Goa: Disease Burden Profile, 1990 to 2016 1990 life e pectancy 2016 life e pectancy emales 69 2 years ales 66 1 years emales years ales 0 years
How much did the under-5 mortality rate change from 1990 to 2016? How much did the under-5 mortality rate change from 1990 to 2016? Under-5Under-5 mortality mortality rate, both rate, sexes combined, both sexes 1990-2016 combined, 1990-2016
Goa nde - a e India nde - a e Co a a i e a e a e a e lo all o i ila So io-de o a hi Inde a Goa
150
100
Deaths per 1,000 li e births 50
9.2 The shaded bands indicate 16 95% uncertainty 1 . intervals around 0 the estimates 1990 1995 2000 2005 2010 2016 Year What caused the most deaths in different age groups in 2016? PercentWhat contribution caused of the top 10 most causes deaths of death by in age different group, both sexes,age 2016groups in 2016? Percent contribution of top 10 causes of death by age group, both sexes, 2016
0−14 years [4.7% of total deaths] 15−39 years [9.4% of total deaths]
2 9 HI IDS e lo i
5 1 6 6 6 10 5 Dia hoea RI o he 22 4 5 N D ala ia 15 1 Ma e nal di o de 12 4 Neona al di o de
2 1 3 Nutritional deficiencies 2 1 2 13 4 he o ni a le di ea e
12 1 Can e 12 Ca dio a la di ea e 42 1 5 1 Ch oni e i a o di ea e
2 5 Ci ho i
Di e i e di ea e
Ne olo i al di o de 40−69 years [42.6% of total deaths] 70+ years [43.3% of total deaths] Dia e e o lood endo 6 1 1 9 2 1 he non- o ni a le an o in ie 4 9 2 4 5 9 6 5 3 3 9 nin en ional in ie 12 3 14 4 5 S i ide iolen e 10 4 he a e o dea h 5 6 1 RI i lowe e i a o in e ion . 2 4 N D a e ne le ed o i al di ea e . 9 5 o i o eni al di ea e . Endo i endo ine di ea e . 9 5 6 6 3 4 42
India: Health of the Nation's States — The India State-Level Disease Burden Initiative. New Delhi: ICMR, PHFI, and IHME; 2017. ISBN 978-0-9976462-1-4. 1 roportion of total disease burden from Premature death 56 1 Disability or morbidity 9
What caused the most years of life lost by se in 2016? op 15 causes of YLLs, ranked by percent for both sexes combined, 2016
emales ales
Ischaemic heart disease Stroke Diabetes Lower respiratory infections Road injuries COPD* Suicide Chronic kidney disease Cirrhosis due to hepatitis B HIV/AIDS Falls Cirrhosis due to alcohol use Tuberculosis Preterm birth complications Cirrhosis due to hepatitis C
20 15 10 5 0 0 5 10 15 20 Percent of total years of life lost due to premature mortality Percent of total years of life lost due to premature mortality
Communicable, maternal, neonatal, and nutritional diseases on-communicable diseases n uries
What caused the most years lived with disability *COPD isby chronic se obstructive in 2016? pulmonary disease. op 15 causes of YLDs, ranked by percent for both sexes combined, 2016
emales ales
Sense organ diseases* Low back & neck pain Migraine Iron-deficiency anaemia Other musculoskeletal Skin diseases Depressive disorders COPD* Diabetes Falls Oral disorders Anxiety disorders Osteoarthritis Preterm birth complications Schizophrenia
12 9 6 0 0 6 9 12 Percent of total years li ed ith disability Percent of total years li ed ith disability Communicable, maternal, neonatal, and nutritional diseases on-communicable diseases n uries
*COPD is chronic obstructive pulmonary disease. *Sense organ diseases includes mainly hearing and vision loss.
2 Goa roportion of total disease burden from C Ds 1 6 CDs 0 9 n uries 11 5 HowHow havehave the leading causescauses of of death death and and disability disability combined combined changed changed from from 1990 1990 to 2016? to 2016? ChangeChange in top 15 causes of of DALYs, DALYs, both both sexes, sexes, ranked ranked by by number number of ofDALYs, DALYs, 1990 1990–2016–2016
Co ni a le, a e nal, Non- o ni a le di ea e In ie a e o in ea e de ea e neona al, and n i ional di ea e
Leading causes of DALYs 1990 Leading causes of DALYs 2016
Lower respiratory infections [7.8%] 1 1 Ischaemic heart disease [11.0%] Diarrhoeal diseases [7.0%] 2 2 Sense organ diseases‡ [4.1%] Preterm birth complications [6.0%] Diabetes [4.1%] Ischaemic heart disease [5.6%] 4 4 COPD† [4.1%] Congenital birth defects [4.0%] Stroke [4.0%]* Other neonatal disorders [3.9%] 6 6 Low back & neck pain [3.6%] Tuberculosis [3.8%] 7 7 Migraine [3.0%] Neonatal haemolytic disease [2.8%] 8 8 Road injuries [2.8%] Stroke [2.8%] 9 9 Falls [2.7%] Neonatal encephalopathy [2.6%] 10 10 Skin diseases [2.5%] COPD† [2.6%] 11 11 Iron-deficiency anaemia [2.4%] Self-harm§ [2.2%] 12 12 Other musculoskeletal disorders [2.4%] Sense organ diseases‡ [2.1%] 1 1 Lower respiratory infections [2.3%] Low back & neck pain [2.0%] 14 14 Depressive disorders [2.3%] Iron-deficiency anaemia [1.9%] 1 1 Chronic kidney disease [2.3%] Road injuries [1.8%] 16 16 Self-harm§ [2.1%]* Migraine [1.8%] 17 17 Preterm birth complications [2.0%] Skin diseases [1.8%] 18 20 Diarrhoeal diseases [1.5%] Falls [1.7%] 19 21 Congenital birth defects [1.4%] Depressive disorders [1.4%] 21 22 Tuberculosis [1.3%] Chronic kidney disease [1.3%] 22 26 Other neonatal disorders [1.1%] Other musculoskeletal disorders [1.3%] 24 1 Neonatal encephalopathy [0.9%] Diabetes [1.2%] 2 60 Neonatal haemolytic disease [0.4%]
*Change not significant. COPD is chronic obstructive pulmonary disease. The percent figure in brackets next to each cause is Sense organ diseases includes mainly hearing and vision loss. DALYs from that cause out of total DALYs. Sel -ha refers to suicide and the nonfatal outcomes of self-harm. WhatWhat caused the the most most death death and and disability disability combined combined across across age groups age groups in 2016? in 2016? PercentPercent ofof DALYs by age group, bothboth sexes,sexes, 2016 2016
10.0
[1.11] [1.62] [2.01]
[1.3]
[2.49] 7.5 [1.07] [0.78] [0.89] [0.67] [2.95] [0.59] [3.39] 5.0 [0.53] Percent of total DALYs Percent
[0.44] [4.05] 2.5 [0.3] [4.81] [0.27]
0
5 to 9 (6%) 85+ (<1%) Under 5 (8%) 10 to 14 (6%) 15 to 19 (7%) 20 to 24 (8%) 25 to 29 (9%) 30 to 34 (9%) 35 to 39 (8%) 40 to 44 (7%) 45 to 49 (7%) 50 to 54 (6%) 55 to 59 (6%) 60 to 64 (4%) 65 to 69 (3%) 70 to 74 (2%) 75 to 79 (1%) 80 to 84 (1%) Age Communicable, maternal, neonatal, and nutritional diseases on-communicable diseases n uries
The number in the bracket on top of each vertical bar is the ratio of percent DALYs to population for that age group. The number in parentheses after each age group on the x-axis is the percent of population in that age group. Goa 3 What risk factors are driving the most death and disability combined? Contribution of top 10 risks to DALYs number, both sexes, ranked by number of DALYs, 1990-2016 What riskrisk factors factors are are driving driving the the most most death death and and disability disability combined? combined? ContributionBehavioural of of top top 10 10 risksEnvironmental/occupational risks to to DALYs DALYs number, number, both both sexes, sexes, rankedMetabolic ranked by number by number of DALYs,same of DALYs, 1990-2016 or increase 1990-2016 decrease
Behavioural Environmental/occupational Metabolic same or increase decrease
Risk factors 1990 Risk factors 2016 Risk factors 1990 Risk factors 2016
Malnutrition*Malnutrition* [32.2%] [26.9%]1 1 1 Malnutrition* [14.8%] 1 High blood pressure [11.0%] WaSHAir pollution [15.2%] [8.1%]2 2 2 Air pollution [5.1%] 2 Dietary risks [9.6%] Air pollutionWaSH [7.7%] [7.0%] High blood pressure [5.0%] High fasting plasma glucose [9.0%] Tobacco use [3.6%] 4 4 Tobacco use [4.9%] Dietary risks [6.6%] 4 4 Malnutrition* [7.3%] Dietary risks [2.3%] Dietary risks [4.7%] HighHigh blood blood pressure pressure [2.2%] [6.2%]6 6 High fasting plasma glucose [4.0%]High body-mass index [7.2%] OccupationalTobacco risks [1.9%] use [3.2%]7 6 7 WaSH [3.9%] 6 Air pollution [5.6%] High fastingAlcohol plasma & drug use glucose [1.6%] [3.2%]8 7 8 Alcohol & drug use [3.9%]7 High total cholesterol [5.4%] High fasting plasma glucose [1.4%] 9 9 Occupational risks [2.6%] ImpairedHigh kidney total function cholesterol [0.9%] [2.8%]10 8 10 Impaired kidney function8 [2.0%]Alcohol & drug use [4.9%] Alcohol & drug use [2.5%] 9 9 Impaired kidney function [3.7%] The percent figure in bracket next to each risk is DALYs from that risk out of total DALYs. *Malnutrition is child and maternal malnutrition. Occupational risks [2.2%] 10 WaSH is unsafe water, sanitation,10 Occupational and handwashing. risks [3.5%] Impaired kidney function [2.1%] 11 11 Tobacco use [3.1%] High body-mass index [1.9%] 12 14 WaSH [1.0%]
The percent figure in bracket next to each risk is DALYs from that risk out of total DALYs. *Malnutrition is child and maternal malnutrition. WaSH is unsafe water, sanitation, and handwashing.
How did the risk factors differ by se in 2016? Percent of total DALYs attributable to top 10 risks, ranked by percent for both sexes combined, 2016
emales ales
High blood pressure Dietary risks High fasting plasma glucose Malnutrition* High body-mass index Air pollution High total cholesterol Alcohol & drug use Impaired kidney function Occupational risks
10 5 0 0 5 10 Percent of years of life lost and years li ed ith disability Percent of years of life lost and years li ed ith disability
eha ioural n ironmental occupational etabolic
*Malnutrition is child and maternal malnutrition.
4 Goa