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  • 1372554-2558 137

    5

    1.

    1.1. (Life Expectancy

    at birth)

    .. 2556 71.5 78.5 .. 2533 68.4 75.1 ( 5.1) .. 2507 2558 55.9 .. 2507 - 2508 70.4

    .. 2553 - 2558 62.0 .. 2507 - 2508 77.5 .. 2553 - 2558 .. 2583 75.3 81.9

    ( 5.2)

    Global Burden of Disease Study 2013 .. 2556 (Health Life Expectancy- HALE) 64.3 69.2 .. 2533 61.4 66.1

    ( 5.1)

    5.1

    /

    (Life expectancy)

    (HALE)

    2533 2548 2556 2533 2548 2556

    68.4 75.1 69.4 76.4 71.5 78.5 61.4 66.1 62.4 67.5 64.3 69.2

    ASEAN

    72.6 77.6 78.0 82.3 79.7 84.0 65.3 68.5 69.3 72.0 70.8 73.4

    72.4 75.7 75.8 78.9 76.9 80.7 65.1 67.1 67.8 69.7 68.8 71.0

    69.9 74.5 71.9 77.2 71.8 78.0 62.4 66.0 64.0 68.1 64.1 68.9

    64.7 72.2 65.4 72.9 66.4 73.8 55.0 62.3 57.3 63.4 58.8 64.6

    65.9 72.1 70.6 78.5 72.3 80.1 55.6 58.8 61.4 66.8 63.8 69.3

    63.2 66.8 67.2 70.8 68.3 72.7 56.2 59.0 60.2 62.8 61.3 64.5

    56.4 59.7 60.8 66.2 64.2 70.0 49.8 52.7 54.2 58.5 57.6 62.0

  • 2554-2558138

    /

    (Life expectancy)

    (HALE)

    2533 2548 2556 2533 2548 2556

    54.5 57.2 60.4 63.8 63.8 67.8 47.8 50.3 53.3 56.2 56.5 59.7

    56.9 61.2 61.8 67.1 64.8 70.6 39.7 47.2 48.8 55.2 54.6 60.2

    High human development index

    76.0 82.0 78.7 85.5 80.1 86.4 68.1 72.2 69.9 74.8 71.1 75.6

    74.2 80.6 77.9 82.6 79.4 83.4 65.1 68.7 67.8 70.3 69.1 71.0

    76.0 80.2 79.5 83.1 80.8 84.8 65.9 68.5 68.7 70.5 69.7 72.0

    74.8 80.4 78.4 82.5 79.6 83.9 64.7 68.2 67.5 70.0 68.5 71.0

    74.1 80.9 78.6 83.6 80.5 84.8 63.6 67.9 67.0 69.9 68.6 71.2

    World 63.0 67.7 66.2 71.3 68.8 74.3 55.4 58.5 58.3 61.5 60.6 64.1

    : Global Burden of Disease Study 2013

    5.2 (Life Expectancy at birth)

    .. () () - ()

    2507 - 2508 (1) 55.9 62.0 6.1

    2517 - 2519 (1) 58.0 63.8 5.8

    2528 - 2529 (1) 63.8 68.9 5.1

    2538 - 2539 (1) 69.9 74.9 5.0

    2548 - 2549 (1) 69.9 77.6 7.7

    2553 - 2558 (2) 70.4 77.5 7.1

    2558 - 2563 (2) 71.6 78.4 6.8

    2563 - 2568 (2) 72.6 79.3 6.7

    2568 - 2573 (2) 73.4 80.1 6.7

    2573 - 2578 (2) 74.1 80.8 6.7

    2578 - 2583 (2) 74.7 81.3 6.6

    2583 (2) 75.3 81.9 6.6

    : (1) .. 2507 - 2508, .. 2517 - 2519, .. 2528 - 2529, . 2538 - 2539 .. 2548-2549

    (2) .. 2553 - 2583 .. 2556

    5.1

    ()

  • 1392554-2558 139

    1.2.

    100,000

    374.3 100,000

    .. 2505 8.9 100,000

    .. 2554 .. 2557

    23.3 100,000 ( 5.1)

    RAMOS1

    .. 2538 - 2539

    44.1 2 ..

    2538 - .. 2539 16.3

    3 (2546) 52.2

    100,000 .. 2538 - 2539

    4 (2550) 41.6

    100,000 .. 2549

    1 Reproductive Age Survey 2 . .. 2538 - 25393 . ..2538 - 2539, .. 25464 . Using Multiple Data for Calculating the Maternal Mortality Ratio in Thailand. TDRI, 2007

    5.1 100,000 .. 2505 - 2557

    374.

    336

    0.2

    317.

    331

    1.6

    298.

    228

    2.1

    226.

    6 260.

    922

    6.1

    209.

    522

    2.4

    184.

    517

    1.5

    171.

    714

    9.0

    128.

    913

    0.3

    102.

    998

    .581

    .269

    .663

    .548

    .042

    .034

    .737

    .227

    .122

    .724

    .819

    .414

    .212

    .510

    .810

    .715

    .610

    .67.

    02 12.0

    413

    .212

    .914

    .713

    .713

    .012

    .29.

    8 12.2

    11.3

    10.7

    10.2

    8.9 17

    .622

    .223

    .3

    0

    50

    100

    150

    200

    250

    300

    350

    400

    2505

    2507

    2509

    2511

    2513

    2515

    2517

    2519

    2521

    2523

    2525

    2527

    2529

    2531

    2533

    2535

    2537

    2539

    2541

    2543

    2545

    2547

    2549

    2551

    2553

    2555

    2557

    ..

    100,

    000

    :

    1.3.

    84.3 1,000

    .. 2507 40.7 .. 2528 - 2529

    11.3 .. 2548 - 2549 .. 2559

    1,000 10.3 ( 5.2)

    ( 5.3)

  • 2554-2558140

    5.2 1,000 .. 2507 - 2559

    84.3

    51.840.7 38.834.5

    26.1

    11.3 11.2

    10.9

    10.6

    10.3

    0

    20

    40

    60

    80

    100

    2507

    2517

    2528

    -252

    9

    2532

    2534

    2538

    -253

    9

    2548

    -254

    9

    2556

    2557

    2558

    2559

    . .

    1,0

    00

    : .. 2507 - 2549 . .. 2556 - 2559

    5.3 5 1,000 .. 2533 2543 2556

    /

    1,000 5

    1,000

    2533 2543 2556 2533 2543 2556 30.3 11.0 11.3 37.1 13.0 13.1ASEAN

    6.2 3.1 2.2 7.7 4.0 2.8 14.3 8.7 7.2 16.6 10.1 8.5 41.1 30.1 23.5 58.6 39.9 29.9 36.5 27.0 19.0 50.6 35.1 23.8 62.0 41.0 24.5 84.3 52.2 29.3 85.6 81.7 32.5 117.5 110.5 37.9 9.4 7.7 8.4 12.2 9.5 9.9 77.5 58.9 39.8 108.6 79.5 50.5 110.9 83.0 53.8 162.0 117.4 71.4High income country

    5.8 3.4 2.4 6.9 4.1 3.0 4.6 3.3 2.1 6.3 4.5 2.9 6.7 4.6 3.6 8.2 5.6 4.2 6.8 5.2 4.6 8.3 6.2 5.2 7.7 6.0 3.2 9.2 7.2 3.8World 62.7 53.0 33.6 90.2 75.8 45.6High income 11.9 8.1 5.3 14.3 9.7 6.3Lower middle income 82.6 66.2 44.0 118.9 93.4 59.0Upper middle income 42.5 30.6 15.6 54.4 38.5 19.6Low income 104.7 85.6 52.9 166.6 134.9 76.3

    : WHO, World Health Statistics 2015, WHO

  • 1412554-2558 141

    1.4 5

    5 12.8 1,000 .. 2533 8.8 1,000 .. 2557 .. 2541 5 16.7 1,000 5

    .. 2542 ( 5.3) 5 ( 5.3) 5 5 15.7 1,000

    .. 2549

    5.3 5 1,000 .. 2533 - 2557

    12.8

    12.8

    11.7

    11.6

    11.4

    11.6

    16.7

    14.5

    11.9

    12.3

    11.7

    12.0

    11.3

    10.8

    10.4

    10.0

    9.9

    9.8

    9.8

    9.0

    9.0

    8.7 8.8

    0

    5

    10

    15

    20

    2533 2535 2537 2541 2543 2545 2547 2549 2551 2553 2555 2557

    5

    1

    ,000

    ..

    :

    : ..2539 - 2540 .. 2541

    1.5

    .. 2552, 2554 2556 0-59 .. 2552 63.3 100,000 .. 2554 (63.8 100,000 ) .. 2556 (61.8 100,000 )

    3 / ( 5.4)

    0-59 .. 2552, 2554 2556 / (20.1 15.5 15.9 100,000 ) 3 .. 2552 2554 .. 2556 ( 5.5)

  • 2554-2558142

    60 .. 2552

    ( 576.0 100,000 )

    .. 2554 ..

    2556

    3

    3 ( 5.6)

    60 .. 2552

    ( 596.1 100,000

    ) .. 2554

    .. 2556 3

    ( 5.7)

    5.4 ( 100,000 )

    10

    0 - 59 .. 2552

    .. 2554 .. 2556

    0-59

    2552 2554 2556

    63.3 63.8 61.8

    / 38.9 34.1 35.7

    29.4 28.8 30.0

    24.3 27.5 28.6

    23.3 24.2 26.8

    22.4 24.5 24.2

    15.5 14.1 13.5

    14.1 13.4 12.8

    11.2 11.1 9.8

    10.3 10.7 10.9

    154.6 165.6 162.2

    407.3 417.9 416.3

    5.5 ( 100,000 )

    10

    0 - 59 .. 2552

    .. 2554 .. 2556

    0-59

    2552 2554 2556

    / 20.1 15.5 15.9

    15.0 14.7 14.3

    14.5 12.5 11.9

    11.5 12 12.3

    10.6 9.1 9.1

    9.7 8.9 8.9

    9.1 9.2 9.8

    7.7 9.0 8.7

    5.4 5.5 6.1

    5.3 6.2 5.7

    92.3 95.9 91.6

    201.1 198.7 194.3

    : .. 2552 .. 2554 .. 2556

  • 1432554-2558 143

    5.6 ( 100,000 )

    10

    60 .. 2552

    .. 2554 .. 2556

    60

    2552 2554 2556

    576.0 559.7 557.1

    421.8 409.9 368.1

    387.4 372.8 357.0

    269.3 259.6 249.7

    229.8 217.9 209.1

    214.3 208.3 204.7

    136.9 135.9 131.5

    134.9 127.3 116.1

    117.7 115.5 109.7

    103.0 106.8 105.1

    1,450.4 1,497.2 1,446.6

    4,041.6 4,010.8 3,854.7

    5.7 ( 100,000 )

    10

    60 .. 2552

    .. 2554 .. 2556

    60

    2552 2554 2556

    596.1 568.5 595.1

    365.5 355.7 352.2

    339.0 317.9 327.1

    152.7 148.6 149.0

    123.0 116.7 125.7

    120.9 122.2 129.9

    106.3 118.3 119.8

    82.5 78.9 85.8

    78.8 71.3 69.8

    73.2 73.5 81.5

    1,246.9 1,265.9 1,343.7

    3,284.8 3,237.6 3,379.8

    1.6

    5.8 .. 2552, 2554 2556

    / ( 42.0, 44.6

    45.5 .. 2552, 2554 2556 )

    ( 38.3, 30.4

    29.4 .. 2552, 2554 2556 )

    /

    : .. 2552 .. 2554 .. 2556

  • 2554-2558144

    3

    0-59 () .. 2557

    .. 2553 3,742

    100,000 8,941

    100,000 .. 2557

    .. 2553

    ( 5.9)

    5.8 .. 2552

    .. 2554 .. 2556

    2552 2554 2556

    1,376,794 38.3 1,073,555 30.4 972,286 29.4

    / 1,507,697 42.0 1,573,452 44.6 1,502,234 45.5

    52,115 1.5 159,373 4.5 52,793 1.6

    167,235 4.7 233,156 6.6 267,146 8.1

    464,422 12.9 405,282 11.5 502,111 15.2

    21,566 0.6 15,381 0.4 7,425 0.2

    356 0.0 4,707 0.1 784 0.0

    780 0.0 66,547 1.9 - -

    3,590,965 100.0 3,531,453 100.0 3,304,779 100.0

    : .. 2552 2554 2556

    5.9 100,000

    .. 2553 - 2557 0 - 59

    (/) ( 100,000 )

    2553 2554 2555 2556 2557

    3,742 5,317 8,317 7,856 8,941

    4,098 6,704 8,503 8,825 8,365

    2,805 4,930 5,635 6,303 6,100

    129 157 251 268 230

    3,502 4,740 2,639 2,785 2,388

    444 755 1,192 1,227 1,023

  • 1452554-2558 145

    (/) ( 100,000 )

    2553 2554 2555 2556 2557

    1,795 2,803 2,806 3,137 2,275

    717 887 1,269 1,210 954

    1,922 3,255 1,193 1,110 1,049

    1,513 2,143 2,925 2,464 2,943

    2,430 3,116 4,630 5,304 3,776

    496 884 1,519 1,598 1,351

    317 367 112 89 60

    660 1,158 1,742 1,779 1,515

    3,172 3,455 3,601 4,413 3,300

    421 664 1,017 988 772

    : 21

    60 (

    ) 3

    .. 2557

    60

    ( 5.10)

    5.9 100,000

    .. 2553 - 2557 0 - 59 ()

    5.10 100,000

    .. 2553 - 2557 60

    (/) ( 100,000 )

    2553 2554 2555 2556 2557

    13,208 23,100 37,046 33,430 31,865

    9,883 15,123 22,323 21,710 17,326

    7,889 12,057 15,782 14,862 12,451

    329 770 1,391 1,468 1,252

    5,997 9,717 10,768 12,094 9,738

    3,793 7,134 10,747 10,666 9,088

    4,633 8,239 13,297 13,056 10,561

    1,864 2,389 3,204 3,013 2,288

  • 2554-2558146

    (/) ( 100,000 )

    2553 2554 2555 2556 2557

    3,079 3,884 2,030 3,687 2,646

    4,339 7,151 11,839 12,186 11,184

    3,998 5,789 8,136 7,761 6,070

    1,482 3,805 7,279 8,284 7,733

    427 563 790 773 609

    2,361 3,756 4,862 4,516 3,777

    5,599 6,954 9,379 9,043 7,071

    136 260 446 440 352

    : 21

    .. 2551 - 2557

    3

    0-59 .. 2557

    ( .. 2551

    1,503 100,000 2,084

    100,000 .. 2557)

    (.. 2551

    1,669 100,000

    .. 2557 1,294

    100,000 ) ( 5.11)

    60

    3 .. 2557

    3

    .. 2551 13,284

    100,000 16,764

    100,000 .. 2557 ( 5.12)

    5.10 100,000

    .. 2553 - 2557 60 ()

  • 1472554-2558 147

    5.11 ( 100,000 )

    0 - 59 .. 2551 - 2557

    (/) ( 100,000 )

    2551 2552 2553 2554 2555 2556 2557

    1,503 1,665 1,993 2,028 2,231 2,297 2,084

    1,383 1,424 1,588 1,436 1,504 1,436 1,373

    1,669 1,548 1,747 1,514 1,562 1,791 1,294

    405 384 397 413 427 449 401

    298 277 287 281 300 299 267

    1,123 1,044 1,068 1,052 1,077 1,090 974

    953 929 988 1,029 1,112 1,139 1,076

    51 52 55 56 61 60 54

    56 45 46 45 43 42 36

    389 341 351 292 297 272 266

    140 141 144 156 167 188 195

    611 607 629 601 640 657 604

    9 9 10 10 11 11 10

    303 320 349 357 392 389 360

    236 241 245 241 266 267 234

    166 131 136 131 132 134 116

    : : .. 2551

    ..2552 - 2556

  • 2554-2558148

    5.12 ( 100,000 ) 60

    .. 2551 - 2557

    (/) ( 100,000 )

    2551 2552 2553 2554 2555 2556 2557

    13,284 14,896 16,909 17,620 18,770 18,209 16,764

    15,337 16,289 16,973 17,576 18,111 17,467 16,309

    6,344 6,600 7,135 7,511 7,376 7,031 6,701

    2,412 2,586 2,687 2,789 2,919 2,898 2,655

    2,315 2,435 2,517 2,516 2,625 2,513 2,311

    4,502 4,723 4,777 4,798 4,816 4,583 4,137

    121 130 138 134 141 134 118

    291 293 286 272 251 226 185

    323 257 256 246 211 181 149

    2,135 2,381 2,399 2,700 3,259 3,809 4,013

    3,879 4,146 4,397 4,294 4,071 3,758 3,244

    5,488 5,980 6,365 6,322 6,815 6,740 6,446

    17 22 21 22 21 20 64

    707 775 827 839 877 817 738

    1,005 1,075 1,128 1,113 1,225 1,190 1,073

    115 120 122 120 119 111 101

    : : .. 2551

    ..2552 - 2556

    1.7

    0.5 .. 2517 2.9 .. 2550 2.2 .. 2555 ( 5.14) 4 (.. 2551 - 2552)

    12.15

    .. 2555 5 2 2 / .. 2550 5 / ( 5.4)

    5 4 ..2551 - 2552

  • 1492554-2558 149

    5.4 5 .. 2550 .. 2555

    7.4

    8.0

    9.1

    9.5

    22.3

    10.3

    8.9

    11.5

    12.7

    17.2

    0 5 10 15 20 25

    /

    2

    2

    2555 2550

    : .. 2550 .. 2555

    6

    7 .. 2555

    5

    1

    50

    48.9 47.2 46.9 28.5

    25.3 .. 2555

    .. 2550

    ( 5.13)

    5.13 7

    5 .. 2550 .. 2555

    / /

    2550(1) 2555(2) 2550(1) 2555(2) 2550(1) 2555(2)

    1 42.2 48.9 30.3 32.5 11.9 16.2

    40.7 28.5 38.2 25.9 2.5 2.3

    50 40.6 46.9 30.6 34.7 9.9 11.8

    37.6 47.2 25.1 30.3 12.5 16.8

    28.2 25.3 26.8 19.9 1.3 5.4

    : (1) .. 2550 (2) .. 2555 : .. 2555 .. 2550

    1. 2. 50 50 3. /

  • 2554-2558150

    5.14

    .. 2517 - 2555

    .. 2517 - 2555

    (x1,000)

    2517 209.0 0.5

    2519 245.0 0.6

    2520 296.2 0.7

    2521 324.6 0.7

    2524 367.5 0.8

    2529 385.9 0.7

    2534 1,057.0 1.8

    2539 1,024.1 1.7

    2544 1,100.8 1.8

    2545 1,098.0 1.7

    2550 1,871.8 2.9

    2555 1,478.6 2.2

    : 1. .. 2517 - 2545,

    2. .. 2550 3. .. 2555

    1.8

    (Epidemiological Transition)

    ()

    .. 2510 - 2557

    5.5

    5.5 100,000 .. 2510 - 2557

    0

    20

    40

    60

    80

    100

    120

    2510

    2515

    2520

    2525

    2529

    2530

    2532

    2534

    2536

    2538

    2540

    2542

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,0

    00

    . .

    : : .. 2540

  • 1512554-2558 151

    1.9

    (DALYs loss)6

    .. 2556

    2 3

    ( 5.15)

    6 (DALY-Disability Adjusted Life Year) 1 DALY= +

    5.15 (DALYs loss) .. 2556

    DALYs (000) DALYs (000)

    1

    537 8.8 369 8.2

    2 490 8 355 7.9

    3 423 6.9 245 5.4

    4 272 4.4 186 4.1

    5 267 4.4 166 3.7

    6 / 257 4.2 146 3.2

    7 236 3.9 / 129 2.9

    8 207 3.4 124 2.7

    9 199 3.3 119 2.6

    10 143 2.3 114 2.5

    11 3,075 50.4 2,552 56.6

    6,105 100 4,506 100

    : .. 2556

    2.

    2.1

    2.1.1

    (Cancer in Thailand) .. 2554

    ( 5.6)

  • 2554-2558152

    5.6 10 .. 2554

    3.6

    3.9

    4.2

    5.1

    5.2

    6.2

    7.1

    14.4

    22.7

    33.9

    0 10 20 30 40

    Stomach

    Oesophagus

    Bladder

    Oral cavity

    Leukemia

    Non-Hodgkin lymph

    Prostate

    Colon and rectum

    Bronchus, Lung

    Liver and bile duct

    ASR

    (Wor

    ld)

    4.0

    4.3

    4.5

    5.1

    6.0

    10.1

    11.2

    12.9

    14.4

    28.5

    0.0 5.0 10.0 15.0 20.0 25.0 30.0

    Leukemia

    Corpus uteri

    Non-Hodgkin lymph

    Thyroid

    Ovary

    Bronchus, Lung

    Colon and rectum

    Liver and bile duct

    Cervix uteri

    Breast

    ASR

    (Wor

    ld)

    : Cancer in Thailand, 2010 - 2012

    5.16 .. 2539 .. 2542 .. 2545 .. 2548 .. 2551

    .. 2554

    100,000

    25391 25422 25453 25484 25515 25546

    1 19.5 24.7 18.1 17.7 16.7 14.4

    2 17.2 20.5 20.9 25.6 26.4 28.5

    3 16 12.3 14.6 18.2 16.6 12.9

    4 10 9.3 9.7 11.9 11.5 10.1

    5 5.2 6 5.1 5.6 6.2 6.0

    : 1. Cancer in Thailand, 1995 - 1997 2. Cancer in Thailand, 1998 - 2000 3. Cancer in Thailand, 2001 - 2003 4. Cancer in Thailand, 2004 - 2006 5. Cancer in Thailand, 2007 - 2009 6. Cancer in Thailand, 2010 - 2012

    (1)

    .. 2539-2554 ( 5.16)

    ( 5.7) 5 5.17

  • 1532554-2558 153

    5.7 .. 2539 - 2554

    25.4 24.3

    34.138.2

    41.2

    35.1

    20.7 19.3 20.915.1 15.4

    11.10

    10

    20

    30

    40

    50

    2539 2542 2545 2548 2551 2554

    100

    ,000

    . .

    : Cancer in Thailand, 1995 - 1997, 1998 - 2000, 2001 - 2003, 2004 - 2006, 2007 - 2009 2010 - 2012

    5.17

    .. 2539 - 2554

    25391 25422 25453 25484 25515 25546

    25.6 29.4 25.1 24.4 25.5 17.4

    23.6 22.3 23.8 20.2 15.1 10.6

    15.0 15.9 15.3 10.8 15.1 10.4

    20.7 19.3 20.9 15.1 15.4 11.1

    16.1 20.6 16.2 15.3 14.1 -

    17.5 20.7 21.8 26.7 31.1 27.4

    16.4 20.8 25.5 26.6 25.9 27.0

    11.6 13.7 15.6 18.9 21.7 23.0

    25.4 24.3 34.1 38.2 41.2 35.1

    12.8 17.2 20.8 21.5 23.7 -

    4.7 5.9 4.9 5.1 6.9 5.6

    3.7 4.6 6.3 6.3 5.8 5.8

    5.6 6.2 5.2 5.1 6.3 4.8

    5.9 5.1 6.6 5.4 9.0 7.3

    4.6 5.7 5.0 6.3 5.6 -

    : 1. Cancer in Thailand, 1995 - 1997 2. Cancer in Thailand, 1998 - 2000 3. Cancer in Thailand, 2001 - 2003 4. Cancer in Thailand, 2004 - 2006 5. Cancer in Thailand, 2007 - 2009 6. Cancer in Thailand, 2010 - 2012

    (2)

    .. 2539

    37.6

    .. 2548 2551 42.8

    40.3

    .. 2554 33.9

    ( 5.18)

    (Cholangiocarcinoma: CCA)

    .. 2555

    7 (ASR 22.0

    100,000 )7

    8

    7 Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C,

    Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.1, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2014. Available from: http://globocan.iarc.fr, accessed on 16/01/2015.8 Sripa B, Pairojkul C. Cholangiocarcinoma: lessons from Thailand.

    Curr Opin Gastroenterol. 2008 May; 24(3): 349-56.

  • 2554-2558154

    5.18

    100,000

    .. 2539 - 2554

    .. 100,000

    25391 37.6 16.0

    25422 33.4 12.3

    25453 38.6 14.6

    25484 42.8 18.2

    25515 40.3 16.6

    25546 33.9 12.9

    : 1. Cancer in Thailand, 1995 - 19972. Cancer in Thailand, 1998 - 20003. Cancer in Thailand, 2001 - 20034. Cancer in Thailand, 2004 - 20065. Cancer in Thailand, 2007 - 20096. Cancer in Thailand, 2010 - 2012

    (3)

    .. 2539

    - 2554 .. 2539 25.9

    100,000 .. 2554 22.7

    100,000 ( 5.8)

    .. 2529 2555

    5.8 .. 2539 - 2554

    25.9

    20.6

    24.927.1 26.2

    22.7

    0

    5

    10

    15

    20

    25

    30

    2539 2542 2545 2548 2551 2554. .

    100

    ,000

    : Cancer in Thailand, 1995 - 1997, 1998 - 2000, 2001 - 2003, 2004 - 2006, 2007 - 2009 2010 - 2012

    2.1.2

    .. 2551

    (ICD-10:

    F00-F99) 347.3 100,000

    .. 2556 446.3

    100,000 412.5

    100,000 .. 2557

    (ICD-10: F04-F48)

    ( 5.19)

  • 1552554-2558 155

    5.19 ( 100,000 )

    .. 2551 - 2557

    100,000

    2551 2552 2553 2554 2555 2556 2557

    8.1 9.0 9.6 9.4 9.9 9.6 8.3

    1.0 1.0 1.1 1.2 1.2 1.3 1.0

    1.7 1.7 1.8 1.9 2.0 2.1 1.8

    0.9 2.2 2.1 2.1 2.1 2.0 1.8

    307.2 328.3 357.7 373.8 411.3 404.2 374.5

    347.3 371.5 405.2 415.6 453.3 446.3 412.5

    : : : , : .. 2551 ,

    ..2552 - 2557

    2.1.3

    1.7 .. 2557 ( 73

    100,000 43

    100,000 ) ( 5.20)

    5.20 ( 100,000) .. 2551 - 2557

    ..

    2551 70 44 572552 71 45 582553 79 49 642554 76 47 612555 80 48 642556 81 48 642557 73 43 58

    : / :

    : .. 2551 , .. 2552 - 2557

    2.1.4

    5.21

    -

    .. 2551 389.3 100,000

    450.8 100,000 ..

    2557 .. 2551 347.5

    100,000 .. 2557

    366.0 100,000

  • 2554-2558156

    -

    1.5 .. 2551 1,086.7

    100,000 1,249.5

    100,000 .. 2557

    .. 2551 622.3 100,000

    807.9 100,000 .. 2557

    5.21 ( 100,000 )

    .. 2551 - 2557

    ..

    2551 389.3 347.5 622.3 1,086.7 303.5 244.5

    2552 401.8 375.7 647.4 1,165.3 314.2 265.3

    2553 419.0 376.1 702.3 1,198.6 338.2 278.6

    2554 443.8 382.6 731.8 1,197.4 367.6 294.7

    2555 462.7 393.5 802.9 1,289.3 396.0 314.4

    2556 473.7 391.5 837.0 1,317.5 411.1 324.0

    2557 450.8 366.0 807.9 1,249.5 397.9 308.2

    : : : / : : .. 2551

    , .. 2552 - 2557

    15-74 ..

    2547 .. 2548 .. 2550 .. 2553 2558

    ( 5.22)

    -

    15.3 (.. 2547) 30.5 (.. 2558)

    -

    2.6 (.. 2547) 7.5 (.. 2558)

    -

    8.0 (.. 2547) 15.3

    (.. 2558)

    -

    3.2 (.. 2547) 8.3

    (.. 2558)

    -

    ..

    2551 303.5 244.5

    100,000

    397.9 308.2 100,000

  • 1572554-2558 157

    5.22 ()

    .. 2547 .. 2548 .. 2550 .. 2553 .. 2558

    2547 2548 2550 2553 2558

    (>= 25-30 ./2) 15.3 16.1 19.1 21.3 30.5

    (>= 30 ./2) 2.6 3 3.7 4.4 7.5

    8 8.3 9.4 9.1 15.3

    3.2 3.7 3.9 4.2 8.3

    ( ) 0.8 0.9 1.1 1.6 0.7

    1.1 1.1 1.5 1.6 0.8

    : :

    2.1.5 (COPD)

    .. 2547,

    2552, 2554 2556

    ..

    2547 45.7

    100,000 47.6 100,000

    .. 2556

    .. 2547

    18.3 100,000 16.6

    100,000 .. 2556 ( 5.9)

    ()

    ( 5.10)

    5.9 ( 100,000 ) .. 2547, 2552, 2554

    2556.. 2554 .. 2556

    45.7 46.648.9 47.6

    18.313.7 16.3

    16.6

    0

    10

    20

    30

    40

    50

    60

    2547 2552 2554 2556

    10

    0,00

    0

    ..

    : .. 2547 .. 2552 .. 2554 .. 2556

  • 2554-2558158

    5.10 ( 100,000 ) .. 2551 - 25572557

    439.0473.8

    507.0 528.7 530.5

    426.7477.1

    135.2 153.3161.1 168.6 168.6

    189.9146.8

    0

    100

    200

    300

    400

    500

    600

    2551 2552 2553 2554 2555 2556 2557

    ..

    10

    0,00

    0

    : / : : ..2551

    ..2552 - 2557

    2.1.6

    .. 2551 439.0 100,000 477.1 100,000 .. 2557

    .. 2551 135.2 100,000 146.8 100,000 .. 2557 ( 5.11)

    5.11 ( 100,000 ) .. 2551 - 25572557

    439.0473.8

    507.0 528.7 530.5

    426.7477.1

    135.2 153.3161.1 168.6 168.6

    189.9146.8

    0

    100

    200

    300

    400

    500

    600

    2551 2552 2553 2554 2555 2556 2557

    ..

    10

    0,00

    0

    : / : : .. 2551

    .. 2552 - 2557

  • 1592554-2558 159

    2.1.7

    876.0 100,000 .. 2551 1,105.0

    100,000 .. 2557 2 .. 2551 484.6 100,000 813.9 100,000 .. 2557 ( 5.23)

    5.23 ( 100,000 ) .. 2551 - 2557

    100,000

    2551 2552 2553 2554 2555 2556 2557

    6.2 8.4 6.3 5.5 5.2 4.8 4.6

    484.6 532.8 606.1 643.2 743.5 806.0 813.9

    113.6 127.1 122.5 102.5 98.9 94.2 82.0

    20.5 20.6 17.4 15.1 11.1 9.3 7.6

    18.3 18.4 15.2 13.0 8.9 7.1 5.7

    876.0 929.0 989.0 991.0 1,085.0 1,138.0 1,105.0 : / : : .. 2551

    .. 2552 - 2557

    2.1.8

    2 .. 2551 106.6

    100,000 60.3 100,000 .. 2557 123.4 100,000 66.9 100,000 ( 5.12)

    5.12 ( 100,000 ) .. 2551 - 2557

    106.6 108.0123.1 120.9 130.7

    135.0 123.4

    60.3 64.1 68.8 68.6 70.672.3 66.9

    0

    50

    100

    150

    2551 2552 2553 2554 2555 2556 2557

    ..

    100,

    000

    : / : : .. 2551

    .. 2552 - 2557

  • 2554-2558160

    2.2

    2.2.1

    90

    ( 5.24 5.13)

    ( 5.15)

    5.13 BCG, DPT3, OPV

    3, HB

    3, Measles TT

    2+Booster

    .. 2524 2556

    0

    20

    40

    60

    80

    100

    120

    2524

    2525

    2526

    2527

    2528

    2529

    2530

    2531

    2532

    2533

    2534

    2535

    2536

    2537

    2538

    2539

    2542

    2546

    2551

    2556

    BCG

    DPT

    OPV

    Measles

    HB

    (TT + Booster)

    ..

    : (1) (2)

  • 1612554-2558 161

    5

    .24

    ..

    252

    4 - 2

    556

    (

    )

    2524

    2525

    2526

    2527

    2528

    2529

    2530

    2531

    2532

    2533

    2534

    2535

    2536

    2537

    2538

    2539

    2542

    2546

    2551

    2556

    1

    BCG

    75.5

    67.2

    74.2

    70.6

    78.0

    90.4

    87.6

    88.8

    94.1

    96.3

    96.8

    97.4

    98.2

    98.0

    98.4

    98.3

    98.7

    99.5

    99.9

    100.

    0

    DPT 3

    41.9

    26.8

    45.3

    38.0

    57.7

    74.0

    74.1

    74.6

    84.2

    89.4

    89.8

    91.5

    92.2

    92.9

    93.7

    95.7

    96.5

    97.6

    98.7

    99.4

    OPV

    355

    .029

    .248

    .135

    .656

    .871

    .872

    .073

    .883

    .289

    .389

    .891

    .592

    .292

    .793

    .795

    .796

    .697

    .698

    .799

    .4

    Mea

    sles

    48.6

    50.4

    61.4

    78.4

    81.5

    86.3

    86.2

    85.9

    89.8

    91.7

    94.2

    96.1

    98.1

    98.7

    HB3

    77

    .488

    .093

    .495

    .496

    .098

    .399

    .4

    TT2 +

    Boos

    ter

    30

    .038

    .040

    .048

    .050

    .053

    .159

    .675

    .981

    .681

    .687

    .886

    .486

    .992

    .893

    .080

    .493

    .396

    .7

    :

    1.

    2.

  • 2554-2558162

    5.14 .. 2538 - 2557

    16.4

    0

    9.50

    22.0

    3

    22.3

    95.

    38 6.6

    7

    11.8

    6

    16.4

    8

    7.17

    6.66

    5.67

    5.31 6.20

    12.3

    2

    9.57

    4.05 5.

    02

    8.10

    4.21

    1.80

    6.40

    0.05

    0.04

    0.03

    1.55

    0.03 0.36 1.14

    0.01

    0.02

    0.01

    0.00 0.50

    0.38

    0.13

    0.00

    0.11 0.42

    0.02

    0.24

    0

    5

    10

    15

    20

    25

    30

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    ..

    100,

    000

    :

    5.15 .. 2540 - 2557

    0.00

    0.05

    0.10

    0.15

    0.20

    0

    2

    4

    6

    8

    10

    12

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,

    000

    ()

    ..

    :

  • 1632554-2558 163

    2.2.2 (Acute diarrhea)

    5

    5

    5 (.. 2553 - 2557)

    5 20

    ( 5.16)

    5.16 100,000

    .. 2538 - 2557

    6,79

    5 7,75

    4

    7,14

    1

    7,19

    4 8,4

    84

    7,24

    2

    10,6

    39

    10,1

    40

    10,4

    77

    10,3

    12

    9,69

    1

    10,0

    00

    9,96

    5

    9,59

    7

    8,74

    8

    7,77

    5

    7,41

    5

    1,68

    6

    1,74

    1

    1,56

    4

    1,94

    6

    1,66

    7

    1,71

    9

    2,15

    0

    2,09

    8

    1,98

    8

    2,05

    1

    1,98

    8

    2,02

    4

    2,16

    9

    2,06

    8

    1,91

    3

    1,75

    6

    1,70

    9

    0

    2,000

    4,000

    6,000

    8,000

    10,000

    12,000

    0

    1

    2

    3

    4

    2538

    2540

    2542

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    5 5

    100,000

    100

    ,000

    :

    2.2.3 (Acute respiratory infection: ARI)

    5

    5 5.2 2538

    1.97 2558

    2555 0.06 0.01

    2558 ( 5.17)

  • 2554-2558164

    5.17 5 .. 2538 2558

    0

    0.02

    0.04

    0.06

    0.08

    0.1

    0.12

    0.14

    0

    1

    2

    3

    4

    5

    6

    2538

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    2558

    ..

    : (1) (2)

    2.2.4

    .. 2544 100,000 16.31 3.47 2557 100,000 0.27 .. 2544 0.04 .. 2557 ( 5.18)

    5.18 100,000 .. 2538 - 2557

    0.24

    0.67

    0.19 0.17

    0.43

    0.59

    0.27

    0.150.13

    0.07

    0.060.11

    0.12

    0.09

    0.10

    0.07

    0.11 0.10

    0.050.040.

    01

    0.03

    3.86

    3.65

    9.87

    23.2

    16.3

    1

    10.9

    77.

    79

    5.12

    4.61

    6.29

    5.22 6

    .66 8

    .57

    7.76

    6.66

    6.65

    4.80

    3.47

    0

    5

    10

    15

    20

    25

    0

    0.1

    0.2

    0.3

    0.4

    0.5

    0.6

    0.7

    0.8

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,000

    100,000

    100

    ,000

    100,000

    . .

    :

  • 1652554-2558 165

    5.19 .. 2539 2557

    5.3

    4.8

    4.6

    4.4

    2.5

    1.7

    1.4 1.7

    1.4 1.

    4 1.7

    1.6

    1.7

    1.2

    0.9

    1.6

    1.5

    0.9

    1.1

    0

    1

    2

    3

    4

    5

    6

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557 . .

    :

    2.2.5

    .. 2563

    24 .. 2552 5

    .. 2558 ( 5.20)

    5.20 .. 2546 - 2558

    2119

    20

    26

    18

    8

    24

    15

    7 7 7 5 5

    0

    5

    10

    15

    20

    25

    30

    2546 2547 2548 2549 2550 2551 2552 2553 2554 2555 2556 2557 2558

    . .

    :

  • 2554-2558166

    2.3

    2.3.1

    1) HIV

    5 (.. 2557 2559)

    HIV

    20 (.. 2538

    2557) HIV

    ( 5.21 - 5.25)

    (Direct CSWs)

    33.15 .. 2538 2.58 .. 2557

    (Indirect CSWs)

    2538 .. 2547

    1.79 .. 2557

    (STDs)

    7 9

    .. 2538 - 2542

    4.7 .. 2557

    (IVDU)

    28-50

    .. 2538 2553 25.0

    .. 2557

    (ANC)

    .. 2539

    1.81 5 (.. 2553 2557)

    .. 2555

    .. 2557

    0.64 ( 5.22)

    (Donors)

    .. 2538

    0.63 0.14 .. 2557

    2538 2546

    (.. 2547 2556)

    0.5 0.7 2557

    (MSM) 2550 - 2557

    5.0 - 25.5

    HIV

    3.75 2553 1.91 2558

    2

    HIV

    .. 2559

  • 1672554-2558 167

    5.21 ()

    .. 2538 - 2557

    0

    10

    20

    30

    40

    50

    60

    .-3

    8

    ..

    -39

    ..

    -40

    ..

    -41

    ..

    -42

    ..

    -43

    ..

    -44

    ..

    -45

    ..

    -46

    ..

    -47

    ..

    -48

    ..

    -49

    ..

    -50

    ..

    -51

    ..

    -52

    ..

    -53

    ..

    -54

    ..

    -55

    ..

    -56

    ..

    -57

    :

    5.22 () .. 2538 - 2557

    2.29

    1.81

    1.71

    1.53 1

    .74

    1.46

    1.37 1.39

    1.23

    1.04

    1.01

    0.87

    0.85

    0.75

    0.76

    0.70

    0.58

    0.53 0.56 0.64

    0.63

    0.56

    0.56

    0.39 0.44

    0.31

    0.30

    0.24 0.27

    0.23

    0.22 0.29

    0.26

    0.26

    0.21

    0.17

    0.14

    0.19

    0.10

    0.14

    0.00

    0.50

    1.00

    1.50

    2.00

    2.50

    .-3

    8

    ..

    -39

    ..

    -40

    ..

    -41

    ..

    -42

    ..

    -43

    ..

    -44

    ..

    -45

    ..

    -46

    ..

    -47

    ..

    -48

    ..

    -49

    ..

    -50

    ..

    -51

    ..

    -52

    ..

    -53

    ..

    -54

    ..

    -55

    ..

    -56

    ..

    -57

    :

  • 2554-2558168

    5.23 () .. 2538 - 2557.. 25557

    2.50

    2.20

    1.90

    1.60

    1.40

    0.50

    0.50 0.50

    0.50

    0.40 0.50

    0.40 0.50

    0.50

    0.50

    0.50

    0.47 0.56

    0.54 0.63

    2.40

    1.90

    1.60

    1.20

    1.00

    0.80 0.80

    0.90

    0.60

    0.50 0.50

    0.40

    0.50 0.50

    0.50

    0.60 0.55 0.51 0.62 0.71

    0

    1

    2

    3

    .

    2538

    .

    2539

    .

    2540

    .

    2541

    .

    2542

    .

    2543

    .

    2544

    .

    2545

    .

    2546

    .

    2547

    .

    2548

    .

    2549

    .

    2550

    .

    2551

    .

    2552

    .

    2553

    .

    2554

    .

    2555

    .

    2556

    .

    2557

    1 2

    :

    5.24 () (MSM) .. 2550 - 2557

    25.5

    5.0

    16.6

    10.1 9.9 10.9

    0

    5

    10

    15

    20

    25

    30

    2550 2551 2552 2553 2555 2557

    . .

    : : 2550 3

    2551 2 2552 3 2553 2555 12 2557 5

  • 1692554-2558 169

    5.25 HIV .. 2553 - 2558

    3.75

    3.042.74

    2.302.13

    1.91

    1.0

    1.5

    2.0

    2.5

    3.0

    3.5

    4.0

    2553 2554 2555 2556 2557 2558

    ..

    :

    2)

    .. 2539 2557

    5.26 100,000 .. 2539 - 2557

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    2539

    2541

    2543

    2545

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100

    ,000

    . .

    :

  • 2554-2558170

    3)

    Thai Working Group A2 (The Asian

    Epidemic Model (AEM) Projection for HIV/AIDS

    in Thailand: 2005 - 2025)

    10 (.. 2559 2568)

    ( 5.27)

    5.27 ..2568

    0

    200

    400

    600

    800

    1,000

    1,200

    1,400

    2528 2533 2538 2543 2548 2553 2558 2563 2568

    New HIV in year Cumulative HIV in year

    Living with HIV end year New deaths in year

    Cumulative deaths end year

    1:1,000

    ..

    : The Asian Epidemic model (AEM) HIV/AIDS Projection in Thailand 2005-2025

    2.3.2

    18

    22 (Global Tuberculosis

    Report 2015: WHO)

    .. 2553

    ( 5.25)

  • 1712554-2558 171

    5.25 (TB Notifications)

    ..

    (Incidence cases)

    (Previously

    treated cases)

    (Total cases notified)

    (Bacteriologically

    confirmed by AFB,

    Culture, or Molecular

    method)

    (Clinically

    diagnosed)

    2553 35,335 31,062 1,842 68,239

    2554 35,084 30,740 1,852 67,676

    2555 32,885 26,389 1,934 61,208

    2556 34,689 28,852 2,874 66,415

    2557 36,363 31,359 3,896 71,618

    :

    .. 2538 - 2552

    .. 2553

    41.8 29.6 ..

    2557 ( 5.28)

    5.28 .. 2538 - 2557

    26.2

    26.6 28

    .6

    30.2 29.9

    30.1 31

    .8

    25.4

    24.3 24.5 2

    8.7

    25.2

    25.2 26

    .6 30.1

    41.8

    36.8

    29.4 29.5

    29.6

    0

    10

    20

    30

    40

    50

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    ..

    :

  • 2554-2558172

    2.3.3

    (.. 2558 2562) (National

    Condom Strategy)

    5 (..

    2553 2557)

    0.4

    100,000 .. 2553 0.5 ..

    2557

    ( 5.29)

    5.29

    .. 2538 - 2557

    98.0

    97.0

    98.7

    97.6

    98.0

    98.9

    96.6

    97.3

    96.6

    97.9

    98.6

    99.0

    96.1

    95.6

    93.1

    92.1

    0.7

    0.5

    0.4

    0.3

    0.3

    0.3

    0.3

    0.2

    0.2 0.2

    0.2

    0.2 0

    .3 0.3 0.

    4 0.4 0

    .5 0.5

    0.5

    0.5

    0.0

    0.2

    0.4

    0.6

    0.8

    1.0

    1.2

    1.4

    1.6

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    0

    20

    40

    60

    80

    100

    120

    (%) 1,000

    100,

    000

    : :

    2.4

    2.4.1

    ..

    2558

    2 2556 2557 63.25

    0.08 100,000 ( 5.30)

    0.12 100,000 2557 ( 5.31)

  • 1732554-2558 173

    5.30 100,000

    .. 2538 2557

    0.31

    0.19

    0.42

    0.69

    0.090.05

    0.39

    0.28

    0.120.08

    0.11

    0.09

    0.15 0.16

    0.08

    0.22

    0.10

    0.14

    0.22

    0.08

    101.

    46

    63.0

    916

    7.21

    211.

    4240

    .39

    30.1

    922

    6.53

    187.

    52

    99.5

    662

    .59

    73.7

    9

    74.8

    9 104.

    21 137

    .23

    89.2

    7

    183.

    59

    111.

    1012

    3.85

    246.

    34

    63.2

    5

    0

    50

    100

    150

    200

    250

    300

    0.00

    0.10

    0.20

    0.30

    0.40

    0.50

    0.60

    0.70

    0.80

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,000 100,000

    100,

    000

    100,000

    ..

    :

    5.31 .. 2538 2557 5.31 ..2538 2557

    0.31

    0.25

    0.33

    0.22

    0.17 0.18

    0.15

    0.12

    0.12 0

    .15

    0.13 0.14

    0.11

    0.09 0

    .12

    0.09 0

    .11

    0.09 0

    .12

    0.00

    0.05

    0.10

    0.15

    0.20

    0.25

    0.30

    0.35

    2538

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    ..

    :

    2.4.2

    2557 17.48 100,000

    ( 5.32)

  • 2554-2558174

    5.32 .. 2538 - 2557

    0.00

    0.20

    0.40

    0.60

    0.80

    1.00

    1.20

    1.40

    1.60

    0

    20

    40

    60

    80

    100

    120

    140

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,000 100,000

    :

    14.79 2540 1.81 2557

    ( 5.26)

    5.26 .. 2540 - 2557

    ()

    2540 450,406 59,699 2,472 3,718 107 626 66,622 14.79

    2543 368,513 50,976 1,385 4,926 48 548 57,883 15.71

    2546 405,254 28,875 411 2,687 31 381 32,385 7.99

    2549 483,628 33,672 98 923 153 1,467 36,313 7.50

    2552 439,977 24,755 20 837 66 902 26,580 6.04

    2555 413,192 13,155 81 531 100 796 14,663 3.55

    2556 512,563 12,639 110 211 127 595 13,682 2.67

    2557 469,125 7,654 152 139 303 250 8,498 1.81

    :

    2.4.3

    .. 2543

    .. 2552 - 2557

    .. 2555 - 2556

    0.56 100,000

    10

    0,00

    0 100,000

  • 1752554-2558 175

    10 (.. 2548 2557) 1.06

    1.15 100,000 .. 2555 - 2556

    5

    - -

    -

    -

    .. 2558

    ( 5.33)

    5.33 .. 2538 - 2557

    0.98

    0.890.96

    0.75

    0.59

    0.760.70 0.67

    0.510.47

    0.560.44

    0.590.66

    0.860.68

    0.91

    1.061.15

    0.890.12

    0.08

    0.10

    0.07

    0.05

    0.07

    0.05

    0.07

    0.030.02

    0.04

    0.020.03 0.03 0.03

    0.04

    0.02 0.020.03

    0.01 0.00

    0.02

    0.04

    0.06

    0.08

    0.10

    0.12

    0.14

    0.00

    0.20

    0.40

    0.60

    0.80

    1.00

    1.20

    1.40

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    100,000 100,000

    100,

    000

    100,000

    ..

    :

    2.5

    2.5.1

    2549-2552

    21.61 2553 22.30

    100,000 2558

    10

    2,232 ( 5.27)

  • 2554-2558176

    5.27 .. 2549 2558

    ..

    (1)

    ()

    (2)

    (3)

    (4)

    ()

    (5) ()

    ()

    2549 62,623,416 110,686 10,421 16.64 133,874 213.78 3,643,747,912

    2550 62,933,515 101,752 9,989 15.87 142,738 226.81 4,620,398,166

    2551 63,933,151 88,689 9,686 15.15 146,955 229.86 5,415,524,563

    2552 63,547,439 84,806 9,490 14.93 113,048 177.90 3,815,520,899

    2553 63,701,703 77,987 13,766 21.61 113,862 178.74 2,380,658,864

    2554 64,181,001 74,040 14,033 21.86 104,725 163.17 521,709,962

    2555 64,266,365 74,941 14,059 21.88 110,777 172.37 553,868,303

    2556 64,621,302 72,586 14,789 22.89 107,123 165.77 699,942,636

    2557 64,955,313 63,639 15,046 23.16 71,068 109.41 404,146,277

    2558 65,027,401 71,054 14,504 22.30 72,933 112.16 266,737,921

    : (1) (2), (5) (3), (4)

    (CCTV)

    /

  • 1772554-2558 177

    5.34 .. 2557

    0 10 20 30 40

    ,

    / ,

    /

    /

    /

    / /

    /

    :

    ( 5.35)

    .. 2553

    3 15-19

    ( 5.36)

  • 2554-2558178

    5.35 100,000

    .. 2551 - 2557 ..2551-2557

    0

    100

    200

    300

    400

    500

    600

    700

    0-14 15-29 30-59 60+

    2551 2552 2553 2554 2555 2556 2557

    : (.) (.)

    5.36 100,000

    .. 2551 - 2557..2551-2557

    0

    10

    20

    30

    40

    50

    60

    0-14 15-29 30-59 60+

    2551 2552 2553 2554 2555 2556 2557

    :

  • 1792554-2558 179

    2.5.2

    15

    .. 2551

    20

    (.. 2538 2557)

    4.76 7.5

    100,000

    2 ( 5.37

    5.38)

    5.37 100,000 .. 2538 - 2557

    6.67

    5.98

    5.21

    4.76 4.96

    6.25

    6.16 6

    .7

    6.6 6.7 6.8 7

    .5 7.4

    6.5

    6.3

    6.3 6.

    6

    6.3

    5.7

    5.5

    2

    3

    4

    5

    6

    7

    8

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    ..

    10

    0,00

    0

    :

    5.38 100,000

    .. 2553 2557

    0

    2

    4

    6

    8

    10

    12

    14

    16

    0-4 5-14 15-24 25-59 60+

    2553 2554 2555 2556 2557

    100

    ,000

    :

  • 2554-2558180

    2.6

    () .. 2558

    .. 2551 - 2557 31.80 33.59 .. 2557 32.06 ( 5.39)

    5.39 15 .. 2551 - 2557 5.39 15 .. 2551-2557

    31.80 33.09 33.30 32.1033.59 33.35 32.06

    0

    10

    20

    30

    40

    2551 2552 2553 2554 2555 2556 2557

    ..

    : () .. 2558: (0.00 27.00) (27.01 34.00) (34.01 45.00)

    .. 2538 - 2555

    ( 5.28)

    5.28 100,000 .. 2545 - 2557

    2545 2546 2547 2548 2549 2550 2551 2552 2553 2554 2555 2556 2557

    828.0 751.4 682.7 572.3 640.6 581.5 612.3 578.1 569.6 644.9 605.0 547.5 469.2

    862.5 865.6 667.6 596.8 548.8 580.5 532.8 527.3 515.2 501.6 542.7 493.0 434.4

    134.8 163.8 140.6 149.9 186.0 196.5 229.9 260.8 242.1 290.8 345.7 345.1 189.8

    62.3 56.6 55.5 51.7 60.8 58.5 52.7 48.4 56.6 52.4 62.5 70.4 34.6

    200.3 193.5 180.5 195.2 172.1 195.1 184.7 193.1 209.0 217.8 246.7 229.5 232.8

    9.5 10.8 39.7 43.0 47.0

    :

  • 1812554-2558 181

    5.40 1,000 .. 2538 - 2557 ..2538-2557

    28.2

    29.4

    30.7

    32.2

    33.4

    34.5

    35.6

    34.0 37

    .1

    23.9

    37.6 42

    .4

    42.3 45

    .9 49.0 5

    7.2 60.8

    62.4

    59.8

    50.8

    0

    10

    20

    30

    40

    50

    60

    70

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    ..

    : .. 2538 - 2555 (. 504) .. 2556 - 2557 21

    5.41 100,000 .. 2548 - 2557

    282 300 32

    7 347 371 40

    5

    416 45

    3

    446

    412

    0

    150

    300

    450

    600

    2548 2549 2550 2551 2552 2553 2554 2555 2556 2557

    ..

    1

    00,0

    00

    : .. 2548 - 2551

    .. 2552 - 2557

    .. 2540

    3 .. 2548 2557

    9.90

    9.60 100,000

    2.90 2.70 100,000

    5

    (

    5.42 5.43)

  • 2554-2558182

    5.42 100,000 .. 2539 - 2557

    11.2

    6

    10.6

    6 12.6

    2

    13.3

    2

    13.1

    6

    11.9

    0

    11.9

    7

    10.9

    8

    10.5

    0

    9.90

    9.40 9.50

    9.30

    9.30

    9.20 9.50 9.70 9.80

    9.60

    3.91

    3.20 3.65 3.91

    3.70

    3.64 3.77

    3.34

    3.30

    2.90

    2.40 2.50 2.70

    2.70

    2.60 2.70 2.80

    2.60 2.70

    0

    2

    4

    6

    8

    10

    12

    14

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    2557

    . .

    10

    0,00

    0

    :

    5.43 .. 2553 - 2557

    0

    2

    4

    6

    8

    10

    12

    2553 2554 2555 2556 2557

    .

    ..

    10

    0,00

    0

    :

    2.7

    2558 (World Health Statistic, 2015) 5 9.2 29.0

    1.9 10.9 5 ( 5.44)

  • 1832554-2558 183

    5.44 5 .. 2550 - 2557

    29.0

    26.5

    22.6

    19.9

    12.0

    19.9

    9.2

    1.9

    2.0

    2.6

    11.5

    4.6

    5.0

    10.9

    0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0

    5 5

    : World Health Statistics 2015, WHO:

    2.7.1

    0-5 2553 - 2557

    ( 5.29)

    5.29 0-5 .. 2553 2557

    ..

    2553 10.52 14.03 11.19 14.90 7.20 10.43 10.62 13.14 10.12 13.49

    2554 9.63 8.81 11.21 9.59 8.37 7.23 9.18 8.36 9.82 8.61

    2555 9.02 8.50 10.02 8.94 8.24 7.07 8.80 8.16 9.17 8.24

    2556 6.15 6.63 6.39 6.68 4.49 5.04 5.92 6.56 5.80 6.25

    2557 5.85 6.63 5.39 6.12 3.57 4.23 5.21 6.27 5.05 5.83

    : 21

  • 2554-2558184

    2.7.2

    21

    16.4

    2552 39.0 2556 ( 5.45)

    5.45 (Hct < 33%) .. 2537 2556

    14.1

    13.4

    12.9

    13.0 13.9

    13.3

    12.6

    11.9

    12.0 13.0 14

    .8

    10.6

    15.7 17.1 18.2

    16.4

    20.6

    45.2

    41.3

    39.0

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    50

    2537

    2538

    2539

    2540

    2541

    2542

    2543

    2544

    2545

    2546

    2547

    2548

    2549

    2550

    2551

    2552

    2553

    2554

    2555

    2556

    ..

    : 1) .. 2537 - 2551 2) .. 2552 - 2556 21 ( .): 2552 21

    2.7.3

    3-5

    .. 2549 - 2557

    3 - 5

    ( 5.30)

    5.30 ( 3-5 )

    .. 2549 - 2557

    .. 3 - 5

    ()

    ()

    2549 ... ... ... ... 83.5 57.4

    2550 ... ... ... ... 108.2 61.3

    2551 ... ... ... ... 125.5 58.5

    2552 ... ... ... ... 117.8 59.0

  • 1852554-2558 185

    .. 3 - 5

    ()

    ()

    2553 ... ... ... ... 142.1 52.5

    2554 229.2 11.3 129.0 37.9 181.2 39.9

    2555 212.6 14.1 108.3 46.5 159.4 46.4

    2556 226.0 11.1 112.3 42.5 146.8 51.1

    2557 234.6 10.6 111.3 44.6 155.7 47.6

    : : 1) 3 - 5 (deficiency)

  • 2554-2558186

    2.8

    (Aging Societies) 60 10 .. 2548 ()

    2.8.1

    1)

    .. 2556

    60

    5.31 .. 2556

    DALY (000) % % DALY(000) Disease

    1 224 10.6 12.2 270

    2 173 8.2 10.8 239

    3 131 6.2 6.0 132

    4 127 6 5.4 119

    5 104 4.9 4.7 104

    6 94 4.5 3.3 74

    7 92 4.4 3.0 66

    8 82 3.9 2.9 65

    9 53 2.5 2.8 62

    10 47 2.2 2.7 60

    982 46.5 46.0 1,017

    2,110 100 100 2,208

    : .. 2556

    2)

    2.1

    .. 2548 2557 ( 5.32)

  • 1872554-2558 187

    5.32 100,000 .. 2548 2557

    2548 2549 2550 2551 2552 2553 2554 2555 2556 2557

    4,642.85 5,387.75 6,489.67 7,212.22 7,737.26 8,230.29 8,506.66 8,957.45 8,701.52 8,150.88

    4,292.67 4,693.6 5,485.1 5,905.65 6,213.81 6,299.76 6,546.38 6,553.61 6,227.25 5,805.15

    3,428.31 3,816.63 4,430.11 4,720.34 4,911.97 5,125.29 5,111.86 5,331.49 5,178.59 4,829.48

    1,870.76 1,966.9 2,249.75 2,412.33 2,585.92 2,686.55 2,789.28 2,918.67 2,898.22 2,653.21

    1,857.62 2,035.21 2,370.3 2,486.27 2,572.83 2,585.36 2,604.2 2,581.11 2,447.56 2,233.46

    1,340.69 1,427.42 1,447.81 1,164.10 1,639.40 1,616.24 1,884.36 2,182.25 2,157.24 1,849.67

    1,420.16 1,471.89 1,647.86 1,705.62 1,783.88 1,870.17 1,931.76 1,990.56 1,938.03 1,787.15

    218.06 211.67 239.07 265.54 272.9 272.68 269.77 281.29 267.45 236.58

    150.03 156.68 193.73 206.24 210.04 226.91 212.48 216.01 208.33 181.64

    118.12 126.85 137.75 139.39 142.05 144.55 147.98 155.9 149.15 128.20

    70.49 114.94 91.11 99.49 114.61 116.27 112.26 112.04 103.67 86.23

    : .. 2548 - 2551

    .. 2552 - 2557

    2.2

    10 (.. 2548 -

    2557) 393.6 2548

    442.44 100,000 .. 2557

    ( 5.33)

    5.33 100,000 .. 2548 2557

    2548 2549 2550 2551 2552 2553 2554 2555 2556 2557

    1. 393.6 402.5 411 424.8 427.9 404.51 421.50 425.33 442.91 442.44

    2. 172.3 175.3 179.9 183 173.2 275.15 252.92 260.64 285.67 275.16

    3. 107.8 110.3 116.3 121.5 119.9 134.00 138.3 132.6 171.4 198.5

    4. 134.4 110.9 112.6 113.9 112.8 135.51 149.82 153.23 171.18 177.92

    5. 100.3 83 117.3 124.3 116.9 117.34 126.31 123.20 123.50 135.15

    6. 73.0 71.3 74.1 73.3 66.4 60.29 67.54 28.83 81.41 93.22

    7. 37.4 35.1 37.3 36.2 30.7 44.20 33.22 54.20 58.76 58.16

  • 2554-2558188

    2548 2549 2550 2551 2552 2553 2554 2555 2556 2557

    8. 2.23 2.37 2.69 2.31 2.51 3.64 16.61 29.74 41.33 48.06

    9. 39.5 39.2 36.1 36.3 34.4 31.39 32.36 30.59 34.15 35.28

    10. 16.2 15.2 16.3 16 16.9 24.5 26.5 26.7 27.3 27.8

    11.

    26.6 25.9 22.6 20.3 18.2 14.91 34.24 10.62 9.55 10.51

    12. 0.03 0.03 0.1 0.2 0.2 0.2 0.4 0.6 0.7 0.7

    :

    5.33 100,000 .. 2548 2557 ()

    2.8.2

    4 (.. 2551-2552)

    5 (.. 2556 - 2557)

    ( 5.47)

    5.47

    7.5 4 5.5

    33.331.9 32.6

    48.748.1 48.4

    9.9 14.6 12.5

    0%

    20%

    40%

    60%

    80%

    100%

    16.2 14.1 15.1

    40.6 38.1 39.2

    38.5 40.7 39.7

    4.1 6.7 5.5

    NHES 4 NHES 5

    : 4 (.. 2551 - 2552) 5 (.. 2556 - 2557)

  • 1892554-2558 189

    1)

    (Activity of Daily Livings: ADL)

    ( 5.48)

    5.48 (Activities of Daily Livings: ADL)

    0 5 10 15 20 250 5 10 15

    /

    /

    NHES 4 NHES 5

    : 4 (.. 2551 - 2552) 5 (.. 2556 - 2557)

    2)

    .. 2550 .. 2557

    0.4

    80

    0.3

    ( 5.49)

  • 2554-2558190

    5.49 .. 2550, 2557

    53

    .7

    25.4

    20.5

    0.4

    54.1

    31.1

    14.4

    0.4

    0

    10

    20

    30

    40

    50

    60

    2550 2557

    84.4

    1.2

    14.1

    0.3

    85.2

    2.8

    11.7

    0.3

    0

    20

    40

    60

    80

    100

    /

    ()

    ()

    : .. 2550 .. 2557

    3)

    4

    (.. 2551 - 2552) 5 (.. 2556 - 2557)

    ( 5.50)

    5.50 6

    : 4 (.. 2551-2552), 5

    60-69 70-79 80+

    0

    5

    10

    15

    20

    25

    60-69 70-79 80+

    NHES 5 NHES 4

    : 4 (.. 2551 - 2552) 5 (.. 2556 - 2557)

  • 1912554-2558 191

    2.8.3

    .. 2554

    31.98 ( 5.51)

    5.51 .. 2554

    18.2 15.0 20.7

    52.5 52.852.2

    29.4 32.2 27.1

    0%

    20%

    40%

    60%

    80%

    100%

    16.6 20.5 20.1

    53.4 51.3 50.8

    28.2 29.1

    32.4831.98 31.58

    32.18 31.68 31.72

    30.0

    : .. 2554 : 0 - 27 27.01 - 34 34.01 - 45

    4 (.. 2551 - 2552) 5 (.. 2556 -

    2557)

    1 ( 5.52)

    5.52

    2.6 3.

    0 3.7

    2.8

    5.6

    6.7 7.0

    6.1

    4.2 5

    .0 5.6

    4.6

    0

    2

    4

    6

    8

    60-69 70-79 80+

    3.9 4.2 5

    .0

    4.1

    7.7 8

    .5

    4.7

    7.5

    5.9 6

    .6

    4.8

    6.0

    0

    2

    4

    6

    8

    10

    60-69 70-79 80+

    NHES 4 NHES 5

    : 4 (.. 2551 - 2552), 5 (.. 2556 - 2557)