Public health institutions include the State Hospital (opened in 1975), a dispensary for the poor, and a laboratory of hygiene and prophylaxis. All citizens receive free, comprehensive medical care. As of 1990, there were 2.5 physicians, 5.1 nurses, 0.3 midwives, 0.4 dentists, and 0.5 pharmacists per 1,000 people.
As of 2002, the crude birth rate and overall mortality rate were estimated at, respectively, 10.6 and 7.8 per 1,000 people. Estimated average life expectancy was 81.3 years and infant mortality was estimated at 6.1 per 1,000 live births. As of 1996, the estimated maternal mortality was 5 per 100,000 live births.
The immunization rates for children under one year old in San Marino were as follows as of 1996: diphtheria, pertussis, and tetanus, 93%; polio, 100%; measles, 96%; and hepatitis B, 98%. No polio cases were reported in 1995 and only two tuberculosis cases were reported in 1994. One case of AIDS was reported in 1992.
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