An action plan to reduce the use of antibiotics in animals was also introduced in 2013 (DGAV, 2013, DGS, 2016). The standardised in-hospital mortality rate per 100 patients for acute myocardial infarction (AMI) in Portugal (7.9 in 2015) has halved since 2000 and is similar to that of Spain but higher than in other countries such as Italy and France. A similar scenario can be found for 30-day mortality after admission to hospital for ischaemic stroke and haemorrhagic stroke. With regard to the quality of primary care in dealing with chronic diseases, Portugal has some of the lowest age- and sex-standardised rates per 100 000 population for avoidable admissions due to asthma, COPD and congestive heart failure (CHF) (Figure 9), suggesting that these conditions are being effectively managed at the primary health care level and that such care is of good quality.