Rajasthan: Disease Burden Profile, 1990 to 2016 1990 life epectancy 2016 life epectancy Females 59 years ales 52 years Females 01 years ales 655 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 Rajasthan nde- ate India nde- ate Caatie aeae ate lall siila Si-deahi Inde as Rajasthan 150 100 Deaths per 1,000 lie births 50 4 44 9.2 The shaded bands indicate 95% uncertainty 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 [14.9% of total deaths] 15−39 years [11.6% of total deaths] 11 29 11 HIIDS telsis 4 0 124 10 DiaheaRIthe 4 12 2 NDs† alaia 109 124 Matenal disdes 41 Nenatal disdes 9 Nutritional deficiencies 61 the niale diseases 64 366 Canes 142 106 Cadiasla diseases Chni esiat diseases 29 6 29 Cihsis Diestie diseases Nelial disdes 40−69 years [36.9% of total deaths] 70+ years [36.6% of total deaths] Diaetes‡ldend§ 21 3.3% the nn-niale 3.8% 0 3.4% 39 anst injies 8.8% 51 46 nintentinal injies 16 4 8.8% 42 21 14 Siide ilene 22 the ases death 135 6 RI is lwe esiat inetins. †NDs ae neleted tial diseases. 204 ‡ is enital diseases. 304 §End is endine diseases. 241 25 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 Proportion of total disease burden from Premature death 69 | Disability or morbidity 0 What caused the most years of life lost by sex, in 2016? Top 15 causes of YLLs, ranked by percent for both sexes combined, 2016 Females ales Lower respiratory infections Ischaemic heart disease COPD* Preterm birth complications Diarrhoeal diseases Tuberculosis Other neonatal disorders Road injuries Intestinal infectious diseases Stroke Suicide Asthma Neonatal encephalopathy Congenital birth defects Falls 15 10 5 0 0 5 10 15 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 nuries What caused the most years lived with disability,*COPD by is chronic sex, obstructive in 2016? pulmonary disease. Top 15 causes of YLDs, ranked by percent for both sexes combined, 2016 Females ales Iron-deficiency anaemia Sense organ diseases* Migraine Low back & neck pain Skin diseases Other musculoskeletal COPD* Depressive disorders Anxiety disorders Diabetes Oral disorders Preterm birth complications Falls Protein-energy malnutrition Osteoarthritis 16 12 8 4 0 0 4 8 12 16 Percent of total years lied ith disability Percent of total years lied ith disability Communicable, maternal, neonatal, and nutritional diseases on-communicable diseases nuries *COPD is chronic obstructive pulmonary disease. *Sense organ diseases includes mainly hearing and vision loss. 2 Rajasthan Proportion of total disease burden from CDs 99 | CDs 9 | nuries 10 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 Cniale, atenal, Nn-niale diseases Injies sae inease deease nenatal, and ntitinal diseases Leading causes of DALYs 1990 Leading causes of DALYs 2016 Lower respiratory infections [14.0%] 1 1 Lower respiratory infections [7.4%] Diarrhoeal diseases [13.0%] 2 2 COPD† [7.0%] Tuberculosis [6.2%] 3 3 Ischaemic heart disease [6.4%] Preterm birth complications [5.0%] 4 4 Preterm birth complications [4.5%]* Other neonatal disorders [4.0%] 5 5 Diarrhoeal diseases [4.1%] Measles [3.5%] 6 6 Tuberculosis [3.8%] COPD† [3.4%] 7 7 Iron-deficiency anaemia [3.8%] Intestinal infectious diseases [3.1%] 8 8 Road injuries [3.2%] Ischaemic heart disease [2.7%] 9 9 Other neonatal disorders [3.2%]* Iron-deficiency anaemia [2.3%] 10 10 Sense organ diseases‡ [2.6%] Tetanus [2.2%] 11 11 Intestinal infectious diseases [2.3%] Neonatal encephalopathy [2.0%] 12 12 Stroke [2.1%] Asthma [1.6%] 1 1 Migraine [1.9%] Road injuries [1.5%] 14 14 Skin diseases [1.9%] Meningitis [1.4%] 1 1 Asthma [1.9%]* Sense organ diseases‡ [1.3%] 16 19 Neonatal encephalopathy [1.4%]* Stroke [1.2%] 18 28 Meningitis [0.9%]* Skin diseases [1.0%] 21 55 Measles [0.3%] Migraine [1.0%] 22 109 Tetanus [0.1%] *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-ham 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 25 [2.34] 20 15 Percent of total DALYs Percent 10 [1.36] [1.68] [2.09] [1.09] [0.54] [0.66] [0.77] [0.89] [2.59] [0.59] [3.11] 5 [0.45] [0.33] [0.32] [3.51] [4.0] [4.38] 0 5 to 9 (11%) 85+ (<1%) Under 5 (10%) 10 to 14 (11%)15 to 19 (10%) 20 to 24 (9%) 25 to 29 (8%) 30 to 34 (8%) 35 to 39 (6%) 40 to 44 (6%) 45 to 49 (5%) 50 to 54 (4%) 55 to 59 (4%) 60 to 64 (3%) 65 to 69 (2%) 70 to 74 (1%) 75 to 79 (1%) 80 to 84 (1%) Age Communicable, maternal, neonatal, and nutritional diseases on-communicable diseases nuries The number in the bracket on top of each vertical bar is the ratio of percent DALYs to population for that age group. .0The number in parentheses after each age group on the x-axis is the percent of population in that age group. Rajasthan 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%] [38.7%]1 1 1 Malnutrition* [14.8%] 1 Malnutrition* [20.1%] WaSH†WaSH [15.2%]† [13.8%]2 2 2 Air pollution [5.1%] 2 Air pollution [12.4%] Air Airpollution pollution [7.7%] [13.7%]3 3 3 High blood pressure [5.0%]3 Tobacco use [6.3%] Tobacco use [3.6%] 4 4 Tobacco use [4.9%] Tobacco use [4.9%] 4 4 Dietary risks [6.3%] Dietary risks [2.3%] 5 5 Dietary risks [4.7%] High blood pressureDietary [2.2%] risks [3.2%]6 5 6 High fasting plasma glucose5 [4.0%]High blood pressure [5.6%] OccupationalHigh blood risks pressure [1.9%] [2.7%]7 6 7 WaSH† [3.9%] 6 WaSH† [4.3%] AlcoholOccupational & drug use [1.6%] risks [2.0%]8 7 8 Alcohol & drug use [3.9%]7 High total cholesterol [3.6% High fasting plasma glucose [1.4%] 9 9 Occupational risks [2.6%] Impaired Alcoholkidney function & drug [0.9%] use [1.6%]10 8 10 Impaired kidney function8 [2.0%]High fasting plasma glucose [3.5%] High total cholesterol [1.5%] 9 9 Alcohol & drug use [3.2%] The percent figure in bracket next to each risk is DALYs from that risk out of total DALYs. *Malnutrition is child and maternal malnutrition. High fasting plasma glucose [1.5%] 10 †WaSH is unsafe water, sanitation,10 Occupational and handwashing. risks [3.1%] 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 Females ales Malnutrition* Air pollution Tobacco use Dietary risks High blood pressure WaSH† High total cholesterol High fasting plasma glucose Alcohol & drug use Occupational risks 25 20 15 10 5 0 0 5 10 15 20 25 Percent of years of life lost and years lied ith disability Percent of years of life lost and years lied ith disability ehaioural nironmentaloccupational etabolic *Malnutrition is child and maternal malnutrition. †WaSH is unsafe water, sanitation, and handwashing. 4 Rajasthan.