Global Burden of Disease: Good News and Bad News

OUR WORK IS WORKING...... BUT THERE IS MORE TO BE DONE. e leading causes of health problems and MAJOR CAUSES OF DEATH AND DISEASE—THEN AND NOW health risks have shifted. e past two decades have seen major progress in global health, according to the latest Global Burden of Disease study—an ambitious worldwide project involving Harvard School of Public Health faculty and many others. But as life expectancy has risen, the burden of 1990 2010 disease has shifted—people are living both longer and sicker. Position movement from 1990 to 2010: Increase Decrease Same

THE GOOD NEWS ABOUT GLOBAL HEALTH ...AND ITS UNEXPECTED CONSEQUENCES. 1 LOWER RESPIRATORY INFECTIONS ISCHEMIC HEART DISEASE 1 2 DIARRHEAL DISEASE LOWER RESPIRATORY INFECTIONS 2 MORTALITY OF CHILDREN GLOBALLY, PEOPLE ARE LIVING LONGER. 3 PRE-TERM BIRTH CONDITIONS STROKE 3 age 1-4 has declined signiƒcantly. Life expectancy has increased in 19 of 21 regions around the world. But people are spending their 4 ISCHEMIC HEART DISEASE DIARRHEAL DISEASE 4 later years in poor health, particularly as a result of STROKE HIV/AIDS 1990 4.0 M 2010 chronic diseases. 5 5 In 2010: 6 COPD Diarrhea / Lower Diarrhea / Lower 7 MALARIA MALARIA 7 Respiratory Respiratory PRE-TERM BIRTH CONDITIONS Infections / Infections / 8 TUBERCULOSIS 8 Other Infections 3.0 M Other Infections PROTEIN-ENERGY MALNUTRITION COPD 1,879,180 683,987 9 9 10 NEONATAL ENCEPHALOPATHY ROAD INJURIES 10 11 11 8 MILLION 1.3 MILLION M ROAD INJURIES NEONATAL ENCEPHALOPATHY Neglected Tropical 2.0 Neglected Tropical 12 12 people died of cancer. people died of diabetes. Diseases & Malaria Diseases & Malaria TUBERCULOSIS 13 407,175 430,887

PROTEIN-ENERGY MALNUTRITION 20 1.0 M 33 HIV/AIDS Unintentional Unintentional Injuries Injuries 333,574 187,552 AFRICA STILL BEARS THE IN 1990, AIDS WAS THE 33RD BY 2010, POOR DIET DEATHS FROM 0 GREATEST BURDEN. AIDS MOVED ROAD INJURIES leading cause of disease burden is the leading risk factor for and death around the world. TO 5TH. death and burden of disease have increased by almost AIDS and other is is largely due to improvements in our across the planet, followed half. preventable conditions are ability to control infectious disease with by blood pressure, tobacco, still huge problems here, sanitation and vaccines. and household air pollution. alongside maternal, child 1.5 MILLION PEOPLE and newborn mortality. DIED FROM AIDS IN 2010 ALONE.

AIDS REMAINS THE e Global Burden of Disease study is a landmark event for health. It represents a collaboration of: 3RD LEADING CAUSE OF DEATH IN 486 302 50 EASTERN EUROPE. Scientists, including many from HSPH Institutions Countries With insights into the changing causes of disease and death globally, the public health community can better address critical threats to health over It is the largest study of its kind and the first such study since 1990. the coming two decades and beyond.