2
51% increase WORLD 2045 700 million 2030 578 million 2019 463 million Age groups (years) 20–29 154,200 30–39 365,300 40–49 572,100 50–59 853,500 60–69 1,169,200 70–79 1,097,000 0 1,200,000 1,000,000 800,000 600,000 400,000 200,000 AFR EUR MENA NAC SACA SEA WP IDF Region Proportion (%) of people with undiagnosed diabetes Number (million) of people with undiagnosed diabetes 0 60 70 80 90 100 50 40 30 20 10 0 60 70 80 90 100 50 40 30 20 10 IDF Region 0 120 140 160 100 80 60 40 20 WP SEA SACA NAC MENA EUR AFR 45 37 35 55 34 31 137 Diabetes-related health expenditure (billion USD) Number (million) of adults with diabetes China India United States of America Pakistan Brazil Mexico Indonesia Germany Egypt Bangladesh 300 250 200 150 100 50 0 120 100 80 60 40 20 0 Age groups (years) 0 20–24 5 10 15 20 25 25–29 30–34 35–39 40–44 45–49 55–59 60–64 65–69 70–74 75–79 High-income countries Middle-income countries Low-income countries 100 200 300 400 500 0 3,000 4,000 5,000 2,000 1,000 0 High-income countries 494 265 Middle-income countries Low-income countries Total diabetes-related health expenditure (billion USD) Mean diabetes-related health expenditure per person (USD) 3,105 170 1 817 143% increase 47 million 29 million 2045 2030 2019 19 million 63 million 2045 56 million 2030 48 million 2019 33% increase 49 million 40 million 32 million 2045 2030 2019 55% increase 2045 2030 2019 108 million 76 million 55 million 96% increase 212 million 2045 197 million 2030 163 million 2019 31% increase 153 million 2045 115 million 2030 88 million 2019 74% increase 68 million 2045 66 million 2030 59 million 2019 15% increase GLOBAL Fact sheet Need more information? Deaths attributable to diabetes by age (20–79 years), 2019 Number and percentage of adults (20–79 years) with undiagnosed diabetes in IDF Regions, 2019 Prevalence (%) estimates of diabetes by age and income group, 2019 Number (million) of adults (20–79 years) with impaired glucose tolerance per IDF Region, 2019 IDF: International Diabetes Federation, AFR: Africa, EUR: Europe, MENA: Middle East and North Africa, NAC: North America and Caribbean, SACA: South and Central America, SEA: South-East Asia, WP: Western Pacific Total diabetes-related and mean health expenditure per person and per income group, 2019 Top 10 countries for number of adults with diabetes (20–79 years) and their health expenditure, 2019 Diabetes affects people of all ages, typically showing higher prevalence with increasing age up to 60–69 years. 4 out of every 5 adults with undiagnosed diabetes live in low- and middle-income countries. 1 in 5 people older than 65 years have diabetes. 1 in 3 of adults at risk of developing type 2 diabetes, live in the Western Pacific Region. 87% of diabetes-related deaths occur in low- and middle-income countries. But, only 35% of diabetes-related health expenditure is spent there. 67% of adults with diabetes live in top 10 countries and 70% of diabetes-related health expenditure is spent in these countries. Corporate sponsor North America & Caribbean y 1 in 6 adults in this Region is at risk of type 2 diabetes y 43% of global diabetes-related health expenditure occurs in this Region South & Central America y 2 in 5 people with diabetes were undiagnosed y Only 9% of global diabetes-related health expenditure for diabetes is spent in this Region Africa y 3 in 5 people with diabetes are undiagnosed y 3 in 4 deaths due to diabetes were in people under the age of 60 Middle East & North Africa y 1 in 8 people have diabetes y 1 in 2 deaths due to diabetes were in people under the age of 60 Western Pacific y 1 in 3 adults with diabetes lives in this Region y 1 in 3 deaths due to diabetes occur in this Region South-East Asia y 1 in 5 adults with diabetes lives in this Region y 1 in 4 live births are affected by hyperglycaemia in pregnancy Europe y 1 in 6 live births are affected by hyperglycaemia in pregnancy y The Region has the highest number of children and adolescents (0–19 years) with type 1 diabetes – 297,000 in total www.diabetesatlas.org or scan QR code or contact [email protected] IDF DIABETES ATLAS 9 th edition 2019 Number of adults (20–79 years) with diabetes worldwide The 9 th edition has been produced thanks to an educational grant (2018–2019) from: With the additional support of:

IDF DIABETES ATLAS · 2019-12-06 · Colour palette // Regions Colour palette // 6 colour way 3 colour way // Tables in Appendices Brand Colours 51% increase WORLD 2045 700 million

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Page 1: IDF DIABETES ATLAS · 2019-12-06 · Colour palette // Regions Colour palette // 6 colour way 3 colour way // Tables in Appendices Brand Colours 51% increase WORLD 2045 700 million

Colour palette // Regions Colour palette // 6 colour way 3 colour way // Tables in Appendices Brand Colours

51%increase

WORLD2045 700 million2030 578 million

2019 463 million

100

200

300

400

500

0

3,000

4,000

5,000

2,000

1,000

0

AFR EUR MENA NAC SACA SEA WP

High-income countries

494

265

Middle-income countries

Low-income countries

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Age groups (years)

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0

120

140

160

100

80

60

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Age groups (years)

0

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4

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20

25

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9

30–3

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35–3

9

40–4

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45–4

9

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9

60–6

4

65–6

9

70–7

4

75–7

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High-incomecountries

Middle-incomecountries

Low-incomecountries

3,105

170

20–29

154,200

30–39

365,300

40–49

572,100

50–59

853,500

60–69

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1,000,000

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200

300

400

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3,000

4,000

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AFR EUR MENA NAC SACA SEA WP

High-income countries

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Middle-income countries

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Age groups (years)

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High-incomecountries

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3,105

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20–29

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40–49

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300

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High-income countries

494

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Middle-income countries

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High-incomecountries

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High-income countries

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High-income countries

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High-income countries

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3,105

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Prop

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70

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50

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143% increase

47 million

29 million

2045

2030

2019 19 million

63 million2045

56 million2030

48 million2019

33% increase

49 million

40 million

32 million

2045

2030

2019

55% increase

2045

2030

2019

108 million

76 million55 million

96% increase

212 million2045

197 million2030

163 million2019

31% increase

153 million2045

115 million2030

88 million2019

74% increase

68 million2045

66 million2030

59 million2019

15% increase

GLOBAL Fact sheet

Need more information?

Deaths attributable to diabetes by age (20–79 years), 2019

Number and percentage of adults (20–79 years) with undiagnosed diabetes in IDF Regions, 2019

Prevalence (%) estimates of diabetes by age and income group, 2019

Number (million) of adults (20–79 years) with impaired glucose tolerance per IDF Region, 2019

IDF: International Diabetes Federation, AFR: Africa, EUR: Europe, MENA: Middle East and North Africa, NAC: North America and Caribbean, SACA: South and Central America, SEA: South-East Asia, WP: Western Pacific

Total diabetes-related and mean health expenditure per person and per income group, 2019

Top 10 countries for number of adults with diabetes (20–79 years) and their health expenditure, 2019

Diabetes affects people of all ages, typically showing higher prevalence with increasing age up to 60–69 years.

4 out of every 5 adults with undiagnosed diabetes live in low- and middle-income countries.

1 in 5 people older than 65 years have diabetes.

1 in 3 of adults at risk of developing type 2 diabetes, live in the Western Pacific Region.

87% of diabetes-related deaths occur in low- and middle-income countries. But, only 35% of diabetes-related health expenditure is spent there.

67% of adults with diabetes live in top 10 countries and 70% of diabetes-related health expenditure is spent in these countries.

Corporate sponsor

North America & Caribbean

y 1 in 6 adults in this Region is at risk of type 2 diabetes y 43% of global diabetes-related health expenditure occurs in this Region

South & Central America

y 2 in 5 people with diabetes were undiagnosed yOnly 9% of global diabetes-related health expenditure for diabetes is spent in this Region

Africa

y 3 in 5 people with diabetes are undiagnosed y 3 in 4 deaths due to diabetes were in people under the age of 60

Middle East & North Africa

y 1 in 8 people have diabetes y 1 in 2 deaths due to diabetes were in people under the age of 60

Western Pacific

y 1 in 3 adults with diabetes lives in this Region y 1 in 3 deaths due to diabetes occur in this Region

South-East Asia

y 1 in 5 adults with diabetes lives in this Region y 1 in 4 live births are affected by hyperglycaemia in pregnancy

Europe

y 1 in 6 live births are affected by hyperglycaemia in pregnancy y The Region has the highest number of children and adolescents (0–19 years) with type 1 diabetes – 297,000 in total

www.diabetesatlas.org or scan QR code

or contact [email protected]

IDF DIABETES ATLAS9th edition 2019

Number of adults (20–79 years) with diabetes worldwide

The 9th edition has been produced thanks to an educational grant (2018–2019) from:

With the additional support of:

Page 2: IDF DIABETES ATLAS · 2019-12-06 · Colour palette // Regions Colour palette // 6 colour way 3 colour way // Tables in Appendices Brand Colours 51% increase WORLD 2045 700 million

Country or territory

Adult population

(20–79 y), 1,000s

Diabetes age-adjusted

comparative prevalence

(20–79 y), %

Cost per person with diabetes (20–79 y), USD

Diabetes-related deaths

(20–79 y)

Proportion of undiagnosed

diabetes (20–79 y), %

One in X adults

(20–79 y) has diabetes

Afghanistan 1,090.8 9.2 167.5 18,630 73.4 16Albaniai 237.6 9.0 652.8 2,448 43.0 9Algeria 1,904.7 6.7 795.4 12,657 65.8 14Andorrai 6.9 7.7 4,005.5 32 36.3 8Angolai 532.4 4.5 530.2 6,988 52.4 25Antigua and Barbudai 9.3 13.1 747.3 86 30.1 8Argentina 1,837.4 5.9 1,169.4 15,468 32.5 16Armeniai 141.2 6.1 890.9 1,815 43.0 15Arubai 11.6 11.6 - - 30.1 7Australia 1,288.3 5.6 5,000.4 5,175 35.4 14Austria 641.5 6.6 5,259.3 3,031 36.3 10Azerbaijani 421.6 6.1 693.3 4,450 43.0 16Bahamas 26.9 8.8 2,178.6 231 30.1 11Bahraini 202.7 15.6 1,163.0 538 36.1 6Bangladesh 8,372.2 9.2 63.9 109,857 56.0 12Barbados 36.4 13.4 1,162.8 294 26.2 6Belarusi 463.3 5.0 945.8 6,810 43.0 15Belgium 561.2 4.6 5,010.4 3,014 36.3 15Belize 34.1 17.1 876.9 322 41.1 7Benin 44.6 1.0 163.8 693 68.2 123Bermuda 6.9 6.7 - - 30.1 6Bhutani 46.0 10.3 165.1 327 53.6 12Bolivia (Plurinational State of) 411.4 6.8 821.0 4,418 27.8 16Bosnia and Herzegovinai 311.4 9.0 901.3 3,420 43.0 9Botswana 78.1 5.8 1,417.6 1,675 52.4 18Brazil 16,780.8 10.4 3,116.7 135,197 46.0 9British Virgin Islands 3.1 14.2 - - 30.1 7Brunei Darussalam 40.1 13.3 702.3 281 46.7 8Bulgaria 442.5 6.0 1,739.0 6,287 32.5 12Burkina Faso 494.2 7.3 177.6 9,675 68.2 18Burundii 123.1 5.1 97.8 2,699 68.2 42Cabo Verdei 6.9 2.4 685.1 58 52.4 48Cambodia 430.6 6.3 238.7 7,919 62.3 23Cameroon 615.3 6.0 311.3 13,744 52.4 19Canada 2,793.5 7.6 4,397.4 11,790 30.1 10Cayman Islandsi 5.9 6.8 - - 30.1 7Central African Republici 101.2 6.0 72.0 3,163 68.2 22Chadi 245.0 6.0 135.3 5,707 68.2 27Channel Islandsi 6.6 3.9 - - 36.3 19Chile 1,262.2 8.6 1,405.8 7,744 21.5 10China 116,446.9 9.2 936.2 823,780 56.0 9Colombia 2,836.5 7.4 1,217.7 18,453 39.2 12Comoros 34.0 12.3 173.6 357 51.4 13Congoi 158.6 6.0 343.2 2,536 52.4 17Costa Rica 353.0 9.1 2,677.3 1,854 39.2 10Côte d'Ivoirei 237.4 2.4 327.0 5,207 52.4 50Croatia 211.1 5.4 1,043.9 1,559 42.0 15Cubai 1,134.0 9.6 2,395.1 8,593 39.2 8Curaçaoi 19.7 11.6 - - 30.1 6Cyprus 91.8 9.0 2,007.5 380 36.6 10Czechia 818.6 7.0 1,532.0 5,715 36.3 10Democratic People's Republic of Koreai 1,392.4 6.3 - 25,242 69.3 13Democratic Republic of the Congoi 1,805.6 6.0 98.9 28,383 68.2 21Denmark 372.0 8.3 5,521.1 2,044 65.6 11Djiboutii 35.8 5.1 314.4 468 52.4 16Dominicai 6.3 11.6 1,144.0 64 36.8 8Dominican Republic 578.8 8.6 1,502.2 6,860 39.2 11Ecuador 579.1 5.5 1,957.1 3,955 39.2 18Egypt 8,850.4 17.2 279.1 76,263 54.4 7El Salvadori 346.2 8.8 1,015.6 2,928 39.2 12Equatorial Guineai 39.9 6.0 1,305.8 491 52.4 18Eritreai 96.9 5.1 147.8 1,471 68.2 26Estonia 58.7 4.2 1,387.4 566 36.3 16Eswatinii 23.2 4.5 886.7 1,123 52.4 32Ethiopia 1,699.4 4.3 113.3 23,157 68.2 31Faroe Islands 2.4 4.7 - - 31.4 15Fiji 87.0 14.7 456.5 867 53.2 7Finland 373.9 5.6 3,774.0 2,026 60.6 11France 3,480.0 4.8 4,858.6 18,656 37.6 13French Polynesia 39.4 19.5 - - 46.7 5Gaboni 79.9 6.0 1,015.2 923 52.4 14Gambia 15.6 1.9 119.3 193 68.2 63Georgia 198.0 5.8 875.5 2,883 43.0 14Germany 9,510.5 10.4 4,600.7 50,096 47.6 7Ghana 281.1 2.5 262.2 5,398 52.4 55Greece 613.9 4.7 1,659.9 3,232 36.3 13Greenland 1.3 2.1 - - 36.3 31Grenada 6.8 10.7 1,356.1 98 36.8 10Guam 22.1 18.7 - - 46.7 5Guatemala 782.2 10.0 856.1 7,398 39.2 12Guineai 127.5 2.4 149.1 2,070 68.2 50Guinea-Bissaui 18.6 2.4 170.2 364 68.2 51Guyanai 50.4 11.6 466.0 899 36.8 10Haiti 365.6 6.6 141.7 5,648 52.7 17Honduras 339.2 7.3 730.5 1,911 39.2 16Hong Kong 723.4 4.5 - - 64.4 8Hungary 684.5 6.9 1,235.3 8,338 16.7 11Icelandi 18.2 5.8 6,403.1 69 36.3 13India 77,005.6 10.4 91.6 1,010,262 57.0 11Indonesia 10,681.4 6.3 365.2 115,632 73.7 16Iran (Islamic Republic of) 5,387.2 9.6 1,141.1 33,037 34.8 11Iraq 1,505.0 8.8 555.5 15,658 47.1 13Ireland 148.2 3.2 6,597.6 706 31.2 23Israel 644.3 9.7 3,784.3 2,627 36.3 8Italy 3,669.4 5.0 2,849.1 15,656 36.3 12Jamaica 226.5 11.3 793.5 2,200 24.4 9Japan 7,390.5 5.6 3,178.9 71,513 46.6 13Jordan 544.2 12.7 712.5 3,266 45.9 10Kazakhstani 735.2 6.1 742.2 9,358 43.0 16Kenya 552.4 3.1 324.4 8,081 44.1 46Kiribati 14.0 22.5 475.6 112 53.4 5Kuwait 681.1 12.2 1,089.6 1,693 16.8 5Kyrgyzstani 197.8 6.1 194.1 2,263 43.0 19Lao People's Democratic Republici 191.6 6.3 197.3 3,698 53.4 21Latvia 104.3 5.0 1,047.5 1,065 36.3 14Lebanon 529.9 11.1 1,548.4 5,037 42.8 8

Country or territory

Adult population

(20–79 y), 1,000s

Diabetes age-adjusted

comparative prevalence

(20–79 y), %

Cost per person with diabetes (20–79 y), USD

Diabetes-related deaths

(20–79 y)

Proportion of undiagnosed

diabetes (20–79 y), %

One in X adults

(20–79 y) has diabetes

Lesothoi 41.2 4.5 334.6 1,670 52.4 30Liberiai 48.1 2.4 309.4 754 68.2 49Libyai 405.1 10.2 - 2,789 42.8 10Liechtensteini 3.4 9.4 - 13 36.3 8Lithuania 114.3 3.8 1,226.9 1,340 36.3 19Luxembourg 28.6 5.0 7,977.8 128 36.3 15Macaui 50.9 4.3 - - 46.7 10Madagascari 468.8 4.5 99.5 5,756 68.2 28Malawii 268.7 4.5 117.1 7,604 68.2 33Malaysia 3,652.6 16.7 980.4 22,449 50.4 6Maldives 22.8 9.2 1,794.1 111 53.6 14Malii 157.6 2.4 143.2 2,669 68.2 52Malta 40.5 8.3 2,367.2 185 47.4 8Marshall Islands 10.9 30.5 1,608.0 164 53.4 3Mauritania 155.1 7.1 213.0 1,776 52.4 15Mauritius 234.9 22.0 506.4 2,649 53.1 4Mexico 12,805.2 13.5 1,328.5 89,012 38.6 7Micronesia (Federated States of)i 6.2 11.9 916.8 58 53.4 10Monacoi 2.4 2.9 3,232.9 12 36.3 12Mongolia 99.3 4.7 524.7 1,230 71.8 20Montenegroi 52.4 9.0 - 597 43.0 9Morocco 1,735.5 7.0 470.5 8,025 42.8 13Mozambique 337.5 3.3 101.8 9,485 86.7 41Myanmar 1,282.7 3.9 183.4 31,288 53.4 27Namibiai 53.2 4.5 1,871.8 1,095 52.4 26Nauru 1.6 12.0 2,597.3 15 48.1 4Nepal 696.9 7.2 80.4 11,679 69.5 25Netherlands 1,019.1 5.4 5,379.7 4,935 36.3 12New Caledoniai 46.6 21.8 - - 46.7 4New Zealand 259.8 6.2 4,032.4 1,069 25.7 13Nicaragua 395.8 11.4 564.1 2,769 39.2 10Nigeri 183.3 2.4 87.7 3,181 68.2 49Nigeria 2,743.8 3.1 468.6 63,958 48.0 33North Macedonia 175.1 9.3 689.9 1,962 43.0 9Norway 292.4 5.3 9,061.4 1,211 36.3 13Oman 291.8 10.1 752.6 965 43.7 13Pakistan 19,369.8 19.9 83.3 158,974 43.8 6Palau 2.4 17.9 1,872.3 16 46.7 6Palestine 174.3 9.5 - - 25.1 15Panama 206.1 7.7 1,333.0 1,201 32.5 13Papua New Guinea 713.5 17.9 134.9 6,324 53.4 6Paraguayi 372.7 9.6 1,088.0 3,134 39.2 11Peru 1,385.0 6.6 1,135.3 9,161 39.2 15Philippines 3,993.3 7.1 428.8 38,583 66.7 16Poland 2,344.6 6.1 923.5 18,536 42.2 12Portugal 1,090.1 9.8 1,800.2 5,797 43.6 7Puerto Rico 438.7 13.7 - - 32.5 6Qatari 347.0 15.6 1,751.2 644 36.1 6Republic of Korea 3,689.4 6.9 1,988.8 33,308 36.1 11Republic of Moldova 193.8 5.7 431.9 2,474 43.0 16Romania 1,278.3 6.8 1,208.3 15,920 20.7 11Russian Federation 8,288.5 6.1 1,278.2 110,530 53.7 13Rwandai 168.9 5.1 202.1 2,944 68.2 38Saint Kitts and Nevis 5.3 13.2 1,060.2 63 30.1 7Saint Luciai 14.8 11.6 967.0 145 36.8 9Saint Vincent and the Grenadinesi 8.8 11.6 621.1 115 36.8 8Samoa 7.7 9.2 548.8 80 48.0 13San Marinoi 2.4 5.9 3,247.2 10 36.3 10Sao Tome and Principei 1.9 2.4 587.9 19 52.4 51Saudi Arabia 4,275.2 15.8 1,172.5 15,039 39.0 5Senegali 153.1 2.4 248.5 1,855 68.2 51Serbiai 773.7 9.0 1,089.4 9,160 43.0 8Seychelles 9.5 12.3 605.7 84 46.0 7Sierra Leonei 73.3 2.4 383.4 1,773 68.2 51Singapore 640.4 5.5 2,095.1 4,374 54.0 7Sint Maarteni 3.8 6.8 - - 30.1 7Slovakia 377.5 6.5 1,468.4 3,459 24.3 11Slovenia 122.5 5.8 2,070.5 691 36.3 13Solomon Islands 46.9 19.0 263.2 325 53.4 7Somaliai 270.9 5.1 - 3,900 68.2 25South Africa 4,581.2 12.7 1,245.0 89,834 52.4 8South Sudani 493.7 10.2 - 7,017 68.2 13Spain 3,619.1 6.9 2,651.5 15,394 27.9 10Sri Lanka 1,232.8 10.7 198.3 15,459 35.8 11Sudan 3,690.3 22.1 362.3 41,998 28.4 6Suriname 47.9 12.5 936.4 573 36.8 8Sweden 521.2 4.8 6,643.1 2,237 36.3 14Switzerland 496.9 5.7 11,915.6 1,791 36.3 13Syrian Arab Republici 1,186.5 13.5 - 10,471 58.6 8Taiwan 1,228.8 6.3 - - 42.8 15Tajikistani 242.6 6.1 145.1 2,413 58.9 21Thailand 4,284.9 7.0 560.3 40,918 43.6 12Timor-Lestei 32.0 6.7 292.7 326 53.4 19Togoi 79.6 2.4 169.0 1,286 68.2 50Tonga 7.6 15.7 464.7 69 68.9 8Trinidad and Tobago 121.3 11.0 1,189.3 1,191 30.1 8Tunisia 809.5 8.5 579.2 5,317 75.0 10Turkey 6,592.4 11.1 1,404.4 43,503 38.3 8Turkmenistani 188.3 6.1 1,257.8 2,476 43.0 19Tuvalui 1.6 22.1 1,121.1 13 53.4 4Uganda 296.2 2.5 191.0 6,288 68.2 64Ukrainei 2,492.4 6.1 341.4 37,112 43.0 13United Arab Emirates 1,223.4 16.3 1,237.3 2,093 40.7 6United Kingdom 2,680.5 3.9 5,255.0 13,951 18.5 18United Republic of Tanzania 997.4 5.7 170.1 18,032 79.8 27United States of America 30,987.9 10.8 9,505.6 188,969 38.1 8Uruguay 196.0 7.3 1,499.1 1,483 32.5 12US Virgin Islands 12.4 12.2 - - 27.7 6Uzbekistan 1,121.7 6.5 352.0 11,535 52.7 18Vanuatui 17.0 11.9 280.8 128 53.4 9Venezuela (Bolivarian Republic of) 1,403.6 7.0 - 10,649 51.8 15Viet Nam 3,779.6 6.0 322.8 30,096 53.4 18Yemen 572.7 5.4 - 5,772 22.3 26Zambiai 273.8 4.5 296.8 8,000 52.4 29Zimbabwe 103.2 1.8 540.9 2,622 68.2 81

Country summary table: estimates 2019

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