San Marino: health and care

What is the life expectancy in San Marino?

Life expectancy at birth in San Marino was 85.39 years for people born in 2024: 83.69 years for men and 87.06 years for women, according to the National Statistics Office's Relazione economico-statistica 2026.

The report links rising life expectancy to the ageing of the population, together with a fall in births. People aged over 64 grew as a share of the population by 7.2% in two years, and the old-age index reached 192.73 in 2024, meaning about 193 people aged 65 and over for every 100 aged under 15. With about 34,000 residents and fewer than 300 deaths a year, the figure can move from year to year.

Official sources: Ufficio Nazionale di Statistica: Relazione economico-statistica 2026 (PDF)

What are the main causes of death in San Marino?

San Marino recorded 277 deaths in 2025, according to the National Statistics Office's deaths by cause and sex table. Cancers caused 78 deaths and diseases of the circulatory system 77, followed by respiratory diseases (34).

Together, cancers and circulatory diseases accounted for more than half of all deaths. The total was 254 in 2024 and peaked at 343 in 2020, when COVID-19 was recorded as a cause of 61 deaths. COVID-19 deaths fell to 1 in 2025. The office updates the table monthly and publishes causes of death in its quarterly statistical bulletin.

Official sources: UNS: Morti per causa e sesso (XLSX) · UNS: Salute e Previdenza Sociale

What is the average life expectancy in San Marino?

The latest figure from the UN Population Division, for 2024, is 85.8 years. No year since 2005 has been higher. It is 2nd highest of 52 in Europe & Central Asia, where the median is 79.5 years. World rank, highest first: 2nd of 193.

How many babies die in San Marino?

According to the UN Inter-agency Group for Child Mortality Estimation, the infant mortality rate in San Marino was 1.2 per 1,000 in 2024. It is the bottom of the series, which starts in 2005. Europe & Central Asia median: 3.4 per 1,000; San Marino is 51st highest of 51. Of 192 countries with 2024 data, 192nd highest.

What is maternal mortality in San Marino?

The WHO puts the maternal mortality ratio in San Marino at 8.0 per 100,000 in 2023. Its high point since 2005 was 2020, at 46.0 per 100,000; its low point was 2016, at 7.0 per 100,000. Europe & Central Asia median: 6.0 per 100,000; San Marino is 20th highest of 51. Of 192 countries with 2023 data, 150th highest.

What share of GDP does San Marino spend on health care?

In 2023, current health spending in San Marino was 6.6% of GDP, according to the WHO. Since 2005 it has ranged from 4.9% of GDP (2005) to 9.0% of GDP (2012). It is 40th highest of 51 in Europe & Central Asia, where the median is 7.5% of GDP. Worldwide: 91st of 191.

What is out-of-pocket health spending in San Marino?

13.1%: that is out-of-pocket health spending in San Marino for 2023, according to the WHO. Since 2005 it has ranged from 10.3% (2020) to 21.9% (2005). Across Europe & Central Asia the middle value was 22.0%, and San Marino placed 41st highest of 51. World rank, highest first: 151st of 191.

How many doctors per person does San Marino have?

The latest figure from the WHO, for 2023, is 4.6 per 1,000. No year since 2011 has been lower. Europe & Central Asia median: 4.0 per 1,000; San Marino is 6th highest of 17. Worldwide: 7th of 58.

What is measles vaccine coverage in San Marino?

According to WHO and UNICEF, measles vaccination among children aged 12 to 23 months in San Marino was 85.0% in 2024. The peak was 94.0% in 2005 and the low 81.0% in 2014. Across Europe & Central Asia the middle value was 94.0%, and San Marino placed 42nd highest of 51. Of 191 countries with 2024 data, 124th highest.