Congenital anomalies per 100 000 live births

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.

Belarus

January 2001: Morbidity of childres age 0-1 year has been registered since 1997. Before that
information on morbidity of children age 0-15 was available.

Belgium

Source: EUROCAT (http://www.eurocat-network.eu/): Registries of Hainaut-Namur (1980-2008) and
Antwerp (1989-2009). Remark: The number was calculated by applying an average of the prevalences
(by 1000 births) of both registries to the total number of births in the country. It is currently
however unclear to what extent the regions of Hainaut, Namur and Antwerp are representative for the
rest of Belgium.

Bosnia and Herzegovina

Public Health Institute - Annual hospital report.

Bulgaria

Archive data for years before 2000 is not kept ? data is kept by regulations for 15 years.

Croatia

November 2002: The data are available only from maternity wards. Source: Croatian National Institute
of Public Health

Cyprus

No data are available

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR).
Breaks in time series: 1994 (increase of the number of observed congenital malformations), 2000
(another information source was added)

Denmark

Source: The Medical Birth Registry, The Danish Health Data Authority

Estonia

Source: National Institute for Health Development (NIHD).
Annual reporting, maternity hospital data (aged 0-6 days). Cases ending with late foetal death and
abortion are not included.

Finland

Source: Register on Congenital Malformation, THL (National Institute for Health and Welfare).

France

Data are not available.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

Source: Federal Statistical Office, Hospital statistics - diagnostic data of the hospital patients,
Fachserie 12, Reihe 6.2.1.
http://www.destatis.de
Deviation of definition: The data includes the number of infants treated as in-patients due to
abnormalities in the month of birth (ICD-Pos. Q00-Q99 Congenital malformations, deformations and
chromosomal abnormalities). Infants repeatedly treated as in-patients in the month of birth due to a
congenital malformation in hospital, will also be counted several times.

Hungary

Source: VRONY (National Register for Congenital Anomalies).

Iceland

The Icelandic Birth Registration

Ireland

Data are not available.

Israel

Numbers refer to live births with congenital anomalies which must be reported to the Ministry of
Health, and are registered at birth or until the baby is discharged from hospital. The list was
changed and the data were updated from 1999.
Source: Until 1999, Central Bureau of Statistics. Since 1999, Health Information Division, Ministry
of Health.

Italy

Source from 2002: Ministry of Health, Health Information System, Delivery Certificates Database.
Coverage in 2003: 84% of deliveries, recorded in National Database of Hospital Discharges. In 2004:
86% of the deliveries recorded in the National Database of Hospital Discharges. Coverage in 2005:
92% of deliveries recorded in National Database of Hospital Discharges in the same year. Coverage in
2006: 92.9% of deliveries, recorded in National Database of Hospital Discharges in the same year.
Coverage in 2007: 93.0% of deliveries, recorded in National Database of Hospital Discharges in the
same year. Coverage in 2008: 96.6% of deliveries, recorded in National Database of Hospital
Discharges in the same year. Coverage in 2009: 98.2% of deliveries, recorded in National Database of
Hospital Discharges in the same year. Coverage in 2010: 98,8% of deliveries, recorded in National
Database of Hospital Discharges in the same year. Coverage in 2011: 98.8% of deliveries, recorded in
National Database of Hospital Discharges in the same year. Coverage in 2012: 99.9% of deliveries,
recorded in National Database of Hospital Discharges in the same year. Coverage in 2013: 100.3% of
deliveries, recorded in National Database of Hospital Discharges in the same year. The number of
live births registered in the Delivery Certificates Database in 2013 is: 510.659.

Latvia

Source before 2000: Register of Congenital Anomalies (only genetically approved live births). Source
from 2000: Newborns Register (total live births Q00-Q99) and Death Causes Database (stillbirths
Q00-Q99). Abortions are not included.

Lithuania

Source: Up to 1996: Medical Genetics Centre. From 1997: Medical Birth Register, HI HIC.
Coverage: Newborns with congenital anomalies.
Note: increase in year 2014 confirmed, cause is not known.

Luxembourg

Data are not available.

Malta

Major congenital anomalies, as defined in EUROCAT guidelines. Source: Department of Health
Information and Research (Malta National Congenital Anomalies Register)

Montenegro

Only malformations diagnosed at birth are included (ICD-10: Chapter XVII).

Netherlands

Source: TNO Quality of Life. The Netherlands Perinatal Registry.
In 1996 around 86% of the newborns were registered in PRN. In 2009 this percentage was 95%. The
numbers concern deliveries after a gestational age of 22 weeks or more.
This registration only includes congenital anomalies noticed within the first period after birth:
until a week after birth or diagnosed during a hospital admission that started within 28 days after
birth.

North Macedonia

Source: Institute for Public Health (IPH).

Norway

Data includes late-term abortions.
Source of data: Until 1998 data source was gynaecological/birth departments. Since 1999 data from
paediatric departments are also included.

Poland

Data are not available.

Portugal

Source of data: Ministry of Health - National Health Institute (INSA), Annual Report Coverage:
National

Romania

Source: Routine reporting system data (data collected from family physician)
Note: From year 2013, the number of births with congenital anomalies is reported (by GP) for
children between 0 and 4 years.

Serbia

Source of data: Institute of Public Health of Serbia, Birth registration report. Data includes
congenital malformations diagnosed after birth and before discharge of newborn from the maternity
ward.

Slovakia

Source: National Health Information Centre (NIC)
Note: In year 2012, reporting obligations for congenital anomalies and Down syndrome reporting were
extended to child and adolescent paediatricians. In year 2011 and earlier only neonatologists were
required to report those conditions.
Selection of data - residents, respectively patients with permanent address in Slovakia (including
the homeless, residents without registration of permanent address, foreigners with permanent
address in Slovakia. In 1994 ICD-10 classification was implemented.

Slovenia

Data are not available.

Spain

Source: National Statistics Institute, extracted from ?Hospital Morbidity Survey?
http://www.ine.es/jaxi/menu.do?type=pcaxis&path=%2Ft15/p414&file=inebase&L=1
Coverage: number of hospital discharges within first year of life encoded as ICD-9 Chapter XIV

Sweden

Data are not available. These figures will be considered as meaningless for comparing countries. The
Swedish Medical Birth and Malformation Register only registers severe congenital anomalies.

Switzerland

Based on hospital discharge data. The data take into account the main, but also the supplementary
diagnosis. Source of data: FSO Federal Statistical Office, Neuchatel; Medical Statistics of
Hospitals; yearly census.
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.

Türkiye

No data are available.

Turkmenistan

Source: Administrative medical statistics, forms: 19 ?Report on medical care for pregnant women,
women in labour and puerperant?, 14 ?Report on hospital activity?, 096/y ?Journal of labour? and
102/y ?Journal of newborns? registration?.

Ukraine

In establishments under Ministry of Health only.
Source: Centre of Health Statistics, Ministry of Health.

United Kingdom

England & Wales - National Congenital Anomaly System. Reported by ONS in ?Congenital Anomaly
Statistics?
Scotland - NHS National Services Scotland, Information Services Division (ISD). : Calendar year
from Scottish Stillbirth & Infant Death Survey. ISD has been modifying the way that record linkage
is performed and has recently implemented a technique which relies more heavily on the use of
Community Health Index (CHI) numbers and less heavily on the previous approach of probability
matching. Inevitably, this has changed the number of individuals identified with various conditions.
There has, therefore, been some revision of the congenital anomaly numbers reported from 2007
onwards?.

Coverage: Data prior to 2000 refer to England and Wales only. Data from 2000 refers to Great Britain
only.
Scotland - 2011 data are no longer available
2009 onwards ? Data is no longer available as ONS is no longer producing the source publication.