1. The overlapping burden of the three leading causes of disability and death in sub-Saharan African children
- Author
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Reiner, R.C., Welgan, C.A., Troeger, C.E., Baumann, M.M., Weiss, D.J., Deshpande, A., Blacker, B.F., Miller-Petrie, M.K., Earl, L., Bhatt, S., Abolhassani, H., Abosetugn, A.E., Abu-Gharbieh, E., Adekanmbi, V., Adetokunboh, O.O., Aghaali, M., Aji, B., Alahdab, F., Al-Aly, Z., Alhassan, R.K., Ali, S., Alizade, H., Aljunid, S.M., Almasi-Hashiani, A., Al-Mekhlafi, H.M., Altirkawi, K.A., Alvis-Guzman, N., Amare, A.T., Amini, S., Amugsi, D.A., Ancuceanu, R., Andrei, C.L., Ansari, F., Anvari, D., Appiah, S.C.Y., Arabloo, J., Aremu, O., Atout, M.M.W., Ausloos, M., Ausloos, F., Ayanore, M.A., Aynalem, Y.A., Azene, Z.N., Badawi, A., Baig, A.A., Banach, M., Bedi, N., Bhagavathula, A.S., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhutta, Z.A., Bijani, A., Birhanu, T.T.M., Bitew, Z.W., Boloor, A., Brady, O.J., Butt, Z.A., Car, J., Carvalho, F., Casey, D.C., Chattu, V.K., Chowdhury, M.A.K., Chu, D.-., Coelho, C.H., Cook, A.J., Damiani, G., Daoud, F., Gela, J.D., Darwish, A.H., Daryani, A., Das, J.K., Davis Weaver, N., Deribe, K., Desalew, A., Dharmaratne, S.D., Dianatinasab, M., Diaz, D., Djalalinia, S., Dorostkar, F., Dubljanin, E., Duko, B., Dwyer-Lindgren, L., Effiong, A., El Sayed Zaki, M., El Tantawi, M., Enany, S., Fattahi, N., Feigin, V.L., Fernandes, E., Ferrara, P., Fischer, F., Foigt, N.A., Folayan, M.O., Foroutan, M., Frostad, J.J., Fukumoto, T., Gaidhane, A.M., Gebrekrstos, H.G.G.K., Gebremeskel, L., Gebreslassie, A.A., Gething, P.W., Gezae, K.E., Ghadiri, K., Ghashghaee, A., Golechha, M., Gubari, M.I.M., Hadgu, F.B., Hamidi, S., Handiso, D.W., Hashi, A., Hassan, S., Hayat, K., Herteliu, C., H. C., H., Holla, R., Hosseinzadeh, M., Househ, M., Hussain, R., Hwang, B.-., Ibitoye, S.E., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Irvani, S.S.N., Jaafari, J., Javaheri, T., Jha, R.P., Johnson, K.B., Jonas, J.B., Jozwiak, J.J., Kabir, A., Kalhor, R., Kanchan, T., Karch, A., Kayode, G.A., Keiyoro, P.N., Khader, Y.S., Khalil, I.A., Khan, M.N., Khan, M., Khan, G., Khatab, K., Khater, M.M., Khatib, M.N., Kianipour, N., Kim, Y.J., Kimokoti, R.W., Kisa, S., Kisa, A., Kissoon, N., Kochhar, S., Koolivand, A., Kopec, J.A., Koyanagi, A., Krishan, K., Kumar, P., Kurmi, O.P., Kusuma, D., Lal, D.K., Lami, F.H., Landires, I., Lansingh, V.C., Lasrado, S., La Vecchia, C., Lazzar-Atwood, A., Lee, P.H., Legrand, K.E., Lewycka, S., Li, B., Lim, S.S., Lindstedt, P.A., Liu, X., Longbottom, J., Lopez, A.D., Magdy Abd El Razek, H., Mahasha, P.W., Maleki, A., Mamun, A.A., Mansournia, M.A., Marczak, L.B., Martins-Melo, F.R., Mayala, B.K., Meharie, B.G., Melese, A., Mendoza, W., Menezes, R.G., Mengesha, E.W., Mensah, G.A., Meretoja, T.J., Mestrovic, T., Miller, T.R., Mirrakhimov, E.M., Moazen, B., Mohammad Gholi Mezerji, N., Mohammadi, S., Mohammed, S., Mokdad, A.H., Moradi, M., Moradzadeh, R., Moraga, P., Mosser, J.F., Murray, C.J.L., Naderi, M., Nagarajan, A.J., Nazari, J., Ndejjo, R., Negoi, I., Ngunjiri, J.W., Nguyen, Q.A.P., Nguyen, H.L.T., Nnaji, C.A., Noubiap, J.J., Nunez-Samudio, V., Olagunju, A.T., Olusanya, J.O., Olusanya, B.O., Omer, M.O., Onwujekwe, O.E., Otstavnov, N., Otstavnov, S.S., Owolabi, M.O., P A, M., Padubidri, J.R., Pana, A., Peprah, E.K., Pham, H.Q., Pigott, D.M., Pirestani, M., Postma, M.J., Pottoo, F.H., Pourjafar, H., Quazi Syed, Z., Rahim, F., Rahimi-Movaghar, V., Rahman, M.H.U., Rao, S.J., Rao, P.C., Rathi, P., Rawaf, S., Rawaf, D.L., Rawal, L., Rawassizadeh, R., Regassa, L.D., Renzaho, A.M.N., Rezaei, N., Rezai, M.S., Ribeiro, A.I., Rickard, J., Rios-Gonzalez, C.M., Rumisha, S.F., Sabour, S., Sajadi, S.M., Salomon, J.A., Samadi Kafil, H., Samy, A.M., Sanabria, J., Sartorius, B., Saxena, D., Schaeffer, L.E., Senthilkumaran, S., Sha, F., Shaheen, A.A., Shaikh, M.A., Sharma, R., Sheikh, A., Shibuya, K., Shigematsu, M., Il Shin, J., Simonetti, B., Singh, J.A., Smith, D.L., Soheili, A., Sokhan, A., Spurlock, E.E., Sreeramareddy, C.T., Sufiyan, M.B., Swartz, S.J., Tadesse, D.B., Tamiru, A.T., Tefera, Y.G., Temsah, M.-., Tessema, Z.T., Titova, M.V., Tran, B.X., Truong, P.N., Unnikrishnan, B., Upadhyay, E., Vasankari, T.J., Vasseghian, Y., Violante, F.S., G. T., V., Waheed, Y., Wamai, R.G., Wassie, E.G., Welay, F.T., Wickramasinghe, N.D., Wiens, K.E., Wijeratne, T., Wiysonge, C.S., Wondmeneh, T.G., Yamada, T., Yaya, S., Yeshitila, Y.G., Yip, P., Yonemoto, N., Yu, C., Yuce, D., Yusefzadeh, H., Zaidi, Z., Zamanian, M., Zangeneh, A., Zhang, Z.-., Zhang, Y., Ziapour, A., Hay, S.I., Reiner, RC Jr, Welgan, CA, Troeger, CE, Baumann, MM, Duko, Bereket, Hay, Simon I, LBD Triple Collaborators, Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Microbes in Health and Disease (MHD), Reiner, R, Welgan, C, Troeger, C, Baumann, M, Weiss, D, Deshpande, A, Blacker, B, Miller-Petrie, M, Earl, L, Bhatt, S, Abolhassani, H, Abosetugn, A, Abu-Gharbieh, E, Adekanmbi, V, Adetokunboh, O, Aghaali, M, Aji, B, Alahdab, F, Al-Aly, Z, Alhassan, R, Ali, S, Alizade, H, Aljunid, S, Almasi-Hashiani, A, Al-Mekhlafi, H, Altirkawi, K, Alvis-Guzman, N, Amare, A, Amini, S, Amugsi, D, Ancuceanu, R, Andrei, C, Ansari, F, Anvari, D, Appiah, S, Arabloo, J, Aremu, O, Atout, M, Ausloos, M, Ausloos, F, Ayanore, M, Aynalem, Y, Azene, Z, Badawi, A, Baig, A, Banach, M, Bedi, N, Bhagavathula, A, Bhandari, D, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhutta, Z, Bijani, A, Birhanu, T, Bitew, Z, Boloor, A, Brady, O, Butt, Z, Car, J, Carvalho, F, Casey, D, Chattu, V, Chowdhury, M, Chu, D, Coelho, C, Cook, A, Damiani, G, Daoud, F, Gela, J, Darwish, A, Daryani, A, Das, J, Davis Weaver, N, Deribe, K, Desalew, A, Dharmaratne, S, Dianatinasab, M, Diaz, D, Djalalinia, S, Dorostkar, F, Dubljanin, E, Duko, B, Dwyer-Lindgren, L, Effiong, A, El Sayed Zaki, M, El Tantawi, M, Enany, S, Fattahi, N, Feigin, V, Fernandes, E, Ferrara, P, Fischer, F, Foigt, N, Folayan, M, Foroutan, M, Frostad, J, Fukumoto, T, Gaidhane, A, Gebrekrstos, H, Gebremeskel, L, Gebreslassie, A, Gething, P, Gezae, K, Ghadiri, K, Ghashghaee, A, Golechha, M, Gubari, M, Hadgu, F, Hamidi, S, Handiso, D, Hashi, A, Hassan, S, Hayat, K, Herteliu, C, Ho, H, Holla, R, Hosseinzadeh, M, Househ, M, Hussain, R, Hwang, B, Ibitoye, S, Ilesanmi, O, Ilic, I, Ilic, M, Irvani, S, Jaafari, J, Javaheri, T, Jha, R, Johnson, K, Jonas, J, Jozwiak, J, Kabir, A, Kalhor, R, Kanchan, T, Karch, A, Kayode, G, Keiyoro, P, Khader, Y, Khalil, I, Khan, M, Khan, G, Khatab, K, Khater, M, Khatib, M, Kianipour, N, Kim, Y, Kimokoti, R, Kisa, S, Kisa, A, Kissoon, N, Kochhar, S, Koolivand, A, Kopec, J, Koyanagi, A, Krishan, K, Kumar, P, Kurmi, O, Kusuma, D, Lal, D, Lami, F, Landires, I, Lansingh, V, Lasrado, S, La Vecchia, C, Lazzar-Atwood, A, Lee, P, Legrand, K, Lewycka, S, Li, B, Lim, S, Lindstedt, P, Liu, X, Longbottom, J, Lopez, A, Magdy Abd El Razek, H, Mahasha, P, Maleki, A, Mamun, A, Mansournia, M, Marczak, L, Martins-Melo, F, Mayala, B, Meharie, B, Melese, A, Mendoza, W, Menezes, R, Mengesha, E, Mensah, G, Meretoja, T, Mestrovic, T, Miller, T, Mirrakhimov, E, Moazen, B, Mohammad Gholi Mezerji, N, Mohammadi, S, Mohammed, S, Mokdad, A, Moradi, M, Moradzadeh, R, Moraga, P, Mosser, J, Murray, C, Naderi, M, Nagarajan, A, Nazari, J, Ndejjo, R, Negoi, I, Ngunjiri, J, Nguyen, Q, Nguyen, H, Nnaji, C, Noubiap, J, Nunez-Samudio, V, Olagunju, A, Olusanya, J, Olusanya, B, Omer, M, Onwujekwe, O, Otstavnov, N, Otstavnov, S, Owolabi, M, P A, M, Padubidri, J, Pana, A, Peprah, E, Pham, H, Pigott, D, Pirestani, M, Postma, M, Pottoo, F, Pourjafar, H, Quazi Syed, Z, Rahim, F, Rahimi-Movaghar, V, Rahman, M, Rao, S, Rao, P, Rathi, P, Rawaf, S, Rawaf, D, Rawal, L, Rawassizadeh, R, Regassa, L, Renzaho, A, Rezaei, N, Rezai, M, Ribeiro, A, Rickard, J, Rios-Gonzalez, C, Rumisha, S, Sabour, S, Sajadi, S, Salomon, J, Samadi Kafil, H, Samy, A, Sanabria, J, Sartorius, B, Saxena, D, Schaeffer, L, Senthilkumaran, S, Sha, F, Shaheen, A, Shaikh, M, Sharma, R, Sheikh, A, Shibuya, K, Shigematsu, M, Il Shin, J, Simonetti, B, Singh, J, Smith, D, Soheili, A, Sokhan, A, Spurlock, E, Sreeramareddy, C, Sufiyan, M, Swartz, S, Tadesse, D, Tamiru, A, Tefera, Y, Temsah, M, Tessema, Z, Titova, M, Tran, B, Truong, P, Unnikrishnan, B, Upadhyay, E, Vasankari, T, Vasseghian, Y, Violante, F, Vu, G, Waheed, Y, Wamai, R, Wassie, E, Welay, F, Wickramasinghe, N, Wiens, K, Wijeratne, T, Wiysonge, C, Wondmeneh, T, Yamada, T, Yaya, S, Yeshitila, Y, Yip, P, Yonemoto, N, Yu, C, Yuce, D, Yusefzadeh, H, Zaidi, Z, Zamanian, M, Zangeneh, A, Zhang, Z, Zhang, Y, Ziapour, A, Hay, S, HUS Comprehensive Cancer Center, Institute for Molecular Medicine Finland, Clinicum, Helsinki University Hospital Area, and Department of Oncology
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Multidisciplinary ,Settore MED/42 - Igiene Generale e Applicata ,3122 Cancers ,malaria ,General Physics and Astronomy ,COVID-19 ,General Chemistry ,3126 Surgery, anesthesiology, intensive care, radiology ,infectious diseases ,Sub-Saharian Africa ,General Biochemistry, Genetics and Molecular Biology ,Settore MED/01 - Statistica Medica ,Children mortality ,epidemiology ,biogeography - Abstract
Publisher Copyright: © 2022, The Author(s). Despite substantial declines since 2000, lower respiratory infections (LRIs), diarrhoeal diseases, and malaria remain among the leading causes of nonfatal and fatal disease burden for children under 5 years of age (under 5), primarily in sub-Saharan Africa (SSA). The spatial burden of each of these diseases has been estimated subnationally across SSA, yet no prior analyses have examined the pattern of their combined burden. Here we synthesise subnational estimates of the burden of LRIs, diarrhoea, and malaria in children under-5 from 2000 to 2017 for 43 sub-Saharan countries. Some units faced a relatively equal burden from each of the three diseases, while others had one or two dominant sources of unit-level burden, with no consistent pattern geographically across the entire subcontinent. Using a subnational counterfactual analysis, we show that nearly 300 million DALYs could have been averted since 2000 by raising all units to their national average. Our findings are directly relevant for decision-makers in determining which and targeting where the most appropriate interventions are for increasing child survival.
- Published
- 2022