In 2007, 2008 and 2009 fewer than 20% of Latvians reported unmet need for care w'ith the reason “too expensive”, rising to 25.9% in 2010 and 26.1% in 2011 (EU-SILC, 2013). Latvia was hit particularly hard by the financial crisis, with GDP falling by around a quarter. The impact of the financial crisis on unmet needs for medical examination also appeared more acute in Latv ia than in other European countries hit by the crisis, for example Ireland and Portugal, where self-reported unmet need rose slightly from 2009 but mostly stayed below 5%. Note by Turkey: The information in this report with reference to "Cypms” relates to the southern part of the Island.