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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016
The Lancet Infectious Diseases, Volume 18, No. 11, Year 2018
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Description
Background: The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 provides an up-to-date analysis of the burden of diarrhoea in 195 countries. This study assesses cases, deaths, and aetiologies in 1990–2016 and assesses how the burden of diarrhoea has changed in people of all ages. Methods: We modelled diarrhoea mortality with a Bayesian hierarchical modelling platform that evaluates a wide range of covariates and model types on the basis of vital registration and verbal autopsy data. We modelled diarrhoea incidence with a compartmental meta-regression tool that enforces an association between incidence and prevalence, and relies on scientific literature, population representative surveys, and health-care data. Diarrhoea deaths and episodes were attributed to 13 pathogens by use of a counterfactual population attributable fraction approach. Diarrhoea risk factors are also based on counterfactual estimates of risk exposure and the association between the risk and diarrhoea. Each modelled estimate accounted for uncertainty. Findings: In 2016, diarrhoea was the eighth leading cause of death among all ages (1 655 944 deaths, 95% uncertainty interval [UI] 1 244 073–2 366 552) and the fifth leading cause of death among children younger than 5 years (446 000 deaths, 390 894–504 613). Rotavirus was the leading aetiology for diarrhoea mortality among children younger than 5 years (128 515 deaths, 105 138–155 133) and among all ages (228 047 deaths, 183 526–292 737). Childhood wasting (low weight-for-height score), unsafe water, and unsafe sanitation were the leading risk factors for diarrhoea, responsible for 80·4% (95% UI 68·2–85·0), 72·1% (34·0–91·4), and 56·4% (49·3–62·7) of diarrhoea deaths in children younger than 5 years, respectively. Prevention of wasting in 1762 children (95% UI 1521–2170) could avert one death from diarrhoea. Interpretation: Substantial progress has been made globally in reducing the burden of diarrhoeal diseases, driven by decreases in several primary risk factors. However, this reduction has not been equal across locations, and burden among adults older than 70 years requires attention. Funding: Bill & Melinda Gates Foundation. © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC6202444/bin/mmc1.pdf
Authors & Co-Authors
Troeger, Christopher E.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Blacker, Brigette F.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Khalil, Ibrahim A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rao, Puja C.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Cao, Shujin
Spain, Barcelona
Instituto de Salud Global de Barcelona
Zimsen, Stephanie R.M.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Albertson, Samuel B.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Stanaway, Jeffrey D.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Deshpande, Aniruddha
Spain, Barcelona
Instituto de Salud Global de Barcelona
Abebe, Zegeye
Spain, Barcelona
Instituto de Salud Global de Barcelona
Alvis-Guzman, Nelson
Spain, Barcelona
Instituto de Salud Global de Barcelona
Amare, Azmeraw T.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Asgedom, Solomon Weldegebreal
Spain, Barcelona
Instituto de Salud Global de Barcelona
Anteneh, Zelalem Alamrew
Spain, Barcelona
Instituto de Salud Global de Barcelona
Antonio, Carl Abelardo T.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Aremu, Olatunde
Spain, Barcelona
Instituto de Salud Global de Barcelona
Asfaw, Ephrem Tsegay
Spain, Barcelona
Instituto de Salud Global de Barcelona
Atey, Tesfay Mehari
Spain, Barcelona
Instituto de Salud Global de Barcelona
Atique, Suleman
Spain, Barcelona
Instituto de Salud Global de Barcelona
Avokpaho, Euripide Frinel Gbenato Arthur
Spain, Barcelona
Instituto de Salud Global de Barcelona
Awasthi, Ashish
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ayele, Henok Tadesse
Spain, Barcelona
Instituto de Salud Global de Barcelona
Barac, Aleksandra M.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Barreto, Mauricio L.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Bassat, Quique
Spain, Barcelona
Instituto de Salud Global de Barcelona
Belay, Saba Abraham
Spain, Barcelona
Instituto de Salud Global de Barcelona
Benseñor, Isabela Judith Martins
Spain, Barcelona
Instituto de Salud Global de Barcelona
Bhutta, Zulfiqar A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Bijani, Ali
Spain, Barcelona
Instituto de Salud Global de Barcelona
Bizuneh, Hailemichael
Spain, Barcelona
Instituto de Salud Global de Barcelona
Castañeda-Orjuela, C. A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Dadi, Abel Fekadu
Spain, Barcelona
Instituto de Salud Global de Barcelona
Dandona, Lalit
Spain, Barcelona
Instituto de Salud Global de Barcelona
Dandona, Rakhi
Spain, Barcelona
Instituto de Salud Global de Barcelona
Do, Huyen Phuc
Spain, Barcelona
Instituto de Salud Global de Barcelona
Dubey, Manisha
Spain, Barcelona
Instituto de Salud Global de Barcelona
Dubljanin, Eleonora S.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Edessa, Dumessa
Spain, Barcelona
Instituto de Salud Global de Barcelona
Endries, Aman Yesuf
Spain, Barcelona
Instituto de Salud Global de Barcelona
Eshrati, Babak
Spain, Barcelona
Instituto de Salud Global de Barcelona
Farag, Tamer H.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Feyissa, Garumma Tolu
Spain, Barcelona
Instituto de Salud Global de Barcelona
Foreman, Kyle J.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Forouzanfar, Mohammad Hossein
Spain, Barcelona
Instituto de Salud Global de Barcelona
Fullman, Nancy
Spain, Barcelona
Instituto de Salud Global de Barcelona
Gething, Peter W.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Gishu, Melkamu Dedefo
Spain, Barcelona
Instituto de Salud Global de Barcelona
Godwin, William W.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Gugnani, Harish Chander C.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Gupta, Rahul
Spain, Barcelona
Instituto de Salud Global de Barcelona
Hailu, Gessessew Bugssa
Spain, Barcelona
Instituto de Salud Global de Barcelona
Hassen, H. Y.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Hibstu, Desalegn Tsegaw
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ilesanmi, Olayinka Stephen
Spain, Barcelona
Instituto de Salud Global de Barcelona
Jonas, Jost Bruno
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kahsay, Amaha
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kang, Gagandeep
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kasaeian, Amir
Spain, Barcelona
Instituto de Salud Global de Barcelona
Khader, Yousef Saleh
Spain, Barcelona
Instituto de Salud Global de Barcelona
Khan, Ejaz Ahmad
Spain, Barcelona
Instituto de Salud Global de Barcelona
Khang, Young-ho
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kissoon, Niranjan “Tex”
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kochhar, Sonali
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kotloff, Karen L.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Koyanagi, Ai
Spain, Barcelona
Instituto de Salud Global de Barcelona
Kumar, G. Anil
Spain, Barcelona
Instituto de Salud Global de Barcelona
Magdy Abd El Razek, Hassan
Spain, Barcelona
Instituto de Salud Global de Barcelona
Malekzadeh, Reza
Spain, Barcelona
Instituto de Salud Global de Barcelona
Carvalho Malta, Deborah Carvalho
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mehata, Suresh
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mendoza, Walter
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mengistu, Desalegn Tadese
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mezgebe, Haftay Berhane
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mlashu, Fitsum Weldegebreal
Spain, Barcelona
Instituto de Salud Global de Barcelona
Murthy, Srinivas N.Krishna
Spain, Barcelona
Instituto de Salud Global de Barcelona
Naik, Gurudatta A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Nguyen, Cuong Tat
Spain, Barcelona
Instituto de Salud Global de Barcelona
Nguyen, Trang Huyen Thi
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ningrum, Dina Nur Anggraini
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ogbo, Felix Akpojene
Spain, Barcelona
Instituto de Salud Global de Barcelona
Olagunju, Andrew Toyin
Spain, Barcelona
Instituto de Salud Global de Barcelona
Paudel, Deepak Raj
Spain, Barcelona
Instituto de Salud Global de Barcelona
Platts-Mills, James A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Qorbani, Mostafa
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rafay, Anwar
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rai, Rajesh Kumar
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rana, Saleem Muhammad M.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ranabhat, Chhabi Lal
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rasella, Davide
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ray, Sarah E.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Renzaho, Andre M.N.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Rezai, Mohammad Sadegh
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ruhago, George Mugambage
Spain, Barcelona
Instituto de Salud Global de Barcelona
Safiri, Saeid
Spain, Barcelona
Instituto de Salud Global de Barcelona
Salomon, Joshua A.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sanabria, Juan Ramon
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sartorius, Benn
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sawhney, Monika S.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sepanlou, Sadaf G.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Shigematsu, Mika
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sisay, Mekonnen
Spain, Barcelona
Instituto de Salud Global de Barcelona
Somayaji, Ranjani
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sreeramareddy, Chandrashekhar T.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Sykes, Bryan Ltza
Spain, Barcelona
Instituto de Salud Global de Barcelona
Taffere, Getachew Redae
Spain, Barcelona
Instituto de Salud Global de Barcelona
Topoŕ-Ma̧dry, Roman
Spain, Barcelona
Instituto de Salud Global de Barcelona
Poland, Krakow
Jagiellonian University Medical College
Tran, Bach Xuan
Spain, Barcelona
Instituto de Salud Global de Barcelona
Tuem, Kald Beshir
Spain, Barcelona
Instituto de Salud Global de Barcelona
Ukwaja, Kingsley Nnanna
Spain, Barcelona
Instituto de Salud Global de Barcelona
Vollset, Stein Emil
Spain, Barcelona
Instituto de Salud Global de Barcelona
Walson, Judd L.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Weaver, Marcia R.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Weldegwergs, Kidu Gidey
Spain, Barcelona
Instituto de Salud Global de Barcelona
Werdecker, Andrea
Spain, Barcelona
Instituto de Salud Global de Barcelona
Workicho, Abdulhalik
Spain, Barcelona
Instituto de Salud Global de Barcelona
Azage, Muluken
Spain, Barcelona
Instituto de Salud Global de Barcelona
Yirsaw, Biruck Desalegn
Spain, Barcelona
Instituto de Salud Global de Barcelona
Yonemoto, Naohiro
Spain, Barcelona
Instituto de Salud Global de Barcelona
Zaki, Maysaa El S.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Vos, Theo
Spain, Barcelona
Instituto de Salud Global de Barcelona
Lim, Stephen S.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Naghavi, Mohsen
Spain, Barcelona
Instituto de Salud Global de Barcelona
Murray, Christopher J.L.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Mokdad, Ali H.I.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Hay, Simon I.
Spain, Barcelona
Instituto de Salud Global de Barcelona
Reiner, Robert Charles
Spain, Barcelona
Instituto de Salud Global de Barcelona
Statistics
Citations: 773
Authors: 126
Affiliations: 2
Identifiers
Doi:
10.1016/S1473-3099(18)30362-1
ISSN:
14733099
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Maternal And Child Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Systematic review