Health in São Paulo, Brazil: official figures
Health ministry records show 7,132 deaths of babies under one year old among residents of São Paulo in 2020-2024 against 665,424 live births, 10.7 infant deaths per 1,000 births; the 120th lowest of 320 major Brazilian cities (Brazil: 12.2).
How many babies die in São Paulo?
In 2024, 1,356 babies from São Paulo died before their first birthday, 11.2 per 1,000 live births, compared with 1,505 (10.2 per 1,000) in 2020. For Brazil the 2024 figure was 12.6.
Source: Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS) · saved copyHow many babies are born in São Paulo each year?
120,789 babies were born to mothers living in São Paulo in 2024, down 17.9% from 147,133 in 2020 (Brazil: -12.5%).
Source: Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS) · saved copyDo pregnant women in São Paulo get prenatal care?
85.5% of babies born to São Paulo residents in 2024 had mothers who attended seven or more prenatal appointments; the 70th highest of 320 major Brazilian cities (Brazil: 79.1%).
Source: Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS) · saved copyDoes São Paulo have sewerage?
At the 2022 census, 94.7% of residents of São Paulo lived in homes whose sewage went to the public sewer or rainwater network or to a septic tank connected to it (94.0% straight to the network); the 66th highest of 320 major Brazilian cities and the 186th highest of Brazil's 5,570 municipalities (Brazil: 62.6%).
Source: Instituto Brasileiro de Geografia e Estatística (IBGE) · saved copyDoes São Paulo have piped water?
99.1% of São Paulo's residents had the public mains as their main water source in 2022 (the 17th highest of 320 major Brazilian cities; Brazil: 83.0%).
Source: Instituto Brasileiro de Geografia e Estatística (IBGE) · saved copyMore figures
- For 3.5% of 2024 births in São Paulo the mother had three or fewer prenatal appointments or none (1,034 births with no prenatal care recorded; Brazil: 5.4% with three or fewer). Source: Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS) · saved copy
How São Paulo compares with other cities in Brazil
Infant deaths per 1,000 live births (2020-2024)
São Paulo ranks 201 of 320, highest first.
| Rank | City | Infant deaths per 1,000 live births |
|---|---|---|
| 198 | Maricá | 10.8 |
| 199 | Lavras | 10.7 |
| 200 | Araguari | 10.7 |
| 201 | São Paulo | 10.7 |
| 202 | Sorocaba | 10.7 |
| 203 | Itajaí | 10.7 |
| 204 | Rio das Ostras | 10.7 |
Births with 7 or more prenatal appointments (%) (2024)
São Paulo ranks 70 of 320, highest first.
| Rank | City | Births with 7 or more prenatal appointments (%) |
|---|---|---|
| 67 | Coronel Fabriciano | 85.7% |
| 68 | Erechim | 85.7% |
| 69 | Ji-Paraná | 85.6% |
| 70 | São Paulo | 85.5% |
| 71 | Niterói | 85.4% |
| 72 | Sumaré | 85.4% |
| 73 | Piraquara | 85.4% |
Residents with sewage to the network or a connected septic tank (%) (2022)
São Paulo ranks 66 of 320, highest first.
| Rank | City | Residents with sewage to the network or a connected septic tank (%) |
|---|---|---|
| 63 | Salvador | 94.8% |
| 64 | Maringá | 94.8% |
| 65 | Sete Lagoas | 94.8% |
| 66 | São Paulo | 94.7% |
| 67 | Jundiaí | 94.7% |
| 68 | Rio de Janeiro | 94.6% |
| 69 | Vespasiano | 94.5% |
Residents with the public mains as main water source (%) (2022)
São Paulo ranks 17 of 320, highest first.
| Rank | City | Residents with the public mains as main water source (%) |
|---|---|---|
| 14 | Volta Redonda | 99.2% |
| 15 | Salvador | 99.2% |
| 16 | Santos | 99.1% |
| 17 | São Paulo | 99.1% |
| 18 | Ribeirão Preto | 99.1% |
| 19 | Jandira | 99.1% |
| 20 | Poá | 99.1% |
More on São Paulo: overview · economy and jobs · education and schools · poverty and living standards · government budget · all cities in Brazil
Sources
- Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS): TabNet, Sistema de Informações sobre Nascidos Vivos (SINASC): live births by mother's municipality of residence and year, 2020-2024 (final data), read 23 October 2026 · saved copy (SHA-256 d3eb8c12756b…)
- Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS): TabNet, Sistema de Informações sobre Mortalidade (SIM): infant deaths (under 1 year) by municipality of residence and year, 2020-2024 (final data), read 23 October 2026 · saved copy (SHA-256 9c69e0471200…)
- Ministry of Health, DATASUS (Departamento de Informação e Informática do SUS): TabNet, SINASC: live births by mother's municipality of residence and number of prenatal appointments, 2024, read 23 October 2026 · saved copy (SHA-256 9206d88e6676…)
- Instituto Brasileiro de Geografia e Estatística (IBGE): Censo Demográfico 2022, Agregados por Municípios: household characteristics part 3, residents of occupied permanent private households by sewage destination, water source and rubbish disposal, every municipality, read 23 October 2026 · saved copy (SHA-256 1b96b1e32794…)
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