;4th quarter 2018;Percentage change from last quarter; Both sexes;;; Self-certified and certified by doctor;5.78;0.6; Self-certified;0.84;-1.7; Certified by doctor;4.94;1.0; Males;;; Self-certified and certified by doctor;4.42;0.3; Self-certified;0.73;-1.9; Certified by doctor;3.69;0.7; Females;;; Self-certified and certified by doctor;7.40;0.8; Self-certified;0.98;-1.5; Certified by doctor;6.42;1.1;