European ADULT IMMUNISATION HUB

What is Pneumonia?

Pneumonia is a major cause of death and hospitalisation, but is not required by law to be reported to government authorities in most EU countries.

Pneumonia resulting from Streptococcus pneumoniae infection (pneumococcal pneumonia) is one of the most common types of pneumonia [Lim 2009]. (Note that not all types of pneumonia are vaccine-preventable; the information below refers to all types of pneumonia)

Hospitalisation [WHO European Hospital Morbidity Database]

  • Pneumonia is responsible for 2% of hospitalisations in the EU-27
  • The average hospital stay was approximately 10 days in 2005
  • From 2005-11, the average hospitalisation rate was 3.3 per 1,000 population, with the highest rates in Finland, Lithuania and Norway

Mortality [WHO Detailed European Mortality Database]

  • In England and Wales in 2011, 25,696 people died of pneumonia (5.3% of all deaths), compared to 109 with influenza and 316 with pandemic
    influenza
  • Wide variations in mortality rates are seen between some countries; in 2009 there was a six-fold difference in rates between Slovakia and Hungary (31 vs. 5 per 100,000, respectively), partly due to reporting methods
  • In all countries, older people, disabled and those with healthcare-associated pneumonia are at
    increased risk of multidrug resistance mortality
  • Mortality is over 30% in patients requiring intensive care