WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 WHO Statistics, 2000 Dr. Rüdiger Krech A/Regional Adviser, Healthy Ageing World Health.

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Presentation transcript:

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 WHO Statistics, 2000 Dr. Rüdiger Krech A/Regional Adviser, Healthy Ageing World Health Organization

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Injuries (9.1%) Noncommunicable conditions (59.8%) Death, by broad cause group, 1999 Communicable diseases, maternal and perinatal conditions and nutritional deficiencies (31.1%)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Injuries (13.9%) Noncommunicable conditions (43.2%) Global burden of disease in disability-adjusted life years (DALYs), 1999 Communicable diseases, maternal and perinatal conditions and nutritional deficiencies (42.8%)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (1086) HIV/AIDS (2673) Tuberculosis (1669) Diarrhoeal diseases (2213) Injuries (5101) Cardiovascular Diseases (16970) Maternal Conditions (497) Childhood diseases (1554) Respiratory Infections (4039) Global distribution of causes of death,1999 (000s) Other causes (800) Respiratory Diseases (3575) Neuropsychiatric Disorders (911) Diabetes (777) Malignant neoplasms (7065) Other Noncommunicable Diseases (2137) Digestive Diseases (2049) Perinatal conditions (2356) Nutritional deficiences (493)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (44998) HIV/AIDS (89819) Tuberculosis (33287) Diarrhoeal diseases (72063) Injuries (201307) Cardiovascular diseases (157185) Maternal conditions (26101) Childhood diseases (54638) Respiratory infections (101127) Other causes (59025) Respiratory diseases (70017) Neuropsychiatric disorders (158721) Diabetes (15070) Malignant neoplasms (84500) Other Noncommunicable diseases (99420) Digestive diseases (36829) Global burden of disease in disability-adjusted life years (DALYs), 1999 (000s) Perinatal conditions (89508) Nutritional deficiences (44539)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Deaths, by broad cause group and WHO Region,1999 AFR EMREURSEARWPR AMR % Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Injuries

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 DALYS, by broad cause group and WHO Region,1999 AFREMREURSEARWPRAMR DALY = Disability adjusted life-year Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Injuries %

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Leading causes of death, both sexes, 1998 Low- and Middle-Income Countries by age 0-4 Years5-14 Years15-44 Years45-59 Years>60 Years Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Source: World Health Report 1999 Database *) *) 15 leading causes Injuries

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Leading causes of burden of disease, both sexes, 1998 Low- and Middle-Income Countries by age 0-4 Years5-14 Years15-44 Years45-59 Years>60 Years Source: World Health Report 1999 Database *) 15 leading causes *) Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Injuries

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Source: WHO, Evidence, Information and Policy, 2000 Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Noncommunicable conditions Neuropsychiatric disorders Injuries % DALYs, by broad cause group in developing countries (baseline scenario)

1999 Disease or Injury2020 Disease or Injury Increasing burden of noncommunicable diseases and injuries change in rank order of DALYs for the 15 leading causes (baseline scenario) 1 Acute lower respiratory infections 2.HIV/AIDS 3.Perinatal conditions 4.Diarrhoeal diseases 5.Unipolar major depression 6.Ischaemic heart disease 7.Cerebrovascular disease 8.Malaria 9.Road traffic injuries 10.Chronic obstructive pulmonary disease 11.Congenital abnormalities 12.Tuberculosis 13.Falls 14.Measles 15.Anaemias 1. Ischaemic heart disease 2. Unipolar major depression 3. Road traffic injuries 4. Cerebrovascular disease 5.Chronic obstructive pulmonary 6. Lower respiratory infections 7. Tuberculosis 8. War 9. Diarrhoeal diseases 10.HIV 11.Perinatal conditions 12.Violence 13.Congenital abnormalities 14.Self-inflicted injuries 15.Trachea, bronchus and lung cancers

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 intentional and unintentional Injuries (9.4) Respiratory Infections (13.4) Respiratory Diseases (2.7) Digestive Diseases (2.5) Perinatal Conditions (7.9) Childhood Cluster Diseases (7.8) Source: The Burden of Disease among the Global Poor, World Bank 2000 Deaths, 1990 among poorest 20% of global population principal causes (% of deaths) Diarrheal Diseases (11.3) Malignant Neoplasms (5.6) Nutritional Deficiencies (1.8) Other (8.5) Ischaemic Heart Disease (7.3) Tuberculosis (6.2) Cerebrovascular Diseases (4.6) Malaria (3.6) Maternal Conditions (1.4) Congenital Abnormalities (1.3) Inflammatory and Rheumatic Heart Diseases (1.2) Genito-Urinary Conditions (1.1) HIV/AIDS (0.9) Neuropsychiatric Conditions (0.8) Diabetis Mellitus (0.7)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 intentional and unintentional Injuries (13.1) Respiratory Infections (11.8) Perinatal Conditions (8.8) Source: The Burden of Disease among the Global Poor, World Bank 2000 DALYs, 1990 among poorest 20% of global population principal causes (% of DALYs) Diarrheal Diseases (11) Nutritional Deficiencies (4.5) Other (10.4) Respiratory Diseases (2.4) Malignant Neoplasms (2.3) Digestive Diseases (2.1) Congenital Abnormalities (2) Ischaemic Heart Disease (1.9) Cerebrovascular Disease (1.5) HIV/AIDS (1) Inflammatory and Rheumatic Heart Diseases (0.9) Genito-Urinary Diseases (0.7) Diabetes (0.5) Childhood Cluster Diseases (8.1) Neuropsychiatric Conditions (5.4) Maternal Conditions (3.9) Malaria (3.9) Tuberculosis (3.8)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (953) HIV/AIDS (2154) Tuberculosis (357) Diarrhoeal diseases (765) Injuries (776) Noncommunicable conditions (2300) Maternal Conditions (255) Childhood diseases (740) Respiratory infections (1086) Distribution of causes of death in Africa, 1999 (000s) Other causes (255) Perinatal conditions (615) Nutritional deficiencies (180)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (36838) HIV/AIDS (74449) Tuberculosis (8721) Diarrhoeal diseases (24321) Injuries (36103) Noncommunicable conditions (63681) Maternal conditions (12525) Childhood diseases (25742) Respiratory infections (32771) Other causes (23075) Burden of disease in disability-adjusted life years (DALYs) in Africa, 1999 (000s) Perinatal conditions (24097) Nutritional deficiencies (11037)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (2) HIV/AIDS (81) Tuberculosis (59) Diarrhoeal diseases (74) Injuries (552) Noncommunicable conditions (4255) Maternal conditions (18) Childhood diseases (21) Respiratory infections (299) Distribution of causes of death in Americas, 1999 (000s) Other causes (101) Perinatal conditions (153) Nutritional deficiencies (72)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (76) HIV/AIDS (2812) Tuberculosis (1114) Diarrhoeal diseases (2514) Injuries (17738) Noncommunicable conditions (82909) Maternal conditions (1207) Childhood diseases (533) Respiratory infections (4204) Other causes (4536) Burden of disease in disability-adjusted life years (DALYs) in Americas, 1999 (000s) Perinatal conditions (5566) Nutritional deficiencies (2733)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (44) HIV/AIDS (29) Tuberculosis (112) Diarrhoeal diseases (300) Injuries (405) Noncommunicable conditions (2318) Maternal conditions (39) Childhood diseases (191) Respiratory infections (343) Distribution of causes of death in the Eastern Mediterranean, 1999 (000s) Other causes (80) Perinatal conditions (313) Nutritional deficiencies (44)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (2774) HIV/AIDS (2172) Tuberculosis (2260) Diarrhoeal diseases (10123) Injuries (13214) Noncommunicable conditions (51039) Maternal conditions (2720) Childhood diseases (6560) Respiratory infections (10916) Other causes (4931) Burden of disease in disability-adjusted life years (DALYs) in Eastern Mediterranean,1999 (000s) Perinatal conditions (11755) Nutritional deficiencies (4119)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Injuries (750) Noncommunicable conditions (7776) Distribution of causes of death in Europe, 1999 (000s) HIV/AIDS (15) Tuberculosis (60) Diarrhoeal diseases (30) Maternal conditions (4) Childhood diseases (13) Respiratory infections (275) Other causes (58) Perinatal conditions (62) Nutritional deficiencies (14)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (2) HIV/AIDS (725) Tuberculosis (1258) Diarrhoeal diseases (1131) Injuries (19323) Noncommunicable conditions (104032) Maternal conditions (451) Childhood diseases (477) Respiratory infections (3509) Other causes (1921) Burden of disease in disability-adjusted life years (DALYs) in Europe,1999 (000s) Perinatal conditions (2370) Nutritional deficiencies (1152)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (69) HIV/AIDS (360) Tuberculosis (723) Diarrhoeal diseases (978) Injuries (1301) Noncommunicable conditions (7370) Maternal conditions (158) Childhood diseases (542) Respiratory infections (1523) Distribution of causes of death in South-East Asia, 1999 (000s) Other causes (236) Nutritional deficiencies (159) Perinatal conditions (851)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (3071) HIV/AIDS (8866) Tuberculosis (14101) Diarrhoeal diseases (30017) Injuries (65289) Noncommunicable conditions (156536) Maternal conditions (7733) Childhood diseases (19449) Respiratory infections (38144) Other causes (19693) Burden of disease in disability-adjusted life years (DALYs) in South-East Asia,1999 (000s) Nutritional deficiencies (16866) Perinatal conditions (32715)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Injuries (1317) Noncommunicable Conditions (9462) Distribution of causes of death in Western Pacific, 1999 (000s) Malaria (16) HIV/AIDS (34) Tuberculosis (359) Diarrhoeal diseases (67) Maternal conditions (21) Childhood diseases (47) Respiratory infections (514) Other causes (75) Nutritional deficiencies (22) Perinatal conditions (363)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Malaria (2235) HIV/AIDS (795) Tuberculosis (5832) Diarrhoeal diseases (3955) Injuries (49641) Noncommunicable conditions (163546) Maternal conditions (1466) Childhood diseases (1875) Respiratory infections (11584) Other causes (4872) Burden of disease in disability-adjusted life years (DALYs) in Western Pacific, 1999 (000s) Nutritional deficiencies (8633) Perinatal conditions (13005)

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/ million 3 million Established Market Economies Middle Eastern Crescent Latin America & Caribbean Sub-Saharan Africa Other Asia and Islands China India Former Socialist Countries Tobacco: deaths by World Bank regions estimates for 1990 and 2020 Source: Murray CJL, Lopez AD 1996

Deaths (% of total) attributable to tobacco use by World Bank Region, estimates for 1990 and

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Cardiovascular (CVD) epidemic in countries of different stages of development High Income Economies in Transition Slow increase Rapid increase Reach the peak in some countries Middle and Low Income Countries First cause of death & disability Low rates Slow increase Rapid increase in most countries First cause of death & disability in most countries Reach the peak Progressive decline Rapid increase Remains as first cause of death & disability Source: WHO, NMH/MNC

WORLD HEALTH ORGANIZATION Source: World Health Report 2000 JS 3/01 Low- and middle-income countries suffer the greatest impact on noncommunicable diseases 77% of the total number of deaths attributable to NCDs occurred in developing countries 85% of the global NCD disease burden is borne by low- and middle- income countries Source: WHO: WHA A53/14, 2000