there are concerns that this number will decline further in the years to come following the country s entry into the eu in which creates opportunities to move at a time when there is a lack of employment in croatia there is also a perceived shortage of physicians especially in primary care and shortages are observed in rural areas and on the country s islands see section there are a number of national public health programmes including a mandatory vaccination programme but a lack of action in tobacco control as evidenced by high levels of smoking among adults and adolescents see section