The Health in the Americas+ country profiles are based on the interagency indicators available as of the dates referenced. The sources are referenced in this table. In some cases, the values of the indicators may differ from the most recent data available in the country.
Environmental and social determinants of health
In 2000, the total population of Curaçao was 141 424 people, and by 2020 it had increased to 190 338, representing an increase of 34.6% over the period. In terms of the country's demographic profile, the population aged 65 and over accounted for 14.6% of the total in 2020, an increase of 5.2 percentage points over 2000. Likewise, a ratio of 108.7 women for every 100 men and 83.8 older adults (aged 65 and over) for every 100 children under 15 years of age was reached in 2020. If the population between the ages of 15 and 64 is considered as potentially active, i.e., capable of participating in labor activities, it represented 68% of the total population of Curaçao in 2020, which is equivalent to 129 466 people. Thus, considering the potentially passive population (33 124 people under 15 years of age and 27 749 people aged 65 and over), the potential dependency ratio was 47.0 potentially passive inhabitants for every 100 potentially active inhabitants. This dependency ratio was 54.2 in 2000.
Life expectancy at birth in 2021 was 79.2 years - higher than the average for the Region of the Americas - representing an increase of 6 years over the 2000 figure.
Figure 1. Population pyramids, years 2000 and 2021
The percentage of population with internet connection amounted to 68.1% in 2017.
Maternal and child health
Between 2000 and 2018, infant mortality increased from 8.2 to 8.3 per 1 000 live births. This represents an increase of 1.2%.
In reference to the immunization strategy, it is highlighted that the immunization coverage against Measles was 68% in 2017, which means a reduction of 6 percentage points with respect to the 2016 coverage.
In the specific case of adolescent fertility, a reduction of 48,6% is noted, from 44.2 live births per 1,000 women aged 15 to 19 years in 2000 to 22.7 in 2022. In 2017, 99% of births were attended by trained personnel.
Figure 2. Infant mortality per 1000 live births, 1995–2019
In 2017, 5.6 new cases of Tuberculosis per 100 000 inhabitants were registered in Curaçao. In turn, the rate of new HIV diagnoses per 100 000 inhabitants was estimated at 53.8 for the year 2015.
Noncommunicable diseases and risk factors
The prevalence of overweight and obesity in the same age group was 64.9% for 2017.
Regarding arterial hypertension, a prevalence of 21.3% was reported in 2017, which represents an increase of 1.4 points compared to 2013 (19.9%). On the other hand, the prevalence of Diabetes Mellitus decreased to 8.4% in 2017 after being 9.3% in 2013.
Status of the COVID-19 Pandemic
In Curaçao in 2020, there were a total of 4 231 cases of COVID-19, representing 22,238 per million population. In 2021, there were 16,480 identified cases, equivalent to 86,617 per million population. In 2022, there were 24,635 identified cases, equivalent to 129,478 per million population. In 2020, there were 14 deaths directly caused by COVID-19 in people diagnosed with the disease, or 74 per million population; in 2021, 175 deaths were reported, or 920 per million. In 2022, 98 deaths directly caused by COVID-19 in people diagnosed with the disease, or 515 per million population. In 2020, Curaçao ranked 36th in the Region of the Americas in terms of the number of deaths from COVID-19, and 12th in 2022, with a cumulative 1,508 deaths per million population over the considered years (Figure 2).
On December 31, 2021, 65.7% of the country's population had at least one dose of COVID-19 vaccine applied. As of April 20, 2022 (latest available data), 60% of the population had the complete schedule. The vaccination campaign started on February 20, 2021 and 3 types of COVID-19 vaccines have been used in the country so far.
Figure 3. Cumulative COVID-19 deaths in the Region of the Americas, to 31 December 2022
Life expectancy at birth has continued to increase steadily, as has the percentage of the population over the age of 65. These indicators place Curacao among the oldest countries in the region. This change in the demographic profile will constitute a growing challenge for the health system, stimulating its reconfiguration.
Infant mortality remains stable at relatively low values; however, mortality in children under 5 years of age has increased in the last period.
During the pandemic, consultations related to mood disorders such as depression and anxiety as well as substance abuse increased. In this regard, PAHO provided technical assistance to strengthen this area.