Wealth & Vitality: Top 20 Nations Report
V
VitalityReport

Health Trends in High-Wealth Nations

A comparative analysis of the top 20 nations by median wealth. Tracking the intersection of economic prosperity and public health outcomes across 8 core indicators.

Live Births & Fertility

Tracking the decline of fertility rates below replacement levels (2.1) in wealthy economies.

Crude Birth Rate (Avg) 10.2
Total Fertility Rate 1.54

Fetal Deaths

Stillbirth rates average < 2.3 per 1k in this cohort, reflecting high neonatal investment.

Regional Comparison: Crude Birth vs Death Rates

Methodology & Item 8: Epidemiology

Comparative Study Framework

This application synthesizes findings for the 20 nations identified with the highest median wealth. The focus is on the Epidemiological Transition—the process where the primary health burden shifts from infectious diseases and malnutrition to chronic, lifestyle-related conditions (NCDs) and aging.

Item 4: ICD-11

Mortality data is categorized using the International Classification of Diseases (11th Rev), prioritizing Circulatory, Neoplasms, and Neurodegenerative codes.

Item 2: Means of Death

Analysis includes "external causes" like accidents and intentional self-harm, which remain significant in North American and East Asian outliers.

Item 6: Morbidity

We utilize Prevalence and Disability-Adjusted Life Years (DALYs) to measure "sickness" rather than just mortality frequency.

Item 8: Epidemiology Distribution

The overall distribution of health outcomes in these 20 nations reveals a "Wealth-Health Paradox." While median wealth allows for superior infrastructure, it also facilitates sedentary morbidity. The distribution is spatially skewed towards aging European and Japanese populations, creating unique challenges for future dependency ratios.

82.4
Avg Life Expectancy
2.1%
Avg Cancer Prevalence

© 2026 Public Health Intelligence Unit. Data synthesized for educational research purposes.