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..

2552

Disability-Adjusted Life Year DALYs

Burden of Disease

.. 2552
: (.)

(.)
: .. 2555
: 1,000

2 6
11000
. 0 2590 2383 . 0 2590 2380
E-mail : bodadmin@ihpp.thaigov.net www.thaibod.net
:




119/138 11 . 3 .
. . . 11000
. 0 2525 1121, 0 2525 4669-70 . 0 2525 1272
E-mail : graphico_sys@yahoo.com

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

21




.. 2552

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

.. 2552

Dr.Kenji Shibuya
.. .

(.)
(.)

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

1. ..

2. .

3. .


4. .
5. .

6. .


7. .

8. .


9.

10. .


11.

12. .



13. .


.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

.. 2552
1. .
2. .
3.
4. .
5. .
6. .
7. .
8.
9.
10.
11.
12.
13.

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

...................................................................................................................
....................................................................................................
.................................................................................................................
.........................................................................................................
.............................................................................................................
............................................................................................. 1
................................................................................... 2
................................................................................................... 3
................................................................................................. 4
...................................................................................................... 4
.............................................................................................. 4
................................................................................................ 5
................................................................................... 5
............................................................................................ 5
.......................................................................................................... 5
.................................................................................. 5
.. 2552 ......................................................... 6
(Health Adjusted Life Expectancy: HALE).................. 7
.................................................................. 8
(Years of Life Lost: YLLs)................... 10

(Years Lost due to Disability: YLDs).................................................................... 13

(Disability-Adjusted Life Years: DALYs)............................................................ 15
.................................................................. 18
..................................................................................................... 25
......................................................................................................... 26
............................................................................................................. 29
1 .............................................................................. 29
2 YLD.......................... 31
3 ................................................................................ 37
4 Death, YLL, YLD, DALY ................... 45
5 ............................................................................ 50
.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

1 (LE) (HALE)

.. 2552........................................................................ 8
2 .. 2552...................................... 9
3

.. 2552 ..................................... 12
4

.. 2552 ............................................................ 14
5 .. 2552

........................................................................... 17
6 0-14

.. 2552 ........................................................ 19
7 15-29

.. 2552 ........................................................ 20
8 30-59

.. 2552 ........................................................ 22
9 60

.. 2552 ....................................................... 23
10

.. 2542 .. 2547 .. 2552................................................. 24

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

1 .. 2552 (log scale).................................................. 6


2 .. 2480 - .. 2552.......................... 6
3 .. 2552

....................................................................... 8
4 .. 2552

..........................................................................10
5 .. 2552

....................................................................11
6 .. 2552

...............................................................................11
7 .. 2552

..........................................................................13
8 .. 2552

..............................................................................14
9 .. 2552

.........................................................................16
10 .. 2552

..............................................................................16
11 0-14 .. 2552

.........................................................................18
12 15-29 .. 2552

.........................................................................20
13 30-59 .. 2552

.........................................................................21
14 60 .. 2552

.........................................................................23

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

>>>

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

(Burden of disease)
.. 2552
(Health
gap) (DisabilityAdjusted Life Years: DALYs)

(Years of
Life Lost: YLLs)
(Years of Life Lost due to
Disability: YLDs)

.. 2552 71 77

65
71
(DALYs)
.. 2552 10.2 DALYs

1.3
5.8 DALYs
4.4 DALYs


(Alcohol dependence/harmful use)
9
()
/


9

/

(Years of Life Lost: YLLs) 6.2

61
(DALYs)
3.7

2.5 2 3
YLLs

10 58
54


12
/


10
/


YLDs
4 2.1 YLDs
1.9 YLDs 10


YLDs


23 YLDs


12


.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease



-

0-14

-
15-29

15-29

/

-
30-59

/
30-59

- 60

.. 2552

(Burden of disease)

(Disability-Adjusted Life Years: DALYs)





(Health gap)
(Years of Life Lost: YLLs)

(Years of Life Lost due to Disability: YLDs)






.. 2542 ..
2547



DALYs


5 (.. 2552)
..
2542 .. 2547

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs


(Year of Life Lost : YLL)
(premature death)


(Life Expectancy)

YLL Standard
Expected Years of Life Lost

Coale and Demeny West Level 26


80
(indicator) 82.5
DALYs = YLLs (Years of Life Lost due to premature death) + YLDs (Years Lost due to Disability)
= +

DALYs: Disability-adjusted
life years

(Health gap)
(1 DALY)

1

DALYs




(life years)

YLL


YLL = N x L

N =

L =
(age-specific life expectancy)


(YLD)

(disability incidence)

(disability duration)
(age at onset)
(disability by
severity class)

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

YLD

YLD= I x DW x L
I =
DW =
L = ()


(Discount Rate) 3

(Global Burden of Disease: GBD)

30.5


GBD 2000 0-4, 5-14, 15-29, 3044, 45-59, 60-69, 70-79 80+

3 GBD 2000
3 22 107
1

(Infectious diseases, maternal, perinatal and
nutritional conditions)
2 (Noncommunicable diseases)
3 (Injuries)
22
1 5
Infectious diseases, Respiratory
4

.. 2552

infections, Maternal conditions, Perinatal


conditions, Nutritional disorders


107 3
/ (Social values)

Coale and Demeny West Level 26
80 82.5

GBD
(Discount rate) 3%
GBD standard
(Age weights)
GBD standard

(Disability Weight: DW)
GBD (2000)



3%



GBD


(mid-year population) .. 2552


Burden of Disease

..
2552
ICD-10




(..
2554) 5
(Survey of
Population Change: SPC) .. 2548-49
5





.. 2548
SPICE (Setting Priority using
Information on Cost-Effectiveness)

Disability-Adjusted Life Year DALYs

1 (Infant Mortality Rate: IMR)


1-4

.. 2548-49
11 1,000
1 1
1,000
1-4



( 2)


1
15-49
2 3
15-24
15-60 492
229
(Adult Mortality
Rate)
15-60 239 112

(270 139
)

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

()

1.00
100,000 (log scale)

0 1 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85
0.10

0.01

0.00

0.00

1 .. 2552 (log scale)



70
40 ( 1)
.. 2500-.. 2510

()

.. 2552

.. 2552
71 77

90
80
70
60
50
40
30
20
10
0

2470

2480

2490

2500

2510

2520

2530

2540

2550

2560

..

2 .. 2480 - .. 2552
6

.. 2552

Burden of Disease

: 1) .. 2480, .. 2490, ..
2503 : Rungpitarangsi, B. (..
1974)

2) .. 2507-8, .. 2517-9,
.. 2528-9, .. 2532, 4,
.. 2538-9 :



3) .. 2547, .. 2552



(IHPP)

(Health-Adjusted Life Expectancy: HALE)



(Health-Adjusted
Life Expectancy: HALE)

HALE


1
0



(Years of Life Lost due to

Disability-Adjusted Life Year DALYs

Disability: YLDs) ..
2552
HALE x

( disability)
x x+5
x x+5
x+5

YWDi

HALEx = i=x

lx


x x+5
Prevalent YLD lx
x x+5
.. 2552


(Prevalent YLD)
HALE
65.4 71.4
16.5 18.4
60
World Health Statistic .. 2554
(.. 2011)
66 74
17 20
60

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

1 (LE) (HALE) .. 2552


Age
(years)
LE

(years)
0
70.5
60
20.3

Males
HALE
LE (years) LE
(years) (WHO*, 2011) (years)
65.4
66
77.3
16.9
17
22.7

Females
HALE
LE (years)
(years) (WHO*, 2011)
71.4
74
18.6
20

: WHO HALE .. 2552 (.. 2009) * World Health Statistics (2011)


3 .. 2552


45

0-4
,


5-29
5-14 ( 3)

.. 2552
1 ,
2
3

80+
70-79
60-69
45-59
30-44
15-29
5-14
0-4
80+
70-79
60-69
45-59
30-44
15-29
5-14
0-4
0%

10%

20%

30%

40%
50%

60%

70%

80%

90%

3 .. 2552

.. 2552

100%

Burden of Disease


.. 2552

10.4
8.2 7.7
6.9

Disability-Adjusted Life Year DALYs

14.4
9.4
8.9 4.1
3.9
( 2)

2 .. 2552




Deaths % % Deaths


(000) (000)
1
25 10.4 14.4 27
2
20 8.2 9.4 18
3
19 7.7 8.9 17
4
17 6.9 4.1
8
5
15 6.0 3.9
7
6 /
12 4.8 3.3
6 /
7
10 4.2 3.0
6
8
10 4.0 2.8
5
9
9
3.9 2.8
5
10
7
2.9 2.4
4
11
6
2.7 2.3
4
12
5
2.2 2.3
4
13
5
1.9 2.0
4
14
5
1.9 1.8
3
15
4
1.8 1.7
3
16
4
1.5 1.5
3
17
3
1.4 1.5
3
18
3
1.2 1.1
2
19
3
1.1 1.1
2
20
2
0.9 1.0
2

243 100 100 187

.. 2552

Disability-Adjusted Life Year DALYs

Burden of Disease

(Years of Life Lost: YLLs)


1.


.. 2552
3.7

2.5
4


2%
11%

3%

5%

5%

6%

6%

/
7%

2.


.. 2552

5
5
5-14

45-59

(3.7 YLLs)

19%

18%

18%

3%

4%

2%

13%

(2.5 YLLs)

22%

4%

5%

/
6%

9%

22%

9%

4 .. 2552

19
18



22
9

10

.. 2552




45-59 60

5



45

Burden of Disease

Disability-Adjusted Life Year DALYs

.. 2552

1,200
1 ,
2
3

Year of Life Lost (000s)

1,000
800
600
400
200
0

0-4 5-14 15-29 30-44 45-59 60-69 70-79 80+

0-4 5-14 15-29 30-44 45-59 60-69 70-79 80+

5 .. 2552

3.


5-14
5
15
( 6)

700

400
300

YLLs per 1,000 population

YLLs per 1,000 population

500

200
100
0-4

5-14

15-29

30-44

()

700

600



15-29 30-44 70



45-69
70

45-59

60-69

70-79

80+

600
500
400
300
200
100
0

0-4

5-14

15-29

30-44

45-59

60-69

70-79

80+

()

6 .. 2552

.. 2552

11

Disability-Adjusted Life Year DALYs

Burden of Disease

4.


20
3
80 70


12.4

/

10.5

/

11

20

3 .. 2552






YLL % % YLL


(000) (000)
1
464 12.4 10.5 262
2
296 7.9 9.2 231
3 /
268 7.2 6.8 170
4
259 6.9 6.0 150 /
5
239 6.4 4.7 118
6
168 4.5 4.5 112
7
132 3.5 3.7 92
8
129 3.5 3.4 86
9
120 3.2 2.8 69
10
111 3.0 2.5 62
11
102 2.7 2.1 53
12
90 2.4 2.0 51
13
87 2.3 1.9 48
14
78 2.1 1.8 44
15
66 1.8 1.5 37
16
58 1.6 1.2 30
17 53 1.4 1.2 29
18
43 1.2 1.1 28
19
43 1.2 1.1 28
20 38 1.0 1.1 27

3,739 100 100 2,505

12

.. 2552

Burden of Disease

(Years Lost due to Disability:


YLDs)
1.



2.1 YLDs 1.9
YLDs 7

(2.1 YLDs)


10%

3%
3%

4%

5%

34%
5%

5%

5%

6%

20%

Disability-Adjusted Life Year DALYs




5-14
5
15 59
60
8
15-29
30-59


2%

2%
10%
3%

6%

6%

(1.9 YLDs)

26%

7%

8%

9%

21%

7 .. 2552



34
20

26
21



1529 30-44 60

.. 2552

13

Burden of Disease

YLDs per 1,000 population

200

150
100
50
0

0-4

5-14

15-29

30-44 45-59
()

200

YLDs per 1,000 population

Disability-Adjusted Life Year DALYs

60-69

70-79

80+

150
100
50
0

0-4

5-14

15-29

30-44 45-59
()

60-69

70-79

80+

8 .. 2552

2.



22.6
12.4
4 (20 )

2 3 6.0
5.7

2 3
8.1 7.9

4 ..

2552




YLD % % YLD


(000) (000)
1 467 22.6 12.4 235
2
124 6.0 8.1 154
3
119 5.7 7.9 149
4
99 4.8 7.2 136
5
90 4.3 6.1 116
6
80 3.8 4.7 88
7
77 3.7 4.4 84
8
3
3.5 3.8 72

14

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

4 ()




YLD % % YLD


(000) (000)
9
66 3.2 3.4 64
10
51 2.5 3.0 57
11
51 2.5 2.4 46
12
40 2.0 1.8 34
13
37 1.8 1.4 27
14
31 1.5 1.4 26
15
29 1.4 0.8 15
16
27 1.3 0.8 15
17
15 0.7 0.6 12
18 /
14 0.7 0.6 12
19
14 0.7 0.6 12
20
14 0.7 0.6 11

2,070 100 100 1,894


(Disability-Adjusted Life Years: DALYs)
1.


.. 2552 10.2 DALYs
1.3
5.8 DALYs
4.4 DALYs
9



14

13


15
13

.. 2552

15

Disability-Adjusted Life Year DALYs

Burden of Disease

4%

4%

(5.8 DALYs)

19%

4%

14%

4%

/
5%

13%

5%

7%

(4.4 DALYs)

21%

15%

4%

5%

13%

6%

9%

9%

13%

12%

3%

11%

9 .. 2552
2.

5
60
10

15-29
30-44

60+


15-29 30-44
45-59

60

800

800
600
500
400
300

700

DALYs per 1,000 population

DALYs per 1,000 population

700

200

500
400
300
200
100

100
0

600

0-4

5-14

15-29

30-44

45-59

60-69

70-79

()

80+

0-4

5-14

15-29

30-44

45-59

60-69

70-79

()

10 .. 2552

16

.. 2552

80+

Burden of Disease

3.
20
.. 2552 5


8.7

Disability-Adjusted Life Year DALYs

8.6

8.6

8.0

5 .. 2552





DALY % % DALY


(000) (000)
1 506 8.7 8.6 380
2
501 8.6 8.0 350
3
369 6.4 5.4 236
4 /
282 4.9 4.0 178
5
262 4.5 3.6 160 /
6
250 4.3 3.5 154
7
218 3.8 3.1 138
8
206 3.5 2.9 129
9
176 3.0 2.7 117
10
133 2.3 2.6 114
11
124 2.1 2.2 96
12
120 2.1 2.1 94
13
119 2.0 2.1 93
14
102 1.8 1.7 73
15
101 1.7 1.6 72
16
92 1.6 1.5 67
17
87 1.5 1.5 64
18
84 1.4 1.4 63
19
80 1.4 1.3 59
20
78 1.3 1.3 56

5,808 100 100 4,399

.. 2552

17

Disability-Adjusted Life Year DALYs

Burden of Disease

1.
0-14
0-14
0.8 DALYs
0.4 DALYs 0.3
DALYs
11


0-14 (0.4 DALYs)


3%
2%
9%

2%

3%

25%

3%

7%

8%

15%


10 6
12.5
8.1

8.9
8.7

0-14 (0.3 DALYs)

3%
3%
12%

3%

21%
3%

6%

8%

23%

10%

18%

13%

11 0-14 .. 2552

18

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

6 0-14 .. 2552





DALY % % DALY


(000) (000)
1
58 12.5 8.9 32
2
38 8.1 8.7 31
3
33 7.2 6.4 23
4
31 6.6 5.0 18
5
31 6.6 4.9 18
6
26 5.6 3.3 12
7
13 2.7 2.7 10

8
10 2.3 2.5
9 /
9
6
1.4 1.7
6
10 /
6
1.4 1.6
6

2. 15-29
15-29
1.4 DALYs
2.4
0.9 DALYs
0.4 DALYs

62

36 12
10

7

22.6
22.5

10.1
/ 9.4

.. 2552

19

Disability-Adjusted Life Year DALYs

Burden of Disease

4%

/
5%

15-29 (0.9 DALYs)


14%

33%

6%

9%

31%

15-29 (0.4 DALYs)

6%

7%

29%

23%

13%

/
9%
11%

12 15-29 .. 2552

7 15-29 .. 2552





DALY % % DALY


(000) (000)
1 210 22.6 10.1 39
2
210 22.5 9.4 37 /
3
66 7.0 8.3 33
4
53 5.7 7.0 27
5 /
44 4.7 5.7 22
6
34 3.6 5.3 21
7
28 3.0 4.6 18
8
20 2.1 4.0 16
9
17 1.8 3.0 12
10
14 1.5 2.5 10

20

.. 2552

Burden of Disease

3. 30-59

30-59 4.6
DALYs
1.6 2.8 DALYs
1.8 DALYs
13

15


13

18
30-59 (2.8 DALYs)

14%

4%

4%

15%

14%

4%

5%

/
6%
8%

13%

13%

Disability-Adjusted Life Year DALYs

14
12

30-59
8

10.3
/
8.2

8.9

7.7 6.5


15%
3%

3%

30-59 (1.8 DALYs)

18%

14%

6%

/
6%

7%

12%

7%

9%

13 30-59 .. 2552

.. 2552

21

Disability-Adjusted Life Year DALYs

Burden of Disease

8 30-59 .. 2552





DALY % % DALY


(000) (000)
1 283 10.3 8.9 156
2
227 8.2 7.7 134
3 /
223 8.1 6.5 115
4
175 6.3 6.1 107 /
5
161 5.8 5.1 89
6
135 4.9 3.5 62
7
126 4.6 3.3 58
8
106 3.8 3.2 57
9
76 2.8 3.2 56
10
66 2.4 2.8 50

4. 60


60 3.5 DALYs

1.7
DALYs 1.9
DALYs
14

22

22

.. 2552

18
15

60
9


10.7 9

11.6 11.3

Burden of Disease

5%

23%

60 (1.7 DALYs)

21%

5%

4%

25%

Disability-Adjusted Life Year DALYs

60 (1.9 DALYs)

4%

22%

6%

6%

10%

18%

12%

11%

15%

13%

14 60 .. 2552

9 60 .. 2552





DALY % % DALY


(000) (000)
1
177 10.7 11.6 219
2
148 9.0 11.3 215
3
120 7.2 6.9 131
4
103 6.2 5.8 109
5
95 5.7 4.5 86
6
78 4.7 3.6 68
7
75 4.5 3.2 61
8
39 2.4 3.2 61
9
38 2.3 3.0 56
10
37 2.2 2.5 48

.. 2552

23

Disability-Adjusted Life Year DALYs

Burden of Disease

..
2542 .. 2547 .. 2552

YLD
.. 2542 .. 2547

10 .. 2542 .. 2547
.. 2552

/

(Comparability)

-

-

-

-

-


-

-
-

-
/

-

-

-

-
-

-

-

24

.. 2552

/
3


/
(/
)

Burden of Disease


.. 2552


(DALYs) 10.2

1.3 3
,

14
73 13




Disability-Adjusted Life Year DALYs

.. 2552

.. 2542 .. 2547

.. 2552

25

Disability-Adjusted Life Year DALYs

Burden of Disease

, :
2551. : , 2551.
, .. 2550.
: . 2551.
,
5 .. 2546

, .. 2550 :
, 2551.
,
3
.. 2546-2547. :
, 2549.
.
.. 2551-2552. : . .
. . .
,[]. : http:// www.ipsr.mahidol.ac.th/content/home/
ConferenceII/Article/Article01.htm. ( 16 2552)
Bundhamcharoen K, Odton P, Phulkerd S, Tangcharoensathien V. Burden of disease in Thailand :
changes in health gap between 1999 and 2004. BMC Public Health. 2011; 11 : 53.
doi : 10.1186/1471-2458-11-53
Murray C, Lopez A, eds, The global burden of disease and injury series, volume 1:
a comprehensive assessment of mortality and disability from diseases, injuries, and risk
factors in 1990 and projected to 2020. Cambridge, MA: Published by the Harvard School of
Public Health on behalf of the World Health Organization and the World Bank, Harvard
University Press, 1996.
Pattaraarchachai J, Rao C, Polprasert W, Porapakkham Y, Poa-in W, Singwerathum N,
Lopez AD. Cause-specific mortality patterns among hospital deaths in Thailand :
validating routine death certification. Popul Health Metr. 2010;8:12.
doi:10.1186/1478-7954-8-12.
Polprasert W, Rao C, Adair T, Pattaraarchachai J, Porapakkham Y, Lopez AD. Cause of death
ascertainment for deaths that occur outside hospitals in Thailand : application of verbal
autopsy methods. Popul Health Metr. 2010;8:13. doi: 10.1186/1478-7954-8-13.
26

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

Rao C, Porapakkham Y, Pattaraarchachai J, Polprasert W, Sawanpanyalert N, Lopez AD.


Verifying causes of death in Thailand : rationale & methods for empirical.
Popul Health Metr. 2010;8:10. doi: 10.1186/1478-7954-8-11.
Thai Working group on Burden of Disease, Burden of disease and injuries in Thailand :
priority setting for policy. Bangkok : Veteran Publishing House, 2002.
Vapattanawong, P. and Prasartkul, P. Under-registration of deaths in Thailand in 2005-2006 :
results of cross-matching data from two sources, Bulletin of the World Health
Organization, 2011; Vol.89(11): pp.806-812. doi: 10.2471/BLT.10.083931
World Health Organisation. World health statistics 2011. Geneva: WHO. 2011.

.. 2552

27

Disability-Adjusted Life Year DALYs

Burden of Disease

>>>

28

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs


.. 2550
2550
(.50)

2548-2549

2544
(Health Welfare Survey)
2545-2548

2552
2549
(verbal autopsy)

2546-2548
(, ,
)
2550-2551



2551-2552
4

2551
2549


2551
/

2552


2552


SPICE
(Setting Priorities using Information on
Cost-Effectiveness)

.. 2552

29

Disability-Adjusted Life Year DALYs

Burden of Disease


2552

(vital registration)


2552


2544-2547

- 2544. 2548
/

2550-2552
(
2549-2552


)
2550-2552



2550-2552

2550-2552 ()
2542-2548
2540-2548
2550-2552
ELISA



2544


2539

2545

2540

30

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

2 YLD

A 1 (Tuberculosis)
2
(Sexually transmitted diseases)
a. (Syphilis)
b. (Chlamydia)

c. (Gonorrhoea)


3 /
(HIV/AIDS)
4 (Diarrhea)
5
(Childhoold-cluster diseases)
a. (Pertussis)
b. (Poliomyelitis)
c. (Diphtheria)
d. (Measles)
e. (Tetanus)
f. (Rubella)
g.

(Haemophilus influenza B)
6
(Bacterial meningitis and
meningococcaemia)
7 (Hepatitis)
a. A
(Hepatitis A)
b. B
(Hepatitis B)
c. C
(Hepatitis C)

506 .. 2550-52
.. 2552
GBD-OAI (Other Asia and Islands)
.. 2533 506 .. 2550-52
GBD-OAI
(Other Asia and Islands) .. 2533
506 .. 2550-52

.. 2548 - .. 2568
.. 2552
506 .. 2550-52
506 .. 2550-52
506 .. 2550-52
506 .. 2550-52
506 .. 2550-52
506 .. 2550-52
.. 2543
.. 2552

.. 2545
.. 2544
HBV .. 2541
.. 2544
.. 2544

.. 2552

31

Disability-Adjusted Life Year DALYs

Burden of Disease

8 (Malaria)
506 .. 2550-52
9 (Leprosy)
506 .. 2550-52
10 (Dengue)
506 .. 2550-52
11 (Leptospirosis)
506 .. 2550-52
12
(Other infectious diseases)
B 1 .. 2552
(Lower respiratory infections)
2 .. 2552
(Upper respiratory infections)
3 (Otitis media) .. 2547
C 1 .. 2552
(Maternal haemorrhage)
2 .. 2552
(Maternal sepsis)
.. 2547
3 .. 2552
(Hypertensive
disorders of pregnancy)
4
.. 2552
(Obstructed labour)
5 (Abortion)


2 .. 2539 - .. 2540

.. 2552
D 1

(Low birth weight)
.. 2552
2
.. 2552
(Birth asphyxia and birth trauma)
E 1

(Protein-energy malnutrition) 4 .. 2551-52


2 (Anaemia)


4 .. 2551-52


.. 2546
32

.. 2552

Burden of Disease


F 1

2

3

4

5

6
7

8
9

10
11
12

13

14

15

16

17

18
19

20

Disability-Adjusted Life Year DALYs

(Mouth & pharynx cancer)


.. 2550-52

(Nasopharynx cancer)

(Oesophagus cancer)

(Stomach cancer)

(Colon and rectum cancers)


(Liver cancer)

(Pancreas cancer)
(Larynx cancer)

(Bronchus & Lung cancer)


(Skin cancer)
(Breast cancer)

(Cervix uteri cancer)

(Endometrium cancer)

(Prostate cancer)

(Bladder cancer)

(Hodgkin lymphomas)

(Non-Hodgkin lymphomas)
(Leukaemia)

(Thyroid cancers)
(Other cancers)
.. 2552

33

Disability-Adjusted Life Year DALYs

Burden of Disease

H 1 (Diabetes mellitus)

4 .. 2551-52
I 1 (Thalassaemia)


.. 2540
J 1 (Depression)
.. 2551
2
.. 2551
(Bipolar disorder)
3 (Schizophrenia)
.. 2551
4 .. 2551
(Alcohol dependence/harmful use)
5
.. 2551
(Drug dependence/harmful use)

.. 2550-51
6 (Anxiety disorders) .. 2551
K 1 (Dementia)


4 ..2551-52
2 (Epilepsy)


.. 2545
3 (Parkinson disease) GBD-OAI

(Other Asia and Islands) .. 2533
4

(Mental retardation)
.. 2548
L 1 (Glaucoma)


.. 2549
2 (Cataracts)


.. 2549
3
(Other vision disorders)
.. 2549
4
.. 2552
(Deafness)


.. 2550
M 1
.. 2552
(Rheumatic heart disease)
34

.. 2552

Burden of Disease

2
(Ischaemic heart disease)
3
(Cerebrovascular disease)

4
(Inflammatory heart disease)
5
(Hypertensive heart disease)
N 1
(Chronic obstructive
pulmonary disease)
2 (Asthma)

O 1
(Peptic ulcer disease)
2
(Cirrhosis)

3 (Appendicitis)
P 1
(Nephritis and nephrosis)
2
(Benign prostatic hypertophy)
R 1
(Rheumatoid arthritis)
2 (Osteoarthritis)
3 (Back pain)
a.

(Occupational back pain)

.. 2552

Disability-Adjusted Life Year DALYs

4 .. 2551-52
.. 2552
.. 2552
.. 2552

4 .. 2551-52

4 .. 2551-52
.. 2547
HBV .. 2541

.. 2544
.. 2552
.. 2551
GBD-OAI
(Other Asia and Islands) .. 2533
.. 2539
.. 2539
.. 2552

.. 2552

35

Disability-Adjusted Life Year DALYs

Burden of Disease


S 1

2

3

4
T 1
2
3
U 1

2

3
4
5
6

V 1
2
3

36


.. 2552
(Spina bifida)

.. 2552
(Congenital heart disease)

.. 2552
(Clef lip and cleft palate)
(Down syndrome) .. 2537
(Dental caries)
.. 2551
(Periodontal disease) .. 2551
(Edentulism)
.. 2551

..2552
(Road traffic accidents)
.. 2552
(Poisonings)
(Falls)
.. 2552
(Fires) .. 2552
(Drowning)
.. 2552

.. 2552
(Other unintentional injuries)
(Suicide)
.. 2552
(Violence/homicide) .. 2552
(War) .. 2552

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

3
10 (International Classification
of Diseases and Related Health Problem: ICD-10)

3 (I,I,III)
20 (A-V)
107

I. ,
(Infectious diseases, maternal, perinatal and nutritional conditions)
II. (Non-communicable diseases)
III. (Injuries)

A.
L.
(Infectious diseases) (Sensory disorders)
B.
M.
(Respiratory infections) (Cardiovascular diseases)
C.
N.
(Maternal conditions) (Chronic respiratory diseases)
D.
O.
(Perinatal conditions) (Digestive disorders)
E.
P.
(Nutritional disorders) (Genito-urinary diseases)
F.
R.
(Cancer) (Musculo-skeletal diseases)
H.
S.
(Diabetes mellitus) (Congenital anomalies)
I. T.
(Other endocrine and metabolic disorders) (Oral conditions)
J.
U.
(Mental disorders) (Unintentional injuries)
K.
V.
(Neurological disorders) (Intentional injuries)
.. 2552

37

Disability-Adjusted Life Year DALYs

38

Burden of Disease

ICD-10

(A) 1 (Tuberculosis)
2
(Sexually transmitted diseases
excluding HIV)
a. (Syphilis)
b. (Chlamydia)
c. (Gonorrhoea)
3 /
(HIV/AIDS)
4 (Diarrhea)
5
(Childhoold-cluster diseases)
a. (Pertussis)
b. (Poliomyelitis)
c. (Diphtheria)
d. (Measles)
e. (Tetanus)
f. (Rubella)
g.

(Haemophilus influenza B)
6
(Bacterial meningitis and
meningococcaemia)
7 (Hepatitis)
a. A
(Hepatitis A)
b. B
(Hepatitis B)
c. C
(Hepatitis C)
d.
(Other hepatitis)

A15-A199, B90-B909, P370


A50-A64, N70-N739

.. 2552

A50-A539
A55-A568
A54-A549
B20-B24, C46, D84
A00-A01,A03-A04,A06-A09
A33-A379, A80-A809, B05-B069, B91,
G000,J05
A37-A379
A80-A809, B91
A36-A369
B05-B059
A33-A35
B06-B069
G000, J05
A39-A399, G001-G009, G03
B15-B199
B15-B159
B16-B169, B170, B180-B181
B171, B182
B172-B178, B188-B199

Burden of Disease

Disability-Adjusted Life Year DALYs

ICD-10

8 (Malaria)
B50-B54
9 (Leprosy)
A30-A309, B92 (sequelae)
10 (Dengue)
A90-A91
11 (Leptospirosis)
A27
12
A02, A05, A20-A269,A28, A31-A329, A38,
(Other infectious diseases)
A42-A499, A65-A799, A81-A89, A92-A99,

B00-B04, B07-B09, B25-B49, B55-B89,

B94-B998, G01-G02,G04-G058
13
A40-A41
(Septicemia)
(B) 1 J09-J189, J20-J22
(Lower respiratory infections)
2 J00-J069
(Upper respiratory infections)
3 (Otitis media) H65-H669
(C) 1 O44-O46, 067, 072
(Maternal haemorrhage)
2 O85-O86
(Maternal sepsis)
3
O10-O16
(Hypertensive
disorders of pregnancy)
4
O64-O66
(Obstructed labour)
5 (Abortion)
O00-O08
6
O20-O43, O47-O63, O68-O71, 073-O75,
(Other maternal conditions)
O87-O99
(D) 1
P05-P07
(Low birth weight)
2
P03, P10-P15, P20-P22
(Birth asphyxia and birth trauma)
3
P00 - P02, P04, P08,P23-P299, P35-P369,
(Other perinatal conditions) P371-P96
.. 2552

39

Disability-Adjusted Life Year DALYs

Burden of Disease


(E) 1

2

3

4

5

(F) 1

2

3

4

5

6
7

8

9

10

11
12

13

40

ICD-10

E40-E46,E640
(Protein-energy malnutrition)
E00-E02, E031
(Lodine deficiency anaemia)

E50-E509, E641
(Vitamin A deficiency)
D50-D53
(Deficiency anaemia)

E51-E63, E642-E649
(Other nutritional disorders)

C00-C10, C12-C14
(Mouth & pharynx cancer)

C11
(Nasopharynx cancer)

C15
(Oesophagus cancer)

C16
(Stomach cancer)
C18-C21
(Colon and rectum cancer)
(Liver cancer)
C22

C25
(Pancreas cancer)

C32
(Larynx cancer)

C33-C34
(Bronchus & Lung cancer)

C43-C44
(Skin cancer)
(Breast cancer) C50
C53
(Cervix uteri cancer)

C54.0,C54.2,C54.3,C54.8,C54.9
(Uterus cancer)

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

ICD-10

14
C54.1
(Endometrium cancer)
15 (Ovary cancer) C56
16
C61
(Prostate cancer)
17
C67
(Bladder cancer)
18 C81
(Hodgkin lymphomas)
19
C82-C85,C96

(Non-Hodgkin lymphomas)
20
C91-C95
(Leukaemia)
21 (Billiary tract) C23-C24
22
C73
(Thyroid cancer)
23
C74-C75
(Other endocrine glands cancer)
24 C70-C72
(Central nervous system cancer)
25 (Other cancers) C17,C26-C31, C35-C42,C45, C47-C49,

C51-52, C57-C60, C62-C66, C68-C69, C76,

C86-C90
26 C77-C80, C97
(Ill-defined cancer)
27
C55
(Uterus cancer - not specified)
(G)
D00-D48
(Benign neoplasms)
(H) (Diabetes mellitus) E10-E14
(I) 1 (Thalassaemia)
D56
2 D55, D57-D83, D85-D89, E030, E032-E07,
(Other endocrine disorders)
E15-E16, E20-E34, E65-E89
.. 2552

41

Disability-Adjusted Life Year DALYs

42

Burden of Disease

ICD-10

(J) 1
2

3
4

5

6
7

(K) 1
2
3
4

5

(L) 1
2
3

4

5

(M) 1

2

3

4

(Depression)
F32-F33

F30-F31
(Bipolar disorder)
(Schizophrenia)
F20-F29
F10
(Alcohol dependence/harmful use)

F11-F16, F18-F19
(Drug dependence/harmful use)
(Anxiety disorders) F40-F42

F04-F09, F17, F34-42, F43-F69, F80-99
(Other mental disorders)
(Dementia)
F00-F03, G30-G32
(Epilepsy)
G40-G41
(Parkinsons disease) G20-G21

F70-F79
(Mental retardation)
G06-G13, G22-G26, G35-G37, G43-G99
(Other neurological disorders)
(Glaucoma)
H40
(Cataracts)
H25-H26
H00-H24, H27-H39, H42-H59
(Other vision disorders)

H90-H91
(Deafness)
H60-H62, H67-H75, H80-H83, H92-95
(Other hearing disorders)

I01-I09
(Rheumatic heart disease)

I20-I25
(Ischaemic heart disease)

I60-I69
(Cerebrovascular disease)

I30-I33, I38, I40-I42
(Inflammatory heart disease)

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

ICD-10

5 I11, I13
(Hypertensive heart disease)
6 I12, I15, I26-I28, I34-37, I39, I43-I45,
(Other cardiovascular diseases) I47-I49, I51-I51. 4, I52, I71-I99
7 I46, I51. 5-I51. 9, I70
(Ill-defined heart disease)
8 (Heart failure) I50
9
I10
(Hypertension)
(N) 1
J40-J44
(Chronic obstructive
pulmonary disease)
2 (Asthma)
J45-J46
3 J30-J39, J47-J99
(Other chronic respiratory diseases)
(O) 1
K25-K27
(Peptic ulcer disease)
2
K70, K74
(Cirrhosis)
3 (Appendicitis)
K35-K37
4
K20-K24, K28-K31, K38-K69, K71-K73,
(Other digestive disorders) K75-K99
(Q) (Skin diseases)
L00-L99
(P) 1
N00-N19
(Nephritis and nephrosis)
2
N40
(Benign prostatic hypertophy)
3
N20-N39, N41-N99
(Genito-urinary diseases)
(R) 1
M05-M06
(Rheumatoid arthritis)
2 (Osteoarthritis)
M15-M19
3 (Back pain)
M464, M469-M483, M488-M489, M51-M519,

M538-M539, M543-M549
.. 2552

43

Disability-Adjusted Life Year DALYs

Burden of Disease


4


(S) 1

2

3

4

5

6

(T) 1
2
3
4

(U) 1

2

3
4
5
6

(V) 1

2
3
4

44

ICD-10

M00-M04, M07-M14, M20-M463, M465,

M484-M487, M49-M50, M52-M537,
(Other musculoskeletal disorders) M540-M542, M55-M99

Q05
(Spina bifida)

Q20-Q28
(Congenital heart disease)

Q35-Q37
(Clef lip and cleft palate)

Q90
(Down syndrome)
Q91-Q99
(Other chromosomal disorders)

Q00-Q04,Q06-Q18, Q30-Q34, Q38-Q89
(Other congenital disorders)
(Dental caries)
K02
(Periodontal disease) K05
(Edentulism)
K06
K00-K01, K03-K04, K07-K14
(Other oral conditions)

V01-V89, Y85
(Road traffic accidents)
X40-X49
(Poisonings)
(Falls)
W00-W19
(Fires) X00-X09
(Drowning)
W65-W74

V90-V99, W20-W64, W75-W84, W85-W99,
(Other unintentional injuries) X10-X39, X50-X59, Y40-Y84, Y86, Y88-Y98

X60-X84, Y870
(Suicide)
(Violence/homicide) X85-Y09, Y87 1
(War) Y36

Y35
(Other intentional injuries)

.. 2552

1 ,
(Infectious diseases, maternal, perinatal and
nutritional conditions)
2 (Non-communicable diseases)
3 (Injuries)

(Disease category)
A
(Infectious diseases)
B
(Respiratory infections)
C
(Maternal conditions)
D
(Perinatal conditions)
E
(Nutritional disorders)
F
(Cancer)
G
(Benign neoplasms)
H
(Diabetes mellitus)
I


(Other endocrine and metabolic disorders)
J
(Mental disorders)
K
(Neurological disorders)
L
(Sensory disorders)
M
(Cardiovascular diseases)
N
(Chronic respiratory diseases)
O
(Digestive disorders)
P
(Genito-urinary diseases)
Q
(Skin diseases)
R
(Musculo-skeletal diseases)
S
(Congenital anomalies)
T
(Oral conditions)
U
(Unintentional injuries)
V
(Intentional injuries)


35,437

YLL

YLD

DALY

25,364 1,020,815 635,611 385,204 366,845 167,069 199,776 1,387,660 802,680 584,980

Death

25,347
6,501
-
2,926
664
47,190
1,452
9,643
1,312
2,675
2,817
10
53,170
18,415
15,280
8,586
639
2,832
1,704
272
32,461
9,400

41,883
12,183
228
4,731
1,776
83,832
2,668
27,214
3,162
3,230
6,722
147
106,365
26,036
23,937
18,981
1,746
6,394
3,474
431
44,234
11,277

555 57,052
3,905 96,052
137
846
53,195 1,201,821
7,621 257,815
8,657 340,381
10,395 217,002
1,106 16,723
3,562 81,567
1,770 99,701
159 5,136
11,773 927,739
1,877 254,341

48,533
45,617
97
657,776
176,500
235,056
94,467
5,833
32,078
49,729
3,599
711,338
213,517

8,519 1,116,654
50,435 192,821
749 890,313
544,044 222,881
81,315 195,011
105,325 49,750
122,535 78,617
10,891 10,629
49,489 288,566
49,972 60,766
1,537 47,799
216,401 130,915
40,824 12,009

16,536 722,731 458,275 264,456 92,285


5,682 132,173 78,141 54,032 24,208
228 4,355
- 4,355 7,082
1,806 143,767 88,655 55,112 48,305
1,112 17,789 10,540 7,250 194,965
36,643 1,219,884 665,443 554,441 36,055
1,216 42,106 22,039 20,067 1,036
17,570 350,731 119,779 230,952 247,788
1,850 53,610 21,783 31,828 15,660
713,539
63,284
407,095
103,958
132,494
24,068
57,572
2,476
112,425
30,836
20,820
104,052
10,082

403,116 1,173,706
129,537 288,873
483,218 891,160
118,923 1,424,702
62,517 452,827
25,682 390,130
21,045 295,618
8,153 27,353
176,141 370,133
29,930 160,467
26,980 52,935
26,864 1,058,654
1,927 266,350

762,072
108,901
407,192
761,734
308,995
259,124
152,038
8,309
144,503
80,565
24,419
815,389
223,599

50,809 41,476 815,016 509,084


16,443 7,764 156,381 94,585
- 7,082 11,437
-
26,466 21,839 192,072 115,121
73,351 121,614 212,754 83,890
15,384 20,671 1,255,939 680,827
395
641 43,142 22,434
98,652 149,136 598,519 218,430
5,572 10,088 69,270 27,355

411,634
179,972
483,968
662,968
143,832
131,006
143,580
19,044
225,630
79,902
28,517
243,265
42,751

305,932
61,796
11,437
76,951
128,864
575,111
20,708
380,089
41,915

314,340 165,998 148,342 4,040,427 2,178,329 1,862,098 3,454,348 1,788,571 1,665,777 7,494,774 3,966,899 3,527,875
55,511 41,861 13,650 1,182,080 924,855 257,225 142,924 114,134 28,790 1,325,004 1,038,988 286,016
430,652 243,296 187,356 6,243,322 3,738,794 2,504,528 3,964,116 2,069,773 1,894,343 10,207,438 5,808,568 4,398,871

60,801

4 Death, YLL, YLD, DALY

Burden of Disease

.. 2552

Disability-Adjusted Life Year DALYs

45

46

(Disease group)
A 1 (Tuberculosis)
10,170
2 (Sexually transmitted diseases)
134
3 / (HIV/AIDS)
17,774
4 (Diarrhoea)
6,152
5 (EPI-cluster)
84
6 (Meningitis)
387
7 (Hepatitis)
1,217
8 (Malaria)
142
9 (Leprosy)
44
10 (Dengue)
200
11 (Leptospirosis)
615
12 (Other infectious diseases)
4,962
B 1 (Lower respiratory tract infections) 12,007
2 (Upper respiratory tract infections)
174
3 (Otitis media)
2
C 1 (Maternal haemorrhage)
59
2 (Maternal sepsis)
1
3 (Hypertension in pregnancy)
9
4 (Obstructed labour)
-
5 (Abortion)
35
6 (Other maternal conditions)
124
D 1 (Low birth weight)
1,987
2 (Birth trauma & asphyxia)
1,861
3 (Other perinatal conditions)
884
E 1 (Protein-energy malnutrition)
1,249
2 (Anaemia)
131
3 (Other nutritional disorders)
395

6,941
64
11,578
2,768
66
221
807
105
41
140
544
2,070
6,467
31
2
-
-
-
-
-
-
1,434
898
594
303
1
360

YLL

3,229 126,949 90,276 36,673 16,947


71 2,745 1,583 1,162 3,048
6,196 418,364 268,369 149,995 23,765
3,384 56,753 28,522 28,231 11,985
18 1,814 1,511
303
134
166 8,772 5,458 3,315 2,136
410 22,701 15,314 7,387 25,352
37 2,769 2,070
699
100
3
534
477
57
243
60 5,736 4,031 1,705
332
71 12,641 11,256 1,385
12
2,892 62,953 29,409 33,544 8,231
5,539 130,271 77,522 52,749 4,611
143 1,861
578 1,284 2,884
-
42
42
- 16,713
59 1,550
- 1,550
104
1
32
-
32 1,019
9
252
-
252
615
-
-
-
-
858
35
929
-
929 4,203
124 1,591
- 1,591
283
553 60,320 43,452 16,868 29,081
963 56,595 27,208 29,387 6,115
290 26,852 17,995 8,857 13,109
947 7,771 2,325 5,446 11,589
130 1,224
44 1,180 181,463
35 8,794 8,171
624 1,913

Death

10,649 6,298
1,524 1,524
14,057 9,708
6,482 5,503
69
65
1,082 1,054
13,526 11,825
62
39
106
137
180
152
10
3
3,061 5,170
2,593 2,018
1,350 1,534
12,500 4,212
-
104
- 1,019
-
615
-
858
- 4,203
-
283
14,538 14,543
3,370 2,745
8,558 4,550
5,995 5,593
65,568 115,895
1,787
125

DALY

143,896 100,925 42,971


5,793 3,107 2,686
442,128 282,426 159,703
68,737 35,003 33,734
1,947 1,580
367
10,908 6,540 4,369
48,053 28,840 19,212
2,870 2,132
738
777
584
194
6,068 4,211 1,858
12,653 11,266 1,388
71,184 32,470 38,714
134,882 80,115 54,767
4,745 1,928 2,817
16,754 12,542 4,212
1,655
- 1,655
1,051
- 1,051
867
-
867
858
-
858
5,132
- 5,132
1,874
- 1,874
89,402 57,990 31,411
62,710 30,577 32,132
39,961 26,553 13,407
19,360 8,320 11,039
182,687 65,612 117,075
10,707 9,958
749

YLD

Disability-Adjusted Life Year DALYs

Burden of Disease

.. 2552

F























G
H
I

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
1
1
1
2

(Mouth & pharynx cancer)


(Nasopharynx cancer)
(Oesophagus cancer)
(Stomach cancer)
(Colon & rectum cancer)
(Liver cancer)
(Pancreas cancer)
(Larynx cancer)
(Bronchus & Lung cancer)
(Skin cancer)
(Breast cancer)
(Cervix uteri cancer)
(Uterus cancer)
(Ovarian cancer)
(Prostate cancer)
(Bladder cancer)
(Hodgkin lymphomas )
(Non-Hodgkin lymphomas )
(Leukaemia)
(Billiary tract cancer)
(Thyroid cancer)
(Other endocrine glands cancer)
(Central nervous system cancer)
(Other cancers)
(Benign neoplasms)
(Diabetes mellitus)
(Thalassaemia)
(Other endocrine disorders)

4,550
305
1,997
2,282
8,522
24,483
1,157
307
14,618
874
3,820
5,276
628
636
1,993
667
256
2,694
2,841
1,020
533
42
1,438
2,894
2,668
27,214
337
2,825


3,020
223
1,440
1,150
4,284
16,854
653
279
10,219
522
7
-
-
-
1,993
436
182
1,844
1,372
429
141
17
673
1,450
1,452
9,643
164
1,148

1,531
81
557
1,131
4,237
7,629
504
28
4,399
351
3,813
5,276
628
636
-
231
74
849
1,469
590
392
25
765
1,444
1,216
17,570
173
1,677

YLL

61,034 43,288 17,746 1,208


4,715 3,331 1,384
898
25,869 20,059 5,811
735
32,568 16,639 15,930
957
104,447 53,144 51,303 3,746
370,627 258,631 111,996 5,275
15,006 8,671 6,334
221
4,635 4,164
471
290
193,424 131,720 61,704 2,760
13,368 8,066 5,302
722
69,422
113 69,309 3,443
92,135
- 92,135 1,528
9,847
- 9,847
341
10,990
- 10,990
631
17,362 17,362
-
426
7,358 5,201 2,157
498
3,607 2,504 1,103
51
38,002 25,319 12,682
957
51,847 24,151 27,696
505
12,617 5,079 7,539
305
7,214 1,939 5,275
599
576
240
337
14
27,018 14,182 12,836
596
46,194 21,639 24,555 9,349
42,106 22,039 20,067 1,036
350,731 119,779 230,952 247,788
5,707 2,723 2,984 3,112
47,904 19,060 28,844 12,548

Death

489
720
545
353
325
410
366
592
1,547 2,199
3,363 1,911
113
108
227
63
1,663 1,097
291
431
- 3,443
- 1,528
-
341
-
631
426
-
397
101
37
14
539
418
230
275
87
218
112
487
4
10
228
368
4,397 4,951
395
641
98,652 149,136
1,603 1,509
3,969 8,579

DALY

62,242 43,777 18,466


5,613 3,876 1,737
26,605 20,384 6,221
33,526 17,004 16,521
108,193 54,691 53,501
375,901 261,994 113,907
15,226 8,784 6,442
4,925 4,391
534
196,184 133,383 62,801
14,090 8,357 5,733
72,865
113 72,752
93,663
- 93,663
10,188
- 10,188
11,621
- 11,621
17,788 17,788
7,856 5,599 2,258
3,658 2,541 1,116
38,959 25,858 13,100
52,353 24,381 27,971
12,922 5,165 7,757
7,813 2,051 5,762
591
244
347
27,614 14,410 13,204
55,542 26,036 29,506
43,142 22,434 20,708
598,519 218,430 380,089
8,819 4,326 4,493
60,452 23,029 37,423

YLD

Burden of Disease

.. 2552

Disability-Adjusted Life Year DALYs

47

48

J






K




L



M





N


O


1
2
3
4
5
6
7
1
2
3
4
5
1
2
3
4
1
2
3
4
5
6
1
2
3
1
2
3
4

(Depression)
204
(Bipolar disorder)
-
(Schizophrenia)
342
(Alcohol dependence/harmful use) 2,338
(Drug dependence/harmful use)
198
(Anxiety disorders)
-
(Other mental disorders)
148
(Dementia)
2,428
(Epilepsy)
1,365
(Parkinsons disease)
327
(Mental retardation not classified elsewhere)
-
(Other neurological disorders)
2,602
(Glaucoma)
-
(Cataracts)
-
(Other vision disorders)
147
(Deafness)
-
(Rheumatic heart disease)
1,454
(Ischaemic heart disease)
35,347
(Cerebrovascular disease)
52,153
(Inflammatory heart disease)
1,724
(Hypertensive heart disease)
3,659
(Other cardiovascular diseases)
12,027
(Chronic obstructive pulmonary disease)
18,999
(Asthma)
3,957
(Other chronic respiratory diseases) 3,079
(Peptic ulcer disease)
3,558
(Cirrhosis)
12,232
(Appendicitis)
360
(Other digestive disorders)
7,787


70
-
253
2,065
181
-
106
901
783
115
-
1,018
-
-
10
-
628
18,643
25,193
888
1,527
6,290
14,586
2,126
1,703
1,588
9,441
93
4,158

133
-
90
273
17
-
42
1,527
582
212
-
1,584
-
-
137
-
826
16,704
26,959
836
2,132
5,737
4,413
1,831
1,376
1,970
2,792
266
3,629

1,400
-
6,539
43,268
4,420
-
1,425
17,133
25,032
3,953
-
49,935
-
-
846
-
26,149
408,296
557,395
29,542
38,413
142,026
173,532
45,939
38,344
29,648
216,174
4,203
90,355

Death

704
696 359,163
-
- 23,699
4,415 2,124 136,714
38,385 4,883 501,140
4,036
383 1,798
-
- 93,805
993
433
335
7,574 9,558 114,588
15,151 9,881 40,449
996 2,957 15,626
-
- 11,759
21,896 28,039 10,399
-
- 53,205
-
- 273,025
97
749 440,493
-
- 123,591
10,761 15,388 3,116
238,682 169,614 19,208
295,668 261,727 161,165
16,468 13,074 3,807
15,584 22,829 1,133
80,613 61,413 34,452
129,154 44,377 88,117
24,832 21,107 97,497
22,514 15,831 9,397
14,110 15,539 10,943
168,271 47,903 13,760
709 3,494 2,807
51,967 38,388 22,240

YLL

DALY

123,753 235,410 360,563 124,457 236,106


11,673 12,026 23,699 11,673 12,026
79,504 57,210 143,254 83,920 59,334
467,257 33,883 544,408 505,642 38,766
1,705
93 6,217 5,741
476
29,440 64,365 93,805 29,440 64,365
207
129 1,761 1,199
561
30,809 83,780 131,721 38,383 93,338
13,545 26,904 65,481 28,696 36,785
7,880 7,746 19,579 8,876 10,702
6,490 5,268 11,759 6,490 5,268
4,560 5,839 60,334 26,456 33,878
26,753 26,452 53,205 26,753 26,452
118,717 154,307 273,025 118,717 154,307
210,478 230,015 441,339 210,575 230,764
51,147 72,444 123,591 51,147 72,444
1,150 1,966 29,265 11,911 17,355
10,928 8,280 427,504 249,610 177,894
73,033 88,132 718,560 368,701 349,859
1,960 1,847 33,349 18,427 14,922
508
625 39,546 16,092 23,454
16,380 18,072 176,478 96,993 79,484
76,643 11,474 261,649 205,798 55,851
51,163 46,334 143,436 75,995 67,442
4,689 4,708 47,741 27,202 20,539
4,541 6,402 40,591 18,651 21,940
7,433 6,327 229,934 175,704 54,230
1,271 1,536 7,010 1,980 5,030
10,822 11,418 112,595 62,789 49,806

YLD

Disability-Adjusted Life Year DALYs

Burden of Disease

.. 2552

P 1
2
3
Q 1
R 1
2
3
4

S 1
2
3
4
5
6
T 1
2
3
4
U 1
2
3
4
5
6
V 1
2
3

(Nephritis & nephrosis)


(Benign prostatic hypertrophy)
(Other genito-urinary diseases)
(Skin diseases)
(Rheumatoid arthritis)
(Osteoarthritis)
(Back pain)

(Other musculoskeletal diseases)
(Spina bifida)
(Congenital heart disease)
(Clef lip and cleft palate)
(Down syndrome)
(Other chromosomal disorders)
(Other congenital disorders)
(Dental caries)
(Periodontal disease)
(Edentulism)
(Other oral conditions)
(Traffic accidents)
(Poisonings)
(Falls)
(Fires)
(Drownings)
(Other unintentional injuries)
(Suicide)
(Homicide and violence)
(War)

5,334
981
2,272
639
140
405
-
2,287
1
1,000
1
134
49
518
-
-
-
272
20,054
190
3,389
243
3,697
4,888
4,714
4,654
33

1
1,822
3
303
111
1235
-
-
-
431
25,263
466
6,106
363
4,634
7,402
5,992
5,252
33

-
822
1
169
61
716
-
-
-
159
5,209
276
2,717
121
936
2,514
1,278
599
-

65,611
6,055
22,801
5,833
2,275
2,905
-
26,898

86,113
-
36,422
10,891
4,081
2,118
-
43,290

22,645
40,391
15,581
10,629
24,730
225,809
19,551
18,477

YLL

44
44
- 3,169
51,374 28,991 22,383 16,527
90
44
46 1,099
9,127 4,057 5,070 11,355
3,367 1,497 1,870 19,345
35,699 15,096 20,604 9,271
-
-
- 11,185
-
-
- 16,586
-
-
- 18,822
5,136 3,599 1,537 1,207
582,793 464,364 118,429 47,063
7,609 3,876 3,733
355
88,561 58,356 30,204 19,256
7,259 4,766 2,493 7,983
108,555 87,130 21,425
84
132,962 92,845 40,116 56,174
129,513 102,220 27,293
429
124,034 110,502 13,532 11,562
795
795
-
17

7,371 151,724
- 6,055
3,025 59,222
1,106 16,723
251 6,356
304 5,023
-
-
3,007 70,188

Death

12,704
981
5,296
1,746
390
709
-
5,295

1,612
8,523
593
6,491
10,473
3143
5,757
6,902
7,411
750
36,914
241
12,711
6,014
61
48,112
272
9,793
17

1,557
8,004
506
4,864
8,873
6,128
5,427
9,684
11,411
457
10,149
114
6,546
1,970
23
8,062
158
1,769
-

3,213
67,902
1,188
20,482
22,712
44,969
11,185
16,586
18,822
6,343
629,856
7,964
107,817
15,242
108,639
189,136
129,942
135,596
812

12,432 10,212 174,369


40,391
- 46,446
4,748 10,833 74,803
2,476 8,153 27,353
9,947 14,783 31,086
89,522 136,287 230,832
7,355 12,195 19,551
5,602 12,875 88,665

YLD

1,656 1,557
37,515 30,387
637
551
10,548 9,934
11,969 10,743
18,239 26,730
5,757 5,427
6,902 9,684
7,411 11,411
4,348 1,994
501,278 128,578
4,117 3,847
71,067 36,750
10,779 4,463
87,191 21,448
140,957 48,179
102,492 27,450
120,295 15,301
812
-

78,043 96,326
46,446
27,549 47,254
8,309 19,044
12,222 18,864
92,426 138,405
7,355 12,195
32,500 56,165

DALY

Burden of Disease

.. 2552

Disability-Adjusted Life Year DALYs

49

Disability-Adjusted Life Year DALYs

Burden of Disease

5
(Infectious diseases)
1. .

2. .

3. .

(Cancer)
1. ..

2. ..

3. .


(Maternal and perinatal conditions)
1. .

2. .



3. .

(Diabetes mellitus)
1. ..

2. .

(Mental disorders)
1. ..


2. .

3. .
4. .

50

.. 2552

Burden of Disease

Disability-Adjusted Life Year DALYs

(Cardiovascular diseases)
1. ..
2. ..
(.)
(Injuries)
1. ..
2. ..
3. .

4. .

5.

(Oral conditions)
1. .

2. .
(.)
(Neurological disorders)
1. ..
2. ..
3. .

(Sensory disorders)
1. .

2. ..

3. .

4. .
(.)

1. .
2. ..
3. ..
4.

.. 2552

51

Disability-Adjusted Life Year DALYs

Burden of Disease

1. ..


2. ..

3. .
4. .
5. .

52

.. 2552

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