The report

Istat, mortality rate falls for all causes except respiratory and infectious diseases

ISTAT data take a snapshot of the health status of Italians: diseases of the circulatory system and tumours are the main causes of death in Italia. On the other hand, the mortality rate of infectious and respiratory diseases is increasing. Diabetes above the EU average

by Letizia Giostra

(Adobe Stock)

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The mortality rate in Italia increases for infectious diseases (+3.3%), which continue the upward trend recorded since 2020. They are followed by respiratory diseases, which record an increase for the second year running, mainly affecting the over 65 (+3.1%). These are the only diagnoses that are on the rise, as the frequency of deaths in the other diseases shows a decline.

This is what emerges from the latest report from the Istat for 2023, a year in which 666,131 deaths occurred, almost 56,000 fewer than in 2022 (-8%). Although male mortality surpasses that of women, a gradual narrowing of the gender gap, which had previously increased due to the effects of the pandemic (which predominantly affected men), was observed.

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The leading causes of death in Italia

Diseases of the circulatory system and cancer are the main causes of death in Italy, accounting for 206,119 and 175,147 deaths respectively, which together account for 57% of the total. While among women the causes of death from cardiovascular problems have a greater impact than cancer, for men it is the exact opposite (30% versus 28% for circulatory diseases).

This is followed by diseases of the respiratory system and dementias - such as Alzheimer's - responsible for 8% and 5% of deaths respectively. It is mainly women who die from dementia, accounting for 7% compared to 3% of men. Shifting our gaze to other types of causes of death, the most notable changes concern diseases of the genito-urinary system (+34%) and infectious diseases (+24%). A smaller growth concerns diabetes (+7.5%) and diseases of the digestive system (+3.7%).

Window on Covid

In 2023, there was a marked decline in mortality due to Covid-19: deaths fell by -69% in a single year. At the same time, there was a 4.4% increase in deaths due to diseases otherwise related to the respiratory system, while infectious diseases were up 4.8%. The death rate from Covid-19, which was the third leading cause of death in the years 2020 to 2022, is reduced by more than 70 per cent.

High mortality rate due to respiratory and infectious diseases

While most causes of death are declining, the trend is against the trend for mortality rates for infectious diseases (+3.3% compared to 2022) and for diseases of the respiratory system (+3.1%). The causes are to be found in the increase in pneumonia and influenza (+15.3%), while rates for other respiratory diseases are stable or falling.

Declining mortality rate for cardiovascular diseases and cancer

The mortality rate for diseases of the circulatory system shows a decreasing trend between 2015 and 2023, from 32.9 to 24.7, albeit with slight fluctuations in some years. It is precisely in 2023 that mortality from diseases of the circulatory system reaches its lowest value since 2015.

The mortality rate for cancer is decreasing, reaching 22.9 compared to 25.6 in 2015. The decrease in rates is observed for all major cancer sites: breast, lung and colon-rectum.

Higher mortality rates than pre-pandemic

Mortality levels differ substantially by territory: the South and the Islands show rates above 90 deaths per 10,000 inhabitants, while the North-East shows the lowest rate (76.5).

Compared to the Centre-North, the South and Islands show higher rates for diabetes, circulatory diseases and respiratory diseases. Although the highest levels of mortality for cancer are recorded in the North-West, the South also has higher values than the national average. For dementias, on the contrary, the lowest numbers are in the South, while the highest are in the North-West and the Islands.

Italy below EU average for many diseases, but not for diabetes

A positive result for Italia, which in 2023 is confirmed as one of the EU countries with the lowest mortality rate. Spain, France and Luxembourg are the only countries with lower values. Italia's standardised overall mortality rate is 82.7 deaths per 10,000 residents against a European average of 96.3. While in Europe, diabetes is the cause of about 2% of mortality, in Italia it shows a higher incidence, accounting for 3%.

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