42.9 41.3 51.1 32.3
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 13.2 16.2 10.4 10.1 13.3 7.0
Malignant neoplasm of pancreas (C25) 17.3 16.8 17.7 15.0 13.1 16.8
Malignant neoplasm of larynx (C32) 4.5 8.9 0.6 4.8 9.6 0.5
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 60.9 96.4 28.3 48.6 75.5 23.6
Malignant melanoma of skin (C43) 2.2 2.4 2.0 2.1 2.5 1.6
Malignant neoplasm of breast (C50) 19.6 0.3 37.3 21.5 0.8 40.7
Malignant neoplasm of cervix uteri (C53) 4.7 - 9.0 5.2 - 10.0
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 6.1 - 11.8 6.1 - 11.7
Malignant neoplasm of ovary (C56) 5.4 - 10.4 5.5 - 10.5
Malignant neoplasm of prostate (C61) 15.2 31.8 - 13.8 28.7 -
Malignant neoplasm of kidney (C64) 6.0 6.1 5.9 7.0 8.8 5.4
Malignant neoplasm of bladder (C67) 11.7 16.8 7.0 8.4 13.8 3.3
Malignant neoplasm of brain and central nervous system (C70-C72) 10.1 12.9 7.6 8.4 9.6 7.2
Malignant neoplasm of thyroid (C73) 0.7 0.9 0.6 0.6 0.5 0.7
Hodgkin disease and lymphomas (C81-C86) 3.1 5.2 1.1 3.6 4.3 3.0
Leukaemia (C91-C95) 6.6 8.6 4.8 4.1 5.5 2.8
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 3.2 3.1 3.4 3.4 1.8 4.9
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 25.6 26.6 24.7 29.7 32.2 27.3
Non-malignant neoplasms (benign and uncertain) (D00-D48) 2.8 3.4 2.2 1.7 2.0 1.4
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 2.9 2.1 3.6 2.1 1.8 2.3
Endocrine, nutritional and metabolic diseases (E00-E89) 24.9 21.1 28.3 39.3 38.0 40.4
Diabetes mellitus (E10-E14) 23.9 19.9 27.5 38.3 37.0 39.5
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 1.0 1.2 0.8 1.0 1.0 0.9
Mental and behavioural disorders (F01-F99) 1.9 3.1 0.8 1.7 2.8 0.7
Dementia (F01, F03) 0.4 0.3 0.6 0.2 - 0.5
Alcohol abuse (including alcoholic psychosis) (F10) 1.0 2.1 - 0.8 1.8 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - 0.1 0.3 -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.4 0.6 0.3 0.5 0.8 0.2
Diseases of the nervous system and the sense organs (G00-H95) 16.0 16.2 15.7 16.5 18.6 14.5
Parkinson’s disease (G20) 3.5 4.3 2.8 3.9 4.3 3.5
Alzheimer’s disease (G30) 1.6 0.9 2.2 1.2 0.5 1.9
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 10.8 11.0 10.7 11.4 13.8 9.1
Diseases of the circulatory system (I00-I99) 1 109.8 1 133.6 1 088.0 926.3 925.9 926.7
Ischaemic heart diseases (I20-I25) 181.0 202.0 161.8 173.8 209.0 141.2
of which:            
Acute myocardial infarction (I21-I22) 71.1 93.0 51.0 78.7 110.5 49.1
Other ischaemic heart diseases (I20, I23-I25) 109.9 109.0 110.8 95.2 98.5 92.1
Other heart diseases (I30-I51) 348.3 350.1 346.6 170.4 174.0 167.1
Cerebrovascular diseases (I60-I69) 311.0 304.2 317.2 244.2 226.4 260.8
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 269.6 277.3 262.5 337.8 316.5 357.6
Diseases of the respiratory system (J00-J99) 106.4 128.8 85.8 71.9 87.6 57.3
Influenza (J09-J11) 0.1 0.3 - 0.2 0.3 0.2
Pneumonia (J12-J18) 61.3 71.0 52.4 38.5 46.6 31.1
Chronic lower respiratory diseases (J40-J47) 25.9 34.3 18.2 18.1 22.7 13.8
of which:            
Asthma (J45-J46) 0.7 0.6 0.8 1.3 1.3 1.4
Other chronic lower respiratory diseases (J40-J44, J47) 25.2 33.7 17.4 16.7 21.4 12.4
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 19.0 23.3 15.1 15.0 18.1 12.2
Diseases of the digestive system (K00-K92) 83.1 119.4 49.9 69.6 97.2 43.9
Ulcer of stomach, duodenum and jejunum (К25-К28) 5.4 6.1 4.8 5.8 7.3 4.4
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 34.0 58.5 11.5 32.6 54.4 12.4
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 43.8 54.8 33.7 31.2 35.5 27.1
Diseases of the skin and subcutaneous tissue (L00-L99) 3.1 2.1 3.9 1.2 1.0 1.4
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.7 0.9 0.6 1.2 0.8 1.6
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) 0.1 0.3 - 0.1 - 0.2
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.6 0.6 0.6 1.1 0.8 1.4
Diseases of the genitourinary system (N00-N99) 36.6 39.5 33.9 26.4 27.2 25.7
Diseases of kidney and ureter (N00-N29) 35.9 38.3 33.7 25.8 26.2 25.5
Other diseases of the genitourinary system (N30-N99) 0.7 1.2 0.3 0.6 1.0 0.2
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.1 - 0.3 - - -
Certain conditions originating in the perinatal period (P00-P96) 1.9 1.8 2.0 2.4 1.8 3.0
Congenital malformations and chromosomal abnormalities (Q00-Q99) 0.7 0.9 0.6 1.3 1.5 1.2
Symptoms, signs, ill-defined causes (R00-R99) 102.0 104.4 99.8 70.8 70.5 71.0
Sudden infant death syndrome (R95) 0.1 - 0.3 - - -
Unknown and unspecified causes (R96-R99) 66.3 76.5 56.9 49.7 52.9 46.7
Other symptoms, signs, ill-defined causes (R00-R94) 35.6 27.9 42.6 21.1 17.6 24.3
External causes of morbidity and mortality (V01-Y98) 46.5 71.0 24.1 37.8 60.4 16.8
Accidents (V01-X59, Y85-Y86) 30.0 45.6 15.7 19.5 32.0 7.9
of which:            
Transport accidents (V01-V99,Y85) 9.1 15.6 3.1 8.1 14.4 2.3
Accidental falls (W00-W19) 9.5 11.6 7.6 2.2 3.5 0.9
Drowning and accidental submersion '(W65-W74) 1.0 1.8 0.3 1.6 3.0 0.2
Accidental poisoning (W65-W74) 2.2 3.1 1.4 0.6 1.0 0.2
Other accidents (W20-W64, W75- X39, X50-59, Y86) 8.2 13.5 3.4 7.0 10.1 4.2
Suicide and intentional self-harm (X60-X84, Y87.0) 10.2 15.6 5.3 9.5 14.6 4.7
Homicide, assault (X85-Y09, Y87.1) 0.1 0.3 - 0.6 0.8 0.5
Events of undetermined intent (Y10-Y34, Y87.2) 5.3 7.7 3.1 6.9 11.3 2.8
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.9 1.8 - 1.3 1.8 0.9
Codes for special purposes (U00-U85) 16.0 18.1 14.0 12.2 15.6 9.1
of which COVID-19 (U07.1-U07.2) 16.0 18.1 14.0 12.1 15.6 8.9
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Yugoiztochen Yugozapaden
Total Male Female Total Male Female
Total 1 564.0 1 702.4 1 435.6 1 331.8 1 419.8 1 250.6
Infectious and parasitic diseases (A00-B99) 8.7 10.7 6.9 4.6 5.6 3.7
Tuberculosis (A15-A19, B90) 1.1 1.5 0.6 0.2 0.4 0.1
AIDS (HIV-disease) (B20-B24) - - - 0.2 0.4 -
Viral hepatitis (B15-B19, B94.2) 1.2 1.8 0.6 0.5 0.6 0.4
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 6.5 7.4 5.7 3.7 4.1 3.2
Neoplasms (C00-D48) 251.3 305.9 200.7 206.7 232.9 182.5
Malignant neoplasms (C00-C97) 249.6 304.1 199.1 205.9 232.2 181.6
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 4.1 7.0 1.4 3.9 6.3 1.7
Malignant neoplasm of oesophagus (C15) 3.3 5.0 1.6 2.5 4.0 1.1
Malignant neoplasm of stomach (C16) 13.6 19.3 8.3 9.6 10.8 8.4
Malignant neoplasm of colon, rectum and anus (C18-C21) 39.9 49.0 31.5 30.4 35.7 25.4
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 10.7 14.7 7.1 7.3 8.5 6.3
Malignant neoplasm of pancreas (C25) 19.0 19.7 18.3 15.1 17.0 13.2
Malignant neoplasm of larynx (C32) 5.3 9.6 1.2 3.0 5.4 0.9
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 54.2 86.6 24.2 34.4 49.0 20.9
Malignant melanoma of skin (C43) 1.8 2.0 1.6 2.3 2.7 2.0
Malignant neoplasm of breast (C50) 15.5 0.7 29.2 16.0 1.2 29.5
Malignant neoplasm of cervix uteri (C53) 5.9 - 11.4 3.2 - 6.2
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 3.4 - 6.5 5.2 - 9.9
Malignant neoplasm of ovary (C56) 6.0 - 11.6 4.0 - 7.6
Malignant neoplasm of prostate (C61) 11.8 24.5 - 13.0 27.1 -
Malignant neoplasm of kidney (C64) 4.8 7.0 2.8 3.9 5.6 2.4
Malignant neoplasm of bladder (C67) 10.3 15.3 5.7 8.1 12.6 3.9
Malignant neoplasm of brain and central nervous system (C70-C72) 10.1 10.9 9.3 7.9 7.7 8.1
Malignant neoplasm of thyroid (C73) 0.3 0.2 0.4 0.5 0.5 0.6
Hodgkin disease and lymphomas (C81-C86) 2.6 3.5 1.8 3.3 3.7 2.9
Leukaemia (C91-C95) 4.7 6.1 3.5 5.7 6.3 5.1
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.5 1.1 1.8 2.2 2.2 2.3
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 20.8 21.4 20.3 24.4 25.5 23.4
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.7 1.8 1.6 0.8 0.7 0.9
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 2.2 2.0 2.4 0.8 0.7 1.0
Endocrine, nutritional and metabolic diseases (E00-E89) 10.8 9.6 12.0 20.3 19.3 21.3
Diabetes mellitus (E10-E14) 10.5 9.2 11.8 19.9 18.9 20.9
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.3 0.4 0.2 0.4 0.4 0.4
Mental and behavioural disorders (F01-F99) 0.6 1.1 0.2 0.5 0.5 0.5
Dementia (F01, F03) 0.1 - 0.2 0.1 - 0.2
Alcohol abuse (including alcoholic psychosis) (F10) 0.4 0.9 - 0.1 0.2 -
Drug dependence, toxicomania (F11-F16, F18-F19) 0.1 0.2 - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - 0.3 0.3 0.3
Diseases of the nervous system and the sense organs (G00-H95) 13.8 15.3 12.4 11.9 13.0 11.0
Parkinson’s disease (G20) 0.9 0.9 1.0 1.7 1.7 1.7
Alzheimer’s disease (G30) 0.6 0.7 0.6 0.9 0.6 1.2
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 12.2 13.8 10.8 9.3 10.7 8.0
Diseases of the circulatory system (I00-I99) 988.0 1 002.3 974.8 795.7 807.0 785.2
Ischaemic heart diseases (I20-I25) 239.5 275.0 206.6 99.9 117.7 83.4
of which:            
Acute myocardial infarction (I21-I22) 99.5 134.3 67.2 47.0 63.5 31.7
Other ischaemic heart diseases (I20, I23-I25) 140.0 140.7 139.4 52.9 54.2 51.7
Other heart diseases (I30-I51) 278.4 280.9 276.0 416.3 419.8 413.1
Cerebrovascular diseases (I60-I69) 322.4 300.4 342.8 191.8 176.0 206.4
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 147.7 145.9 149.4 87.7 93.4 82.3
Diseases of the respiratory system (J00-J99) 75.5 88.4 63.5 83.8 99.6 69.2
Influenza (J09-J11) 0.5 0.7 0.4 0.2 0.4 0.1
Pneumonia (J12-J18) 31.6 36.3 27.2 35.3 44.3 27.1
Chronic lower respiratory diseases (J40-J47) 13.9 17.1 11.0 15.1 17.4 12.9
of which:            
Asthma (J45-J46) 0.2 0.4 - 0.3 0.3 0.3
Other chronic lower respiratory diseases (J40-J44, J47) 13.7 16.6 11.0 14.8 17.1 12.6
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 29.5 34.4 25.0 33.2 37.5 29.2
Diseases of the digestive system (K00-K92) 86.7 116.0 59.5 55.8 77.0 36.2
Ulcer of stomach, duodenum and jejunum (К25-К28) 3.5 4.2 2.8 1.4 1.8 1.0
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 35.8 60.2 13.2 24.9 42.1 9.1
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 47.4 51.6 43.4 29.5 33.1 26.1
Diseases of the skin and subcutaneous tissue (L00-L99) 0.3 0.2 0.4 0.3 0.2 0.5
Diseases of the musculoskeletal system/connective tissue (M00-M99) 1.3 1.3 1.2 0.2 0.2 0.3
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 1.3 1.3 1.2 0.2 0.2 0.3
Diseases of the genitourinary system (N00-N99) 26.6 27.8 25.6 36.0 39.1 33.1
Diseases of kidney and ureter (N00-N29) 26.0 26.5 25.6 35.6 38.4 33.0
Other diseases of the genitourinary system (N30-N99) 0.6 1.3 - 0.4 0.7 0.1
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.1 - 0.2 0.1 - 0.2
Certain conditions originating in the perinatal period (P00-P96) 3.2 4.4 2.0 1.0 1.3 0.8
Congenital malformations and chromosomal abnormalities (Q00-Q99) 2.0 1.5 2.4 0.5 0.7 0.3
Symptoms, signs, ill-defined causes (R00-R99) 43.6 44.4 42.8 72.8 63.5 81.3
Sudden infant death syndrome (R95) 0.2 0.2 0.2 0.1 0.2 -
Unknown and unspecified causes (R96-R99) 29.3 31.1 27.6 32.0 36.6 27.8
Other symptoms, signs, ill-defined causes (R00-R94) 14.1 13.1 15.0 40.6 26.7 53.5
External causes of morbidity and mortality (V01-Y98) 32.3 51.9 14.2 24.8 39.2 11.4
Accidents (V01-X59, Y85-Y86) 16.3 25.6 7.7 10.5 16.9 4.5
of which:            
Transport accidents (V01-V99,Y85) 5.9 10.1 2.0 4.9 7.4 2.6
Accidental falls (W00-W19) 2.5 3.7 1.4 1.6 2.3 1.0
Drowning and accidental submersion '(W65-W74) 2.3 3.3 1.4 0.7 1.4 0.1
Accidental poisoning (W65-W74) 0.6 1.1 0.2 0.4 0.8 0.1
Other accidents (W20-W64, W75- X39, X50-59, Y86) 4.9 7.4 2.6 2.7 5.0 0.7
Suicide and intentional self-harm (X60-X84, Y87.0) 8.8 13.8 4.3 1.6 2.8 0.6
Homicide, assault (X85-Y09, Y87.1) 1.1 1.8 0.4 0.9 1.3 0.5
Events of undetermined intent (Y10-Y34, Y87.2) 2.3 4.2 0.6 11.3 17.3 5.7
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 3.8 6.6 1.2 0.5 0.8 0.2
Codes for special purposes (U00-U85) 17.0 19.7 14.4 15.9 19.7 12.3
of which COVID-19 (U07.1-U07.2) 17.0 19.7 14.4 15.9 19.7 12.3
(Continued and end)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Yuzhen tsentralen
Total Male Female
Total 1 545.1 1 656.0 1 442.3
Infectious and parasitic diseases (A00-B99) 6.9 9.6 4.4
Tuberculosis (A15-A19, B90) 1.3 2.1 0.6
AIDS (HIV-disease) (B20-B24) 0.8 1.3 0.3
Viral hepatitis (B15-B19, B94.2) 0.5 0.8 0.3
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 4.3 5.4 3.3
Neoplasms (C00-D48) 286.0 347.9 228.6
Malignant neoplasms (C00-C97) 284.9 346.1 228.1
of which:      
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 5.7 9.1 2.5
Malignant neoplasm of oesophagus (C15) 2.8 4.6 1.2
Malignant neoplasm of stomach (C16) 20.0 26.2 14.2
Malignant neoplasm of colon, rectum and anus (C18-C21) 40.8 51.8 30.5
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 13.0 16.6 9.8
Malignant neoplasm of pancreas (C25) 17.9 18.8 17.0
Malignant neoplasm of larynx (C32) 4.9 9.4 0.7
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 54.7 84.5 27.1
Malignant melanoma of skin (C43) 2.1 3.2 1.2
Malignant neoplasm of breast (C50) 17.8 0.6 33.7
Malignant neoplasm of cervix uteri (C53) 5.1 - 9.8
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 7.3 - 14.1
Malignant neoplasm of ovary (C56) 7.0 - 13.5
Malignant neoplasm of prostate (C61) 18.7 38.9 -
Malignant neoplasm of kidney (C64) 7.3 9.4 5.3
Malignant neoplasm of bladder (C67) 10.1 16.3 4.4
Malignant neoplasm of brain and central nervous system (C70-C72) 8.9 9.7 8.1
Malignant neoplasm of thyroid (C73) 0.8 0.6 1.0
Hodgkin disease and lymphomas (C81-C86) 4.1 4.8 3.4
Leukaemia (C91-C95) 6.9 8.0 5.9
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 2.8 3.3 2.4
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 26.1 29.8 22.6
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.1 1.8 0.4
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 0.5 0.2 0.7
Endocrine, nutritional and metabolic diseases (E00-E89) 9.1 8.1 9.9
Diabetes mellitus (E10-E14) 8.4 7.3 9.3
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.7 0.8 0.6
Mental and behavioural disorders (F01-F99) 0.8 1.1 0.6
Dementia (F01, F03) 0.4 0.5 0.3
Alcohol abuse (including alcoholic psychosis) (F10) 0.1 0.2 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.4 0.5 0.3
Diseases of the nervous system and the sense organs (G00-H95) 10.8 13.1 8.7
Parkinson’s disease (G20) 1.3 1.0 1.6
Alzheimer’s disease (G30) 0.2 0.3 0.1
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 9.3 11.8 7.0
Diseases of the circulatory system (I00-I99) 992.2 977.0 1 006.4
Ischaemic heart diseases (I20-I25) 317.8 336.9 300.1
of which:      
Acute myocardial infarction (I21-I22) 117.1 141.6 94.2
Other ischaemic heart diseases (I20, I23-I25) 200.7 195.2 205.8
Other heart diseases (I30-I51) 205.6 212.5 199.1
Cerebrovascular diseases (I60-I69) 321.6 282.2 358.2
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 147.3 145.5 149.0
Diseases of the respiratory system (J00-J99) 42.0 55.7 29.3
Influenza (J09-J11) 0.9 1.3 0.6
Pneumonia (J12-J18) 19.1 24.4 14.2
Chronic lower respiratory diseases (J40-J47) 10.8 14.8 7.1
of which:      
Asthma (J45-J46) - - -
Other chronic lower respiratory diseases (J40-J44, J47) 10.8 14.8 7.1
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 11.1 15.2 7.4
Diseases of the digestive system (K00-K92) 56.6 78.5 36.4
Ulcer of stomach, duodenum and jejunum (К25-К28) 3.2 4.8 1.8
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 22.8 38.3 8.4
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 30.6 35.4 26.2
Diseases of the skin and subcutaneous tissue (L00-L99) 0.8 0.5 1.2
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.5 0.3 0.6
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.5 0.3 0.6
Diseases of the genitourinary system (N00-N99) 15.7 18.7 12.9
Diseases of kidney and ureter (N00-N29) 15.3 18.0 12.7
Other diseases of the genitourinary system (N30-N99) 0.4 0.6 0.1
Complications of pregnancy, childbirth and puerperium (O00-O99) - - -
Certain conditions originating in the perinatal period (P00-P96) 2.4 1.8 3.0
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.7 2.1 1.3
Symptoms, signs, ill-defined causes (R00-R99) 67.8 69.5 66.1
Sudden infant death syndrome (R95) 0.1 - 0.1
Unknown and unspecified causes (R96-R99) 43.9 52.2 36.2
Other symptoms, signs, ill-defined causes (R00-R94) 23.8 17.4 29.7
External causes of morbidity and mortality (V01-Y98) 35.3 54.4 17.6
Accidents (V01-X59, Y85-Y86) 22.7 34.5 11.8
of which:      
Transport accidents (V01-V99,Y85) 6.2 10.2 2.5
Accidental falls (W00-W19) 9.1 11.8 6.5
Drowning and accidental submersion '(W65-W74) 1.3 2.1 0.6
Accidental poisoning (W65-W74) 0.6 1.3 -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.5 9.1 2.2
Suicide and intentional self-harm (X60-X84, Y87.0) 9.4 15.2 4.0
Homicide, assault (X85-Y09, Y87.1) 1.2 1.8 0.6
Events of undetermined intent (Y10-Y34, Y87.2) 1.4 1.9 0.9
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.7 1.1 0.3
Codes for special purposes (U00-U85) 16.0 17.7 14.5
of which COVID-19 (U07.1-U07.2) 16.0 17.7 14.5
1 Elaborated by Eurostat harmonised list used for international comparisons. Since 2020 incl. Chapter XXII Codes for special purposes (U00-U85), COVID-19 (U07.1-U07.2).
MORTALITY BY CAUSES, SEX AND DISTRICTS IN 2023
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Bulgaria Blagoevgrad
Total Male Female Total Male Female
Total 1 566.8 1 689.8 1 453.0 1 315.3 1 426.3 1 210.9
Infectious and parasitic diseases (A00-B99) 7.9 9.5 6.4 4.5 4.3 4.7
Tuberculosis (A15-A19, B90) 1.1 1.7 0.4 0.3 0.7 -
AIDS (HIV-disease) (B20-B24) 0.2 0.4 0.1 - - -
Viral hepatitis (B15-B19, B94.2) 0.6 0.7 0.4 - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 6.0 6.6 5.4 4.2 3.6 4.7
Neoplasms (C00-D48) 258.8 306.2 214.9 195.0 218.8 172.7
Malignant neoplasms (C00-C97) 257.4 304.5 213.8 194.4 217.4 172.7
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 5.4 9.1 1.9 2.1 3.6 0.7
Malignant neoplasm of oesophagus (C15) 3.0 4.9 1.3 2.8 5.0 0.7
Malignant neoplasm of stomach (C16) 14.3 18.0 10.9 15.3 17.2 13.5
Malignant neoplasm of colon, rectum and anus (C18-C21) 39.0 47.2 31.4 31.6 33.7 29.7
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 10.2 13.0 7.6 9.0 10.8 7.4
Malignant neoplasm of pancreas (C25) 17.1 18.2 16.1 15.6 14.3 16.9
Malignant neoplasm of larynx (C32) 4.4 8.4 0.8 2.4 4.3 0.7
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 48.8 74.9 24.7 30.9 53.1 10.1
Malignant melanoma of skin (C43) 2.1 2.6 1.7 2.4 2.9 2.0
Malignant neoplasm of breast (C50) 18.3 0.8 34.5 20.2 2.2 37.1
Malignant neoplasm of cervix uteri (C53) 4.9 - 9.5 3.5 - 6.7
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 5.6 - 10.7 2.1 - 4.0
Malignant neoplasm of ovary (C56) 5.5 - 10.6 5.2 - 10.1
Malignant neoplasm of prostate (C61) 15.0 31.3 - 16.3 33.7 -
Malignant neoplasm of kidney (C64) 5.6 7.2 4.1 3.1 4.3 2.0
Malignant neoplasm of bladder (C67) 9.6 15.2 4.5 5.6 7.9 3.4
Malignant neoplasm of brain and central nervous system (C70-C72) 9.1 9.8 8.4 10.1 10.0 10.1
Malignant neoplasm of thyroid (C73) 0.6 0.5 0.7 0.7 0.7 0.7
Hodgkin disease and lymphomas (C81-C86) 3.6 4.3 2.8 1.7 1.4 2.0
Leukaemia (C91-C95) 6.0 7.2 4.9 2.4 2.2 2.7
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 2.6 2.5 2.7 1.0 0.7 1.3
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 26.6 28.8 24.6 10.1 8.6 11.5
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.4 1.6 1.1 0.7 1.4 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.6 1.4 1.7 0.7 0.7 0.7
Endocrine, nutritional and metabolic diseases (E00-E89) 22.2 20.9 23.3 19.1 16.5 21.6
Diabetes mellitus (E10-E14) 21.6 20.3 22.8 18.4 15.8 20.9
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 0.6 0.5 0.7 0.7 0.7
Mental and behavioural disorders (F01-F99) 1.2 1.6 0.8 1.0 1.4 0.7
Dementia (F01, F03) 0.4 0.2 0.5 - - -
Alcohol abuse (including alcoholic psychosis) (F10) 0.4 0.9 - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) 0.0 0.1 - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.4 0.5 0.3 1.0 1.4 0.7
Diseases of the nervous system and the sense organs (G00-H95) 13.7 15.3 12.1 9.7 12.2 7.4
Parkinson’s disease (G20) 2.3 2.3 2.2 2.8 2.2 3.4
Alzheimer’s disease (G30) 0.9 0.7 1.1 1.4 1.4 1.3
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 10.5 12.3 8.8 5.6 8.6 2.7
Diseases of the circulatory system (I00-I99) 957.1 964.3 950.4 816.0 838.0 795.3
Ischaemic heart diseases (I20-I25) 192.7 216.7 170.5 77.9 91.1 65.4
of which:            
Acute myocardial infarction (I21-I22) 77.6 101.6 55.3 56.3 67.4 45.9
Other ischaemic heart diseases (I20, I23-I25) 115.2 115.1 115.3 21.6 23.7 19.6
Other heart diseases (I30-I51) 317.9 321.7 314.3 414.4 443.4 387.2
Cerebrovascular diseases (I60-I69) 278.0 258.4 296.2 233.6 212.4 253.6
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 168.5 167.6 169.3 90.0 91.1 89.0
Diseases of the respiratory system (J00-J99) 76.3 92.9 61.0 110.2 130.6 91.1
Influenza (J09-J11) 0.4 0.6 0.2 - - -
Pneumonia (J12-J18) 34.8 42.5 27.7 16.3 21.5 11.5
Chronic lower respiratory diseases (J40-J47) 17.9 22.3 13.8 18.8 25.8 12.1
of which:            
Asthma (J45-J46) 0.4 0.4 0.4 0.3 - 0.7
Other chronic lower respiratory diseases (J40-J44, J47) 17.5 21.9 13.4 18.4 25.8 11.5
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 23.2 27.5 19.3 75.1 83.2 67.5
Diseases of the digestive system (K00-K92) 70.1 96.3 45.8 38.6 60.3 18.2
Ulcer of stomach, duodenum and jejunum (К25-К28) 3.4 4.4 2.5 1.0 2.2 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 29.5 49.8 10.8 23.3 39.5 8.1
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 37.1 42.1 32.5 14.3 18.7 10.1
Diseases of the skin and subcutaneous tissue (L00-L99) 1.0 0.6 1.3 0.7 0.7 0.7
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.7 0.5 0.8 0.3 - 0.7
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) 0.0 0.1 0.0 - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.6 0.5 0.7 0.3 - 0.7
Diseases of the genitourinary system (N00-N99) 29.5 32.6 26.7 27.8 30.9 25.0
Diseases of kidney and ureter (N00-N29) 29.0 31.6 26.6 27.1 29.4 25.0
Other diseases of the genitourinary system (N30-N99) 0.5 1.0 0.1 0.7 1.4 -
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.1 - 0.1 0.3 - 0.7
Certain conditions originating in the perinatal period (P00-P96) 2.0 2.1 1.9 1.0 1.4 0.7
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.2 1.4 1.0 - - -
Symptoms, signs, ill-defined causes (R00-R99) 73.7 72.3 75.0 62.9 72.5 54.0
Sudden infant death syndrome (R95) 0.1 0.2 0.1 0.3 0.7 -
Unknown and unspecified causes (R96-R99) 43.0 49.4 37.1 35.1 43.0 27.7
Other symptoms, signs, ill-defined causes (R00-R94) 30.5 22.7 37.8 27.5 28.7 26.3
External causes of morbidity and mortality (V01-Y98) 34.7 53.6 17.2 25.0 36.6 14.2
Accidents (V01-X59, Y85-Y86) 19.5 29.6 10.0 15.0 23.7 6.7
of which:            
Transport accidents (V01-V99,Y85) 6.8 11.2 2.8 8.3 12.2 4.7
Accidental falls (W00-W19) 5.3 6.6 4.2 1.4 1.4 1.3
Drowning and accidental submersion '(W65-W74) 1.3 2.3 0.5 0.3 0.7 -
Accidental poisoning (W65-W74) 0.8 1.3 0.3 - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.2 8.3 2.3 4.9 9.3 0.7
Suicide and intentional self-harm (X60-X84, Y87.0) 7.0 11.1 3.2 1.7 3.6 -
Homicide, assault (X85-Y09, Y87.1) 0.9 1.4 0.5 1.0 2.2 -
Events of undetermined intent (Y10-Y34, Y87.2) 6.1 9.5 3.0 7.0 7.2 6.7
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 1.2 2.0 0.5 0.3 - 0.7
Codes for special purposes (U00-U85) 15.2 18.0 12.6 2.1 1.4 2.7
of which COVID-19 (U07.1-U07.2) 15.2 18.0 12.5 2.1 1.4 2.7
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Burgas Varna
Total Male Female Total Male Female
Total 1 408.8 1 539.7 1 288.0 1 355.8 1 451.9 1 266.9
Infectious and parasitic diseases (A00-B99) 13.1 16.9 9.6 19.4 22.6 16.5
Tuberculosis (A15-A19, B90) 1.3 2.7 - 0.2 - 0.4
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 0.3 0.5 - - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 11.5 13.7 9.6 19.2 22.6 16.0
Neoplasms (C00-D48) 272.3 324.9 223.8 228.2 251.7 206.5
Malignant neoplasms (C00-C97) 270.0 322.1 221.8 227.7 250.7 206.5
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 4.7 7.1 2.5 4.6 7.2 2.2
Malignant neoplasm of oesophagus (C15) 3.1 3.8 2.5 2.5 4.3 0.9
Malignant neoplasm of stomach (C16) 15.5 22.4 9.1 10.6 13.0 8.5
Malignant neoplasm of colon, rectum and anus (C18-C21) 40.6 50.8 31.3 38.4 43.3 33.8
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 11.0 15.3 7.1 10.6 14.0 7.6
Malignant neoplasm of pancreas (C25) 21.2 23.5 19.2 13.2 11.1 15.1
Malignant neoplasm of larynx (C32) 4.2 6.6 2.0 3.7 7.2 0.4
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 56.6 89.0 26.7 39.3 57.3 22.7
Malignant melanoma of skin (C43) 2.1 2.7 1.5 1.4 1.9 0.9
Malignant neoplasm of breast (C50) 16.5 0.5 31.3 19.2 0.5 36.5
Malignant neoplasm of cervix uteri (C53) 7.1 - 13.6 5.1 - 9.8
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 2.6 - 5.0 4.4 - 8.5
Malignant neoplasm of ovary (C56) 6.3 - 12.1 4.4 - 8.5
Malignant neoplasm of prostate (C61) 13.6 28.4 - 10.4 21.7 -
Malignant neoplasm of kidney (C64) 4.7 6.0 3.5 5.3 7.2 3.6
Malignant neoplasm of bladder (C67) 10.5 15.8 5.5 9.0 14.0 4.4
Malignant neoplasm of brain and central nervous system (C70-C72) 12.1 13.1 11.1 5.3 6.3 4.4
Malignant neoplasm of thyroid (C73) 0.3 0.5 - 0.7 0.5 0.9
Hodgkin disease and lymphomas (C81-C86) 1.6 1.6 1.5 4.4 5.3 3.6
Leukaemia (C91-C95) 3.9 5.5 2.5 3.7 4.8 2.7
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.3 1.1 1.5 3.9 1.9 5.8
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 30.4 28.9 31.8 27.5 28.4 26.7
Non-malignant neoplasms (benign and uncertain) (D00-D48) 2.4 2.7 2.0 0.5 1.0 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.8 2.2 1.5 0.9 1.0 0.9
Endocrine, nutritional and metabolic diseases (E00-E89) 2.4 2.7 2.0 3.0 3.9 2.2
Diabetes mellitus (E10-E14) 1.8 1.6 2.0 2.5 3.4 1.8
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 1.1 - 0.5 0.5 0.4
Mental and behavioural disorders (F01-F99) 0.3 0.5 - 0.7 1.4 -
Dementia (F01, F03) - - - - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - - 0.2 0.5 -
Drug dependence, toxicomania (F11-F16, F18-F19) 0.3 0.5 - 0.2 0.5 -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - 0.2 0.5 -
Diseases of the nervous system and the sense organs (G00-H95) 4.7 6.6 3.0 11.6 14.0 9.3
Parkinson’s disease (G20) 0.3 0.5 - 0.5 0.5 0.4
Alzheimer’s disease (G30) 0.5 1.1 - 0.9 1.0 0.9
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 3.9 4.9 3.0 10.2 12.5 8.0
Diseases of the circulatory system (I00-I99) 850.8 866.0 836.8 863.1 872.0 854.8
Ischaemic heart diseases (I20-I25) 121.4 150.7 94.3 145.9 185.3 109.5
of which:            
Acute myocardial infarction (I21-I22) 72.3 98.3 48.4 75.4 110.2 43.2
Other ischaemic heart diseases (I20, I23-I25) 49.0 52.4 45.9 70.5 75.1 66.3
Other heart diseases (I30-I51) 365.9 363.1 368.5 172.0 172.8 171.3
Cerebrovascular diseases (I60-I69) 302.7 284.5 319.6 179.0 172.3 185.1
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 60.8 67.7 54.4 366.2 341.7 388.9
Diseases of the respiratory system (J00-J99) 50.8 56.8 45.4 57.6 70.3 45.8
Influenza (J09-J11) - - - - - -
Pneumonia (J12-J18) 16.5 20.7 12.6 38.1 45.2 31.6
Chronic lower respiratory diseases (J40-J47) 6.6 6.0 7.1 5.8 8.2 3.6
of which:            
Asthma (J45-J46) - - - - - -
Other chronic lower respiratory diseases (J40-J44, J47) 6.6 6.0 7.1 5.8 8.2 3.6
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 27.8 30.0 25.7 13.6 16.8 10.7
Diseases of the digestive system (K00-K92) 78.4 111.4 47.9 59.7 82.3 38.7
Ulcer of stomach, duodenum and jejunum (К25-К28) 2.4 1.1 3.5 6.5 7.2 5.8
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 34.1 61.7 8.6 30.3 48.1 13.8
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 41.9 48.6 35.8 22.9 27.0 19.1
Diseases of the skin and subcutaneous tissue (L00-L99) - - - 0.7 0.5 0.9
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.5 0.5 0.5 0.9 1.0 0.9
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.5 0.5 0.5 0.9 1.0 0.9
Diseases of the genitourinary system (N00-N99) 34.3 38.2 30.8 18.3 18.3 18.2
Diseases of kidney and ureter (N00-N29) 33.8 37.1 30.8 18.0 17.8 18.2
Other diseases of the genitourinary system (N30-N99) 0.5 1.1 - 0.2 0.5 -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 2.1 3.3 1.0 3.0 1.4 4.4
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.0 0.5 1.5 0.9 0.5 1.3
Symptoms, signs, ill-defined causes (R00-R99) 52.9 51.3 54.4 41.2 37.5 44.5
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 37.5 37.1 37.8 29.8 27.0 32.5
Other symptoms, signs, ill-defined causes (R00-R94) 15.5 14.2 16.6 11.3 10.6 12.0
External causes of morbidity and mortality (V01-Y98) 26.7 39.3 15.1 35.4 57.3 15.1
Accidents (V01-X59, Y85-Y86) 8.4 9.8 7.1 15.5 26.0 5.8
of which:            
Transport accidents (V01-V99,Y85) 1.6 2.7 0.5 6.9 12.5 1.8
Accidental falls (W00-W19) - - - 1.8 2.9 0.9
Drowning and accidental submersion '(W65-W74) 2.6 2.2 3.0 1.4 2.4 0.4
Accidental poisoning (W65-W74) 0.3 - 0.5 0.5 1.0 -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 3.9 4.9 3.0 4.9 7.2 2.7
Suicide and intentional self-harm (X60-X84, Y87.0) 6.0 8.2 4.0 10.2 16.4 4.4
Homicide, assault (X85-Y09, Y87.1) 0.3 0.5 - 0.7 1.0 0.4
Events of undetermined intent (Y10-Y34, Y87.2) 3.4 6.0 1.0 7.6 11.6 4.0
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 8.6 14.7 3.0 1.4 2.4 0.4
Codes for special purposes (U00-U85) 16.5 18.6 14.6 11.3 16.4 6.7
of which COVID-19 (U07.1-U07.2) 16.5 18.6 14.6 11.3 16.4 6.7
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Veliko Tarnovo Vidin
Total Male Female Total Male Female
Total 1 812.1 1 977.0 1 661.4 2 338.7 2 567.3 2 127.9
Infectious and parasitic diseases (A00-B99) 7.9 6.2 9.4 11.1 17.3 5.3
Tuberculosis (A15-A19, B90) - - - 4.2 8.7 -
AIDS (HIV-disease) (B20-B24) 0.5 - 0.9 - - -
Viral hepatitis (B15-B19, B94.2) - - - 1.4 2.9 -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 7.4 6.2 8.5 5.5 5.8 5.3
Neoplasms (C00-D48) 355.4 429.8 287.4 319.7 403.8 242.0
Malignant neoplasms (C00-C97) 351.5 424.7 284.6 316.9 401.0 239.4
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 7.4 12.4 2.8 8.3 11.5 5.3
Malignant neoplasm of oesophagus (C15) 5.9 12.4 - 4.2 5.8 2.7
Malignant neoplasm of stomach (C16) 14.8 20.6 9.4 15.2 20.2 10.6
Malignant neoplasm of colon, rectum and anus (C18-C21) 56.6 62.9 50.9 48.4 60.6 37.2
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 12.3 13.4 11.3 18.0 23.1 13.3
Malignant neoplasm of pancreas (C25) 17.7 18.6 17.0 23.5 31.7 16.0
Malignant neoplasm of larynx (C32) 6.4 13.4 - 2.8 2.9 2.7
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 79.3 125.8 36.8 55.4 92.3 21.3
Malignant melanoma of skin (C43) 3.4 3.1 3.8 1.4 - 2.7
Malignant neoplasm of breast (C50) 26.6 1.0 49.9 22.1 2.9 39.9
Malignant neoplasm of cervix uteri (C53) 4.9 - 9.4 5.5 - 10.6
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 7.9 - 15.1 6.9 - 13.3
Malignant neoplasm of ovary (C56) 4.9 - 9.4 6.9 - 13.3
Malignant neoplasm of prostate (C61) 20.2 42.3 - 19.4 40.4 -
Malignant neoplasm of kidney (C64) 7.9 8.2 7.5 6.9 8.7 5.3
Malignant neoplasm of bladder (C67) 14.3 19.6 9.4 18.0 31.7 5.3
Malignant neoplasm of brain and central nervous system (C70-C72) 12.3 15.5 9.4 11.1 17.3 5.3
Malignant neoplasm of thyroid (C73) 0.5 - 0.9 - - -
Hodgkin disease and lymphomas (C81-C86) 2.5 4.1 0.9 2.8 - 5.3
Leukaemia (C91-C95) 9.4 7.2 11.3 9.7 11.5 8.0
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 3.9 3.1 4.7 - - -
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 32.5 40.2 25.4 30.4 40.4 21.3
Non-malignant neoplasms (benign and uncertain) (D00-D48) 3.9 5.2 2.8 2.8 2.9 2.7
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 2.5 4.1 0.9 6.9 5.8 8.0
Endocrine, nutritional and metabolic diseases (E00-E89) 8.9 4.1 13.2 23.5 23.1 23.9
Diabetes mellitus (E10-E14) 8.4 4.1 12.3 23.5 23.1 23.9
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 - 0.9 - - -
Mental and behavioural disorders (F01-F99) 1.0 1.0 0.9 6.9 8.7 5.3
Dementia (F01, F03) 1.0 1.0 0.9 - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - - 1.4 2.9 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - 5.5 5.8 5.3
Diseases of the nervous system and the sense organs (G00-H95) 21.2 24.7 17.9 22.1 31.7 13.3
Parkinson’s disease (G20) 6.4 10.3 2.8 8.3 11.5 5.3
Alzheimer’s disease (G30) 2.5 2.1 2.8 - - -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 12.3 12.4 12.3 13.8 20.2 8.0
Diseases of the circulatory system (I00-I99) 983.1 1 001.9 965.9 1 513.9 1 546.1 1 484.2
Ischaemic heart diseases (I20-I25) 153.1 174.2 133.8 251.9 285.6 220.8
of which:            
Acute myocardial infarction (I21-I22) 67.0 90.7 45.2 49.8 72.1 29.3
Other ischaemic heart diseases (I20, I23-I25) 86.2 83.5 88.6 202.0 213.5 191.5
Other heart diseases (I30-I51) 313.1 305.1 320.4 304.4 326.0 284.6
Cerebrovascular diseases (I60-I69) 295.4 302.0 289.3 606.1 597.1 614.4
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 221.5 220.6 222.4 351.5 337.5 364.4
Diseases of the respiratory system (J00-J99) 100.4 117.5 84.8 99.6 126.9 74.5
Influenza (J09-J11) - - - - - -
Pneumonia (J12-J18) 48.2 54.6 42.4 52.6 60.6 45.2
Chronic lower respiratory diseases (J40-J47) 27.6 32.0 23.6 40.1 54.8 26.6
of which:            
Asthma (J45-J46) - - - - - -
Other chronic lower respiratory diseases (J40-J44, J47) 27.6 32.0 23.6 40.1 54.8 26.6
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 24.6 30.9 18.8 6.9 11.5 2.7
Diseases of the digestive system (K00-K92) 65.0 91.7 40.5 110.7 150.0 74.5
Ulcer of stomach, duodenum and jejunum (К25-К28) 6.4 8.2 4.7 8.3 11.5 5.3
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 22.6 38.1 8.5 45.7 80.8 13.3
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 35.9 45.4 27.3 56.7 57.7 55.9
Diseases of the skin and subcutaneous tissue (L00-L99) 0.5 - 0.9 1.4 - 2.7
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.5 1.0 - - - -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.5 1.0 - - - -
Diseases of the genitourinary system (N00-N99) 32.5 29.9 34.9 51.2 77.9 26.6
Diseases of kidney and ureter (N00-N29) 31.5 28.9 33.9 51.2 77.9 26.6
Other diseases of the genitourinary system (N30-N99) 1.0 1.0 0.9 - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 0.5 - 0.9 2.8 5.8 -
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.5 2.1 0.9 1.4 - 2.7
Symptoms, signs, ill-defined causes (R00-R99) 165.9 168.0 164.0 103.8 75.0 130.3
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 107.8 122.7 94.2 38.7 31.7 45.2
Other symptoms, signs, ill-defined causes (R00-R94) 58.1 45.4 69.7 65.0 43.3 85.1
External causes of morbidity and mortality (V01-Y98) 45.8 66.0 27.3 58.1 92.3 26.6
Accidents (V01-X59, Y85-Y86) 32.0 46.4 18.8 36.0 54.8 18.6
of which:            
Transport accidents (V01-V99,Y85) 7.4 12.4 2.8 8.3 11.5 5.3
Accidental falls (W00-W19) 12.3 15.5 9.4 11.1 11.5 10.6
Drowning and accidental submersion '(W65-W74) 1.0 2.1 - 1.4 2.9 -
Accidental poisoning (W65-W74) 3.4 4.1 2.8 1.4 2.9 -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 7.9 12.4 3.8 13.8 26.0 2.7
Suicide and intentional self-harm (X60-X84, Y87.0) 12.3 17.5 7.5 12.5 20.2 5.3
Homicide, assault (X85-Y09, Y87.1) - - - 2.8 5.8 -
Events of undetermined intent (Y10-Y34, Y87.2) 1.5 2.1 0.9 6.9 11.5 2.7
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) - - - - - -
Codes for special purposes (U00-U85) 19.7 28.9 11.3 5.5 2.9 8.0
of which COVID-19 (U07.1-U07.2) 19.7 28.9 11.3 5.5 2.9 8.0
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Vratsa Gabrovo
Total Male Female Total Male Female
Total 1 941.4 2 155.9 1 739.9 2 187.4 2 307.3 2 079.3
Infectious and parasitic diseases (A00-B99) 10.1 16.7 3.9 13.6 17.7 10.0
Tuberculosis (A15-A19, B90) 2.7 5.6 - 6.3 11.1 2.0
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) - - - - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 7.4 11.1 3.9 7.3 6.6 8.0
Neoplasms (C00-D48) 324.5 396.9 256.4 394.1 464.1 330.9
Malignant neoplasms (C00-C97) 322.4 392.7 256.4 393.0 464.1 328.9
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 6.7 12.5 1.3 6.3 8.8 4.0
Malignant neoplasm of oesophagus (C15) 6.1 9.7 2.6 6.3 8.8 4.0
Malignant neoplasm of stomach (C16) 23.6 23.7 23.5 23.1 26.5 19.9
Malignant neoplasm of colon, rectum and anus (C18-C21) 43.8 52.9 35.3 63.9 70.7 57.8
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 11.5 18.1 5.2 15.7 17.7 14.0
Malignant neoplasm of pancreas (C25) 21.6 26.5 17.0 26.2 28.7 23.9
Malignant neoplasm of larynx (C32) 8.1 16.7 - 3.1 4.4 2.0
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 61.4 90.5 34.0 62.9 106.1 23.9
Malignant melanoma of skin (C43) 1.3 1.4 1.3 4.2 6.6 2.0
Malignant neoplasm of breast (C50) 23.6 2.8 43.2 21.0 - 39.9
Malignant neoplasm of cervix uteri (C53) 7.4 - 14.4 7.3 - 14.0
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 5.4 - 10.5 10.5 - 19.9
Malignant neoplasm of ovary (C56) 5.4 - 10.5 14.7 - 27.9
Malignant neoplasm of prostate (C61) 19.6 40.4 - 28.3 59.7 -
Malignant neoplasm of kidney (C64) 6.7 9.7 3.9 8.4 8.8 8.0
Malignant neoplasm of bladder (C67) 9.4 18.1 1.3 14.7 24.3 6.0
Malignant neoplasm of brain and central nervous system (C70-C72) 10.1 11.1 9.2 18.9 26.5 12.0
Malignant neoplasm of thyroid (C73) 0.7 - 1.3 1.0 2.2 -
Hodgkin disease and lymphomas (C81-C86) 4.7 2.8 6.5 2.1 2.2 2.0
Leukaemia (C91-C95) 8.8 12.5 5.2 13.6 19.9 8.0
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 0.7 1.4 - 6.3 6.6 6.0
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 35.8 40.4 31.4 34.6 30.9 37.9
Non-malignant neoplasms (benign and uncertain) (D00-D48) 2.0 4.2 - 1.0 - 2.0
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 4.7 5.6 3.9 4.2 - 8.0
Endocrine, nutritional and metabolic diseases (E00-E89) 85.0 87.7 82.4 52.4 48.6 55.8
Diabetes mellitus (E10-E14) 85.0 87.7 82.4 51.4 46.4 55.8
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - - 1.0 2.2 -
Mental and behavioural disorders (F01-F99) 1.3 2.8 - 2.1 4.4 -
Dementia (F01, F03) - - - - - -
Alcohol abuse (including alcoholic psychosis) (F10) 1.3 2.8 - 2.1 4.4 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - - - -
Diseases of the nervous system and the sense organs (G00-H95) 8.8 12.5 5.2 9.4 8.8 10.0
Parkinson’s disease (G20) - - - 1.0 2.2 -
Alzheimer’s disease (G30) 0.7 1.4 - 1.0 - 2.0
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 8.1 11.1 5.2 7.3 6.6 8.0
Diseases of the circulatory system (I00-I99) 1 102.9 1 123.9 1 083.2 1 305.9 1 268.6 1 339.7
Ischaemic heart diseases (I20-I25) 290.1 318.9 262.9 336.4 340.3 332.9
of which:            
Acute myocardial infarction (I21-I22) 118.7 157.4 82.4 66.0 84.0 49.8
Other ischaemic heart diseases (I20, I23-I25) 171.3 161.6 180.5 270.4 256.4 283.1
Other heart diseases (I30-I51) 361.6 380.2 344.0 335.4 360.2 313.0
Cerebrovascular diseases (I60-I69) 373.0 353.7 391.1 390.9 342.6 434.6
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 78.2 71.0 85.0 243.2 225.4 259.2
Diseases of the respiratory system (J00-J99) 116.0 136.5 96.8 109.0 137.0 83.7
Influenza (J09-J11) - - - - - -
Pneumonia (J12-J18) 31.7 44.6 19.6 80.7 86.2 75.8
Chronic lower respiratory diseases (J40-J47) 61.4 69.6 53.6 22.0 39.8 6.0
of which:            
Asthma (J45-J46) - - - - - -
Other chronic lower respiratory diseases (J40-J44, J47) 61.4 69.6 53.6 22.0 39.8 6.0
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 22.9 22.3 23.5 6.3 11.1 2.0
Diseases of the digestive system (K00-K92) 128.2 171.3 87.6 110.1 141.4 81.7
Ulcer of stomach, duodenum and jejunum (К25-К28) 2.0 2.8 1.3 7.3 4.4 10.0
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 56.7 93.3 22.2 44.0 77.4 14.0
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 69.5 75.2 64.1 58.7 59.7 57.8
Diseases of the skin and subcutaneous tissue (L00-L99) 1.3 1.4 1.3 3.1 2.2 4.0
Diseases of the musculoskeletal system/connective tissue (M00-M99) 1.3 - 2.6 1.0 2.2 -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - 1.0 2.2 -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 1.3 - 2.6 - - -
Diseases of the genitourinary system (N00-N99) 49.9 57.1 43.2 46.1 50.8 41.9
Diseases of kidney and ureter (N00-N29) 48.6 55.7 41.9 46.1 50.8 41.9
Other diseases of the genitourinary system (N30-N99) 1.3 1.4 1.3 - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 2.0 1.4 2.6 1.0 - 2.0
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.3 2.8 - - - -
Symptoms, signs, ill-defined causes (R00-R99) 46.5 51.5 41.9 46.1 39.8 51.8
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 26.3 30.6 22.2 24.1 19.9 27.9
Other symptoms, signs, ill-defined causes (R00-R94) 20.2 20.9 19.6 22.0 19.9 23.9
External causes of morbidity and mortality (V01-Y98) 47.2 72.4 23.5 59.7 99.5 23.9
Accidents (V01-X59, Y85-Y86) 29.7 46.0 14.4 38.8 64.1 15.9
of which:            
Transport accidents (V01-V99,Y85) 15.5 23.7 7.8 12.6 22.1 4.0
Accidental falls (W00-W19) 6.1 8.4 3.9 15.7 22.1 10.0
Drowning and accidental submersion '(W65-W74) 2.0 2.8 1.3 1.0 2.2 -
Accidental poisoning (W65-W74) - - - 4.2 6.6 2.0
Other accidents (W20-W64, W75- X39, X50-59, Y86) 6.1 11.1 1.3 5.2 11.1 -
Suicide and intentional self-harm (X60-X84, Y87.0) 10.1 16.7 3.9 15.7 26.5 6.0
Homicide, assault (X85-Y09, Y87.1) 0.7 - 1.3 - - -
Events of undetermined intent (Y10-Y34, Y87.2) 6.1 9.7 2.6 2.1 2.2 2.0
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.7 - 1.3 3.1 6.6 -
Codes for special purposes (U00-U85) 10.1 15.3 5.2 29.3 22.1 35.9
of which COVID-19 (U07.1-U07.2) 10.1 15.3 5.2 29.3 22.1 35.9
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Dobrich Kardzhali
Total Male Female Total Male Female
Total 1 847.2 2 039.9 1 670.8 1 468.8 1 629.2 1 314.2
Infectious and parasitic diseases (A00-B99) 15.7 15.7 15.7 2.8 4.2 1.4
Tuberculosis (A15-A19, B90) 2.0 2.8 1.3 - - -
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 0.7 - 1.3 - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 12.9 12.8 13.0 2.8 4.2 1.4
Neoplasms (C00-D48) 340.3 404.3 281.7 196.5 249.5 145.4
Malignant neoplasms (C00-C97) 335.6 400.0 276.5 195.8 248.0 145.4
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 10.2 19.9 1.3 2.1 4.2 -
Malignant neoplasm of oesophagus (C15) 0.7 1.4 - 1.4 1.4 1.4
Malignant neoplasm of stomach (C16) 21.8 27.0 17.0 24.2 32.4 16.3
Malignant neoplasm of colon, rectum and anus (C18-C21) 55.1 74.0 37.8 24.9 29.6 20.4
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 7.5 10.0 5.2 11.8 15.5 8.2
Malignant neoplasm of pancreas (C25) 19.7 18.5 20.9 13.1 14.1 12.2
Malignant neoplasm of larynx (C32) 6.8 12.8 1.3 4.8 9.9 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 61.3 98.2 27.4 47.0 78.9 16.3
Malignant melanoma of skin (C43) 3.4 2.8 3.9 1.4 1.4 1.4
Malignant neoplasm of breast (C50) 29.3 2.8 53.5 5.5 - 10.9
Malignant neoplasm of cervix uteri (C53) 6.8 - 13.0 4.8 - 9.5
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 10.2 - 19.6 5.5 - 10.9
Malignant neoplasm of ovary (C56) 7.5 - 14.3 4.8 - 9.5
Malignant neoplasm of prostate (C61) 18.4 38.4 - 7.6 15.5 -
Malignant neoplasm of kidney (C64) 15.0 18.5 11.7 2.8 4.2 1.4
Malignant neoplasm of bladder (C67) 8.2 17.1 - 5.5 5.6 5.4
Malignant neoplasm of brain and central nervous system (C70-C72) 12.3 14.2 10.4 6.2 5.6 6.8
Malignant neoplasm of thyroid (C73) 0.7 1.4 - 0.7 1.4 -
Hodgkin disease and lymphomas (C81-C86) 3.4 1.4 5.2 4.8 4.2 5.4
Leukaemia (C91-C95) 4.1 5.7 2.6 5.5 7.0 4.1
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.4 1.4 1.3 2.1 2.8 1.4
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 32.0 34.2 30.0 9.0 14.1 4.1
Non-malignant neoplasms (benign and uncertain) (D00-D48) 4.8 4.3 5.2 0.7 1.4 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 2.7 1.4 3.9 0.7 - 1.4
Endocrine, nutritional and metabolic diseases (E00-E89) 68.1 79.7 57.4 6.9 5.6 8.2
Diabetes mellitus (E10-E14) 66.7 76.9 57.4 6.2 4.2 8.2
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 1.4 2.8 - 0.7 1.4 -
Mental and behavioural disorders (F01-F99) 5.4 8.5 2.6 3.5 4.2 2.7
Dementia (F01, F03) 1.4 - 2.6 2.8 2.8 2.7
Alcohol abuse (including alcoholic psychosis) (F10) 3.4 7.1 - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.7 1.4 - 0.7 1.4 -
Diseases of the nervous system and the sense organs (G00-H95) 22.5 29.9 15.7 3.5 4.2 2.7
Parkinson’s disease (G20) 4.8 7.1 2.6 0.7 - 1.4
Alzheimer’s disease (G30) - - - - - -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 17.7 22.8 13.0 2.8 4.2 1.4
Diseases of the circulatory system (I00-I99) 1 065.2 1 091.8 1 040.8 835.8 856.9 815.4
Ischaemic heart diseases (I20-I25) 218.5 264.8 176.1 100.3 118.4 82.9
of which:            
Acute myocardial infarction (I21-I22) 96.7 138.1 58.7 76.8 84.6 69.3
Other ischaemic heart diseases (I20, I23-I25) 121.8 126.7 117.4 23.5 33.8 13.6
Other heart diseases (I30-I51) 140.9 153.7 129.1 406.8 425.6 388.7
Cerebrovascular diseases (I60-I69) 411.1 378.7 440.8 298.9 287.5 309.9
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 294.7 294.7 294.8 29.8 25.4 34.0
Diseases of the respiratory system (J00-J99) 79.0 94.0 65.2 51.9 71.9 32.6
Influenza (J09-J11) - - - - - -
Pneumonia (J12-J18) 40.2 49.8 31.3 17.3 19.7 14.9
Chronic lower respiratory diseases (J40-J47) 25.2 28.5 22.2 6.2 8.5 4.1
of which:            
Asthma (J45-J46) 2.7 2.8 2.6 - - -
Other chronic lower respiratory diseases (J40-J44, J47) 22.5 25.6 19.6 6.2 8.5 4.1
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 13.6 15.7 11.7 28.4 43.7 13.6
Diseases of the digestive system (K00-K92) 87.1 115.3 61.3 35.3 55.0 16.3
Ulcer of stomach, duodenum and jejunum (К25-К28) 3.4 5.7 1.3 3.5 7.0 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 44.2 72.6 18.3 13.8 22.5 5.4
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 39.5 37.0 41.7 18.0 25.4 10.9
Diseases of the skin and subcutaneous tissue (L00-L99) 1.4 - 2.6 - - -
Diseases of the musculoskeletal system/connective tissue (M00-M99) 1.4 1.4 1.3 0.7 - 1.4
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 1.4 1.4 1.3 0.7 - 1.4
Diseases of the genitourinary system (N00-N99) 34.0 32.7 35.2 11.8 14.1 9.5
Diseases of kidney and ureter (N00-N29) 34.0 32.7 35.2 11.8 14.1 9.5
Other diseases of the genitourinary system (N30-N99) - - - - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 2.0 - 3.9 2.1 - 4.1
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.4 2.8 - 1.4 1.4 1.4
Symptoms, signs, ill-defined causes (R00-R99) 73.5 94.0 54.8 269.8 293.1 247.3
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 59.9 79.7 41.7 204.8 245.2 165.8
Other symptoms, signs, ill-defined causes (R00-R94) 13.6 14.2 13.0 65.0 47.9 81.5
External causes of morbidity and mortality (V01-Y98) 42.9 64.1 23.5 41.5 64.8 19.0
Accidents (V01-X59, Y85-Y86) 29.3 44.1 15.7 26.3 45.1 8.2
of which:            
Transport accidents (V01-V99,Y85) 6.8 12.8 1.3 6.9 11.3 2.7
Accidental falls (W00-W19) 0.7 - 1.3 7.6 12.7 2.7
Drowning and accidental submersion '(W65-W74) 2.0 4.3 - 4.2 7.0 1.4
Accidental poisoning (W65-W74) 0.7 1.4 - - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 19.1 25.6 13.0 7.6 14.1 1.4
Suicide and intentional self-harm (X60-X84, Y87.0) 9.5 12.8 6.5 14.5 19.7 9.5
Homicide, assault (X85-Y09, Y87.1) - - - - - -
Events of undetermined intent (Y10-Y34, Y87.2) 2.7 5.7 - - - -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 1.4 1.4 1.3 0.7 - 1.4
Codes for special purposes (U00-U85) 4.8 4.3 5.2 4.8 4.2 5.4
of which COVID-19 (U07.1-U07.2) 4.8 4.3 5.2 4.8 4.2 5.4
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Kyustendil Lovech
Total Male Female Total Male Female
Total 2 088.0 2 254.7 1 933.9 2 017.0 2 173.9 1 870.0
Infectious and parasitic diseases (A00-B99) 10.2 11.5 8.9 4.4 5.5 3.4
Tuberculosis (A15-A19, B90) 0.9 1.9 - 0.9 1.8 -
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 0.9 - 1.8 0.9 1.8 -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 8.3 9.6 7.1 2.7 1.8 3.4
Neoplasms (C00-D48) 357.7 407.9 311.3 271.3 344.6 202.6
Malignant neoplasms (C00-C97) 356.8 405.9 311.3 269.5 342.8 200.9
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 11.1 21.2 1.8 8.0 14.7 1.7
Malignant neoplasm of oesophagus (C15) 6.5 11.5 1.8 2.7 1.8 3.4
Malignant neoplasm of stomach (C16) 23.1 25.0 21.3 9.8 11.0 8.6
Malignant neoplasm of colon, rectum and anus (C18-C21) 62.9 71.2 55.2 45.2 51.3 39.5
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 14.8 13.5 16.0 7.1 7.3 6.9
Malignant neoplasm of pancreas (C25) 15.7 13.5 17.8 17.7 18.3 17.2
Malignant neoplasm of larynx (C32) 5.5 9.6 1.8 2.7 5.5 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 64.7 102.0 30.2 47.0 78.8 17.2
Malignant melanoma of skin (C43) 2.8 1.9 3.6 1.8 3.7 -
Malignant neoplasm of breast (C50) 24.0 - 46.3 12.4 - 24.0
Malignant neoplasm of cervix uteri (C53) 9.2 - 17.8 10.6 - 20.6
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 9.2 - 17.8 2.7 - 5.2
Malignant neoplasm of ovary (C56) 7.4 - 14.2 4.4 - 8.6
Malignant neoplasm of prostate (C61) 17.6 36.6 - 23.9 49.5 -
Malignant neoplasm of kidney (C64) 7.4 9.6 5.3 4.4 7.3 1.7
Malignant neoplasm of bladder (C67) 9.2 17.3 1.8 10.6 18.3 3.4
Malignant neoplasm of brain and central nervous system (C70-C72) 9.2 9.6 8.9 11.5 12.8 10.3
Malignant neoplasm of thyroid (C73) 0.9 1.9 - - - -
Hodgkin disease and lymphomas (C81-C86) 4.6 7.7 1.8 3.5 5.5 1.7
Leukaemia (C91-C95) 4.6 3.8 5.3 8.0 9.2 6.9
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 3.7 - 7.1 2.7 3.7 1.7
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 42.5 51.9 33.8 32.8 42.2 24.0
Non-malignant neoplasms (benign and uncertain) (D00-D48) 0.9 1.9 - 1.8 1.8 1.7
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.8 - 3.6 5.3 9.2 1.7
Endocrine, nutritional and metabolic diseases (E00-E89) 40.7 44.2 37.4 8.0 9.2 6.9
Diabetes mellitus (E10-E14) 40.7 44.2 37.4 8.0 9.2 6.9
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - - - - -
Mental and behavioural disorders (F01-F99) 1.8 1.9 1.8 6.2 3.7 8.6
Dementia (F01, F03) - - - 6.2 3.7 8.6
Alcohol abuse (including alcoholic psychosis) (F10) 0.9 1.9 - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.9 - 1.8 - - -
Diseases of the nervous system and the sense organs (G00-H95) 21.3 21.2 21.3 14.2 11.0 17.2
Parkinson’s disease (G20) 5.5 5.8 5.3 5.3 1.8 8.6
Alzheimer’s disease (G30) 2.8 1.9 3.6 0.9 - 1.7
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 12.9 13.5 12.5 8.0 9.2 6.9
Diseases of the circulatory system (I00-I99) 979.8 963.8 994.5 1 289.1 1 295.9 1 282.7
Ischaemic heart diseases (I20-I25) 124.8 140.4 110.3 74.5 78.8 70.4
of which:            
Acute myocardial infarction (I21-I22) 46.2 57.7 35.6 39.9 47.7 32.6
Other ischaemic heart diseases (I20, I23-I25) 78.6 82.7 74.7 34.6 31.2 37.8
Other heart diseases (I30-I51) 454.8 446.3 462.6 853.8 848.7 858.6
Cerebrovascular diseases (I60-I69) 311.5 280.9 339.8 295.2 295.1 295.4
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 88.7 96.2 81.8 65.6 73.3 58.4
Diseases of the respiratory system (J00-J99) 147.9 175.1 122.8 73.6 95.3 53.2
Influenza (J09-J11) - - - 0.9 1.8 -
Pneumonia (J12-J18) 79.5 100.0 60.5 22.2 29.3 15.5
Chronic lower respiratory diseases (J40-J47) 35.1 38.5 32.0 12.4 14.7 10.3
of which:            
Asthma (J45-J46) 0.9 1.9 - 1.8 - 3.4
Other chronic lower respiratory diseases (J40-J44, J47) 34.2 36.6 32.0 10.6 14.7 6.9
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 33.3 36.6 30.2 38.1 49.5 27.5
Diseases of the digestive system (K00-K92) 88.7 117.4 62.3 64.7 84.3 46.4
Ulcer of stomach, duodenum and jejunum (К25-К28) 0.9 - 1.8 0.9 1.8 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 41.6 67.3 17.8 20.4 33.0 8.6
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 46.2 50.0 42.7 43.4 49.5 37.8
Diseases of the skin and subcutaneous tissue (L00-L99) - - - 0.9 - 1.7
Diseases of the musculoskeletal system/connective tissue (M00-M99) - - - - - -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) - - - - - -
Diseases of the genitourinary system (N00-N99) 78.6 88.5 69.4 24.8 23.8 25.8
Diseases of kidney and ureter (N00-N29) 78.6 88.5 69.4 24.8 23.8 25.8
Other diseases of the genitourinary system (N30-N99) - - - - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - 0.9 - 1.7
Certain conditions originating in the perinatal period (P00-P96) - - - 1.8 3.7 -
Congenital malformations and chromosomal abnormalities (Q00-Q99) - - - 1.8 1.8 1.7
Symptoms, signs, ill-defined causes (R00-R99) 297.6 311.7 284.7 198.6 207.1 190.6
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 200.6 253.9 151.2 125.9 148.5 104.7
Other symptoms, signs, ill-defined causes (R00-R94) 97.1 57.7 133.4 72.7 58.7 85.9
External causes of morbidity and mortality (V01-Y98) 34.2 59.6 10.7 36.4 56.8 17.2
Accidents (V01-X59, Y85-Y86) 22.2 40.4 5.3 17.7 25.7 10.3
of which:            
Transport accidents (V01-V99,Y85) 5.5 9.6 1.8 4.4 7.3 1.7
Accidental falls (W00-W19) 7.4 11.5 3.6 1.8 1.8 1.7
Drowning and accidental submersion '(W65-W74) - - - 4.4 5.5 3.4
Accidental poisoning (W65-W74) 1.8 3.8 - 1.8 1.8 1.7
Other accidents (W20-W64, W75- X39, X50-59, Y86) 7.4 15.4 - 5.3 9.2 1.7
Suicide and intentional self-harm (X60-X84, Y87.0) 0.9 1.9 - 8.9 18.3 -
Homicide, assault (X85-Y09, Y87.1) - - - 5.3 5.5 5.2
Events of undetermined intent (Y10-Y34, Y87.2) 11.1 17.3 5.3 1.8 3.7 -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) - - - 2.7 3.7 1.7
Codes for special purposes (U00-U85) 27.7 51.9 5.3 15.1 22.0 8.6
of which COVID-19 (U07.1-U07.2) 27.7 51.9 5.3 15.1 22.0 8.6
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Montana Pazardzhik
Total Male Female Total Male Female
Total 2 164.7 2 313.2 2 025.4 1 675.4 1 790.7 1 566.5
Infectious and parasitic diseases (A00-B99) 6.1 7.2 5.0 9.3 14.6 4.3
Tuberculosis (A15-A19, B90) 3.5 5.4 1.7 2.7 4.6 0.9
AIDS (HIV-disease) (B20-B24) - - - 0.4 0.9 -
Viral hepatitis (B15-B19, B94.2) - - - 1.3 1.8 0.9
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 2.6 1.8 3.4 4.9 7.3 2.6
Neoplasms (C00-D48) 336.4 345.5 327.8 278.2 347.4 212.8
Malignant neoplasms (C00-C97) 335.5 345.5 326.1 276.4 343.7 212.8
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 6.1 10.7 1.7 6.2 10.0 2.6
Malignant neoplasm of oesophagus (C15) 3.5 7.2 - 1.8 2.7 0.9
Malignant neoplasm of stomach (C16) 13.9 19.7 8.4 17.7 25.5 10.3
Malignant neoplasm of colon, rectum and anus (C18-C21) 48.5 59.1 38.7 41.6 53.8 30.2
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 7.8 10.7 5.0 7.5 8.2 6.9
Malignant neoplasm of pancreas (C25) 26.0 28.6 23.5 14.6 19.1 10.3
Malignant neoplasm of larynx (C32) 9.5 19.7 - 5.8 10.0 1.7
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 59.8 80.6 40.3 60.2 96.6 25.8
Malignant melanoma of skin (C43) - - - 0.9 0.9 0.9
Malignant neoplasm of breast (C50) 41.6 - 80.7 17.7 - 34.5
Malignant neoplasm of cervix uteri (C53) 15.6 - 30.3 4.9 - 9.5
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 3.5 - 6.7 9.3 - 18.1
Malignant neoplasm of ovary (C56) 11.3 - 21.9 7.1 - 13.8
Malignant neoplasm of prostate (C61) 16.5 34.0 - 17.3 35.6 -
Malignant neoplasm of kidney (C64) 3.5 1.8 5.0 7.1 9.1 5.2
Malignant neoplasm of bladder (C67) 10.4 16.1 5.0 13.3 22.8 4.3
Malignant neoplasm of brain and central nervous system (C70-C72) 16.5 16.1 16.8 11.1 10.9 11.2
Malignant neoplasm of thyroid (C73) 0.9 - 1.7 0.4 0.9 -
Hodgkin disease and lymphomas (C81-C86) 4.3 3.6 5.0 2.2 2.7 1.7
Leukaemia (C91-C95) 5.2 5.4 5.0 8.4 12.8 4.3
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.7 1.8 1.7 0.9 0.9 0.9
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 29.5 30.4 28.6 20.4 19.1 21.5
Non-malignant neoplasms (benign and uncertain) (D00-D48) 0.9 - 1.7 1.8 3.6 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.7 1.8 1.7 0.4 - 0.9
Endocrine, nutritional and metabolic diseases (E00-E89) 72.0 57.3 85.7 23.5 20.1 26.7
Diabetes mellitus (E10-E14) 72.0 57.3 85.7 23.0 19.1 26.7
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - - 0.4 0.9 -
Mental and behavioural disorders (F01-F99) 6.9 7.2 6.7 0.9 0.9 0.9
Dementia (F01, F03) 2.6 - 5.0 0.4 0.9 -
Alcohol abuse (including alcoholic psychosis) (F10) 3.5 7.2 - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.9 - 1.7 0.4 - 0.9
Diseases of the nervous system and the sense organs (G00-H95) 23.4 26.9 20.2 4.4 6.4 2.6
Parkinson’s disease (G20) 1.7 - 3.4 0.4 - 0.9
Alzheimer’s disease (G30) - - - 0.4 0.9 -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 21.7 26.9 16.8 3.5 5.5 1.7
Diseases of the circulatory system (I00-I99) 1 287.4 1 330.2 1 247.2 1 167.7 1 165.2 1 170.1
Ischaemic heart diseases (I20-I25) 111.0 134.3 89.1 365.5 393.0 339.5
of which:            
Acute myocardial infarction (I21-I22) 30.3 44.8 16.8 206.9 245.3 170.6
Other ischaemic heart diseases (I20, I23-I25) 80.6 89.5 72.3 158.6 147.7 168.9
Other heart diseases (I30-I51) 514.1 544.3 485.8 268.0 266.2 269.7
Cerebrovascular diseases (I60-I69) 461.2 458.3 463.9 388.1 348.3 425.7
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 201.1 193.4 208.4 146.2 157.7 135.3
Diseases of the respiratory system (J00-J99) 98.0 130.7 67.2 41.6 55.6 28.4
Influenza (J09-J11) - - - 0.4 0.9 -
Pneumonia (J12-J18) 31.2 35.8 26.9 20.8 29.2 12.9
Chronic lower respiratory diseases (J40-J47) 22.5 32.2 13.4 7.5 10.9 4.3
of which:            
Asthma (J45-J46) - - - - - -
Other chronic lower respiratory diseases (J40-J44, J47) 22.5 32.2 13.4 7.5 10.9 4.3
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 44.2 62.7 26.9 12.8 14.6 11.2
Diseases of the digestive system (K00-K92) 117.0 162.9 74.0 38.1 56.5 20.7
Ulcer of stomach, duodenum and jejunum (К25-К28) 1.7 - 3.4 0.9 1.8 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 51.1 77.0 26.9 19.5 35.6 4.3
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 64.2 85.9 43.7 17.7 19.1 16.4
Diseases of the skin and subcutaneous tissue (L00-L99) 4.3 1.8 6.7 0.9 - 1.7
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.9 1.8 - 0.4 - 0.9
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) 0.9 1.8 - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) - - - 0.4 - 0.9
Diseases of the genitourinary system (N00-N99) 51.1 57.3 45.4 22.6 27.4 18.1
Diseases of kidney and ureter (N00-N29) 48.5 51.9 45.4 22.6 27.4 18.1
Other diseases of the genitourinary system (N30-N99) 2.6 5.4 - - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) - - - 3.5 2.7 4.3
Congenital malformations and chromosomal abnormalities (Q00-Q99) - - - 1.8 1.8 1.7
Symptoms, signs, ill-defined causes (R00-R99) 111.0 105.6 116.0 46.1 42.9 49.1
Sudden infant death syndrome (R95) 0.9 1.8 - - - -
Unknown and unspecified causes (R96-R99) 29.5 37.6 21.9 20.4 25.5 15.5
Other symptoms, signs, ill-defined causes (R00-R94) 80.6 66.2 94.1 25.7 17.3 33.6
External causes of morbidity and mortality (V01-Y98) 37.3 64.5 11.8 23.5 36.5 11.2
Accidents (V01-X59, Y85-Y86) 22.5 37.6 8.4 11.1 17.3 5.2
of which:            
Transport accidents (V01-V99,Y85) 8.7 16.1 1.7 3.5 6.4 0.9
Accidental falls (W00-W19) 6.9 10.7 3.4 1.3 1.8 0.9
Drowning and accidental submersion '(W65-W74) 1.7 3.6 - 1.3 1.8 0.9
Accidental poisoning (W65-W74) - - - 0.4 0.9 -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.2 7.2 3.4 4.4 6.4 2.6
Suicide and intentional self-harm (X60-X84, Y87.0) 8.7 16.1 1.7 7.5 12.8 2.6
Homicide, assault (X85-Y09, Y87.1) 1.7 3.6 - 1.8 1.8 1.7
Events of undetermined intent (Y10-Y34, Y87.2) 4.3 7.2 1.7 2.7 3.6 1.7
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) - - - 0.4 0.9 -
Codes for special purposes (U00-U85) 11.3 12.5 10.1 12.4 12.8 12.1
of which COVID-19 (U07.1-U07.2) 11.3 12.5 10.1 12.4 12.8 12.1
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Pernik Pleven
Total Male Female Total Male Female
Total 2 021.7 2 195.5 1 862.6 1 939.6 2 146.1 1 748.4
Infectious and parasitic diseases (A00-B99) 1.8 3.8 - 11.4 11.4 11.4
Tuberculosis (A15-A19, B90) 0.9 1.9 - 2.3 2.8 1.8
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) - - - 2.7 1.9 3.5
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 0.9 1.9 - 6.4 6.6 6.2
Neoplasms (C00-D48) 387.8 430.1 349.1 362.4 445.2 285.7
Malignant neoplasms (C00-C97) 387.8 430.1 349.1 361.9 444.2 285.7
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 9.9 11.3 8.6 8.7 15.2 2.6
Malignant neoplasm of oesophagus (C15) 3.6 7.5 - 3.7 5.7 1.8
Malignant neoplasm of stomach (C16) 17.1 16.9 17.2 15.5 17.1 14.1
Malignant neoplasm of colon, rectum and anus (C18-C21) 64.6 77.0 53.3 52.5 66.4 39.6
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 10.8 13.1 8.6 8.2 12.3 4.4
Malignant neoplasm of pancreas (C25) 31.4 26.3 36.1 21.0 27.5 14.9
Malignant neoplasm of larynx (C32) 5.4 11.3 - 5.5 10.4 0.9
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 70.0 97.7 44.7 70.7 113.0 31.6
Malignant melanoma of skin (C43) 7.2 5.6 8.6 4.1 3.8 4.4
Malignant neoplasm of breast (C50) 24.2 - 46.4 25.6 - 49.2
Malignant neoplasm of cervix uteri (C53) 4.5 - 8.6 4.6 - 8.8
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 14.4 - 27.5 7.3 - 14.1
Malignant neoplasm of ovary (C56) 7.2 - 13.8 6.4 - 12.3
Malignant neoplasm of prostate (C61) 21.5 45.1 - 20.1 41.8 -
Malignant neoplasm of kidney (C64) 6.3 7.5 5.2 7.8 7.6 7.9
Malignant neoplasm of bladder (C67) 16.2 26.3 6.9 13.2 22.8 4.4
Malignant neoplasm of brain and central nervous system (C70-C72) 13.5 15.0 12.0 9.1 6.6 11.4
Malignant neoplasm of thyroid (C73) 1.8 3.8 - 0.9 1.9 -
Hodgkin disease and lymphomas (C81-C86) 0.9 1.9 - 7.3 10.4 4.4
Leukaemia (C91-C95) 7.2 7.5 6.9 9.6 11.4 7.9
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 5.4 7.5 3.4 6.4 8.5 4.4
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 44.9 45.1 44.7 53.9 59.8 48.3
Non-malignant neoplasms (benign and uncertain) (D00-D48) - - - 0.5 0.9 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 0.9 - 1.7 0.5 0.9 -
Endocrine, nutritional and metabolic diseases (E00-E89) 101.4 86.4 115.2 31.0 37.0 25.5
Diabetes mellitus (E10-E14) 101.4 86.4 115.2 31.0 37.0 25.5
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - - - - -
Mental and behavioural disorders (F01-F99) 1.8 1.9 1.7 0.9 1.9 -
Dementia (F01, F03) 0.9 - 1.7 - - -
Alcohol abuse (including alcoholic psychosis) (F10) 0.9 1.9 - 0.5 0.9 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - 0.5 0.9 -
Diseases of the nervous system and the sense organs (G00-H95) 13.5 16.9 10.3 22.8 27.5 18.5
Parkinson’s disease (G20) 1.8 3.8 - 7.3 9.5 5.3
Alzheimer’s disease (G30) 0.9 - 1.7 3.7 5.7 1.8
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 10.8 13.1 8.6 11.9 12.3 11.4
Diseases of the circulatory system (I00-I99) 1 177.0 1 235.8 1 123.1 1 112.2 1 123.8 1 101.4
Ischaemic heart diseases (I20-I25) 199.3 285.5 120.4 227.7 255.3 202.2
of which:            
Acute myocardial infarction (I21-I22) 145.4 232.9 65.4 70.7 94.9 48.3
Other ischaemic heart diseases (I20, I23-I25) 53.9 52.6 55.0 157.0 160.4 153.8
Other heart diseases (I30-I51) 229.8 225.4 233.9 305.8 281.9 327.9
Cerebrovascular diseases (I60-I69) 410.3 366.2 450.6 366.9 368.3 365.7
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 337.6 358.7 318.2 211.8 218.3 205.7
Diseases of the respiratory system (J00-J99) 86.2 114.6 60.2 94.0 119.6 70.3
Influenza (J09-J11) - - - 0.5 0.9 -
Pneumonia (J12-J18) 57.5 69.5 46.4 44.3 58.8 30.8
Chronic lower respiratory diseases (J40-J47) 18.0 28.2 8.6 41.5 52.2 31.6
of which:            
Asthma (J45-J46) - - - 0.5 - 0.9
Other chronic lower respiratory diseases (J40-J44, J47) 18.0 28.2 8.6 41.1 52.2 30.8
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 10.8 16.9 5.2 7.8 7.6 7.9
Diseases of the digestive system (K00-K92) 121.2 169.0 77.4 95.4 121.5 71.2
Ulcer of stomach, duodenum and jejunum (К25-К28) 1.8 3.8 - 8.7 13.3 4.4
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 63.7 122.1 10.3 28.8 54.1 5.3
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 55.7 43.2 67.1 58.0 54.1 61.5
Diseases of the skin and subcutaneous tissue (L00-L99) - - - 1.8 0.9 2.6
Diseases of the musculoskeletal system/connective tissue (M00-M99) - - - 0.9 - 1.8
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) - - - 0.9 - 1.8
Diseases of the genitourinary system (N00-N99) 53.0 52.6 53.3 24.6 34.2 15.8
Diseases of kidney and ureter (N00-N29) 50.3 48.8 51.6 24.2 33.2 15.8
Other diseases of the genitourinary system (N30-N99) 2.7 3.8 1.7 0.5 0.9 -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 2.7 1.9 3.4 2.3 2.8 1.8
Congenital malformations and chromosomal abnormalities (Q00-Q99) - - - 3.2 4.7 1.8
Symptoms, signs, ill-defined causes (R00-R99) 38.6 30.0 46.4 95.4 123.4 69.4
Sudden infant death syndrome (R95) - - - 0.5 0.9 -
Unknown and unspecified causes (R96-R99) 25.1 13.1 36.1 78.5 107.3 51.9
Other symptoms, signs, ill-defined causes (R00-R94) 13.5 16.9 10.3 16.4 15.2 17.6
External causes of morbidity and mortality (V01-Y98) 23.3 39.4 8.6 66.6 76.9 57.1
Accidents (V01-X59, Y85-Y86) 15.3 26.3 5.2 50.2 55.1 45.7
of which:            
Transport accidents (V01-V99,Y85) 8.1 13.1 3.4 13.7 20.9 7.0
Accidental falls (W00-W19) 3.6 7.5 - 26.9 21.8 31.6
Drowning and accidental submersion '(W65-W74) 0.9 1.9 - 0.9 1.9 -
Accidental poisoning (W65-W74) 1.8 3.8 - 1.4 1.9 0.9
Other accidents (W20-W64, W75- X39, X50-59, Y86) 0.9 - 1.7 7.3 8.5 6.2
Suicide and intentional self-harm (X60-X84, Y87.0) 0.9 1.9 - 9.1 10.4 7.9
Homicide, assault (X85-Y09, Y87.1) 1.8 1.9 1.7 0.5 0.9 -
Events of undetermined intent (Y10-Y34, Y87.2) 5.4 9.4 1.7 5.0 7.6 2.6
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) - - - 1.8 2.8 0.9
Codes for special purposes (U00-U85) 12.6 13.1 12.0 14.1 14.2 14.1
of which COVID-19 (U07.1-U07.2) 12.6 13.1 12.0 14.1 14.2 14.1
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Plovdiv Razgrad
Total Male Female Total Male Female
Total 1 449.4 1 548.9 1 358.6 1 754.2 1 939.9 1 582.9
Infectious and parasitic diseases (A00-B99) 7.1 10.3 4.2 8.9 4.1 13.3
Tuberculosis (A15-A19, B90) 1.6 2.3 0.9 - - -
AIDS (HIV-disease) (B20-B24) 1.4 2.3 0.6 - - -
Viral hepatitis (B15-B19, B94.2) 0.2 0.3 - 1.0 - 1.9
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 4.0 5.3 2.7 7.9 4.1 11.4
Neoplasms (C00-D48) 308.6 363.2 258.8 240.8 260.3 222.9
Malignant neoplasms (C00-C97) 307.8 361.9 258.5 238.8 258.2 221.0
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 5.7 9.6 2.1 5.9 10.3 1.9
Malignant neoplasm of oesophagus (C15) 3.0 5.3 0.9 1.0 - 1.9
Malignant neoplasm of stomach (C16) 18.5 22.5 14.8 14.9 12.4 17.1
Malignant neoplasm of colon, rectum and anus (C18-C21) 46.5 58.0 36.0 47.6 45.5 49.5
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 13.0 17.2 9.1 10.9 10.3 11.4
Malignant neoplasm of pancreas (C25) 21.3 21.5 21.2 13.9 8.3 19.0
Malignant neoplasm of larynx (C32) 4.3 8.0 0.9 5.0 10.3 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 51.1 74.2 29.9 51.5 80.6 24.8
Malignant melanoma of skin (C43) 2.5 4.0 1.2 - - -
Malignant neoplasm of breast (C50) 22.6 1.0 42.3 12.9 - 24.8
Malignant neoplasm of cervix uteri (C53) 5.4 - 10.3 4.0 - 7.6
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 8.1 - 15.4 4.0 - 7.6
Malignant neoplasm of ovary (C56) 8.1 - 15.4 5.0 - 9.5
Malignant neoplasm of prostate (C61) 21.0 44.1 - 7.9 16.5 -
Malignant neoplasm of kidney (C64) 8.5 10.9 6.3 5.0 2.1 7.6
Malignant neoplasm of bladder (C67) 10.4 18.6 3.0 11.9 18.6 5.7
Malignant neoplasm of brain and central nervous system (C70-C72) 7.9 9.6 6.3 5.9 6.2 5.7
Malignant neoplasm of thyroid (C73) 0.9 0.7 1.2 - - -
Hodgkin disease and lymphomas (C81-C86) 5.2 6.6 3.9 5.9 10.3 1.9
Leukaemia (C91-C95) 7.1 7.3 7.0 2.0 2.1 1.9
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 3.2 3.3 3.0 2.0 2.1 1.9
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 33.5 39.1 28.4 21.8 22.7 21.0
Non-malignant neoplasms (benign and uncertain) (D00-D48) 0.8 1.3 0.3 2.0 2.1 1.9
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 0.6 0.3 0.9 3.0 4.1 1.9
Endocrine, nutritional and metabolic diseases (E00-E89) 4.1 5.0 3.3 16.8 22.7 11.4
Diabetes mellitus (E10-E14) 3.6 4.3 3.0 13.9 20.7 7.6
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 0.7 0.3 3.0 2.1 3.8
Mental and behavioural disorders (F01-F99) 0.3 0.7 - 1.0 2.1 -
Dementia (F01, F03) - - - - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - - 1.0 2.1 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.3 0.7 - - - -
Diseases of the nervous system and the sense organs (G00-H95) 8.4 10.6 6.3 9.9 12.4 7.6
Parkinson’s disease (G20) 0.8 0.7 0.9 3.0 4.1 1.9
Alzheimer’s disease (G30) 0.2 - 0.3 1.0 - 1.9
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 7.4 9.9 5.1 5.9 8.3 3.8
Diseases of the circulatory system (I00-I99) 911.7 893.1 928.7 1 140.7 1 183.8 1 101.0
Ischaemic heart diseases (I20-I25) 422.6 439.8 406.9 224.0 264.4 186.7
of which:            
Acute myocardial infarction (I21-I22) 115.4 140.5 92.5 80.3 115.7 47.6
Other ischaemic heart diseases (I20, I23-I25) 307.2 299.2 314.4 143.7 148.7 139.1
Other heart diseases (I30-I51) 28.3 31.8 25.1 307.2 330.5 285.7
Cerebrovascular diseases (I60-I69) 306.2 263.8 344.9 469.8 442.1 495.3
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 154.6 157.7 151.8 139.7 146.7 133.3
Diseases of the respiratory system (J00-J99) 30.8 42.1 20.6 95.1 134.3 59.1
Influenza (J09-J11) 1.7 2.3 1.2 1.0 2.1 -
Pneumonia (J12-J18) 14.2 18.9 10.0 45.6 57.8 34.3
Chronic lower respiratory diseases (J40-J47) 10.8 14.6 7.3 37.7 62.0 15.2
of which:            
Asthma (J45-J46) - - - 2.0 2.1 1.9
Other chronic lower respiratory diseases (J40-J44, J47) 10.8 14.6 7.3 35.7 59.9 13.3
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 4.1 6.3 2.1 10.9 12.4 9.5
Diseases of the digestive system (K00-K92) 65.3 88.5 44.1 76.3 113.6 41.9
Ulcer of stomach, duodenum and jejunum (К25-К28) 4.7 6.3 3.3 2.0 4.1 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 23.7 40.4 8.5 30.7 49.6 13.3
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 36.8 41.8 32.3 43.6 59.9 28.6
Diseases of the skin and subcutaneous tissue (L00-L99) 0.8 0.7 0.9 2.0 - 3.8
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.3 - 0.6 - - -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.3 - 0.6 - - -
Diseases of the genitourinary system (N00-N99) 11.5 15.2 8.2 26.8 35.1 19.0
Diseases of kidney and ureter (N00-N29) 10.8 13.9 7.9 26.8 35.1 19.0
Other diseases of the genitourinary system (N30-N99) 0.8 1.3 0.3 - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 2.4 2.3 2.4 5.9 6.2 5.7
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.7 2.3 1.2 2.0 2.1 1.9
Symptoms, signs, ill-defined causes (R00-R99) 37.0 33.5 40.2 71.4 74.4 68.6
Sudden infant death syndrome (R95) 0.2 - 0.3 - - -
Unknown and unspecified causes (R96-R99) 20.4 22.2 18.7 64.4 72.3 57.1
Other symptoms, signs, ill-defined causes (R00-R94) 16.4 11.3 21.2 6.9 2.1 11.4
External causes of morbidity and mortality (V01-Y98) 40.2 61.6 20.6 42.6 72.3 15.2
Accidents (V01-X59, Y85-Y86) 28.1 41.1 16.3 25.8 41.3 11.4
of which:            
Transport accidents (V01-V99,Y85) 7.4 11.9 3.3 12.9 20.7 5.7
Accidental falls (W00-W19) 14.1 17.6 10.9 2.0 2.1 1.9
Drowning and accidental submersion '(W65-W74) 0.3 0.7 - - - -
Accidental poisoning (W65-W74) 0.9 2.0 - - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.4 8.9 2.1 10.9 18.6 3.8
Suicide and intentional self-harm (X60-X84, Y87.0) 9.6 16.6 3.3 12.9 22.7 3.8
Homicide, assault (X85-Y09, Y87.1) 1.1 2.0 0.3 1.0 2.1 -
Events of undetermined intent (Y10-Y34, Y87.2) 0.8 1.0 0.6 3.0 6.2 -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.5 1.0 - - - -
Codes for special purposes (U00-U85) 18.5 19.6 17.5 10.9 12.4 9.5
of which COVID-19 (U07.1-U07.2) 18.5 19.6 17.5 10.9 12.4 9.5
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Ruse Silistra
Total Male Female Total Male Female
Total 1 804.7 1 942.9 1 678.3 1 825.0 2 089.2 1 578.9
Infectious and parasitic diseases (A00-B99) 7.4 8.9 6.1 6.3 8.7 4.1
Tuberculosis (A15-A19, B90) 1.6 3.3 - 3.2 6.5 -
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) - - - - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 5.8 5.5 6.1 3.2 2.2 4.1
Neoplasms (C00-D48) 260.2 308.3 216.1 190.2 259.2 125.8
Malignant neoplasms (C00-C97) 259.1 307.2 215.1 183.9 250.5 121.8
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 6.4 13.3 - 4.2 8.7 -
Malignant neoplasm of oesophagus (C15) 2.1 2.2 2.0 5.3 10.9 -
Malignant neoplasm of stomach (C16) 19.6 26.6 13.2 13.7 24.0 4.1
Malignant neoplasm of colon, rectum and anus (C18-C21) 44.0 53.2 35.5 23.1 28.3 18.3
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 15.4 18.9 12.2 10.5 21.8 -
Malignant neoplasm of pancreas (C25) 19.1 17.7 20.3 7.4 8.7 6.1
Malignant neoplasm of larynx (C32) 3.7 6.7 1.0 3.2 6.5 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 54.6 84.3 27.4 42.0 65.4 20.3
Malignant melanoma of skin (C43) 1.6 1.1 2.0 1.1 2.2 -
Malignant neoplasm of breast (C50) 21.7 - 41.6 6.3 - 12.2
Malignant neoplasm of cervix uteri (C53) 1.1 - 2.0 9.5 - 18.3
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 4.2 - 8.1 4.2 - 8.1
Malignant neoplasm of ovary (C56) 4.2 - 8.1 - - -
Malignant neoplasm of prostate (C61) 9.0 18.9 - 11.6 24.0 -
Malignant neoplasm of kidney (C64) 4.8 5.5 4.1 3.2 4.4 2.0
Malignant neoplasm of bladder (C67) 10.6 15.5 6.1 5.3 4.4 6.1
Malignant neoplasm of brain and central nervous system (C70-C72) 7.4 8.9 6.1 6.3 8.7 4.1
Malignant neoplasm of thyroid (C73) 1.6 2.2 1.0 - - -
Hodgkin disease and lymphomas (C81-C86) 2.1 4.4 - 4.2 6.5 2.0
Leukaemia (C91-C95) 4.2 8.9 - 3.2 6.5 -
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 2.6 3.3 2.0 1.1 - 2.0
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 19.1 15.5 22.3 18.9 19.6 18.3
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.1 1.1 1.0 6.3 8.7 4.1
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 3.7 - 7.1 1.1 2.2 -
Endocrine, nutritional and metabolic diseases (E00-E89) 27.6 21.1 33.5 34.7 28.3 40.6
Diabetes mellitus (E10-E14) 26.5 18.9 33.5 34.7 28.3 40.6
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 1.1 2.2 - - - -
Mental and behavioural disorders (F01-F99) 2.6 4.4 1.0 3.2 4.4 2.0
Dementia (F01, F03) - - - 1.1 - 2.0
Alcohol abuse (including alcoholic psychosis) (F10) 1.1 2.2 - 2.1 4.4 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 1.6 2.2 1.0 - - -
Diseases of the nervous system and the sense organs (G00-H95) 19.6 14.4 24.4 10.5 13.1 8.1
Parkinson’s disease (G20) 2.6 - 5.1 2.1 2.2 2.0
Alzheimer’s disease (G30) 1.6 - 3.0 1.1 2.2 -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 15.4 14.4 16.2 7.4 8.7 6.1
Diseases of the circulatory system (I00-I99) 1 085.7 1 109.0 1 064.4 1 198.8 1 274.4 1 128.4
Ischaemic heart diseases (I20-I25) 138.8 149.7 128.9 122.9 161.2 87.3
of which:            
Acute myocardial infarction (I21-I22) 68.4 82.1 55.8 80.9 104.6 58.9
Other ischaemic heart diseases (I20, I23-I25) 70.5 67.6 73.1 42.0 56.6 28.4
Other heart diseases (I30-I51) 395.8 388.1 402.8 385.6 381.2 389.7
Cerebrovascular diseases (I60-I69) 194.5 188.5 199.9 326.8 352.9 302.4
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 356.6 382.6 332.8 363.5 379.1 349.1
Diseases of the respiratory system (J00-J99) 126.1 139.7 113.6 89.3 117.6 62.9
Influenza (J09-J11) - - - - - -
Pneumonia (J12-J18) 77.4 86.5 69.0 54.6 74.1 36.5
Chronic lower respiratory diseases (J40-J47) 25.4 27.7 23.3 14.7 17.4 12.2
of which:            
Asthma (J45-J46) 0.5 - 1.0 2.1 2.2 2.0
Other chronic lower respiratory diseases (J40-J44, J47) 24.9 27.7 22.3 12.6 15.2 10.1
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 23.3 25.5 21.3 20.0 26.1 14.2
Diseases of the digestive system (K00-K92) 89.0 130.9 50.7 90.4 139.4 44.6
Ulcer of stomach, duodenum and jejunum (К25-К28) 6.9 6.7 7.1 2.1 4.4 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 38.7 68.8 11.2 42.0 71.9 14.2
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 43.4 55.4 32.5 46.2 63.2 30.4
Diseases of the skin and subcutaneous tissue (L00-L99) 6.9 5.5 8.1 2.1 2.2 2.0
Diseases of the musculoskeletal system/connective tissue (M00-M99) 1.1 - 2.0 1.1 2.2 -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 1.1 - 2.0 1.1 2.2 -
Diseases of the genitourinary system (N00-N99) 34.4 38.8 30.4 50.4 54.5 46.7
Diseases of kidney and ureter (N00-N29) 33.4 36.6 30.4 49.4 52.3 46.7
Other diseases of the genitourinary system (N30-N99) 1.1 2.2 - 1.1 2.2 -
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.5 - 1.0 - - -
Certain conditions originating in the perinatal period (P00-P96) 1.6 2.2 1.0 2.1 2.2 2.0
Congenital malformations and chromosomal abnormalities (Q00-Q99) - - - - - -
Symptoms, signs, ill-defined causes (R00-R99) 83.2 85.4 81.2 91.4 102.4 81.2
Sudden infant death syndrome (R95) - - - 1.1 - 2.0
Unknown and unspecified causes (R96-R99) 37.1 49.9 25.4 79.9 91.5 69.0
Other symptoms, signs, ill-defined causes (R00-R94) 46.1 35.5 55.8 10.5 10.9 10.1
External causes of morbidity and mortality (V01-Y98) 46.1 65.4 28.4 39.9 63.2 18.3
Accidents (V01-X59, Y85-Y86) 24.9 35.5 15.2 31.5 50.1 14.2
of which:            
Transport accidents (V01-V99,Y85) 9.0 15.5 3.0 5.3 10.9 -
Accidental falls (W00-W19) 5.8 5.5 6.1 12.6 15.2 10.1
Drowning and accidental submersion '(W65-W74) 2.1 3.3 1.0 - - -
Accidental poisoning (W65-W74) 2.1 3.3 1.0 - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.8 7.8 4.1 13.7 24.0 4.1
Suicide and intentional self-harm (X60-X84, Y87.0) 4.8 5.5 4.1 8.4 13.1 4.1
Homicide, assault (X85-Y09, Y87.1) - - - - - -
Events of undetermined intent (Y10-Y34, Y87.2) 14.8 21.1 9.1 - - -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 1.6 3.3 - - - -
Codes for special purposes (U00-U85) 9.0 8.9 9.1 13.7 15.2 12.2
of which COVID-19 (U07.1-U07.2) 9.0 8.9 9.1 13.7 15.2 12.2
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Sliven Smolyan
Total Male Female Total Male Female
Total 1 554.7 1 697.9 1 421.3 1 694.2 1 807.8 1 590.0
Infectious and parasitic diseases (A00-B99) 7.0 11.0 3.4 10.8 9.0 12.4
Tuberculosis (A15-A19, B90) 0.6 - 1.1 - - -
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 2.3 4.9 - 2.2 2.3 2.1
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 4.1 6.1 2.3 8.6 6.8 10.3
Neoplasms (C00-D48) 196.1 242.2 153.1 311.7 385.4 244.0
Malignant neoplasms (C00-C97) 195.5 241.0 153.1 310.6 385.4 241.9
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 2.9 6.1 - 7.5 13.5 2.1
Malignant neoplasm of oesophagus (C15) 2.3 4.9 - 4.3 9.0 -
Malignant neoplasm of stomach (C16) 11.7 18.3 5.7 23.7 31.6 16.5
Malignant neoplasm of colon, rectum and anus (C18-C21) 31.1 34.1 28.4 39.9 58.6 22.7
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 7.0 11.0 3.4 12.9 11.3 14.5
Malignant neoplasm of pancreas (C25) 12.3 12.2 12.5 14.0 11.3 16.5
Malignant neoplasm of larynx (C32) 5.3 9.7 1.1 3.2 6.8 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 41.7 68.2 17.0 58.2 103.7 16.5
Malignant melanoma of skin (C43) 1.8 2.4 1.1 3.2 4.5 2.1
Malignant neoplasm of breast (C50) 14.1 - 27.2 15.1 - 28.9
Malignant neoplasm of cervix uteri (C53) 4.1 - 7.9 3.2 - 6.2
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 2.9 - 5.7 8.6 - 16.5
Malignant neoplasm of ovary (C56) 4.1 - 7.9 14.0 - 26.9
Malignant neoplasm of prostate (C61) 7.6 15.8 - 21.6 45.1 -
Malignant neoplasm of kidney (C64) 6.5 8.5 4.5 6.5 4.5 8.3
Malignant neoplasm of bladder (C67) 11.2 18.3 4.5 7.5 6.8 8.3
Malignant neoplasm of brain and central nervous system (C70-C72) 4.1 2.4 5.7 15.1 15.8 14.5
Malignant neoplasm of thyroid (C73) 0.6 - 1.1 - - -
Hodgkin disease and lymphomas (C81-C86) 2.3 4.9 - 2.2 2.3 2.1
Leukaemia (C91-C95) 6.5 9.7 3.4 6.5 4.5 8.3
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 2.3 2.4 2.3 5.4 9.0 2.1
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 12.9 12.2 13.6 37.7 47.3 28.9
Non-malignant neoplasms (benign and uncertain) (D00-D48) 0.6 1.2 - 1.1 - 2.1
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 1.8 1.2 2.3 - - -
Endocrine, nutritional and metabolic diseases (E00-E89) 5.9 6.1 5.7 23.7 18.0 28.9
Diabetes mellitus (E10-E14) 5.3 6.1 4.5 20.5 15.8 24.8
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.6 - 1.1 3.2 2.3 4.1
Mental and behavioural disorders (F01-F99) 0.6 - 1.1 1.1 2.3 -
Dementia (F01, F03) 0.6 - 1.1 - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - - 1.1 2.3 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - - - -
Diseases of the nervous system and the sense organs (G00-H95) 39.3 40.2 38.6 11.9 15.8 8.3
Parkinson’s disease (G20) 1.2 1.2 1.1 - - -
Alzheimer’s disease (G30) 0.6 - 1.1 1.1 2.3 -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 37.6 38.9 36.3 10.8 13.5 8.3
Diseases of the circulatory system (I00-I99) 967.0 989.5 946.0 1 081.6 1 050.4 1 110.3
Ischaemic heart diseases (I20-I25) 154.4 178.9 131.6 243.7 279.5 210.9
of which:            
Acute myocardial infarction (I21-I22) 61.1 84.0 39.7 147.7 189.3 109.6
Other ischaemic heart diseases (I20, I23-I25) 93.4 94.9 91.9 96.0 90.2 101.3
Other heart diseases (I30-I51) 470.3 486.9 454.9 250.2 232.2 266.7
Cerebrovascular diseases (I60-I69) 271.3 255.6 285.9 277.1 227.7 322.5
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 71.0 68.2 73.7 310.6 311.1 310.1
Diseases of the respiratory system (J00-J99) 122.7 147.3 99.8 49.6 69.9 31.0
Influenza (J09-J11) 1.2 1.2 1.1 - - -
Pneumonia (J12-J18) 27.6 38.9 17.0 34.5 42.8 26.9
Chronic lower respiratory diseases (J40-J47) 14.7 15.8 13.6 8.6 15.8 2.1
of which:            
Asthma (J45-J46) - - - - - -
Other chronic lower respiratory diseases (J40-J44, J47) 14.7 15.8 13.6 8.6 15.8 2.1
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 79.3 91.3 68.1 6.5 11.3 2.1
Diseases of the digestive system (K00-K92) 89.2 109.5 70.3 75.5 112.7 41.4
Ulcer of stomach, duodenum and jejunum (К25-К28) 2.9 3.7 2.3 2.2 4.5 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 31.1 48.7 14.7 35.6 60.9 12.4
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 55.2 57.2 53.3 37.7 47.3 28.9
Diseases of the skin and subcutaneous tissue (L00-L99) - - - 1.1 2.3 -
Diseases of the musculoskeletal system/connective tissue (M00-M99) 4.7 4.9 4.5 - - -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 4.7 4.9 4.5 - - -
Diseases of the genitourinary system (N00-N99) 29.4 23.1 35.2 21.6 27.0 16.5
Diseases of kidney and ureter (N00-N29) 28.8 21.9 35.2 21.6 27.0 16.5
Other diseases of the genitourinary system (N30-N99) 0.6 1.2 - - - -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 4.1 4.9 3.4 1.1 - 2.1
Congenital malformations and chromosomal abnormalities (Q00-Q99) 3.5 3.7 3.4 1.1 - 2.1
Symptoms, signs, ill-defined causes (R00-R99) 35.2 38.9 31.8 47.4 49.6 45.5
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 29.4 32.9 26.1 27.0 36.1 18.6
Other symptoms, signs, ill-defined causes (R00-R94) 5.9 6.1 5.7 20.5 13.5 26.9
External causes of morbidity and mortality (V01-Y98) 35.8 64.5 9.1 33.4 42.8 24.8
Accidents (V01-X59, Y85-Y86) 21.7 38.9 5.7 18.3 18.0 18.6
of which:            
Transport accidents (V01-V99,Y85) 11.2 20.7 2.3 2.2 - 4.1
Accidental falls (W00-W19) 5.3 9.7 1.1 7.5 6.8 8.3
Drowning and accidental submersion '(W65-W74) 1.8 3.7 - 1.1 - 2.1
Accidental poisoning (W65-W74) 0.6 1.2 - - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 2.9 3.7 2.3 7.5 11.3 4.1
Suicide and intentional self-harm (X60-X84, Y87.0) 8.2 14.6 2.3 11.9 20.3 4.1
Homicide, assault (X85-Y09, Y87.1) 2.3 3.7 1.1 1.1 2.3 -
Events of undetermined intent (Y10-Y34, Y87.2) 2.9 6.1 - 1.1 2.3 -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.6 1.2 - 1.1 - 2.1
Codes for special purposes (U00-U85) 12.3 11.0 13.6 22.6 22.5 22.7
of which COVID-19 (U07.1-U07.2) 12.3 11.0 13.6 22.6 22.5 22.7
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Sofia Sofia (stolitsa)
Total Male Female Total Male Female
Total 1 762.4 1 937.8 1 595.0 1 135.7 1 186.5 1 089.4
Infectious and parasitic diseases (A00-B99) 4.8 9.0 0.9 4.4 4.9 3.9
Tuberculosis (A15-A19, B90) - - - 0.2 0.2 0.1
AIDS (HIV-disease) (B20-B24) - - - 0.3 0.7 -
Viral hepatitis (B15-B19, B94.2) 0.4 - 0.9 0.6 1.0 0.3
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 4.4 9.0 - 3.3 3.1 3.4
Neoplasms (C00-D48) 230.8 266.9 196.4 176.6 198.0 157.0
Malignant neoplasms (C00-C97) 229.5 266.0 194.6 175.8 197.6 156.0
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 4.0 6.3 1.7 3.2 5.2 1.3
Malignant neoplasm of oesophagus (C15) 2.2 2.7 1.7 2.1 3.1 1.2
Malignant neoplasm of stomach (C16) 8.4 12.6 4.3 6.7 7.3 6.1
Malignant neoplasm of colon, rectum and anus (C18-C21) 33.5 38.8 28.4 23.8 29.0 19.1
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 7.0 9.0 5.2 6.1 7.0 5.2
Malignant neoplasm of pancreas (C25) 16.7 17.1 16.4 13.2 17.1 9.5
Malignant neoplasm of larynx (C32) 3.1 5.4 0.9 2.7 4.7 0.9
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 45.4 66.7 25.0 27.6 36.2 19.7
Malignant melanoma of skin (C43) 1.8 2.7 0.9 1.9 2.4 1.5
Malignant neoplasm of breast (C50) 17.2 0.9 32.7 13.4 1.3 24.5
Malignant neoplasm of cervix uteri (C53) 2.6 - 5.2 2.6 - 5.1
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 9.7 - 18.9 3.9 - 7.5
Malignant neoplasm of ovary (C56) 3.5 - 6.9 3.2 - 6.1
Malignant neoplasm of prostate (C61) 11.0 22.5 - 11.5 24.0 -
Malignant neoplasm of kidney (C64) 5.7 9.9 1.7 3.3 4.6 2.1
Malignant neoplasm of bladder (C67) 8.8 12.6 5.2 7.7 12.1 3.7
Malignant neoplasm of brain and central nervous system (C70-C72) 8.8 9.9 7.8 6.7 6.0 7.3
Malignant neoplasm of thyroid (C73) 0.4 - 0.9 0.4 0.2 0.6
Hodgkin disease and lymphomas (C81-C86) 4.4 4.5 4.3 3.5 3.9 3.1
Leukaemia (C91-C95) 5.7 8.1 3.4 6.4 7.0 5.8
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 0.4 - 0.9 2.4 2.6 2.2
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 29.1 36.1 22.4 23.5 23.5 23.6
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.3 0.9 1.7 0.8 0.5 1.0
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 0.4 - 0.9 0.9 1.0 0.7
Endocrine, nutritional and metabolic diseases (E00-E89) 15.0 15.3 14.6 12.8 12.7 12.8
Diabetes mellitus (E10-E14) 14.1 13.5 14.6 12.5 12.6 12.4
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.9 1.8 - 0.3 0.2 0.4
Mental and behavioural disorders (F01-F99) 0.9 0.9 0.9 0.1 - 0.1
Dementia (F01, F03) - - - 0.1 - 0.1
Alcohol abuse (including alcoholic psychosis) (F10) - - - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.9 0.9 0.9 - - -
Diseases of the nervous system and the sense organs (G00-H95) 13.2 18.0 8.6 11.3 11.3 11.3
Parkinson’s disease (G20) 1.3 1.8 0.9 1.2 1.0 1.3
Alzheimer’s disease (G30) - - - 0.9 0.5 1.2
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 11.9 16.2 7.8 9.3 9.8 8.8
Diseases of the circulatory system (I00-I99) 1 097.7 1 152.4 1 045.5 689.1 686.9 691.1
Ischaemic heart diseases (I20-I25) 265.2 294.0 237.7 64.8 75.4 55.2
of which:            
Acute myocardial infarction (I21-I22) 72.2 89.3 56.0 31.9 43.7 21.2
Other ischaemic heart diseases (I20, I23-I25) 192.9 204.7 181.7 32.9 31.6 34.0
Other heart diseases (I30-I51) 417.6 446.3 390.1 429.5 424.3 434.2
Cerebrovascular diseases (I60-I69) 255.9 230.8 279.9 142.1 132.5 150.9
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 159.0 181.2 137.8 52.7 54.8 50.8
Diseases of the respiratory system (J00-J99) 182.4 220.9 145.5 54.8 63.0 47.4
Influenza (J09-J11) 0.4 0.9 - 0.3 0.5 0.1
Pneumonia (J12-J18) 42.7 56.8 29.3 32.6 40.3 25.6
Chronic lower respiratory diseases (J40-J47) 18.5 24.3 12.9 11.7 11.6 11.8
of which:            
Asthma (J45-J46) - - - 0.3 0.3 0.3
Other chronic lower respiratory diseases (J40-J44, J47) 18.5 24.3 12.9 11.4 11.3 11.5
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 120.7 138.9 103.3 10.2 10.6 9.8
Diseases of the digestive system (K00-K92) 62.6 83.0 43.1 50.0 68.4 33.3
Ulcer of stomach, duodenum and jejunum (К25-К28) 1.8 0.9 2.6 1.4 1.8 1.0
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 33.5 55.0 12.9 19.0 31.3 7.8
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 27.3 27.1 27.6 29.6 35.2 24.5
Diseases of the skin and subcutaneous tissue (L00-L99) 0.4 - 0.9 0.3 0.2 0.4
Diseases of the musculoskeletal system/connective tissue (M00-M99) - - - 0.3 0.3 0.3
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) - - - 0.3 0.3 0.3
Diseases of the genitourinary system (N00-N99) 45.8 55.0 37.0 31.0 32.8 29.4
Diseases of kidney and ureter (N00-N29) 45.8 55.0 37.0 30.8 32.3 29.4
Other diseases of the genitourinary system (N30-N99) - - - 0.2 0.5 -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - 0.1 - 0.1
Certain conditions originating in the perinatal period (P00-P96) 0.9 1.8 - 1.0 1.3 0.7
Congenital malformations and chromosomal abnormalities (Q00-Q99) 0.9 1.8 - 0.6 0.8 0.4
Symptoms, signs, ill-defined causes (R00-R99) 62.1 42.4 81.0 60.8 47.1 73.4
Sudden infant death syndrome (R95) - - - 0.1 0.2 -
Unknown and unspecified causes (R96-R99) 5.7 9.0 2.6 22.4 23.7 21.2
Other symptoms, signs, ill-defined causes (R00-R94) 56.4 33.4 78.4 38.4 23.3 52.2
External causes of morbidity and mortality (V01-Y98) 27.3 45.1 10.3 23.6 37.0 11.3
Accidents (V01-X59, Y85-Y86) 14.1 24.3 4.3 7.4 11.3 3.9
of which:            
Transport accidents (V01-V99,Y85) 7.5 12.6 2.6 3.3 4.7 2.1
Accidental falls (W00-W19) 2.6 3.6 1.7 0.9 1.0 0.7
Drowning and accidental submersion '(W65-W74) 1.3 2.7 - 0.8 1.5 0.1
Accidental poisoning (W65-W74) 0.4 0.9 - 0.3 0.5 0.1
Other accidents (W20-W64, W75- X39, X50-59, Y86) 2.2 4.5 - 2.1 3.6 0.7
Suicide and intentional self-harm (X60-X84, Y87.0) 3.5 4.5 2.6 1.4 2.4 0.4
Homicide, assault (X85-Y09, Y87.1) 1.3 2.7 - 0.8 1.0 0.6
Events of undetermined intent (Y10-Y34, Y87.2) 7.5 11.7 3.4 13.5 21.4 6.3
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.9 1.8 - 0.5 1.0 0.1
Codes for special purposes (U00-U85) 17.2 25.2 9.5 18.0 20.7 15.5
of which COVID-19 (U07.1-U07.2) 17.2 25.2 9.5 18.0 20.7 15.5
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Stara Zagora Targovishte
Total Male Female Total Male Female
Total 1 654.1 1 776.5 1 540.8 1 763.2 1 835.1 1 695.4
Infectious and parasitic diseases (A00-B99) 5.8 5.0 6.6 7.3 6.4 8.1
Tuberculosis (A15-A19, B90) 1.0 0.7 1.3 1.0 2.1 -
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 2.1 2.1 2.0 - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 2.7 2.1 3.3 6.3 4.3 8.1
Neoplasms (C00-D48) 249.4 305.1 197.8 259.6 333.1 190.4
Malignant neoplasms (C00-C97) 247.3 303.7 195.2 257.5 328.8 190.4
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 2.7 5.0 0.7 9.4 19.3 -
Malignant neoplasm of oesophagus (C15) 4.5 7.1 2.0 4.2 8.6 -
Malignant neoplasm of stomach (C16) 13.4 17.1 9.9 16.7 19.3 14.2
Malignant neoplasm of colon, rectum and anus (C18-C21) 42.6 57.2 29.1 31.3 43.0 20.3
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 11.7 14.3 9.3 12.5 17.2 8.1
Malignant neoplasm of pancreas (C25) 18.2 18.6 17.9 9.4 10.7 8.1
Malignant neoplasm of larynx (C32) 4.8 9.3 0.7 9.4 19.3 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 56.0 87.9 26.5 58.4 96.7 22.3
Malignant melanoma of skin (C43) 1.7 0.7 2.6 - - -
Malignant neoplasm of breast (C50) 16.5 0.7 31.1 18.8 - 36.5
Malignant neoplasm of cervix uteri (C53) 5.2 - 9.9 3.1 - 6.1
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 4.8 - 9.3 3.1 - 6.1
Malignant neoplasm of ovary (C56) 6.2 - 11.9 7.3 - 14.2
Malignant neoplasm of prostate (C61) 12.4 25.7 - 9.4 19.3 -
Malignant neoplasm of kidney (C64) 3.4 5.7 1.3 5.2 4.3 6.1
Malignant neoplasm of bladder (C67) 9.6 13.6 6.0 9.4 17.2 2.0
Malignant neoplasm of brain and central nervous system (C70-C72) 10.0 11.4 8.6 5.2 10.7 -
Malignant neoplasm of thyroid (C73) 0.3 - 0.7 1.0 - 2.0
Hodgkin disease and lymphomas (C81-C86) 3.4 4.3 2.6 2.1 4.3 -
Leukaemia (C91-C95) 4.1 5.0 3.3 5.2 6.4 4.1
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.0 0.7 1.3 3.1 - 6.1
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 14.8 17.1 12.6 33.4 32.2 34.4
Non-malignant neoplasms (benign and uncertain) (D00-D48) 2.1 1.4 2.6 2.1 4.3 -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 2.4 2.1 2.6 - - -
Endocrine, nutritional and metabolic diseases (E00-E89) 23.0 17.1 28.4 133.5 103.1 162.0
Diabetes mellitus (E10-E14) 23.0 17.1 28.4 131.4 103.1 158.0
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - - 2.1 - 4.1
Mental and behavioural disorders (F01-F99) 1.4 2.9 - 1.0 2.1 -
Dementia (F01, F03) - - - - - -
Alcohol abuse (including alcoholic psychosis) (F10) 1.4 2.9 - 1.0 2.1 -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - - - - -
Diseases of the nervous system and the sense organs (G00-H95) 11.3 12.1 10.6 15.6 15.0 16.2
Parkinson’s disease (G20) 1.7 1.4 2.0 7.3 10.7 4.1
Alzheimer’s disease (G30) 1.0 0.7 1.3 1.0 - 2.0
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 8.6 10.0 7.3 7.3 4.3 10.1
Diseases of the circulatory system (I00-I99) 1 066.6 1 057.6 1 075.0 936.3 917.5 954.1
Ischaemic heart diseases (I20-I25) 328.1 360.9 297.7 228.4 242.8 214.7
of which:            
Acute myocardial infarction (I21-I22) 126.4 169.4 86.7 51.1 62.3 40.5
Other ischaemic heart diseases (I20, I23-I25) 201.6 191.5 211.0 177.3 180.5 174.2
Other heart diseases (I30-I51) 102.7 103.6 101.9 198.1 193.4 202.6
Cerebrovascular diseases (I60-I69) 322.2 293.7 348.6 277.4 270.7 283.6
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 313.6 299.4 326.8 232.5 210.6 253.2
Diseases of the respiratory system (J00-J99) 88.3 104.3 73.4 105.3 133.2 79.0
Influenza (J09-J11) 0.7 0.7 0.7 - - -
Pneumonia (J12-J18) 55.3 57.9 52.9 31.3 38.7 24.3
Chronic lower respiratory diseases (J40-J47) 23.4 32.9 14.6 40.7 55.9 26.3
of which:            
Asthma (J45-J46) 0.7 1.4 - 4.2 2.1 6.1
Other chronic lower respiratory diseases (J40-J44, J47) 22.7 31.4 14.6 36.5 53.7 20.3
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 8.9 12.9 5.3 33.4 38.7 28.4
Diseases of the digestive system (K00-K92) 97.6 130.8 66.8 62.6 88.1 38.5
Ulcer of stomach, duodenum and jejunum (К25-К28) 6.5 10.0 3.3 2.1 4.3 -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 36.1 61.5 12.6 25.0 45.1 6.1
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 55.0 59.3 50.9 35.5 38.7 32.4
Diseases of the skin and subcutaneous tissue (L00-L99) 1.0 0.7 1.3 - - -
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.3 - 0.7 1.0 - 2.0
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - 1.0 - 2.0
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.3 - 0.7 - - -
Diseases of the genitourinary system (N00-N99) 16.8 17.9 15.9 30.2 34.4 26.3
Diseases of kidney and ureter (N00-N29) 16.1 16.4 15.9 28.2 30.1 26.3
Other diseases of the genitourinary system (N30-N99) 0.7 1.4 - 2.1 4.3 -
Complications of pregnancy, childbirth and puerperium (O00-O99) 0.3 - 0.7 - - -
Certain conditions originating in the perinatal period (P00-P96) 4.5 5.7 3.3 1.0 2.1 -
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.4 2.1 0.7 2.1 2.1 2.0
Symptoms, signs, ill-defined causes (R00-R99) 26.5 28.6 24.5 161.6 131.1 190.4
Sudden infant death syndrome (R95) 0.3 - 0.7 - - -
Unknown and unspecified causes (R96-R99) 22.0 25.0 19.2 70.9 64.5 77.0
Other symptoms, signs, ill-defined causes (R00-R94) 4.1 3.6 4.6 90.7 66.6 113.4
External causes of morbidity and mortality (V01-Y98) 36.4 59.3 15.2 35.5 55.9 16.2
Accidents (V01-X59, Y85-Y86) 21.6 35.0 9.3 20.9 34.4 8.1
of which:            
Transport accidents (V01-V99,Y85) 7.9 13.6 2.6 12.5 19.3 6.1
Accidental falls (W00-W19) 3.4 3.6 3.3 6.3 10.7 2.0
Drowning and accidental submersion '(W65-W74) 1.7 2.9 0.7 1.0 2.1 -
Accidental poisoning (W65-W74) 1.4 2.9 - - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 7.2 12.1 2.6 1.0 2.1 -
Suicide and intentional self-harm (X60-X84, Y87.0) 11.7 19.3 4.6 10.4 15.0 6.1
Homicide, assault (X85-Y09, Y87.1) 1.7 2.9 0.7 1.0 - 2.0
Events of undetermined intent (Y10-Y34, Y87.2) 1.0 1.4 0.7 3.1 6.4 -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.3 0.7 - - - -
Codes for special purposes (U00-U85) 21.0 25.0 17.2 10.4 10.7 10.1
of which COVID-19 (U07.1-U07.2) 21.0 25.0 17.2 9.4 10.7 8.1
(Continued)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Haskovo Shumen
Total Male Female Total Male Female
Total 1 681.8 1 782.7 1 587.4 1 741.9 1 865.0 1 626.1
Infectious and parasitic diseases (A00-B99) 4.8 6.0 3.7 6.7 6.9 6.5
Tuberculosis (A15-A19, B90) 0.5 1.0 - 2.0 2.8 1.3
AIDS (HIV-disease) (B20-B24) - - - - - -
Viral hepatitis (B15-B19, B94.2) 0.5 1.0 - - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 3.9 4.0 3.7 4.7 4.1 5.2
Neoplasms (C00-D48) 276.4 355.3 202.6 300.7 365.3 239.9
Malignant neoplasms (C00-C97) 275.0 353.3 201.7 298.7 363.9 237.3
of which:            
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 6.8 8.0 5.6 11.4 20.7 2.6
Malignant neoplasm of oesophagus (C15) 3.9 5.0 2.8 2.7 5.5 -
Malignant neoplasm of stomach (C16) 22.2 30.9 14.0 16.0 20.7 11.7
Malignant neoplasm of colon, rectum and anus (C18-C21) 33.8 43.9 24.3 42.8 56.5 29.8
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 20.3 27.0 14.0 9.4 12.4 6.5
Malignant neoplasm of pancreas (C25) 15.9 17.0 14.9 19.4 15.2 23.3
Malignant neoplasm of larynx (C32) 6.8 14.0 - 3.3 6.9 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 63.7 97.8 31.7 56.8 92.4 23.3
Malignant melanoma of skin (C43) 2.4 4.0 0.9 4.0 5.5 2.6
Malignant neoplasm of breast (C50) 13.0 1.0 24.3 22.0 - 42.8
Malignant neoplasm of cervix uteri (C53) 5.3 - 10.3 5.3 - 10.4
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 3.4 - 6.5 8.7 - 16.9
Malignant neoplasm of ovary (C56) 1.9 - 3.7 5.3 - 10.4
Malignant neoplasm of prostate (C61) 19.8 40.9 - 22.0 45.5 -
Malignant neoplasm of kidney (C64) 7.2 11.0 3.7 5.3 6.9 3.9
Malignant neoplasm of bladder (C67) 10.1 14.0 6.5 6.0 8.3 3.9
Malignant neoplasm of brain and central nervous system (C70-C72) 8.7 9.0 8.4 15.4 13.8 16.9
Malignant neoplasm of thyroid (C73) 1.4 - 2.8 - - -
Hodgkin disease and lymphomas (C81-C86) 2.9 3.0 2.8 2.7 4.1 1.3
Leukaemia (C91-C95) 5.8 7.0 4.7 4.7 6.9 2.6
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 3.4 4.0 2.8 4.0 2.8 5.2
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 16.4 17.0 15.9 31.4 41.4 22.0
Non-malignant neoplasms (benign and uncertain) (D00-D48) 1.4 2.0 0.9 2.0 1.4 2.6
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) - - - 6.0 5.5 6.5
Endocrine, nutritional and metabolic diseases (E00-E89) 3.4 2.0 4.7 55.5 53.8 57.1
Diabetes mellitus (E10-E14) 2.9 2.0 3.7 54.1 52.4 55.8
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) 0.5 - 0.9 1.3 1.4 1.3
Mental and behavioural disorders (F01-F99) 0.5 - 0.9 1.3 1.4 1.3
Dementia (F01, F03) - - - - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - - - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - - - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) 0.5 - 0.9 1.3 1.4 1.3
Diseases of the nervous system and the sense organs (G00-H95) 29.9 32.9 27.1 25.4 23.4 27.2
Parkinson’s disease (G20) 4.8 4.0 5.6 10.7 8.3 13.0
Alzheimer’s disease (G30) - - - 3.3 - 6.5
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 25.1 28.9 21.5 11.4 15.2 7.8
Diseases of the circulatory system (I00-I99) 1 115.9 1 076.0 1 153.2 966.2 924.9 1 005.0
Ischaemic heart diseases (I20-I25) 130.7 145.7 116.7 175.7 201.2 151.7
of which:            
Acute myocardial infarction (I21-I22) 38.6 50.9 27.1 88.2 115.8 62.2
Other ischaemic heart diseases (I20, I23-I25) 92.1 94.8 89.6 87.5 85.5 89.5
Other heart diseases (I30-I51) 518.1 538.0 499.6 177.1 184.7 169.9
Cerebrovascular diseases (I60-I69) 331.9 285.5 375.4 247.9 205.4 287.9
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 135.1 106.8 161.5 365.5 333.6 395.5
Diseases of the respiratory system (J00-J99) 66.1 78.9 54.2 84.9 102.0 68.7
Influenza (J09-J11) - - - 1.3 1.4 1.3
Pneumonia (J12-J18) 26.5 30.9 22.4 42.8 52.4 33.7
Chronic lower respiratory diseases (J40-J47) 18.8 24.0 14.0 32.1 37.2 27.2
of which:            
Asthma (J45-J46) - - - 2.0 2.8 1.3
Other chronic lower respiratory diseases (J40-J44, J47) 18.8 24.0 14.0 30.1 34.5 25.9
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 20.7 24.0 17.7 8.7 11.0 6.5
Diseases of the digestive system (K00-K92) 56.9 73.9 41.1 85.5 128.2 45.4
Ulcer of stomach, duodenum and jejunum (К25-К28) 1.4 2.0 0.9 8.7 11.0 6.5
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 24.1 35.9 13.1 32.7 60.6 6.5
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 31.4 35.9 27.1 44.1 56.5 32.4
Diseases of the skin and subcutaneous tissue (L00-L99) 1.4 - 2.8 3.3 4.1 2.6
Diseases of the musculoskeletal system/connective tissue (M00-M99) 1.0 2.0 - 2.0 - 3.9
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - - - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 1.0 2.0 - 2.0 - 3.9
Diseases of the genitourinary system (N00-N99) 20.7 19.0 22.4 40.1 42.7 37.6
Diseases of kidney and ureter (N00-N29) 20.7 19.0 22.4 38.8 41.4 36.3
Other diseases of the genitourinary system (N30-N99) - - - 1.3 1.4 1.3
Complications of pregnancy, childbirth and puerperium (O00-O99) - - - - - -
Certain conditions originating in the perinatal period (P00-P96) 1.9 1.0 2.8 2.0 4.1 -
Congenital malformations and chromosomal abnormalities (Q00-Q99) 1.9 3.0 0.9 2.0 2.8 1.3
Symptoms, signs, ill-defined causes (R00-R99) 53.6 57.9 49.5 95.5 103.4 88.2
Sudden infant death syndrome (R95) - - - - - -
Unknown and unspecified causes (R96-R99) 36.7 41.9 31.7 83.5 93.7 73.9
Other symptoms, signs, ill-defined causes (R00-R94) 16.9 16.0 17.7 12.0 9.6 14.3
External causes of morbidity and mortality (V01-Y98) 29.9 49.9 11.2 41.4 68.9 15.6
Accidents (V01-X59, Y85-Y86) 18.3 32.9 4.7 20.7 35.8 6.5
of which:            
Transport accidents (V01-V99,Y85) 6.8 13.0 0.9 10.0 17.9 2.6
Accidental falls (W00-W19) 3.9 7.0 0.9 2.0 4.1 -
Drowning and accidental submersion '(W65-W74) 2.4 4.0 0.9 2.0 4.1 -
Accidental poisoning (W65-W74) 0.5 1.0 - 1.3 1.4 1.3
Other accidents (W20-W64, W75- X39, X50-59, Y86) 4.8 8.0 1.9 5.3 8.3 2.6
Suicide and intentional self-harm (X60-X84, Y87.0) 5.8 8.0 3.7 6.7 11.0 2.6
Homicide, assault (X85-Y09, Y87.1) 1.4 2.0 0.9 0.7 1.4 -
Events of undetermined intent (Y10-Y34, Y87.2) 2.9 4.0 1.9 11.4 19.3 3.9
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 1.4 3.0 - 2.0 1.4 2.6
Codes for special purposes (U00-U85) 17.4 25.0 10.3 23.4 27.6 19.5
of which COVID-19 (U07.1-U07.2) 17.4 25.0 10.3 23.4 27.6 19.5
(Continued and end)
(Per 100 000 of population)
ICD, X-th Revision, European Short List 1 Yambol
Total Male Female
Total 1 887.7 2 085.0 1 702.0
Infectious and parasitic diseases (A00-B99) 3.7 3.9 3.6
Tuberculosis (A15-A19, B90) 0.9 1.9 -
AIDS (HIV-disease) (B20-B24) - - -
Viral hepatitis (B15-B19, B94.2) - - -
Other infectious and parasitic diseases (A00-A09, A20-B09, B25-B89, B91-B94.1, B94.8-B99) 2.8 1.9 3.6
Neoplasms (C00-D48) 269.5 341.7 201.6
Malignant neoplasms (C00-C97) 269.5 341.7 201.6
of which:      
Malignant neoplasm of lip, oral cavity, pharynx (C00-C14) 7.5 13.5 1.8
Malignant neoplasm of oesophagus (C15) 1.9 3.9 -
Malignant neoplasm of stomach (C16) 10.3 15.4 5.4
Malignant neoplasm of colon, rectum and anus (C18-C21) 44.0 44.4 43.6
Malignant neoplasm of liver and intrahepatic bile ducts (C22) 13.1 19.3 7.3
Malignant neoplasm of pancreas (C25) 23.4 21.2 25.4
Malignant neoplasm of larynx (C32) 10.3 21.2 -
Malignant neoplasm of trachea, bronchus, lung (C33-C34) 60.8 104.3 20.0
Malignant melanoma of skin (C43) 0.9 1.9 -
Malignant neoplasm of breast (C50) 11.2 1.9 20.0
Malignant neoplasm of cervix uteri (C53) 6.6 - 12.7
Malignant neoplasm of other and unspecified parts of uterus (С54-С55) 2.8 - 5.4
Malignant neoplasm of ovary (C56) 7.5 - 14.5
Malignant neoplasm of prostate (C61) 10.3 21.2 -
Malignant neoplasm of kidney (C64) 6.6 11.6 1.8
Malignant neoplasm of bladder (C67) 10.3 13.5 7.3
Malignant neoplasm of brain and central nervous system (C70-C72) 13.1 15.4 10.9
Malignant neoplasm of thyroid (C73) - - -
Hodgkin disease and lymphomas (C81-C86) 4.7 5.8 3.6
Leukaemia (C91-C95) 6.6 5.8 7.3
Other malignant neoplasm of lymphoid and haematopoietic tissue (C88, C90, C96) 1.9 - 3.6
Other malignant neoplasms (C17, C23-C24, C26-C31, C37-C41, C44-C49, C51-C52, C57-C60, C62-C63, C65-C66, C68-C69, C74-C80, C97) 15.9 21.2 10.9
Non-malignant neoplasms (benign and uncertain) (D00-D48) - - -
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) 3.7 1.9 5.4
Endocrine, nutritional and metabolic diseases (E00-E89) 15.9 19.3 12.7
Diabetes mellitus (E10-E14) 15.9 19.3 12.7
Other endocrine, nutritional and metabolic diseases (E00-E07, E15-E89) - - -
Mental and behavioural disorders (F01-F99) - - -
Dementia (F01, F03) - - -
Alcohol abuse (including alcoholic psychosis) (F10) - - -
Drug dependence, toxicomania (F11-F16, F18-F19) - - -
Other mental and behavioural disorders (F04-F09, F17, F20-F99) - - -
Diseases of the nervous system and the sense organs (G00-H95) 12.2 15.4 9.1
Parkinson’s disease (G20) 0.9 - 1.8
Alzheimer’s disease (G30) - - -
Other diseases of the nervous system and the sense organs (G00-G12, G14, G21-G25, G31-H95) 11.2 15.4 7.3
Diseases of the circulatory system (I00-I99) 1 297.2 1 355.3 1 242.5
Ischaemic heart diseases (I20-I25) 555.9 635.2 481.4
of which:      
Acute myocardial infarction (I21-I22) 184.4 247.1 125.3
Other ischaemic heart diseases (I20, I23-I25) 371.6 388.0 356.0
Other heart diseases (I30-I51) 138.5 142.9 134.4
Cerebrovascular diseases (I60-I69) 474.5 446.0 501.3
Other diseases of the circulatory system (I00-I15, I26-I28, I70-I99) 128.2 131.3 125.3
Diseases of the respiratory system (J00-J99) 53.3 63.7 43.6
Influenza (J09-J11) 0.9 1.9 -
Pneumonia (J12-J18) 27.1 29.0 25.4
Chronic lower respiratory diseases (J40-J47) 13.1 15.4 10.9
of which:      
Asthma (J45-J46) - - -
Other chronic lower respiratory diseases (J40-J44, J47) 13.1 15.4 10.9
Other diseases of the respiratory system (J00-J06, J20-J39, J60-J99) 12.2 17.4 7.3
Diseases of the digestive system (K00-K92) 82.4 102.3 63.6
Ulcer of stomach, duodenum and jejunum (К25-К28) - - -
Cirrhosis, fibrosis and chronic hepatitis (К70, К73-К74) 48.7 69.5 29.1
Other diseases of the digestive system (K00-K22, K29-K66, K71-K72, K75-K92) 33.7 32.8 34.5
Diseases of the skin and subcutaneous tissue (L00-L99) - - -
Diseases of the musculoskeletal system/connective tissue (M00-M99) 0.9 1.9 -
Rheumatoid arthritis and osteoarthrosis (М05-М06, М15-М19) - - -
Other diseases of the musculoskeletal system/connective tissue (M00-M02, M08-M13, M20-M99) 0.9 1.9 -
Diseases of the genitourinary system (N00-N99) 21.5 25.1 18.2
Diseases of kidney and ureter (N00-N29) 20.6 23.2 18.2
Other diseases of the genitourinary system (N30-N99) 0.9 1.9 -
Complications of pregnancy, childbirth and puerperium (O00-O99) - - -
Certain conditions originating in the perinatal period (P00-P96) 1.9 3.9 -
Congenital malformations and chromosomal abnormalities (Q00-Q99) 4.7 - 9.1
Symptoms, signs, ill-defined causes (R00-R99) 70.2 71.4 69.0
Sudden infant death syndrome (R95) 0.9 1.9 -
Unknown and unspecified causes (R96-R99) 19.7 23.2 16.3
Other symptoms, signs, ill-defined causes (R00-R94) 49.6 46.3 52.7
External causes of morbidity and mortality (V01-Y98) 35.6 56.0 16.3
Accidents (V01-X59, Y85-Y86) 21.5 34.8 9.1
of which:      
Transport accidents (V01-V99,Y85) 7.5 9.7 5.4
Accidental falls (W00-W19) 4.7 7.7 1.8
Drowning and accidental submersion '(W65-W74) 3.7 7.7 -
Accidental poisoning (W65-W74) - - -
Other accidents (W20-W64, W75- X39, X50-59, Y86) 5.6 9.7 1.8
Suicide and intentional self-harm (X60-X84, Y87.0) 12.2 17.4 7.3
Homicide, assault (X85-Y09, Y87.1) - - -
Events of undetermined intent (Y10-Y34, Y87.2) 0.9 1.9 -
Other external causes of injury and poisoning (Y35-Y84, Y88-Y89) 0.9 1.9 -
Codes for special purposes (U00-U85) 15.0 23.2 7.3
of which COVID-19 (U07.1-U07.2) 15.0 23.2 7.3
1 Elaborated by Eurostat harmonised list used for international comparisons. Since 2020 incl. Chapter XXII Codes for special purposes (U00-U85), COVID-19 (U07.1-U07.2).
28.06.2024