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Burden of diarrhea in the Eastern Mediterranean region, 1990-2013 : findings from the Global burden of Disease study 2013
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GBD Collaborators (Including: Uthman, Olalekan A.). (2016) Burden of diarrhea in the Eastern Mediterranean region, 1990-2013 : findings from the Global burden of Disease study 2013. American Journal of Tropical Medicine and Hygiene, 95 (6). 1319 -1329. doi:10.4269/ajtmh.16-0339
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Official URL: https://doi.org/10.4269/ajtmh.16-0339
Abstract
Diarrheal diseases (DD) are leading causes of disease burden and death and disability, especially in children in low-income settings. DD can also impact a child’s potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease study, we estimated diarrheal disease burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For box sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost (YLLs) and years lived with disability (YLDs). We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from 1 (95% UI 0-1) in Bahrain and Oman to 471 (95% UI 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years old closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI 520-989) in Syria to 40,869 (95% UI 21,540-65,823) in Somalia. Our results highlighted a high disproportionate burden of diarrheal diseases in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Diarrhea, Diarrhea--Mediterranean Region, Diarrhea in children , Diarrhea in children--Mediterranean Region | ||||||||
| Journal or Publication Title: | American Journal of Tropical Medicine and Hygiene | ||||||||
| Publisher: | American Society of Tropical Medicine and Hygiene | ||||||||
| ISSN: | 0002-9637 | ||||||||
| Official Date: | December 2016 | ||||||||
| Dates: |
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| Date of first compliant deposit: | 5 September 2016 | ||||||||
| Volume: | 95 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | 1319 -1329 | ||||||||
| DOI: | 10.4269/ajtmh.16-0339 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| Funder: | Bill & Melinda Gates Foundation |
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