The United Kingdom Suffers as a Result of Poor National Health

The UK's National Security Risk Assessment output classes the state of the UK public health as a Tier 1 national risk, the most potent of the three categories₁. The UK does relatively well in encouraging good health, compared to many other countries. The UK comes in the best 20 in terms of its food aid and health contributions and WHO compliance₂. It does better than average in terms of its average life expectancy₃, childhood mortality in the 2020s₄, its suicide rate₅, its adolescent birth rate₆ (but high for Europe), its smoking rate₇, its fertility rate₈, delivery rate of 7x Infant Immunizations 2011-2015₉ and in delivery rate of infant DTP immunizations in the 2020s₁₀. But, things still need to improve in The UK. The UK does worse than average in terms of the prevalence of overweight adults₁₁ and in its alcohol consumption rate₁₂. The number of overweight adults has increased by 14% over the past 40 years. Discussing health problems is popular - half of all science stories in the UK media are medical₁₃, although, many of the claims made are dubious₁₃ and easily misinform. There are about 150 000 alternative therapists in Britain and the public spend about £4.5 billion on them (as of 2009)₁₄.

1. UK's Health
2. Health Datasets
   1. Life Expectancy
   2. Alcohol Consumption
   3. Fertility Rate
   4. Smoking in the 2020s
   5. Suicide Rate
   6. Food Aid, Health Contributions & WHO Compliance
   7. Overweight Adults
   8. Adult Obesity
3. Children's Health Datasets
   1. Adolescent Birth Rate
   2. Infant DTP Immunizations (2020s)
   3. 7x Infant Immunizations (2011-2015)
   4. Infant Mortality (2020s)
4. UK Health Tourism: Foreigners are Not Abusing the NHS
5. Links

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1. UK's Health

#health

Compared to Europe (2025)15
Pos.		Lower is better Avg Rank15
1	Monaco	10.3
2	Liechtenstein	30.1
3	Sweden	42.3
	...
16	Portugal	60.4
17	Spain	61.6
18	Andorra	63.1
19	UK	63.2
20	Czechia	64.6
21	Austria	65.8
22	Cyprus	65.8
23	Germany	66.6
24	Ireland	67.2
	Europe Avg	86.87
q=48.

Health (2025)15
Pos.		Lower is better Avg Rank15
1	Monaco	10.3
2	Liechtenstein	30.1
3	Japan	37.3
	...
26	Canada	62.0
27	Cuba	62.5
28	Andorra	63.1
29	UK	63.2
30	China	63.7
31	Antigua & Barbuda	63.9
32	Czechia	64.6
33	New Zealand	65.0
	World Avg	97.57
q=207.

The countries with the best overall approach to public health, in terms of both public policy and individual lifestyle choices, are Monaco, Liechtenstein and Japan₁₆. These countries are worth emulating. And, although often through no fault of the average citizen, the worst countries are Angola, Somalia and S. Sudan₁₆.

42 datasets are used to calculate points for each country, including multiple decades of data on its average life expectancy, its alcohol consumption rate, its fertility rate, its smoking rate, its suicide rate, its food aid and health contributions and WHO compliance, the prevalence of overweight adults, obesity rate, its adolescent birth rate, delivery rate of infant DTP immunizations, delivery rate of 7x Infant Immunizations 2011-2015 and childhood mortality. The regions with the best average results per country are Scandinavia, Europe and The Mediterranean₁₆, whereas the worst are Africa, Micronesia and Melanesia₁₆.

For more, see:

• "Countries With the Healthiest Cultures and Health Policies" by Vexen Crabtree (2025).

2. Health Datasets

2.1. Life Expectancy

#demographics #health #hong_kong #immigration #japan #life_expectancy #longevity #population

Life Expectancy Higher is better3
Pos.		2021 Years3
1	Monaco	85.9
2	Hong Kong	85.5
3	Japan	84.8
	...
26	Cyprus	81.2
27	Portugal	81.0
28	San Marino	80.9
29	UK	80.7
30	Slovenia	80.7
31	Germany	80.6
32	Andorra	80.4
33	Greece	80.1
	Europe Avg	78.36
	World Avg	71.28
q=195. Also scored for 1990s-2010s.

The UK ranks 29th in the world with regard to its average life expectancy.

Increasing longevity, and subsequent aging, is a long-term trend around the world₁₇. Global life expectancy is now over 70; since 2000 it has risen by 6.3 and in 2019 achieved 73.1 years₁₈, as part of a global trend towards better health_19,20, and due to huge portions of the world being gradually lifted out of poverty. It also reflects overall improvements to cultural health, including diet, health services systems, attitudes to exercise and well-being, and also family structure and caring. For decades, Japan was well-known for having the highest average life expectancy₂₁, until the top spot was taken by Hong Kong. The regions with the best life expectancy are Europe (78.4), The Middle East (75.2) and Asia (73.2)₃ and the worst, by some way, is Africa (62.8)₃.

One effect of rising longevity is the 'demographics crisis'; where an increasing portion of the population is old and retired, putting pressure on services and taxes₂₂. The solution is for aging countries to import younger workers from elsewhere; over time, as birth rates stabilize, geriatric care improves the length of the working life, and population growth calms, this situation will stabilize.

For more, see:

• "Life Expectancy and Longevity" by Vexen Crabtree (2020).

Life expectancy in the UK improved by +6yrs in the 30 years from 1990, less than the global average of +7.9yrs.

Averages by decade for the UK (for the ranks, lower is better):

Life Expectancy	1990s  Average	2000s  Average	2010s  Average
the UK:	76.6	78.9	81.0
World Rank:	24th	⇣  25th	⇣  26th
World Avg:	65.3	68.2	71.4

2.2. Alcohol Consumption

#alcohol #health #sociology

Alcohol Consumption Lower is better12
Pos.		2016 Per Capita12
1	Bangladesh	0.0
2	Kuwait	0.0
3	Libya	0.0
	...
164=	Andorra	11.3
164=	Equatorial Guinea	11.3
166	Hungary	11.4
167=	UK	11.5
167=	Gabon	11.5
167=	Slovakia	11.5
167=	Switzerland	11.5
171=	Austria	11.6
	Europe Avg	10.3
	World Avg	6.2
q=189.

The UK is 168th in the world regarding its alcohol consumption rate.

There is nothing wrong with drinking modest and sensible amounts of alcohol but fitness, physical health, mental health and long-term health all suffer as a result of medium- or heavy- drinking₂₃ and the health risks to the baby when pregnant mothers drink₂₄ are well-known. Aside from the effects on the individual, alcohol misuse impacts on entire economies₂₅ via increased health service costs, policing costs and lost days' work. Worldwide, alcohol misuse is "among the top five risk factors for disease, disability and death" and is a "cause of more than 200 disease and injury conditions in individuals, most notably alcohol dependence, liver cirrhosis, cancers and injuries"₂₆. "In 2012... 5.9% of all global deaths, were attributable to alcohol consumption"₂₇. Deaths from chronic alcohol misuse have been rising for decades, and so has violence, abuse, vandalism and crime all associated with alcohol over-use. The aggression and crime associated with alcohol in some Western countries infringes on the human rights of those who want nothing to do with such behaviour. Many of the social effects of alcohol are psychological and cultural; i.e., people don't have to behave criminally or destructively whilst drunk - it is a culturally learned behaviour. Experiments have shown that behaviour can be controlled: Those who do not wish to behave badly whilst drunk, will not do so.

For more, see:

• "Alcohol: The Social & Medical Effects and How to Combat Misuse" by Vexen Crabtree (2015).

The UK has seen a 50-year growth in alcohol consumption and it has become a public-health crisis₂₈. In 2007-8 it directly cost the NHS £3 billion₂₈, and overall the national cost is up to £55 billion a year_28,29. Across 2007-8, the UK had up to 40,000 alcohol-related deaths, including 350 from acute alcohol poisoning and 8,000 from cirrhosis of the liver₂₈. Consumption has doubled since the late 1950s, whilst in other developed countries such as France and Italy, it has more than halved₃₀; liver disease rates are falling in the EU, but the UK's rises₃₁. The price of alcohol is half what it was in the 1970s₃₀. Between 1995 and 2001, binge drinking increased by 35% in the UK₃₀ . The increase in drinking "is reflected in rising death rates from chronic liver disease, the primary cause of which is too much drink", and the UK has some of Europe's worst rates of childhood drunkenness and several thousands of babies are born each year with foetal alcohol syndrome₂₈, which has lifelong effects.

2.3. Fertility Rate

#birth_control #demographics #fertility #health #overpopulation #population #yemen

Fertility Rate 2.0 is best8
Pos.		20228
1	US Virgin Islands	2.00
2	Ecuador	2.00
3	Nepal	2.01
	...
72	St Martin	2.39
73	Isle of Man	1.57
74=	Slovakia	1.57
74=	UK	1.57
76	Paraguay	2.44
77	Laos	2.45
78=	Denmark	1.55
78=	Slovenia	1.55
	Europe Avg	1.53
	World Avg	2.47
q=208. Also scored for 1960s-2010s.

The UK comes 74th in the world when it comes to its fertility rate.

The fertility rate is, in simple terms, the average amount of children that each woman has. The higher the figure, the quicker the population will grow, although, to calculate the rate you also need to take into account morbidity - the rate at which people die. If people live healthy and long lives and morbidity is low, then, 2.0 approximates to the replacement rate (two new children for each set of parents who die), which would keep the population stable. If all countries had such a fertility rate, population growth would end. The actual replacement rate in most developed countries is around 2.1, once you take mortality into account₃₂. The highest fertility rate ever detected in a single year was in Yemen in 1985, at 8.86.₃₃

For more, see:

• "The Population of the Earth" by Vexen Crabtree (2019).

The UK's peak fertility rate was 2.93 in 1964.

Averages by decade for the UK (for the ranks, lower is better):

Fertility Rate	1960s  Average	1970s  Average	1980s  Average	1990s  Average	2000s  Average	2010s  Average
the UK:	2.76	1.99	1.80	1.75	1.76	1.80
World Rank:	30th	⇡  1st	⇣  26th	⇣  29th	⇣  42nd	⇡  39th
World Avg:	5.35	4.78	4.22	3.57	3.03	2.73

2.4. Smoking in the 2020s

#cancer #democracy #health #smoking

Smoking is the UK's biggest cause of preventable death and 100,000 people die from related diseases every year₃₄. The health of the nation affects everyone in the long-run₃₅ - although in 2016/17 tax on cigarettes earned the government £7.6 billion₃₆, in 2010 statistics showed the total cost to the economy of smoking (including NHS costs) was £13.7 billion₃₇. 474,000 hospital admissions every year in England are directly due to smoking₃₆.

But things are moving in the right direction. Since the 1970s, the government has enacted a stream of laws to improve public health: strong restrictions on advertising cigarettes, enforced health warnings on packs, increased costs, banned sports sponsorships and banned smoking in public enclosed spaces._36,39,40. Each of those measures was fought through long legal and PR campaigns by the tobacco industry_39,40. But it is working, and smoking rates in Great Britain have declined from 50% in 1974 to 16% in 2016, and the spectre of childhood smoking has declined to 3%._36,41

Smoking in the 2020s Lower is better7
Pos.		Total %7
1	Nigeria	3.3%
2	Ghana	3.4%
3	Panama	5.2%
	...
56	Namibia	14.2%
57=	Burkina Faso	14.3%
57=	Norway	14.3%
57=	UK	14.3%
60	Rwanda	14.3%
61	Zambia	14.6%
62	Saudi Arabia	14.9%
63	Mexico	14.9%
	Europe Avg	27.0%
	World Avg	20.0%
q=165. Also scored for 2000s-2020s.

The UK comes 57th in the world regarding its smoking rate.

Cigarettes are the most lethal consumer product on the planet, responsible for over 7 million deaths annually₃₈ and therefore the biggest preventable cause of disease in the world₃₉. A billion people smoke₄₂. The tobacco industry has resisted with misinformation and well-funded public-relations campaigns, opposing and undermining health measures wherever it can; if defeated, firms continue the same abuses in other countries₄₃. The industry has such rich and influential lobbies that most governments find it difficult to make progress in curbing smoking rates.

If you smoke, you are more likely to drink. If you smoke or drink, you are also more likely to do drugs. Only 15% of men in the highest professional classes smoke, but 42% of unskilled workers do₄₄. Smoking is higher amongst those who are already in trouble: single mothers smoke at 55%, most homeless do and practically all drug addicts do₄₄. Smoking during late pregnancy reduces the IQ of babies by an average of 6.2 points₄₅ and causes increased antisocial behaviour. Aside from the financial cost to taxpayers and the health costs to individuals, indirect negative economic effects result from increased rates of disease and sick days lost from work₃₈.

For more, see:

• " The Side Effects of Smoking. Which Countries Smoke Most?" by Vexen Crabtree (2025).

Averages by decade for the UK (for the ranks, lower is better):

Smoking	2000s  Average	2010s  Average	2020s  Average
the UK:	31.7%	21.7%	14.3%
World Rank:	101st	⇡  72nd	⇡  57th
World Avg:	27.9%	23.5%	20.0%

2.5. Suicide Rate

#belgium #finland #health #japan #mental_health #suicide #switzerland

Suicide Rate5
Pos.		2013 Per 100k5
1	Haiti	0
2	Grenada	0
3	Egypt	0.1
	...
36	Italy	12.8
37	Macedonia	13.5
38	Mauritius	13.7
39	UK	13.9
40	Ecuador	14.1
41	Spain	15.3
42	Argentina	15.6
43	Thailand	15.8
	Europe Avg	26.99
	World Avg	20.93
q=91.

With regard to its suicide rate, the UK is 40th in the world.

Suicide as a human behaviour is recorded in the texts of the most ancient civilisations. But reliable statistics on it are hard to collect. The World Health Organisation publishes the statistics used by the United Nations, which is duplicated in the long table on the right.

Almost universally, successful male suicide rates are much higher than female rates. However, female suicide attempts are more frequent than male attempts.

Countries with high suicide rates are a mixture between those riddled with organized criminal gangs, under-developed countries, and, highly developed countries. There are cultural and situational effects at work that persist in the long-term: nothing seems to lower the high suicide rates in Japan, Belgium and Finland. And some of the countries with the lowest rates are not particularly well developed socially. It seems there is no correlation between suicide rates and things like development, prosperity and national engagement in human rights.

Switzerland comes in as the country with the 17th highest suicide rate despite its liberal stance, with 36.2 suicides per 100,000 people.

For more, see:

• "Accepting Assisted Suicide: A Focus on UK Law" by Vexen Crabtree (2012).

2.6. Food Aid, Health Contributions & WHO Compliance

Food Aid, Health Contributions & WHO Compliance Lower is better2
Pos.		2017 Rank2
1	Sweden	1
2	Ireland	2
3	Denmark	3
4	UK	4
5	Norway	5
6	Switzerland	6
7	Germany	7
8	Canada	8
9	Netherlands	9
10	USA	10
11	Luxembourg	11
12	Finland	12
	Europe Avg	47.4
	World Avg	82.0
q=163.

With respect to its food aid and health contributions and WHO compliance, the UK ranks 4th-best in the world.

2.7. Overweight Adults

#health #obesity

Overweight Adults Lower is better11
Pos.		1976 %11
1	Bangladesh	4.7
2	Vietnam	5.1
3	Nepal	5.4
	...
152=	Argentina	40.4
152=	Chile	40.4
154	Uruguay	40.5
155=	UK	40.6
155=	Iceland	40.6
155=	Canada	40.6
158	Poland	40.8
159	Jordan	41.0
	Europe Avg	38.2
	World Avg	27.1
q=191.

The UK comes 155th in the world in terms of the prevalence of overweight adults.

Over 2 in 3 adults in the UK are overweight₄₆. It has widespread knock-on effects for the rest of the UK, resulting in lost-hours of work, developed disabilities and social care costs. A UK government Commons Health Select Committee report in late 2015 stated that obesity costs the UK economy £27 billion every year₄₇ and the total costs to Britain were widely reported in 2014 to be £47 billion_49,50 - more than war, violence and terrorism combined_49,50. It costs the National Health Service £5.1 billion per year₆₀. Childhood obesity presents the greatest long-term risk (and cost) and parents must do more to instigate sensible eating practices₆₁. In early 2016, the Health Secretary Jeremy Hunt said that UK rates of childhood obesity constituted a national emergency₆₂.

The issue has been a long-term development; the chart shows rates rising between 1996-2005 in England.

2.8. Adult Obesity

#genetics #health #obesity #physical_fitness #public_health

Adult Obesity Lower is better48
Pos.		2022 %48
1	Vietnam	2.1%
2	Timor-Leste (E. Timor)	2.2%
3	Ethiopia	2.4%
	...
123	Tunisia	28.3%
124	Uzbekistan	28.5%
125	Honduras	28.5%
126	UK	28.7%
127	Brazil	28.8%
128	Suriname	29.0%
129	Dominican Rep.	29.1%
130	Trinidad & Tobago	29.2%
	Europe Avg	25.9%
	World Avg	24.7%
q=199. Also scored for 1990s-2010s.

With regard to obesity rate, the UK ranks 126th in the world.

About one third of the global population is overweight or obese₄₉. It's more serious than simply being overweight and causes a range of systemic health conditions including the development of Type 2 diabetes_51,52, muscle and bone degradation including osteoarthritis₅₁, cardiovascular disease (i.e. heart disease)₅₁, substantial disability₅₁, cancers (endometrial, breast and colon)₅₁, the acceleration of the ageing process₅₃ and decreased life expectancy_51,53. Health systems have to routinely cope with resultant complications, and cultural changes are having to be made₅₄, impacting on transport, resources and workplaces, with measurable effects on national economies, diverting time and resources away from other issues. In 2000, it was the world's most costly epidemic₅₄, and has continued to get worse across all regions of the world every decade since₅₅; from 2000 to 2019 diabetes has caused a 0.14-year slowdown in the increase in healthy life expectancy₅₆.

The causes are lifestyle and culture_57,51, not genetics_58,59. Causes are processed foods, low levels of physical exercise, over-indulgence, poor choices in food products and poor knowledge of nutrition. Health experts have warned that there is no medical solution: prevention is the only possible route to reduce the cost of obesity₆₀ but the situation is made much worse by well-funded advertising campaigns by food manufacturers selling cheap mass-produced food. Even many so-called "health foods" contain well over recommended limits of fat, salt and sugar₆₄ and a range of popular fad diets capitalize on miseducated consumers to buy into costly and nonsensical schemes that falsely promise quick results₆₅.

For more, see:

• " The Modern Obesity Epidemic" by Vexen Crabtree (2025).

Averages by decade for the UK (for the ranks, lower is better):

Adult Obesity	1990s  Average	2000s  Average	2010s  Average
the UK:	15.8%	23.0%	26.8%
World Rank:	140th	⇣  158th	⇡  143rd
World Avg:	12.5%	16.7%	21.0%

3. Children's Health Datasets

3.1. Adolescent Birth Rate

#health #parenting #population

Adolescent Birth Rate Lower is better6
Pos.		2022 Per 10006
1	Hong Kong	1.6
2	Denmark	1.8
3	S. Korea	2.1
	...
46	Oman	9.7
47	Lithuania	9.7
48	Montenegro	9.7
49	UK	10.0
50	Latvia	10.5
51	China	11.1
52	Belarus	11.2
53	Malta	11.5
	Europe Avg	11.4
	World Avg	43.8
q=195. Also scored for 1990s-2010s.

Regarding its adolescent birth rate, the UK ranks 49th in the world.

Averages by decade for the UK (for the ranks, lower is better):

Adolescent Birth Rate	1990s  Average	2000s  Average	2010s  Average
the UK:	30.9	26.6	16.5
World Rank:	49th	⇣  66th	⇡  53rd
World Avg:	71.0	59.4	51.4

3.2. Infant DTP Immunizations (2020s)

#children's_health #health #vaccines

Infant DTP Immunizations (2020s) Higher is better10
Pos.		Total Avg %10
1=	Luxembourg	99.0
1=	Oman	99.0
1=	Niue	99.0
	...
102=	Uganda	92.6
102=	Nepal	92.6
102=	Serbia	92.6
105	UK	92.4
106	Malawi	92.3
107	Burundi	92.1
108	Canada	92.0
109=	Sao Tome & Principe	91.9
	Europe Avg	93.2
	World Avg	88.5
q=211. Also scored for 1980s-2020s.

Regarding delivery rate of infant DTP immunizations in the 2020s, the UK ranks 105th in the world.

Averages by decade for the UK (for the ranks, lower is better):

Infant DTP Immunizations (2020s)	1980s  Average	1990s  Average	2000s  Average	2010s  Average	2020s  Average
the UK:	72.3	93.2	91.6	94.4	92.4
World Rank:	96th	⇡  70th	⇣  119th	⇡  113th	⇡  105th
World Avg:	67.7	84.8	88.2	90.8	88.5

3.3. 7x Infant Immunizations (2011-2015)

#health #vaccines

7x Infant Immunizations (2011-2015) Higher is better9
Pos.		2015 Avg %9
1=	Hungary	99.0
1=	China	99.0
3	Uzbekistan	98.9
	...
72	Tuvalu	94.9
73	Eritrea	94.7
74	Singapore	94.6
75	UK	94.6
76	Solomon Islands	94.5
77	Norway	94.3
78	Bolivia	94.2
79=	UAE	94.0
	Europe Avg	92.7
	World Avg	88.3
q=194.

Regarding delivery rate of 7x Infant Immunizations 2011-2015, the UK is 75th in the world.

3.4. Infant Mortality (2020s)

#health

Infant Mortality (2020s) Lower is better4
Pos.		Total Per 10004
1	San Marino	2.11
2	Finland	2.59
3	Luxembourg	2.60
	...
29	Belarus	4.27
30	Switzerland	4.29
31	Montenegro	4.53
32	UK	4.62
33	Lithuania	4.97
34	Croatia	5.02
35	Poland	5.05
36	Hungary	5.12
	Europe Avg	6.30
	World Avg	32.19
q=195. Also scored for 1960s-2020s.

Regarding childhood mortality in the 2020s, the UK is 32nd in the world.

Averages by decade for the UK (for the ranks, lower is better):

Infant Mortality (2020s)	1960s  Average	1970s  Average	1980s  Average	1990s  Average	2000s  Average	2010s  Average	2020s  Average
the UK:	23.90	18.19	11.77	7.59	7.31	6.03	4.62
World Rank:	10th	⇣  13th	⇣  18th	18th	⇣  19th	⇣  28th	⇣  32nd
World Avg:	142.42	111.96	83.04	64.84	63.22	45.87	32.19

4. UK Health Tourism: Foreigners are Not Abusing the NHS

#EU #health #UK #uk_health

Many in the UK accuse immigrants and refugees of "health tourism" and "benefits tourism"₆₆. 59% of all Brits think "that foreigners were a burden on the welfare system"₆₇. Right-wing politicians, the occasional rogue (but well-meaning) doctor, and irresponsible newspapers such as The Daily Mail have exclaimed loudly that the UK's National Health Service (NHS) spends £2 billion annually on health tourists, a figure which is absurdly exaggerated. The real figure is £110-180m, which is less than the NHS spends on stationary and is less than is wasted through missed appointments_68,69. The £2bn figure includes those in the UK who work and pay taxes here. Also, it is not fair to announce one-way costings; "treating UK tourists in Europe costs five times more than equivalent cost to NHS"₇₀; and imagine if we had to pay the costs of the millions of Brits who have retired in the Mediterranean. When it comes to health tourism, the UK benefits from EU membership greatly₇₀.

For more, see:

• "UK Health Tourism: Foreigners are Not Abusing the NHS" by Vexen Crabtree (2017).