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1. Fruit and vegetable consumption among adults in Saudi Arabia, 2013

Author: El Bcheraoui C, Basulaiman M, AlMazroa MA, Tuffaha M, Daoud F, Wilson S, Al Saeedi MY, Alanazi FM, Ibrahim ME, Ahmed EM, Hussain SA, Salloum RM, Abid O, Al-Dossary MF, Memish ZA, Rabeeah AAA, and Mokdad AH
Subjects: Nutrition. Foods and food supply, TX341-641, Nutritional diseases. Deficiency diseases, RC620-627
Abstract: Charbel El Bcheraoui,1 Mohammed Basulaiman,2 Mohammad A AlMazroa,2 Marwa Tuffaha,1 Farah Daoud,1 Shelley Wilson,1 Mohammad Y Al Saeedi,2 Faisal M Alanazi,2 Mohamed E Ibrahim,2 Elawad M Ahmed,2 Syed A Hussain,2 Riad M Salloum,2 Omer Abid,2 Mishal F Al-Dossary,2 Ziad A Memish,2 Abdullah A Al Rabeeah,2 Ali H Mokdad1 1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA; 2Ministry of Health of the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia Background: Dietary risks were the leading risk factors for death worldwide in 2010. However, current national estimates on fruit and vegetable consumption in the Kingdom of Saudi Arabia (KSA) are nonexistent. We conducted a large household survey to inform the Saudi Ministry of Health (MOH) on a major modifiable risk factor: daily consumption of fruits and vegetables. Methods: The Saudi Health Interview Survey is a national multistage survey of individuals aged 15 years or older. It includes questions on sociodemographic characteristics, tobacco consumption, diet, physical activity, health care utilization, different health-related behaviors, and self-reported chronic conditions. We used a backward elimination multivariate logistic regression model to measure association between the Centers for Disease Control and Prevention (CDC)-recommended daily consumption of fruits and vegetables and different factors. Results: Between April and June 2013, a total of 10,735 participants completed the survey. Overall, 2.6% of Saudis aged 15 years or older met the CDC guidelines for daily consumption of fruits and vegetables. The likelihood of meeting the CDC guidelines increased with age; among women; among persons who graduated from elementary or high school or had a higher education; among residents of Makkah, Al Sharqia, Ha’il, or Jizan; among those who consumed at least two servings of meat or chicken per day; among those who visited a health care facility for a routine medical exam within the last 3 years; and among those who have been diagnosed with hypertension. Conclusion: We have showed that KSA is in dire need of improving the diet of its population. Our findings call for urgent research to understand the reasons for low fruit and vegetable consumption, focusing on price or preference in order to develop and implement culturally and country-relevant solutions to increase the consumption of fruits and vegetables. Keywords: Kingdom of Saudi Arabia, fruits, vegetables, dietary risks, diet
Published: 2015

2. Middle East respiratory syndrome coronavirus: epidemiology and disease control measures

Author: Al-Tawfiq JA and Memish ZA
Subjects: Infectious and parasitic diseases, RC109-216
Abstract: Jaffar A Al-Tawfiq,1,2 Ziad A Memish3,4 1Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; 2Indiana University School of Medicine, Indianapolis, IN, USA; 3Ministry of Health, 4Alfaisal University, Riyadh, Saudi Arabia Abstract: The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in 2012 resulted in an increased concern of the spread of the infection globally. MERS-CoV infection had previously caused multiple health-care-associated outbreaks and resulted in transmission of the virus within families. Community onset MERS-CoV cases continue to occur. Dromedary camels are currently the most likely animal to be linked to human MERS-CoV cases. Serologic tests showed significant infection in adult camels compared to juvenile camels. The control of MERS-CoV infection relies on prompt identification of cases within health care facilities, with institutions applying appropriate infection control measures. In addition, determining the exact route of transmission from camels to humans would further add to the control measures of MERS-CoV infection. Keywords: MERS, Middle East respiratory syndrome coronavirus, epidemiology, control measures, transmission, Saudi Arabia
Published: 2014

3. Co-infection of human immunodeficiency virus, herpes simplex virus-2 and SARS-CoV-2 in a patient with false-negative real-time polymerase chain reaction results

Author: Alharthy, A, primary, Faqihi, F, additional, Noor, A, additional, Memish, ZA, additional, and Karakitsos, D, additional
Published: 2022
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4. Global, regional, and national sex differences in the global burden of tuberculosis by HIV status, 1990-2019: results from the Global Burden of Disease Study 2019

Author: Ledesma, JR, Ma, J, Vongpradith, A, Maddison, ER, Novotney, A, Biehl, MH, LeGrand, KE, Ross, JM, Jahagirdar, D, Bryazka, D, Feldman, R, Abolhassani, H, Abosetugn, AE, Abu-Gharbieh, E, Adebayo, OM, Adnani, QES, Afzal, S, Ahinkorah, BO, Ahmad, SA, Ahmadi, S, Rashid, TA, Salih, YA, Aklilu, A, Akunna, CJ, Al Hamad, H, Alahdab, F, Alemayehu, Y, Alene, KA, Ali, BA, Ali, L, Alipour, V, Alizade, H, Al-Raddadi, RM, Alvis-Guzman, N, Amini, S, Amit, AML, Anderson, JA, Androudi, S, Antonio, CAT, Antony, CM, Anwer, R, Arabloo, J, Arja, A, Asemahagn, MA, Atre, SR, Azhar, GS, Darshan, BB, Babar, Z-U-D, Baig, AA, Banach, M, Barqawi, HJ, Barra, F, Barrow, A, Basu, S, Belgaumi, UI, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharjee, N, Bhattacharyya, K, Bijani, A, Bikbov, B, Boloor, A, Briko, NI, Buonsenso, D, Nagaraja, SB, Butt, ZA, Carter, A, Carvalho, F, Charan, J, Chatterjee, S, Chattu, SK, Chattu, VK, Christopher, DJ, Chu, D-T, Claassens, MM, Dadras, O, Dagnew, AB, Dai, X, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darwesh, AM, Dhamnetiya, D, Dianatinasab, M, Diaz, D, Linh, PD, Eftekharzadeh, S, Elhadi, M, Emami, A, Enany, S, Faraon, EJA, Farzadfar, F, Fernandes, E, Desideri, LF, Filip, I, Fischer, F, Foroutan, M, Frank, TD, Garcia-Basteiro, AL, Garcia-Calavaro, C, Garg, T, Geberemariyam, BS, Ghadiri, K, Ghashghaee, A, Golechha, M, Goodridge, A, Gupta, B, Gupta, S, Gupta, VB, Gupta, VK, Haider, MR, Hamidi, S, Hanif, A, Haque, S, Harapan, H, Hargono, A, Hasaballah, A, Hashi, A, Hassan, S, Hassankhani, H, Hayat, K, Hezam, K, Holla, R, Hosseinzadeh, M, Hostiuc, M, Househ, M, Hussain, R, Ibitoye, SE, Ilic, IM, Ilic, MD, Irvani, SSN, Ismail, NE, Itumalla, R, Jaafari, J, Jacobsen, KH, Jain, V, Javanmardi, F, Jayapal, SK, Jayaram, S, Jha, RP, Jonas, JB, Joseph, N, Joukar, F, Kabir, Z, Kamath, A, Kanchan, T, Kandel, H, Katoto, PD, Kayode, GA, Kendrick, PJ, Kerbo, AA, Khajuria, H, Khalilov, R, Khatab, K, Khoja, AT, Khubchandani, J, Kim, MS, Kim, YJ, Kisa, A, Kisa, S, Kosen, S, Koul, PA, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Bicer, BK, Kumar, A, Kumar, GA, Kumar, N, Kwarteng, A, Lak, HM, Lal, DK, Landires, I, Lasrado, S, Lee, SWH, Lee, W-C, Lin, C, Liu, X, Lopukhov, PD, Lozano, R, Machado, DB, Kunjathur, SM, Madi, D, Mahajan, PB, Majeed, A, Malik, AA, Martins-Melo, FR, Mehta, S, Memish, ZA, Mendoza, W, Menezes, RG, Merie, HE, Mersha, AG, Mesregah, MK, Mestrovic, T, Mheidly, NM, Misra, S, Mithra, P, Moghadaszadeh, M, Mohammadi, M, Mohammadian-Hafshejani, A, Mohammed, S, Molokhia, M, Moni, MA, Al Montasir, A, Moore, CE, Nagarajan, AJ, Nair, S, Naqvi, AA, Swamy, SN, Nayak, BP, Nazari, J, Kandel, SN, Nguyen, TH, Nixon, MR, Nnaji, CA, Ntsekhe, M, Nunez-Samudio, V, Oancea, B, Odukoya, OO, Olagunju, AT, Oren, E, Mahesh, PA, Parthasarathi, R, Kan, FP, Pattanshetty, SM, Paudel, R, Paul, P, Pawar, S, Pepito, VCF, Yigit, V, Perico, N, Pirestani, M, Polibin, R, Postma, MJ, Pourshams, A, Prashant, A, Pribadi, DRA, Radfar, A, Rafiei, A, Rahim, F, Rahimi-Movaghar, V, Rahman, M, Rahmani, AM, Ranasinghe, P, Rao, CR, Rawaf, DL, Rawaf, S, Reitsma, MB, Remuzzi, G, Renzaho, AMN, Reta, MA, Rezaei, N, Rezahosseini, O, Rezai, MS, Rezapour, A, Roshandel, G, Roshchin, DO, Sabour, S, Saif-Ur-Rahman, KM, Salam, N, Kafil, HS, Samaei, M, Samy, AM, Saroshe, S, Sartorius, B, Sathian, B, Sawyer, SM, Senthilkumaran, S, Seylani, A, Shafaat, O, Shaikh, MA, Sharafi, K, Shetty, RS, Shigematsu, M, Shin, JI, Silva, JP, Singh, JK, Sinha, S, Skryabin, VY, Skryabina, AA, Spurlock, EE, Sreeramareddy, CT, Steiropoulos, P, Sufiyan, MB, Tabuchi, T, Tadesse, EG, Tamir, Z, Tarkang, EE, Tekalegn, Y, Tesfay, FH, Tessema, B, Thapar, R, Tleyjeh, II, Tobe-Gai, R, Bach, XT, Tsegaye, B, Tsegaye, GW, Ullah, A, Umeokonkwo, CD, Tahbaz, SV, Bay, V, Giang, TV, Waheed, Y, Walters, MK, Whisnant, JL, Woldekidan, MA, Wubishet, BL, Jabbari, SHY, Yazie, TSY, Yeshaw, Y, Yi, S, Yonemoto, N, Yu, C, Yunusa, I, Zastrozhin, MS, Zastrozhina, A, Zhang, Z-J, Zumla, A, Mokdad, AH, Salomon, JA, Reiner, RC, Lim, SS, Naghavi, M, Vos, T, Hay, S, Murray, CJL, Kyu, HH, Ledesma, JR, Ma, J, Vongpradith, A, Maddison, ER, Novotney, A, Biehl, MH, LeGrand, KE, Ross, JM, Jahagirdar, D, Bryazka, D, Feldman, R, Abolhassani, H, Abosetugn, AE, Abu-Gharbieh, E, Adebayo, OM, Adnani, QES, Afzal, S, Ahinkorah, BO, Ahmad, SA, Ahmadi, S, Rashid, TA, Salih, YA, Aklilu, A, Akunna, CJ, Al Hamad, H, Alahdab, F, Alemayehu, Y, Alene, KA, Ali, BA, Ali, L, Alipour, V, Alizade, H, Al-Raddadi, RM, Alvis-Guzman, N, Amini, S, Amit, AML, Anderson, JA, Androudi, S, Antonio, CAT, Antony, CM, Anwer, R, Arabloo, J, Arja, A, Asemahagn, MA, Atre, SR, Azhar, GS, Darshan, BB, Babar, Z-U-D, Baig, AA, Banach, M, Barqawi, HJ, Barra, F, Barrow, A, Basu, S, Belgaumi, UI, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharjee, N, Bhattacharyya, K, Bijani, A, Bikbov, B, Boloor, A, Briko, NI, Buonsenso, D, Nagaraja, SB, Butt, ZA, Carter, A, Carvalho, F, Charan, J, Chatterjee, S, Chattu, SK, Chattu, VK, Christopher, DJ, Chu, D-T, Claassens, MM, Dadras, O, Dagnew, AB, Dai, X, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darwesh, AM, Dhamnetiya, D, Dianatinasab, M, Diaz, D, Linh, PD, Eftekharzadeh, S, Elhadi, M, Emami, A, Enany, S, Faraon, EJA, Farzadfar, F, Fernandes, E, Desideri, LF, Filip, I, Fischer, F, Foroutan, M, Frank, TD, Garcia-Basteiro, AL, Garcia-Calavaro, C, Garg, T, Geberemariyam, BS, Ghadiri, K, Ghashghaee, A, Golechha, M, Goodridge, A, Gupta, B, Gupta, S, Gupta, VB, Gupta, VK, Haider, MR, Hamidi, S, Hanif, A, Haque, S, Harapan, H, Hargono, A, Hasaballah, A, Hashi, A, Hassan, S, Hassankhani, H, Hayat, K, Hezam, K, Holla, R, Hosseinzadeh, M, Hostiuc, M, Househ, M, Hussain, R, Ibitoye, SE, Ilic, IM, Ilic, MD, Irvani, SSN, Ismail, NE, Itumalla, R, Jaafari, J, Jacobsen, KH, Jain, V, Javanmardi, F, Jayapal, SK, Jayaram, S, Jha, RP, Jonas, JB, Joseph, N, Joukar, F, Kabir, Z, Kamath, A, Kanchan, T, Kandel, H, Katoto, PD, Kayode, GA, Kendrick, PJ, Kerbo, AA, Khajuria, H, Khalilov, R, Khatab, K, Khoja, AT, Khubchandani, J, Kim, MS, Kim, YJ, Kisa, A, Kisa, S, Kosen, S, Koul, PA, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Bicer, BK, Kumar, A, Kumar, GA, Kumar, N, Kwarteng, A, Lak, HM, Lal, DK, Landires, I, Lasrado, S, Lee, SWH, Lee, W-C, Lin, C, Liu, X, Lopukhov, PD, Lozano, R, Machado, DB, Kunjathur, SM, Madi, D, Mahajan, PB, Majeed, A, Malik, AA, Martins-Melo, FR, Mehta, S, Memish, ZA, Mendoza, W, Menezes, RG, Merie, HE, Mersha, AG, Mesregah, MK, Mestrovic, T, Mheidly, NM, Misra, S, Mithra, P, Moghadaszadeh, M, Mohammadi, M, Mohammadian-Hafshejani, A, Mohammed, S, Molokhia, M, Moni, MA, Al Montasir, A, Moore, CE, Nagarajan, AJ, Nair, S, Naqvi, AA, Swamy, SN, Nayak, BP, Nazari, J, Kandel, SN, Nguyen, TH, Nixon, MR, Nnaji, CA, Ntsekhe, M, Nunez-Samudio, V, Oancea, B, Odukoya, OO, Olagunju, AT, Oren, E, Mahesh, PA, Parthasarathi, R, Kan, FP, Pattanshetty, SM, Paudel, R, Paul, P, Pawar, S, Pepito, VCF, Yigit, V, Perico, N, Pirestani, M, Polibin, R, Postma, MJ, Pourshams, A, Prashant, A, Pribadi, DRA, Radfar, A, Rafiei, A, Rahim, F, Rahimi-Movaghar, V, Rahman, M, Rahmani, AM, Ranasinghe, P, Rao, CR, Rawaf, DL, Rawaf, S, Reitsma, MB, Remuzzi, G, Renzaho, AMN, Reta, MA, Rezaei, N, Rezahosseini, O, Rezai, MS, Rezapour, A, Roshandel, G, Roshchin, DO, Sabour, S, Saif-Ur-Rahman, KM, Salam, N, Kafil, HS, Samaei, M, Samy, AM, Saroshe, S, Sartorius, B, Sathian, B, Sawyer, SM, Senthilkumaran, S, Seylani, A, Shafaat, O, Shaikh, MA, Sharafi, K, Shetty, RS, Shigematsu, M, Shin, JI, Silva, JP, Singh, JK, Sinha, S, Skryabin, VY, Skryabina, AA, Spurlock, EE, Sreeramareddy, CT, Steiropoulos, P, Sufiyan, MB, Tabuchi, T, Tadesse, EG, Tamir, Z, Tarkang, EE, Tekalegn, Y, Tesfay, FH, Tessema, B, Thapar, R, Tleyjeh, II, Tobe-Gai, R, Bach, XT, Tsegaye, B, Tsegaye, GW, Ullah, A, Umeokonkwo, CD, Tahbaz, SV, Bay, V, Giang, TV, Waheed, Y, Walters, MK, Whisnant, JL, Woldekidan, MA, Wubishet, BL, Jabbari, SHY, Yazie, TSY, Yeshaw, Y, Yi, S, Yonemoto, N, Yu, C, Yunusa, I, Zastrozhin, MS, Zastrozhina, A, Zhang, Z-J, Zumla, A, Mokdad, AH, Salomon, JA, Reiner, RC, Lim, SS, Naghavi, M, Vos, T, Hay, S, Murray, CJL, and Kyu, HH
Abstract: BACKGROUND: Tuberculosis is a major contributor to the global burden of disease, causing more than a million deaths annually. Given an emphasis on equity in access to diagnosis and treatment of tuberculosis in global health targets, evaluations of differences in tuberculosis burden by sex are crucial. We aimed to assess the levels and trends of the global burden of tuberculosis, with an emphasis on investigating differences in sex by HIV status for 204 countries and territories from 1990 to 2019. METHODS: We used a Bayesian hierarchical Cause of Death Ensemble model (CODEm) platform to analyse 21 505 site-years of vital registration data, 705 site-years of verbal autopsy data, 825 site-years of sample-based vital registration data, and 680 site-years of mortality surveillance data to estimate mortality due to tuberculosis among HIV-negative individuals. We used a population attributable fraction approach to estimate mortality related to HIV and tuberculosis coinfection. A compartmental meta-regression tool (DisMod-MR 2.1) was then used to synthesise all available data sources, including prevalence surveys, annual case notifications, population-based tuberculin surveys, and tuberculosis cause-specific mortality, to produce estimates of incidence, prevalence, and mortality that were internally consistent. We further estimated the fraction of tuberculosis mortality that is attributable to independent effects of risk factors, including smoking, alcohol use, and diabetes, for HIV-negative individuals. For individuals with HIV and tuberculosis coinfection, we assessed mortality attributable to HIV risk factors including unsafe sex, intimate partner violence (only estimated among females), and injection drug use. We present 95% uncertainty intervals for all estimates. FINDINGS: Globally, in 2019, among HIV-negative individuals, there were 1·18 million (95% uncertainty interval 1·08-1·29) deaths due to tuberculosis and 8·50 million (7·45-9·73) incident cases of tuberculosis
Published: 2022

5. Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016

Author: Driscoll, T, Rushton, L, Hutchings, SJ, Straif, K, Steenland, K, Abate, D, Abbafat, C, Acharya, D, Adebayo, OM, Afshari, M, Akinyemiju, T, Alahdab, F, Anjomshoa, M, Antonio, CAT, Aremu, O, Ataro, Z, Quintanilla, BPA, Banoub, JAM, Barker-Collo, SL, Barnighausen, TW, Barrero, LH, Bedi, N, Behzadifar, M, Benavides, FG, Beuran, M, Bhattacharyya, K, Bijani, A, Cardenas, R, Carrero, JJ, Carvalho, F, Castaneda-Orjuela, CA, Cerin, E, Cooper, C, Dandona, L, Dandona, R, Dang, AK, Daryani, A, Desalegn, BB, Dharmaratne, SD, Dubljanin, E, El-Khatib, Z, Eskandarieh, S, Fareed, M, Faro, A, Fereshtehnejad, S-M, Fernandes, E, Filip, I, Fischer, F, Fukumoto, T, Gallus, S, Gebremichael, TG, Gezae, KE, Gill, TK, Goulart, BNG, Grada, A, Guo, Y, Gupta, R, Haj-Mirzaian, A, Hamadeh, RR, Hamidi, S, Hamzeh, B, Hassankhani, H, Hawkins, DM, Hay, SI, Hegazy, MI, Henok, A, Hoang, CL, Hole, MK, Rad, EH, Hossain, N, Hosseini, M, Hostiuc, S, Hu, G, Ilesanmi, OS, Irvani, SSN, Islam, SMS, Jakovljevic, M, Jha, RP, Jonas, JB, Shushtar, ZJ, Jozwiak, JJ, Jurisson, M, Kahsay, A, Karami, M, Karimi, N, Kasaeian, A, Kawakami, N, Khader, YS, Khan, EA, Khubchandani, J, Kim, YJ, Kisa, A, Defo, BK, Kumar, GA, Kumar, M, Lami, FH, Latif, A, Leigh, J, Levi, M, Li, S, Linn, S, Lopez, JCF, Lunevicius, R, Mahotra, NB, Majdan, M, Malekzadeh, R, Mansournia, MA, Massenburg, BB, Mehta, V, Melese, A, Memish, ZA, Mendoza, W, Mengistu, G, Meretoja, TJ, Mestrovic, T, Miazgowski, T, Miller, TR, Mini, GK, Mirrakhimov, EM, Moazen, B, Mezerji, NMG, Mohammed, S, Mohebi, F, Mokdad, AH, Molokhia, M, Monasta, L, Moodley, Y, Moosazadeh, M, Morad, G, Moradi-Lakeh, M, Morawska, L, Morrison, SD, Mousav, SM, Mustafa, G, Najaf, F, Nangia, V, Negoi, I, Negoi, RI, Neupane, S, Nguyen, CT, Nguyen, TH, Nixon, MR, Ofori-Asenso, R, Ogbo, FA, Olagunju, AT, Olusanya, BO, Otstavnov, SS, Mahesh, PA, Panda-Jonas, S, Park, E-K, Prakash, S, Qorbani, M, Radfar, A, Rafay, A, Rahim, F, Reiner, RC, Renzaho, AMN, Roever, L, Ronfani, L, Saddik, B, Safari-Faramani, R, Safi, S, Safiri, S, Salamati, P, Salimi, Y, Samy, AM, Schwebel, DC, Sepanlou, SG, Serdar, B, Shaikh, MA, Shams-Beyranvand, M, Sharif-Alhoseini, M, She, J, Shigematsu, M, Shiri, R, Shirkoohi, R, Si, S, Sinha, DN, Stanaway, JD, Soofi, M, Stokes, MA, Sufiyan, MB, Tabares-Seisdedos, R, Takahashi, K, Tassew, SG, Tehrani-Banihashemi, A, Tran, M-HTBX, Tran, KB, Car, LT, Ullah, I, Valdez, PR, Vasankari, TJ, Venketasubramanian, N, Violante, FS, Vladimirov, SK, Vlassov, V, Vu, GT, Wagner, GR, Waheed, Y, Wang, Y-P, Werdecker, A, Winkler, AS, Yimer, EM, Yip, P, Yirsaw, BD, Yisma, E, Yonemoto, N, Yousefifard, M, Bin Zaman, S, Zamani, M, Zandian, H, Zhang, Y, Zodpey, S, Lim, SS, Driscoll, Tim, Rushton, Lesley, Hutchings, Sally J, Straif, Kurt, Kumar, Manasi, Yisma, Engida, Lim, Stephen S, GBD 2016 Occupational Risk Factors Collaborators, Collaborators, GBD 2016 Occupational Risk Factors, Institute for Molecular Medicine Finland, Clinicum, HUS Comprehensive Cancer Center, GBD 2016 Occupational Risk Factors Collaborator, and Violante FS
Subjects: Male, exposure assessment, Global Health, medicine.disease_cause, Global Burden of Disease, ergonomic, GBD 2016 Occupational Risk Factors Collaborators, 0302 clinical medicine, Risk Factors, 1599 Other Commerce, Management, Tourism and Services, Neoplasms, METABOLIC RISKS, Per capita, Medicine, 030212 general & internal medicine, Public, Environmental & Occupational Health, Aged, 80 and over, education.field_of_study, Human factors and ergonomics, Middle Aged, 030210 environmental & occupational health, 3142 Public health care science, environmental and occupational health, 3. Good health, Occupational Diseases, COMPARATIVE RISK-ASSESSMENT, Female, Quality-Adjusted Life Years, Risk assessment, Life Sciences & Biomedicine, Adult, COUNTRIES, noise, Adolescent, Population, cancer, respiratory tract diseases, workplace, Risk Assessment, Environmental & Occupational Health, Asbestos, respiratory tract disease, 1117 Public Health and Health Services, Young Adult, 03 medical and health sciences, Age Distribution, Life Expectancy, Occupational Exposure, Environmental health, Humans, Disabled Persons, Sex Distribution, education, Aged, Science & Technology, business.industry, Public Health, Environmental and Occupational Health, 1103 Clinical Sciences, TRENDS, Quality-adjusted life year, Socioeconomic Factors, Attributable risk, Commentary, Life expectancy, Wounds and Injuries, CLUSTERS, business, Low Back Pain
Abstract: ObjectivesThis study provides an overview of the influence of occupational risk factors on the global burden of disease as estimated by the occupational component of the Global Burden of Disease (GBD) 2016 study.MethodsThe GBD 2016 study estimated the burden in terms of deaths and disability-adjusted life years (DALYs) arising from the effects of occupational risk factors (carcinogens; asthmagens; particulate matter, gases and fumes (PMGF); secondhand smoke (SHS); noise; ergonomic risk factors for low back pain; risk factors for injury). A population attributable fraction (PAF) approach was used for most risk factors.ResultsIn 2016, globally, an estimated 1.53 (95% uncertainty interval 1.39–1.68) million deaths and 76.1 (66.3–86.3) million DALYs were attributable to the included occupational risk factors, accounting for 2.8% of deaths and 3.2% of DALYs from all causes. Most deaths were attributable to PMGF, carcinogens (particularly asbestos), injury risk factors and SHS. Most DALYs were attributable to injury risk factors and ergonomic exposures. Men and persons 55 years or older were most affected. PAFs ranged from 26.8% for low back pain from ergonomic risk factors and 19.6% for hearing loss from noise to 3.4% for carcinogens. DALYs per capita were highest in Oceania, Southeast Asia and Central sub-Saharan Africa. On a per capita basis, between 1990 and 2016 there was an overall decrease of about 31% in deaths and 25% in DALYs.ConclusionsOccupational exposures continue to cause an important health burden worldwide, justifying the need for ongoing prevention and control initiatives.
Published: 2020

6. Establishment of public health security in Saudi Arabia for the 2009 Hajj in response to pandemic influenza A H1N1

Author: Memish, ZA, McNabb, SJN, Mahoney, F, Alrabiah, F, Marano, N, Ahmed, QA, Mahjour, J, Hajjeh, RA, Formenty, P, Harmanci, FH, El Bushra, H, Uyeki, TM, Nunn, M, Isla, N, and Barbeschi, M
Published: 2009
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7. Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: all-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019

Author: Paulson, KR, Kamath, AM, Alam, T, Bienhoff, K, Abady, GG, Abbas, J, Abbasi-Kangevari, M, Abbastabar, H, Abd-Allah, F, Abd-Elsalam, SM, Abdoli, A, Abedi, A, Abolhassani, H, Abreu, LG, Abu-Gharbieh, E, Abu-Rmeileh, NME, Abushouk, A, Adamu, AL, Adebayo, OM, Adegbosin, AE, Adekanmbi, V, Adetokunboh, OO, Adeyinka, DA, Adsuar, JC, Afshari, K, Aghaali, M, Agudelo-Botero, M, Ahinkorah, BO, Ahmad, T, Ahmadi, K, Ahmed, MB, Aji, B, Akalu, Y, Akinyemi, OO, Aklilu, A, Al-Aly, Z, Alam, K, Alanezi, FM, Alanzi, TM, Alcalde-Rabanal, JE, Al-Eyadhy, A, Ali, T, Alicandro, G, Alif, SM, Alipour, V, Alizade, H, Aljunid, SM, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alumran, AK, Alvis-Guzman, N, Alvis-Zakzuk, NJ, Ameyaw, EK, Amini, S, Amini-Rarani, M, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Ansari, F, Ansari-Moghaddam, A, Antonio, CAT, Antriyandarti, E, Anvari, D, Anwer, R, Aqeel, M, Arabloo, J, Arab-Zozani, M, Aripov, T, Arnlov, J, Artanti, KD, Arzani, A, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Jafarabadi, MA, Athari, SS, Athari, SM, Atnafu, DD, Atreya, A, Atteraya, MS, Ausloos, M, Awan, AT, Quintanilla, BPA, Ayano, G, Ayanore, MA, Aynalem, YA, Azari, S, Azarian, G, Azene, ZN, Darshan, BB, Babaee, E, Badiye, AD, Baig, AA, Banach, M, Banik, PC, Barker-Collo, SL, Barqawi, HJ, Bassat, Q, Basu, S, Baune, BT, Bayati, M, Bedi, N, Beghi, E, Beghi, M, Bell, ML, Bendak, S, Bennett, DA, Bensenor, IM, Berhe, K, Berman, AE, Bezabih, YM, Bhagavathula, AS, Bhandari, D, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhattarai, S, Bhutta, ZA, Bikbov, B, Biondi, A, Birihane, BM, Biswas, RK, Bohlouli, S, Bragazzi, NL, Breusov, A, Brunoni, AR, Burkart, K, Nagaraja, SB, Busse, R, Butt, ZA, dos Santos, FLC, Cahuana-Hurtado, L, Camargos, P, Camera, LA, Cardenas, R, Carreras, G, Carrero, JJ, Carvalho, F, Castaldelli-Maia, JM, Castaneda-Orjuela, CA, Castelpietra, G, Cerin, E, Chang, J-C, Chanie, WF, Charan, J, Chatterjee, S, Chattu, SK, Chattu, VK, Chaturvedi, S, Chen, S, Cho, DY, Choi, J-YJ, Chu, D-T, Ciobanu, LG, Cirillo, M, Conde, J, Costa, VM, Couto, RAS, Dachew, BA, Dahlawi, SMA, Dai, H, Dai, X, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darmstadt, GL, Das, JK, Davila-Cervantes, CA, Davis, AC, Davletov, K, De la Hoz, FP, De Leo, D, Deeba, F, Denova-Gutierrez, E, Dervenis, N, Desalew, A, Deuba, K, Dey, S, Dharmaratne, SD, Dhingra, S, Dhungana, GP, da Silva, DD, Diaz, D, Dorostkar, F, Doshmangir, L, Dubljanin, E, Duraes, AR, Eagan, AW, Edinur, HA, Efendi, F, Eftekharzadeh, S, El Sayed, I, El Tantawi, M, Elbarazi, I, Elgendy, IY, El-Jaafary, S, Emami, A, Enany, S, Eyawo, O, Ezzikouri, S, Faris, PS, Farzadfar, F, Fattahi, N, Fauk, NK, Fazlzadeh, M, Feigin, VL, Ferede, TY, Fereshtehnejad, S-M, Fernandes, E, Ferrara, P, Filip, I, Fischer, F, Fisher, JL, Foigt, NA, Folayan, MO, Foroutan, M, Franklin, RC, Freitas, M, Friedman, SD, Fukumoto, T, Gad, MM, Gaidhane, AM, Gaidhane, S, Gaihre, S, Gallus, S, Garcia-Basteiro, AL, Garcia-Gordillo, M, Gardner, WM, Fonseca, MG, Gebremedhin, KB, Getacher, L, Ghashghaee, A, Gholamian, A, Gilani, SA, Gill, TK, Giussani, G, Gnedovskaya, E, Godinho, MA, Goel, A, Golechha, M, Gona, PN, Gopalani, SV, Goudarzi, H, Grivna, M, Gugnani, HC, Guido, D, Guimaraes, RA, Das Gupta, R, Gupta, R, Hafezi-Nejad, N, Haider, MR, Haj-Mirzaian, A, Hamidi, S, Hanif, A, Hankey, GJ, Hargono, A, Hasaballah, A, Hasan, MM, Hasan, SS, Hassan, A, Hassanipour, S, Hassankhani, H, Havmoeller, RJ, Hayat, K, Heidari-Soureshjani, R, Henry, NJ, Herteliu, C, Hole, MK, Holla, R, Hossain, N, Hosseini, M, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Househ, M, Huang, J, Humayun, A, Hwang, B-F, Iavicoli, I, Ibitoye, SE, Ikuta, KS, Ilesanmi, OS, Ilic, IM, Ilic, MD, Inamdar, S, Inbaraj, LR, Iqbal, K, Iqbal, U, Islam, MM, Shariful Islam, Sheikh, Iso, H, Iwagami, M, Iwu, CCD, Jaafari, J, Jacobsen, KH, Jagnoor, J, Jain, V, Janodia, MD, Javaheri, T, Javanmardi, F, Jayaram, S, Jayatilleke, AU, Jenabi, E, Jha, RP, Ji, JS, John, O, Jonas, JB, Joo, T, Joseph, N, Joukar, F, Jozwiak, JJ, Jurisson, M, Kabir, A, Kabir, Z, Kalankesh, LR, Kamyari, N, Kanchan, T, Kapoor, N, Matin, BK, Karch, A, Karimi, SE, Kassahun, G, Kayode, GA, Karyani, AK, Kemmer, L, Khalid, N, Khalilov, R, Khammarnia, M, Khan, EA, Khan, G, Khan, M, Khan, MN, Khang, Y-H, Khatab, K, Khater, AM, Khater, MM, Khayamzadeh, M, Khosravi, A, Kim, D, Kim, Y-E, Kim, YJ, Kimokoti, RW, Kisa, A, Kisa, S, Kissoon, N, Kopec, JA, Kosen, S, Koul, PA, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Krishnamoorthy, V, Defo, BK, Bicer, BK, Kulkarni, V, Kumar, GA, Kumar, M, Kumar, N, Kurmi, OP, Kusuma, D, La Vecchia, C, Lacey, B, Lalloo, R, Lami, FH, Landires, I, Larsson, AO, Lasrado, S, Lassi, ZS, Lauriola, P, Lee, PH, Lee, SWH, Lee, YH, Leigh, J, Leonardi, M, Lewycka, S, Li, B, Li, S, Liang, J, Lim, L-L, Limenih, MA, Lin, R-T, Liu, X, Lodha, R, Lopez, AD, Lozano, R, Lugo, A, Lunevicius, R, Mackay, MT, Kunjathur, SM, Magnani, FG, Prasad, DRM, Maheri, M, Mahmoudi, M, Majeed, A, Maled, V, Maleki, A, Maleki, S, Malekzadeh, R, Malik, AA, Malta, DC, Mamun, AA, Mansouri, B, Mansournia, MA, Martinez, G, Martini, S, Martins-Melo, FR, Masoumi, SZ, Maulik, PK, McAlinden, C, McGrath, JJ, Medina-Solis, CE, Nasab, EM, Mejia-Rodriguez, F, Memish, ZA, Mendoza, W, Menezes, RG, Mengesha, EW, Mensah, GA, Meretoja, A, Meretoja, TJ, Mersha, AM, Mestrovic, T, Miazgowski, B, Miazgowski, T, Michalek, IM, Miller, TR, Mini, GK, Miri, M, Mirica, A, Mirrakhimov, EM, Mirzaei, H, Mirzaei, M, Moazen, B, Moghadaszadeh, M, Mohajer, B, Mohamad, O, Mohammad, Y, Mohammadi, SM, Mohammadian-Hafshejani, A, Mohammed, S, Mokdad, AH, Molokhia, M, Monasta, L, Mondello, S, Moni, MA, Moore, CE, Moradi, G, Moradi, M, Moradzadeh, R, Moraga, P, Morawska, L, Morrison, SD, Mosser, JF, Khaneghah, AM, Mustafa, G, Naderi, M, Nagarajan, AJ, Nagaraju, SP, Naghavi, M, Naghshtabrizi, B, Naimzada, MD, Nangia, V, Swamy, SN, Nascimento, BR, Naveed, M, Nazari, J, Ndejjo, R, Negoi, I, Negoi, RI, Nena, E, Nepal, S, Netsere, HB, Nguefack-Tsague, G, Ngunjiri, JW, Chi, TYN, Cuong, TN, Huong, LTN, Nigatu, YT, Nigussie, SN, Nixon, MR, Nnaji, CA, Nomura, S, Noor, NM, Noubiap, JJ, Nunez-Samudio, V, Nwatah, VE, Oancea, B, Odukoya, OO, Ogbo, FA, Olusanya, BO, Olusanya, JO, Bali, AO, Onwujekwe, OE, Ortiz, A, Otoiu, A, Otstavnov, N, Otstavnov, SS, Owolabi, MO, Mahesh, PA, Padubidri, JR, Pakhale, S, Pakshir, K, Pal, PK, Palladino, R, Pana, A, Panda-Jonas, S, Pandey, A, Pandi-Perumal, SR, Pangaribuan, HU, Pardo-Montano, AM, Park, E-K, Patel, SK, Patton, GC, Pawar, S, Toroudi, HP, Peden, AE, Pepito, VCF, Peprah, EK, Pereira, J, Perez-Gomez, J, Perico, N, Pesudovs, K, Pilgrim, T, Pinheiro, M, Piradov, MA, Pirsaheb, M, Platts-Mills, JA, Pokhrel, KN, Postma, MJ, Pourjafar, H, Prada, S, Prakash, S, Pupillo, E, Syed, ZQ, Rabiee, N, Radfar, A, Rafiee, A, Rafiei, A, Raggi, A, Rahimzadeh, S, Rahman, MHU, Rahmani, AM, Ramezanzadeh, K, Rana, J, Ranabhat, CL, Rao, SJ, Rasella, D, Rastogi, P, Rathi, P, Rawaf, DL, Rawaf, S, Rawasia, WF, Rawassizadeh, R, Jr, RCR, Remuzzi, G, Renzaho, AMN, Reshmi, B, Resnikoff, S, Rezaei, N, Rezapour, A, Riahi, SM, Ribeiro, D, Rickard, J, Roever, L, Ronfani, L, Rothenbacher, D, Rubagotti, E, Rumisha, SF, Ryan, PM, Saddik, B, Sadeghi, E, Moghaddam, SS, Sagar, R, Sahebkar, A, Salahshoor, MR, Salehi, S, Salem, MR, Salimzadeh, H, Salomon, JA, Samodra, YL, Samy, AM, Sanabria, J, Santric-Milicevic, MM, Saraswathy, SYI, Sarker, AR, Sarrafzadegan, N, Sarveazad, A, Sathian, B, Sathish, T, Sattin, D, Saxena, S, Saya, GK, Saylan, M, Schiavolin, S, Schlaich, MP, Schwebel, DC, Schwendicke, F, Senthilkumaran, S, Sepanlou, SG, Servan-Mori, E, Sha, F, Shafaat, O, Shahabi, S, Shahbaz, M, Shaheen, AA, Shahid, I, Shaikh, MA, Shakiba, S, Shalash, AS, Shams-Beyranvand, M, Shannawaz, M, Sharafi, K, Sheikh, A, Sheikhbahaei, S, Shiferaw, WS, Shigematsu, M, Shin, JI, Shiri, R, Shiue, I, Shuval, K, Siddiqi, TJ, Sidemo, NB, Sigfusdottir, ID, Sigurvinsdottir, R, Silva, JP, Silverberg, JIS, Simonetti, B, Singh, BB, Singh, JA, Singhal, D, Sinha, DN, Skiadaresi, E, Skryabin, VY, Skryabina, AA, Sleet, DA, Sobaih, BH, Sobhiyeh, MR, Soltani, S, Soriano, JB, Spurlock, EE, Sreeramareddy, CT, Steiropoulos, P, Stokes, Mark, Stortecky, S, Sufiyan, MB, Abdulkader, RS, Sulo, G, Swope, CB, Sykes, BL, Szeto, MD, Szocska, M, Tabares-Seisdedos, R, Tadesse, EG, Taherkhani, A, Tamiru, AT, Tareque, MI, Tehrani-Banihashemi, A, Temsah, M-H, Tesfay, FH, Tessema, GA, Tessema, ZT, Thankappan, KR, Thapar, R, Tolani, MA, Tovani-Palone, MR, Traini, E, Bach, XT, Tripathy, JP, Tsapparellas, G, Tsatsakis, A, Car, LT, Uddin, Riaz, Ullah, A, Umeokonkwo, CD, Unim, B, Unnikrishnan, B, Upadhyay, E, Usman, MS, Vacante, M, Vaezi, M, Tahbaz, SV, Valdez, PR, Vasankari, TJ, Venketasubramanian, N, Verma, M, Violante, FS, Vlassov, V, Vo, B, Giang, TV, Wado, YD, Waheed, Y, Wamai, RG, Wang, Y, Wang, Y-P, Ward, P, Werdecker, A, Westerman, R, Wickramasinghe, ND, Wilner, LB, Wiysonge, CS, Wu, A-M, Wu, C, Xie, Y, Jabbari, SHY, Yamagishi, K, Yandrapalli, S, Yaya, S, Yazdi-Feyzabadi, V, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yousefi, Z, Yousefinezhadi, T, Yu, C, Yusuf, SS, Zaidi, SS, Bin Zaman, S, Zamani, M, Zamanian, M, Zastrozhin, MS, Zastrozhina, A, Zhang, Y, Zhang, Z-J, Zhao, X-JG, Ziapour, A, Hay, S, Murray, CJL, Wang, H, Kassebaum, NJ, Paulson, KR, Kamath, AM, Alam, T, Bienhoff, K, Abady, GG, Abbas, J, Abbasi-Kangevari, M, Abbastabar, H, Abd-Allah, F, Abd-Elsalam, SM, Abdoli, A, Abedi, A, Abolhassani, H, Abreu, LG, Abu-Gharbieh, E, Abu-Rmeileh, NME, Abushouk, A, Adamu, AL, Adebayo, OM, Adegbosin, AE, Adekanmbi, V, Adetokunboh, OO, Adeyinka, DA, Adsuar, JC, Afshari, K, Aghaali, M, Agudelo-Botero, M, Ahinkorah, BO, Ahmad, T, Ahmadi, K, Ahmed, MB, Aji, B, Akalu, Y, Akinyemi, OO, Aklilu, A, Al-Aly, Z, Alam, K, Alanezi, FM, Alanzi, TM, Alcalde-Rabanal, JE, Al-Eyadhy, A, Ali, T, Alicandro, G, Alif, SM, Alipour, V, Alizade, H, Aljunid, SM, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alumran, AK, Alvis-Guzman, N, Alvis-Zakzuk, NJ, Ameyaw, EK, Amini, S, Amini-Rarani, M, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Ansari, F, Ansari-Moghaddam, A, Antonio, CAT, Antriyandarti, E, Anvari, D, Anwer, R, Aqeel, M, Arabloo, J, Arab-Zozani, M, Aripov, T, Arnlov, J, Artanti, KD, Arzani, A, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Jafarabadi, MA, Athari, SS, Athari, SM, Atnafu, DD, Atreya, A, Atteraya, MS, Ausloos, M, Awan, AT, Quintanilla, BPA, Ayano, G, Ayanore, MA, Aynalem, YA, Azari, S, Azarian, G, Azene, ZN, Darshan, BB, Babaee, E, Badiye, AD, Baig, AA, Banach, M, Banik, PC, Barker-Collo, SL, Barqawi, HJ, Bassat, Q, Basu, S, Baune, BT, Bayati, M, Bedi, N, Beghi, E, Beghi, M, Bell, ML, Bendak, S, Bennett, DA, Bensenor, IM, Berhe, K, Berman, AE, Bezabih, YM, Bhagavathula, AS, Bhandari, D, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhattarai, S, Bhutta, ZA, Bikbov, B, Biondi, A, Birihane, BM, Biswas, RK, Bohlouli, S, Bragazzi, NL, Breusov, A, Brunoni, AR, Burkart, K, Nagaraja, SB, Busse, R, Butt, ZA, dos Santos, FLC, Cahuana-Hurtado, L, Camargos, P, Camera, LA, Cardenas, R, Carreras, G, Carrero, JJ, Carvalho, F, Castaldelli-Maia, JM, Castaneda-Orjuela, CA, Castelpietra, G, Cerin, E, Chang, J-C, Chanie, WF, Charan, J, Chatterjee, S, Chattu, SK, Chattu, VK, Chaturvedi, S, Chen, S, Cho, DY, Choi, J-YJ, Chu, D-T, Ciobanu, LG, Cirillo, M, Conde, J, Costa, VM, Couto, RAS, Dachew, BA, Dahlawi, SMA, Dai, H, Dai, X, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darmstadt, GL, Das, JK, Davila-Cervantes, CA, Davis, AC, Davletov, K, De la Hoz, FP, De Leo, D, Deeba, F, Denova-Gutierrez, E, Dervenis, N, Desalew, A, Deuba, K, Dey, S, Dharmaratne, SD, Dhingra, S, Dhungana, GP, da Silva, DD, Diaz, D, Dorostkar, F, Doshmangir, L, Dubljanin, E, Duraes, AR, Eagan, AW, Edinur, HA, Efendi, F, Eftekharzadeh, S, El Sayed, I, El Tantawi, M, Elbarazi, I, Elgendy, IY, El-Jaafary, S, Emami, A, Enany, S, Eyawo, O, Ezzikouri, S, Faris, PS, Farzadfar, F, Fattahi, N, Fauk, NK, Fazlzadeh, M, Feigin, VL, Ferede, TY, Fereshtehnejad, S-M, Fernandes, E, Ferrara, P, Filip, I, Fischer, F, Fisher, JL, Foigt, NA, Folayan, MO, Foroutan, M, Franklin, RC, Freitas, M, Friedman, SD, Fukumoto, T, Gad, MM, Gaidhane, AM, Gaidhane, S, Gaihre, S, Gallus, S, Garcia-Basteiro, AL, Garcia-Gordillo, M, Gardner, WM, Fonseca, MG, Gebremedhin, KB, Getacher, L, Ghashghaee, A, Gholamian, A, Gilani, SA, Gill, TK, Giussani, G, Gnedovskaya, E, Godinho, MA, Goel, A, Golechha, M, Gona, PN, Gopalani, SV, Goudarzi, H, Grivna, M, Gugnani, HC, Guido, D, Guimaraes, RA, Das Gupta, R, Gupta, R, Hafezi-Nejad, N, Haider, MR, Haj-Mirzaian, A, Hamidi, S, Hanif, A, Hankey, GJ, Hargono, A, Hasaballah, A, Hasan, MM, Hasan, SS, Hassan, A, Hassanipour, S, Hassankhani, H, Havmoeller, RJ, Hayat, K, Heidari-Soureshjani, R, Henry, NJ, Herteliu, C, Hole, MK, Holla, R, Hossain, N, Hosseini, M, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Househ, M, Huang, J, Humayun, A, Hwang, B-F, Iavicoli, I, Ibitoye, SE, Ikuta, KS, Ilesanmi, OS, Ilic, IM, Ilic, MD, Inamdar, S, Inbaraj, LR, Iqbal, K, Iqbal, U, Islam, MM, Shariful Islam, Sheikh, Iso, H, Iwagami, M, Iwu, CCD, Jaafari, J, Jacobsen, KH, Jagnoor, J, Jain, V, Janodia, MD, Javaheri, T, Javanmardi, F, Jayaram, S, Jayatilleke, AU, Jenabi, E, Jha, RP, Ji, JS, John, O, Jonas, JB, Joo, T, Joseph, N, Joukar, F, Jozwiak, JJ, Jurisson, M, Kabir, A, Kabir, Z, Kalankesh, LR, Kamyari, N, Kanchan, T, Kapoor, N, Matin, BK, Karch, A, Karimi, SE, Kassahun, G, Kayode, GA, Karyani, AK, Kemmer, L, Khalid, N, Khalilov, R, Khammarnia, M, Khan, EA, Khan, G, Khan, M, Khan, MN, Khang, Y-H, Khatab, K, Khater, AM, Khater, MM, Khayamzadeh, M, Khosravi, A, Kim, D, Kim, Y-E, Kim, YJ, Kimokoti, RW, Kisa, A, Kisa, S, Kissoon, N, Kopec, JA, Kosen, S, Koul, PA, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Krishnamoorthy, V, Defo, BK, Bicer, BK, Kulkarni, V, Kumar, GA, Kumar, M, Kumar, N, Kurmi, OP, Kusuma, D, La Vecchia, C, Lacey, B, Lalloo, R, Lami, FH, Landires, I, Larsson, AO, Lasrado, S, Lassi, ZS, Lauriola, P, Lee, PH, Lee, SWH, Lee, YH, Leigh, J, Leonardi, M, Lewycka, S, Li, B, Li, S, Liang, J, Lim, L-L, Limenih, MA, Lin, R-T, Liu, X, Lodha, R, Lopez, AD, Lozano, R, Lugo, A, Lunevicius, R, Mackay, MT, Kunjathur, SM, Magnani, FG, Prasad, DRM, Maheri, M, Mahmoudi, M, Majeed, A, Maled, V, Maleki, A, Maleki, S, Malekzadeh, R, Malik, AA, Malta, DC, Mamun, AA, Mansouri, B, Mansournia, MA, Martinez, G, Martini, S, Martins-Melo, FR, Masoumi, SZ, Maulik, PK, McAlinden, C, McGrath, JJ, Medina-Solis, CE, Nasab, EM, Mejia-Rodriguez, F, Memish, ZA, Mendoza, W, Menezes, RG, Mengesha, EW, Mensah, GA, Meretoja, A, Meretoja, TJ, Mersha, AM, Mestrovic, T, Miazgowski, B, Miazgowski, T, Michalek, IM, Miller, TR, Mini, GK, Miri, M, Mirica, A, Mirrakhimov, EM, Mirzaei, H, Mirzaei, M, Moazen, B, Moghadaszadeh, M, Mohajer, B, Mohamad, O, Mohammad, Y, Mohammadi, SM, Mohammadian-Hafshejani, A, Mohammed, S, Mokdad, AH, Molokhia, M, Monasta, L, Mondello, S, Moni, MA, Moore, CE, Moradi, G, Moradi, M, Moradzadeh, R, Moraga, P, Morawska, L, Morrison, SD, Mosser, JF, Khaneghah, AM, Mustafa, G, Naderi, M, Nagarajan, AJ, Nagaraju, SP, Naghavi, M, Naghshtabrizi, B, Naimzada, MD, Nangia, V, Swamy, SN, Nascimento, BR, Naveed, M, Nazari, J, Ndejjo, R, Negoi, I, Negoi, RI, Nena, E, Nepal, S, Netsere, HB, Nguefack-Tsague, G, Ngunjiri, JW, Chi, TYN, Cuong, TN, Huong, LTN, Nigatu, YT, Nigussie, SN, Nixon, MR, Nnaji, CA, Nomura, S, Noor, NM, Noubiap, JJ, Nunez-Samudio, V, Nwatah, VE, Oancea, B, Odukoya, OO, Ogbo, FA, Olusanya, BO, Olusanya, JO, Bali, AO, Onwujekwe, OE, Ortiz, A, Otoiu, A, Otstavnov, N, Otstavnov, SS, Owolabi, MO, Mahesh, PA, Padubidri, JR, Pakhale, S, Pakshir, K, Pal, PK, Palladino, R, Pana, A, Panda-Jonas, S, Pandey, A, Pandi-Perumal, SR, Pangaribuan, HU, Pardo-Montano, AM, Park, E-K, Patel, SK, Patton, GC, Pawar, S, Toroudi, HP, Peden, AE, Pepito, VCF, Peprah, EK, Pereira, J, Perez-Gomez, J, Perico, N, Pesudovs, K, Pilgrim, T, Pinheiro, M, Piradov, MA, Pirsaheb, M, Platts-Mills, JA, Pokhrel, KN, Postma, MJ, Pourjafar, H, Prada, S, Prakash, S, Pupillo, E, Syed, ZQ, Rabiee, N, Radfar, A, Rafiee, A, Rafiei, A, Raggi, A, Rahimzadeh, S, Rahman, MHU, Rahmani, AM, Ramezanzadeh, K, Rana, J, Ranabhat, CL, Rao, SJ, Rasella, D, Rastogi, P, Rathi, P, Rawaf, DL, Rawaf, S, Rawasia, WF, Rawassizadeh, R, Jr, RCR, Remuzzi, G, Renzaho, AMN, Reshmi, B, Resnikoff, S, Rezaei, N, Rezapour, A, Riahi, SM, Ribeiro, D, Rickard, J, Roever, L, Ronfani, L, Rothenbacher, D, Rubagotti, E, Rumisha, SF, Ryan, PM, Saddik, B, Sadeghi, E, Moghaddam, SS, Sagar, R, Sahebkar, A, Salahshoor, MR, Salehi, S, Salem, MR, Salimzadeh, H, Salomon, JA, Samodra, YL, Samy, AM, Sanabria, J, Santric-Milicevic, MM, Saraswathy, SYI, Sarker, AR, Sarrafzadegan, N, Sarveazad, A, Sathian, B, Sathish, T, Sattin, D, Saxena, S, Saya, GK, Saylan, M, Schiavolin, S, Schlaich, MP, Schwebel, DC, Schwendicke, F, Senthilkumaran, S, Sepanlou, SG, Servan-Mori, E, Sha, F, Shafaat, O, Shahabi, S, Shahbaz, M, Shaheen, AA, Shahid, I, Shaikh, MA, Shakiba, S, Shalash, AS, Shams-Beyranvand, M, Shannawaz, M, Sharafi, K, Sheikh, A, Sheikhbahaei, S, Shiferaw, WS, Shigematsu, M, Shin, JI, Shiri, R, Shiue, I, Shuval, K, Siddiqi, TJ, Sidemo, NB, Sigfusdottir, ID, Sigurvinsdottir, R, Silva, JP, Silverberg, JIS, Simonetti, B, Singh, BB, Singh, JA, Singhal, D, Sinha, DN, Skiadaresi, E, Skryabin, VY, Skryabina, AA, Sleet, DA, Sobaih, BH, Sobhiyeh, MR, Soltani, S, Soriano, JB, Spurlock, EE, Sreeramareddy, CT, Steiropoulos, P, Stokes, Mark, Stortecky, S, Sufiyan, MB, Abdulkader, RS, Sulo, G, Swope, CB, Sykes, BL, Szeto, MD, Szocska, M, Tabares-Seisdedos, R, Tadesse, EG, Taherkhani, A, Tamiru, AT, Tareque, MI, Tehrani-Banihashemi, A, Temsah, M-H, Tesfay, FH, Tessema, GA, Tessema, ZT, Thankappan, KR, Thapar, R, Tolani, MA, Tovani-Palone, MR, Traini, E, Bach, XT, Tripathy, JP, Tsapparellas, G, Tsatsakis, A, Car, LT, Uddin, Riaz, Ullah, A, Umeokonkwo, CD, Unim, B, Unnikrishnan, B, Upadhyay, E, Usman, MS, Vacante, M, Vaezi, M, Tahbaz, SV, Valdez, PR, Vasankari, TJ, Venketasubramanian, N, Verma, M, Violante, FS, Vlassov, V, Vo, B, Giang, TV, Wado, YD, Waheed, Y, Wamai, RG, Wang, Y, Wang, Y-P, Ward, P, Werdecker, A, Westerman, R, Wickramasinghe, ND, Wilner, LB, Wiysonge, CS, Wu, A-M, Wu, C, Xie, Y, Jabbari, SHY, Yamagishi, K, Yandrapalli, S, Yaya, S, Yazdi-Feyzabadi, V, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yousefi, Z, Yousefinezhadi, T, Yu, C, Yusuf, SS, Zaidi, SS, Bin Zaman, S, Zamani, M, Zamanian, M, Zastrozhin, MS, Zastrozhina, A, Zhang, Y, Zhang, Z-J, Zhao, X-JG, Ziapour, A, Hay, S, Murray, CJL, Wang, H, and Kassebaum, NJ
Published: 2021

8. Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

Author: Cork, MA, Henry, NJ, Watson, S, Croneberger, AJ, Baumann, M, Letourneau, ID, Yang, M, Serfes, AL, Abbas, J, Abbasi, N, Abbastabar, H, Abreu, LG, Abu-Gharbieh, E, Achappa, B, Adabi, M, Adal, TG, Adegbosin, AE, Adekanmbi, V, Adetokunboh, OO, Agudelo-Botero, M, Ahinkorah, BO, Ahmadi, K, Ahmed, MB, Alhassan, RK, Alipour, V, Almasi-Hashiani, A, Alvis-Guzman, N, Ancuceanu, R, Andrei, T, Anvari, D, Aqeel, M, Arabloo, J, Aremu, O, Asaad, M, Atnafu, DD, Atreya, A, Quintanilla, BPA, Azari, S, Darshan, BB, Baig, AA, Banach, M, Bante, SA, Barboza, MA, Basu, S, Bedi, N, Bejarano Ramirez, DF, Bensenor, IM, Beyene, FY, Bezabih, YM, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Birlik, SM, Bitew, ZW, Bohlouli, S, Boloor, A, Brunoni, AR, Butt, ZA, Cardenas, R, Carvalho, F, Castaldelli-Maia, JM, Castaneda-Orjuela, CA, Charan, J, Chatterjee, S, Chattu, VK, Chattu, SK, Chowdhury, MAK, Christopher, DJ, Chu, D-T, Cook, AJ, Cormier, NM, Dahlawi, SMA, Daoud, F, Davila Cervantes, CA, Weaver, ND, De la Hoz, FP, Demeke, FM, Denova-Gutierrez, E, Deribe, K, Deuba, K, Dharmaratne, SD, Dhungana, GP, Diaz, D, Djalalinia, S, Duraes, AR, Eagan, AW, Earl, L, Effiong, A, Zaki, MES, El Tantawi, M, Elayedath, R, El-Jaafary, SI, Faraon, EJA, Faro, A, Fattahi, N, Fauk, NK, Fernandes, E, Filip, I, Fischer, F, Foigt, NA, Foroutan, M, Fukumoto, T, Gad, MM, Gebremariam, TBB, Gebremedhin, KB, Gebremeskel, GG, Gesesew, HA, Ghadiri, K, Ghashghaee, A, Gilani, SA, Golechha, M, Gori, U, Goulart, AC, Goulart, BNG, Gugnani, HC, Guimaraes, MDC, Guimaraes, RA, Guo, Y, Gupta, R, Haeuser, E, Haider, MR, Haile, TG, Haj-Mirzaian, A, Hanif, A, Hargono, A, Hariyani, N, Hassanipour, S, Hassankhani, H, Hayat, K, Herteliu, C, Ho, HC, Holla, R, Hosseinzadeh, M, Househ, M, Hwang, BF, Ibeneme, CU, Ibitoye, SE, Ilesanmi, OS, Ilic, MD, Ilic, IM, Iqbal, U, Jahagirdar, D, Jain, V, Jakovljevic, M, Jha, RP, Johnson, KB, Joseph, N, Joukar, F, Kalankesh, LR, Kalhor, R, Kanchan, T, Matin, BK, Karch, A, Karimi, SE, Kassahun, G, Kayode, GA, Karyani, AK, Keramati, M, Khalid, N, Khan, EA, Khan, G, Khan, MNN, Khatab, K, Kianipour, N, Kim, YJ, Kisa, S, Kisa, A, Kosen, S, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Defo, BK, Kuchenbecker, RS, Kulkarni, V, Kumar, N, Kumar, M, Kurmi, OP, Kusuma, D, La Vecchia, C, Lal, DK, Landires, I, Lasrado, S, Lee, PH, LeGrand, KE, Li, B, Li, S, Liu, X, Amin, HIM, Machado, DB, Madi, D, Magis-Rodriguez, C, Malta, DC, Mansournia, MA, Manzar, MD, Marrugo Arnedo, CA, Martins-Melo, FR, Masoumi, SZ, Mayala, BK, Medina-Solis, CE, Memish, ZA, Mendoza, W, Menezes, RG, Mestrovic, T, Mirica, A, Moazen, B, Mohammad, Y, Mezerji, NMG, Mohammadian-Hafshejani, A, Mohammadpourhodki, R, Mohammed, S, Mokdad, AH, Moni, MA, Moradi, M, Moradi, Y, Moradzadeh, R, Moraga, P, Khaneghah, AM, Mustafa, G, Mwanri, L, Nagaraja, R, Nagarajan, AJ, Naimzada, MD, Nascimento, BR, Naveed, M, Nayak, VC, Nazari, J, Negash, H, Negoi, I, Nepal, S, Nguefack-Tsague, G, Nguyen, CT, Nguyen, HLT, Nikbakhsh, R, Noubiap, JJ, Nunez-Samudio, V, Oancea, B, Ogbo, FA, Olagunju, AT, Otstavnov, N, Mahesh, PA, Padubidri, JR, Perumal, SRP, Pardo-Montano, AM, Patel, UK, Pawar, S, Peprah, EK, Pereira, A, Perkins, S, Pescarini, JM, Pokhrel, KN, Postma, MJ, Pottoo, FH, Prada, SI, Preotescu, L, Pribadi, DRA, Radfar, A, Rahim, F, Rahman, MHU, Rahmani, AM, Ramezanzadeh, K, Rana, J, Ranabhat, CL, Rao, SJ, Rathi, P, Rawaf, S, Rawaf, DL, Rawassizadeh, R, Renjith, V, Rezaei, N, Rezapour, A, Ribeiro, AI, Roever, L, Rubagotti, E, Rumisha, SF, Rwegerera, GM, Sagar, R, Sajadi, SM, Salem, MR, Samy, AM, Sarmiento-Suarez, R, Sathian, B, Schaeffer, LE, Schneider, IJC, Seidu, A-A, Sha, F, Shaikh, MA, Sharafi, K, Sheikh, A, Shibuya, K, Shin, JI, Silva, DAS, Singh, JA, Skryabin, VY, Skryabina, AA, Sligar, A, Soheili, A, Steuben, KM, Sufiyan, MB, Tadesse, EG, Tesema, AKT, Tesfay, FH, Thapar, R, Thompson, RL, Tovani-Palone, MR, Tran, BX, Tsegaye, GW, Umeokonkwo, CD, Unnikrishnan, B, Vasseghian, Y, Violante, FS, Vo, B, Vu, GT, Waheed, Y, Wang, Y-P, Wang, Y, Ward, P, Welay, FT, Westerman, R, Wickramasinghe, ND, Yaya, S, Yip, P, Yonemoto, N, Yu, C, Yuce, D, Yusefzadeh, H, Zamanian, M, Zastrozhin, MS, Zhang, Z-J, Zhang, Y, Ziapour, A, Hay, SI, Dwyer-Lindgren, L, Cork, MA, Henry, NJ, Watson, S, Croneberger, AJ, Baumann, M, Letourneau, ID, Yang, M, Serfes, AL, Abbas, J, Abbasi, N, Abbastabar, H, Abreu, LG, Abu-Gharbieh, E, Achappa, B, Adabi, M, Adal, TG, Adegbosin, AE, Adekanmbi, V, Adetokunboh, OO, Agudelo-Botero, M, Ahinkorah, BO, Ahmadi, K, Ahmed, MB, Alhassan, RK, Alipour, V, Almasi-Hashiani, A, Alvis-Guzman, N, Ancuceanu, R, Andrei, T, Anvari, D, Aqeel, M, Arabloo, J, Aremu, O, Asaad, M, Atnafu, DD, Atreya, A, Quintanilla, BPA, Azari, S, Darshan, BB, Baig, AA, Banach, M, Bante, SA, Barboza, MA, Basu, S, Bedi, N, Bejarano Ramirez, DF, Bensenor, IM, Beyene, FY, Bezabih, YM, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Birlik, SM, Bitew, ZW, Bohlouli, S, Boloor, A, Brunoni, AR, Butt, ZA, Cardenas, R, Carvalho, F, Castaldelli-Maia, JM, Castaneda-Orjuela, CA, Charan, J, Chatterjee, S, Chattu, VK, Chattu, SK, Chowdhury, MAK, Christopher, DJ, Chu, D-T, Cook, AJ, Cormier, NM, Dahlawi, SMA, Daoud, F, Davila Cervantes, CA, Weaver, ND, De la Hoz, FP, Demeke, FM, Denova-Gutierrez, E, Deribe, K, Deuba, K, Dharmaratne, SD, Dhungana, GP, Diaz, D, Djalalinia, S, Duraes, AR, Eagan, AW, Earl, L, Effiong, A, Zaki, MES, El Tantawi, M, Elayedath, R, El-Jaafary, SI, Faraon, EJA, Faro, A, Fattahi, N, Fauk, NK, Fernandes, E, Filip, I, Fischer, F, Foigt, NA, Foroutan, M, Fukumoto, T, Gad, MM, Gebremariam, TBB, Gebremedhin, KB, Gebremeskel, GG, Gesesew, HA, Ghadiri, K, Ghashghaee, A, Gilani, SA, Golechha, M, Gori, U, Goulart, AC, Goulart, BNG, Gugnani, HC, Guimaraes, MDC, Guimaraes, RA, Guo, Y, Gupta, R, Haeuser, E, Haider, MR, Haile, TG, Haj-Mirzaian, A, Hanif, A, Hargono, A, Hariyani, N, Hassanipour, S, Hassankhani, H, Hayat, K, Herteliu, C, Ho, HC, Holla, R, Hosseinzadeh, M, Househ, M, Hwang, BF, Ibeneme, CU, Ibitoye, SE, Ilesanmi, OS, Ilic, MD, Ilic, IM, Iqbal, U, Jahagirdar, D, Jain, V, Jakovljevic, M, Jha, RP, Johnson, KB, Joseph, N, Joukar, F, Kalankesh, LR, Kalhor, R, Kanchan, T, Matin, BK, Karch, A, Karimi, SE, Kassahun, G, Kayode, GA, Karyani, AK, Keramati, M, Khalid, N, Khan, EA, Khan, G, Khan, MNN, Khatab, K, Kianipour, N, Kim, YJ, Kisa, S, Kisa, A, Kosen, S, Laxminarayana, SLK, Koyanagi, A, Krishan, K, Defo, BK, Kuchenbecker, RS, Kulkarni, V, Kumar, N, Kumar, M, Kurmi, OP, Kusuma, D, La Vecchia, C, Lal, DK, Landires, I, Lasrado, S, Lee, PH, LeGrand, KE, Li, B, Li, S, Liu, X, Amin, HIM, Machado, DB, Madi, D, Magis-Rodriguez, C, Malta, DC, Mansournia, MA, Manzar, MD, Marrugo Arnedo, CA, Martins-Melo, FR, Masoumi, SZ, Mayala, BK, Medina-Solis, CE, Memish, ZA, Mendoza, W, Menezes, RG, Mestrovic, T, Mirica, A, Moazen, B, Mohammad, Y, Mezerji, NMG, Mohammadian-Hafshejani, A, Mohammadpourhodki, R, Mohammed, S, Mokdad, AH, Moni, MA, Moradi, M, Moradi, Y, Moradzadeh, R, Moraga, P, Khaneghah, AM, Mustafa, G, Mwanri, L, Nagaraja, R, Nagarajan, AJ, Naimzada, MD, Nascimento, BR, Naveed, M, Nayak, VC, Nazari, J, Negash, H, Negoi, I, Nepal, S, Nguefack-Tsague, G, Nguyen, CT, Nguyen, HLT, Nikbakhsh, R, Noubiap, JJ, Nunez-Samudio, V, Oancea, B, Ogbo, FA, Olagunju, AT, Otstavnov, N, Mahesh, PA, Padubidri, JR, Perumal, SRP, Pardo-Montano, AM, Patel, UK, Pawar, S, Peprah, EK, Pereira, A, Perkins, S, Pescarini, JM, Pokhrel, KN, Postma, MJ, Pottoo, FH, Prada, SI, Preotescu, L, Pribadi, DRA, Radfar, A, Rahim, F, Rahman, MHU, Rahmani, AM, Ramezanzadeh, K, Rana, J, Ranabhat, CL, Rao, SJ, Rathi, P, Rawaf, S, Rawaf, DL, Rawassizadeh, R, Renjith, V, Rezaei, N, Rezapour, A, Ribeiro, AI, Roever, L, Rubagotti, E, Rumisha, SF, Rwegerera, GM, Sagar, R, Sajadi, SM, Salem, MR, Samy, AM, Sarmiento-Suarez, R, Sathian, B, Schaeffer, LE, Schneider, IJC, Seidu, A-A, Sha, F, Shaikh, MA, Sharafi, K, Sheikh, A, Shibuya, K, Shin, JI, Silva, DAS, Singh, JA, Skryabin, VY, Skryabina, AA, Sligar, A, Soheili, A, Steuben, KM, Sufiyan, MB, Tadesse, EG, Tesema, AKT, Tesfay, FH, Thapar, R, Thompson, RL, Tovani-Palone, MR, Tran, BX, Tsegaye, GW, Umeokonkwo, CD, Unnikrishnan, B, Vasseghian, Y, Violante, FS, Vo, B, Vu, GT, Waheed, Y, Wang, Y-P, Wang, Y, Ward, P, Welay, FT, Westerman, R, Wickramasinghe, ND, Yaya, S, Yip, P, Yonemoto, N, Yu, C, Yuce, D, Yusefzadeh, H, Zamanian, M, Zastrozhin, MS, Zhang, Z-J, Zhang, Y, Ziapour, A, Hay, SI, and Dwyer-Lindgren, L
Abstract: BACKGROUND: Human immunodeficiency virus (HIV) remains a public health priority in Latin America. While the burden of HIV is historically concentrated in urban areas and high-risk groups, subnational estimates that cover multiple countries and years are missing. This paucity is partially due to incomplete vital registration (VR) systems and statistical challenges related to estimating mortality rates in areas with low numbers of HIV deaths. In this analysis, we address this gap and provide novel estimates of the HIV mortality rate and the number of HIV deaths by age group, sex, and municipality in Brazil, Colombia, Costa Rica, Ecuador, Guatemala, and Mexico. METHODS: We performed an ecological study using VR data ranging from 2000 to 2017, dependent on individual country data availability. We modeled HIV mortality using a Bayesian spatially explicit mixed-effects regression model that incorporates prior information on VR completeness. We calibrated our results to the Global Burden of Disease Study 2017. RESULTS: All countries displayed over a 40-fold difference in HIV mortality between municipalities with the highest and lowest age-standardized HIV mortality rate in the last year of study for men, and over a 20-fold difference for women. Despite decreases in national HIV mortality in all countries-apart from Ecuador-across the period of study, we found broad variation in relative changes in HIV mortality at the municipality level and increasing relative inequality over time in all countries. In all six countries included in this analysis, 50% or more HIV deaths were concentrated in fewer than 10% of municipalities in the latest year of study. In addition, national age patterns reflected shifts in mortality to older age groups-the median age group among decedents ranged from 30 to 45 years of age at the municipality level in Brazil, Colombia, and Mexico in 2017. CONCLUSIONS: Our subnational estimates of HIV mortality revealed significant spatial variation and divergi
Published: 2021

9. Global and regional burden of cancer in 2016 arising from occupational exposure to selected carcinogens: a systematic analysis for the Global Burden of Disease Study 2016

Author: Driscoll, T, Rushton, L, Steenland, K, Hutchings, S, Straif, K, Abate, D, Abdel-Rahman, O, Acharya, D, Afarideh, M, Alahdab, F, Al-Aly, Z, Anjomshoa, M, Aremu, O, Artaman, A, Ataro, Z, Quintanilla, BPA, Badawi, A, Behzadifar, M, Beuran, M, Bhattacharyya, K, Bijani, A, Bjorge, T, Butt, ZA, Carrero, JJ, Carvalho, F, Castaneda-Orjuela, CA, Cerin, E, Chaturvedi, P, Chimed-Ochir, O, Crider, R, Crowe, CS, Dandona, L, Dandona, R, Dang, AK, Daryani, A, Desalegn, BB, Dharmaratne, SD, Djalalinia, S, Effiong, A, El-Khatib, Z, Esteghamati, A, Fareed, M, Fernandes, E, Filip, I, Fischer, F, Fukumoto, T, Gallus, S, Gebremichael, TG, Gezae, KE, Grada, A, Guimaraes, ALS, Gupta, R, Hafezi-Nejad, N, Haj-Mirzaian, A, Hamadeh, RR, Hamidi, S, Hassankhani, H, Hay, SI, Hegazy, MI, Henok, A, Hoang, CL, Hole, MK, Hosgood, HD, Hosseini, M, Hostiuc, M, Hostiuc, S, Irvani, SSN, Islam, SMS, Jakovljevic, M, Jha, RP, Jurisson, M, Kahsay, A, Karim, N, Kasaeian, A, Kassa, ZY, Khader, YS, Khafaie, MA, Khan, EA, Khosravi, MH, Khubchandani, J, Kiadaliri, AA, Kim, YJ, Kogevinas, M, Koh, D, Kosen, S, Koyanagi, A, Kumar, GA, Lad, DP, Lal, DK, Lami, FH, Latifi, A, Leigh, J, Linn, S, Majdan, M, Malekzadeh, R, Malta, DC, Mansournia, MA, Massenburg, BB, Melese, A, Melku, M, Memish, ZA, Mendoza, W, Mengistu, G, Meretoja, TJ, Mestrovic, T, Miazgowski, B, Miazgowski, T, Mirrakhimov, EM, Moazen, B, Mohammed, S, Mohebi, F, Mokdad, AH, Moodley, Y, Moosazadeh, M, Moradi, G, Morawska, L, Morrison, SD, Mousavi, SM, Mustafa, G, Negoi, I, Negoi, RI, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nixon, MR, Ofori-Asenso, R, Ogbo, FA, Olagunju, AT, Olusanya, BO, Ortega-Altamirano, DDV, Mahesh, PA, Park, E-K, Pereira, DM, Prakash, S, Qorbani, M, Radfar, A, Rafay, A, Rafiei, A, Rahim, F, Rahimi-Movaghar, V, Rajati, F, Reiner, RC, Renzaho, AMN, Rezaei, S, Roever, L, Saadat, M, Saddik, B, Safari, S, Safiri, S, Sahebkar, A, Sahraian, MA, Salimzadeh, H, Samy, AM, Sanabria, J, Sarmiento-Suarez, R, Sathian, B, Schwebel, DC, Sepanlou, SG, Serdar, B, Shaikh, MA, Sharma, R, She, J, Shigematsu, M, Shirkoohi, R, Si, S, Sinha, DN, Soofi, M, Stanaway, JD, Stokes, MA, Tabares-Seisdedos, R, Tabuchi, T, Takahashi, K, Tefera, YM, Temsah, M-H, Tovani-Palone, MR, Tran, BX, Tran, KB, Ullah, I, Valdez, PR, Vasankari, TJ, Violante, FS, Vlassov, V, Vu, GT, Waheed, Y, Wang, Y-P, Yeshaneh, A, Yirsaw, BD, Yisma, E, Yonemoto, N, Yousefifard, M, Yu, C, Zadnik, V, Zamani, M, Zandian, H, Zodpey, S, Lim, SS, Driscoll, Tim, Rushton, Lesley, Steenland, Kyle, Hutchings, Sally, Yisma, Engida, Lim, Stephen S, GBD 2016 Occupational Carcinogens Collaborators, GBD 2016 Occupational Carcinogens Collaborator, and Violante FS
Subjects: AUSTRALIA, medicine.disease_cause, asbesto, mesothelioma incidence, 0302 clinical medicine, 1599 Other Commerce, Management, Tourism and Services, Sílice, 030212 general & internal medicine, clusters, Asbestos-related diseases, asbestos, diesel engine exhaust, epidemiology, occupational exposure, silica, Public, Environmental & Occupational Health, education.field_of_study, Mortality rate, metabolic risks, 030210 environmental & occupational health, 3. Good health, COMPARATIVE RISK-ASSESSMENT, comparative risk-assessment, Exposición Profesional, Life Sciences & Biomedicine, epidemiology occupational exposure, trends, Population, MESOTHELIOMA INCIDENCE, GBD 2016 Occupational Carcinogens Collaborators, Asbestos, Environmental & Occupational Health, 1117 Public Health and Health Services, 03 medical and health sciences, Environmental health, medicine, Epidemiología, education, Disease burden, Motores diesel, Science & Technology, business.industry, Public Health, Environmental and Occupational Health, Cancer, 1103 Clinical Sciences, medicine.disease, TRENDS, ASBESTOS-RELATED DISEASES, asbestos-related diseases, 13. Climate action, Relative risk, Attributable risk, business, CLUSTERS
Abstract: ObjectivesThis study provides a detailed analysis of the global and regional burden of cancer due to occupational carcinogens from the Global Burden of Disease 2016 study.MethodsThe burden of cancer due to 14 International Agency for Research on Cancer Group 1 occupational carcinogens was estimated using the population attributable fraction, based on past population exposure prevalence and relative risks from the literature. The results were used to calculate attributable deaths and disability-adjusted life years (DALYs).ResultsThere were an estimated 349 000 (95% Uncertainty Interval 269 000 to 427 000) deaths and 7.2 (5.8 to 8.6) million DALYs in 2016 due to exposure to the included occupational carcinogens—3.9% (3.2% to 4.6%) of all cancer deaths and 3.4% (2.7% to 4.0%) of all cancer DALYs; 79% of deaths were of males and 88% were of people aged 55 –79 years. Lung cancer accounted for 86% of the deaths, mesothelioma for 7.9% and laryngeal cancer for 2.1%. Asbestos was responsible for the largest number of deaths due to occupational carcinogens (63%); other important risk factors were secondhand smoke (14%), silica (14%) and diesel engine exhaust (5%). The highest mortality rates were in high-income regions, largely due to asbestos-related cancers, whereas in other regions cancer deaths from secondhand smoke, silica and diesel engine exhaust were more prominent. From 1990 to 2016, there was a decrease in the rate for deaths (−10%) and DALYs (−15%) due to exposure to occupational carcinogens.ConclusionsWork-related carcinogens are responsible for considerable disease burden worldwide. The results provide guidance for prevention and control initiatives.
Published: 2020

10. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017

Author: Kyu, Hh, Abate, D, Abate, Kh, Abay, Sm, Abbafati, C, Abbasi, N, Abbastabar, H, Abd-Allah, F, Abdela, J, Abdelalim, A, Abdollahpour, I, Abdulkader, Rs, Abebe, M, Abebe, Z, Abil, Oz, Aboyans, V, Abrham, Ar, Abu-Raddad, Lj, Abu-Rmeileh, Nme, Accrombessi, Mmk, Acharya, D, Acharya, P, Ackerman, In, Adamu, Aa, Adebayo, Om, Adekanmbi, V, Ademi, Z, Adetokunboh, Oo, Adib, Mg, Adsuar, Jc, Afanvi, Ka, Afarideh, M, Afshin, A, Agarwal, G, Agesa, Km, Aggarwal, R, Aghayan, Sa, Agrawal, A, Ahmadi, A, Ahmadi, M, Ahmadieh, H, Ahmed, Mb, Ahmed, S, Aichour, An, Aichour, I, Aichour, Mte, Akinyemiju, T, Akseer, N, Al-Aly, Z, Al-Eyadhy, A, Al-Mekhlafi, Hm, Al-Raddadi, Rm, Alahdab, F, Alam, K, Alam, T, Alashi, A, Alavian, Sm, Alene, Ka, Alijanzadeh, M, Alizadeh-Navaei, R, Aljunid, Sm, Alkerwi, A, Alla, F, Allebeck, P, Alonso, J, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Aminde, Ln, Amini, E, Amiresmaili, M, Ammar, W, Amoako, Ya, Anber, Nh, Andrei, Cl, Androudi, S, Animut, Md, Anjomshoa, M, Ansha, Mg, Antonio, Cat, Anwari, P, Arabloo, J, Aremu, O, Ärnlöv, J, Arora, A, Arora, M, Artaman, A, Aryal, Kk, Asayesh, H, Ataro, Z, Ausloos, M, Avila-Burgos, L, Avokpaho, Efga, Awasthi, A, Ayala, Quintanilla, Ayer, R, Azzopardi, Ps, Babazadeh, A, Badali, H, Balakrishnan, K, Bali, Ag, Banach, M, Banoub, Jam, Barac, A, Barboza, Ma, Barker-Collo, Sl, Bärnighausen, Tw, Barquera, S, Barrero, Lh, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Behzadifar, M, Bekele, Bb, Bekru, Et, Belachew, Ab, Belay, Ya, Bell, Ml, Bello, Ak, Bennett, Da, Bensenor, Im, Berhane, A, Bernabe, E, Bernstein, Rs, Beuran, M, Beyranvand, T, Bhala, N, Bhatt, S, Bhaumik, S, Bhutta, Za, Biadgo, B, Biehl, Mh, Bijani, A, Bikbov, B, Bilano, V, Bililign, N, Bin, Sayeed, Bisanzio, D, Bjørge, T, Bleyer, A, Bobasa, Em, Bou-Orm, Ir, Boufous, S, Bourne, R, Brady, Oj, Brant, Lc, Brayne, C, Brazinova, A, Breitborde, Njk, Brenner, H, Briant, Ps, Briko, An, Britton, G, Brugha, T, Buchbinder, R, Busse, R, Butt, Za, Cahuana-Hurtado, L, Campuzano, 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Ngunjiri, Josephine W, Nguyen, Anh Quynh, Nguyen, Grant, Nguyen, Ha Thu, Nguyen, Huong Lan Thi, Nguyen, Huong Thanh, Nguyen, Long Hoang, Nguyen, Minh, Nguyen, Nam Ba, Nguyen, Son Hoang, Nichols, Emma, Ningrum, Dina Nur Anggraini, Nixon, Molly R, Nomura, Shuhei, Noroozi, Mehdi, Norrving, Bo, Noubiap, Jean Jacque, Nouri, Hamid Reza, Shiadeh, Malihe Nourollahpour, Nowroozi, Mohammad Reza, Nsoesie, Elaine O, Nyasulu, Peter S, Odell, Christopher M, Ofori-Asenso, Richard, Ogbo, Felix Akpojene, Oh, In-Hwan, Oladimeji, Olanrewaju, Olagunju, Andrew T, Olagunju, Tinuke O, Olivares, Pedro R, Olsen, Helen Elizabeth, Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Ong, Kanyin L, Ong, Sok King, Oren, Eyal, Ortiz, Alberto, Ota, Erika, Otstavnov, Stanislav S, Øverland, Simon, Owolabi, Mayowa Ojo, P A, Mahesh, Pacella, Rosana, Pakhare, Abhijit P, Pakpour, Amir H, Pana, Adrian, Panda-Jonas, Songhomitra, Park, Eun-Kee, Park, Jame, Parry, Charles D H, Parsian, Hadi, Pasdar, Yahya, Patel, Shanti, Patil, Snehal T, Patle, Ajay, Patton, George C, Paturi, Vishnupriya Rao, Paudel, Deepak, Paulson, Katherine R, Pearce, Neil, Pereira, Alexandre, Pereira, David M, Perico, Norberto, Pesudovs, Konrad, Petzold, Max, Pham, Hai Quang, Phillips, Michael R, Pigott, David M, Pillay, Julian David, Piradov, Michael A, Pirsaheb, Meghdad, Pishgar, Farhad, Plana-Ripoll, Oleguer, Polinder, Suzanne, Popova, Svetlana, Postma, Maarten J, Pourshams, Akram, Poustchi, Hossein, Prabhakaran, Dorairaj, Prakash, Swayam, Prakash, V., Prasad, Narayan, Purcell, Caroline A, Qorbani, Mostafa, Quistberg, D Alex, Radfar, Amir, Rafay, Anwar, Rafiei, Alireza, Rahim, Fakher, Rahimi, Kazem, Rahimi, Zohreh, Rahimi-Movaghar, Afarin, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Mohammad Hifz Ur, Rahman, Muhammad Aziz, Rahman, Sajjad Ur, Rai, Rajesh Kumar, Rajati, Fatemeh, Ranjan, Prabhat, Rao, Puja C, Rasella, Davide, Rawaf, David Laith, Rawaf, Salman, Reddy, K Srinath, Reiner, Robert C, Reitsma, Marissa Bettay, Remuzzi, Giuseppe, Renzaho, Andre M N, Resnikoff, Serge, Rezaei, Satar, Rezai, Mohammad Sadegh, Ribeiro, Antonio Luiz P, Roberts, Nicholas L S, Robinson, Stephen R, Roever, Leonardo, Ronfani, Luca, Roshandel, Gholamreza, Rostami, Ali, Roth, Gregory A, Rothenbacher, Dietrich, Rubagotti, Enrico, Sachdev, Perminder S, Sadat, Nafi, Sadeghi, Ehsan, Saeedi Moghaddam, Sahar, Safari, Hosein, Safari, Yahya, Safari-Faramani, Roya, Safdarian, Mahdi, Safi, Sare, Safiri, Saeid, Sagar, Rajesh, Sahebkar, Amirhossein, Sahraian, Mohammad Ali, Sajadi, Haniye Sadat, Salam, Nasir, Salama, Joseph S, Salamati, Payman, Saleem, Zikria, Salimi, Yahya, Salimzadeh, Hamideh, Salomon, Joshua A, Salvi, Sundeep Santosh, Salz, Inbal, Samy, Abdallah M, Sanabria, Juan, Sanchez-Niño, Maria Dolore, Santomauro, Damian Francesco, Santos, Itamar S, Santos, João Vasco, Santric Milicevic, Milena M, Sao Jose, Bruno Piassi, Sardana, Mayank, Sarker, Abdur Razzaque, Sarmiento-Suárez, Rodrigo, Sarrafzadegan, Nizal, Sartorius, Benn, Sarvi, Shahabeddin, Sathian, Brijesh, Satpathy, Maheswar, Sawant, Arundhati R, Sawhney, Monika, Saxena, Sonia, Schaeffner, Elke, Schmidt, Maria Inê, Schneider, Ione J C, Schutte, Aletta Elisabeth, Schwebel, David C, Schwendicke, Falk, Scott, James G, Sekerija, Mario, Sepanlou, Sadaf G, Serván-Mori, Edson, Seyedmousavi, Seyedmojtaba, Shabaninejad, Hosein, Shafieesabet, Azadeh, Shahbazi, Mehdi, Shaheen, Amira A, Shaikh, Masood Ali, Shams-Beyranvand, Mehran, Shamsi, Mohammadbagher, Sharafi, Heidar, Sharafi, Kiomar, Sharif, Mehdi, Sharif-Alhoseini, Mahdi, Sharma, Jayendra, Sharma, Rajesh, She, Jun, Sheikh, Aziz, Shi, Peilin, Shibuya, Kenji, Shiferaw, Mekonnen Sisay, Shigematsu, Mika, Shiri, Rahman, Shirkoohi, Reza, Shiue, Ivy, Shokoohinia, Yalda, Shokraneh, Farhad, Shoman, Haitham, Shrime, Mark G, Si, Si, Siabani, Soraya, Sibai, Abla Mehio, Siddiqi, Tariq J, Sigfusdottir, Inga Dora, Sigurvinsdottir, Rannveig, Silva, Diego Augusto Santo, Silva, João Pedro, Silveira, Dayane Gabriele Alve, Singam, Narayana Sarma Venkata, Singh, Jasvinder A, Singh, Narinder Pal, Singh, Virendra, Sinha, Dhirendra Narain, Skiadaresi, Eirini, Skirbekk, Vegard, Sliwa, Karen, Smith, David L, Smith, Mari, Soares Filho, Adauto Martin, Sobaih, Badr Hasan, Sobhani, Soheila, Soofi, Moslem, Sorensen, Reed J D, Soyiri, Ireneous N, Sposato, Luciano A, Sreeramareddy, Chandrashekhar T, Srinivasan, Vinay, Stanaway, Jeffrey D, Starodubov, Vladimir I, Stein, Dan J, Steiner, Caitlyn, Steiner, Timothy J, Stokes, Mark A, Stovner, Lars Jacob, Subart, Michelle L, Sudaryanto, Agu, Sufiyan, Mu'awiyyah Babale, Sulo, Gerhard, Sunguya, Bruno F, Sur, Patrick John, Sykes, Bryan L, Sylaja, P.N., Sylte, Dillon O, Szoeke, Cassandra E I, Tabarés-Seisdedos, Rafael, Tabuchi, Takahiro, Tadakamadla, Santosh Kumar, Tandon, Nikhil, Tassew, Segen Gebremeskel, Tavakkoli, Mohammad, Taveira, Nuno, Taylor, Hugh R, Tehrani-Banihashemi, Arash, Tekalign, Tigist Gashaw, Tekelemedhin, Shishay Wahdey, Tekle, Merhawi Gebremedhin, Temsah, Mohamad-Hani, Temsah, Omar, Terkawi, Abdullah Sulieman, Tessema, Belay, Teweldemedhin, Mebrahtu, Thankappan, Kavumpurathu Raman, Theis, Andrew, Thirunavukkarasu, Sathish, Thomas, Nihal, Tilahun, Binyam, To, Quyen G, Tonelli, Marcello, Topor-Madry, Roman, Torre, Anna E, Tortajada-Girbés, Miguel, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Towbin, Jeffrey A, Tran, Bach Xuan, Tran, Khanh Bao, Troeger, Christopher E, Tsadik, Afewerki Gebremeskel, Tsoi, Derrick, Tudor Car, Lorainne, Tyrovolas, Stefano, Ukwaja, Kingsley Nnanna, Ullah, Irfan, Undurraga, Eduardo A, Updike, Rachel L, Usman, Muhammad Shariq, Uthman, Olalekan A, Vaduganathan, Muthiah, Vaezi, Afsane, Valdez, Pascual R, Varavikova, Elena, Varughese, Santosh, Vasankari, Tommi Juhani, Venketasubramanian, Narayanaswamy, Villafaina, Santo, Violante, Francesco S, Vladimirov, Sergey Konstantinovitch, Vlassov, Vasily, Vollset, Stein Emil, Vos, Theo, Vosoughi, Kia, Vujcic, Isidora S, Wagnew, Fasil Shiferaw, Waheed, Yasir, Wang, Yafeng, Wang, Yuan-Pang, Weiderpass, Elisabete, Weintraub, Robert G, Weiss, Daniel J, Weldegebreal, Fitsum, Weldegwergs, Kidu Gidey, Werdecker, Andrea, West, T Eoin, Westerman, Ronny, Whiteford, Harvey A, Widecka, Justyna, Wijeratne, Tissa, Williams, Hywel C, Wilner, Lauren B, Wilson, Shadrach, Winkler, Andrea Sylvia, Wiyeh, Alison B, Wiysonge, Charles Shey, Wolfe, Charles D A, Woolf, Anthony D, Wyper, Grant M A, Xavier, Deni, Xu, Gelin, Yadgir, Simon, Yahyazadeh Jabbari, Seyed Hossein, Yamada, Tomohide, Yan, Lijing L, Yano, Yuichiro, Yaseri, Mehdi, Yasin, Yasin Jemal, Yeshaneh, Alex, Yimer, Ebrahim M, Yip, Paul, Yisma, Engida, Yonemoto, Naohiro, Yoon, Seok-Jun, Yotebieng, Marcel, Younis, Mustafa Z, Yousefifard, Mahmoud, Yu, Chuanhua, Zadnik, Vesna, Zaidi, Zoubida, Zaman, Sojib Bin, Zamani, Mohammad, Zandian, Hamed, Zar, Heather J, Zenebe, Zerihun Menlkalew, Zhou, Maigeng, Zipkin, Ben, Zodpey, Sanjay, Zucker, Inbar, Zuhlke, Liesl Joanna, and Murray, Christopher J L
Subjects: Male, Health Status, health statu, HALE, mortality rate, communicable disease, DALYs, Global Burden of Disease, Risk Factors, Prevalence, Medicine and Health Sciences, Singapore, OUTCOMES, disability-adjusted life year, international cooperation, Medicine (all), 11 Medical And Health Sciences, Central African Republic, newborn disease, IRON-DEFICIENCY, AIDS, priority journal, Bahrain, disease severity, Female, Quality-Adjusted Life Years, cerebrovascular accident, Ukraine, Life Sciences & Biomedicine, INTERVENTIONS, Slovakia, DISORDERS, Burundi, WEIGHTS, GBD 2017 DALYs and HALE Collaborators, Communicable Diseases, Article, STYLE, Medicine, General & Internal, Life Expectancy, General & Internal Medicine, Humans, Disabled Persons, human, Healthy Lifestyle, HALE, DALYs, global burden of disease, Mortality, Aged, Science & Technology, Mortality, Premature, HIV, ischemic heart disease, major clinical study, PREVENTION, non communicable disease, GBD, disability-adjusted life-years, age, sex factor, Socioeconomic Factors, Algeria, Federation of Bosnia and Herzegovina, lower respiratory tract infection, Wounds and Injuries, GENDER, Human medicine, trend study, chronic obstructive lung disease
Abstract: Background How long one lives, how many years of life are spent in good and poor health, and how the population's state of health and leading causes of disability change over time all have implications for policy, planning, and provision of services. We comparatively assessed the patterns and trends of healthy life expectancy (HALE), which quantifies the number of years of life expected to be lived in good health, and the complementary measure of disability-adjusted life years (DALYs), a composite measure of disease burden capturing both premature mortality and prevalence and severity of ill health, for 359 diseases and injuries for 195 countries and territories over the past 28 years. Methods We used data for age-specific mortality rates, years of life lost (YLLs) due to premature mortality, and years lived with disability (YLDs) from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to calculate HALE and DALYs from 1990 to 2017. We calculated HALE using age-specific mortality rates and YLDs per capita for each location, age, sex, and year. We calculated DALYs for 359 causes as the sum of YLLs and YLDs. We assessed how observed HALE and DALYs differed by country and sex from expected trends based on Sociodemographic Index (SDI). We also analysed HALE by decomposing years of life gained into years spent in good health and in poor health, between 1990 and 2017, and extra years lived by females compared with males. Findings Globally, from 1990 to 2017, life expectancy at birth increased by 7.4 years (95% uncertainty interval 74-7.8), from 65.6 years (65.3-65- 8) in 1990 to 73.0 years (72.7-73.3) in 2017. The increase in years of life varied from 5.1 years (5.0-5.3) in high SDI countries to 12.0 years (11.3-12.8) in low SDI countries. Of the additional years of life expected at birth, 26.3% (20.1-33.1) were expected to be spent in poor health in high SDI countries compared with 11.7% (8.8-15.1) in low-middle SDI countries. HALE at birth increased by 6.3 years (5.9-6.7), from 57.0 years (54.6-59.1) in 1990 to 63.3 years (60.5-65.7) in 2017. The increase varied from 3.8 years (3.4-4.1) in high SDI countries to 10.5 years (9.8-11.2) in low SDI countries. Even larger variations in HALE than these were observed between countries, ranging from 1.0 year (0.4-1.7) in Saint Vincent and the Grenadines (62.4 years [59.9-64.7] in 1990 to 63.5 years [60.9-65.8] in 2017) to 23.7 years (21.9-25.6) in Eritrea (30.7 years [28.9-32.2] in 1990 to 54.4 years [51.5-57.1] in 2017). In most countries, the increase in HALE was smaller than the increase in overall life expectancy, indicating more years lived in poor health. In 180 of 195 countries and territories, females were expected to live longer than males in 2017, with extra years lived varying from 1.4 years (0.6-2.3) in Algeria to 11.9 years (10.9-12.9) in Ukraine. Of the extra years gained, the proportion spent in poor health varied largely across countries, with less than 20% of additional years spent in poor health in Bosnia and Herzegovina, Burundi, and Slovakia, whereas in Bahrain all the extra years were spent in poor health. In 2017, the highest estimate of HALE at birth was in Singapore for both females (75.8 years [72.4-78.7]) and males (72.6 years [69 " 8-75.0]) and the lowest estimates were in Central African Republic (47.0 years [43.7-50.2] for females and 42.8 years [40.1-45.6] for males). Globally, in 2017, the five leading causes of DALYs were neonatal disorders, ischaemic heart disease, stroke, lower respiratory infections, and chronic obstructive pulmonary disease. Between 1990 and 2017, age-standardised DALY rates decreased by 41.3% (38.8-43.5) for communicable diseases and by 49"8% (47.9-51.6) for neonatal disorders. For non-communicable diseases, global DALYs increased by 40.1% (36.8-43.0), although age-standardised DALY rates decreased by 18.1% (16.0-20.2). Interpretation With increasing life expectancy in most countries, the question of whether the additional years of life gained are spent in good health or poor health has been increasingly relevant because of the potential policy implications, such as health-care provisions and extending retirement ages. In some locations, a large proportion of those additional years are spent in poor health. Large inequalities in HALE and disease burden exist across countries in different SDI quintiles and between sexes. The burden of disabling conditions has serious implications for health system planning and health-related expenditures. Despite the progress made in reducing the burden of communicable diseases and neonatal disorders in low S DI countries, the speed of this progress could be increased by scaling up proven interventions. The global trends among non-communicable diseases indicate that more effort is needed to maximise HALE, such as risk prevention and attention to upstream determinants of health. Copyright (C) 2018 The Author(s). Published by Elsevier Ltd.
Published: 2018

11. Essential Medicines at the National Level: The Global Asthma Network's Essential Asthma Medicines Survey 2014

Author: Bissell, K, Ellwood, P, Ellwood, E, Chiang, C-Y, Marks, GB, El Sony, A, Asher, I, Billo, N, Perrin, C, Billo, NE, Garcia-Marcos, L, Mallol, J, Pearce, N, Strachan, D, Priftanji, A, Boukari, R, Taright, S, Gomez, M, Baghdasaryan, A, Burgess, S, Mattes, J, Tai, A, Riedler, J, Shpakou, A, Weyler, J, Lawin, H, de Abruzzese, AJ, Domuz, S, Brandao, HV, Camargos, PAM, Fischer, GB, Menezes, AM, Porto Neto, AC, Rosario, N, Sole, D, Mustakov, TB, Birba, E, Ngahane, MBH, Tse, SM, Standring, P, Aguirre, V, Calvo Gil, MA, Chen, Y-Z, Kan, X, Garcia, E, Niederbacher, J, Obel, KB, Soto-Quiros, ME, Banac, S, Yiallouros, P, Lochte, L, Barba, S, Bustos, C, El Falaki, M, Figueroa Colorado, M, Weihe, P, Lal, VA, Makela, M, Annesi-Maesano, I, Raherison, C, Gotua, M, von Mutius, E, Addo-Yobo, EO, Akpinar-Elci, M, Lai, CKW, Novak, Z, Kabra, SK, Ilangho, RP, Pherwani, AV, Sharma, SK, Sukumaran, TU, Dalimunthe, W, Karimi, M, Masjedi, M-R, Manning, P, Shohat, T, Forastiere, F, La Grutta, S, Petronio, MG, Piffer, S, Kahwa, E, Odajima, H, Abu-Ekteish, F, Amukoye, EI, Esamai, FO, Hong, S-J, Neziri-Ahmetaj, L, Momen, JA, Akkhavong, K, Svabe, V, Vlaski, E, Mortimer, K, Daud, M, Montefort, S, Del Rio Navarro, BE, Jimenez Gonzalez, CA, Merida-Palacio, JV, Paramo-Arroyo, RF, Munkhbayarlakh, S, Brunekreef, B, Currie, S, Douwes, J, Graham, D, Hancox, R, Moyes, C, Pattemore, P, Vis, K, Cordero, RMZ, Ayuk, A, Falade, AG, Garba, IB, Hammangabdo, A, Onyia, N, Pulu, M, Nystad, W, Al-Rawas, O, Yusuf, MO, Watson, BM, El Sharif, N, Cukier, G, Chiarella, P, Pagcatipunan, R, Breborowicz, A, Lis, G, Morais-Almeida, M, Deleanu, D, Kamaltynova, E, Kondiurina, EG, Esera-Tulifau, L, Al-Ghamdi, Memish, ZA, Nahhas, MA, Yousef, A, Toure, NO, Visnjevac, D, Zivkovic, Z, Deen, GF, Goh, DYT, Masekala, R, Zar, HJ, Carvajal-Uruena, I, Gonzalez Diaz, C, Korta Murua, J, Luna-Paredes, C, Morales-Suarez-Varela, M, Praena-Crespo, M, Kudagammana, ST, Mohammad, Y, Guo, YL, Huang, J-L, Lao-Araya, M, Teeratakulpisarn, J, Vichyanond, P, Anderson, S, Tidjani, O, Iosefa, T, Aho, G, Dookeeram, D, Hamzaoui, A, Yorgancioglu, A, Ituaso-Conway, N, Worodria, W, Fedortsiv, O, Mahboub, B, Mansur, AH, Kumar, H, Valentin-Rostan, M, Harrison, G, Fiocchi, A, Le, LTT, Wa Somwe, S, Manangazira, P, and Grp, GANS
Subjects: sense organs
Abstract: Patients with asthma need uninterrupted supplies of affordable, quality-assured essential medicines. However, access in many low- and middle-income countries (LMICs) is limited. The World Health Organization (WHO) Non-Communicable Disease (NCD) Global Action Plan 2013–2020 sets an 80% target for essential NCD medicines’ availability. Poor access is partly due to medicines not being included on the national Essential Medicines Lists (EML) and/or National Reimbursement Lists (NRL) which guide the provision of free/subsidised medicines. We aimed to determine how many countries have essential asthma medicines on their EML and NRL, which essential asthma medicines, and whether surveys might monitor progress. A cross-sectional survey in 2013–2015 of Global Asthma Network principal investigators generated 111/120 (93%) responses—41 high-income countries and territories (HICs); 70 LMICs. Patients in HICs with NRL are best served (91% HICs included ICS (inhaled corticosteroids) and salbutamol). Patients in the 24 (34%) LMICs with no NRL and the 14 (30%) LMICs with an NRL, however no ICS are likely to have very poor access to affordable, quality-assured ICS. Many LMICs do not have essential asthma medicines on their EML or NRL. Technical guidance and advocacy for policy change is required. Improving access to these medicines will improve the health system’s capacity to address NCDs.
Published: 2019

12. Global, regional, and national burden of meningitis, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

Author: Zunt, JR, Kassebaum, NJ, Blake, N, Glennie, L, Wright, C, Nichols, E, Abd-Allah, F, Abdela, J, Abdelalim, A, Adamu, AA, Adib, MG, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akseer, N, Al-Raddadi, RM, Alahdab, F, Alene, KA, Aljunid, SM, AlMazora, MA, Khalid, Alvis-Guzman, N, Animut, MD, Anjomshoa, M, Ansha, MG, Asghar, RJ, Avokpaho, EFGA, Awasthi, A, Badali, H, Barac, A, Baernighausen, TW, Bassat, Q, Bedi, N, Belachew, AB, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Butt, ZA, Carvalho, F, Castaneda-Orjuela, CA, Chitheer, A, Choi, J-YJ, Christopher, DJ, Dang, AK, Daryani, A, Demoz, GT, Djalalinia, S, Huyen, PD, Dubey, M, Dubljanin, E, Duken, EE, Zaki, MES, Elyazar, IR, Fakhim, H, Fernandes, E, Fischer, F, Fukumoto, T, Ganji, M, Gebre, AK, Gebremeskel, A, Gessner, BD, Gopalani, SV, Guo, Y, Gupta, R, Hailu, GB, Haj-Mirzaian, A, Hamidi, S, Hay, S, Henok, A, Irvani, SSN, Jha, RP, Jurisson, M, Kahsay, A, Karami, M, Karch, A, Kasaeian, A, Kassa, TD, Kefale, AT, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khubchandani, J, Kimokoti, RW, Kisa, A, Lami, FH, Levi, M, Li, S, Loy, CT, Majdan, M, Majeed, A, Mantovani, LG, Martins-Melo, FR, McAlinden, C, Mehta, V, Melese, A, Memish, ZA, Mengistu, G, Mestrovic, T, Mezgebe, HB, Miazgowski, B, Milosevic, B, Mokdad, AH, Monasta, L, Moradi, G, Moraga, P, Mousavi, SM, Mueller, UO, Murthy, S, Mustafa, G, Naheed, A, Naik, G, Newton, CRJ, Nirayo, YL, Nixon, MR, Ofori-Asenso, R, Ogbo, FA, Olagunju, TO, Olusanya, BO, Ortiz, JR, Owolabi, MO, Patel, S, Pinilla-Monsalve, GD, Postma, MJ, Qorbani, M, Rafiei, A, Rahimi-Movaghar, V, Reiner, RC, Renzaho, AMN, Rezai, MS, Roba, KT, Ronfani, L, Roshandel, G, Rostami, A, Safari, S, Safiri, S, Sagar, R, Samy, AM, Milicevic, MMS, Sartorius, B, Sarvi, S, Sawhney, M, Saxena, S, Shafieesabet, A, Shaikh, MA, Sharif, M, Shigematsu, M, Si, S, Skiadaresi, E, Smith, M, Somayaji, R, Sufiyan, MB, Tawye, NY, Temsah, M-H, Tortajada-Girbes, M, Khanh, BT, Ukwaja, KN, Ullah, I, Vujcic, IS, Wagnew, F, Waheed, Y, Weldegwergs, KG, Winkler, AS, Wiyeh, AB, Wiysonge, CS, Wyper, GMA, Yimer, EM, Yonemoto, N, Zaidi, Z, Zenebe, ZM, Feigin, VL, Vos, T, and Murray, CJL
Subjects: BACTERIAL-MENINGITIS, RISK, AFRICA, Science & Technology, Neurology & Neurosurgery, IMPACT, Clinical Neurology, UNITED-STATES, CHILDREN, 1103 Clinical Sciences, GBD 2016 Meningitis Collaborators, PNEUMOCOCCAL CONJUGATE VACCINE, HEALTH-CARE, EPIDEMIOLOGY, Neurosciences & Neurology, MENINGOCOCCAL DISEASE, 1109 Neurosciences, Life Sciences & Biomedicine
Abstract: Background Acute meningitis has a high case-fatality rate and survivors can have severe lifelong disability. We aimed to provide a comprehensive assessment of the levels and trends of global meningitis burden that could help to guide introduction, continuation, and ongoing development of vaccines and treatment programmes. Methods The Global Burden of Diseases, Injuries, and Risk Factors (GBD) 2016 study estimated meningitis burden due to one of four types of cause: pneumococcal, meningococcal, Haemophilus influenzae type b, and a residual category of other causes. Cause-specific mortality estimates were generated via cause of death ensemble modelling of vital registration and verbal autopsy data that were subject to standardised data processing algorithms. Deaths were multiplied by the GBD standard life expectancy at age of death to estimate years of life lost, the mortality component of disability-adjusted life-years (DALYs). A systematic analysis of relevant publications and hospital and claims data was used to estimate meningitis incidence via a Bayesian meta-regression tool. Meningitis deaths and cases were split between causes with meta-regressions of aetiological proportions of mortality and incidence, respectively. Probabilities of long-term impairment by cause of meningitis were applied to survivors and used to estimate years of life lived with disability (YLDs). We assessed the relationship between burden metrics and Socio-demographic Index (SDI), a composite measure of development based on fertility, income, and education. Findings Global meningitis deaths decreased by 21·0% from 1990 to 2016, from 403 012 (95% uncertainty interval [UI] 319 426–458 514) to 318 400 (265 218–408 705). Incident cases globally increased from 2·50 million (95% UI 2·19–2·91) in 1990 to 2·82 million (2·46–3·31) in 2016. Meningitis mortality and incidence were closely related to SDI. The highest mortality rates and incidence rates were found in the peri-Sahelian countries that comprise the African meningitis belt, with six of the ten countries with the largest number of cases and deaths being located within this region. Haemophilus influenzae type b was the most common cause of incident meningitis in 1990, at 780 070 cases (95% UI 613 585–978 219) globally, but decreased the most (–49·1%) to become the least common cause in 2016, with 397 297 cases (291 076–533 662). Meningococcus was the leading cause of meningitis mortality in 1990 (192 833 deaths [95% UI 153 358–221 503] globally), whereas other meningitis was the leading cause for both deaths (136 423 [112 682–178 022]) and incident cases (1·25 million [1·06–1·49]) in 2016. Pneumococcus caused the largest number of YLDs (634 458 [444 787–839 749]) in 2016, owing to its more severe long-term effects on survivors. Globally in 2016, 1·48 million (1·04—1·96) YLDs were due to meningitis compared with 21·87 million (18·20—28·28) DALYs, indicating that the contribution of mortality to meningitis burden is far greater than the contribution of disabling outcomes. Interpretation Meningitis burden remains high and progress lags substantially behind that of other vaccine-preventable diseases. Particular attention should be given to developing vaccines with broader coverage against the causes of meningitis, making these vaccines affordable in the most affected countries, improving vaccine uptake, improving access to low-cost diagnostics and therapeutics, and improving support for disabled survivors. Substantial uncertainty remains around pathogenic causes and risk factors for meningitis. Ongoing, active cause-specific surveillance of meningitis is crucial to continue and to improve monitoring of meningitis burdens and trends throughout the world.
Published: 2018

13. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015

Author: Wang, H, Liddell, CA, Coates, MM, Mooney, MD, Levitz, CE, Schumacher, AE, Apfel, H, Iannarone, M, Phillips, B, Lofgren, KT, Sandar, L, Dorrington, RE, Rakovac, I, Jacobs, TA, Liang, X, Zhou, M, Zhu, J, Yang, G, Wang, Y, Liu, S, Li, Y, Ozgoren, AA, Abera, SF, Abubakar, I, Achoki, T, Adelekan, A, Ademi, Z, Alemu, ZA, Allen, PJ, AlMazroa, MA, Alvarez, E, Amankwaa, AA, Amare, AT, Ammar, W, Anwari, P, Cunningham, SA, Asad, MM, Assadi, R, Banerjee, A, Basu, S, Bedi, N, Bekele, T, Bell, ML, Bhutta, Z, Blore, JD, Basara, BB, Boufous, S, Breitborde, N, Bruce, NG, Bui, LN, Carapetis, JR, Cárdenas, R, Carpenter, DO, Caso, V, Castro, RE, Catalá-Lopéz, F, Cavlin, A, Che, X, Chiang, PP, Chowdhury, R, Christophi, CA, Chuang, TW, Cirillo, M, da Costa Leite, I, Courville, KJ, Dandona, L, Dandona, R, Davis, A, Dayama, A, Deribe, K, Dharmaratne, SD, Dherani, MK, Dilmen, U, Ding, EL, Edmond, KM, Ermakov, SP, Farzadfar, F, Fereshtehnejad, SM, Fijabi, DO, Foigt, N, Forouzanfar, MH, Garcia, AC, Geleijnse, JM, Gessner, BD, Goginashvili, K, Gona, P, Goto, A, Gouda, HN, Green, MA, Greenwell, KF, Gugnani, HC, Gupta, R, Hamadeh, RR, Hammami, M, Harb, HL, Hay, Simon, Hedayati, MT, Hosgood, HD, Hoy, DG, Idrisov, BT, Islami, F, Ismayilova, S, Jha, Vivekanand, Jiang, G, Jonas, JB, Juel, K, Kabagambe, EK, Kazi, DS, Kengne, AP, Kereselidze, M, Khader, YS, Khalifa, SE, Khang, YH, Kim, D, Kinfu, Y, Kinge, JM, Kokubo, Y, Kosen, S, Defo, BK, Kumar, GA, Kumar, K, Kumar, RB, Lai, T, Lan, Q, Larsson, A, Lee, JT, Leinsalu, M, Lim, SS, Lipshultz, SE, Logroscino, G, Lotufo, PA, Lunevicius, R, Lyons, RA, Ma, S, Mahdi, AA, Marzan, MB, Mashal, MT, Mazorodze, TT, McGrath, JJ, Memish, ZA, Mendoza, W, Mensah, GA, Meretoja, A, Miller, TR, Mills, EJ, Mohammad, KA, Mokdad, AH, Monasta, L, Montico, M, Moore, AR, Moschandreas, Joanna, Msemburi, WT, Mueller, UO, Muszynska, MM, Naghavi, M, Naidoo, KS, Narayan, KM, Nejjari, C, Ng, M, de Dieu Ngirabega, J, Nieuwenhuijsen, MJ, Nyakarahuka, L, Ohkubo, T, Omer, SB, Caicedo, AJ, Pillay-van Wyk, V, Pope, D, Pourmalek, F, Prabhakaran, D, Rahman, SU, Rana, SM, Reilly, RQ, Rojas-Rueda, D, Ronfani, L, Rushton, L, Saeedi, MY, Salomon, JA, Sampson, U, Santos, IS, Sawhney, M, Schmidt, JC, Shakh-Nazarova, M, She, J, Sheikhbahaei, S, Shibuya, K, Shin, HH, Shishani, K, Shiue, I, Sigfusdottir, ID, Singh, JA, Skirbekk, V, Sliwa, K, Soshnikov, SS, Sposato, LA, Stathopoulou, VK, Stroumpoulis, K, Tabb, KM, Talongwa, RT, Teixeira, CM, Terkawi, AS, Thomson, AJ, Thorne-Lyman, AL, Toyoshima, H, Dimbuene, ZT, Uwaliraye, P, Uzun, SB, Vasankari, TJ, Vasconcelos, AM, Vlassov, VV, Vollset, SE, Waller, S, Wan, X, Weichenthal, S, Weiderpass, E, Weintraub, RG, Westerman, R, Wilkinson, JD, Williams, HC, Yang, YC, Yentur, GK, Yip, P, Yonemoto, N, Younis, M, Yu, C, Jin, KY, El Sayed Zaki, M, Zhu, S, Vos, T, Lopez, AD, and Murray, CJ
Abstract: Remarkable financial and political efforts have been focused on the reduction of child mortality during the past few decades. Timely measurements of levels and trends in under-5 mortality are important to assess progress towards the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two thirds from 1990 to 2015, and to identify models of success.We generated updated estimates of child mortality in early neonatal (age 0-6 days), late neonatal (7-28 days), postneonatal (29-364 days), childhood (1-4 years), and under-5 (0-4 years) age groups for 188 countries from 1970 to 2013, with more than 29,000 survey, census, vital registration, and sample registration datapoints. We used Gaussian process regression with adjustments for bias and non-sampling error to synthesise the data for under-5 mortality for each country, and a separate model to estimate mortality for more detailed age groups. We used explanatory mixed effects regression models to assess the association between under-5 mortality and income per person, maternal education, HIV child death rates, secular shifts, and other factors. To quantify the contribution of these different factors and birth numbers to the change in numbers of deaths in under-5 age groups from 1990 to 2013, we used Shapley decomposition. We used estimated rates of change between 2000 and 2013 to construct under-5 mortality rate scenarios out to 2030.We estimated that 6·3 million (95% UI 6·0-6·6) children under-5 died in 2013, a 64% reduction from 17·6 million (17·1-18·1) in 1970. In 2013, child mortality rates ranged from 152·5 per 1000 livebirths (130·6-177·4) in Guinea-Bissau to 2·3 (1·8-2·9) per 1000 in Singapore. The annualised rates of change from 1990 to 2013 ranged from -6·8% to 0·1%. 99 of 188 countries, including 43 of 48 countries in sub-Saharan Africa, had faster decreases in child mortality during 2000-13 than during 1990-2000. In 2013, neonatal deaths accounted for 41·6% of under-5 deaths compared with 37·4% in 1990. Compared with 1990, in 2013, rising numbers of births, especially in sub-Saharan Africa, led to 1·4 million more child deaths, and rising income per person and maternal education led to 0·9 million and 2·2 million fewer deaths, respectively. Changes in secular trends led to 4·2 million fewer deaths. Unexplained factors accounted for only -1% of the change in child deaths. In 30 developing countries, decreases since 2000 have been faster than predicted attributable to income, education, and secular shift alone.Only 27 developing countries are expected to achieve MDG 4. Decreases since 2000 in under-5 mortality rates are accelerating in many developing countries, especially in sub-Saharan Africa. The Millennium Declaration and increased development assistance for health might have been a factor in faster decreases in some developing countries. Without further accelerated progress, many countries in west and central Africa will still have high levels of under-5 mortality in 2030.Bill & Melinda Gates Foundation, US Agency for International Development.
Published: 2018

14. Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015: findings from the Global Burden of Disease 2015 study

Author: Tehrani-Banihashemi, A, Moradi-Lakeh, M, Elbcheraoui, C, Charara, R, Khalil, I, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Cornaby, L, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Mirarefin, M, Nguyen, G, Wang, H, Zipkin, B, Abajobir, AA, Abouzeid, Marian, Abu-Rmeileh, NME, Ahmad Kiadaliri, A, Ahmed, MB, Aksut, B, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Ärnlöv, J, Asgedom, SW, Atey, TM, Awasthi, A, Bärnighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Bennett, DA, Berhe, DF, Biadgilign, S, Butt, ZA, Carapetis, JR, Castro, RE, Chitheer, AA, Davletov, K, Dharmaratne, SD, Djalalinia, S, Do, HP, Dubey, M, Ebrahimi, H, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, SM, Fischer, F, Gebrehiwot, SW, Gebrehiwot, TT, Gillum, RF, Gona, PN, Gupta, R, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hsairi, M, Jee, SH, Jonas, JB, Karimkhani, C, Kasaeian, A, Khader, YS, Khan, EA, Kim, D, Lal, DK, Larson, HJ, Latif, AA, Linn, S, Lotufo, PA, Lunevicius, R, Magdyabdelrazek, H, Majeed, A, Malekzadeh, R, Malta, DC, Meier, T, Memiah, P, Memish, ZA, Mendoza, W, Mensah, GA, Meretoja, A, Miller, TR, Mirrakhimov, EM, Mohammed, S, Nguyen, QL, Tehrani-Banihashemi, A, Moradi-Lakeh, M, Elbcheraoui, C, Charara, R, Khalil, I, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Cornaby, L, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Mirarefin, M, Nguyen, G, Wang, H, Zipkin, B, Abajobir, AA, Abouzeid, Marian, Abu-Rmeileh, NME, Ahmad Kiadaliri, A, Ahmed, MB, Aksut, B, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Ärnlöv, J, Asgedom, SW, Atey, TM, Awasthi, A, Bärnighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Bennett, DA, Berhe, DF, Biadgilign, S, Butt, ZA, Carapetis, JR, Castro, RE, Chitheer, AA, Davletov, K, Dharmaratne, SD, Djalalinia, S, Do, HP, Dubey, M, Ebrahimi, H, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, SM, Fischer, F, Gebrehiwot, SW, Gebrehiwot, TT, Gillum, RF, Gona, PN, Gupta, R, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hsairi, M, Jee, SH, Jonas, JB, Karimkhani, C, Kasaeian, A, Khader, YS, Khan, EA, Kim, D, Lal, DK, Larson, HJ, Latif, AA, Linn, S, Lotufo, PA, Lunevicius, R, Magdyabdelrazek, H, Majeed, A, Malekzadeh, R, Malta, DC, Meier, T, Memiah, P, Memish, ZA, Mendoza, W, Mensah, GA, Meretoja, A, Miller, TR, Mirrakhimov, EM, Mohammed, S, and Nguyen, QL
Abstract: Objectives: To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990–2015. Methods: We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. Results: A total of 1.4 million CVD deaths (95% UI: 1.3–1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. Conclusions: The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.
Published: 2018

15. Intentional injuries in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Moradi-Lakeh, M, Charara, R, El Bcheraoui, C, Khalil, I, Afshin, A, Kassebaum, NJ, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Colombara, D, Graetz, N, Kutz, M, Wang, H, Abd-Allah, F, Abu-Raddad, LJ, Kiadaliri, AA, Ahmed, MB, Alam, K, Alghnam, S, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Anber, N, Anwari, P, Avila-Burgos, L, Awasthi, A, Barac, A, Barker-Collo, SL, Bedi, N, Bhutta, ZA, Borschmann, R, Boufous, S, Butt, ZA, Castaneda-Orjuela, CA, Dalal, K, Danawi, H, De Leo, D, Dharmaratne, SD, Djalalinia, S, Doyle, KE, Esteghamati, A, Faro, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gutierrez, RA, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Haro, JM, Hendrie, D, Hu, G, Jonas, JB, Kasaeian, A, Keiyoro, PN, Khader, YS, Khan, EA, Khubchandani, J, Kopec, JA, Larson, HJ, Latif, AA, Leshargie, CT, Lunevicius, R, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Memish, ZA, Meretoja, TJ, Miller, TR, Mohammed, S, Obermeyer, CM, Ogbo, FA, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiri, S, Salamati, P, Samy, AM, Sartorius, B, Seedat, S, Sepanlou, SG, Shaikh, MA, Sobaih, BHA, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, RomanTopor-Madry, Ukwaja, KN, Uthman, OA, Yaseri, M, NaohiroYonemoto, Younis, MZ, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Moradi-Lakeh, M, Charara, R, El Bcheraoui, C, Khalil, I, Afshin, A, Kassebaum, NJ, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Colombara, D, Graetz, N, Kutz, M, Wang, H, Abd-Allah, F, Abu-Raddad, LJ, Kiadaliri, AA, Ahmed, MB, Alam, K, Alghnam, S, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Anber, N, Anwari, P, Avila-Burgos, L, Awasthi, A, Barac, A, Barker-Collo, SL, Bedi, N, Bhutta, ZA, Borschmann, R, Boufous, S, Butt, ZA, Castaneda-Orjuela, CA, Dalal, K, Danawi, H, De Leo, D, Dharmaratne, SD, Djalalinia, S, Doyle, KE, Esteghamati, A, Faro, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gutierrez, RA, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Haro, JM, Hendrie, D, Hu, G, Jonas, JB, Kasaeian, A, Keiyoro, PN, Khader, YS, Khan, EA, Khubchandani, J, Kopec, JA, Larson, HJ, Latif, AA, Leshargie, CT, Lunevicius, R, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Memish, ZA, Meretoja, TJ, Miller, TR, Mohammed, S, Obermeyer, CM, Ogbo, FA, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiri, S, Salamati, P, Samy, AM, Sartorius, B, Seedat, S, Sepanlou, SG, Shaikh, MA, Sobaih, BHA, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, RomanTopor-Madry, Ukwaja, KN, Uthman, OA, Yaseri, M, NaohiroYonemoto, Younis, MZ, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: We used GBD 2015 findings to measure the burden of intentional injuries in the Eastern Mediterranean Region (EMR) between 1990 and 2015. METHODS: The Global Burden of Disease (GBD) study defines intentional injuries as a combination of self-harm (including suicide), interpersonal violence, collective violence (war), and legal intervention. We estimated number of deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) for each type of intentional injuries. RESULTS: In 2015, 28,695 individuals (95% UI: 25,474-37,832) died from self-harm, 35,626 (95% UI: 20,947-41,857) from interpersonal violence, and 143,858 (95% UI: 63,554-223,092) from collective violence and legal interventions. In 2015, collective violence and legal intervention was the fifth-leading cause of DALYs in the EMR and the leading cause in Syria, Yemen, Iraq, Afghanistan, and Libya; they account for 49.7% of total DALYs in Syria. CONCLUSIONS: Our findings call for increased efforts to stabilize the region and assist in rebuilding the health systems, as well as increasing transparency and employing preventive strategies to reduce self-harm and interpersonal injuries.
Published: 2018

16. Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Khalil, I, Collison, M, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Chew, A, Daoud, F, Krohn, KJ, Colombara, D, Ehrenkranz, R, Kutz, M, Wang, H, Abajobir, AA, Abd-Allah, F, Abraha, HN, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Ahmed, KY, Ahmed, MB, Al Lami, FH, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Alkaabi, JM, Al-Maskari, F, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Asayesh, H, Asghar, RJ, Atey, TM, Ayele, TA, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Baune, BT, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Beyene, AS, Bhutta, ZA, Boneya, DJ, Borschmann, R, Breitborde, NJK, Butt, ZA, Catala-Lopez, F, Ciobanu, LG, Danawi, H, Deribew, A, Dharmaratne, SD, Doyle, KE, Endries, AY, Faraon, EJA, Faro, A, Farvid, MS, Fekadu, W, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giref, AZ, Gishu, MD, Goulart, AC, Habtewold, TD, Hamadeh, RR, Hambisa, MT, Hamidi, S, Maria Haro, J, Hassanvand, MS, Horita, N, Hsairi, M, Huang, H, Husseini, A, Jakovljevic, MB, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khoja, ATA, Khosravi, A, Khubchandani, J, Kim, D, Kim, YJ, Kokubo, Y, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lee, PH, Leshargie, CT, Leung, R, Lo, L-T, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Martinez-Raga, J, Farid, HM, Mazidi, M, McGrath, JJ, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mitchell, PB, Mohammadi, A, Mohammed, S, Obermeyer, CM, Ogbo, FA, Palomares Castillo, E, Papachristou, C, Patten, SB, Patton, GC, Pereira, DM, Pervaiz, A, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiabadi, M, Safiri, S, Sagar, R, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Saylan, MI, Seedat, S, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Santos Silva, DA, Singh, JA, Sobaih, BHA, Sreeramareddy, CT, Stein, DJ, Abdulkader, RS, Sykes, BL, Tabares-Seisdedos, R, Sufiyan, M, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Ukwaja, KN, Uthman, OA, Vollset, SE, Wakayo, T, Wang, Y-P, Werdecker, A, Westerman, R, Workicho, A, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Kassebaum, NJ, Murray, CJL, Mokdad, AH, Khalil, I, Collison, M, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Chew, A, Daoud, F, Krohn, KJ, Colombara, D, Ehrenkranz, R, Kutz, M, Wang, H, Abajobir, AA, Abd-Allah, F, Abraha, HN, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Ahmed, KY, Ahmed, MB, Al Lami, FH, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Alkaabi, JM, Al-Maskari, F, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Asayesh, H, Asghar, RJ, Atey, TM, Ayele, TA, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Baune, BT, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Beyene, AS, Bhutta, ZA, Boneya, DJ, Borschmann, R, Breitborde, NJK, Butt, ZA, Catala-Lopez, F, Ciobanu, LG, Danawi, H, Deribew, A, Dharmaratne, SD, Doyle, KE, Endries, AY, Faraon, EJA, Faro, A, Farvid, MS, Fekadu, W, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giref, AZ, Gishu, MD, Goulart, AC, Habtewold, TD, Hamadeh, RR, Hambisa, MT, Hamidi, S, Maria Haro, J, Hassanvand, MS, Horita, N, Hsairi, M, Huang, H, Husseini, A, Jakovljevic, MB, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khoja, ATA, Khosravi, A, Khubchandani, J, Kim, D, Kim, YJ, Kokubo, Y, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lee, PH, Leshargie, CT, Leung, R, Lo, L-T, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Martinez-Raga, J, Farid, HM, Mazidi, M, McGrath, JJ, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mitchell, PB, Mohammadi, A, Mohammed, S, Obermeyer, CM, Ogbo, FA, Palomares Castillo, E, Papachristou, C, Patten, SB, Patton, GC, Pereira, DM, Pervaiz, A, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiabadi, M, Safiri, S, Sagar, R, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Saylan, MI, Seedat, S, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Santos Silva, DA, Singh, JA, Sobaih, BHA, Sreeramareddy, CT, Stein, DJ, Abdulkader, RS, Sykes, BL, Tabares-Seisdedos, R, Sufiyan, M, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Ukwaja, KN, Uthman, OA, Vollset, SE, Wakayo, T, Wang, Y-P, Werdecker, A, Westerman, R, Workicho, A, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Kassebaum, NJ, and Murray, CJL
Abstract: OBJECTIVES: Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. METHODS: We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. RESULTS: The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. CONCLUSION: Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life.
Published: 2018

17. Adolescent health in the Eastern Mediterranean Region: findings from the global burden of disease 2015 study

Author: Mokdad, AH, Azzopardi, P, Cini, K, Kennedy, E, Sawyer, S, El Bcheraoui, C, Charara, R, Khalil, I, Moradi-Lakeh, M, Collison, M, Afifi, RA, Al-Raiby, J, Krohn, KJ, Daoud, F, Chew, A, Afshin, A, Foreman, KJ, Kassebaum, NJ, Kutz, M, Kyu, HH, Liu, P, Olsen, HE, Smith, A, Stanaway, JD, Wang, H, Arnlov, J, Kiadaliri, AA, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Antonio, CAT, Anwari, P, Artaman, A, Asayesh, H, Barker-Collo, SL, Bedi, N, Beghi, E, Bennett, DA, Bensenor, IM, Bhutta, ZA, Butt, ZA, Castaneda-Orjuela, CA, Catala-Lopez, F, Charlson, FJ, Danawi, H, De Leo, D, Degenhardt, L, Denno, D, Deribe, K, Jarlais, DCD, Dey, S, Dharmaratne, SD, Djalalinia, S, Erskine, HE, Fereshtehnejad, S-M, Ferrari, AJ, Fischer, F, Gebrehiwot, TT, Geleijnse, JM, Gona, PN, Gugnani, HC, Gupta, R, Hamadeh, RR, Hamidi, S, Maria Haro, J, Hay, RJ, Hearps, SJC, Hendrie, D, Hotez, PJ, Hu, G, Jonas, JB, Karch, A, Karimi, SM, Kasaeian, A, Kebede, S, Kengne, AP, Khan, EA, Khosravi, A, Khubchandani, J, Kokubo, Y, Kopec, JA, Kosen, S, Larson, HJ, Larsson, A, Leasher, JL, Leung, J, Li, Y, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Majdzadeh, R, Majeed, A, Memiah, P, Memish, ZA, Mendoza, W, Mhimbira, FA, Miller, TR, Mitchell, PB, Monasta, L, Obermeyer, CM, Oh, I-H, Olusanya, BO, Ortiz, A, Park, E-K, Parry, M, Pereira, DM, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Reavley, N, Renzaho, AMN, Rezaei, S, Sadegh-Rezai, M, Rios-Zertuche, D, Roshandel, G, Rothenbacher, D, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Santomauro, D, Sartorius, B, Schwebel, DC, Seedat, S, Sepanlou, SG, Setegn, T, Shaheen, A, Shaikh, MA, Shiri, R, Sigfusdottir, ID, Singh, JA, Sobaih, BHA, Sreeramareddy, CT, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Thomson, AJ, Tonelli, M, Topor-Madry, R, Tran, BX, Ukwaja, KN, Uthman, OA, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Vollset, SE, Weiderpass, E, Weintraub, RG, Werdecker, A, Whiteford, HA, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Patton, GC, Murray, CJL, Mokdad, AH, Azzopardi, P, Cini, K, Kennedy, E, Sawyer, S, El Bcheraoui, C, Charara, R, Khalil, I, Moradi-Lakeh, M, Collison, M, Afifi, RA, Al-Raiby, J, Krohn, KJ, Daoud, F, Chew, A, Afshin, A, Foreman, KJ, Kassebaum, NJ, Kutz, M, Kyu, HH, Liu, P, Olsen, HE, Smith, A, Stanaway, JD, Wang, H, Arnlov, J, Kiadaliri, AA, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Antonio, CAT, Anwari, P, Artaman, A, Asayesh, H, Barker-Collo, SL, Bedi, N, Beghi, E, Bennett, DA, Bensenor, IM, Bhutta, ZA, Butt, ZA, Castaneda-Orjuela, CA, Catala-Lopez, F, Charlson, FJ, Danawi, H, De Leo, D, Degenhardt, L, Denno, D, Deribe, K, Jarlais, DCD, Dey, S, Dharmaratne, SD, Djalalinia, S, Erskine, HE, Fereshtehnejad, S-M, Ferrari, AJ, Fischer, F, Gebrehiwot, TT, Geleijnse, JM, Gona, PN, Gugnani, HC, Gupta, R, Hamadeh, RR, Hamidi, S, Maria Haro, J, Hay, RJ, Hearps, SJC, Hendrie, D, Hotez, PJ, Hu, G, Jonas, JB, Karch, A, Karimi, SM, Kasaeian, A, Kebede, S, Kengne, AP, Khan, EA, Khosravi, A, Khubchandani, J, Kokubo, Y, Kopec, JA, Kosen, S, Larson, HJ, Larsson, A, Leasher, JL, Leung, J, Li, Y, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Majdzadeh, R, Majeed, A, Memiah, P, Memish, ZA, Mendoza, W, Mhimbira, FA, Miller, TR, Mitchell, PB, Monasta, L, Obermeyer, CM, Oh, I-H, Olusanya, BO, Ortiz, A, Park, E-K, Parry, M, Pereira, DM, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Reavley, N, Renzaho, AMN, Rezaei, S, Sadegh-Rezai, M, Rios-Zertuche, D, Roshandel, G, Rothenbacher, D, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Santomauro, D, Sartorius, B, Schwebel, DC, Seedat, S, Sepanlou, SG, Setegn, T, Shaheen, A, Shaikh, MA, Shiri, R, Sigfusdottir, ID, Singh, JA, Sobaih, BHA, Sreeramareddy, CT, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Thomson, AJ, Tonelli, M, Topor-Madry, R, Tran, BX, Ukwaja, KN, Uthman, OA, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Vollset, SE, Weiderpass, E, Weintraub, RG, Werdecker, A, Whiteford, HA, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Patton, GC, and Murray, CJL
Abstract: OBJECTIVES: The 22 countries of the East Mediterranean Region (EMR) have large populations of adolescents aged 10-24 years. These adolescents are central to assuring the health, development, and peace of this region. We described their health needs. METHODS: Using data from the Global Burden of Disease Study 2015 (GBD 2015), we report the leading causes of mortality and morbidity for adolescents in the EMR from 1990 to 2015. We also report the prevalence of key health risk behaviors and determinants. RESULTS: Communicable diseases and the health consequences of natural disasters reduced substantially between 1990 and 2015. However, these gains have largely been offset by the health impacts of war and the emergence of non-communicable diseases (including mental health disorders), unintentional injury, and self-harm. Tobacco smoking and high body mass were common health risks amongst adolescents. Additionally, many EMR countries had high rates of adolescent pregnancy and unmet need for contraception. CONCLUSIONS: Even with the return of peace and security, adolescents will have a persisting poor health profile that will pose a barrier to socioeconomic growth and development of the EMR.
Published: 2018

18. Burden of vision loss in the Eastern Mediterranean region, 1990-2015: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Safi, S, Ahmadieh, H, Katibeh, M, Yaseri, M, Ramezani, A, Shahraz, S, Moradi-Lakeh, M, Khalil, I, El Bcheraoui, C, Collison, M, Chew, A, Daoud, F, Krohn, KJ, Rankin, Z, Afshin, A, Kassebaum, NJ, Olsen, HE, Stanaway, JD, Wang, H, Wilson, K, Yitayih, G, Al-Eyadhy, A, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Anber, N, Ansari, H, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Bacha, U, Barac, A, Bedi, N, Butt, ZA, Chitheer, AA, Djalalinia, S, Huyen, DP, Eshrati, B, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Hamadeh, RR, Hamidi, S, Higazi, TB, Hsairi, M, Jimenez-Corona, A, John, D, Jonas, JB, Kasaeian, A, Saleh, Y, Khan, EA, Larson, HJ, Latif, AA, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, McAlinden, C, Memish, ZA, Miller, TR, Mohammadi, S-F, Nangia, V, Cuong, TN, Quyen, LN, Ogbo, FA, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roshandel, G, Safdarian, M, Safiri, S, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Skiadaresi, E, Sobaih, BHA, Abdulkader, RS, Taylor, HR, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Xuan, B, Tsilimbaris, M, Ukwaja, KN, Uthman, OA, Wakayo, T, Yonemoto, N, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Safi, S, Ahmadieh, H, Katibeh, M, Yaseri, M, Ramezani, A, Shahraz, S, Moradi-Lakeh, M, Khalil, I, El Bcheraoui, C, Collison, M, Chew, A, Daoud, F, Krohn, KJ, Rankin, Z, Afshin, A, Kassebaum, NJ, Olsen, HE, Stanaway, JD, Wang, H, Wilson, K, Yitayih, G, Al-Eyadhy, A, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Anber, N, Ansari, H, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Bacha, U, Barac, A, Bedi, N, Butt, ZA, Chitheer, AA, Djalalinia, S, Huyen, DP, Eshrati, B, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Hamadeh, RR, Hamidi, S, Higazi, TB, Hsairi, M, Jimenez-Corona, A, John, D, Jonas, JB, Kasaeian, A, Saleh, Y, Khan, EA, Larson, HJ, Latif, AA, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, McAlinden, C, Memish, ZA, Miller, TR, Mohammadi, S-F, Nangia, V, Cuong, TN, Quyen, LN, Ogbo, FA, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roshandel, G, Safdarian, M, Safiri, S, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Skiadaresi, E, Sobaih, BHA, Abdulkader, RS, Taylor, HR, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Xuan, B, Tsilimbaris, M, Ukwaja, KN, Uthman, OA, Wakayo, T, Yonemoto, N, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: To report the estimated trend in prevalence and years lived with disability (YLDs) due to vision loss (VL) in the Eastern Mediterranean region (EMR) from 1990 to 2015. METHODS: The estimated trends in age-standardized prevalence and the YLDs rate due to VL in 22 EMR countries were extracted from the Global Burden of Disease (GBD) 2015 study. The association of Socio-demographic Index (SDI) with changes in prevalence and YLDs of VL was evaluated using a multilevel mixed model. RESULTS: The age-standardized prevalence of VL in the EMR was 18.2% in 1990 and 15.5% in 2015. The total age-standardized YLDs rate attributed to all-cause VL in EMR was 536.9 per 100,000 population in 1990 and 482.3 per 100,000 population in 2015. For each 0.1 unit increase in SDI, the age-standardized prevalence and YLDs rate of VL showed a reduction of 1.5% (p < 0.001) and 23.9 per 100,000 population (p < 0.001), respectively. CONCLUSIONS: The burden of VL is high in the EMR; however, it shows a descending trend over the past 25 years. EMR countries need to establish comprehensive eye care programs in their health care systems.
Published: 2018

19. The burden of mental disorders in the Eastern Mediterranean region, 1990-2015: findings from the global burden of disease 2015 study

Author: Mokdad, AH, Charara, R, El Bcheraoui, C, Khalil, I, Moradi-Lakeh, M, Afshin, A, Kassebaum, NJ, Collison, M, Krohn, KJ, Chew, A, Daoud, F, Charlson, FJ, Colombara, D, Degenhardt, L, Ehrenkranz, R, Erskine, HE, Ferrari, AJ, Kutz, M, Leung, J, Santomauro, D, Wang, H, Whiteford, HA, Abajobir, AA, Abd-Allah, F, Abraha, HN, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Yimam, K, Beshir, M, Al Lami, FH, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Alkaabi, JM, Al-Maskari, F, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Asayesh, H, Asghar, RJ, Atey, TM, Ayele, TA, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Baune, BT, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Beyene, AS, Bhutta, ZA, Boneya, DJ, Borschmann, R, Breitborde, NJK, Butt, ZA, Catala-Lopez, F, Ciobanu, LG, Danawi, H, Deribew, A, Dharmaratne, SD, Doyle, KE, Endries, AY, Faraon, EJA, Faro, A, Farvid, MS, Fekadu, W, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giref, AZ, Gishu, MD, Carvalho, A, Habtewold, TD, Hamadeh, RR, Hambisa, MT, Hamidi, S, Haro, JM, Hassanvand, MS, Horita, N, Hsairi, M, Huang, H, Husseini, A, Jakovljevic, MB, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khoja, ATA, Khosravi, A, Khubchandani, J, Kim, D, Kim, YJ, Kokubo, Y, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lee, PH, Leshargie, CT, Leung, R, Lo, L-T, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Martinez-Raga, J, Farid, HM, Mazidi, M, McGrath, JJ, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Mezgebe, HB, Miller, TR, Mitchell, PB, Mohammadi, A, Mohammed, S, Obermeyer, CM, Ogbo, FA, Castillo, EP, Papachristou, C, Patten, SB, Patton, GC, Pervaiz, A, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiabadi, M, Safiri, S, Sagar, R, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Saylan, MI, Seedat, S, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Silva, DAS, Singh, JA, Sobaih, BHA, Stein, DJ, Abdulkader, RS, Sykes, BL, Tabares-Seisdedos, R, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Ukwaja, KN, Uthman, OA, Vollset, SE, Wakayo, T, Wang, Y-P, Werdecker, A, Westerman, R, Workicho, A, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Charara, R, El Bcheraoui, C, Khalil, I, Moradi-Lakeh, M, Afshin, A, Kassebaum, NJ, Collison, M, Krohn, KJ, Chew, A, Daoud, F, Charlson, FJ, Colombara, D, Degenhardt, L, Ehrenkranz, R, Erskine, HE, Ferrari, AJ, Kutz, M, Leung, J, Santomauro, D, Wang, H, Whiteford, HA, Abajobir, AA, Abd-Allah, F, Abraha, HN, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Yimam, K, Beshir, M, Al Lami, FH, Alam, K, Alasfoor, D, Alizadeh-Navaei, R, Alkaabi, JM, Al-Maskari, F, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Asayesh, H, Asghar, RJ, Atey, TM, Ayele, TA, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Baune, BT, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Beyene, AS, Bhutta, ZA, Boneya, DJ, Borschmann, R, Breitborde, NJK, Butt, ZA, Catala-Lopez, F, Ciobanu, LG, Danawi, H, Deribew, A, Dharmaratne, SD, Doyle, KE, Endries, AY, Faraon, EJA, Faro, A, Farvid, MS, Fekadu, W, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giref, AZ, Gishu, MD, Carvalho, A, Habtewold, TD, Hamadeh, RR, Hambisa, MT, Hamidi, S, Haro, JM, Hassanvand, MS, Horita, N, Hsairi, M, Huang, H, Husseini, A, Jakovljevic, MB, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khoja, ATA, Khosravi, A, Khubchandani, J, Kim, D, Kim, YJ, Kokubo, Y, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lee, PH, Leshargie, CT, Leung, R, Lo, L-T, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Martinez-Raga, J, Farid, HM, Mazidi, M, McGrath, JJ, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Mezgebe, HB, Miller, TR, Mitchell, PB, Mohammadi, A, Mohammed, S, Obermeyer, CM, Ogbo, FA, Castillo, EP, Papachristou, C, Patten, SB, Patton, GC, Pervaiz, A, Phillips, MR, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roshandel, G, Safdarian, M, Safiabadi, M, Safiri, S, Sagar, R, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Saylan, MI, Seedat, S, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Silva, DAS, Singh, JA, Sobaih, BHA, Stein, DJ, Abdulkader, RS, Sykes, BL, Tabares-Seisdedos, R, Tabb, KM, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Ukwaja, KN, Uthman, OA, Vollset, SE, Wakayo, T, Wang, Y-P, Werdecker, A, Westerman, R, Workicho, A, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: Mental disorders are among the leading causes of nonfatal burden of disease globally. METHODS: We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. RESULTS: Mental disorders contributed to 4.7% (95% uncertainty interval (UI) 3.7-5.6%) of total disability-adjusted life-years (DALYs), ranking as the ninth leading cause of disease burden. Depressive disorders and anxiety disorders were the third and ninth leading causes of nonfatal burden, respectively. Almost all countries in the EMR had higher age-standardized mental disorder DALYs rates compared to the global level, and in half of the EMR countries, observed mental disorder rates exceeded the expected values. CONCLUSIONS: The burden of mental disorders in the EMR is higher than global levels, particularly for women. To properly address this burden, EMR governments should implement nationwide quality epidemiological surveillance of mental disorders and provide adequate prevention and treatment services.
Published: 2018

20. Burden of lower respiratory infections in the Eastern Mediterranean Region between 1990 and 2015: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Moradi-Lakeh, M, El Bcheraoui, C, Charara, R, Khalil, I, Afshin, A, Kassebaum, NJ, Collison, M, Daoud, F, Chew, A, Krohn, KJ, Colombara, D, Ehrenkranz, R, Foreman, KJ, Frostad, J, Godwin, WW, Kutz, M, Rao, PC, Reiner, R, Troeger, C, Wang, H, Abajobir, AA, Abbas, KM, Abera, SF, Abu-Raddad, LJ, Adane, K, Kiadaliri, AA, Ahmadi, A, Beshir, M, Al-Eyadhy, A, Alam, K, Alam, N, Alasfoor, D, Alizadeh-Navaei, R, Al-Maskari, F, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Anber, N, Ansari, H, Antonio, CAT, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Arthur, EFG, Bacha, U, Barac, A, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Bhutta, ZA, Michael, B, Butt, ZA, Castaneda-Orjuela, CA, Danawi, H, Djalalinia, S, Endries, AY, Eshrati, B, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Garcia-Basteiro, AL, Gebrehiwot, KT, Gebrehiwot, TT, Hailu, GB, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hassanvand, MS, Hedayati, MT, Horita, N, Husseini, A, Spencer, LJ, Javanbakht, M, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khoja, ATA, Khubchandani, J, Kim, YJ, Kissoon, N, Larson, HJ, Latif, AA, Leshargie, CT, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Farid, HM, Mehari, A, Memish, ZA, Mengistu, DT, Mensah, GA, Mezgebe, HB, Nakamura, S, Oren, E, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Vafa, R-M, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roba, HS, Roshandel, G, Safdarian, M, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Shigematsu, M, Singh, JA, Sufiyan, MB, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Uthman, OA, Vollset, SE, Wakayo, T, Werdecker, A, Wijeratne, T, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, Murray, CJL, Mokdad, AH, Moradi-Lakeh, M, El Bcheraoui, C, Charara, R, Khalil, I, Afshin, A, Kassebaum, NJ, Collison, M, Daoud, F, Chew, A, Krohn, KJ, Colombara, D, Ehrenkranz, R, Foreman, KJ, Frostad, J, Godwin, WW, Kutz, M, Rao, PC, Reiner, R, Troeger, C, Wang, H, Abajobir, AA, Abbas, KM, Abera, SF, Abu-Raddad, LJ, Adane, K, Kiadaliri, AA, Ahmadi, A, Beshir, M, Al-Eyadhy, A, Alam, K, Alam, N, Alasfoor, D, Alizadeh-Navaei, R, Al-Maskari, F, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Anber, N, Ansari, H, Antonio, CAT, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Arthur, EFG, Bacha, U, Barac, A, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Bhutta, ZA, Michael, B, Butt, ZA, Castaneda-Orjuela, CA, Danawi, H, Djalalinia, S, Endries, AY, Eshrati, B, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Garcia-Basteiro, AL, Gebrehiwot, KT, Gebrehiwot, TT, Hailu, GB, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hassanvand, MS, Hedayati, MT, Horita, N, Husseini, A, Spencer, LJ, Javanbakht, M, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khoja, ATA, Khubchandani, J, Kim, YJ, Kissoon, N, Larson, HJ, Latif, AA, Leshargie, CT, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Farid, HM, Mehari, A, Memish, ZA, Mengistu, DT, Mensah, GA, Mezgebe, HB, Nakamura, S, Oren, E, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Vafa, R-M, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Rezai, MS, Roba, HS, Roshandel, G, Safdarian, M, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Shigematsu, M, Singh, JA, Sufiyan, MB, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Uthman, OA, Vollset, SE, Wakayo, T, Werdecker, A, Wijeratne, T, Yaghoubi, M, Yimam, HH, Yonemoto, N, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, and Murray, CJL
Abstract: OBJECTIVES: We used data from the Global Burden of Disease 2015 study (GBD) to calculate the burden of lower respiratory infections (LRIs) in the 22 countries of the Eastern Mediterranean Region (EMR) from 1990 to 2015. METHODS: We conducted a systematic analysis of mortality and morbidity data for LRI and its specific etiologic factors, including pneumococcus, Haemophilus influenzae type b, Respiratory syncytial virus, and influenza virus. We used modeling methods to estimate incidence, deaths, and disability-adjusted life-years (DALYs). We calculated burden attributable to known risk factors for LRI. RESULTS: In 2015, LRIs were the fourth-leading cause of DALYs, causing 11,098,243 (95% UI 9,857,095-12,396,566) DALYs and 191,114 (95% UI 170,934-210,705) deaths. The LRI DALY rates were higher than global estimates in 2015. The highest and lowest age-standardized rates of DALYs were observed in Somalia and Lebanon, respectively. Undernutrition in childhood and ambient particulate matter air pollution in the elderly were the main risk factors. CONCLUSIONS: Our findings call for public health strategies to reduce the level of risk factors in each age group, especially vulnerable child and elderly populations.
Published: 2018

21. Danger ahead: the burden of diseases, injuries, and risk factors in the Eastern Mediterranean Region, 1990-2015

Author: Mokdad, AH, El Bcheraoui, C, Charara, R, Khalil, I, Moradi-Lakeh, M, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Biryukov, S, Casey, D, Cercy, K, Charlson, FJ, Cornaby, L, Dicker, D, Erskine, HE, Ferrari, AJ, Fitzmaurice, C, Foreman, KJ, Fraser, M, Frostad, J, Godwin, WW, Griswold, M, Kassebaum, NJ, Kemmer, L, Kutz, M, Kyu, HH, Leung, J, Liu, P, Mikesell, J, Nguyen, G, Olsen, HE, Reiner, R, Reitsma, M, Roth, G, Santomauro, D, Smith, A, Stanaway, JD, Sur, P, Wang, H, Whiteford, HA, Afifi, R, Kiadaliri, AA, Ahmadi, A, Ahmadieh, H, Alam, K, Alam, N, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Bacha, U, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bhutta, ZA, Bisanzio, D, Butt, ZA, Deribew, A, Djalalinia, S, Eshrati, B, Esteghamati, A, Farvid, MS, Chan, HTH, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hotez, PJ, Hsairi, M, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khoja, ATA, Khoja, TAM, Khubchandani, J, Kopec, JA, Larson, HJ, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Memish, ZA, Mensah, GA, Nasher, JT, Obermeyer, CM, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Sobaih, BHA, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Uthman, OA, Vollset, SE, Werdecker, A, Yaghoubi, M, Yaseri, M, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, Murray, CJL, Mokdad, AH, El Bcheraoui, C, Charara, R, Khalil, I, Moradi-Lakeh, M, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Biryukov, S, Casey, D, Cercy, K, Charlson, FJ, Cornaby, L, Dicker, D, Erskine, HE, Ferrari, AJ, Fitzmaurice, C, Foreman, KJ, Fraser, M, Frostad, J, Godwin, WW, Griswold, M, Kassebaum, NJ, Kemmer, L, Kutz, M, Kyu, HH, Leung, J, Liu, P, Mikesell, J, Nguyen, G, Olsen, HE, Reiner, R, Reitsma, M, Roth, G, Santomauro, D, Smith, A, Stanaway, JD, Sur, P, Wang, H, Whiteford, HA, Afifi, R, Kiadaliri, AA, Ahmadi, A, Ahmadieh, H, Alam, K, Alam, N, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Anber, N, Ansari, H, Anwari, P, Asayesh, H, Asgedom, SW, Atey, TM, Bacha, U, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bhutta, ZA, Bisanzio, D, Butt, ZA, Deribew, A, Djalalinia, S, Eshrati, B, Esteghamati, A, Farvid, MS, Chan, HTH, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hotez, PJ, Hsairi, M, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khoja, ATA, Khoja, TAM, Khubchandani, J, Kopec, JA, Larson, HJ, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Memish, ZA, Mensah, GA, Nasher, JT, Obermeyer, CM, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rawaf, DL, Rawaf, S, Refaat, AH, Rezaei, S, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shamsizadeh, M, Sobaih, BHA, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Topor-Madry, R, Uthman, OA, Vollset, SE, Werdecker, A, Yaghoubi, M, Yaseri, M, Younis, MZ, Zaki, MES, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, and Murray, CJL
Abstract: OBJECTIVES: The Eastern Mediterranean Region faces several health challenges at a difficult time with wars, unrest, and economic change. METHODS: We used the Global Burden of Disease 2015 study to present the burden of diseases, injuries, and risk factors in the Eastern Mediterranean Region from 1990 to 2015. RESULTS: Ischemic heart disease was the leading cause of death in the region in 2015, followed by cerebrovascular disease. Changes in total deaths ranged from a reduction of 25% for diarrheal diseases to an increase of about 42% for diabetes and tracheal, bronchus, and lung cancer. Collective violence and legal intervention increased by 850% during the time period. Diet was the leading risk factor for disability-adjusted life years (DALYs) for men compared to maternal malnutrition for females. Childhood undernutrition was the leading risk factor for DALYs in 1990 and 2005, but the second in 2015 after high blood pressure. CONCLUSIONS: Our study shows that the region is facing several health challenges and calls for global efforts to stabilise the region and to address the current and future burden of disease.
Published: 2018

22. Burden of cancer in the Eastern Mediterranean Region, 2005-2015: findings from the Global Burden of Disease 2015 Study

Author: Fitzmaurice, C, Alsharif, U, El Bcheraoui, C, Khalil, I, Charara, R, Moradi-Lakeh, M, Afshin, A, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Dicker, D, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kutz, M, Wang, H, Abyu, GY, Adedeji, IA, Kiadaliri, AA, Ahmed, MB, Al-Eyadhy, A, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Amini, E, Anber, N, Anwari, P, Artaman, A, Asgedom, SW, Atey, TM, Awasthi, A, Saleem, HOB, Bacha, U, Barac, A, Bedi, N, Bhutta, ZA, Butt, ZA, Castaneda-Orjuela, CA, Chitheer, AA, Danawi, H, das Neves, J, Davitoiu, DV, Dey, S, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Dubey, M, Ebrahimi, H, Ekwueme, DU, Endries, AY, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gopalani, SV, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hareri, HA, Hay, RJ, Horita, N, Hsairi, M, Jakovljevic, MB, Jonas, JB, Kasaeian, A, Kassaw, NA, Khader, YS, Khan, EA, Khan, G, Kim, D, Kinfu, Y, Larson, HJ, Latif, AA, Linn, S, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Malta, DC, Markos, D, Memiah, P, Memish, ZA, Mendoza, W, Meretoja, TJ, Miller, TR, Mohammed, S, Nangia, V, Quyen, LN, Trang, HN, Ogbo, FA, Mahesh, PA, Park, E-K, Patel, T, Pereira, DM, Pishgar, F, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, S, Renzaho, AMN, Rezaei, S, Roba, KT, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Salamati, P, Samy, AM, Sanabria, JR, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shrime, MG, Stathopoulou, V, Sufiyan, MB, Abdulkader, RS, Tabares-Seisdedos, R, Tehrani-Banihashemi, A, Tekelab, T, Temsah, M-H, Tran, BX, Ukwaja, KN, Uthman, OA, Vlassov, VV, Vollset, SE, Wakayo, T, Weiderpass, E, Werdecker, A, Yaghoubi, M, Yaseri, M, Yimam, HH, Yonemoto, N, Zaki, MES, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Fitzmaurice, C, Alsharif, U, El Bcheraoui, C, Khalil, I, Charara, R, Moradi-Lakeh, M, Afshin, A, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Dicker, D, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kutz, M, Wang, H, Abyu, GY, Adedeji, IA, Kiadaliri, AA, Ahmed, MB, Al-Eyadhy, A, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Amini, E, Anber, N, Anwari, P, Artaman, A, Asgedom, SW, Atey, TM, Awasthi, A, Saleem, HOB, Bacha, U, Barac, A, Bedi, N, Bhutta, ZA, Butt, ZA, Castaneda-Orjuela, CA, Chitheer, AA, Danawi, H, das Neves, J, Davitoiu, DV, Dey, S, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Dubey, M, Ebrahimi, H, Ekwueme, DU, Endries, AY, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gopalani, SV, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hareri, HA, Hay, RJ, Horita, N, Hsairi, M, Jakovljevic, MB, Jonas, JB, Kasaeian, A, Kassaw, NA, Khader, YS, Khan, EA, Khan, G, Kim, D, Kinfu, Y, Larson, HJ, Latif, AA, Linn, S, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Malta, DC, Markos, D, Memiah, P, Memish, ZA, Mendoza, W, Meretoja, TJ, Miller, TR, Mohammed, S, Nangia, V, Quyen, LN, Trang, HN, Ogbo, FA, Mahesh, PA, Park, E-K, Patel, T, Pereira, DM, Pishgar, F, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, S, Renzaho, AMN, Rezaei, S, Roba, KT, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Salamati, P, Samy, AM, Sanabria, JR, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shrime, MG, Stathopoulou, V, Sufiyan, MB, Abdulkader, RS, Tabares-Seisdedos, R, Tehrani-Banihashemi, A, Tekelab, T, Temsah, M-H, Tran, BX, Ukwaja, KN, Uthman, OA, Vlassov, VV, Vollset, SE, Wakayo, T, Weiderpass, E, Werdecker, A, Yaghoubi, M, Yaseri, M, Yimam, HH, Yonemoto, N, Zaki, MES, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, and Mokdad, AH
Abstract: OBJECTIVES: To estimate incidence, mortality, and disability-adjusted life years (DALYs) caused by cancer in the Eastern Mediterranean Region (EMR) between 2005 and 2015. METHODS: Vital registration system and cancer registry data from the EMR region were analyzed for 29 cancer groups in 22 EMR countries using the Global Burden of Disease Study 2015 methodology. RESULTS: In 2015, cancer was responsible for 9.4% of all deaths and 5.1% of all DALYs. It accounted for 722,646 new cases, 379,093 deaths, and 11.7 million DALYs. Between 2005 and 2015, incident cases increased by 46%, deaths by 33%, and DALYs by 31%. The increase in cancer incidence was largely driven by population growth and population aging. Breast cancer, lung cancer, and leukemia were the most common cancers, while lung, breast, and stomach cancers caused most cancer deaths. CONCLUSIONS: Cancer is responsible for a substantial disease burden in the EMR, which is increasing. There is an urgent need to expand cancer prevention, screening, and awareness programs in EMR countries as well as to improve diagnosis, treatment, and palliative care services.
Published: 2018

23. Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Khalil, I, Collison, M, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Krohn, KJ, Daoud, F, Chew, A, Kassebaum, NJ, Colombara, D, Cornaby, L, Ehrenkranz, R, Foreman, KJ, Fraser, M, Frostad, J, Kemmer, L, Kulikoff, XR, Kutz, M, Kyu, HH, Liu, P, Mikesell, J, Nguyen, G, Rao, PC, Silpakit, N, Sligar, A, Smith, A, Stanaway, JD, Arnlov, J, Abate, KH, Kiadaliri, AA, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Alraddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Ansari, H, Antonio, CAT, Anwari, P, Artaman, A, Asayesh, H, Asgedom, SW, Azzopardi, P, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Beghi, E, Bennett, DA, Bhutta, ZA, Bisanzio, D, Castaneda-Orjuela, CA, Estanislao Castro, R, Danawi, H, Deribe, K, Deribew, A, Jarlais, DCD, deVeber, GA, Dey, S, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giussani, G, Gona, PN, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hoy, DG, Hu, G, John, D, Jonas, JB, Karimi, SM, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Kim, D, Kim, YJ, Kinfu, Y, Larson, HJ, Latif, AA, Leasher, JL, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Memish, ZA, Mendoza, W, Mezgebe, HB, Miller, TR, Monasta, L, Quyen, LN, Obermeyer, CM, Ortiz, A, Papachristou, C, Park, E-K, Pereira, CC, Petzold, M, Pereira, DM, Phillips, MR, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Rezai, MS, Ronfani, L, Roshandel, G, Ruhago, GM, Safdarian, M, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Sartorius, B, Schwebel, DC, Seedat, S, Sepanlou, SG, Setegn, T, Shaheen, A, Shaikh, MA, Shamsizadeh, M, Shiri, R, Skirbekk, V, Sobaih, BHA, Sreeramareddy, CT, Stathopoulou, V, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Thakur, AJS, Thomson, AJ, Tran, BX, Truelsen, T, Ukwaja, KN, Uthman, OA, Vasankari, T, Vlassov, VV, Weiderpass, E, Weintraub, RG, Werdecker, A, Yaghoubi, M, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Wang, H, Murray, CJL, Mokdad, AH, Khalil, I, Collison, M, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Krohn, KJ, Daoud, F, Chew, A, Kassebaum, NJ, Colombara, D, Cornaby, L, Ehrenkranz, R, Foreman, KJ, Fraser, M, Frostad, J, Kemmer, L, Kulikoff, XR, Kutz, M, Kyu, HH, Liu, P, Mikesell, J, Nguyen, G, Rao, PC, Silpakit, N, Sligar, A, Smith, A, Stanaway, JD, Arnlov, J, Abate, KH, Kiadaliri, AA, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Alraddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Ansari, H, Antonio, CAT, Anwari, P, Artaman, A, Asayesh, H, Asgedom, SW, Azzopardi, P, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Beghi, E, Bennett, DA, Bhutta, ZA, Bisanzio, D, Castaneda-Orjuela, CA, Estanislao Castro, R, Danawi, H, Deribe, K, Deribew, A, Jarlais, DCD, deVeber, GA, Dey, S, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Giussani, G, Gona, PN, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hoy, DG, Hu, G, John, D, Jonas, JB, Karimi, SM, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Kim, D, Kim, YJ, Kinfu, Y, Larson, HJ, Latif, AA, Leasher, JL, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Memish, ZA, Mendoza, W, Mezgebe, HB, Miller, TR, Monasta, L, Quyen, LN, Obermeyer, CM, Ortiz, A, Papachristou, C, Park, E-K, Pereira, CC, Petzold, M, Pereira, DM, Phillips, MR, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Rezai, MS, Ronfani, L, Roshandel, G, Ruhago, GM, Safdarian, M, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Sartorius, B, Schwebel, DC, Seedat, S, Sepanlou, SG, Setegn, T, Shaheen, A, Shaikh, MA, Shamsizadeh, M, Shiri, R, Skirbekk, V, Sobaih, BHA, Sreeramareddy, CT, Stathopoulou, V, Abdulkader, RS, Tehrani-Banihashemi, A, Temsah, M-H, Thakur, AJS, Thomson, AJ, Tran, BX, Truelsen, T, Ukwaja, KN, Uthman, OA, Vasankari, T, Vlassov, VV, Weiderpass, E, Weintraub, RG, Werdecker, A, Yaghoubi, M, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Wang, H, and Murray, CJL
Abstract: OBJECTIVES: Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study. METHODS: We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries. RESULTS: In 2015, 755,844 (95% uncertainty interval (UI) 712,064-801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812-181,463) in 1990 to 80,985 (76,308-85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally. CONCLUSIONS: Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths.
Published: 2018

24. Diabetes mellitus and chronic kidney disease in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Moradi-Lakeh, M, El Bcheraoui, C, Khalil, I, Charara, R, Afshin, A, Wang, H, Collison, M, Krohn, KJ, Chew, A, Daoud, F, Blosser, CD, Cornaby, L, Foreman, KJ, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Zipkin, B, Arnlov, J, Abate, KH, Ahmadi, A, Ahmadieh, H, Ahmed, MB, Al-Aly, Z, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Alkaabi, JM, Alkerwi, A, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Amini, E, Anber, N, Anwari, P, Asgedom, SW, Atey, TM, Avila-Burgos, L, Awasthi, A, Azzopardi, P, Baernighausen, T, Bacha, U, Barac, A, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Berhe, DF, Beyene, AS, Bhutta, ZA, Bikbov, B, Birhanu, MM, Butt, ZA, Cahuana-Hurtado, L, Carpenter, DO, Carrero, JJ, Choi, J-YJJ, Danawi, H, Dharmaratne, SD, Ding, EL, Djalalinia, S, Doyle, KE, Ebrahimi, H, Endries, AY, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Feyissa, TR, Fischer, F, Gebrehiwot, TT, Gona, PN, Gopalani, SV, Gyawali, B, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Horino, M, Hsairi, M, Jakovljevic, MB, Jimenez-Corona, A, John, D, Jonas, JB, Kasaeian, A, Kengne, AP, Ketema, EB, Khader, YS, Khan, EA, Kim, D, Kim, YJ, Kinfu, Y, Kissimova-Skarbek, KA, Koyanagi, A, Larson, HJ, Larsson, A, Li, Y, Lotufo, PA, Lunevicius, R, Majeed, A, Malekzadeh, R, Malta, DC, Mazidi, M, Memish, ZA, Mendoza, W, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mohammed, MSK, Mohammed, S, Mueller, UO, Nagel, G, Cuong, TN, Quyen, LN, Vuong, MN, Noubiap, JJN, Ogbo, FA, Ortiz, A, Ota, E, Patel, T, Pearson-Stuttard, J, Perico, N, Petzold, M, Pishgar, F, Pourmalek, F, Qorbani, M, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Remuzzi, G, Renzaho, AMNN, Rezaei, S, Roshandel, G, Bacher, DR, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Dolores Sanchez-Nino, M, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Santos Silva, DA, Alves Silveira, DG, Sobaih, BHA, Abdulkader, RS, Tabares-Seisdedos, R, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Tran, BX, Ukwaja, KN, Uthman, OA, van Boven, JFM, Wakayo, T, Werdecker, A, Workicho, A, Yaghoubi, M, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Zhang, AL, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, Murray, CJL, Mokdad, AH, Moradi-Lakeh, M, El Bcheraoui, C, Khalil, I, Charara, R, Afshin, A, Wang, H, Collison, M, Krohn, KJ, Chew, A, Daoud, F, Blosser, CD, Cornaby, L, Foreman, KJ, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Zipkin, B, Arnlov, J, Abate, KH, Ahmadi, A, Ahmadieh, H, Ahmed, MB, Al-Aly, Z, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Alkaabi, JM, Alkerwi, A, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Amini, E, Anber, N, Anwari, P, Asgedom, SW, Atey, TM, Avila-Burgos, L, Awasthi, A, Azzopardi, P, Baernighausen, T, Bacha, U, Barac, A, Bazargan-Hejazi, S, Drew, CR, Geffen, D, Bedi, N, Berhe, DF, Beyene, AS, Bhutta, ZA, Bikbov, B, Birhanu, MM, Butt, ZA, Cahuana-Hurtado, L, Carpenter, DO, Carrero, JJ, Choi, J-YJJ, Danawi, H, Dharmaratne, SD, Ding, EL, Djalalinia, S, Doyle, KE, Ebrahimi, H, Endries, AY, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Feyissa, TR, Fischer, F, Gebrehiwot, TT, Gona, PN, Gopalani, SV, Gyawali, B, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Horino, M, Hsairi, M, Jakovljevic, MB, Jimenez-Corona, A, John, D, Jonas, JB, Kasaeian, A, Kengne, AP, Ketema, EB, Khader, YS, Khan, EA, Kim, D, Kim, YJ, Kinfu, Y, Kissimova-Skarbek, KA, Koyanagi, A, Larson, HJ, Larsson, A, Li, Y, Lotufo, PA, Lunevicius, R, Majeed, A, Malekzadeh, R, Malta, DC, Mazidi, M, Memish, ZA, Mendoza, W, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mohammed, MSK, Mohammed, S, Mueller, UO, Nagel, G, Cuong, TN, Quyen, LN, Vuong, MN, Noubiap, JJN, Ogbo, FA, Ortiz, A, Ota, E, Patel, T, Pearson-Stuttard, J, Perico, N, Petzold, M, Pishgar, F, Pourmalek, F, Qorbani, M, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Remuzzi, G, Renzaho, AMNN, Rezaei, S, Roshandel, G, Bacher, DR, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Dolores Sanchez-Nino, M, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Santos Silva, DA, Alves Silveira, DG, Sobaih, BHA, Abdulkader, RS, Tabares-Seisdedos, R, Tehrani-Banihashemi, A, Temsah, M-H, Topor-Madry, R, Tran, BX, Ukwaja, KN, Uthman, OA, van Boven, JFM, Wakayo, T, Werdecker, A, Workicho, A, Yaghoubi, M, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Zhang, AL, Jumaan, AO, Vos, T, Naghavi, M, Hay, SI, and Murray, CJL
Abstract: OBJECTIVES: We used findings from the Global Burden of Disease 2015 study to update our previous publication on the burden of diabetes and chronic kidney disease due to diabetes (CKD-DM) during 1990-2015. METHODS: We extracted GBD 2015 estimates for prevalence, mortality, and disability-adjusted life years (DALYs) of diabetes (including burden of low vision due to diabetes, neuropathy, and amputations and CKD-DM for 22 countries of the EMR from the GBD visualization tools. RESULTS: In 2015, 135,230 (95% UI 123,034-148,184) individuals died from diabetes and 16,470 (95% UI 13,977-18,961) from CKD-DM, 216 and 179% increases, respectively, compared to 1990. The total number of people with diabetes was 42.3 million (95% UI 38.6-46.4 million) in 2015. DALY rates of diabetes in 2015 were significantly higher than the expected rates based on Socio-demographic Index (SDI). CONCLUSIONS: Our study showed a large and increasing burden of diabetes in the region. There is an urgency in dealing with diabetes and its consequences, and these efforts should be at the forefront of health prevention and promotion.
Published: 2018

25. Burden of obesity in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, El Bcheraoui, C, Afshin, A, Charara, R, Khalil, I, Moradi-Lakeh, M, Kassebaum, NJ, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Biryukov, SH, Cornaby, L, Foreman, KJ, Kutz, M, Liu, P, Reitsma, M, Sur, P, Wang, H, Zipkin, B, Arnlov, J, Abbafati, C, Abdulle, AM, Abu-Rmeileh, NME, Ahmed, MB, Al-Aly, Z, Alam, K, Alizadeh-Navaei, R, Alkerwi, A, Altirkawi, KA, Alvis-Guzman, N, Baune, BT, Bedi, N, Bennett, DA, Beyene, AS, Bhutta, ZA, Birhanu, MM, Danawi, H, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gill, PS, Gona, PN, Gupta, V, Habtewold, TD, Hamadeh, RR, Hamidi, S, Hareri, HA, Horino, M, Hsairi, M, Javanbakht, M, John, D, Jonas, JB, Joshua, V, Kasaeian, A, Ketema, EB, Khader, YS, Khan, EA, Khubchandani, J, Kim, D, Kim, YJ, Kinfu, Y, Kokubo, Y, Larson, HJ, Lee, PH, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Malekzadeh, R, Mate, KK, Memish, ZA, Mengistie, MA, Mensah, GA, Ogbo, FA, Pourmalek, F, Rafay, A, Qorbani, M, Rahimi-Movaghar, V, Rana, SM, Rawaf, S, Renzaho, AMN, Rezaei, S, Rezai, MS, Safdarian, M, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shiri, R, Santos Silva, DA, Singh, JA, Terkawi, AS, Tiruye, TY, Ukwaja, KN, Vasankari, T, Vlassov, VV, Wakayo, T, Werdecker, A, Yonemoto, N, Younis, MZ, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, El Bcheraoui, C, Afshin, A, Charara, R, Khalil, I, Moradi-Lakeh, M, Kassebaum, NJ, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Biryukov, SH, Cornaby, L, Foreman, KJ, Kutz, M, Liu, P, Reitsma, M, Sur, P, Wang, H, Zipkin, B, Arnlov, J, Abbafati, C, Abdulle, AM, Abu-Rmeileh, NME, Ahmed, MB, Al-Aly, Z, Alam, K, Alizadeh-Navaei, R, Alkerwi, A, Altirkawi, KA, Alvis-Guzman, N, Baune, BT, Bedi, N, Bennett, DA, Beyene, AS, Bhutta, ZA, Birhanu, MM, Danawi, H, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gill, PS, Gona, PN, Gupta, V, Habtewold, TD, Hamadeh, RR, Hamidi, S, Hareri, HA, Horino, M, Hsairi, M, Javanbakht, M, John, D, Jonas, JB, Joshua, V, Kasaeian, A, Ketema, EB, Khader, YS, Khan, EA, Khubchandani, J, Kim, D, Kim, YJ, Kinfu, Y, Kokubo, Y, Larson, HJ, Lee, PH, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Malekzadeh, R, Mate, KK, Memish, ZA, Mengistie, MA, Mensah, GA, Ogbo, FA, Pourmalek, F, Rafay, A, Qorbani, M, Rahimi-Movaghar, V, Rana, SM, Rawaf, S, Renzaho, AMN, Rezaei, S, Rezai, MS, Safdarian, M, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shiri, R, Santos Silva, DA, Singh, JA, Terkawi, AS, Tiruye, TY, Ukwaja, KN, Vasankari, T, Vlassov, VV, Wakayo, T, Werdecker, A, Yonemoto, N, Younis, MZ, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: We used the Global Burden of Disease (GBD) 2015 study results to explore the burden of high body mass index (BMI) in the Eastern Mediterranean Region (EMR). METHODS: We estimated the prevalence of overweight and obesity among children (2-19 years) and adults (≥20 years) in 1980 and 2015. The burden of disease related to high BMI was calculated using the GBD comparative risk assessment approach. RESULTS: The prevalence of obesity increased for adults from 15.1% (95% UI 13.4-16.9) in 1980 to 20.7% (95% UI 18.8-22.8) in 2015. It increased from 4.1% (95% UI 2.9-5.5) to 4.9% (95% UI 3.6-6.4) for the same period among children. In 2015, there were 417,115 deaths and 14,448,548 disability-adjusted life years (DALYs) attributable to high BMI in EMR, which constitute about 10 and 6.3% of total deaths and DALYs, respectively, for all ages. CONCLUSIONS: This is the first study to estimate trends in obesity burden for the EMR from 1980 to 2015. We call for EMR countries to invest more resources in prevention and health promotion efforts to reduce this burden.
Published: 2018

26. Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Tehrani-Banihashemi, A, Moradi-Lakeh, M, El Bcheraoui, C, Charara, R, Khalil, I, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Cornaby, L, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Mirarefin, M, Nguyen, G, Wang, H, Zipkin, B, Abajobir, AA, Abouzeid, M, Abu-Rmeileh, NME, Kiadaliri, AA, Ahmed, MB, Aksut, B, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Arnlov, J, Asgedom, SW, Atey, TM, Awasthi, A, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Bennett, DA, Berhe, DF, Biadgilign, S, Butt, ZA, Carapetis, JR, Estanislao Castro, R, Chitheer, AA, Davletov, K, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Dubey, M, Ebrahimi, H, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, SW, Gebrehiwot, TT, Gillum, RF, Gona, PN, Gupta, R, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hsairi, M, Jee, SH, Jonas, JB, Karimkhani, C, Kasaeian, A, Khader, YS, Khan, EA, Kim, D, Lal, DK, Larson, HJ, Latif, AA, Linn, S, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Majeed, A, Malekzadeh, R, Malta, DC, Meier, T, Memiah, P, Memish, ZA, Mendoza, W, Mensah, GA, Meretoja, A, Miller, TR, Mirrakhimov, EM, Mohammed, S, Quyen, LN, Vuong, MN, Pearson-Stuttard, J, Pishgar, F, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roba, KT, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Santos Silva, DA, Singh, JA, Sobaih, BHA, Stroumpoulis, K, Abdulkader, RS, Szoeke, CEI, Temsah, M-H, Tran, BX, Ukwaja, KN, Uthman, OA, Vasankari, T, Vlassov, VV, Vollset, SE, Wakayo, T, Weintraub, RG, Wessly, PR, Wijeratne, T, Wolfe, CDA, Workicho, A, Yaghoubi, M, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Jumaan, AO, Vos, T, Roth, GA, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Tehrani-Banihashemi, A, Moradi-Lakeh, M, El Bcheraoui, C, Charara, R, Khalil, I, Afshin, A, Collison, M, Daoud, F, Krohn, KJ, Chew, A, Cornaby, L, Foreman, KJ, Frostad, J, Kassebaum, NJ, Kemmer, L, Kutz, M, Liu, P, Mirarefin, M, Nguyen, G, Wang, H, Zipkin, B, Abajobir, AA, Abouzeid, M, Abu-Rmeileh, NME, Kiadaliri, AA, Ahmed, MB, Aksut, B, Alam, K, Alasfoor, D, Ali, R, Alizadeh-Navaei, R, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Arnlov, J, Asgedom, SW, Atey, TM, Awasthi, A, Baernighausen, T, Bacha, U, Barac, A, Barker-Collo, SL, Bedi, N, Bennett, DA, Berhe, DF, Biadgilign, S, Butt, ZA, Carapetis, JR, Estanislao Castro, R, Chitheer, AA, Davletov, K, Dharmaratne, SD, Djalalinia, S, Huyen, PD, Dubey, M, Ebrahimi, H, Eshrati, B, Esteghamati, A, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, SW, Gebrehiwot, TT, Gillum, RF, Gona, PN, Gupta, R, Hafezi-Nejad, N, Hamadeh, RR, Hamidi, S, Hsairi, M, Jee, SH, Jonas, JB, Karimkhani, C, Kasaeian, A, Khader, YS, Khan, EA, Kim, D, Lal, DK, Larson, HJ, Latif, AA, Linn, S, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Majeed, A, Malekzadeh, R, Malta, DC, Meier, T, Memiah, P, Memish, ZA, Mendoza, W, Mensah, GA, Meretoja, A, Miller, TR, Mirrakhimov, EM, Mohammed, S, Quyen, LN, Vuong, MN, Pearson-Stuttard, J, Pishgar, F, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Rana, SM, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roba, KT, Roshandel, G, Safdarian, M, Safi, S, Safiri, S, Sahraian, MA, Salamati, P, Samy, AM, Milicevic, MMS, Sartorius, B, Sepanlou, SG, Shaikh, MA, Santos Silva, DA, Singh, JA, Sobaih, BHA, Stroumpoulis, K, Abdulkader, RS, Szoeke, CEI, Temsah, M-H, Tran, BX, Ukwaja, KN, Uthman, OA, Vasankari, T, Vlassov, VV, Vollset, SE, Wakayo, T, Weintraub, RG, Wessly, PR, Wijeratne, T, Wolfe, CDA, Workicho, A, Yaghoubi, M, Yano, Y, Yaseri, M, Yonemoto, N, Younis, MZ, Yu, C, Zaki, MES, Jumaan, AO, Vos, T, Roth, GA, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990-2015. METHODS: We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. RESULTS: A total of 1.4 million CVD deaths (95% UI: 1.3-1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. CONCLUSIONS: The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.
Published: 2018

27. Burden of diarrhea in the Eastern Mediterranean Region, 1990-2015: Findings from the Global Burden of Disease 2015 study

Author: Mokdad, AH, Khalil, I, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Kassebaum, NJ, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Colombara, D, Foreman, KJ, Godwin, WW, Kutz, M, Mirarefin, M, Rao, PC, Reiner, R, Troeger, C, Wang, H, Abraha, HN, Abu-Elyazeed, R, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Ahmed, MB, Alam, K, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Atey, TM, Avokpaho, EFGA, Bacha, U, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Bessong, PO, Beyene, AS, Bhutta, ZA, Buckle, GC, Butt, ZA, Danawi, H, Deribew, A, Djalalinia, S, Dubey, M, Endries, AY, Eshrati, B, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gugnani, HC, Hamadeh, RR, Hamidi, S, Husseini, A, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khubchandani, J, Kissoon, N, Kopec, JA, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Memiah, P, Memish, ZA, Mendoza, W, Mengistu, DT, Mohammed, S, Murthy, S, Ngunjiri, JW, Ogbo, FA, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Ram, U, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roshandel, G, Safdarian, M, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shigematsu, M, Sobaih, BHA, Sreeramareddy, CT, Sykes, BL, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Tiruye, TY, Topor-Madry, R, Ukwaja, KN, Vollset, SE, Wakayo, T, Werdecker, A, Wiysonge, CS, Workicho, A, Yaghoubi, M, Yaseri, M, Yenesew, M, Yonemoto, N, Younis, MZ, Zaki, MES, Zodpey, S, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, Murray, CJL, Mokdad, AH, Khalil, I, El Bcheraoui, C, Charara, R, Moradi-Lakeh, M, Afshin, A, Kassebaum, NJ, Collison, M, Chew, A, Krohn, KJ, Daoud, F, Colombara, D, Foreman, KJ, Godwin, WW, Kutz, M, Mirarefin, M, Rao, PC, Reiner, R, Troeger, C, Wang, H, Abraha, HN, Abu-Elyazeed, R, Abu-Raddad, LJ, Kiadaliri, AA, Ahmadi, A, Ahmed, MB, Alam, K, Alizadeh-Navaei, R, Al-Raddadi, R, Altirkawi, KA, Alvis-Guzman, N, Anber, N, Anwari, P, Atey, TM, Avokpaho, EFGA, Bacha, U, Bazargan-Hejazi, S, Geffen, D, Bedi, N, Bensenor, IM, Berhane, A, Bessong, PO, Beyene, AS, Bhutta, ZA, Buckle, GC, Butt, ZA, Danawi, H, Deribew, A, Djalalinia, S, Dubey, M, Endries, AY, Eshrati, B, Fereshtehnejad, S-M, Fischer, F, Gebrehiwot, TT, Gugnani, HC, Hamadeh, RR, Hamidi, S, Husseini, A, James, SL, Jonas, JB, Kasaeian, A, Khader, YS, Khan, EA, Khan, G, Khubchandani, J, Kissoon, N, Kopec, JA, Koyanagi, A, Defo, BK, Larson, HJ, Latif, AA, Lunevicius, R, Abd El Razek, HM, Abd El Razek, MM, Majdzadeh, R, Majeed, A, Malekzadeh, R, Memiah, P, Memish, ZA, Mendoza, W, Mengistu, DT, Mohammed, S, Murthy, S, Ngunjiri, JW, Ogbo, FA, Pourmalek, F, Qorbani, M, Radfar, A, Rafay, A, Rahimi-Movaghar, V, Rai, RK, Ram, U, Rawaf, DL, Rawaf, S, Renzaho, AMN, Rezaei, S, Roshandel, G, Safdarian, M, Sahraian, MA, Salamati, P, Samy, AM, Sanabria, JR, Sartorius, B, Sepanlou, SG, Shaikh, MA, Shigematsu, M, Sobaih, BHA, Sreeramareddy, CT, Sykes, BL, Tehrani-Banihashemi, A, Temsah, M-H, Terkawi, AS, Tiruye, TY, Topor-Madry, R, Ukwaja, KN, Vollset, SE, Wakayo, T, Werdecker, A, Wiysonge, CS, Workicho, A, Yaghoubi, M, Yaseri, M, Yenesew, M, Yonemoto, N, Younis, MZ, Zaki, MES, Zodpey, S, Zein, B, Jumaan, AO, Vos, T, Hay, SI, Naghavi, M, and Murray, CJL
Abstract: OBJECTIVES: Diarrheal diseases (DD) are an important cause of disease burden, especially in children in low-income settings. DD can also impact children's potential livelihood through growth faltering, cognitive impairment, and other sequelae. METHODS: As part of the Global Burden of Disease study, we estimated DD burden, and the burden attributable to specific risk factors and etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2015. We calculated disability-adjusted life-years (DALYs)-the sum of years of life lost and years lived with disability-for both sexes and all ages. RESULTS: We estimate that over 103,692 diarrhea deaths occurred in the EMR in 2015 (95% uncertainty interval: 87,018-124,692), and the mortality rate was 16.0 deaths per 100,000 persons (95% UI: 13.4-19.2). The majority of these deaths occurred in children under 5 (63.3%) (65,670 deaths, 95% UI: 53,640-79,486). DALYs per 100,000 ranged from 304 (95% UI 228-400) in Kuwait to 38,900 (95% UI 25,900-54,300) in Somalia. CONCLUSIONS: Our findings will guide evidence-based health policy decisions for interventions to achieve the ultimate goal of reducing the DD burden.
Published: 2018

28. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Author: Feigin, VL, Abajobir, AA, Abate, KH, Abd-Allah, F, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, AT, Ansari, H, Anwari, P, Arnlov, J, Asayesh, H, Asgedom, SW, Atey, TM, Avila-Burgos, L, Avokpaho, EFGA, Azarpazhooh, MR, Barac, A, Barboza, M, Barker-Collo, SL, Baernighausen, T, Bedi, N, Beghi, E, Bennett, DA, Bensenor, IM, Berhane, A, Betsu, BD, Bhaumik, S, Birlik, SM, Biryukov, S, Boneya, DJ, Bulto, LN, Carabin, H, Casey, D, Castaneda-Orjuela, CA, Catala-Lopez, F, Chen, H, Chitheer, AA, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, deVeber, GA, Dharmaratne, SD, Do, HP, Dokova, K, Dorsey, ER, Ellenbogen, RG, Eskandarieh, S, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Foreman, KJ, Geleijnse, JM, Gillum, RF, Giussani, G, Goldberg, EM, Gona, PN, Goulart, AC, Gugnani, HC, Gupta, R, Hachinski, V, Hamadeh, RR, Hambisa, M, Hankey, GJ, Hareri, HA, Havmoeller, R, Hay, SI, Heydarpour, P, Hotez, PJ, Jakovljevic, MMB, Javanbakht, M, Jeemon, P, Jonas, JB, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khoja, AT, Khubchandani, J, Kulkarni, C, Kim, D, Kim, YJ, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kumar, R, Kyu, HH, Larsson, A, Lavados, PM, Li, Y, Liang, X, Liben, ML, Lo, WD, Logroscino, G, Lotufo, PA, Loy, CT, Mackay, MT, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, LG, Massano, J, Mazidi, M, McAlinden, C, Mehata, S, Mehndiratta, MM, Memish, ZA, Mendoza, W, Mengistie, MA, Mensah, GA, Meretoja, A, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammadi, A, Mohammed, KE, Mohammed, S, Mokdad, AH, Moradi-Lakeh, M, Velasquez, IM, Musa, KI, Naghavi, M, Ngunjiri, JW, Nguyen, CT, Nguyen, G, Nguyen, QL, Nguyen, TH, Nichols, E, Ningrum, DN, Nong, VM, Norrving, B, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Parmar, PG, Pereira, DM, Petzold, M, Phillips, MR, Piradov, MA, Poulton, RG, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rahman, MH, Rai, RK, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, AMN, Rezai, MS, Roth, GA, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, MA, Samy, AM, Santalucia, P, Santos, IS, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, MI, Sepanlou, SG, Shaikh, MA, Shakir, R, Shamsizadeh, M, Sheth, KN, Shigematsu, M, Shoman, H, Silva, DA, Smith, M, Sobngwi, E, Sposato, LA, Stanaway, JD, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Szoeke, CEI, Tabares-Seisdedos, R, Tanne, D, Theadom, AM, Thrift, AG, Tirschwell, DL, Topor-Madry, R, Tran, BX, Truelsen, T, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Wadilo, F, Wakayo, T, Wallin, MT, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Xavier, D, Xu, G, Yano, Y, Yimam, HH, Yonemoto, N, Yu, C, Zaidi, Z, Zaki, MES, Zunt, JR, Murray, CJL, Vos, T, Disorders, GBDN, Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, and Vos, T
Subjects: Cost of Illness, Nutrition and Disease, GBD, Voeding en Ziekte, Humans, Life Science, Quality-Adjusted Life Years, Nervous System Diseases, Global Health, Article, Global Burden of Disease, VLAG
Abstract: Background Comparable data on the global and country-specific burden of neurological disorders and their trends are\ud crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors\ud (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians\ud specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to\ud neurological disorders in 2015 and its relationship with country development level.\ud \ud Methods We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years\ud of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification\ud have been previously spread across multiple disease groupings. The more inclusive grouping of neurological\ud disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer’s disease and other dementias, Parkinson’s\ud disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse\ud headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed\ud results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and\ud fertility, to identify patterns associated with development and how countries fare against expected outcomes relative\ud to their level of development.\ud \ud Findings Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval\ud (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4\ud [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tensiontype\ud headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication\ud overuse headache (58·5 [50·8 to 67·4 million]), and Alzheimer’s disease and other dementias (46·0\ud [40·2 to 52·7 million]). Between 1990 and 2015, the number of deaths from neurological disorders increased by\ud 36·7%, and the number of DALYs by 7·4%. These increases occurred despite decreases in age-standardised rates of\ud death and DALYs of 26·1% and 29·7%, respectively; stroke and communicable neurological disorders were\ud responsible for most of these decreases. Communicable neurological disorders were the largest cause of DALYs in\ud countries with low SDI. Stroke rates were highest at middle levels of SDI and lowest at the highest SDI. Most of the\ud changes in DALY rates of neurological disorders with development were driven by changes in YLLs.\ud \ud Interpretation Neurological disorders are an important cause of disability and death worldwide. Globally, the burden\ud of neurological disorders has increased substantially over the past 25 years because of expanding population numbers\ud and ageing, despite substantial decreases in mortality rates from stroke and communicable neurological disorders.\ud The number of patients who will need care by clinicians with expertise in neurological conditions will continue to\ud grow in coming decades. Policy makers and health-care providers should be aware of these trends to provide adequate\ud services.\ud \ud Funding Bill & Melinda Gates Foundation.
Published: 2017

29. Using health educators to improve knowledge of healthy behaviour among Hajj 1432 [2011] pilgrims

Author: Moqbel E, Ibrahem A, Balahmar M, Memish Za, and Turkestani A
Subjects: Health Knowledge, Attitudes, Practice, Travel, business.industry, Health Educators, Health Behavior, Health knowledge, General Medicine, Islam, Health educators, Middle East, Nursing, Surveys and Questionnaires, Intervention (counseling), Humans, Medicine, Health education, Hajj, business
Abstract: The main objective of this study was to assess the short-term effect on health knowledge among pilgrims after being provided specific health education messages. A random sample of 6 entry-point buses was selected. A self-administered questionnaire was used to assess knowledge before and after intervention; 278 pilgrims completed the questionnaire. There was a significant increase in the proportion of participants who answered all questions correctly after the educational intervention (P < 0.05). Almost all respondents stated that they benefited from the health education and that the health educator was successful in delivering the messages. Only 19 (7.2%) reported that they had already received relevant health education messages prior to their arrival in Saudi Arabia. Before the intervention just 50% of the respondents knew that safe shaving prevents dissemination of bloodborne diseases; this rose to 84.7% after the intervention. Direct health education to pilgrims is effective in improving short-term health knowledge.
Published: 2013

30. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013

Author: Vos, T, Barber, Rm, Bell, B, Bertozzi Villa, A, Biryukov, S, Bolliger, I, Charlson, F, Davis, A, Degenhardt, L, Dicker, D, Duan, L, Erskine, H, Feigin, Vl, Ferrari, Aj, Fitzmaurice, C, Fleming, T, Graetz, N, Guinovart, C, Haagsma, J, Hansen, Gm, Hanson, Sw, Heuton, Kr, Higashi, H, Kassebaum, N, Kyu, H, Laurie, E, Liang, X, Lofgren, K, Lozano, R, Macintyre, Mf, Moradi Lakeh, M, Naghavi, M, Nguyen, G, Odell, S, Ortblad, K, Roberts, Da, Roth, Ga, Sandar, L, Serina, Pt, Stanaway, Jd, Steiner, C, Thomas, B, Vollset, Se, Whiteford, H, Wolock, Tm, Ye, P, Zhou, M, Ãvila, Ma, Aasvang, Gm, Abbafati, C, Abbasoglu, Ozgoren, A, Abd Allah, F, Abdel, Aziz, Abera, Sf, Aboyans, V, Abraham, Jp, Abraham, B, Abubakar, I, Abu Raddad, Lj, Abu Rmeileh, Nm, Aburto, Tc, Achoki, T, Ackerman, In, Adelekan, A, Ademi, Z, Adou, Ak, Adsuar, Jc, Arnlov, J, Agardh, Ee, Khabouri, Al, Alam, Ss, Alasfoor, D, Albittar, Mi, Alegretti, Ma, Aleman, Av, Alemu, Za, Alfonso Cristancho, R, Alhabib, S, Ali, R, Alla, F, Allebeck, P, Allen, Pj, Almazroa, Ma, Alsharif, U, Alvarez, E, Alvis, Guzman, Ameli, N, O, Amini, H, Ammar, W, Anderson, Bo, Anderson, Hr, Antonio, Ca, Anwari, P, Apfel, H, Arsenijevic, Vs, Artaman, A, Asghar, Rj, Assadi, R, Atkins, Ls, Atkinson, C, Badawi, A, Bahit, Mc, Bakfalouni, T, Balakrishnan, K, Balalla, S, Banerjee, A, Barker Collo, Sl, Barquera, S, Barregard, L, Barrero, Lh, Basu, S, Basu, A, Baxter, A, Beardsley, J, Bedi, N, Beghi, E, Bekele, T, Bell, Ml, Benjet, C, Bennett, Da, Bensenor, Im, Benzian, H, Bernabe, E, Beyene, Tj, Bhala, N, Bhalla, A, Bhutta, Z, Bienhoff, K, Bikbov, B, Bin, Abdulhak, Blore, Jd, Blyth, Fm, Bohensky, Ma, Bora, Basara, B, Borges, G, Bornstein, Nm, Bose, D, Boufous, S, Bourne, Rr, Boyers, Ln, Brainin, M, Brauer, M, Brayne, Ce, Brazinova, A, Breitborde, Nj, Brenner, H, Briggs, Ad, Brooks, Pm, Brown, J, Brugha, Ts, Buchbinder, R, Buckle, Gc, Bukhman, G, Bulloch, Ag, Burch, M, Burnett, R, Cardenas, R, Cabral, Nl, Campos, Nonato, Campuzano, Ir, Carapetis, Jc, Carpenter, Do, Caso, V, Castaneda Orjuela, Ca, Catala Lopez, F, Chadha, Vk, Chang, Jc, Chen, H, Chen, W, Chiang, Pp, Chimed Ochir, O, Chowdhury, R, Christensen, H, Christophi, Ca, Chugh, Ss, Cirillo, Massimo, Coggeshall, M, Cohen, A, Colistro, V, Colquhoun, Sm, Contreras, Ag, Cooper, Lt, Cooper, C, Cooperrider, K, Coresh, J, Cortinovis, M, Criqui, Mh, Crump, Ja, Cuevas Nasu, L, Dandona, R, Dandona, L, Dansereau, E, Dantes, Hg, Dargan, Pi, Davey, G, Davitoiu, Dv, Dayama, A, La, De, Cruz, Gongora, De, V, Vega, La, De, Sf, Leo, D, Del, Pozo, Cruz, Dellavalle, Rp, Deribe, K, Derrett, S, Des, Jarlais, Dessalegn, M, Deveber, Ga, Dharmaratne, Sd, Diaz Torne, C, Ding, El, Dokova, K, Dorsey, Er, Driscoll, Tr, Duber, H, Durrani, Am, Edmond, Km, Ellenbogen, Rg, Endres, M, Ermakov, Sp, Eshrati, B, Esteghamati, A, Estep, K, Fahimi, S, Farzadfar, F, Fay, Df, Felson, Dt, Fereshtehnejad, Sm, Fernandes, Jg, Ferri, Cp, Flaxman, A, Foigt, N, Foreman, Kj, Fowkes, Fg, Franklin, Rc, Furst, T, Futran, Nd, Gabbe, Bj, Gankpe, Fg, Garcia, Guerra, Geleijnse, Fa, Gessner, Bd, Gibney, Kb, Gillum, Rf, Ginawi, Ia, Giroud, M, Giussani, G, Goenka, S, Goginashvili, K, Gona, P, Gonzalez, De, Cosio, T, Gosselin, Ra, Gotay, Cc, Goto, A, Gouda, Hn, Guerrant, Rl, Gugnani, Hc, Gunnell, D, Gupta, R, Gutierrez, Ra, Hafezi Nejad, N, Hagan, H, Halasa, Y, Hamadeh, Rr, Hamavid, H, Hammami, M, Hankey, Gj, Hao, Y, Harb, Hl, Haro, Jm, Havmoeller, R, Hay, Rj, Hay, S, Hedayati, Mt, Heredia, Pi, Heydarpour, P, Hijar, M, Hoek, Hw, Hoffman, Hj, Hornberger, Jc, Hosgood, Hd, Hossain, M, Hotez, Pj, Hoy, Dg, Hsairi, M, Hu, H, Hu, G, Huang, Jj, Huang, C, Huiart, L, Husseini, A, Iannarone, M, Iburg, Km, Innos, K, Inoue, M, Jacobsen, Kh, Jassal, Sk, Jeemon, P, Jensen, Pn, Jha, V, Jiang, G, Jiang, Y, Jonas, Jb, Joseph, J, Juel, K, Kan, H, Karch, A, Karimkhani, C, Karthikeyan, G, Katz, R, Kaul, A, Kawakami, N, Kazi, Ds, Kemp, Ah, Kengne, Ap, Khader, Ys, Khalifa, Se, Khan, Ea, Khan, G, Khang, Yh, Khonelidze, I, Kieling, C, Kim, D, Kim, S, Kimokoti, Rw, Kinfu, Y, Kinge, Jm, Kissela, Bm, Kivipelto, M, Knibbs, L, Knudsen, Ak, Kokubo, Y, Kosen, S, Kramer, A, Kravchenko, M, Krishnamurthi, Rv, Krishnaswami, S, Kuate, Defo, Kucuk, B, Bicer, B, Kuipers, Ej, Kulkarni, Vs, Kumar, K, Kumar, Ga, Kwan, Gf, Lai, T, Lalloo, R, Lam, H, Lan, Q, Lansingh, Vc, Larson, H, Larsson, A, Lawrynowicz, Ae, Leasher, Jl, Lee, Jt, Leigh, J, Leung, R, Levi, M, Li, B, Li, Y, Liang, J, Lim, S, Lin, Hh, Lind, M, Lindsay, Mp, Lipshultz, Se, Liu, S, Lloyd, Bk, Lockett, Ohno, S, Logroscino, G, Looker, Kj, Lopez, Ad, Lopez Olmedo, N, Lortet Tieulent, J, Lotufo, Pa, Low, N, Lucas, Rm, Lunevicius, R, Lyons, Ra, Ma, J, Ma, S, Mackay, Mt, Majdan, M, Malekzadeh, R, Mapoma, Cc, Marcenes, W, March, Lm, Margono, C, Marks, Gb, Marzan, Mb, Masci, Jr, Mason Jones, Aj, Matzopoulos, Rg, Mayosi, Bm, Mazorodze, Tt, Mcgill, Nw, Mcgrath, Jj, Mckee, M, Mclain, A, Mcmahon, Bj, Meaney, Pa, Mehndiratta, Mm, Mejia Rodriguez, F, Mekonnen, W, Melaku, Ya, Meltzer, M, Memish, Za, Mensah, G, Meretoja, A, Mhimbira, Fa, Micha, R, Miller, Tr, Mills, Ej, Mitchell, Pb, Mock, Cn, Moffitt, Te, Mohamed, Ibrahim, N, Mohammad, Ka, Mokdad, Ah, Mola, Gl, Monasta, L, Montico, M, Montine, Tj, Moore, Ar, Moran, Ae, Morawska, L, Mori, R, Moschandreas, J, Moturi, Wn, Moyer, M, Mozaffarian, D, Mueller, Uo, Mukaigawara, M, Murdoch, Me, Murray, J, Murthy, Ks, Naghavi, P, Nahas, Z, Naheed, A, Naidoo, Ks, Naldi, L, Nand, D, Nangia, V, Narayan, Km, Nash, D, Nejjari, C, Neupane, Sp, Newman, Lm, Newton, Cr, Ng, M, Ngalesoni, Fn, Nhung, Nt, Nisar, Mi, Nolte, S, Norheim, Of, Norman, Re, Norrving, B, Nyakarahuka, L, Ih, Oh, Ohkubo, T, Omer, Sb, Opio, Jn, Ortiz, A, Pandian, Jd, Panelo, Ci, Papachristou, C, Park, Ek, Parry, Cd, Caicedo, Aj, Patten, Sb, Paul, Vk, Pavlin, Bi, Pearce, N, Pedraza, Ls, Pellegrini, Ca, Pereira, Dm, Perez Ruiz, Fp, Perico, N, Pervaiz, A, Pesudovs, K, Peterson, Cb, Petzold, M, Phillips, Mr, Phillips, D, Phillips, B, Piel, Fb, Plass, D, Poenaru, D, Polanczyk, Gv, Polinder, S, Pope, Ca, Popova, S, Poulton, Rg, Pourmalek, F, Prabhakaran, D, Prasad, Nm, Qato, D, Quistberg, Da, Rafay, A, Rahimi, K, Rahimi Movaghar, V, Rahman, Su, Raju, M, Rakovac, I, Rana, Sm, Razavi, H, Refaat, A, Rehm, J, Remuzzi, G, Resnikoff, S, Ribeiro, Al, Riccio, Pm, Richardson, L, Richardus, Jh, Riederer, Am, Robinson, M, Roca, A, Rodriguez, A, Rojas Rueda, D, Ronfani, L, Rothenbacher, D, Roy, N, Ruhago, Gm, Sabin, N, Sacco, Rl, Ksoreide, K, Saha, S, Sahathevan, R, Sahraian, Ma, Sampson, U, Sanabria, Jr, Sanchez Riera, L, Santos, Is, Satpathy, M, Saunders, Je, Sawhney, M, Saylan, Mi, Scarborough, P, Schoettker, B, Schneider, Ij, Schwebel, Dc, Scott, Jg, Seedat, S, Sepanlou, Sg, Serdar, B, Servan Mori, Ee, Shackelford, K, Shaheen, A, Shahraz, S, Shamah, Levy, T, Shangguan, S, She, J, Sheikhbahaei, S, Shepard, Ds, Shi, P, Shibuya, K, Shinohara, Y, Shiri, R, Shishani, K, Shiue, I, Shrime, Mg, Sigfusdottir, Id, Silberberg, Dh, Simard, Ep, Sindi, S, Singh, Ja, Singh, L, Skirbekk, V, Sliwa, K, Soljak, M, Soneji, S, Soshnikov, Ss, Speyer, P, Sposato, La, Sreeramareddy, Ct, Stoeckl, H, Stathopoulou, Vk, Steckling, N, Stein, Mb, Stein, Dj, Steiner, Tj, Stewart, A, Stork, E, Stovner, Lj, Stroumpoulis, K, Sturua, L, Sunguya, Bf, Swaroop, M, Sykes, Bl, Tabb, Km, Takahashi, K, Tan, F, Tandon, N, Tanne, D, Tanner, M, Tavakkoli, M, Taylor, Hr, Ao, Te, Temesgen, Am, Ten, Have, M, Tenkorang, Ey, Terkawi, As, Theadom, Am, Thomas, E, Thorne Lyman, Al, Thrift, Ag, Tleyjeh, Im, Tonelli, M, Topouzis, F, Towbin, Ja, Toyoshima, H, Traebert, J, Tran, Bx, Trasande, L, Trillini, M, Truelsen, T, Trujillo, U, Tsilimbaris, M, Tuzcu, Em, Ukwaja, Kn, Undurraga, Ea, Uzun, Sb, Van, Brakel, Van, Wh, Vijver, De, Van, S, Dingenen, R, Van, Gool, Varakin, Yy, Vasankari, Tj, Vavilala, Ms, Veerman, Lj, Velasquez, Melendez, G, Venketasubramanian, N, Vijayakumar, L, Villalpando, S, Violante, Fs, Vlassov, Vv, Waller, S, Wallin, Mt, Wan, X, Wang, L, Wang, J, Wang, Y, Warouw, Ts, Weichenthal, S, Weiderpass, E, Weintraub, Rg, Werdecker, A, Wessells, Kr, Westerman, R, Wilkinson, Jd, Williams, Hc, Williams, Tn, Woldeyohannes, Sm, Wolfe, Cd, Wong, Jq, Wong, H, Woolf, Ad, Wright, Jl, Wurtz, B, Xu, G, Yang, G, Yano, Y, Yenesew, Ma, Yentur, Gk, Yip, P, Yonemoto, N, Yoon, Sj, Younis, M, Yu, C, Kim, Ky, Zaki, Mel, Zhang, Y, Zhao, Z, Zhao, Y, Zhu, J, Zonies, D, Zunt, Jr, Salomon, Ja, Murray, C. J., Vos, T, Barber, Rm, Bell, B, Bertozzi-Villa, A, Biryukov, S, Bolliger, I, Charlson, F, Davis, A, Degenhardt, L, Dicker, D, Duan, L, Erskine, H, Feigin, Vl, Ferrari, Aj, Fitzmaurice, C, Fleming, T, Graetz, N, Guinovart, C, Haagsma, J, Hansen, Gm, Hanson, Sw, Heuton, Kr, Higashi, H, Kassebaum, N, Kyu, H, Laurie ELiang, X, Lofgren, K, Lozano, R, Macintyre, Mf, Moradi-Lakeh, M, Naghavi, M, Nguyen, G, Odell, S, Ortblad, K, Roberts, Da, Roth, Ga, Sandar, L, Serina, Pt, Stanaway, Jd, Steiner, C, Thomas, B, Vollset, Se, Whiteford, H, Wolock, Tm, Ye, P, Zhou, M, Ãvila, Ma, Aasvang, Gm, Abbafati, C, Abbasoglu Ozgoren, A, Abd-Allah, F, Abdel Aziz MI, Abera, Sf, Aboyans, V, Abraham, Jp, Abraham, B, Abubakar, I, Abu-Raddad, Lj, Abu-Rmeileh, Nm, Aburto, Tc, Achoki TAckerman IN, Adelekan, A, Ademi, Z, Adou, Ak, Adsuar, Jc, Arnlov, J, Agardh, Ee, Al Khabouri MJ, Alam, S, Alasfoor, D, Albittar, Mi, Alegretti MAAleman AV, Alemu, Za, Alfonso-Cristancho, R, Alhabib, S, Ali, R, Alla, F, Allebeck, P, Allen, Pj, Almazroa, Ma, Alsharif, U, Alvarez, E, Alvis-Guzman NAmeli, O, Amini, H, Ammar, W, Anderson, Bo, Anderson, Hr, Antonio, Ca, Anwari, P, Apfel, H, Arsenijevic, V, Artaman, A, Asghar, Rj, Assadi, R, Atkins, L, Atkinson, C, Badawi, A, Bahit, Mc, Bakfalouni, T, Balakrishnan, K, Balalla, S, Banerjee, A, Barker-Collo, Sl, Barquera, S, Barregard, L, Barrero LHBasu, S, Basu, A, Baxter, A, Beardsley, J, Bedi, N, Beghi, E, Bekele, T, Bell, Ml, Benjet, C, Bennett, Da, Bensenor, Im, Benzian, H, Bernabe, E, Beyene TJBhala, N, Bhalla, A, Bhutta, Z, Bienhoff, K, Bikbov, B, Bin Abdulhak, A, Blore, Jd, Blyth, Fm, Bohensky, Ma, Bora Basara, B, Borges, G, Bornstein, Nm, Bose, D, Boufous, S, Bourne, Rr, Boyers, Ln, Brainin, M, Brauer, M, Brayne, Ce, Brazinova, A, Breitborde, Nj, Brenner, H, Briggs, Ad, Brooks, Pm, Brown JBrugha TS, Buchbinder, R, Buckle, Gc, Bukhman, G, Bulloch, Ag, Burch, M, Burnett, R, Cardenas, R, Cabral, Nl, Campos Nonato IR, Campuzano JCCarapetis JR, Carpenter, Do, Caso, V, Castaneda-Orjuela, Ca, Catala-Lopez, F, Chadha, Vk, Chang, Jc, Chen, H, Chen, W, Chiang, Pp, Chimed-Ochir, O, Chowdhury, R, Christensen, H, Christophi, Ca, Chugh, S, Cirillo, M, Coggeshall, M, Cohen, A, Colistro, V, Colquhoun, Sm, Contreras, Ag, Cooper LTCooper, C, Cooperrider, K, Coresh, J, Cortinovis, M, Criqui, Mh, Crump, Ja, Cuevas-Nasu, L, Dandona, R, Dandona, L, Dansereau, E, Dantes, Hg, Dargan, Pi, Davey, G, Davitoiu, Dv, Dayama, A, De la Cruz-Gongora, V, de la Vega SF, De Leo, D, del Pozo-Cruz, B, Dellavalle, Rp, Deribe, K, Derrett, S, Des Jarlais DC, Dessalegn, M, Deveber, Ga, Dharmaratne, Sd, Diaz-Torne, C, Ding, El, Dokova, K, Dorsey, Er, Driscoll, Tr, Duber, H, Durrani, Am, Edmond, Km, Ellenbogen, Rg, Endres, M, Ermakov, Sp, Eshrati, B, Esteghamati, A, Estep, K, Fahimi, S, Farzadfar, F, Fay, Df, Felson, Dt, Fereshtehnejad SMFernandes JG, Ferri, Cp, Flaxman, A, Foigt, N, Foreman, Kj, Fowkes, Fg, Franklin, Rc, Furst, T, Futran, Nd, Gabbe, Bj, Gankpe, Fg, Garcia-Guerra FAGeleijnse JM, Gessner, Bd, Gibney, Kb, Gillum, Rf, Ginawi, Ia, Giroud, M, Giussani, G, Goenka, S, Goginashvili, K, Gona, P, Gonzalez de Cosio TGosselin RA, Gotay, Cc, Goto, A, Gouda, Hn, Guerrant, Rl, Gugnani, Hc, Gunnell, D, Gupta, R, Gutierrez, Ra, Hafezi-Nejad, N, Hagan HHalasa, Y, Hamadeh, Rr, Hamavid, H, Hammami, M, Hankey, Gj, Hao, Y, Harb, Hl, Haro, Jm, Havmoeller, R, Hay, Rj, Hay, S, Hedayati, Mt, Heredia Pi IB, Heydarpour, P, Hijar, M, Hoek, Hw, Hoffman, Hj, Hornberger, Jc, Hosgood, Hd, Hossain, M, Hotez, Pj, Hoy, Dg, Hsairi, M, Hu, H, Hu, G, Huang JJHuang, C, Huiart, L, Husseini, A, Iannarone, M, Iburg, Km, Innos, K, Inoue, M, Jacobsen, Kh, Jassal, Sk, Jeemon, P, Jensen, Pn, Jha, V, Jiang, G, Jiang YJonas JB, Joseph, J, Juel, K, Kan, H, Karch, A, Karimkhani, C, Karthikeyan, G, Katz, R, Kaul, A, Kawakami, N, Kazi, D, Kemp, Ah, Kengne, Ap, Khader, Y, Khalifa, Se, Khan, Ea, Khan, G, Khang, Yh, Khonelidze, I, Kieling, C, Kim, D, Kim, S, Kimokoti, Rw, Kinfu, Y, Kinge, Jm, Kissela, Bm, Kivipelto MKnibbs, L, Knudsen, Ak, Kokubo, Y, Kosen, S, Kramer, A, Kravchenko, M, Krishnamurthi, Rv, Krishnaswami, S, Kuate Defo, B, Kucuk Bicer, B, Kuipers EJKulkarni VS, Kumar, K, Kumar, Ga, Kwan, Gf, Lai, T, Lalloo, R, Lam, H, Lan, Q, Lansingh, Vc, Larson, H, Larsson, A, Lawrynowicz, Ae, Leasher, Jl, Lee, Jt, Leigh, J, Leung, R, Levi, M, Li, B, Li, Y, Liang, J, Lim, S, Lin, Hh, Lind, M, Lindsay, Mp, Lipshultz, Se, Liu, S, Lloyd, Bk, Lockett Ohno, S, Logroscino, G, Looker, Kj, Lopez, Ad, Lopez-Olmedo, N, Lortet-Tieulent, J, Lotufo, Pa, Low, N, Lucas, Rm, Lunevicius, R, Lyons, Ra, Ma, J, Ma, S, Mackay MTMajdan, M, Malekzadeh, R, Mapoma, Cc, Marcenes, W, March, Lm, Margono, C, Marks, Gb, Marzan, Mb, Masci, Jr, Mason-Jones, Aj, Matzopoulos RGMayosi BM, Mazorodze, Tt, Mcgill, Nw, Mcgrath, Jj, Mckee, M, Mclain, A, Mcmahon, Bj, Meaney, Pa, Mehndiratta, Mm, Mejia-Rodriguez, F, Mekonnen, W, Melaku, Ya, Meltzer, M, Memish, Za, Mensah, G, Meretoja, A, Mhimbira, Fa, Micha, R, Miller, Tr, Mills, Ej, Mitchell, Pb, Mock, Cn, Moffitt TEMohamed Ibrahim, N, Mohammad, Ka, Mokdad, Ah, Mola, Gl, Monasta, L, Montico, M, Montine, Tj, Moore, Ar, Moran, Ae, Morawska, L, Mori RMoschandreas, J, Moturi, Wn, Moyer, M, Mozaffarian, D, Mueller, Uo, Mukaigawara, M, Murdoch, Me, Murray, J, Murthy, K, Naghavi, P, Nahas ZNaheed, A, Naidoo, K, Naldi, L, Nand, D, Nangia, V, Narayan, Km, Nash, D, Nejjari, C, Neupane, Sp, Newman, Lm, Newton, Cr, Ng, M, Ngalesoni FNNhung NT, Nisar, Mi, Nolte, S, Norheim, Of, Norman, Re, Norrving, B, Nyakarahuka, L, Oh, Ih, Ohkubo, T, Omer, Sb, Opio, Jn, Ortiz, A, Pandian JDPanelo CI, Papachristou, C, Park, Ek, Parry, Cd, Caicedo, Aj, Patten, Sb, Paul, Vk, Pavlin, Bi, Pearce, N, Pedraza, L, Pellegrini, Ca, Pereira, Dm, Perez-Ruiz, Fp, Perico, N, Pervaiz, A, Pesudovs, K, Peterson, Cb, Petzold, M, Phillips, Mr, Phillips, D, Phillips, B, Piel, Fb, Plass, D, Poenaru, D, Polanczyk GVPolinder, S, Pope, Ca, Popova, S, Poulton, Rg, Pourmalek, F, Prabhakaran, D, Prasad, Nm, Qato, D, Quistberg, Da, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, Su, Raju, M, Rakovac, I, Rana, Sm, Razavi, H, Refaat, A, Rehm, J, Remuzzi, G, Resnikoff, S, Ribeiro, Al, Riccio, Pm, Richardson, L, Richardus, Jh, Riederer, Am, Robinson, M, Roca, A, Rodriguez, A, Rojas-Rueda, D, Ronfani, L, Rothenbacher, D, Roy, N, Ruhago, Gm, Sabin, N, Sacco, Rl, Ksoreide, K, Saha, S, Sahathevan, R, Sahraian, Ma, Sampson, U, Sanabria, Jr, Sanchez-Riera, L, Santos, I, Satpathy, M, Saunders, Je, Sawhney, M, Saylan MIScarborough, P, Schoettker, B, Schneider, Ij, Schwebel, Dc, Scott, Jg, Seedat, S, Sepanlou, Sg, Serdar, B, Servan-Mori, Ee, Shackelford, K, Shaheen AShahraz, S, Shamah Levy, T, Shangguan, S, She, J, Sheikhbahaei, S, Shepard, D, Shi, P, Shibuya, K, Shinohara, Y, Shiri, R, Shishani, K, Shiue, I, Shrime, Mg, Sigfusdottir, Id, Silberberg, Dh, Simard, Ep, Sindi, S, Singh, Ja, Singh, L, Skirbekk, V, Sliwa, K, Soljak, M, Soneji, S, Soshnikov, S, Speyer PSposato LA, Sreeramareddy, Ct, Stoeckl, H, Stathopoulou, Vk, Steckling, N, Stein, Mb, Stein, Dj, Steiner, Tj, Stewart, A, Stork, E, Stovner LJStroumpoulis, K, Sturua, L, Sunguya, Bf, Swaroop, M, Sykes, Bl, Tabb, Km, Takahashi, K, Tan, F, Tandon, N, Tanne, D, Tanner, M, Tavakkoli, M, Taylor, Hr, Te Ao BJ, Temesgen, Am, Ten Have, M, Tenkorang, Ey, Terkawi, A, Theadom, Am, Thomas, E, Thorne-Lyman, Al, Thrift, Ag, Tleyjeh, Im, Tonelli, M, Topouzis, F, Towbin, Ja, Toyoshima, H, Traebert, J, Tran, Bx, Trasande, L, Trillini, M, Truelsen, T, Trujillo, U, Tsilimbaris, M, Tuzcu, Em, Ukwaja KNUndurraga EA, Uzun, Sb, van Brakel WH, van de Vijver, S, Van Dingenen, R, van Gool CH, Varakin, Yy, Vasankari, Tj, Vavilala, M, Veerman LJVelasquez-Melendez, G, Venketasubramanian, N, Vijayakumar, L, Villalpando, S, Violante, F, Vlassov, Vv, Waller, S, Wallin, Mt, Wan, X, Wang, L, Wang, J, Wang, Y, Warouw, T, Weichenthal, S, Weiderpass, E, Weintraub, Rg, Werdecker, A, Wessells, Kr, Westerman, R, Wilkinson, Jd, Williams HCWilliams TN, Woldeyohannes, Sm, Wolfe, Cd, Wong, Jq, Wong, H, Woolf, Ad, Wright, Jl, Wurtz, B, Xu, G, Yang, G, Yano, Y, Yenesew, Ma, Yentur GKYip, P, Yonemoto, N, Yoon, Sj, Younis, M, Yu, C, Kim, Ky, Zaki Mel, S, Zhang, Y, Zhao, Z, Zhao, Y, Zhu, J, Zonies, D, Zunt, Jr, Salomon, Ja, Murray, Cj., Vos, Theo, Barber, Ryan M., Bell, Brad, Bertozzi-Villa, Amelia, Biryukov, Stan, Bolliger, Ian, Charlson, Fiona, Davis, Adrian, Degenhardt, Louisa, Dicker, Daniel, Duan, Leilei, Erskine, Holly, Feigin, Valery L., Ferrari, Alize J., Fitzmaurice, Christina, Fleming, Thoma, Graetz, Nichola, Guinovart, Caterina, Haagsma, Juanita, Hansen, Gillian M., Hanson, Sarah Wulf, Heuton, Kyle R., Higashi, Hideki, Kassebaum, Nichola, Kyu, Hmwe, Laurie, Evan, Liang, Xiofeng, Lofgren, Katherine, Lozano, Rafael, Macintyre, Michael F., Moradi-Lakeh, Maziar, Naghavi, Mohsen, Nguyen, Grant, Odell, Shaun, Ortblad, Katrina, Roberts, David Allen, Roth, Gregory A., Sandar, Logan, Serina, Peter T., Stanaway, Jeffrey D., Steiner, Caitlyn, Thomas, Bernadette, Vollset, Stein Emil, Whiteford, Harvey, Wolock, Timothy M., Ye, Pengpeng, Zhou, Maigeng, Ãvila, Marco A., Aasvang, Gunn Marit, Abbafati, Cristiana, Ozgoren, Ayse Abbasoglu, Abd-Allah, Foad, Aziz, Muna I. Abdel, Abera, Semaw F., Aboyans, Victor, Abraham, Jerry P., Abraham, Biju, Abubakar, Ibrahim, Abu-Raddad, Laith J., Abu-Rmeileh, Niveen M.E., Aburto, Tania C., Achoki, Tom, Ackerman, Ilana N., Adelekan, Ademola, Ademi, Zanfina, Adou, Arsène K., Adsuar, Josef C., Arnlov, Johan, Agardh, Emilie E., Al Khabouri, Mazin J., Alam, Sayed Saidul, Alasfoor, Deena, Albittar, Mohammed I., Alegretti, Miguel A., Aleman, Alicia V., Alemu, Zewdie A., Alfonso-Cristancho, Rafael, Alhabib, Samia, Ali, Raghib, Alla, Francoi, Allebeck, Peter, Allen, Peter J., Almazroa, Mohammad Abdulaziz, Alsharif, Ubai, Alvarez, Elena, Alvis-Guzman, Nelson, Ameli, Omid, Amini, Heresh, Ammar, Walid, Anderson, Benjamin O., Anderson, H. Ro, Antonio, Carl Abelardo T., Anwari, Palwasha, Apfel, Henry, Arsenijevic, Valentain S. Arsic, Artaman, Al, Asghar, Rana J., Assadi, Reza, Atkins, Lydia S., Atkinson, Charle, Badawi, Alaa, Bahit, Maria C., Bakfalouni, Talal, Balakrishnan, Kalpana, Balalla, Shivanthi, Banerjee, Amitava, Barker-Collo, Suzanne L., Barquera, Simon, Barregard, Lar, Barrero, Lope H., Basu, Sanjay, Basu, Arindam, Baxter, Amanda, Beardsley, Justin, Bedi, Neeraj, Beghi, Ettore, Bekele, Tolesa, Bell, Michelle L., Benjet, Corina, Bennett, Derrick A., Bensenor, Isabela M., Benzian, Habib, Bernabe, Eduardo, Beyene, Tariku J., Bhala, Neeraj, Bhalla, Ashish, Bhutta, Zulfiqar, Bienhoff, Kelly, Bikbov, Bori, Abdulhak, Aref Bin, Blore, Jed D., Blyth, Fiona M., Bohensky, Megan A., Basara, Berrak Bora, Borges, Guilherme, Bornstein, Natan M., Bose, Dipan, Boufous, Soufiane, Bourne, Rupert R., Boyers, Lindsay N., Brainin, Michael, Brauer, Michael, Brayne, Carol E.G., Brazinova, Alexandra, Breitborde, Nicholas J.K., Brenner, Hermann, Briggs, Adam D.M., Brooks, Peter M., Brown, Jonathan, Brugha, Traolach S., Buchbinder, Rachelle, Buckle, Geoffrey C., Bukhman, Gene, Bulloch, Andrew G., Burch, Michael, Burnett, Richard, Cardenas, Rosario, Cabral, Norberto L., Campos-Nonato, Ismael R., Campuzano, Julio C., Carapetis, Jonathan R., Carpenter, David O., Caso, Valeria, Castaneda-Orjuela, Carlos A., Catala-Lopez, Ferran, Chadha, Vineet K., Chang, Jung-Chen, Chen, Honglei, Chen, Wanqing, Chiang, Peggy P., Chimed-Ochir, Odgerel, Chowdhury, Rajiv, Christensen, Hanne, Christophi, Costas A., Chugh, Sumeet S., Cirillo, Massimo, Coggeshall, Megan, Cohen, Aaron, Colistro, Valentina, Colquhoun, Samantha M., Contreras, Alejandra G., Cooper, Leslie T., Cooper, Cyru, Cooperrider, Kimberly, Coresh, Josef, Cortinovis, Monica, Criqui, Michael H., Crump, John A., Cuevas-Nasu, Lucia, Dandona, Rakhi, Dandona, Lalit, Dansereau, Emily, Dantes, Hector G., Dargan, Paul I., Davey, Gail, Davitoiu, Dragos V., Dayama, Anand, De La Cruz-Gongora, Vanessa, De La Vega, Shelley F., De Leo, Diego, Del Pozo-Cruz, Borja, Dellavalle, Robert P., Deribe, Kebede, Derrett, Sarah, Des Jarlais, Don C., Dessalegn, Muluken, Deveber, Gabrielle A., Dharmaratne, Samath D., Diaz-Torne, Cesar, Ding, Eric L., Dokova, Klara, Dorsey, E.R., Driscoll, Tim R., Duber, Herbert, Durrani, Adnan M., Edmond, Karen M., Ellenbogen, Richard G., Endres, Matthia, Ermakov, Sergey P., Eshrati, Babak, Esteghamati, Alireza, Estep, Kara, Fahimi, Saman, Farzadfar, Farshad, Fay, Derek F.J., Felson, David T., Fereshtehnejad, Seyed-Mohammad, Fernandes, Jefferson G., Ferri, Cluesa P., Flaxman, Abraham, Foigt, Nataliya, Foreman, Kyle J., Fowkes, F Gerry R., Franklin, Richard C., Furst, Thoma, Futran, Neal D., Gabbe, Belinda J., Gankpe, Fortune G., Garcia-Guerra, Francisco A., Geleijnse, Johanna M., Gessner, Bradford D., Gibney, Katherine B., Gillum, Richard F., Ginawi, Ibrahim A., Giroud, Maurice, Giussani, Giorgia, Goenka, Shifalika, Goginashvili, Ketevan, Gona, Philimon, De Cosio, Teresita Gonzalez, Gosselin, Richard A., Gotay, Carolyn C., Goto, Atsushi, Gouda, Hebe N., Guerrant, Richard L., Gugnani, Harish C., Gunnell, David, Gupta, Rajeev, Gupta, Rahul, Gutierrez, Reyna A., Hafezi-Nejad, Nima, Hagan, Holly, Halasa, Yara, Hamadeh, Randah R., Hamavid, Hannah, Hammami, Mouhanad, Hankey, Graeme J., Hao, Yuantao, Harb, Hilda L., Haro, Josep Maria, Havmoeller, Rasmu, Hay, Roderick J., Hay, Simon, Hedayati, Mohammad T., Pi, Ileana B. Heredia, Heydarpour, Pouria, Hijar, Martha, Hoek, Hans W., Hoffman, Howard J., Hornberger, John C., Hosgood, H. Dean, Hossain, Mazeda, Hotez, Peter J., Hoy, Damian G., Hsairi, Mohamed, Hu, Howard, Hu, Guoqing, Huang, John J., Huang, Cheng, Huiart, Laetitia, Husseini, Abdullatif, Iannarone, Marissa, Iburg, Kim M., Innos, Kaire, Inoue, Manami, Jacobsen, Kathryn H., Jassal, Simerjot K., Jeemon, Panniyammakal, Jensen, Paul N., Jha, Vivekanand, Jiang, Guohong, Jiang, Ying, Jonas, Jost B., Joseph, Jonathan, Juel, Knud, Kan, Haidong, Karch, Andre, Karimkhani, Chante, Karthikeyan, Ganesan, Katz, Ronit, Kaul, Anil, Kawakami, Norito, Kazi, Dhruv S., Kemp, Andrew H., Kengne, Andre P., Khader, Yousef S., Khalifa, Shams Eldin A.H., Khan, Ejaz A., Khan, Gulfaraz, Khang, Young-Ho, Khonelidze, Irma, Kieling, Christian, Kim, Daniel, Kim, Sungroul, Kimokoti, Ruth W., Kinfu, Yohanne, Kinge, Jonas M., Kissela, Brett M., Kivipelto, Miia, Knibbs, Luke, Knudsen, Ann Kristin, Kokubo, Yoshihiro, Kosen, Soewarta, Kramer, Alexander, Kravchenko, Michael, Krishnamurthi, Rita V., Krishnaswami, Sanjay, Defo, Barthelemy Kuate, Bicer, Burcu Kucuk, Kuipers, Ernst J., Kulkarni, Veena S., Kumar, Kaushalendra, Kumar, G Anil, Kwan, Gene F., Lai, Taavi, Lalloo, Ratilal, Lam, Hilton, Lan, Qing, Lansingh, Van C., Larson, Heidi, Larsson, Ander, Lawrynowicz, Alicia E.B., Leasher, Janet L., Lee, Jong-Tae, Leigh, Jame, Leung, Ricky, Levi, Miriam, Li, Bin, Li, Yichong, Li, Yongmei, Liang, Juan, Lim, Stephen, Lin, Hsien-Ho, Lind, Margaret, Lindsay, M Patrice, Lipshultz, Steven E., Liu, Shiwei, Lloyd, Belinda K., Ohno, Summer Lockett, Logroscino, Giancarlo, Looker, Katharine J., Lopez, Alan D., Lopez-Olmedo, Nancy, Lortet-Tieulent, Joannie, Lotufo, Paulo A., Low, Nicola, Lucas, Robyn M., Lunevicius, Raimunda, Lyons, Ronan A., Ma, Jixiang, Ma, Stefan, Mackay, Mark T., Majdan, Marek, Malekzadeh, Reza, Mapoma, Christopher C., Marcenes, Wagner, March, Lyn M., Margono, Chri, Marks, Guy B., Marzan, Melvin B., Masci, Joseph R., Mason-Jones, Amanda J., Matzopoulos, Richard G., Mayosi, Bongani M., Mazorodze, Tasara T., Mcgill, Neil W., Mcgrath, John J., Mckee, Martin, Mclain, Abby, Mcmahon, Brian J., Meaney, Peter A., Mehndiratta, Man Mohan, Mejia-Rodriguez, Fabiola, Mekonnen, Wubegzier, Melaku, Yohannes A., Meltzer, Michele, Memish, Ziad A., Mensah, George, Meretoja, Atte, Mhimbira, Francis A., Micha, Renata, Miller, Ted R., Mills, Edward J., Mitchell, Philip B., Mock, Charles N., Moffitt, Terrie E., Ibrahim, Norlinah Mohamed, Mohammad, Karzan A., Mokdad, Ali H., Mola, Glen L., Monasta, Lorenzo, Montico, Marcella, Montine, Thomas J., Moore, Ami R., Moran, Andrew E., Morawska, Lidia, Mori, Rintaro, Moschandreas, Joanna, Moturi, Wilkister N., Moyer, Madeline, Mozaffarian, Dariush, Mueller, Ulrich O., Mukaigawara, Mitsuru, Murdoch, Michele E., Murray, Joseph, Murthy, Kinnari S., Naghavi, Paria, Nahas, Ziad, Naheed, Aliya, Naidoo, Kovin S., Naldi, Luigi, Nand, Devina, Nangia, Vinay, Narayan, K.M. Venkat, Nash, Deni, Nejjari, Chakib, Neupane, Sudan P., Newman, Lori M., Newton, Charles R., Ng, Marie, Ngalesoni, Frida N., Nhung, Nguyen T., Nisar, Muhammad I., Nolte, Sandra, Norheim, Ole F., Norman, Rosana E., Norrving, Bo, Nyakarahuka, Luke, Oh, In Hwan, Ohkubo, Takayoshi, Omer, Saad B., Opio, John Nelson, Ortiz, Alberto, Pandian, Jeyaraj D., Panelo, Carlo Irwin A., Papachristou, Christina, Park, Eun-Kee, Parry, Charles D., Caicedo, Angel J. Paternina, Patten, Scott B., Paul, Vinod K., Pavlin, Boris I., Pearce, Neil, Pedraza, Lilia S., Pellegrini, Carlos A., Pereira, David M., Perez-Ruiz, Fernando P., Perico, Norberto, Pervaiz, Aslam, Pesudovs, Konrad, Peterson, Carrie B., Petzold, Max, Phillips, Michael R., Phillips, David, Phillips, Bryan, Piel, Frederic B., Plass, Dietrich, Poenaru, Dan, Polanczyk, Guilherme V., Polinder, Suzanne, Pope, C.A., Popova, Svetlana, Poulton, Richie G., Pourmalek, Farshad, Prabhakaran, Dorairaj, Prasad, Noela M., Qato, Dima, Quistberg, D.A., Rafay, Anwar, Rahimi, Kazem, Rahimi-Movaghar, Vafa, Rahman, Sajjad Ur, Raju, Murugesan, Rakovac, Ivo, Rana, Saleem M., Razavi, Homie, Refaat, Amany, Rehm, Jurgen, Remuzzi, Giuseppe, Resnikoff, Serge, Ribeiro, Antonio L., Riccio, Patricia M., Richardson, Lee, Richardus, Jan Hendrik, Riederer, Anne M., Robinson, Margot, Roca, Anna, Rodriguez, Alina, Rojas-Rueda, David, Ronfani, Luca, Rothenbacher, Dietrich, Roy, Nobhojit, Ruhago, George M., Sabin, Nsanzimana, Sacco, Ralph L., Ksoreide, Kjetil, Saha, Sukanta, Sahathevan, Ramesh, Sahraian, Mohammad Ali, Sampson, Uchechukwu, Sanabria, Juan R., Sanchez-Riera, Lidia, Santos, Itamar S., Satpathy, Maheswar, Saunders, James E., Sawhney, Monika, Saylan, Mete I., Scarborough, Peter, Schoettker, Ben, Schneider, Ione J.C., Schwebel, David C., Scott, James G., Seedat, Soraya, Sepanlou, Sadaf G., Serdar, Berrin, Servan-Mori, Edson E., Shackelford, Katya, Shaheen, Amira, Shahraz, Saeid, Levy, Teresa Shamah, Shangguan, Siyi, She, Jun, Sheikhbahaei, Sara, Shepard, Donald S., Shi, Peilin, Shibuya, Kenji, Shinohara, Yukito, Shiri, Rahman, Shishani, Kawkab, Shiue, Ivy, Shrime, Mark G., Sigfusdottir, Inga D., Silberberg, Donald H., Simard, Edgar P., Sindi, Shireen, Singh, Jasvinder A., Singh, Lavanya, Skirbekk, Vegard, Sliwa, Karen, Soljak, Michael, Soneji, Samir, Soshnikov, Sergey S., Speyer, Peter, Sposato, Luciano A., Sreeramareddy, Chandrashekhar T., Stoeckl, Heidi, Stathopoulou, Vasiliki Kalliopi, Steckling, Nadine, Stein, Murray B., Stein, Dan J., Steiner, Timothy J., Stewart, Andrea, Stork, Eden, Stovner, Lars J., Stroumpoulis, Konstantino, Sturua, Lela, Sunguya, Bruno F., Swaroop, Mamta, Sykes, Bryan L., Tabb, Karen M., Takahashi, Ken, Tan, Feng, Tandon, Nikhil, Tanne, David, Tanner, Marcel, Tavakkoli, Mohammad, Taylor, Hugh R., Te Ao, Braden J., Temesgen, Awoke Misganaw, Have, Margreet Ten, Tenkorang, Eric Yeboah, Terkawi, Abdullah Sulieman, Theadom, Alice M., Thomas, Elissa, Thorne-Lyman, Andrew L., Thrift, Amanda G., Tleyjeh, Imad M., Tonelli, Marcello, Topouzis, Foti, Towbin, Jeffrey A., Toyoshima, Hideaki, Traebert, Jefferson, Tran, Bach X., Trasande, Leonardo, Trillini, Matia, Truelsen, Thoma, Trujillo, Ulise, Tsilimbaris, Miltiadi, Tuzcu, Emin M., Ukwaja, Kingsley N., Undurraga, Eduardo A., Uzun, Selen B., Van Brakel, Wim H., Van De Vijver, Steven, Dingenen, Rita Van, Van Gool, Coen H., Varakin, Yuri Y., Vasankari, Tommi J., Vavilala, Monica S., Veerman, Lennert J., Velasquez-Melendez, Gustavo, Venketasubramanian, Narayanaswamy, Vijayakumar, Lakshmi, Villalpando, Salvador, Violante, Francesco S., Vlassov, Vasiliy V., Waller, Stephen, Wallin, Mitchell T., Wan, Xia, Wang, Linhong, Wang, Jianli, Wang, Yanping, Warouw, Tati S., Weichenthal, Scott, Weiderpass, Elisabete, Weintraub, Robert G., Werdecker, Andrea, Wessells, K. Ryan, Westerman, Ronny, Wilkinson, James D., Williams, Hywel C., Williams, Thomas N., Woldeyohannes, Solomon M., Wolfe, Charles D.A., Wong, John Q., Wong, Haidong, Woolf, Anthony D., Wright, Jonathan L., Wurtz, Brittany, Xu, Gelin, Yang, Gonghuan, Yano, Yuichiro, Yenesew, Muluken A., Yentur, Gokalp K., Yip, Paul, Yonemoto, Naohiro, Yoon, Seok-Jun, Younis, Mustafa, Yu, Chuanhua, Kim, Kim Yun, Zaki, Maysaa El Sayed, Zhang, Yong, Zhao, Zheng, Zhao, Yong, Zhu, Jun, Zonies, David, Zunt, Joseph R., Salomon, Joshua A., Murray, Christopher J.L., Cell biology, Gastroenterology & Hepatology, Epidemiology, Health Technology Assessment (HTA), and Public Health
Subjects: Male, Gerontology, Nutrition and Disease, Epidemiology, years lived with disability, Global burden of disease, acute and chronic diseases, countries, Prevalence, Disease, Global Health, Medical and Health Sciences, Conduct disorder, Otitis-media, Cost of Illness, Residence Characteristics, Voeding en Ziekte, 80 and over, Global health, 2.2 Factors relating to the physical environment, 2.1 Biological and endogenous factors, countries, Aetiology, Child, Aged, 80 and over, Medicine(all), education.field_of_study, ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, Incidence, Mortality rate, Incidence (epidemiology), Pain Research, Neglected Diseases, Alcohol dependence, General Medicine, Middle Aged, Global burden of disease, Global Burden of Disease Study 2013 Collaborators, Mental Health, Infectious Diseases, Attention deficit/Hyperactivity disorder, Burden of Illness, Child, Preschool, Acute Disease, Female, Life Sciences & Biomedicine, Adult, medicine.medical_specialty, Adolescent, GBD 2013, Population, acute and chronic diseases, Young Adult, Mental-disorders, Age Distribution, Medicine, General & Internal, Weights, General & Internal Medicine, medicine, Humans, Life Science, Disabled Persons, Sex Distribution, Preschool, education, Developing Countries, VLAG, Aged, Science & Technology, business.industry, Developed Countries, Cutaneous Leishmaniasis, Infant, Newborn, Infant, Health outcomes, Newborn, medicine.disease, Comorbidity, Brain Disorders, years lived with disability, Good Health and Well Being, Disease, injury, incidence, prevalence, YLDs, GBD 2010, Chronic Disease, Wounds and Injuries, business, 2.4 Surveillance and distribution, Iron-deficiency, Demography
Abstract: Summary Background Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Methods Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Findings Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2·4 billion and 1·6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537·6 million in 1990 to 764·8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114·87 per 1000 people to 110·31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21·1% in 1990 to 31·2% in 2013. Interpretation Ageing of the world's population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries. Funding Bill & Melinda Gates Foundation. Background Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Methods Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Findings Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2·4 billion and 1·6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537·6 million in 1990 to 764·8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114·87 per 1000 people to 110·31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21·1% in 1990 to 31·2% in 2013. Interpretation Ageing of the world's population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries. Funding Bill & Melinda Gates Foundation.
Published: 2015

31. Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015

Author: Barber, RM, Fullman, N, Sorensen, RJD, Bollyky, T, McKee, M, Nolte, E, Abajobir, AA, Abate, KH, Abbafati, C, Abbas, KM, Abd-Allah, F, Abdulle, AM, Abdurahman, AA, Abera, SF, Abraham, B, Abreha, GF, Adane, K, Adelekan, AL, Adetifa, IMO, Afshin, A, Agarwal, A, Agarwal, SK, Agarwal, S, Agrawal, A, Kiadaliri, AA, Ahmadi, A, Ahmed, KY, Ahmed, MB, Akinyemi, RO, Akinyemiju, TF, Akseer, N, Al-Aly, Z, Alam, K, Alam, N, Alam, SS, Alemu, ZA, Alene, KA, Alexander, L, Ali, R, Ali, SD, Alizadeh-Navaei, R, Alkerwi, A, Alla, F, Allebeck, P, Allen, C, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Martin, EA, Alvis-Guzman, N, Amare, AT, Amini, E, Ammar, W, Amo-Adjei, J, Amoako, YA, Anderson, BO, Androudi, S, Ansari, H, Ansha, MG, Antonio, CAT, Ärnlöv, J, Artaman, A, Asayesh, H, Assadi, R, Astatkie, A, Atey, TM, Atique, S, Atnafu, NT, Atre, SR, Avila-Burgos, L, Avokpaho, EFGA, Quintanilla, BPA, Awasthi, A, Ayele, NN, Azzopardi, P, Saleem, HOB, Bärnighausen, T, Bacha, U, Badawi, A, Banerjee, A, Barac, A, Barboza, MA, Barker-Collo, SL, Barrero, LH, Basu, S, Baune, BT, Baye, K, Bayou, YT, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Béjot, Y, Bello, AK, Bennett, DA, Bensenor, IM, Berhane, A, Bernabé, E, Bernal, OA, Beyene, AS, Beyene, TJ, Bhutta, ZA, Biadgilign, S, Bikbov, B, Birlik, SM, Birungi, C, Biryukov, S, Bisanzio, D, Bizuayehu, HM, Bose, D, Brainin, M, Brauer, M, Brazinova, A, Breitborde, NJK, Brenner, H, Butt, ZA, Cárdenas, R, Cahuana-Hurtado, L, Campos-Nonato, IR, Car, J, Carrero, JJ, Casey, D, Caso, V, Castañeda-Orjuela, CA, Rivas, JC, Catalá-López, F, Cecilio, P, Cercy, K, Charlson, FJ, Chen, AZ, Chew, A, Chibalabala, M, Chibueze, CE, Chisumpa, VH, Chitheer, AA, Chowdhury, R, Christensen, H, Christopher, DJ, Ciobanu, LG, Cirillo, M, Coggeshall, MS, Cooper, LT, Cortinovis, M, Crump, JA, Dalal, K, Danawi, H, Dandona, L, Dandona, R, Dargan, PI, das Neves, J, Davey, G, Davitoiu, DV, Davletov, K, De Leo, D, Del Gobbo, LC, del Pozo-Cruz, B, Dellavalle, RP, Deribe, K, Deribew, A, Des Jarlais, DC, Dey, S, Dharmaratne, SD, Dicker, D, Ding, EL, Dokova, K, Dorsey, ER, Doyle, KE, Dubey, M, Ehrenkranz, R, Ellingsen, CL, Elyazar, I, Enayati, A, Ermakov, SP, Eshrati, B, Esteghamati, A, Estep, K, Fürst, T, Faghmous, IDA, Fanuel, FBB, Faraon, EJA, Farid, TA, Farinha, CSES, Faro, A, Farvid, MS, Farzadfar, F, Feigin, VL, Feigl, AB, Fereshtehnejad, S-M, Fernandes, JG, Fernandes, JC, Feyissa, TR, Fischer, F, Fitzmaurice, C, Fleming, TD, Foigt, N, Foreman, KJ, Forouzanfar, MH, Franklin, RC, Frostad, J, G/hiwot, TT, Gakidou, E, Gambashidze, K, Gamkrelidze, A, Gao, W, Garcia-Basteiro, AL, Gebre, T, Gebremedhin, AT, Gebremichael, MW, Gebru, AA, Gelaye, AA, Geleijnse, JM, Genova-Maleras, R, Gibney, KB, Giref, AZ, Gishu, MD, Giussani, G, Godwin, WW, Gold, A, Goldberg, EM, Gona, PN, Goodridge, A, Gopalani, SV, Goto, A, Graetz, N, Greaves, F, Griswold, M, Guban, PI, Gugnani, HC, Gupta, PC, Gupta, R, Gupta, T, Gupta, V, Habtewold, TD, Hafezi-Nejad, N, Haile, D, Hailu, AD, Hailu, GB, Hakuzimana, A, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hammami, M, Hankey, GJ, Hao, Y, Harb, HL, Hareri, HA, Haro, JM, Hassanvand, MS, Havmoeller, R, Hay, RJ, Hay, SI, Hendrie, D, Heredia-Pi, IB, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Htet, AS, Hu, G, Huang, H, Huang, JJ, Huntley, BM, Huynh, C, Iburg, KM, Ileanu, BV, Innos, K, Irenso, AA, Jahanmehr, N, Jakovljevic, MB, James, P, James, SL, Javanbakht, M, Jayaraman, SP, Jayatilleke, AU, Jeemon, P, Jha, V, John, D, Johnson, C, Johnson, SC, Jonas, JB, Juel, K, Kabir, Z, Kalkonde, Y, Kamal, R, Kan, H, Karch, A, Karema, CK, Karimi, SM, Kasaeian, A, Kassebaum, NJ, Kastor, A, Katikireddi, SV, Kazanjan, K, Keiyoro, PN, Kemmer, L, Kemp, AH, Kengne, AP, Kerbo, AA, Kereselidze, M, Kesavachandran, CN, Khader, YS, Khalil, I, Khan, AR, Khan, EA, Khan, G, Khang, Y-H, Khoja, ATA, Khonelidze, I, Khubchandani, J, Kibret, GD, Kim, D, Kim, P, Kim, YJ, Kimokoti, RW, Kinfu, Y, Kissoon, N, Kivipelto, M, Kokubo, Y, Kolk, A, Kolte, D, Kopec, JA, Kosen, S, Koul, PA, Koyanagi, A, Kravchenko, M, Krishnaswami, S, Krohn, KJ, Defo, BK, Bicer, BK, Kuipers, EJ, Kulkarni, VS, Kumar, GA, Kumsa, FA, Kutz, M, Kyu, HH, Lager, ACJ, Lal, A, Lal, DK, Lalloo, R, Lallukka, T, Lan, Q, Langan, SM, Lansingh, VC, Larson, HJ, Larsson, A, Laryea, DO, Latif, AA, Lawrynowicz, AEB, Leasher, JL, Leigh, J, Leinsalu, M, Leshargie, CT, Leung, J, Leung, R, Levi, M, Liang, X, Lim, SS, Lind, M, Linn, S, Lipshultz, SE, Liu, P, Liu, Y, Lo, L-T, Logroscino, G, Lopez, AD, Lorch, SA, Lotufo, PA, Lozano, R, Lunevicius, R, Lyons, RA, Macarayan, ERK, Mackay, MT, El Razek, HMA, El Razek, MMA, Mahdavi, M, Majeed, A, Malekzadeh, R, Malta, DC, Mantovani, LG, Manyazewal, T, Mapoma, CC, Marcenes, W, Marks, GB, Marquez, N, Martinez-Raga, J, Marzan, MB, Massano, J, Mathur, MR, Maulik, PK, Mazidi, M, McAlinden, C, McGrath, JJ, McNellan, C, Meaney, PA, Mehari, A, Mehndiratta, MM, Meier, T, Mekonnen, AB, Meles, KG, Memish, ZA, Mengesha, MM, Mengiste, DT, Mengistie, MA, Menota, BG, Mensah, GA, Mereta, ST, Meretoja, A, Meretoja, TJ, Mezgebe, HB, Micha, R, Millear, A, Mills, EJ, Minnig, S, Mirarefin, M, Mirrakhimov, EM, Mock, CN, Mohammad, KA, Mohammed, S, Mohanty, SK, Mokdad, AH, Mola, GLD, Molokhia, M, Monasta, L, Montico, M, Moradi-Lakeh, M, Moraga, P, Morawska, L, Mori, R, Moses, M, Mueller, UO, Murthy, S, Musa, KI, Nachega, JB, Nagata, C, Nagel, G, Naghavi, M, Naheed, A, Naldi, L, Nangia, V, Nascimento, BR, Negoi, I, Neupane, SP, Newton, CR, Ng, M, Ngalesoni, FN, Ngunjiri, JW, Nguyen, G, Ningrum, DNA, Nolte, S, Nomura, M, Norheim, OF, Norrving, B, Noubiap, JJN, Obermeyer, CM, Ogbo, FA, Oh, I-H, Okoro, A, Oladimeji, O, Olagunju, AT, Olivares, PR, Olsen, HE, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ortiz, A, Osborne, RH, Osman, M, Owolabi, MO, PA, M, Pain, AW, Pakhale, S, Castillo, EP, Pana, A, Papachristou, C, Parsaeian, M, Patel, T, Patton, GC, Paudel, D, Paul, VK, Pearce, N, Pereira, DM, Perez-Padilla, R, Perez-Ruiz, F, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pigott, DM, Pillay, JD, Pinho, C, Polinder, S, Pond, CD, Prakash, V, Purwar, M, Qorbani, M, Quistberg, DA, Radfar, A, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rai, RK, Ram, U, Rana, SM, Rankin, Z, Rao, PV, Rao, PC, Rawaf, S, Rego, MAS, Reitsma, M, Remuzzi, G, Renzaho, AMNN, Resnikoff, S, Rezaei, S, Rezai, MS, Ribeiro, AL, Roba, HS, Rokni, MB, Ronfani, L, Roshandel, G, Roth, GA, Rothenbacher, D, Roy, NK, Sachdev, PS, Sackey, BB, Saeedi, MY, Safiri, S, Sagar, R, Sahraian, MA, Saleh, MM, Salomon, JA, Samy, AM, Sanabria, JR, Sanchez-Niño, MD, Sandar, L, Santos, IS, Santos, JV, Milicevic, MMS, Sarmiento-Suarez, R, Sartorius, B, Satpathy, M, Savic, M, Sawhney, M, Saylan, MI, Schöttker, B, Schutte, AE, Schwebel, DC, Seedat, S, Seid, AM, Seifu, CN, Sepanlou, SG, Serdar, B, Servan-Mori, EE, Setegn, T, Shackelford, KA, Shaheen, A, Shahraz, S, Shaikh, MA, Shakh-Nazarova, M, Shamsipour, M, Islam, SMS, Sharma, J, Sharma, R, She, J, Sheikhbahaei, S, Shen, J, Shi, P, Shigematsu, M, Shin, M-J, Shiri, R, Shoman, H, Shrime, MG, Sibamo, ELS, Sigfusdottir, ID, Silva, DAS, Silveira, DGA, Sindi, S, Singh, A, Singh, JA, Singh, OP, Singh, PK, Singh, V, Sinke, AH, Sinshaw, AE, Skirbekk, V, Sliwa, K, Smith, A, Sobngwi, E, Soneji, S, Soriano, JB, Sousa, TCM, Sposato, LA, Sreeramareddy, CT, Stathopoulou, V, Steel, N, Steiner, C, Steinke, S, Stokes, MA, Stranges, S, Strong, M, Stroumpoulis, K, Sturua, L, Sufiyan, MB, Suliankatchi, RA, Sun, J, Sur, P, Swaminathan, S, Sykes, BL, Tabarés-Seisdedos, R, Tabb, KM, Taffere, GR, Talongwa, RT, Tarajia, M, Tavakkoli, M, Taveira, N, Teeple, S, Tegegne, TK, Tehrani-Banihashemi, A, Tekelab, T, Tekle, DY, Shifa, GT, Terkawi, AS, Tesema, AG, Thakur, JS, Thomson, AJ, Tillmann, T, Tiruye, TY, Tobe-Gai, R, Tonelli, M, Topor-Madry, R, Tortajada, M, Troeger, C, Truelsen, T, Tura, AK, Uchendu, US, Ukwaja, KN, Undurraga, EA, Uneke, CJ, Uthman, OA, van Boven, JFM, Van Dingenen, R, Varughese, S, Vasankari, T, Venketasubramanian, N, Violante, FS, Vladimirov, SK, Vlassov, VV, Vollset, SE, Vos, T, Wagner, JA, Wakayo, T, Waller, SG, Walson, JL, Wang, H, Wang, Y-P, Watkins, DA, Weiderpass, E, Weintraub, RG, Wen, C-P, Werdecker, A, Wesana, J, Westerman, R, Whiteford, HA, Wilkinson, JD, Wiysonge, CS, Woldeyes, BG, Wolfe, CDA, Won, S, Workicho, A, Workie, SB, Wubshet, M, Xavier, D, Xu, G, Yadav, AK, Yaghoubi, M, Yakob, B, Yan, LL, Yano, Y, Yaseri, M, Yimam, HH, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zambrana-Torrelio, C, Zapata, T, Zenebe, ZM, Zodpey, S, Zoeckler, L, Zuhlke, LJ, Murray, CJL, Barber, RM, Fullman, N, Sorensen, RJD, Bollyky, T, McKee, M, Nolte, E, Abajobir, AA, Abate, KH, Abbafati, C, Abbas, KM, Abd-Allah, F, Abdulle, AM, Abdurahman, AA, Abera, SF, Abraham, B, Abreha, GF, Adane, K, Adelekan, AL, Adetifa, IMO, Afshin, A, Agarwal, A, Agarwal, SK, Agarwal, S, Agrawal, A, Kiadaliri, AA, Ahmadi, A, Ahmed, KY, Ahmed, MB, Akinyemi, RO, Akinyemiju, TF, Akseer, N, Al-Aly, Z, Alam, K, Alam, N, Alam, SS, Alemu, ZA, Alene, KA, Alexander, L, Ali, R, Ali, SD, Alizadeh-Navaei, R, Alkerwi, A, Alla, F, Allebeck, P, Allen, C, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Martin, EA, Alvis-Guzman, N, Amare, AT, Amini, E, Ammar, W, Amo-Adjei, J, Amoako, YA, Anderson, BO, Androudi, S, Ansari, H, Ansha, MG, Antonio, CAT, Ärnlöv, J, Artaman, A, Asayesh, H, Assadi, R, Astatkie, A, Atey, TM, Atique, S, Atnafu, NT, Atre, SR, Avila-Burgos, L, Avokpaho, EFGA, Quintanilla, BPA, Awasthi, A, Ayele, NN, Azzopardi, P, Saleem, HOB, Bärnighausen, T, Bacha, U, Badawi, A, Banerjee, A, Barac, A, Barboza, MA, Barker-Collo, SL, Barrero, LH, Basu, S, Baune, BT, Baye, K, Bayou, YT, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Béjot, Y, Bello, AK, Bennett, DA, Bensenor, IM, Berhane, A, Bernabé, E, Bernal, OA, Beyene, AS, Beyene, TJ, Bhutta, ZA, Biadgilign, S, Bikbov, B, Birlik, SM, Birungi, C, Biryukov, S, Bisanzio, D, Bizuayehu, HM, Bose, D, Brainin, M, Brauer, M, Brazinova, A, Breitborde, NJK, Brenner, H, Butt, ZA, Cárdenas, R, Cahuana-Hurtado, L, Campos-Nonato, IR, Car, J, Carrero, JJ, Casey, D, Caso, V, Castañeda-Orjuela, CA, Rivas, JC, Catalá-López, F, Cecilio, P, Cercy, K, Charlson, FJ, Chen, AZ, Chew, A, Chibalabala, M, Chibueze, CE, Chisumpa, VH, Chitheer, AA, Chowdhury, R, Christensen, H, Christopher, DJ, Ciobanu, LG, Cirillo, M, Coggeshall, MS, Cooper, LT, Cortinovis, M, Crump, JA, Dalal, K, Danawi, H, Dandona, L, Dandona, R, Dargan, PI, das Neves, J, Davey, G, Davitoiu, DV, Davletov, K, De Leo, D, Del Gobbo, LC, del Pozo-Cruz, B, Dellavalle, RP, Deribe, K, Deribew, A, Des Jarlais, DC, Dey, S, Dharmaratne, SD, Dicker, D, Ding, EL, Dokova, K, Dorsey, ER, Doyle, KE, Dubey, M, Ehrenkranz, R, Ellingsen, CL, Elyazar, I, Enayati, A, Ermakov, SP, Eshrati, B, Esteghamati, A, Estep, K, Fürst, T, Faghmous, IDA, Fanuel, FBB, Faraon, EJA, Farid, TA, Farinha, CSES, Faro, A, Farvid, MS, Farzadfar, F, Feigin, VL, Feigl, AB, Fereshtehnejad, S-M, Fernandes, JG, Fernandes, JC, Feyissa, TR, Fischer, F, Fitzmaurice, C, Fleming, TD, Foigt, N, Foreman, KJ, Forouzanfar, MH, Franklin, RC, Frostad, J, G/hiwot, TT, Gakidou, E, Gambashidze, K, Gamkrelidze, A, Gao, W, Garcia-Basteiro, AL, Gebre, T, Gebremedhin, AT, Gebremichael, MW, Gebru, AA, Gelaye, AA, Geleijnse, JM, Genova-Maleras, R, Gibney, KB, Giref, AZ, Gishu, MD, Giussani, G, Godwin, WW, Gold, A, Goldberg, EM, Gona, PN, Goodridge, A, Gopalani, SV, Goto, A, Graetz, N, Greaves, F, Griswold, M, Guban, PI, Gugnani, HC, Gupta, PC, Gupta, R, Gupta, T, Gupta, V, Habtewold, TD, Hafezi-Nejad, N, Haile, D, Hailu, AD, Hailu, GB, Hakuzimana, A, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hammami, M, Hankey, GJ, Hao, Y, Harb, HL, Hareri, HA, Haro, JM, Hassanvand, MS, Havmoeller, R, Hay, RJ, Hay, SI, Hendrie, D, Heredia-Pi, IB, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Htet, AS, Hu, G, Huang, H, Huang, JJ, Huntley, BM, Huynh, C, Iburg, KM, Ileanu, BV, Innos, K, Irenso, AA, Jahanmehr, N, Jakovljevic, MB, James, P, James, SL, Javanbakht, M, Jayaraman, SP, Jayatilleke, AU, Jeemon, P, Jha, V, John, D, Johnson, C, Johnson, SC, Jonas, JB, Juel, K, Kabir, Z, Kalkonde, Y, Kamal, R, Kan, H, Karch, A, Karema, CK, Karimi, SM, Kasaeian, A, Kassebaum, NJ, Kastor, A, Katikireddi, SV, Kazanjan, K, Keiyoro, PN, Kemmer, L, Kemp, AH, Kengne, AP, Kerbo, AA, Kereselidze, M, Kesavachandran, CN, Khader, YS, Khalil, I, Khan, AR, Khan, EA, Khan, G, Khang, Y-H, Khoja, ATA, Khonelidze, I, Khubchandani, J, Kibret, GD, Kim, D, Kim, P, Kim, YJ, Kimokoti, RW, Kinfu, Y, Kissoon, N, Kivipelto, M, Kokubo, Y, Kolk, A, Kolte, D, Kopec, JA, Kosen, S, Koul, PA, Koyanagi, A, Kravchenko, M, Krishnaswami, S, Krohn, KJ, Defo, BK, Bicer, BK, Kuipers, EJ, Kulkarni, VS, Kumar, GA, Kumsa, FA, Kutz, M, Kyu, HH, Lager, ACJ, Lal, A, Lal, DK, Lalloo, R, Lallukka, T, Lan, Q, Langan, SM, Lansingh, VC, Larson, HJ, Larsson, A, Laryea, DO, Latif, AA, Lawrynowicz, AEB, Leasher, JL, Leigh, J, Leinsalu, M, Leshargie, CT, Leung, J, Leung, R, Levi, M, Liang, X, Lim, SS, Lind, M, Linn, S, Lipshultz, SE, Liu, P, Liu, Y, Lo, L-T, Logroscino, G, Lopez, AD, Lorch, SA, Lotufo, PA, Lozano, R, Lunevicius, R, Lyons, RA, Macarayan, ERK, Mackay, MT, El Razek, HMA, El Razek, MMA, Mahdavi, M, Majeed, A, Malekzadeh, R, Malta, DC, Mantovani, LG, Manyazewal, T, Mapoma, CC, Marcenes, W, Marks, GB, Marquez, N, Martinez-Raga, J, Marzan, MB, Massano, J, Mathur, MR, Maulik, PK, Mazidi, M, McAlinden, C, McGrath, JJ, McNellan, C, Meaney, PA, Mehari, A, Mehndiratta, MM, Meier, T, Mekonnen, AB, Meles, KG, Memish, ZA, Mengesha, MM, Mengiste, DT, Mengistie, MA, Menota, BG, Mensah, GA, Mereta, ST, Meretoja, A, Meretoja, TJ, Mezgebe, HB, Micha, R, Millear, A, Mills, EJ, Minnig, S, Mirarefin, M, Mirrakhimov, EM, Mock, CN, Mohammad, KA, Mohammed, S, Mohanty, SK, Mokdad, AH, Mola, GLD, Molokhia, M, Monasta, L, Montico, M, Moradi-Lakeh, M, Moraga, P, Morawska, L, Mori, R, Moses, M, Mueller, UO, Murthy, S, Musa, KI, Nachega, JB, Nagata, C, Nagel, G, Naghavi, M, Naheed, A, Naldi, L, Nangia, V, Nascimento, BR, Negoi, I, Neupane, SP, Newton, CR, Ng, M, Ngalesoni, FN, Ngunjiri, JW, Nguyen, G, Ningrum, DNA, Nolte, S, Nomura, M, Norheim, OF, Norrving, B, Noubiap, JJN, Obermeyer, CM, Ogbo, FA, Oh, I-H, Okoro, A, Oladimeji, O, Olagunju, AT, Olivares, PR, Olsen, HE, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ortiz, A, Osborne, RH, Osman, M, Owolabi, MO, PA, M, Pain, AW, Pakhale, S, Castillo, EP, Pana, A, Papachristou, C, Parsaeian, M, Patel, T, Patton, GC, Paudel, D, Paul, VK, Pearce, N, Pereira, DM, Perez-Padilla, R, Perez-Ruiz, F, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pigott, DM, Pillay, JD, Pinho, C, Polinder, S, Pond, CD, Prakash, V, Purwar, M, Qorbani, M, Quistberg, DA, Radfar, A, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rai, RK, Ram, U, Rana, SM, Rankin, Z, Rao, PV, Rao, PC, Rawaf, S, Rego, MAS, Reitsma, M, Remuzzi, G, Renzaho, AMNN, Resnikoff, S, Rezaei, S, Rezai, MS, Ribeiro, AL, Roba, HS, Rokni, MB, Ronfani, L, Roshandel, G, Roth, GA, Rothenbacher, D, Roy, NK, Sachdev, PS, Sackey, BB, Saeedi, MY, Safiri, S, Sagar, R, Sahraian, MA, Saleh, MM, Salomon, JA, Samy, AM, Sanabria, JR, Sanchez-Niño, MD, Sandar, L, Santos, IS, Santos, JV, Milicevic, MMS, Sarmiento-Suarez, R, Sartorius, B, Satpathy, M, Savic, M, Sawhney, M, Saylan, MI, Schöttker, B, Schutte, AE, Schwebel, DC, Seedat, S, Seid, AM, Seifu, CN, Sepanlou, SG, Serdar, B, Servan-Mori, EE, Setegn, T, Shackelford, KA, Shaheen, A, Shahraz, S, Shaikh, MA, Shakh-Nazarova, M, Shamsipour, M, Islam, SMS, Sharma, J, Sharma, R, She, J, Sheikhbahaei, S, Shen, J, Shi, P, Shigematsu, M, Shin, M-J, Shiri, R, Shoman, H, Shrime, MG, Sibamo, ELS, Sigfusdottir, ID, Silva, DAS, Silveira, DGA, Sindi, S, Singh, A, Singh, JA, Singh, OP, Singh, PK, Singh, V, Sinke, AH, Sinshaw, AE, Skirbekk, V, Sliwa, K, Smith, A, Sobngwi, E, Soneji, S, Soriano, JB, Sousa, TCM, Sposato, LA, Sreeramareddy, CT, Stathopoulou, V, Steel, N, Steiner, C, Steinke, S, Stokes, MA, Stranges, S, Strong, M, Stroumpoulis, K, Sturua, L, Sufiyan, MB, Suliankatchi, RA, Sun, J, Sur, P, Swaminathan, S, Sykes, BL, Tabarés-Seisdedos, R, Tabb, KM, Taffere, GR, Talongwa, RT, Tarajia, M, Tavakkoli, M, Taveira, N, Teeple, S, Tegegne, TK, Tehrani-Banihashemi, A, Tekelab, T, Tekle, DY, Shifa, GT, Terkawi, AS, Tesema, AG, Thakur, JS, Thomson, AJ, Tillmann, T, Tiruye, TY, Tobe-Gai, R, Tonelli, M, Topor-Madry, R, Tortajada, M, Troeger, C, Truelsen, T, Tura, AK, Uchendu, US, Ukwaja, KN, Undurraga, EA, Uneke, CJ, Uthman, OA, van Boven, JFM, Van Dingenen, R, Varughese, S, Vasankari, T, Venketasubramanian, N, Violante, FS, Vladimirov, SK, Vlassov, VV, Vollset, SE, Vos, T, Wagner, JA, Wakayo, T, Waller, SG, Walson, JL, Wang, H, Wang, Y-P, Watkins, DA, Weiderpass, E, Weintraub, RG, Wen, C-P, Werdecker, A, Wesana, J, Westerman, R, Whiteford, HA, Wilkinson, JD, Wiysonge, CS, Woldeyes, BG, Wolfe, CDA, Won, S, Workicho, A, Workie, SB, Wubshet, M, Xavier, D, Xu, G, Yadav, AK, Yaghoubi, M, Yakob, B, Yan, LL, Yano, Y, Yaseri, M, Yimam, HH, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zambrana-Torrelio, C, Zapata, T, Zenebe, ZM, Zodpey, S, Zoeckler, L, Zuhlke, LJ, and Murray, CJL
Published: 2017

32. Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: a systematic analysis for the Global Burden of Disease Study 2016

Author: Wang, H, Abajobir, AA, Abate, KH, Abbafati, C, Abbas, KM, Abd-Allah, F, Abera, SF, Abraha, HN, Abu-Raddad, LJ, Abu-Rmeileh, NME, Adedeji, IA, Adedoyin, RA, Adetifa, IMO, Adetokunboh, O, Afshin, A, Aggarwal, R, Agrawal, A, Agrawal, S, Kiadaliri, AA, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Aiyar, S, Akanda, S, Akinyemiju, TF, Akseer, N, Al-Eyadhy, A, Al Lami, FH, Alabed, S, Alahdab, F, Al-Aly, Z, Alam, K, Alam, N, Alasfoor, D, Aldridge, RW, Alene, KA, Alhabib, S, Ali, R, Alizadeh-Navaei, R, Aljunid, SM, Alkaabi, JM, Alkerwi, A, Alla, F, Allam, SD, Allebeck, P, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Martin, EA, Alvis-Guzman, N, Amare, AT, Ameh, EA, Amini, E, Ammar, W, Amoako, YA, Anber, N, Andrei, CL, Androudi, S, Ansari, H, Ansha, MG, Antonio, CAT, Anwari, P, Arnlov, J, Arora, M, Al, A, Aryal, KK, Asayesh, H, Asgedom, SW, Asghar, RJ, Assadi, R, Atey, TM, Atre, SR, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Babalola, TK, Bacha, U, Badawi, A, Balakrishnan, K, Balalla, S, Barac, A, Barber, RM, Barboza, MA, Barker-Collo, SL, Barnighausen, T, Barquera, S, Barregard, L, Barrero, LH, Baune, BT, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Bejot, Y, Bekele, BB, Bell, ML, Bello, AK, Bennett, DA, Bennett, JR, Bensenor, IM, Benson, J, Berhane, A, Berhe, DF, Bernabe, E, Beuran, M, Beyene, AS, Bhala, N, Bhansali, A, Bhaumik, S, Bhutta, ZA, Bikbov, B, Birungi, C, Biryukov, S, Bisanzio, D, Bizuayehu, HM, Bjerregaard, P, Blosser, CD, Boneya, DJ, Boufous, S, Bourne, RRA, Brazinova, A, Breitborde, NJK, Brenner, H, Brugha, TS, Bukhman, G, Negesa, L, Bulto, B, Bumgarner, BR, Burch, M, Butt, ZA, Cahill, LE, Cahuana-Hurtado, L, Campos-Nonato, IR, Car, J, Car, M, Crdenas, R, Carpenter, DO, Carrero, JJ, Carter, A, Castaneda-Orjuela, CA, Rivas, JC, Castro, FF, Castro, RE, Catala-Lopez, F, Chen, H, Chiang, PP-C, Chibalabala, M, Chisumpa, VH, Chitheer, AA, Choi, J-YJ, Christensen, H, Christopher, DJ, Ciobanu, LG, Cirillo, M, Cohen, AJ, Colquhoun, SM, Coresh, J, Criqui, MH, Cromwell, EA, Crump, JA, Dandona, L, Dandona, R, Dargan, PI, das Neves, J, Davey, G, Davitoiu, DV, Davletov, K, de Courten, B, De Leo, D, Degenhardt, L, Deiparine, S, Dellavalle, RP, Deribe, K, Deribew, A, Des Jarlais, DC, Dey, S, Dharmaratne, SD, Dherani, MK, Diaz-Torne, C, Ding, EL, Dixit, P, Djalalinia, S, Huyen, PD, Doku, DT, Donnelly, CA, Priscila, K, dos Santos, B, Douwes-Schultz, D, Driscoll, TR, Duan, L, Dubey, M, Duncan, BB, Dwivedi, LK, Ebrahimi, H, El Bcheraoui, C, Ellingsen, CL, Enayati, A, Endries, AY, Ermakov, SP, Eshetie, S, Eshrati, B, Eskandarieh, S, Esteghamati, A, Estep, K, Fanuel, BBF, Faro, A, Farvid, MS, Farzadfar, F, Feigin, VL, Fereshtehnejad, S-M, Fernandes, JG, Fernandes, JC, Feyissa, TR, Filip, I, Fischer, F, Foigt, N, Foreman, KJ, Frank, T, Franklin, RC, Fraser, M, Friedman, J, Frostad, JJ, Fullman, N, Furst, T, Furtado, JM, Futran, ND, Gakidou, E, Gambashidze, K, Gamkrelidze, A, Gankpe, FG, Garcia-Basteiro, AL, Gebregergs, GB, Gebrehiwot, TT, Gebrekidan, KG, Gebremichael, MW, Gelaye, AA, Geleijnse, JM, Gemechu, BL, Gemechu, KS, Genova-Maleras, R, Gesesew, HA, Gething, PW, Gibney, KB, Gill, PS, Gillum, RF, Giref, AZ, Girma, BW, Giussani, G, Goenka, S, Gomez, B, Gona, PN, Gopalani, SV, Goulart, AC, Graetz, N, Gugnani, HC, Gupta, PC, Gupta, R, Gupta, T, Gupta, V, Haagsma, JA, Hafezi-Nejad, N, Bidgoli, HH, Hakuzimana, A, Halasa, YA, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hammami, M, Hancock, J, Handal, AJ, Hankey, GJ, Hao, Y, Harb, HL, Hareri, HA, Harikrishnan, S, Haro, JM, Hassanvand, MS, Havmoeller, R, Hay, RJ, Hay, SI, He, F, Heredia-Pi, IB, Herteliu, C, Hilawe, EH, Hoek, HW, Horita, N, Hosgood, HD, Hostiuc, S, Hotez, PJ, Hoy, DG, Hsairi, M, Htet, AS, Hu, G, Huang, H, Huang, JJ, Iburg, KM, Igumbor, EU, Ileanu, BV, Inoue, M, Irenso, AA, Irvine, CMS, Islam, N, Jacobsen, KH, Jaenisch, T, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jeemon, P, Jensen, PN, Jha, V, Jin, Y, John, D, John, O, Johnson, SC, Jonas, JB, Jurisson, M, Kabir, Z, Kadel, R, Kahsay, A, Kalkonde, Y, Kamal, R, Kan, H, Karch, A, Karema, CK, Karimi, SM, Karthikeyan, G, Kasaeian, A, Kassaw, NA, Kassebaum, NJ, Kastor, A, Katikireddi, SV, Kaul, A, Kawakami, N, Kazanjan, K, Keiyoro, PN, Kelbore, SG, Kemp, AH, Kengne, AP, Keren, A, Kereselidze, M, Kesavachandran, CN, Ketema, EB, Khader, YS, Khalil, IA, Khan, EA, Khan, G, Khang, Y-H, Khera, S, Khoja, ATA, Khosravi, MH, Kibret, GD, Kieling, C, Kim, C-I, Kim, D, Kim, P, Kim, S, Kim, YJ, Kimokoti, RW, Kinfu, Y, Kishawi, S, Kissimova-Skarbek, KA, Kissoon, N, Kivimaki, M, Knudsen, AK, Kokubo, Y, Kopec, JA, Kosen, S, Koul, PA, Koyanagi, A, Kravchenko, M, Krohn, KJ, Defo, BK, Bicer, BK, Kuipers, EJ, Kulikoff, XR, Kulkarni, VS, Kumar, GA, Kumar, P, Kumsa, FA, Kutz, M, Lachat, C, Lagat, AK, Lager, ACJ, Lal, DK, Lalloo, R, Lambert, N, Lan, Q, Lansingh, VC, Larson, HJ, Larsson, A, Laryea, DO, Lavados, PM, Laxmaiah, A, Lee, PH, Leigh, J, Leung, J, Leung, R, Levi, M, Li, Y, Liao, Y, Liben, ML, Lim, SS, Linn, S, Lipshultz, SE, Liu, S, Lodha, R, Logroscino, G, Lorch, SA, Lorkowski, S, Lotufo, PA, Lozano, R, Lunevicius, R, Lyons, RA, Ma, S, Macarayan, ERK, Machado, IE, Mackay, MT, Abd el Razek, MM, Magis-Rodriguez, C, Mahdavi, M, Majdan, M, Majdzadeh, R, Majeed, A, Malekzadeh, R, Malhotra, R, Malta, DC, Mantovani, LG, Manyazewal, T, Mapoma, CC, Marczak, LB, Marks, GB, Martinez-Raga, J, Martins-Melo, FR, Massano, J, Maulik, PK, Mayosi, BM, Mazidi, M, McAlinden, C, McGarvey, ST, McGrath, JJ, Mckee, M, Mehata, S, Mehndiratta, MM, Mehta, KM, Meier, T, Mekonnen, TC, Meles, KG, Memiah, P, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Tadese, D, Menon, MGR, Menota, BG, Mensah, GA, Meretoja, A, Meretoja, TJ, Mezgebe, HB, Micha, R, Mikesell, J, Miller, TR, Mills, EJ, Minnig, S, Mirarefin, M, Mirrakhimov, EM, Misganaw, A, Mishra, SR, Mohammad, KA, Mohammadi, A, Mohammed, KESM, Mohan, MBV, Mohanty, SK, Mokdad, AH, Assaye, AM, Mollenkopf, SK, Molokhia, M, Monasta, L, Hernandez, JCM, Montico, M, Mooney, MD, Moore, AR, Moradi-Lakeh, M, Moraga, P, Morawska, L, Velasquez, IM, Mori, R, Morrison, SD, Mruts, KB, Mueller, UO, Mullany, E, Muller, K, Venkata, G, Murthy, S, Musa, KI, Nachega, JB, Nagata, C, Nagel, G, Naghavi, M, Naidoo, KS, Nanda, L, Nangia, V, Nascimento, BR, Natarajan, G, Negoi, I, Cuong, TN, Ningrum, DNA, Nisar, MI, Nomura, M, Vuong, MN, Norheim, OF, Norrving, B, Noubiap, JJN, Nyakarahuka, L, Obermeyer, CM, O'Donnell, MJ, Ogbo, FA, Oh, I-H, Okoro, A, Oladimeji, O, Olagunju, AT, Olusanya, BO, Olusanya, JO, Oren, E, Ortiz, A, Osgood-Zimmerman, A, Ota, E, Owolabi, MO, Oyekale, AS, Pa, M, Pacella, RE, Pakhale, S, Pana, A, Panda, BK, Panda-Jonas, S, Park, E-K, Parsaeian, M, Patel, T, Patten, SB, Patton, GC, Paudel, D, Pereira, DM, Perez-Padilla, R, Perez-Ruiz, F, Perico, N, Pervaiz, A, Pesudovs, K, Peterson, CB, Petri, WA, Petzold, M, Phillips, MR, Piel, FB, Pigott, DM, Pishgar, F, Plass, D, Polinder, S, Popova, S, Postma, MJ, Poulton, RG, Pourmalek, F, Prasad, N, Purwar, M, Qorbani, M, Rabiee, RHS, Radfar, A, Rafay, A, Rahimi-Movaghar, A, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Rajsic, S, Ram, U, Rana, SM, Ranabhat, CL, Rao, PV, Rawaf, S, Ray, SE, Rego, MAS, Rehm, J, Reiner, RC, Remuzzi, G, Renzaho, AMNN, Resnikoff, S, Rezaei, S, Rezai, MS, Ribeiro, AL, Rokni, MB, Ronfani, L, Roshandel, G, Roth, GA, Rothenbacher, D, Roy, A, Rubagotti, E, Ruhago, GM, Saadat, S, Sabde, YD, Sachdev, PS, Sadat, N, Safdarian, M, Safiri, SSS, Sagar, R, Sahathevan, R, Sahebkar, A, Sahraian, MA, Salama, J, Salamati, P, Salomon, JA, Salvi, SS, Samy, AM, Sanabria, JR, Sanchez-Nino, MD, Santos, IS, Milicevic, MMS, Sarmiento-Suarez, R, Sartorius, B, Satpathy, M, Sawhney, M, Saxena, S, Saylan, MI, Schmidt, MI, Schneider, IJC, Schutte, AE, Schwebel, DC, Schwendicke, F, Seedat, S, Seid, AM, Sepanlou, SG, Servan-Mori, EE, Shackelford, KA, Shaheen, A, Shahraz, S, Shaikh, MA, Shamsipour, M, Shamsizadeh, M, Islam, SMS, Sharma, J, Sharma, R, She, J, Shen, J, Shetty, BP, Shi, P, Shibuya, K, Shigematsu, M, Shiri, R, Shiue, I, Shrime, MG, Sigfusdottir, ID, Silberberg, DH, Silpakit, N, Silva, DAS, Silva, JP, Silveira, DGA, Sindi, S, Singh, A, Singh, JA, Singh, PK, Singh, V, Sinha, DN, Skiadaresi, E, Sligar, A, Smith, DL, Sobaih, BHA, Sobngwi, E, Soneji, S, Soriano, JB, Sreeramareddy, CT, Srinivasan, V, Stathopoulou, V, Steel, N, Stein, DJ, Steiner, C, Stockl, H, Stokes, MA, Strong, M, Sufiyan, MB, Suliankatchi, RA, Sunguya, BF, Sur, PJ, Swaminathan, S, Sykes, BL, Szoeke, CEI, Tabares-Seisdedos, R, Tadakamadla, SK, Tadese, F, Tandon, N, Tanne, D, Tarajia, M, Tavakkoli, M, Taveira, N, Tehrani-Banihashemi, A, Tekelab, T, Tekle, DY, Shifa, GT, Temsah, M-H, Terkawi, AS, Tesema, CL, Tesssema, B, Theis, A, Thomas, N, Thompson, AH, Thomson, AJ, Thrift, AG, Tiruye, TY, Tobe-Gai, R, Tonelli, M, Topor-Madry, R, Topouzis, F, Tortajada, M, Tran, BX, Trujillo, TTU, Tsilimparis, N, Tuem, KB, Tuzcu, EM, Tyrovolas, S, Ukwaja, KN, Undurraga, EA, Uthman, OA, Uzochukwu, BSC, van Boven, JFM, Varakin, YY, Varughese, S, Vasankari, T, Vasconcelos, AMN, Venketasubramanian, N, Vidavalur, R, Violante, FS, Vishnu, A, Vladimirov, SK, Vlassov, VV, Vollset, SE, Vos, T, Waid, JL, Wakayo, T, Wang, Y-P, Weichenthal, S, Weiderpass, E, Weintraub, RG, Werdecker, A, Wesana, J, Wijeratne, T, Wilkinson, JD, Wiysonge, CS, Woldeyes, BG, Wolfe, CDA, Workicho, A, Workie, SB, Xavier, D, Xu, G, Yaghoubi, M, Yakob, B, Yalew, AZ, Yan, LL, Yano, Y, Yaseri, M, Ye, P, Yimam, HH, Yip, P, Yirsaw, BD, Yonemoto, N, Yoon, S-J, Yotebieng, M, Younis, MZ, Zaidi, Z, Zaki, MES, Zeeb, H, Zenebe, ZM, Zerfu, TA, Zhang, AL, Zhang, X, Zodpey, S, Zuhlke, LJ, Lopez, AD, Murray, CJL, Wang, H, Abajobir, AA, Abate, KH, Abbafati, C, Abbas, KM, Abd-Allah, F, Abera, SF, Abraha, HN, Abu-Raddad, LJ, Abu-Rmeileh, NME, Adedeji, IA, Adedoyin, RA, Adetifa, IMO, Adetokunboh, O, Afshin, A, Aggarwal, R, Agrawal, A, Agrawal, S, Kiadaliri, AA, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Aiyar, S, Akanda, S, Akinyemiju, TF, Akseer, N, Al-Eyadhy, A, Al Lami, FH, Alabed, S, Alahdab, F, Al-Aly, Z, Alam, K, Alam, N, Alasfoor, D, Aldridge, RW, Alene, KA, Alhabib, S, Ali, R, Alizadeh-Navaei, R, Aljunid, SM, Alkaabi, JM, Alkerwi, A, Alla, F, Allam, SD, Allebeck, P, Al-Raddadi, R, Alsharif, U, Altirkawi, KA, Martin, EA, Alvis-Guzman, N, Amare, AT, Ameh, EA, Amini, E, Ammar, W, Amoako, YA, Anber, N, Andrei, CL, Androudi, S, Ansari, H, Ansha, MG, Antonio, CAT, Anwari, P, Arnlov, J, Arora, M, Al, A, Aryal, KK, Asayesh, H, Asgedom, SW, Asghar, RJ, Assadi, R, Atey, TM, Atre, SR, Avila-Burgos, L, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Babalola, TK, Bacha, U, Badawi, A, Balakrishnan, K, Balalla, S, Barac, A, Barber, RM, Barboza, MA, Barker-Collo, SL, Barnighausen, T, Barquera, S, Barregard, L, Barrero, LH, Baune, BT, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Bejot, Y, Bekele, BB, Bell, ML, Bello, AK, Bennett, DA, Bennett, JR, Bensenor, IM, Benson, J, Berhane, A, Berhe, DF, Bernabe, E, Beuran, M, Beyene, AS, Bhala, N, Bhansali, A, Bhaumik, S, Bhutta, ZA, Bikbov, B, Birungi, C, Biryukov, S, Bisanzio, D, Bizuayehu, HM, Bjerregaard, P, Blosser, CD, Boneya, DJ, Boufous, S, Bourne, RRA, Brazinova, A, Breitborde, NJK, Brenner, H, Brugha, TS, Bukhman, G, Negesa, L, Bulto, B, Bumgarner, BR, Burch, M, Butt, ZA, Cahill, LE, Cahuana-Hurtado, L, Campos-Nonato, IR, Car, J, Car, M, Crdenas, R, Carpenter, DO, Carrero, JJ, Carter, A, Castaneda-Orjuela, CA, Rivas, JC, Castro, FF, Castro, RE, Catala-Lopez, F, Chen, H, Chiang, PP-C, Chibalabala, M, Chisumpa, VH, Chitheer, AA, Choi, J-YJ, Christensen, H, Christopher, DJ, Ciobanu, LG, Cirillo, M, Cohen, AJ, Colquhoun, SM, Coresh, J, Criqui, MH, Cromwell, EA, Crump, JA, Dandona, L, Dandona, R, Dargan, PI, das Neves, J, Davey, G, Davitoiu, DV, Davletov, K, de Courten, B, De Leo, D, Degenhardt, L, Deiparine, S, Dellavalle, RP, Deribe, K, Deribew, A, Des Jarlais, DC, Dey, S, Dharmaratne, SD, Dherani, MK, Diaz-Torne, C, Ding, EL, Dixit, P, Djalalinia, S, Huyen, PD, Doku, DT, Donnelly, CA, Priscila, K, dos Santos, B, Douwes-Schultz, D, Driscoll, TR, Duan, L, Dubey, M, Duncan, BB, Dwivedi, LK, Ebrahimi, H, El Bcheraoui, C, Ellingsen, CL, Enayati, A, Endries, AY, Ermakov, SP, Eshetie, S, Eshrati, B, Eskandarieh, S, Esteghamati, A, Estep, K, Fanuel, BBF, Faro, A, Farvid, MS, Farzadfar, F, Feigin, VL, Fereshtehnejad, S-M, Fernandes, JG, Fernandes, JC, Feyissa, TR, Filip, I, Fischer, F, Foigt, N, Foreman, KJ, Frank, T, Franklin, RC, Fraser, M, Friedman, J, Frostad, JJ, Fullman, N, Furst, T, Furtado, JM, Futran, ND, Gakidou, E, Gambashidze, K, Gamkrelidze, A, Gankpe, FG, Garcia-Basteiro, AL, Gebregergs, GB, Gebrehiwot, TT, Gebrekidan, KG, Gebremichael, MW, Gelaye, AA, Geleijnse, JM, Gemechu, BL, Gemechu, KS, Genova-Maleras, R, Gesesew, HA, Gething, PW, Gibney, KB, Gill, PS, Gillum, RF, Giref, AZ, Girma, BW, Giussani, G, Goenka, S, Gomez, B, Gona, PN, Gopalani, SV, Goulart, AC, Graetz, N, Gugnani, HC, Gupta, PC, Gupta, R, Gupta, T, Gupta, V, Haagsma, JA, Hafezi-Nejad, N, Bidgoli, HH, Hakuzimana, A, Halasa, YA, Hamadeh, RR, Hambisa, MT, Hamidi, S, Hammami, M, Hancock, J, Handal, AJ, Hankey, GJ, Hao, Y, Harb, HL, Hareri, HA, Harikrishnan, S, Haro, JM, Hassanvand, MS, Havmoeller, R, Hay, RJ, Hay, SI, He, F, Heredia-Pi, IB, Herteliu, C, Hilawe, EH, Hoek, HW, Horita, N, Hosgood, HD, Hostiuc, S, Hotez, PJ, Hoy, DG, Hsairi, M, Htet, AS, Hu, G, Huang, H, Huang, JJ, Iburg, KM, Igumbor, EU, Ileanu, BV, Inoue, M, Irenso, AA, Irvine, CMS, Islam, N, Jacobsen, KH, Jaenisch, T, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jeemon, P, Jensen, PN, Jha, V, Jin, Y, John, D, John, O, Johnson, SC, Jonas, JB, Jurisson, M, Kabir, Z, Kadel, R, Kahsay, A, Kalkonde, Y, Kamal, R, Kan, H, Karch, A, Karema, CK, Karimi, SM, Karthikeyan, G, Kasaeian, A, Kassaw, NA, Kassebaum, NJ, Kastor, A, Katikireddi, SV, Kaul, A, Kawakami, N, Kazanjan, K, Keiyoro, PN, Kelbore, SG, Kemp, AH, Kengne, AP, Keren, A, Kereselidze, M, Kesavachandran, CN, Ketema, EB, Khader, YS, Khalil, IA, Khan, EA, Khan, G, Khang, Y-H, Khera, S, Khoja, ATA, Khosravi, MH, Kibret, GD, Kieling, C, Kim, C-I, Kim, D, Kim, P, Kim, S, Kim, YJ, Kimokoti, RW, Kinfu, Y, Kishawi, S, Kissimova-Skarbek, KA, Kissoon, N, Kivimaki, M, Knudsen, AK, Kokubo, Y, Kopec, JA, Kosen, S, Koul, PA, Koyanagi, A, Kravchenko, M, Krohn, KJ, Defo, BK, Bicer, BK, Kuipers, EJ, Kulikoff, XR, Kulkarni, VS, Kumar, GA, Kumar, P, Kumsa, FA, Kutz, M, Lachat, C, Lagat, AK, Lager, ACJ, Lal, DK, Lalloo, R, Lambert, N, Lan, Q, Lansingh, VC, Larson, HJ, Larsson, A, Laryea, DO, Lavados, PM, Laxmaiah, A, Lee, PH, Leigh, J, Leung, J, Leung, R, Levi, M, Li, Y, Liao, Y, Liben, ML, Lim, SS, Linn, S, Lipshultz, SE, Liu, S, Lodha, R, Logroscino, G, Lorch, SA, Lorkowski, S, Lotufo, PA, Lozano, R, Lunevicius, R, Lyons, RA, Ma, S, Macarayan, ERK, Machado, IE, Mackay, MT, Abd el Razek, MM, Magis-Rodriguez, C, Mahdavi, M, Majdan, M, Majdzadeh, R, Majeed, A, Malekzadeh, R, Malhotra, R, Malta, DC, Mantovani, LG, Manyazewal, T, Mapoma, CC, Marczak, LB, Marks, GB, Martinez-Raga, J, Martins-Melo, FR, Massano, J, Maulik, PK, Mayosi, BM, Mazidi, M, McAlinden, C, McGarvey, ST, McGrath, JJ, Mckee, M, Mehata, S, Mehndiratta, MM, Mehta, KM, Meier, T, Mekonnen, TC, Meles, KG, Memiah, P, Memish, ZA, Mendoza, W, Mengesha, MM, Mengistie, MA, Tadese, D, Menon, MGR, Menota, BG, Mensah, GA, Meretoja, A, Meretoja, TJ, Mezgebe, HB, Micha, R, Mikesell, J, Miller, TR, Mills, EJ, Minnig, S, Mirarefin, M, Mirrakhimov, EM, Misganaw, A, Mishra, SR, Mohammad, KA, Mohammadi, A, Mohammed, KESM, Mohan, MBV, Mohanty, SK, Mokdad, AH, Assaye, AM, Mollenkopf, SK, Molokhia, M, Monasta, L, Hernandez, JCM, Montico, M, Mooney, MD, Moore, AR, Moradi-Lakeh, M, Moraga, P, Morawska, L, Velasquez, IM, Mori, R, Morrison, SD, Mruts, KB, Mueller, UO, Mullany, E, Muller, K, Venkata, G, Murthy, S, Musa, KI, Nachega, JB, Nagata, C, Nagel, G, Naghavi, M, Naidoo, KS, Nanda, L, Nangia, V, Nascimento, BR, Natarajan, G, Negoi, I, Cuong, TN, Ningrum, DNA, Nisar, MI, Nomura, M, Vuong, MN, Norheim, OF, Norrving, B, Noubiap, JJN, Nyakarahuka, L, Obermeyer, CM, O'Donnell, MJ, Ogbo, FA, Oh, I-H, Okoro, A, Oladimeji, O, Olagunju, AT, Olusanya, BO, Olusanya, JO, Oren, E, Ortiz, A, Osgood-Zimmerman, A, Ota, E, Owolabi, MO, Oyekale, AS, Pa, M, Pacella, RE, Pakhale, S, Pana, A, Panda, BK, Panda-Jonas, S, Park, E-K, Parsaeian, M, Patel, T, Patten, SB, Patton, GC, Paudel, D, Pereira, DM, Perez-Padilla, R, Perez-Ruiz, F, Perico, N, Pervaiz, A, Pesudovs, K, Peterson, CB, Petri, WA, Petzold, M, Phillips, MR, Piel, FB, Pigott, DM, Pishgar, F, Plass, D, Polinder, S, Popova, S, Postma, MJ, Poulton, RG, Pourmalek, F, Prasad, N, Purwar, M, Qorbani, M, Rabiee, RHS, Radfar, A, Rafay, A, Rahimi-Movaghar, A, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Rajsic, S, Ram, U, Rana, SM, Ranabhat, CL, Rao, PV, Rawaf, S, Ray, SE, Rego, MAS, Rehm, J, Reiner, RC, Remuzzi, G, Renzaho, AMNN, Resnikoff, S, Rezaei, S, Rezai, MS, Ribeiro, AL, Rokni, MB, Ronfani, L, Roshandel, G, Roth, GA, Rothenbacher, D, Roy, A, Rubagotti, E, Ruhago, GM, Saadat, S, Sabde, YD, Sachdev, PS, Sadat, N, Safdarian, M, Safiri, SSS, Sagar, R, Sahathevan, R, Sahebkar, A, Sahraian, MA, Salama, J, Salamati, P, Salomon, JA, Salvi, SS, Samy, AM, Sanabria, JR, Sanchez-Nino, MD, Santos, IS, Milicevic, MMS, Sarmiento-Suarez, R, Sartorius, B, Satpathy, M, Sawhney, M, Saxena, S, Saylan, MI, Schmidt, MI, Schneider, IJC, Schutte, AE, Schwebel, DC, Schwendicke, F, Seedat, S, Seid, AM, Sepanlou, SG, Servan-Mori, EE, Shackelford, KA, Shaheen, A, Shahraz, S, Shaikh, MA, Shamsipour, M, Shamsizadeh, M, Islam, SMS, Sharma, J, Sharma, R, She, J, Shen, J, Shetty, BP, Shi, P, Shibuya, K, Shigematsu, M, Shiri, R, Shiue, I, Shrime, MG, Sigfusdottir, ID, Silberberg, DH, Silpakit, N, Silva, DAS, Silva, JP, Silveira, DGA, Sindi, S, Singh, A, Singh, JA, Singh, PK, Singh, V, Sinha, DN, Skiadaresi, E, Sligar, A, Smith, DL, Sobaih, BHA, Sobngwi, E, Soneji, S, Soriano, JB, Sreeramareddy, CT, Srinivasan, V, Stathopoulou, V, Steel, N, Stein, DJ, Steiner, C, Stockl, H, Stokes, MA, Strong, M, Sufiyan, MB, Suliankatchi, RA, Sunguya, BF, Sur, PJ, Swaminathan, S, Sykes, BL, Szoeke, CEI, Tabares-Seisdedos, R, Tadakamadla, SK, Tadese, F, Tandon, N, Tanne, D, Tarajia, M, Tavakkoli, M, Taveira, N, Tehrani-Banihashemi, A, Tekelab, T, Tekle, DY, Shifa, GT, Temsah, M-H, Terkawi, AS, Tesema, CL, Tesssema, B, Theis, A, Thomas, N, Thompson, AH, Thomson, AJ, Thrift, AG, Tiruye, TY, Tobe-Gai, R, Tonelli, M, Topor-Madry, R, Topouzis, F, Tortajada, M, Tran, BX, Trujillo, TTU, Tsilimparis, N, Tuem, KB, Tuzcu, EM, Tyrovolas, S, Ukwaja, KN, Undurraga, EA, Uthman, OA, Uzochukwu, BSC, van Boven, JFM, Varakin, YY, Varughese, S, Vasankari, T, Vasconcelos, AMN, Venketasubramanian, N, Vidavalur, R, Violante, FS, Vishnu, A, Vladimirov, SK, Vlassov, VV, Vollset, SE, Vos, T, Waid, JL, Wakayo, T, Wang, Y-P, Weichenthal, S, Weiderpass, E, Weintraub, RG, Werdecker, A, Wesana, J, Wijeratne, T, Wilkinson, JD, Wiysonge, CS, Woldeyes, BG, Wolfe, CDA, Workicho, A, Workie, SB, Xavier, D, Xu, G, Yaghoubi, M, Yakob, B, Yalew, AZ, Yan, LL, Yano, Y, Yaseri, M, Ye, P, Yimam, HH, Yip, P, Yirsaw, BD, Yonemoto, N, Yoon, S-J, Yotebieng, M, Younis, MZ, Zaidi, Z, Zaki, MES, Zeeb, H, Zenebe, ZM, Zerfu, TA, Zhang, AL, Zhang, X, Zodpey, S, Zuhlke, LJ, Lopez, AD, and Murray, CJL
Published: 2017

33. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Author: Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, Murray, CJL, Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, and Murray, CJL
Abstract: Background Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. Methods We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. Findings Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4 mil
Published: 2017

34. Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013: findings from the Global Burden of Disease Study 2013

Author: Moradi-Lakeh, M, Forouzanfar, MH, Vollset, SE, El Bcheraoui, C, Daoud, F, Afshin, A, Charara, R, Khalil, I, Higashi, H, El Razek, MMA, Kiadaliri, AA, Alam, K, Akseer, N, Al-Hamad, N, Ali, R, AlMazroa, MA, Alomari, MA, Al-Rabeeah, AA, Alsharif, U, Altirkawi, KA, Atique, S, Badawi, A, Barrero, LH, Basulaiman, M, Bazargan-Hejazi, S, Bedi, N, Bensenor, IM, Buchbinder, R, Danawi, H, Dharmaratne, SD, Zannad, F, Farvid, MS, Fereshtehnejad, S-M, Farzadfar, F, Fischer, F, Gupta, R, Hamadeh, RR, Hamidi, S, Horino, M, Hoy, DG, Hsairi, M, Husseini, A, Javanbakht, M, Jonas, JB, Kasaeian, A, Khan, EA, Khubchandani, J, Knudsen, AK, Kopec, JA, Lunevicius, R, El Razek, HMA, Majeed, A, Malekzadeh, R, Mate, K, Mehari, A, Meltzer, M, Memish, ZA, Mirarefin, M, Mohammed, S, Naheed, A, Obermeyer, CM, Oh, I-H, Park, E-K, Peprah, EK, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Shiri, R, Rahman, SU, Rai, RK, Rana, SM, Sepanlou, SG, Shaikh, MA, Shiue, I, Sibai, AM, Silva, DAS, Singh, JA, Skogen, JC, Terkawi, AS, Ukwaja, KN, Westerman, R, Yonemoto, N, Yoon, S-J, Younis, MZ, Zaidi, Z, Zaki, MES, Lim, SS, Wang, H, Vos, T, Naghavi, M, Lopez, AD, Murray, CJL, Mokdad, AH, Moradi-Lakeh, M, Forouzanfar, MH, Vollset, SE, El Bcheraoui, C, Daoud, F, Afshin, A, Charara, R, Khalil, I, Higashi, H, El Razek, MMA, Kiadaliri, AA, Alam, K, Akseer, N, Al-Hamad, N, Ali, R, AlMazroa, MA, Alomari, MA, Al-Rabeeah, AA, Alsharif, U, Altirkawi, KA, Atique, S, Badawi, A, Barrero, LH, Basulaiman, M, Bazargan-Hejazi, S, Bedi, N, Bensenor, IM, Buchbinder, R, Danawi, H, Dharmaratne, SD, Zannad, F, Farvid, MS, Fereshtehnejad, S-M, Farzadfar, F, Fischer, F, Gupta, R, Hamadeh, RR, Hamidi, S, Horino, M, Hoy, DG, Hsairi, M, Husseini, A, Javanbakht, M, Jonas, JB, Kasaeian, A, Khan, EA, Khubchandani, J, Knudsen, AK, Kopec, JA, Lunevicius, R, El Razek, HMA, Majeed, A, Malekzadeh, R, Mate, K, Mehari, A, Meltzer, M, Memish, ZA, Mirarefin, M, Mohammed, S, Naheed, A, Obermeyer, CM, Oh, I-H, Park, E-K, Peprah, EK, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Shiri, R, Rahman, SU, Rai, RK, Rana, SM, Sepanlou, SG, Shaikh, MA, Shiue, I, Sibai, AM, Silva, DAS, Singh, JA, Skogen, JC, Terkawi, AS, Ukwaja, KN, Westerman, R, Yonemoto, N, Yoon, S-J, Younis, MZ, Zaidi, Z, Zaki, MES, Lim, SS, Wang, H, Vos, T, Naghavi, M, Lopez, AD, Murray, CJL, and Mokdad, AH
Abstract: OBJECTIVES: We used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR). METHODS: The burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs). RESULTS: For musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3-1703.4) in 1990 to 1606.0 (95% UI 1141.2-2130.4) in 2013. During 1990-2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7-3.0) in 1990 to 4.7% (95% UI 3.6-5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2-136.0 for low back pain, 27.3-49.7 for neck pain, 9.7-37.3 for osteoarthritis (OA), 0.6-2.2 for rheumatoid arthritis and 0.1-0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries. CONCLUSIONS: This study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.
Published: 2017

35. Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980-2015 : the Global Burden of Disease Study 2015

Author: GBD 2015 HIV Collaborators, Wang, H, Wolock, TM, Carter, A, Nguyen, G, Kyu, HH, Gakidou, E, Hay, SI, Mills, EJ, Trickey, A, Msemburi, W, Coates, MM, Mooney, MD, Fraser, MS, Sligar, A, Salomon, J, Larson, HJ, Friedman, J, Abajobir, AA, Abate, KH, Abbas, KM, Razek, MM, Abd-Allah, F, Abdulle, AM, Abera, SF, Abubakar, I, Abu-Raddad, LJ, Abu-Rmeileh, NM, Abyu, GY, Adebiyi, AO, Adedeji, IA, Adelekan, AL, Adofo, K, Adou, AK, Ajala, ON, Akinyemiju, TF, Akseer, N, Lami, FH, Al-Aly, Z, Alam, K, Alam, NK, Alasfoor, D, Aldhahri, SF, Aldridge, RW, Alegretti, MA, Aleman, AV, Alemu, ZA, Alfonso-Cristancho, R, Ali, R, Alkerwi, A, Alla, F, Mohammad, R, Al-Raddadi, S, Alsharif, U, Alvarez, E, Alvis-Guzman, N, Amare, AT, Amberbir, A, Amegah, AK, Ammar, W, Amrock, SM, Antonio, CA, Anwari, P, Ärnlöv, J, Artaman, A, Asayesh, H, Asghar, RJ, Assadi, R, Atique, S, Atkins, LS, Avokpaho, EF, Awasthi, A, Quintanilla, BP, Bacha, U, Badawi, A, Barac, A, Bärnighausen, T, Basu, A, Bayou, TA, Bayou, YT, Bazargan-Hejazi, S, Beardsley, J, Bedi, N, Bennett, DA, Bensenor, IM, Betsu, BD, Beyene, AS, Bhatia, E, Bhutta, ZA, Biadgilign, S, Bikbov, B, Birlik, SM, Bisanzio, D, Brainin, M, Brazinova, A, Breitborde, NJ, Brown, A, Burch, M, Butt, ZA, Campuzano, JC, Cárdenas, R, Carrero, JJ, Castañeda-Orjuela, CA, Rivas, JC, Catalá-López, F, Chang, HY, Chang, JC, Chavan, L, Chen, W, Chiang, PP, Chibalabala, M, Chisumpa, VH, Choi, JY, Christopher, DJ, Ciobanu, LG, Cooper, C, Dahiru, T, Damtew, SA, Dandona, L, Dandona, R, Das Neves, J, De Jager, P, De Leo, D, Degenhardt, L, Dellavalle, RP, Deribe, K, Deribew, A, Des Jarlais, DC, Dharmaratne, SD, Ding, EL, Doshi, PP, Driscoll, TR, Dubey, M, Elshrek, YM, Elyazar, I, Endries, AY, Ermakov, SP, Eshrati, B, Esteghamati, A, Faghmous, ID, Farinha, CS, Faro, A, Farvid, MS, Farzadfar, F, Fereshtehnejad, SM, Fernandes, JC, Fischer, F, Fitchett, JR, Foigt, N, Fullman, N, Fürst, T, Gankpé, FG, Gebre, T, Gebremedhin, AT, Gebru, AA, Geleijnse, JM, Gessner, BD, Gething, PW, Ghiwot, TT, Giroud, M, Gishu, MD, Glaser, E, Goenka, S, Goodridge, A, Gopalani, SV, Goto, A, Gugnani, HC, Guimaraes, MD, Gupta, R, Gupta, V, Haagsma, J, Hafezi-Nejad, N, Hagan, H, Hailu, GB, Hamadeh, RR, Hamidi, S, Hammami, M, Hankey, GJ, Hao, Y, Harb, HL, Harikrishnan, S, Haro, JM, Harun, KM, Havmoeller, R, Hedayati, MT, Heredia-Pi, IB, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Hoy, DG, Hsairi, M, Hu, G, Huang, H, Huang, JJ, Iburg, KM, Idrisov, BT, Innos, K, Iyer, VJ, Jacobsen, KH, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jeemon, P, Jha, V, Jiang, G, Jiang, Y, Jibat, T, Jonas, JB, Kabir, Z, Kamal, R, Kan, H, Karch, A, Karema, CK, Karletsos, D, Kasaeian, A, Kaul, A, Kawakami, N, Kayibanda, JF, Keiyoro, PN, Kemp, AH, Kengne, AP, Kesavachandran, CN, Khader, YS, Khalil, I, Khan, AR, Khan, EA, Khang, YH, Khubchandani, J, Kim, YJ, Kinfu, Y, Kivipelto, M, Kokubo, Y, Kosen, S, Koul, PA, Koyanagi, A, Defo, BK, Bicer, BK, Kulkarni, VS, Kumar, GA, Lal, DK, Lam, H, Lam, JO, Langan, SM, Lansingh, VC, Larsson, A, Leigh, J, Leung, R, Li, Y, Lim, SS, Lipshultz, SE, Liu, S, Lloyd, BK, Logroscino, G, Lotufo, PA, Lunevicius, R, Razek, HM, Mahdavi, M, Majdan, M, Majeed, A, Makhlouf, C, Malekzadeh, R, Mapoma, CC, Marcenes, W, Martinez-Raga, J, Marzan, MB, Masiye, F, Mason-Jones, AJ, Mayosi, BM, McKee, M, Meaney, PA, Mehndiratta, MM, Mekonnen, AB, Melaku, YA, Memiah, P, Memish, ZA, Mendoza, W, Meretoja, A, Meretoja, TJ, Mhimbira, FA, Miller, TR, Mikesell, J, Mirarefin, M, Mohammad, KA, Mohammed, S, Mokdad, AH, Monasta, L, Moradi-Lakeh, M, Mori, R, Mueller, UO, Murimira, B, Murthy, GV, Naheed, A, Naldi, L, Nangia, V, Nash, D, Nawaz, H, Nejjari, C, Ngalesoni, FN, De Dieu Ngirabega, J, Nguyen, QL, Nisar, MI, Norheim, OF, Norman, RE, Nyakarahuka, L, Ogbo, FA, Oh, IH, Ojelabi, FA, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ota, E, Padukudru, MA, Park, HY, Park, JH, Patil, ST, Patten, SB, Paul, VK, Pearson, K, Peprah, EK, Pereira, CC, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pillay, JD, Plass, D, Polinder, S, Pourmalek, F, Prokop, DM, Qorbani, M, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MH, Rahman, SU, Rai, RK, Rajsic, S, Ram, U, Rana, SM, Rao, PV, Remuzzi, G, Rojas-Rueda, D, Ronfani, L, Roshandel, G, Roy, A, Ruhago, GM, Saeedi, MY, Sagar, R, Saleh, MM, Sanabria, JR, Santos, IS, Sarmiento-Suarez, R, Sartorius, B, Sawhney, M, Schutte, AE, Schwebel, DC, Seedat, S, Sepanlou, SG, Servan-Mori, EE, Shaikh, MA, Sharma, R, She, J, Sheikhbahaei, S, Shen, J, Shibuya, K, Shin, HH, Sigfusdottir, ID, Silpakit, N, Silva, DA, Silveira, DG, Simard, EP, Sindi, S, Singh, JA, Singh, OP, Singh, PK, Skirbekk, V, Sliwa, K, Soneji, S, Sorensen, RJ, Soriano, JB, Soti, DO, Sreeramareddy, CT, Stathopoulou, V, Steel, N, Sunguya, BF, Swaminathan, S, Sykes, BL, Tabarés-Seisdedos, R, Talongwa, RT, Tavakkoli, M, Taye, B, Tedla, BA, Tekle, T, Shifa, GT, Temesgen, AM, Terkawi, AS, Tesfay, FH, Tessema, GA, Thapa, K, Thomson, AJ, Thorne-Lyman, AL, Tobe-Gai, R, Topor-Madry, R, Towbin, JA, Tran, BX, Dimbuene, ZT, Tsilimparis, N, Tura, AK, Ukwaja, KN, Uneke, CJ, Uthman, OA, Venketasubramanian, N, Vladimirov, SK, Vlassov, VV, Vollset, SE, Wang, L, Weiderpass, E, Weintraub, RG, Werdecker, A, Westerman, R, Wijeratne, T, Wilkinson, JD, Wiysonge, CS, Wolfe, CD, Won, S, Wong, JQ, Xu, G, Yadav, AK, Yakob, B, Yalew, AZ, Yano, Y, Yaseri, M, Yebyo, HG, Yip, P, Yonemoto, N, Yoon, SJ, Younis, MZ, Yu, C, Yu, S, Zaidi, Z, Zaki, MELS, Zeeb, H, Zhang, H, Zhao, Y, Zodpey, S, Zoeckler, L, Zuhlke, LJ, Lopez, AD, and Murray, CJ
Subjects: GBD 2015 HIV Collaborators
Abstract: BACKGROUND: Timely assessment of the burden of HIV/AIDS is essential for policy setting and programme evaluation. In this report from the Global Burden of Disease Study 2015 (GBD 2015), we provide national estimates of levels and trends of HIV/AIDS incidence, prevalence, coverage of antiretroviral therapy (ART), and mortality for 195 countries and territories from 1980 to 2015. METHODS: For countries without high-quality vital registration data, we estimated prevalence and incidence with data from antenatal care clinics and population-based seroprevalence surveys, and with assumptions by age and sex on initial CD4 distribution at infection, CD4 progression rates (probability of progression from higher to lower CD4 cell-count category), on and off antiretroviral therapy (ART) mortality, and mortality from all other causes. Our estimation strategy links the GBD 2015 assessment of all-cause mortality and estimation of incidence and prevalence so that for each draw from the uncertainty distribution all assumptions used in each step are internally consistent. We estimated incidence, prevalence, and death with GBD versions of the Estimation and Projection Package (EPP) and Spectrum software originally developed by the Joint United Nations Programme on HIV/AIDS (UNAIDS). We used an open-source version of EPP and recoded Spectrum for speed, and used updated assumptions from systematic reviews of the literature and GBD demographic data. For countries with high-quality vital registration data, we developed the cohort incidence bias adjustment model to estimate HIV incidence and prevalence largely from the number of deaths caused by HIV recorded in cause-of-death statistics. We corrected these statistics for garbage coding and HIV misclassification. FINDINGS: Global HIV incidence reached its peak in 1997, at 3·3 million new infections (95% uncertainty interval [UI] 3·1-3·4 million). Annual incidence has stayed relatively constant at about 2·6 million per year (range 2·5-2·8 million) since 2005, after a period of fast decline between 1997 and 2005. The number of people living with HIV/AIDS has been steadily increasing and reached 38·8 million (95% UI 37·6-40·4 million) in 2015. At the same time, HIV/AIDS mortality has been declining at a steady pace, from a peak of 1·8 million deaths (95% UI 1·7-1·9 million) in 2005, to 1·2 million deaths (1·1-1·3 million) in 2015. We recorded substantial heterogeneity in the levels and trends of HIV/AIDS across countries. Although many countries have experienced decreases in HIV/AIDS mortality and in annual new infections, other countries have had slowdowns or increases in rates of change in annual new infections. INTERPRETATION: Scale-up of ART and prevention of mother-to-child transmission has been one of the great successes of global health in the past two decades. However, in the past decade, progress in reducing new infections has been slow, development assistance for health devoted to HIV has stagnated, and resources for health in low-income countries have grown slowly. Achievement of the new ambitious goals for HIV enshrined in Sustainable Development Goal 3 and the 90-90-90 UNAIDS targets will be challenging, and will need continued efforts from governments and international agencies in the next 15 years to end AIDS by 2030. Funding: We thank the countless individuals who have contributed to the Global Burden of Disease (GBD) Study 2015 in various capacities. We specifically thank Jeffrey Eaton and John Stover. HW and CJLM received funding for this study from the Bill & Melinda Gates Foundation; the National Institute of Mental Health, National Institutes of Health (NIH; R01MH110163); and the National Institute on Aging, NIH (P30AG047845). LJAR acknowledges the support of Qatar National Research Fund (NPRP 04-924-3-251) who provided the main funding for generating the data provided to the GBD-Institute for Health Metrics and Evaluation effort. BPAQ acknowledges institutional support from PRONABEC (National Program of Scholarship and Educational Loan), provided by the Peruvian government. DB is supported by the Bill & Melinda Gates Foundation (grant number OPP1068048). JDN was supported in his contribution to this work by a Fellowship from Fundacao para a Ciencia e a Tecnologia, Portugal (SFRH/BPD/92934/2013). KD is supported by a Wellcome Trust Fellowship in Public Health and Tropical Medicine (grant number 099876). TF received financial support from the Swiss National Science Foundation (SNSF; project number P300P3-154634). AG acknowledges funding from Sistema Nacional de Investigadores de Panama-SNI. PJ is supported by Wellcome Trust-DBT India Alliance Clinical and Public Health Intermediate Fellowship. MK receives research support from the Academy of Finland, the Swedish Research Council, Alzheimerfonden, Alzheimer's Research & Prevention Foundation, Center for Innovative Medicine (CIMED) at Karolinska Institutet South Campus, AXA Research Fund, Wallenberg Clinical Scholars Award from the Knut och Alice Wallenbergs Foundation, and the Sheika Salama Bint Hamdan Al Nahyan Foundation. AK's work was supported by the Miguel Servet contract financed by the CP13/00150 and PI15/00862 projects, integrated into the National R&D&I and funded by the ISCIII (General Branch Evaluation and Promotion of Health Research), and the European Regional Development Fund (ERDF-FEDER). SML is funded by a National Institute for Health Research (NIHR) Clinician Scientist Fellowship (grant number NIHR/CS/010/014). HJL reports grants from the NIHR, EU Innovative Medicines Initiative, Centre for Strategic & International Studies, and WHO. WM is Program analyst, Population and Development, in the Peru Country Office of the United Nations Population Fund, which does not necessarily endorse this study. For UOM, funding from the German National Cohort Consortium (O1ER1511D) is gratefully acknowledged. KR reports grants from NIHR Oxford Biomedical Research Centre, NIHR Career Development Fellowship, and Oxford Martin School during the conduct of the study. GR acknowledges that work related to this paper has been done on the behalf of the GBD Genitourinary Disease Expert Group supported by the International Society of Nephrology (ISN). ISS reports grants from FAPESP (Brazilian public agency). RSS receives institutional support from Universidad de Ciencias Aplicadas y Ambientales, UDCA, Bogota Colombia. SS receives postdoctoral funding from the Fonds de la recherche en sante du Quebec (FRSQ), including its renewal. RTS was supported in part by grant number PROMETEOII/2015/021 from Generalitat Valenciana and the national grant PI14/00894 from ISCIII-FEDER. PY acknowledges support from Strategic Public Policy Research (HKU7003-SPPR-12).
Published: 2016

36. Impact of neuraminidase inhibitors on influenza A(H1N1)pdm09-related pneumonia: an IPD meta-analysis

Author: Muthuri, SG, Venkatesan, S, Myles, PR, Leonardi-Bee, J, Lim, WS, Mamun, AA, Anovadiya, AP, Araújo, WN, Azziz-Baumgartner, E, Báez, C, Bantar, C, Barhoush, MM, Bassetti, M, Beovic, B, Bingisser, R, Bonmarin, I, Borja-Aburto, VH, Cao, B, Carratala, J, Cuezzo, MR, Denholm, JT, Dominguez, SR, Duarte, PA, Dubnov-Raz, G, Echavarria, M, Fanella, S, Fraser, J, Gao, Z, Gérardin, P, Giannella, M, Gubbels, S, Herberg, J, Iglesias, AL, Hoeger, PH, Hoffmann, M, Hu, X, Islam, QT, Jiménez, MF, Kandeel, A, Keijzers, G, Khalili, H, Khandaker, G, Knight, M, Kusznierz, G, Kuzman, I, Kwan, AM, Amine, IL, Langenegger, E, Lankarani, KB, Leo, YS, Linko, R, Liu, P, Madanat, F, Manabe, T, Mayo-Montero, E, McGeer, A, Memish, ZA, Metan, G, Mikić, D, Mohn, KG, Moradi, A, Nymadawa, P, Ozbay, B, Ozkan, M, Parekh, D, Paul, M, Poeppl, W, Polack, FP, Rath, BA, Rodríguez, AH, Siqueira, MM, Skręt-Magierło, J, Talarek, E, Tang, JW, Torres, A, Törün, SH, Tran, D, Uyeki, TM, Van Zwol, A, Vaudry, W, Velyvyte, D, Vidmar, T, Zarogoulidis, P, PRIDE Consortium Investigators, and Nguyen-Van-Tam, JS
Subjects: 1117 Public Health And Health Services, hospitalisation, Virology, individual participant data meta-analyses, 1103 Clinical Sciences, Influenza-related pneumonia, neuraminidase inhibitors, PRIDE Consortium Investigators
Published: 2015

37. Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013 Findings From the Global Burden of Disease 2013 Study

Author: Kyu, HH, Pinho, C, Wagner, JA, Brown, JC, Bertozzi-Villa, A, Charlson, FJ, Coffeng, LE, Dandona, L, Erskine, HE, Ferrari, AJ, Fitzmaurice, C, Fleming, TD, Forouzanfar, MH, Graetz, N, Guinovart, C, Haagsma, J, Higashi, H, Kassebaum, NJ, Larson, HJ, Lim, SS, Mokdad, AH, Moradi-Lakeh, M, Odell, SV, Roth, GA, Serina, PT, Stanaway, JD, Misganaw, A, Whiteford, HA, Wolock, TM, Hanson, SW, Abd-Allah, F, Abera, SF, Abu-Raddad, LJ, AlBuhairan, FS, Amare, AT, Antonio, CAT, Artaman, A, Barker-Collo, SL, Barrero, LH, Benjet, C, Bensenor, IM, Bhutta, ZA, Bikbov, B, Brazinova, A, Campos-Nonato, I, Castaneda-Orjuela, CA, Catala-Lopez, F, Chowdhury, R, Cooper, C, Crump, JA, Dandona, R, Degenhardt, L, Dellavalle, RP, Dharmaratne, SD, Faraon, EJA, Feigin, VL, Fuerst, T, Geleijnse, JM, Gessner, BD, Gibney, KB, Goto, A, Gunnell, D, Hankey, GJ, Hay, RJ, Hornberger, JC, Hosgood, HD, Hu, G, Jacobsen, KH, Jayaraman, SP, Jeemon, P, Jonas, JB, Karch, A, Kim, D, Kim, S, Kokubo, Y, Defo, BK, Bicer, BK, Kumar, GA, Larsson, A, Leasher, JL, Leung, R, Li, Y, Lipshultz, SE, Lopez, AD, Lotufo, PA, Lunevicius, R, Lyons, RA, Majdan, M, Malekzadeh, R, Mashal, T, Mason-Jones, AJ, Melaku, YA, Memish, ZA, Mendoza, W, Miller, TR, Mock, CN, Murray, J, Nolte, S, Oh, I-H, Olusanya, BO, Ortblad, KF, Park, E-K, Paternina Caicedo, AJ, Patten, SB, Patton, GC, Pereira, DM, Perico, N, Piel, FB, Polinder, S, Popova, S, Pourmalek, F, Quistberg, DA, Remuzzi, G, Rodriguez, A, Rojas-Rueda, D, Rothenbacher, D, Rothstein, DH, Sanabria, J, Santos, IS, Schwebel, DC, Sepanlou, SG, Shaheen, A, Shiri, R, Shiue, I, Skirbekk, V, Sliwa, K, Sreeramareddy, CT, Stein, DJ, Steiner, TJ, Stovner, LJ, Sykes, BL, Tabb, KM, Terkawi, AS, Thomson, AJ, Thorne-Lyman, AL, Towbin, JA, Ukwaja, KN, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Vollset, SE, Weiderpass, E, Weintraub, RG, Werdecker, A, Wilkinson, JD, Woldeyohannes, SM, Wolfe, CDA, Yano, Y, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Zaki, MES, Naghavi, M, Murray, CJL, Vos, T, Kyu, HH, Pinho, C, Wagner, JA, Brown, JC, Bertozzi-Villa, A, Charlson, FJ, Coffeng, LE, Dandona, L, Erskine, HE, Ferrari, AJ, Fitzmaurice, C, Fleming, TD, Forouzanfar, MH, Graetz, N, Guinovart, C, Haagsma, J, Higashi, H, Kassebaum, NJ, Larson, HJ, Lim, SS, Mokdad, AH, Moradi-Lakeh, M, Odell, SV, Roth, GA, Serina, PT, Stanaway, JD, Misganaw, A, Whiteford, HA, Wolock, TM, Hanson, SW, Abd-Allah, F, Abera, SF, Abu-Raddad, LJ, AlBuhairan, FS, Amare, AT, Antonio, CAT, Artaman, A, Barker-Collo, SL, Barrero, LH, Benjet, C, Bensenor, IM, Bhutta, ZA, Bikbov, B, Brazinova, A, Campos-Nonato, I, Castaneda-Orjuela, CA, Catala-Lopez, F, Chowdhury, R, Cooper, C, Crump, JA, Dandona, R, Degenhardt, L, Dellavalle, RP, Dharmaratne, SD, Faraon, EJA, Feigin, VL, Fuerst, T, Geleijnse, JM, Gessner, BD, Gibney, KB, Goto, A, Gunnell, D, Hankey, GJ, Hay, RJ, Hornberger, JC, Hosgood, HD, Hu, G, Jacobsen, KH, Jayaraman, SP, Jeemon, P, Jonas, JB, Karch, A, Kim, D, Kim, S, Kokubo, Y, Defo, BK, Bicer, BK, Kumar, GA, Larsson, A, Leasher, JL, Leung, R, Li, Y, Lipshultz, SE, Lopez, AD, Lotufo, PA, Lunevicius, R, Lyons, RA, Majdan, M, Malekzadeh, R, Mashal, T, Mason-Jones, AJ, Melaku, YA, Memish, ZA, Mendoza, W, Miller, TR, Mock, CN, Murray, J, Nolte, S, Oh, I-H, Olusanya, BO, Ortblad, KF, Park, E-K, Paternina Caicedo, AJ, Patten, SB, Patton, GC, Pereira, DM, Perico, N, Piel, FB, Polinder, S, Popova, S, Pourmalek, F, Quistberg, DA, Remuzzi, G, Rodriguez, A, Rojas-Rueda, D, Rothenbacher, D, Rothstein, DH, Sanabria, J, Santos, IS, Schwebel, DC, Sepanlou, SG, Shaheen, A, Shiri, R, Shiue, I, Skirbekk, V, Sliwa, K, Sreeramareddy, CT, Stein, DJ, Steiner, TJ, Stovner, LJ, Sykes, BL, Tabb, KM, Terkawi, AS, Thomson, AJ, Thorne-Lyman, AL, Towbin, JA, Ukwaja, KN, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Vollset, SE, Weiderpass, E, Weintraub, RG, Werdecker, A, Wilkinson, JD, Woldeyohannes, SM, Wolfe, CDA, Yano, Y, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Zaki, MES, Naghavi, M, Murray, CJL, and Vos, T
Abstract: IMPORTANCE: The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce. OBJECTIVE: To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study. EVIDENCE REVIEW: Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14,244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35,620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates. FINDINGS: Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905.059 deaths; 95% UI, 810,304-998,125), diarrheal diseases among older children (38,325 deaths; 95% UI, 30,365-47,678), and road injuries among adolescents (115,186 deaths; 95% UI, 105,185-124,870). Iron defici
Published: 2016

38. Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980-2015: the Global Burden of Disease Study 2015

Author: Wang, H, Wolock, TM, Carter, A, Nguyen, G, Kyu, HH, Gakidou, E, Hay, SI, Mills, EJ, Trickey, A, Msemburi, W, Coates, MM, Mooney, MD, Fraser, MS, Sligar, A, Salomon, J, Larson, HJ, Friedman, J, Abajobir, AA, Abate, KH, Abbas, KM, Abd El Razek, MM, Abd-Allah, F, Abdulle, AM, Abera, SF, Abubakar, I, Abu-Raddad, LJ, Abu-Rmeileh, NME, Abyu, GY, Adebiyi, AO, Adedeji, IA, Adelekan, AL, Adofo, K, Adou, AK, Ajala, ON, Akinyemiju, TF, Akseer, N, Al Lami, FH, Al-Aly, Z, Alam, K, Alam, NKM, Alasfoor, D, Aldhahri, SFS, Aldridge, RW, Alegretti, MA, Aleman, AV, Alemu, ZA, Alfonso-Cristancho, R, Ali, R, Alkerwi, A, Alla, F, Al-Raddadi, RMS, Alsharif, U, Alvarez, E, Alvis-Guzman, N, Amare, AT, Amberbir, A, Amegah, AK, Ammar, W, Amrock, SM, Antonio, CAT, Anwari, P, Arnlov, J, Al, A, Asayesh, H, Asghar, RJ, Assadi, R, Atique, S, Atkins, LS, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Bacha, U, Badawi, A, Barac, A, Barnighausen, T, Basu, A, Bayou, TA, Bayou, YT, Bazargan-Hejazi, S, Beardsley, J, Bedi, N, Bennett, DA, Bensenor, IM, Betsu, BD, Beyene, AS, Bhatia, E, Bhutta, ZA, Biadgilign, S, Bikbov, B, Birlik, SM, Bisanzio, D, Brainin, M, Brazinova, A, Breitborde, NJK, Brown, A, Burch, M, Butt, ZA, Campuzano, JC, Cardenas, R, Carrero, JJ, Castaneda-Orjuela, CA, Rivas, JC, Catala-Lopez, F, Chang, H-Y, Chang, J-C, Chavan, L, Chen, W, Chiang, PP-C, Chibalabala, M, Chisumpa, VH, Choi, J-YJ, Christopher, DJ, Ciobanu, LG, Cooper, C, Dahiru, T, Damtew, SA, Dandona, L, Dandona, R, das Neves, J, de Jager, P, De Leo, D, Degenhardt, L, Dellavalle, RP, Deribe, K, Deribew, A, Jarlais, DCD, Dharmaratne, SD, Ding, EL, Doshi, PP, Driscoll, TR, Dubey, M, Elshrek, YM, Elyazar, I, Endries, AY, Ermakov, SP, Eshrati, B, Esteghamati, A, Faghmous, IDA, Sofia e Sa Farinha, C, Faro, A, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fernandes, JC, Fischer, F, Fitchett, JRA, Foigt, N, Fullman, N, Furst, T, Gankpe, FG, Gebre, T, Gebremedhin, AT, Gebru, AA, Geleijnse, JM, Gessner, BD, Gething, PW, Ghiwot, TT, Giroud, M, Gishu, MD, Glaser, E, Goenka, S, Goodridge, A, Gopalani, SV, Goto, A, Gugnani, HC, Guimaraes, MDC, Gupta, R, Gupta, V, Haagsma, J, Hafezi-Nejad, N, Hagan, H, Hailu, GB, Hamadeh, RR, Hamidi, S, Hammami, M, Hankey, GJ, Hao, Y, Harb, HL, Harikrishnan, S, Haro, JM, Harun, KM, Havmoeller, R, Hedayati, MT, Heredia-Pi, IB, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Hoy, DG, Hsairi, M, Hu, G, Huang, H, Huang, JJ, Iburg, KM, Idrisov, BT, Innos, K, Iyer, VJ, Jacobsen, KH, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jeemon, P, Jha, V, Jiang, G, Jiang, Y, Jibat, T, Jonas, JB, Kabir, Z, Kamal, R, Kan, H, Karch, A, Karema, CK, Karletsos, D, Kasaeian, A, Kaul, A, Kawakami, N, Kayibanda, JF, Keiyoro, PN, Kemp, AH, Kengne, AP, Kesavachandran, CN, Khader, YS, Khalil, I, Khan, AR, Khan, EA, Khang, Y-H, Khubchandani, J, Kim, YJ, Kinfu, Y, Kivipelto, M, Kokubo, Y, Kosen, S, Koul, PA, Koyanagi, A, Defo, BK, Bicer, BK, Kulkarni, VS, Kumar, GA, Lal, DK, Lam, H, Lam, JO, Langan, SM, Lansingh, VC, Larsson, A, Leigh, J, Leung, R, Li, Y, Lim, SS, Lipshultz, SE, Liu, S, Lloyd, BK, Logroscino, G, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Mahdavi, M, Majdan, M, Majeed, A, Makhlouf, C, Malekzadeh, R, Mapoma, CC, Marcenes, W, Martinez-Raga, J, Marzan, MB, Masiye, F, Mason-Jones, AJ, Mayosi, BM, Mckee, M, Meaney, PA, Mehndiratta, MM, Mekonnen, AB, Melaku, YA, Memiah, P, Memish, ZA, Mendoza, W, Meretoja, A, Meretoja, TJ, Mhimbira, FA, Miller, TR, Mikesell, J, Mirarefin, M, Mohammad, KA, Mohammed, S, Mokdad, AH, Monasta, L, Moradi-Lakeh, M, Mori, R, Mueller, UO, Murimira, B, Murthy, GVS, Naheed, A, Naldi, L, Nangia, V, Nash, D, Nawaz, H, Nejjari, C, Ngalesoni, FN, Ngirabega, JDD, Quyen, LN, Nisar, MI, Norheim, OF, Norman, RE, Nyakarahuka, L, Ogbo, FA, Oh, I-H, Ojelabi, FA, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ota, E, Padukudru, MA, Park, H-Y, Park, J-H, Patil, ST, Patten, SB, Paul, VK, Pearson, K, Peprah, EK, Pereira, DM, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pillay, JD, Plass, D, Polinder, S, Pourmalek, F, Prokop, DM, Qorbani, M, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Rajsic, S, Ram, U, Rana, SM, Rao, PV, Remuzzi, G, Rojas-Rueda, D, Ronfani, L, Roshandel, G, Roy, A, Ruhago, GM, Saeedi, MY, Sagar, R, Saleh, MM, Sanabria, JR, Santos, IS, Sarmiento-Suarez, R, Sartorius, B, Sawhney, M, Schutte, AE, Schwebel, DC, Seedat, S, Sepanlou, SG, Servan-Mori, EE, Shaikh, MA, Sharma, R, She, J, Sheikhbahaei, S, Shen, J, Shibuya, K, Shin, HH, Sigfusdottir, ID, Silpakit, N, Santos Silva, DA, Alves Silveira, DG, Simard, EP, Sindi, S, Singh, JA, Singh, OP, Singh, PK, Skirbekk, V, Sliwa, K, Soneji, S, Sorensen, RJD, Soriano, JB, Soti, DO, Sreeramareddy, CT, Stathopoulou, V, Steel, N, Sunguya, BF, Swaminathan, S, Sykes, BL, Tabares-Seisdedos, R, Talongwa, RT, Tavakkoli, M, Taye, B, Tedla, BA, Tekle, T, Shifa, GT, Temesgen, AM, Terkawi, AS, Tesfay, FH, Tessema, GA, Thapa, K, Thomson, AJ, Thorne-Lyman, AL, Tobe-Gai, R, Topor-Madry, R, Towbin, JA, Bach, XT, Dimbuene, ZT, Tsilimparis, N, Tura, AK, Ukwaja, KN, Uneke, CJ, Uthman, OA, Venketasubramanian, N, Vladimirov, SK, Vlassov, VV, Vollset, SE, Wang, L, Weiderpass, E, Weintraub, RG, Werdecker, A, Westerman, R, Wijeratne, T, Wilkinson, JD, Wiysonge, CS, Wolfe, CDA, Won, S, Wong, JQ, Xu, G, Yadav, AK, Yakob, B, Yalew, AZ, Yano, Y, Yaseri, M, Yebyo, HG, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Yu, S, Zaidi, Z, Zaki, MES, Zeeb, H, Zhang, H, Zhao, Y, Zodpey, S, Zoeckler, L, Zuhlke, LJ, Lopez, AD, Murray, CJL, Wang, H, Wolock, TM, Carter, A, Nguyen, G, Kyu, HH, Gakidou, E, Hay, SI, Mills, EJ, Trickey, A, Msemburi, W, Coates, MM, Mooney, MD, Fraser, MS, Sligar, A, Salomon, J, Larson, HJ, Friedman, J, Abajobir, AA, Abate, KH, Abbas, KM, Abd El Razek, MM, Abd-Allah, F, Abdulle, AM, Abera, SF, Abubakar, I, Abu-Raddad, LJ, Abu-Rmeileh, NME, Abyu, GY, Adebiyi, AO, Adedeji, IA, Adelekan, AL, Adofo, K, Adou, AK, Ajala, ON, Akinyemiju, TF, Akseer, N, Al Lami, FH, Al-Aly, Z, Alam, K, Alam, NKM, Alasfoor, D, Aldhahri, SFS, Aldridge, RW, Alegretti, MA, Aleman, AV, Alemu, ZA, Alfonso-Cristancho, R, Ali, R, Alkerwi, A, Alla, F, Al-Raddadi, RMS, Alsharif, U, Alvarez, E, Alvis-Guzman, N, Amare, AT, Amberbir, A, Amegah, AK, Ammar, W, Amrock, SM, Antonio, CAT, Anwari, P, Arnlov, J, Al, A, Asayesh, H, Asghar, RJ, Assadi, R, Atique, S, Atkins, LS, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Bacha, U, Badawi, A, Barac, A, Barnighausen, T, Basu, A, Bayou, TA, Bayou, YT, Bazargan-Hejazi, S, Beardsley, J, Bedi, N, Bennett, DA, Bensenor, IM, Betsu, BD, Beyene, AS, Bhatia, E, Bhutta, ZA, Biadgilign, S, Bikbov, B, Birlik, SM, Bisanzio, D, Brainin, M, Brazinova, A, Breitborde, NJK, Brown, A, Burch, M, Butt, ZA, Campuzano, JC, Cardenas, R, Carrero, JJ, Castaneda-Orjuela, CA, Rivas, JC, Catala-Lopez, F, Chang, H-Y, Chang, J-C, Chavan, L, Chen, W, Chiang, PP-C, Chibalabala, M, Chisumpa, VH, Choi, J-YJ, Christopher, DJ, Ciobanu, LG, Cooper, C, Dahiru, T, Damtew, SA, Dandona, L, Dandona, R, das Neves, J, de Jager, P, De Leo, D, Degenhardt, L, Dellavalle, RP, Deribe, K, Deribew, A, Jarlais, DCD, Dharmaratne, SD, Ding, EL, Doshi, PP, Driscoll, TR, Dubey, M, Elshrek, YM, Elyazar, I, Endries, AY, Ermakov, SP, Eshrati, B, Esteghamati, A, Faghmous, IDA, Sofia e Sa Farinha, C, Faro, A, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fernandes, JC, Fischer, F, Fitchett, JRA, Foigt, N, Fullman, N, Furst, T, Gankpe, FG, Gebre, T, Gebremedhin, AT, Gebru, AA, Geleijnse, JM, Gessner, BD, Gething, PW, Ghiwot, TT, Giroud, M, Gishu, MD, Glaser, E, Goenka, S, Goodridge, A, Gopalani, SV, Goto, A, Gugnani, HC, Guimaraes, MDC, Gupta, R, Gupta, V, Haagsma, J, Hafezi-Nejad, N, Hagan, H, Hailu, GB, Hamadeh, RR, Hamidi, S, Hammami, M, Hankey, GJ, Hao, Y, Harb, HL, Harikrishnan, S, Haro, JM, Harun, KM, Havmoeller, R, Hedayati, MT, Heredia-Pi, IB, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Hoy, DG, Hsairi, M, Hu, G, Huang, H, Huang, JJ, Iburg, KM, Idrisov, BT, Innos, K, Iyer, VJ, Jacobsen, KH, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jeemon, P, Jha, V, Jiang, G, Jiang, Y, Jibat, T, Jonas, JB, Kabir, Z, Kamal, R, Kan, H, Karch, A, Karema, CK, Karletsos, D, Kasaeian, A, Kaul, A, Kawakami, N, Kayibanda, JF, Keiyoro, PN, Kemp, AH, Kengne, AP, Kesavachandran, CN, Khader, YS, Khalil, I, Khan, AR, Khan, EA, Khang, Y-H, Khubchandani, J, Kim, YJ, Kinfu, Y, Kivipelto, M, Kokubo, Y, Kosen, S, Koul, PA, Koyanagi, A, Defo, BK, Bicer, BK, Kulkarni, VS, Kumar, GA, Lal, DK, Lam, H, Lam, JO, Langan, SM, Lansingh, VC, Larsson, A, Leigh, J, Leung, R, Li, Y, Lim, SS, Lipshultz, SE, Liu, S, Lloyd, BK, Logroscino, G, Lotufo, PA, Lunevicius, R, Abd El Razek, HM, Mahdavi, M, Majdan, M, Majeed, A, Makhlouf, C, Malekzadeh, R, Mapoma, CC, Marcenes, W, Martinez-Raga, J, Marzan, MB, Masiye, F, Mason-Jones, AJ, Mayosi, BM, Mckee, M, Meaney, PA, Mehndiratta, MM, Mekonnen, AB, Melaku, YA, Memiah, P, Memish, ZA, Mendoza, W, Meretoja, A, Meretoja, TJ, Mhimbira, FA, Miller, TR, Mikesell, J, Mirarefin, M, Mohammad, KA, Mohammed, S, Mokdad, AH, Monasta, L, Moradi-Lakeh, M, Mori, R, Mueller, UO, Murimira, B, Murthy, GVS, Naheed, A, Naldi, L, Nangia, V, Nash, D, Nawaz, H, Nejjari, C, Ngalesoni, FN, Ngirabega, JDD, Quyen, LN, Nisar, MI, Norheim, OF, Norman, RE, Nyakarahuka, L, Ogbo, FA, Oh, I-H, Ojelabi, FA, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ota, E, Padukudru, MA, Park, H-Y, Park, J-H, Patil, ST, Patten, SB, Paul, VK, Pearson, K, Peprah, EK, Pereira, DM, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pillay, JD, Plass, D, Polinder, S, Pourmalek, F, Prokop, DM, Qorbani, M, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Rajsic, S, Ram, U, Rana, SM, Rao, PV, Remuzzi, G, Rojas-Rueda, D, Ronfani, L, Roshandel, G, Roy, A, Ruhago, GM, Saeedi, MY, Sagar, R, Saleh, MM, Sanabria, JR, Santos, IS, Sarmiento-Suarez, R, Sartorius, B, Sawhney, M, Schutte, AE, Schwebel, DC, Seedat, S, Sepanlou, SG, Servan-Mori, EE, Shaikh, MA, Sharma, R, She, J, Sheikhbahaei, S, Shen, J, Shibuya, K, Shin, HH, Sigfusdottir, ID, Silpakit, N, Santos Silva, DA, Alves Silveira, DG, Simard, EP, Sindi, S, Singh, JA, Singh, OP, Singh, PK, Skirbekk, V, Sliwa, K, Soneji, S, Sorensen, RJD, Soriano, JB, Soti, DO, Sreeramareddy, CT, Stathopoulou, V, Steel, N, Sunguya, BF, Swaminathan, S, Sykes, BL, Tabares-Seisdedos, R, Talongwa, RT, Tavakkoli, M, Taye, B, Tedla, BA, Tekle, T, Shifa, GT, Temesgen, AM, Terkawi, AS, Tesfay, FH, Tessema, GA, Thapa, K, Thomson, AJ, Thorne-Lyman, AL, Tobe-Gai, R, Topor-Madry, R, Towbin, JA, Bach, XT, Dimbuene, ZT, Tsilimparis, N, Tura, AK, Ukwaja, KN, Uneke, CJ, Uthman, OA, Venketasubramanian, N, Vladimirov, SK, Vlassov, VV, Vollset, SE, Wang, L, Weiderpass, E, Weintraub, RG, Werdecker, A, Westerman, R, Wijeratne, T, Wilkinson, JD, Wiysonge, CS, Wolfe, CDA, Won, S, Wong, JQ, Xu, G, Yadav, AK, Yakob, B, Yalew, AZ, Yano, Y, Yaseri, M, Yebyo, HG, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yu, C, Yu, S, Zaidi, Z, Zaki, MES, Zeeb, H, Zhang, H, Zhao, Y, Zodpey, S, Zoeckler, L, Zuhlke, LJ, Lopez, AD, and Murray, CJL
Abstract: BACKGROUND: Timely assessment of the burden of HIV/AIDS is essential for policy setting and programme evaluation. In this report from the Global Burden of Disease Study 2015 (GBD 2015), we provide national estimates of levels and trends of HIV/AIDS incidence, prevalence, coverage of antiretroviral therapy (ART), and mortality for 195 countries and territories from 1980 to 2015. METHODS: For countries without high-quality vital registration data, we estimated prevalence and incidence with data from antenatal care clinics and population-based seroprevalence surveys, and with assumptions by age and sex on initial CD4 distribution at infection, CD4 progression rates (probability of progression from higher to lower CD4 cell-count category), on and off antiretroviral therapy (ART) mortality, and mortality from all other causes. Our estimation strategy links the GBD 2015 assessment of all-cause mortality and estimation of incidence and prevalence so that for each draw from the uncertainty distribution all assumptions used in each step are internally consistent. We estimated incidence, prevalence, and death with GBD versions of the Estimation and Projection Package (EPP) and Spectrum software originally developed by the Joint United Nations Programme on HIV/AIDS (UNAIDS). We used an open-source version of EPP and recoded Spectrum for speed, and used updated assumptions from systematic reviews of the literature and GBD demographic data. For countries with high-quality vital registration data, we developed the cohort incidence bias adjustment model to estimate HIV incidence and prevalence largely from the number of deaths caused by HIV recorded in cause-of-death statistics. We corrected these statistics for garbage coding and HIV misclassification. FINDINGS: Global HIV incidence reached its peak in 1997, at 3·3 million new infections (95% uncertainty interval [UI] 3·1-3·4 million). Annual incidence has stayed relatively constant at about 2·6 million per year (range 2·5-2·8 mi
Published: 2016

39. Impact of neuraminidase inhibitors on influenza A(H1N1)pdm09-related pneumonia: an individual participant data meta-analysis

Author: Muthuri, SG, Venkatesan, S, Myles, PR, Leonardi-Bee, J, Lim, WS, Al Mamun, A, Anovadiya, AP, Araujo, WN, Azziz-Baumgartner, E, Baez, C, Bantar, C, Barhoush, MM, Bassetti, M, Beovic, B, Bingisser, R, Bonmarin, I, Borja-Aburto, VH, Cao, B, Carratala, J, Cuezzo, MR, Denholm, JT, Dominguez, SR, Duarte, PAD, Dubnov-Raz, G, Echavarria, M, Fanella, S, Fraser, J, Gao, Z, Gerardin, P, Giannella, M, Gubbels, S, Herberg, J, Higuera Iglesias, AL, Hoeger, PH, Hoffmann, M, Hu, X, Islam, QT, Jimenez, MF, Kandeel, A, Keijzers, G, Khalili, H, Khandaker, G, Knight, M, Kusznierz, G, Kuzman, I, Kwan, AMC, Lahlou Amine, I, Langenegger, E, Lankarani, KB, Leo, Y-S, Linko, R, Liu, P, Madanat, F, Manabe, T, Mayo-Montero, E, McGeer, A, Memish, ZA, Metan, G, Mikic, D, Mohn, KGI, Moradi, A, Nymadawa, P, Ozbay, B, Ozkan, M, Parekh, D, Paul, M, Poeppl, W, Polack, FP, Rath, BA, Rodriguez, AH, Siqueira, MM, Skret-Magierlo, J, Talarek, E, Tang, JW, Torres, A, Torun, SH, Tran, D, Uyeki, TM, van Zwol, A, Vaudry, W, Velyvyte, D, Vidmar, T, Zarogoulidis, P, Nguyen-Van-Tam, JS, Muthuri, SG, Venkatesan, S, Myles, PR, Leonardi-Bee, J, Lim, WS, Al Mamun, A, Anovadiya, AP, Araujo, WN, Azziz-Baumgartner, E, Baez, C, Bantar, C, Barhoush, MM, Bassetti, M, Beovic, B, Bingisser, R, Bonmarin, I, Borja-Aburto, VH, Cao, B, Carratala, J, Cuezzo, MR, Denholm, JT, Dominguez, SR, Duarte, PAD, Dubnov-Raz, G, Echavarria, M, Fanella, S, Fraser, J, Gao, Z, Gerardin, P, Giannella, M, Gubbels, S, Herberg, J, Higuera Iglesias, AL, Hoeger, PH, Hoffmann, M, Hu, X, Islam, QT, Jimenez, MF, Kandeel, A, Keijzers, G, Khalili, H, Khandaker, G, Knight, M, Kusznierz, G, Kuzman, I, Kwan, AMC, Lahlou Amine, I, Langenegger, E, Lankarani, KB, Leo, Y-S, Linko, R, Liu, P, Madanat, F, Manabe, T, Mayo-Montero, E, McGeer, A, Memish, ZA, Metan, G, Mikic, D, Mohn, KGI, Moradi, A, Nymadawa, P, Ozbay, B, Ozkan, M, Parekh, D, Paul, M, Poeppl, W, Polack, FP, Rath, BA, Rodriguez, AH, Siqueira, MM, Skret-Magierlo, J, Talarek, E, Tang, JW, Torres, A, Torun, SH, Tran, D, Uyeki, TM, van Zwol, A, Vaudry, W, Velyvyte, D, Vidmar, T, Zarogoulidis, P, and Nguyen-Van-Tam, JS
Abstract: BACKGROUND: The impact of neuraminidase inhibitors (NAIs) on influenza-related pneumonia (IRP) is not established. Our objective was to investigate the association between NAI treatment and IRP incidence and outcomes in patients hospitalised with A(H1N1)pdm09 virus infection. METHODS: A worldwide meta-analysis of individual participant data from 20 634 hospitalised patients with laboratory-confirmed A(H1N1)pdm09 (n = 20 021) or clinically diagnosed (n = 613) 'pandemic influenza'. The primary outcome was radiologically confirmed IRP. Odds ratios (OR) were estimated using generalised linear mixed modelling, adjusting for NAI treatment propensity, antibiotics and corticosteroids. RESULTS: Of 20 634 included participants, 5978 (29·0%) had IRP; conversely, 3349 (16·2%) had confirmed the absence of radiographic pneumonia (the comparator). Early NAI treatment (within 2 days of symptom onset) versus no NAI was not significantly associated with IRP [adj. OR 0·83 (95% CI 0·64-1·06; P = 0·136)]. Among the 5978 patients with IRP, early NAI treatment versus none did not impact on mortality [adj. OR = 0·72 (0·44-1·17; P = 0·180)] or likelihood of requiring ventilatory support [adj. OR = 1·17 (0·71-1·92; P = 0·537)], but early treatment versus later significantly reduced mortality [adj. OR = 0·70 (0·55-0·88; P = 0·003)] and likelihood of requiring ventilatory support [adj. OR = 0·68 (0·54-0·85; P = 0·001)]. CONCLUSIONS: Early NAI treatment of patients hospitalised with A(H1N1)pdm09 virus infection versus no treatment did not reduce the likelihood of IRP. However, in patients who developed IRP, early NAI treatment versus later reduced the likelihood of mortality and needing ventilatory support.
Published: 2016

40. Health in times of uncertainty in the eastern Mediterranean region, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013

Author: Mokdad, AH, Forouzanfar, MH, Daoud, F, El Bcheraoui, C, Moradi-Lakeh, M, Khalil, I, Afshin, A, Tuffaha, M, Charara, R, Barber, RM, Wagner, J, Cercy, K, Kravitz, H, Coates, MM, Robinson, M, Estep, K, Steiner, C, Jaber, S, Mokdad, AA, O'Rourke, KF, Chew, A, Kim, P, El Razek, MMA, Abdalla, S, Abd-Allah, F, Abraham, JP, Abu-Raddad, LJ, Abu-Rmeileh, NME, Al-Nehmi, AA, Akanda, AS, Al Ahmadi, H, Al Khabouri, MJ, Al Lami, FH, Al Rayess, ZA, Alasfoor, D, AlBuhairan, FS, Aldhahri, SF, Alghnam, S, Alhabib, S, Al-Hamad, N, Ali, R, Ali, SD, Alkhateeb, M, AlMazroa, MA, Alomari, MA, Al-Raddadi, R, Alsharif, U, Al-Sheyab, N, Alsowaidi, S, Al-Thani, M, Altirkawi, KA, Amare, AT, Amini, H, Ammar, W, Anwari, P, Asayesh, H, Asghar, R, Assabri, AM, Assadi, R, Bacha, U, Badawi, A, Bakfalouni, T, Basulaiman, MO, Bazargan-Hejazi, S, Bedi, N, Bhakta, AR, Bhutta, ZA, Bin Abdulhak, AA, Boufous, S, Bourne, RRA, Danawi, H, Das, J, Deribew, A, Ding, EL, Durrani, AM, Elshrek, Y, Ibrahim, ME, Eshrati, B, Esteghamati, A, Faghmous, IAD, Farzadfar, F, Feigl, AB, Fereshtehnejad, S-M, Filip, I, Fischer, F, Gankpe, FG, Ginawi, I, Gishu, MD, Gupta, R, Habash, RM, Hafezi-Nejad, N, Hamadeh, RR, Hamdouni, H, Hamidi, S, Harb, HL, Hassanvand, MS, Hedayati, MT, Heydarpour, P, Hsairi, M, Husseini, A, Jahanmehr, N, Jha, V, Jonas, JB, Karam, NE, Kasaeian, A, Kassa, NA, Kaul, A, Khader, Y, Khalifa, SEA, Khan, EA, Khan, G, Khoja, TK, Khosravi, A, Kinfu, Y, Defo, BK, Balaji, AL, Lunevicius, R, Obermeyer, CM, Malekzadeh, R, Mansourian, M, Marcenes, W, Farid, HM, Mehari, A, Memish, ZA, Mehio-Sibai, A, Mensah, GA, Mohammad, KA, Nahas, Z, Nasher, JT, Nawaz, H, Nejjari, C, Nisar, MI, Omer, SB, Parsaeian, M, Peprah, EK, Pervaiz, A, Pourmalek, F, Qato, DM, Qorbani, M, Radfar, A, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, SU, Rai, RK, Rana, SM, Rao, SR, Refaat, AH, Resnikoff, S, Roshandel, G, Saade, G, Saeedi, MY, Sahraian, MA, Saleh, S, Sanchez-Riera, L, Satpathy, M, Sepanlou, SG, Setegn, T, Shaheen, A, Shahraz, S, Sheikhbahaei, S, Shishani, K, Sliwa, K, Tavakkoli, M, Terkawi, AS, Uthman, OA, Westerman, R, Younis, MZ, Zaki, MES, Zannad, F, Roth, GA, Wang, H, Naghavi, M, Vos, T, Al Rabeeah, AA, Lopez, AD, Murray, CJL, Mokdad, AH, Forouzanfar, MH, Daoud, F, El Bcheraoui, C, Moradi-Lakeh, M, Khalil, I, Afshin, A, Tuffaha, M, Charara, R, Barber, RM, Wagner, J, Cercy, K, Kravitz, H, Coates, MM, Robinson, M, Estep, K, Steiner, C, Jaber, S, Mokdad, AA, O'Rourke, KF, Chew, A, Kim, P, El Razek, MMA, Abdalla, S, Abd-Allah, F, Abraham, JP, Abu-Raddad, LJ, Abu-Rmeileh, NME, Al-Nehmi, AA, Akanda, AS, Al Ahmadi, H, Al Khabouri, MJ, Al Lami, FH, Al Rayess, ZA, Alasfoor, D, AlBuhairan, FS, Aldhahri, SF, Alghnam, S, Alhabib, S, Al-Hamad, N, Ali, R, Ali, SD, Alkhateeb, M, AlMazroa, MA, Alomari, MA, Al-Raddadi, R, Alsharif, U, Al-Sheyab, N, Alsowaidi, S, Al-Thani, M, Altirkawi, KA, Amare, AT, Amini, H, Ammar, W, Anwari, P, Asayesh, H, Asghar, R, Assabri, AM, Assadi, R, Bacha, U, Badawi, A, Bakfalouni, T, Basulaiman, MO, Bazargan-Hejazi, S, Bedi, N, Bhakta, AR, Bhutta, ZA, Bin Abdulhak, AA, Boufous, S, Bourne, RRA, Danawi, H, Das, J, Deribew, A, Ding, EL, Durrani, AM, Elshrek, Y, Ibrahim, ME, Eshrati, B, Esteghamati, A, Faghmous, IAD, Farzadfar, F, Feigl, AB, Fereshtehnejad, S-M, Filip, I, Fischer, F, Gankpe, FG, Ginawi, I, Gishu, MD, Gupta, R, Habash, RM, Hafezi-Nejad, N, Hamadeh, RR, Hamdouni, H, Hamidi, S, Harb, HL, Hassanvand, MS, Hedayati, MT, Heydarpour, P, Hsairi, M, Husseini, A, Jahanmehr, N, Jha, V, Jonas, JB, Karam, NE, Kasaeian, A, Kassa, NA, Kaul, A, Khader, Y, Khalifa, SEA, Khan, EA, Khan, G, Khoja, TK, Khosravi, A, Kinfu, Y, Defo, BK, Balaji, AL, Lunevicius, R, Obermeyer, CM, Malekzadeh, R, Mansourian, M, Marcenes, W, Farid, HM, Mehari, A, Memish, ZA, Mehio-Sibai, A, Mensah, GA, Mohammad, KA, Nahas, Z, Nasher, JT, Nawaz, H, Nejjari, C, Nisar, MI, Omer, SB, Parsaeian, M, Peprah, EK, Pervaiz, A, Pourmalek, F, Qato, DM, Qorbani, M, Radfar, A, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, SU, Rai, RK, Rana, SM, Rao, SR, Refaat, AH, Resnikoff, S, Roshandel, G, Saade, G, Saeedi, MY, Sahraian, MA, Saleh, S, Sanchez-Riera, L, Satpathy, M, Sepanlou, SG, Setegn, T, Shaheen, A, Shahraz, S, Sheikhbahaei, S, Shishani, K, Sliwa, K, Tavakkoli, M, Terkawi, AS, Uthman, OA, Westerman, R, Younis, MZ, Zaki, MES, Zannad, F, Roth, GA, Wang, H, Naghavi, M, Vos, T, Al Rabeeah, AA, Lopez, AD, and Murray, CJL
Abstract: BACKGROUND: The eastern Mediterranean region is comprised of 22 countries: Afghanistan, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen. Since our Global Burden of Disease Study 2010 (GBD 2010), the region has faced unrest as a result of revolutions, wars, and the so-called Arab uprisings. The objective of this study was to present the burden of diseases, injuries, and risk factors in the eastern Mediterranean region as of 2013. METHODS: GBD 2013 includes an annual assessment covering 188 countries from 1990 to 2013. The study covers 306 diseases and injuries, 1233 sequelae, and 79 risk factors. Our GBD 2013 analyses included the addition of new data through updated systematic reviews and through the contribution of unpublished data sources from collaborators, an updated version of modelling software, and several improvements in our methods. In this systematic analysis, we use data from GBD 2013 to analyse the burden of disease and injuries in the eastern Mediterranean region specifically. FINDINGS: The leading cause of death in the region in 2013 was ischaemic heart disease (90·3 deaths per 100 000 people), which increased by 17·2% since 1990. However, diarrhoeal diseases were the leading cause of death in Somalia (186·7 deaths per 100 000 people) in 2013, which decreased by 26·9% since 1990. The leading cause of disability-adjusted life-years (DALYs) was ischaemic heart disease for males and lower respiratory infection for females. High blood pressure was the leading risk factor for DALYs in 2013, with an increase of 83·3% since 1990. Risk factors for DALYs varied by country. In low-income countries, childhood wasting was the leading cause of DALYs in Afghanistan, Somalia, and Yemen, whereas unsafe sex was the leading cause in Djibouti. Non-communicable risk factors were the leading cause of DALYs in high-income and mid
Published: 2016

41. Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013

Author: Mokdad, AH, Forouzanfar, MH, Daoud, F, Mokdad, AA, El Bcheraoui, C, Moradi-Lakeh, M, Kyu, HH, Barber, RM, Wagner, J, Cercy, K, Kravitz, H, Coggeshall, M, Chew, A, O'Rourke, KF, Steiner, C, Tuffaha, M, Charara, R, Al-Ghamdi, EA, Adi, Y, Afifi, RA, Alahmadi, H, AlBuhairan, F, Allen, N, AlMazroa, M, Al-Nehmi, AA, AlRayess, Z, Arora, M, Azzopardi, P, Barroso, C, Basulaiman, M, Bhutta, ZA, Bonell, C, Breinbauer, C, Degenhardt, L, Denno, D, Fang, J, Fatusi, A, Feigl, AB, Kakuma, R, Karam, N, Kennedy, E, Khoja, TKAM, Maalouf, F, Obermeyer, CM, Mattoo, A, McGovern, T, Memish, ZA, Mensah, GA, Patel, V, Petroni, S, Reavley, N, Zertuche, DR, Saeedi, M, Santelli, J, Sawyer, SM, Ssewamala, F, Taiwo, K, Tantawy, M, Viner, RM, Waldfogel, J, Zuniga, MP, Naghavi, M, Wang, H, Vos, T, Lopez, AD, Al Rabeeah, AA, Patton, GC, Murray, CJL, Mokdad, AH, Forouzanfar, MH, Daoud, F, Mokdad, AA, El Bcheraoui, C, Moradi-Lakeh, M, Kyu, HH, Barber, RM, Wagner, J, Cercy, K, Kravitz, H, Coggeshall, M, Chew, A, O'Rourke, KF, Steiner, C, Tuffaha, M, Charara, R, Al-Ghamdi, EA, Adi, Y, Afifi, RA, Alahmadi, H, AlBuhairan, F, Allen, N, AlMazroa, M, Al-Nehmi, AA, AlRayess, Z, Arora, M, Azzopardi, P, Barroso, C, Basulaiman, M, Bhutta, ZA, Bonell, C, Breinbauer, C, Degenhardt, L, Denno, D, Fang, J, Fatusi, A, Feigl, AB, Kakuma, R, Karam, N, Kennedy, E, Khoja, TKAM, Maalouf, F, Obermeyer, CM, Mattoo, A, McGovern, T, Memish, ZA, Mensah, GA, Patel, V, Petroni, S, Reavley, N, Zertuche, DR, Saeedi, M, Santelli, J, Sawyer, SM, Ssewamala, F, Taiwo, K, Tantawy, M, Viner, RM, Waldfogel, J, Zuniga, MP, Naghavi, M, Wang, H, Vos, T, Lopez, AD, Al Rabeeah, AA, Patton, GC, and Murray, CJL
Abstract: BACKGROUND: Young people's health has emerged as a neglected yet pressing issue in global development. Changing patterns of young people's health have the potential to undermine future population health as well as global economic development unless timely and effective strategies are put into place. We report the past, present, and anticipated burden of disease in young people aged 10-24 years from 1990 to 2013 using data on mortality, disability, injuries, and health risk factors. METHODS: The Global Burden of Disease Study 2013 (GBD 2013) includes annual assessments for 188 countries from 1990 to 2013, covering 306 diseases and injuries, 1233 sequelae, and 79 risk factors. We used the comparative risk assessment approach to assess how much of the burden of disease reported in a given year can be attributed to past exposure to a risk. We estimated attributable burden by comparing observed health outcomes with those that would have been observed if an alternative or counterfactual level of exposure had occurred in the past. We applied the same method to previous years to allow comparisons from 1990 to 2013. We cross-tabulated the quantiles of disability-adjusted life-years (DALYs) by quintiles of DALYs annual increase from 1990 to 2013 to show rates of DALYs increase by burden. We used the GBD 2013 hierarchy of causes that organises 306 diseases and injuries into four levels of classification. Level one distinguishes three broad categories: first, communicable, maternal, neonatal, and nutritional disorders; second, non-communicable diseases; and third, injuries. Level two has 21 mutually exclusive and collectively exhaustive categories, level three has 163 categories, and level four has 254 categories. FINDINGS: The leading causes of death in 2013 for young people aged 10-14 years were HIV/AIDS, road injuries, and drowning (25·2%), whereas transport injuries were the leading cause of death for ages 15-19 years (14·2%) and 20-24 years (15·6%). Maternal disorders were
Published: 2016

42. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

Author: Kassebaum, NJ, Barber, RM, Bhutta, ZA, Dandona, L, Gething, PW, Hay, SI, Kinfu, Y, Larson, HJ, Liang, X, Lim, SS, Lopez, AD, Lozano, R, Mensah, GA, Mokdad, AH, Naghavi, M, Pinho, C, Salomon, JA, Steiner, C, Vos, T, Wang, H, Abajobir, AA, Abate, KH, Abbas, KM, Abd-Allah, F, Abdallat, MA, Abdulle, AM, Abera, SF, Aboyans, V, Abubakar, I, Abu-Rmeileh, NME, Achoki, T, Adebiyi, AO, Adedeji, IA, Adelekan, AL, Adou, AK, Afanvi, KA, Agarwal, A, Kiadaliri, AA, Ajala, ON, Akinyemiju, TF, Akseer, N, Al-Aly, Z, Alam, K, Alam, NKM, Alasfoor, D, Aldhahri, SF, Aldridge, RW, Alhabib, S, Ali, R, Alkerwi, A, Alla, F, Al-Raddadi, R, Alsharif, U, Martin, EA, Alvis-Guzman, N, Amare, AT, Amberbir, A, Amegah, AK, Ammar, W, Amrock, SM, Andersen, HH, Anderson, GM, Antoine, RM, Antonio, CAT, Aregay, AF, Arnlov, J, Arora, M, Arsenijevic, VSA, Al, A, Asayesh, H, Atique, S, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Azzopardi, P, Bacha, U, Badawi, A, Bahit, MC, Balakrishnan, K, Banerjee, A, Barac, A, Barker-Collo, SL, Barnighausen, T, Basu, S, Bayou, TA, Bayou, YT, Bazargan-Hejazi, S, Beardsley, J, Bedi, NW, Bekele, T, Bell, ML, Bennett, DA, Bensenor, IM, Berhane, A, Bernabe, E, Betsu, BD, Beyene, AS, Biadgilign, S, Bikbov, B, Bin Abdulhak, AA, Biroscak, BJ, Biryukov, S, Bisanzio, D, Bjertness, E, Blore, JD, Brainin, M, Brazinova, A, Breitborde, NJK, Brugha, TS, Butt, ZA, Campos-Nonato, IR, Campuzano, JC, Cardenas, R, Carrero, JJ, Carter, A, Casey, DC, Castaneda-Oquela, CA, Castro, RE, Catala-Lopez, F, Cavalleri, F, Chang, H-Y, Chang, J-C, Chavan, L, Chibueze, CE, Chisumpa, VH, Choi, J-YJ, Chowdhury, R, Christopher, DJ, Ciobanu, LG, Cirillo, M, Coates, MM, Coggeshall, M, Colistro, V, Colquhoun, SM, Cooper, C, Cooper, LT, Cortinovis, M, Dahiru, T, Damasceno, A, Danawi, H, Dandona, R, Das Neves, J, De Leo, D, Dellavalle, RP, Deribe, K, Deribew, A, Jarlais, DCD, Dharmaratne, SD, Dicker, DJ, Ding, EL, Dossou, E, Dubey, M, Ebel, BE, Ellingsen, CL, Elyazar, I, Endries, AY, Ermakov, SP, Eshrati, B, Esteghamati, A, Faraon, EJA, Farid, TA, Farinha, CSES, Faro, A, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fernandes, JC, Fischer, F, Fitchett, JRA, Fleming, T, Gt, NF, Franca, EB, Franklin, RC, Fraser, MS, Friedman, J, Pullman, N, Furst, T, Futran, ND, Gambashidze, K, Gamkrelidze, A, Gebre, T, Gebrehiwot, TT, Gebremedhin, AT, Gebremedhin, M, Gebru, AA, Geleijnse, JM, Gibney, KB, Giref, AZ, Giroud, M, Gishu, MD, Glaser, E, Goenka, S, Gomez-Dantes, H, Gona, P, Goodridge, A, Gopalani, SV, Goto, A, Graetz, N, Gugnani, HC, Guo, Y, Gupta, R, Gupta, V, Hafezi-Nejad, N, Hailu, AD, Hailu, GB, Hamadeh, RR, Hamidi, S, Hancock, J, Handal, AJ, Hankey, GJ, Harb, HL, Harikrishnan, S, Harun, KM, Havmoeller, R, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Hoy, DG, Htet, AS, Hu, G, Huang, H, Huang, JJ, Huybrechts, I, Huynh, C, Iannarone, M, Iburg, KM, Idrisov, BT, Iyer, VJ, Jacobsen, KH, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jee, SH, Jeemon, P, Jha, V, Jiang, G, Jiang, Y, Jibat, T, Jonas, JB, Kabir, Z, Kamal, R, Kan, H, Karch, A, Karletsos, D, Kasaeian, A, Kaul, A, Kawakami, N, Kayibanda, JF, Kazanjan, K, Kazi, DS, Keiyoro, PN, Kemmer, L, Kemp, AH, Kengne, AP, Keren, A, Kereselidze, M, Kesavachandran, CN, Khader, YS, Khan, AR, Khan, EA, Khang, Y-H, Khonelidze, I, Khosravi, A, Khubchandani, J, Kim, YJ, Kivipelto, M, Knibbs, LD, Kokubo, Y, Kosen, S, Koul, PA, Koyanagi, A, Krishnaswami, S, Defo, BK, Bicer, BK, Kudom, AA, Kulikoff, XR, Kulkarni, C, Kumar, GA, Kutz, MJ, Lal, DK, Lalloo, R, Lam, H, Lamadrid-Figueroa, H, Lan, Q, Larsson, A, Laryea, DO, Leigh, J, Leung, R, Li, Y, Lipshultz, SE, Liu, PY, Liu, S, Liu, Y, Lloyd, BK, Lotufo, PA, Lunevicius, R, Ma, S, El Razek, HMA, El Razek, MMA, Majdan, M, Majeed, A, Malekzadeh, R, Mapoma, CC, Marcenes, W, Margolis, DJ, Marquez, N, Masiye, F, Marzan, MB, Mason-Jones, AJ, Mazorodze, TT, Meaney, PA, Mehari, A, Mehndiratta, MM, Mena-Rodriguez, F, Mekonnen, AB, Melaku, YA, Memish, ZA, Mendoza, W, Meretoja, A, Meretoja, TJ, Mhimbira, FA, Miller, TR, Mills, EJ, Mirarefin, M, Misganaw, A, Ibrahim, NM, Mohammad, KA, Mohammadi, A, Mohammed, S, Mola, GLD, Monasta, L, Monis, JDLC, Hernandez, JCM, Montero, P, Montico, M, Mooney, MD, Moore, AR, Moradi-Lakeh, M, Morawska, L, Mori, R, Mueller, U, Murthy, GVS, Murthy, S, Nachega, JB, Naheed, A, Naldi, L, Nand, D, Nangia, V, Nash, D, Neupane, S, Newton, JN, Ng, M, Ngalesoni, FN, Nguhiu, P, Nguyen, G, Le Nguyen, Q, Nisar, MI, Nomura, M, Norheim, OF, Norman, RE, Nyakarahuka, L, Obermeyer, CM, Ogbo, FA, Oh, I-H, Ojelabi, FA, Olivares, PR, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ota, E, Oyekale, AS, Pa, M, Pain, A, Papantoniou, N, Park, E-K, Park, H-Y, Caicedo, AJP, Patten, SB, Paul, VK, Pereira, DM, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pillay, JD, Pishgar, F, Polinder, S, Pope, D, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Ram, U, Ranabhat, CL, Rangaswamy, T, Rao, PV, Refaat, AH, Remuzzi, G, Violante, FS, Kassebaum, NJ, Barber, RM, Bhutta, ZA, Dandona, L, Gething, PW, Hay, SI, Kinfu, Y, Larson, HJ, Liang, X, Lim, SS, Lopez, AD, Lozano, R, Mensah, GA, Mokdad, AH, Naghavi, M, Pinho, C, Salomon, JA, Steiner, C, Vos, T, Wang, H, Abajobir, AA, Abate, KH, Abbas, KM, Abd-Allah, F, Abdallat, MA, Abdulle, AM, Abera, SF, Aboyans, V, Abubakar, I, Abu-Rmeileh, NME, Achoki, T, Adebiyi, AO, Adedeji, IA, Adelekan, AL, Adou, AK, Afanvi, KA, Agarwal, A, Kiadaliri, AA, Ajala, ON, Akinyemiju, TF, Akseer, N, Al-Aly, Z, Alam, K, Alam, NKM, Alasfoor, D, Aldhahri, SF, Aldridge, RW, Alhabib, S, Ali, R, Alkerwi, A, Alla, F, Al-Raddadi, R, Alsharif, U, Martin, EA, Alvis-Guzman, N, Amare, AT, Amberbir, A, Amegah, AK, Ammar, W, Amrock, SM, Andersen, HH, Anderson, GM, Antoine, RM, Antonio, CAT, Aregay, AF, Arnlov, J, Arora, M, Arsenijevic, VSA, Al, A, Asayesh, H, Atique, S, Avokpaho, EFGA, Awasthi, A, Quintanilla, BPA, Azzopardi, P, Bacha, U, Badawi, A, Bahit, MC, Balakrishnan, K, Banerjee, A, Barac, A, Barker-Collo, SL, Barnighausen, T, Basu, S, Bayou, TA, Bayou, YT, Bazargan-Hejazi, S, Beardsley, J, Bedi, NW, Bekele, T, Bell, ML, Bennett, DA, Bensenor, IM, Berhane, A, Bernabe, E, Betsu, BD, Beyene, AS, Biadgilign, S, Bikbov, B, Bin Abdulhak, AA, Biroscak, BJ, Biryukov, S, Bisanzio, D, Bjertness, E, Blore, JD, Brainin, M, Brazinova, A, Breitborde, NJK, Brugha, TS, Butt, ZA, Campos-Nonato, IR, Campuzano, JC, Cardenas, R, Carrero, JJ, Carter, A, Casey, DC, Castaneda-Oquela, CA, Castro, RE, Catala-Lopez, F, Cavalleri, F, Chang, H-Y, Chang, J-C, Chavan, L, Chibueze, CE, Chisumpa, VH, Choi, J-YJ, Chowdhury, R, Christopher, DJ, Ciobanu, LG, Cirillo, M, Coates, MM, Coggeshall, M, Colistro, V, Colquhoun, SM, Cooper, C, Cooper, LT, Cortinovis, M, Dahiru, T, Damasceno, A, Danawi, H, Dandona, R, Das Neves, J, De Leo, D, Dellavalle, RP, Deribe, K, Deribew, A, Jarlais, DCD, Dharmaratne, SD, Dicker, DJ, Ding, EL, Dossou, E, Dubey, M, Ebel, BE, Ellingsen, CL, Elyazar, I, Endries, AY, Ermakov, SP, Eshrati, B, Esteghamati, A, Faraon, EJA, Farid, TA, Farinha, CSES, Faro, A, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fernandes, JC, Fischer, F, Fitchett, JRA, Fleming, T, Gt, NF, Franca, EB, Franklin, RC, Fraser, MS, Friedman, J, Pullman, N, Furst, T, Futran, ND, Gambashidze, K, Gamkrelidze, A, Gebre, T, Gebrehiwot, TT, Gebremedhin, AT, Gebremedhin, M, Gebru, AA, Geleijnse, JM, Gibney, KB, Giref, AZ, Giroud, M, Gishu, MD, Glaser, E, Goenka, S, Gomez-Dantes, H, Gona, P, Goodridge, A, Gopalani, SV, Goto, A, Graetz, N, Gugnani, HC, Guo, Y, Gupta, R, Gupta, V, Hafezi-Nejad, N, Hailu, AD, Hailu, GB, Hamadeh, RR, Hamidi, S, Hancock, J, Handal, AJ, Hankey, GJ, Harb, HL, Harikrishnan, S, Harun, KM, Havmoeller, R, Hoek, HW, Horino, M, Horita, N, Hosgood, HD, Hoy, DG, Htet, AS, Hu, G, Huang, H, Huang, JJ, Huybrechts, I, Huynh, C, Iannarone, M, Iburg, KM, Idrisov, BT, Iyer, VJ, Jacobsen, KH, Jahanmehr, N, Jakovljevic, MB, Javanbakht, M, Jayatilleke, AU, Jee, SH, Jeemon, P, Jha, V, Jiang, G, Jiang, Y, Jibat, T, Jonas, JB, Kabir, Z, Kamal, R, Kan, H, Karch, A, Karletsos, D, Kasaeian, A, Kaul, A, Kawakami, N, Kayibanda, JF, Kazanjan, K, Kazi, DS, Keiyoro, PN, Kemmer, L, Kemp, AH, Kengne, AP, Keren, A, Kereselidze, M, Kesavachandran, CN, Khader, YS, Khan, AR, Khan, EA, Khang, Y-H, Khonelidze, I, Khosravi, A, Khubchandani, J, Kim, YJ, Kivipelto, M, Knibbs, LD, Kokubo, Y, Kosen, S, Koul, PA, Koyanagi, A, Krishnaswami, S, Defo, BK, Bicer, BK, Kudom, AA, Kulikoff, XR, Kulkarni, C, Kumar, GA, Kutz, MJ, Lal, DK, Lalloo, R, Lam, H, Lamadrid-Figueroa, H, Lan, Q, Larsson, A, Laryea, DO, Leigh, J, Leung, R, Li, Y, Lipshultz, SE, Liu, PY, Liu, S, Liu, Y, Lloyd, BK, Lotufo, PA, Lunevicius, R, Ma, S, El Razek, HMA, El Razek, MMA, Majdan, M, Majeed, A, Malekzadeh, R, Mapoma, CC, Marcenes, W, Margolis, DJ, Marquez, N, Masiye, F, Marzan, MB, Mason-Jones, AJ, Mazorodze, TT, Meaney, PA, Mehari, A, Mehndiratta, MM, Mena-Rodriguez, F, Mekonnen, AB, Melaku, YA, Memish, ZA, Mendoza, W, Meretoja, A, Meretoja, TJ, Mhimbira, FA, Miller, TR, Mills, EJ, Mirarefin, M, Misganaw, A, Ibrahim, NM, Mohammad, KA, Mohammadi, A, Mohammed, S, Mola, GLD, Monasta, L, Monis, JDLC, Hernandez, JCM, Montero, P, Montico, M, Mooney, MD, Moore, AR, Moradi-Lakeh, M, Morawska, L, Mori, R, Mueller, U, Murthy, GVS, Murthy, S, Nachega, JB, Naheed, A, Naldi, L, Nand, D, Nangia, V, Nash, D, Neupane, S, Newton, JN, Ng, M, Ngalesoni, FN, Nguhiu, P, Nguyen, G, Le Nguyen, Q, Nisar, MI, Nomura, M, Norheim, OF, Norman, RE, Nyakarahuka, L, Obermeyer, CM, Ogbo, FA, Oh, I-H, Ojelabi, FA, Olivares, PR, Olusanya, BO, Olusanya, JO, Opio, JN, Oren, E, Ota, E, Oyekale, AS, Pa, M, Pain, A, Papantoniou, N, Park, E-K, Park, H-Y, Caicedo, AJP, Patten, SB, Paul, VK, Pereira, DM, Perico, N, Pesudovs, K, Petzold, M, Phillips, MR, Pillay, JD, Pishgar, F, Polinder, S, Pope, D, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi, K, Rahimi-Movaghar, V, Rahman, M, Rahman, MHU, Rahman, SU, Rai, RK, Ram, U, Ranabhat, CL, Rangaswamy, T, Rao, PV, Refaat, AH, Remuzzi, G, and Violante, FS
Abstract: BACKGROUND: In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. METHODS: We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level. We quantified eight underlying causes of maternal death and four timing categories, improving estimation methods since GBD 2013 for adult all-cause mortality, HIV-related maternal mortality, and late maternal death. Secondary analyses then allowed systematic examination of drivers of trends, including the relation between maternal mortality and coverage of specific reproductive health-care services as well as assessment of observed versus expected maternal mortality as a function of Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility. FINDINGS: Only ten countries achieved MDG 5, but 122 of 195 countries have already met SDG 3.1. Geographical disparities widened between 1990 and 2015 and, in 2015, 24 countries still had a maternal mortality ratio greater than 400. The proportion of all maternal deaths occurring in the bottom two SDI quintiles, where haemorrhage is the dominant cause of maternal death, increased from roughly 68% in 1990 to more than 80% in 2015. The middle SDI quintile improved the most from 1990 to 2015, but also has the most complicated causal profile. Maternal mortality in the highest SDI quintile is mostly due to other direct maternal disorders, indirect maternal disorders, and abortion, ectopic pregnancy
Published: 2016

43. Burden of Diarrhea in the Eastern Mediterranean Region, 1990-2013: Findings from the Global Burden of Disease Study 2013

Author: Khalil, I, Colombara, DV, Forouzanfar, MH, Troeger, C, Daoud, F, Moradi-Lakeh, M, El Bcheraoui, C, Rao, PC, Afshin, A, Charara, R, Abate, KH, Abd El Razek, MM, Abd-Allah, F, Abu-Elyazeed, R, Kiadaliri, AA, Akanda, AS, Akseer, N, Alam, K, Alasfoor, D, Ali, R, AlMazroa, MA, Alomari, MA, Al-Raddadi, RMS, Alsharif, U, Alsowaidi, S, Altirkawi, KA, Alvis-Guzman, N, Ammar, W, Antonio, CAT, Asayesh, H, Asghar, RJ, Atique, S, Awasthi, A, Bacha, U, Badawi, A, Barac, A, Bedi, N, Bekele, T, Bensenor, IM, Betsu, BD, Bhutta, Z, Bin Abdulhak, AA, Butt, ZA, Danawi, H, Dubey, M, Endries, AY, Faghmous, IDA, Farid, T, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Fitchett, JRA, Gibney, KB, Ginawi, IAM, Gishu, MD, Gugnani, HC, Gupta, R, Hailu, GB, Hamadeh, RR, Hamidi, S, Harb, HL, Hedayati, MT, Hsairi, M, Husseini, A, Jahanmehr, N, Javanbakht, M, Jibat, T, Jonas, JB, Kasaeian, A, Khader, YS, Khan, AR, Khan, EA, Khan, G, Khoja, TAM, Kinfu, Y, Kissoon, N, Koyanagi, A, La, A, Latif, AAA, Lunevicius, R, Abd El Razek, HM, Majeed, A, Malekzadeh, R, Mehari, A, Mekonnen, AB, Melaku, YA, Memish, ZA, Mendoza, W, Misganaw, A, Mohamed, LAI, Nachega, JB, Quyen, LN, Nisar, MI, Peprah, EK, Platts-Mills, JA, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rahman, SU, Rai, RK, Rana, SM, Ranabhat, CL, Rao, SR, Refaat, AH, Riddle, M, Roshandel, G, Ruhago, GM, Saleh, MM, Sanabria, JR, Sawhney, M, Sepanlou, SG, Setegn, T, Sliwa, K, Sreeramareddy, CT, Sykes, BL, Tavakkoli, M, Tedla, BA, Terkawi, AS, Ukwaja, K, Uthman, OA, Westerman, R, Wubshet, M, Yenesew, MA, Yonemoto, N, Younis, MZ, Zaidi, Z, Zaki, MES, Al Rabeeah, AA, Wang, H, Naghavi, M, Vos, T, Lopez, AD, Murray, CJL, Mokdad, AH, Khalil, I, Colombara, DV, Forouzanfar, MH, Troeger, C, Daoud, F, Moradi-Lakeh, M, El Bcheraoui, C, Rao, PC, Afshin, A, Charara, R, Abate, KH, Abd El Razek, MM, Abd-Allah, F, Abu-Elyazeed, R, Kiadaliri, AA, Akanda, AS, Akseer, N, Alam, K, Alasfoor, D, Ali, R, AlMazroa, MA, Alomari, MA, Al-Raddadi, RMS, Alsharif, U, Alsowaidi, S, Altirkawi, KA, Alvis-Guzman, N, Ammar, W, Antonio, CAT, Asayesh, H, Asghar, RJ, Atique, S, Awasthi, A, Bacha, U, Badawi, A, Barac, A, Bedi, N, Bekele, T, Bensenor, IM, Betsu, BD, Bhutta, Z, Bin Abdulhak, AA, Butt, ZA, Danawi, H, Dubey, M, Endries, AY, Faghmous, IDA, Farid, T, Farvid, MS, Farzadfar, F, Fereshtehnejad, S-M, Fischer, F, Fitchett, JRA, Gibney, KB, Ginawi, IAM, Gishu, MD, Gugnani, HC, Gupta, R, Hailu, GB, Hamadeh, RR, Hamidi, S, Harb, HL, Hedayati, MT, Hsairi, M, Husseini, A, Jahanmehr, N, Javanbakht, M, Jibat, T, Jonas, JB, Kasaeian, A, Khader, YS, Khan, AR, Khan, EA, Khan, G, Khoja, TAM, Kinfu, Y, Kissoon, N, Koyanagi, A, La, A, Latif, AAA, Lunevicius, R, Abd El Razek, HM, Majeed, A, Malekzadeh, R, Mehari, A, Mekonnen, AB, Melaku, YA, Memish, ZA, Mendoza, W, Misganaw, A, Mohamed, LAI, Nachega, JB, Quyen, LN, Nisar, MI, Peprah, EK, Platts-Mills, JA, Pourmalek, F, Qorbani, M, Rafay, A, Rahimi-Movaghar, V, Rahman, SU, Rai, RK, Rana, SM, Ranabhat, CL, Rao, SR, Refaat, AH, Riddle, M, Roshandel, G, Ruhago, GM, Saleh, MM, Sanabria, JR, Sawhney, M, Sepanlou, SG, Setegn, T, Sliwa, K, Sreeramareddy, CT, Sykes, BL, Tavakkoli, M, Tedla, BA, Terkawi, AS, Ukwaja, K, Uthman, OA, Westerman, R, Wubshet, M, Yenesew, MA, Yonemoto, N, Younis, MZ, Zaidi, Z, Zaki, MES, Al Rabeeah, AA, Wang, H, Naghavi, M, Vos, T, Lopez, AD, Murray, CJL, and Mokdad, AH
Abstract: Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0-1) in Bahrain and Oman to 471 (95% UI = 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520-989) in Syria to 40,869 (95% UI = 21,540-65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden.
Published: 2016

44. Prevalence of needle stick injuries among dental, nursing and midwifery students in Shiraz, Iran

Author: Askarian, M, Malekmakan, L, Memish, ZA, and Assadian, O
Subjects: needle stick injury, education, blood borne viruses, Hebammenschüler, HIV, dental students, Pflegeschüler, 610 Medical sciences, Medicine, midwifery students, Article, Stichverletzung, ddc: 610, HCV, HBV, Zahnmedizin Studenten, blutübertragbare Infektionen, nursing students
Abstract: Background: The risk of occupational exposure to blood borne pathogens (including hepatitis B, hepatitis C and HIV) via sharp injuries such as needle stick injuries (NSIs) among health care workers, especially dental, nursing and midwifery students is a challenging issue. Inadequate staff, lack of experience, insufficient training, duty overload and fatigue may lead to occupational sharp injuries. The aim of this prospective cross-sectional study was to evaluate the frequency of NSIs in Iranian dental, nursing, and midwifery students and their knowledge, attitude and practices regarding prevention of NSIs. Methods: A questionnaire was provided to 264 dental and 435 nursing and midwifery students during their under graduate clinical training. 52% of dental students and 48% of nursing and midwifery students responded to the questionnaire. The questionnaire was pre-tested for reliability on 9.2% of the 55 sample population and found to have a high (r=0.812) test-retest reliability. Results: 73% of students reported at least one NSI during the past year. Activities most frequently associated with injuries involved use of a hollow-bore needle during venous sampling or IV injection in both groups, followed by wound suturing in nursing and midwifery students and recapping in dental students. NSIs and non-reporting of NSIs were highly prevalent in these participants. The reason for not reporting injuries included not knowing the reporting mechanism or not knowing to whom to report. Conclusion: Education about transmission of blood borne infections, standard precaution and increasing availability of protective strategies must be enforced. Furthermore, an optimization of the management for reporting is warranted., GMS Krankenhaushygiene Interdisziplinär; 7(1):Doc05; ISSN 1863-5245
Published: 2012
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45. Benchmarking of Percutaneous Injuries at the Ministry of Health Hospitals of Saudi Arabia in Comparison with the United States Hospitals Participating in Exposure Prevention Information Network (EPINet™)

Author: Memish, ZA, primary, Assiri, AM, additional, Eldalatony, MM, additional, and Hathout, HM, additional
Published: 2015
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46. Perspectives for the treatment of brucellosis in the 21st century: the ioanninarecommendations

Author: Ariza, J, Bosilkovski, M, Cascio, Antonio, Colmenero, Jd, Corbel, Mj, Falagas, Me, Memish, Za, Roushan, Mr, Rubinstein, E, Sipsas, Nv, Solera, J, Young, Ej, and Pappas, G.
Subjects: Brucellosis, Therapy
Published: 2007

47. Presumptive diagnosis of brucellosis from contaminated blood cultures in an area of endemicity

Author: Memish Za and M Rich
Subjects: Microbiology (medical), Fastidious organism, Endemic Diseases, Clinical Biochemistry, Immunology, Saudi Arabia, Rapid urease test, Brucella, Biology, Microbiology, Vial, Brucellosis, Staphylococcus epidermidis, medicine, Immunology and Allergy, Humans, Blood culture, Incubation, Blood Specimen Collection, medicine.diagnostic_test, Biochemistry (medical), biology.organism_classification, Infectious Diseases, Blood, Subculture (biology)
Abstract: Brucellosis is a typical zoonosis that is endemic in large areas of the Middle East, and, despite improved medical care, it remains a major cause of morbidity in the area. In Saudi Arabia, Brucella sp. is one of the most common isolates from blood culture samples, and 75 examples were isolated from a total of 1903 positive blood culture specimens (4%) at the King Fahad National Guard Hospital during 2000. Institution-specific blood culture contamination rates vary from 1% to more than 6%, and in this institution the contamination rate for the total number of blood cultures collected during 2000 was 3.8%. Owing to the high isolation rate and the fastidious nature of this organism, it is possible that some of the contaminated blood cultures may mask the presence of Brucella sp. when these specimens are subcultured on routine bacteriological culture media. A previous study has showed that a direct urease test on positive blood cultures that are suggestive of Brucella sp. is useful in the presumptive diagnosis of brucellosis. The aim of this study is to explore the utility of the direct urease test to detect the presence of Brucella sp. in blood culture vials that also contain coagulase-negative staphylococci, a common contaminant. Simulated blood cultures were prepared using a 0.5 Macfarland standard suspension of Staphylococcus epidermidis (ATCC 12228) and similar suspensions of 50 separate patient isolates of Brucella sp. isolated during 2000. Each suspension was further diluted to give a final concentration of 10–100 colony-forming units (CFU)/mL and this was used as the working dilution. Each of 50 BACTEC aerobic blood culture vials were inoculated with 5 mL of the working dilution of both coagulase-negative staphylococci and one of the brucella suspensions. Three control vials were also prepared: one containing an isolate of Brucella sp., one containing a test strain of coagulase-negative staphylococci and one with no organisms added. Each blood culture vial was then loaded onto the BACTEC 9240 automated blood culture machine. All the test vials automatically flagged as positive after 18–48 h incubation. The control vial containing the coagulase-negative staphylococci alone flagged as positive after 43 h and the control vial containing Brucella sp. alone flagged as positive after 83 h. The uninoculated blood culture vial remained negative at seven days. All specimens were Gram-stained and subcultured onto a sheep blood agar plate and a urea slant, both of which were incubated at 37 C in an aerobic atmosphere. The original blood culture vials were retained and placed in a 37 C incubator. Gram-stained preparations from all the culture vials showed Gram-positive cocci in clusters, indicative of Staphylococcus sp. The urea slants were checked after 4, 6, 8 and 24 h. After 4 h, 44 (88%) of the 50 urea slants were positive. After 6 h, a further three urea slants were positive, giving a total of 47 (94%) and one more slant was positive at 24 h, giving a grand total of 48 (96%). The control vial inoculated with Brucella sp. gave a positive urease test after 4 h. The control vial inoculated with S. epidermidis and the uninoculated control vial both remained urease-negative at 24 h. The retained blood culture vials were subcultured onto fresh urea slants after four, five and seven days’ incubation. A total of 49 (98%) out of the 50 urea slants inoculated after four days’ incubation of the original vial gave a positive reaction within 4 h. Control vials gave the same reaction as previously described. This profile did not change when repeated after five and seven days’ incubation. Coagulase-negative staphylococci is the most frequently isolated blood culture contaminant. The problem of pseudobacteraemia and the clinical and financial consequences of unnecessary treatment are well documented. In Saudi Arabia, where brucellosis is endemic, there is the added possibility that brucella bacteraemia may be masked by the presence of contaminating organisms in blood cultures. The present study showed that a simple biochemical test used directly on blood cultures that flag positive and show what may prove to be contaminating organisms on primary Gram-stain (Gram-positive cocci in clusters) can detect underlying, coexistent Brucella sp. This direct test appeared to be more useful if used on retained blood culture vials, once the result of the culture is known, and would ensure that test is only applied to those organisms highlighted as probable contaminants. In the present study, 98% Brucella sp. masked on subculture by coagulase-negative staphylococci gave a positive urease test after 4 h on blood culture vials retained for four days. Although it is possible that a urease-positive organism may contaminate the blood culture vial, it is unlikely that one would do so that produces such potent urease activity as to give a positive reaction within 4 h. Thus, it is concluded that a direct urease test on blood cultures containing coagulase-negative staphylococci that may mask the presence of co-existing Brucella sp. may prove a useful tool in the presumptive diagnosis of brucellosis from contaminated blood cultures in an area of endemicity.
Published: 2004

48. Middle East respiratory syndrome coronavirus in Bats, Saudi Arabia

Author: Memish, ZA, Mishra, N, Olival, KJ, Fagbo, SF, Kapoor, V, Epstein, JH, AlHakeem, R, Al Asmari, M, Islam, Ariful, Kapoor, A, Briese, T, Daszak, P, Al Rabeeah, AA, Lipkin, WI, Memish, ZA, Mishra, N, Olival, KJ, Fagbo, SF, Kapoor, V, Epstein, JH, AlHakeem, R, Al Asmari, M, Islam, Ariful, Kapoor, A, Briese, T, Daszak, P, Al Rabeeah, AA, and Lipkin, WI
Published: 2013

49. Influenza and respiratory syncytial virus infections in British Hajj pilgrims

Author: Rashid, H, primary, Shafi, S, additional, Booy, R, additional, Bashir, H El, additional, Ali, K, additional, Zambon, MC, additional, Memish, ZA, additional, Ellis, J, additional, Coen, PG, additional, and Haworth, E, additional
Published: 2008
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50. The influence of enteral feeding on ventilator associated pneumonia (VAP) in trauma mechanically ventilated patients in ICU

Author: Djazmati, W, primary, Memish, ZA, additional, Oni, GA, additional, Cunningham, G, additional, Beyene, Y, additional, and Al Shimemeri, A, additional
Published: 2001
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