2022-11-17-世界卫生组织-Oral_Health_Sweden_2022_country_profile_2页_662kb

Sweden Oral Health Country Profile Summary

## I. Oral Disease Burden
*   `Prevalence`:
    *   1-9 year old children: 38.6% untreated deciduous tooth caries.
    *   5+ years population: 36.1% untreated permanent tooth caries.
    *   15+ years population: 20.5% severe periodontal disease, 11.3% edentulism. Unadjusted incidence rate for lip/oral cavity cancer was 3.1 per 100,000 for both sexes combined.
*   `Trends`: 2019 data (IHME GBD).

## II. National Health System Response
*   `Policies/Plans`:
    *   National oral health policy/action plan exists (Operational/Drafting Stage).
    *   Specific staff for oral health/NCDs at MoH confirmed.
*   `Coverage/Proceds`:
    *   Screening for early detection available via public primary care.
    *   Urgent oral care/pain relief available.
    *   Key procedures for detecting/managing/treating oral diseases are offered in public primary health facilities, including basic restorative/diagnostic care and imaging (X-rays).
    *   Core curative and preventive oral health interventions (Routine/Preventive, Essential Curative, Advanced Curative, Rehabilitative) are included in the main health insurance plan.
*   `Financing`
    *   Largest government health financing scheme covers 100% of population.
    *   Total expenditure on dental healthcare (2019): ~$3.4M USD nationwide. ~$327 USD per capita. Annual productivity losses due to 5 untreated oral diseases: ~$2.3B USD (specify disease list included?).
    *   Fluoride toothpaste is affordable (≤1 labor day needed per person per year).

## III. Risk Factors
*   Per capita sugar availability: 92.4g/day (high).
*   Current tobacco use (15+): 24.8% (high).
*   Per capita alcohol consumption (15+): 9 liters pure alcohol/year (high).
*   Noma (necrotizing stomatitis) *not* recognized as a national public health problem.
*   Sugar-Sweetened Beverage tax: Not implemented/validated.

## IV. Economic Impact
*   Gross economic impact (lost productivity): ~$2.3B USD annually (2019) due to the combined effects of 5 key untreated oral conditions.
*   Direct expenditure (~$3.4M USD annually, 2019).

## V. Notes
*   Per capita health expenditure (PPP$: ~$9,300, details unclear beyond GDP status).
*   Good availability and reasonable affordability/distribution of the oral health workforce, including dentists (8,077).

WHO Report Key Indicators:

• Lip/oral cancer incidence (combined sexes): ~331 new cases/year (2014-2019).
• National policy exists operationalized/or under development for oral health.
• Main oral health insurance (Example): Includes routine preventive, essential curative, and advanced/rehabilitative dental care. Also includes certain interventions to address tobacco use/abuse.