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NONCOMUNICABLE DISEASES AS GLOBAL HEALTH PROBLEM. Part II

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DEVELOPING COUNTRIES, DEATHS IN 2001 ATTRIBUTABLE TO 15 LEADING CAUSES Cardiovascular diseases Malignant neoplasms Respiratory diseases Injuries Respiratory infections Digestive diseases Perinatal conditions Tuberculosis Diabetes mellitus Diseases of the genitourinary system Neuropsychiatric disorders Congenital abnormalities Diarrhoeal diseases HIV/AIDS Nutritional deficiencies 96% of all deaths attributable to 15 leading causes 0 Source: WHR 2002 1000 2000 3000 4000 5000 6000 Number of deaths (000s) Vilius GRABAUSKAS DEVELOPING COUNTRIES, DALY’s IN 2001 ATTRIBUTABLE TO 15 LEADING CAUSES Neuropsychiatric disorders Injuries Cardiovascular diseases Malignant neoplasms Respiratory diseases Perinatal conditions Respiratory infections Digestive diseases Sense organ disorders Musculoskeletal diseases Congenital abnormalities Tuberculosis Nutritional deficiencies Diarrhoeal diseases Diabetes mellitus 0 10000 20000 30000 40000 50000 60000 70000 80000 89% of total disease burden attributable to 15 leading causes Disability-Adjusted Life Years (000s) Source: WHR 2002 Vilius GRABAUSKAS DEVELOPED COUNTRIES, DEATHS IN 2001 ATTRIBUTABLE TO 15 LEADING CAUSES Cardiovascular diseases Malignant neoplasms Injuries Respiratory diseases Digestive diseases Respiratory infections Neuropsychiatric disorders Diabetes mellitus Diseases of the genitourinary system Perinatal conditions Tuberculosis Nutritional/endocrine disorders Other neoplasms Congenital abnormalities Musculoskeletal diseases 0 Source: WHR 2002 98% of all deaths attributable to 15 leading causes 1000 2000 3000 4000 5000 6000 7000 Number of deaths (000s) Vilius GRABAUSKAS DEVELOPED COUNTRIES, DALY’s IN 2001 ATTRIBUTABLE TO 15 LEADING CAUSES Neuropsychiatric disorders Cardiovascular diseases Injuries Malignant neoplasms Respiratory diseases Digestive diseases Musculoskeletal diseases Sense organ disorders Respiratory infections Diabetes mellitus Perinatal conditions Congenital abnormalities Diseases of the genitourinary system Nutritional deficiencies Nutritional/endocrine disorders 0 10000 20000 30000 40000 50000 60000 95% of total disease burden attributable to 15 leading causes Disability-Adjusted Life Years (000s) Source: WHR 2002 Vilius GRABAUSKAS WORLD, DEATHS IN 2000 ATTRIBUTABLE TO ADDICTIVE SUBSTANCES RELATED RISKS Tobacco High Mortality Developing Countries Low Mortality Developing Countries Developed Countries Alcohol Illicit drugs 0 1000 2000 3000 4000 5000 Number of deaths (000s) Vilius GRABAUSKAS WORLD, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO ADDICTIVE SUBSTANCES RELATED RISKS Tobacco Alcohol Illicit drugs High Mortality Developing Countries Low Mortality Developing Countries Developed Countries 0 10000 20000 30000 40000 50000 60000 70000 Number of Disability-Adjusted Life Years (000s) Vilius GRABAUSKAS BURDEN OF DISEASE, IN DISABILITYADJUSTED LIFE YEARS (DALY’S) IN EUROPE, 2001 Nutritional/Endocrine disorders Diabetes mellitus Neuropsychiatric disorders 20% Sense organ disorders Malignant neoplasms Other CDs Nutritional deficiencies Perinatal conditions Maternal conditions Respiratory infections Childhood diseases Diarroheal diseases HIV/AIDS 11% 3% 23% 14% Injuries Other NCDs Cardiovascular diseases Tuberculosis 4% 5% 5% Respiratory diseases Congenital abnormalities Musculoskeletal diseases Digestive diseases Diseases of the genitourinary system Source: WHR 2002 Vilius GRABAUSKAS DISTRIBUTION OF CAUSES OF DEATH IN EUROPE, 2001 TOTAL DEATHS: 9,699,000 Diabetes mellitus Malignant neoplasms Neuropsychiatric disorders 19% Other CDs Perinatal conditions Respiratory infections HIV/AIDS 53% Cardiovascular 3% 8% 4% 4% diseases Tuberculosis Injuries Other NCDs Diseases of the genitourinary system Respiratory diseases Digestive diseases Source: WHR 2002 Vilius GRABAUSKAS EUROPE, DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Bblood pressure Cholesterol Tobacco High Body Mass Index Fruit and vegetable intake Physical inactivity Alcohol Urban air pollution Lead exposure Occupational carcinogens Illicit drugs Unsafe sex Occupational particulates Occupational risk factors for injury 0 500 1000 1500 2000 2500 Number of deaths (000s) Vilius GRABAUSKAS EUROPE, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Blood pressure Tobacco Alcohol Cholesterol High Body Mass Index Fruit and vegetable intake Physical inactivity Illicit drugs Lead exposure Unsafe sex Iron deficiency Occupational risk factors for injury Urban air pollution Childhood sexual abuse Underweight Unsafe water, sanitation, and hygiene Indoor smoke from solid fuels 0 5000 10000 15000 20000 Number of Disability-Adjusted Life Years (000s) Vilius GRABAUSKAS WHO REGIONS, DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 2500 2000 Number of deaths (000s) Blood pressure 1500 1000 500 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 20000 Number of Disability-Adjusted Life Years (000s) 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 AFRO EMRO SEARO Blood pressure Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 1800 1600 Number of deaths (000s) Tobacco 1400 1200 1000 800 600 400 200 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Number of Disability-Adjusted Life Years (000s) 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 AFRO EMRO SEARO Tobacco Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 1800 1600 Number of deaths (000s) Cholesterol 1400 1200 1000 800 600 400 200 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Number of Disability-Adjusted Life Years (000s) 14000 12000 10000 8000 6000 4000 2000 0 AFRO EMRO SEARO Cholesterol Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 800 700 Number of deaths (000s) Fruit and vegetable intake 600 500 400 300 200 100 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’S) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Number of Disability-Adjusted Life Years (000s) 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 AFRO EMRO SEARO Fruit and vegetable intake Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 1200 1000 Number of deaths (000s) High Body Mass Index 800 600 400 200 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Number of Disability-Adjusted Life Years (000s) 12000 10000 8000 6000 4000 2000 0 AFRO EMRO SEARO High Body Mass Index Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 700 600 Number of deaths (000s) Physical inactivity 500 400 300 200 100 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 6000 Number of Disability-Adjusted Life Years (000s) 5000 4000 3000 2000 1000 0 AFRO EMRO SEARO Physical inactivity Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 600 500 Alcohol Number of deaths (000s) 400 300 200 100 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 16000 Number of Disability-Adjusted Life Years (000s) 14000 12000 10000 8000 6000 4000 2000 0 AFRO EMRO SEARO Alcohol Vilius GRABAUSKAS WHO REGIONS DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS 2500 Blood pressure Cholesterol Fruit and vegetable intake High Body Mass Index Physical inactivity 500 Number of deaths (000s) 2000 1500 1000 0 AFR AMR EMR EUR SEAR WPR Vilius GRABAUSKAS WHO REGIONS, DISEASE BURDEN (DALY’s) IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS Number of Disability-Adjusted Life Years (000s) 20000 Blood pressure Cholesterol High Body Mass Index Fruit and vegetable intake Physical inactivity 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 AFRO AMRO EMRO EURO SEARO WPRO Vilius GRABAUSKAS WORLD, DEATHS IN 2000 ATTRIBUTABLE TO SELECTED LEADING RISK FACTORS,BY SEX Blood pressure Tobacco Cholesterol Fruit and vegetable intake High Body Mass Index Physical inactivity Alcohol Illicit drugs 0 500 1000 1500 2000 2500 3000 3500 4000 4500 Female Male Number of deaths (000s) Return to the main Part of the lecture Vilius GRABAUSKAS

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