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Per person disease burden drops by 36%: Report

Sentinel Digital DeskBy : Sentinel Digital Desk

  |  15 Nov 2017 12:00 AM GMT

New Delhi, Nov 14: The per person disease burden in India dropped by 36 per cent from 1990 to 2016, with Assam, Uttar Pradesh and Chhattisgarh recording the highest rates and Kerala and Goa the lowest, a report released on Tuesday said.

The ‘India State-level Disease Burden Initiative’ report said that of the total disease burden in India, 61 per cent was due to communicable, materl, neotal and nutritiol diseases in 1990, which dropped to 33 per cent in 2016.

It said there was a corresponding increase in the contribution of non-communicable diseases from 30 per cent of the total disease burden in 1990 to 55 per cent in 2016, and of injuries from 9 per cent to 12 per cent.

According to the report, there were wide variations between the states.

The report said that infectious and associated diseases made up the majority of disease burden in most of the states in 1990, but this was less than half in all states in 2016.

It said that the under-five mortality rate has reduced substantially from 1990 in all states, but there was a four-fold difference in this rate between the highest in Assam and Uttar Pradesh and the lowest in Kerala in 2016.

The report is the result of a joint initiative between the Indian Council of Medical Research, Public Health Foundation of India, and Institute for Health Metrics and Evaluation in collaboration with the Ministry of Health and Family Welfare, along with experts and stakeholders associated with over 100 Indian institutions.

The report records a comprehensive set of state-level disease burden, risk factor estimates, and trends for each state.

“Kerala, Goa, and Tamil du have the largest domince of non-communicable diseases and injuries over infectious and associated diseases, whereas this domince is present but relatively the lowest in Bihar, Jharkhand, Uttar Pradesh, and Rajasthan.”

It said that the burden of most infectious and associated diseases reduced in India from 1990 to 2016, but five of the 10 individual leading causes of disease burden in India in 2016 still belonged to this group — like diarrhoeal diseases, lower respiratory infections, iron-deficiency aemia, neotal preterm births, and tuberculosis.

“The range of disease burden among the states of India was nine-fold for diarrhoeal diseases, seven-fold for lower respiratory infections, and nine-fold for tuberculosis in 2016, highlighting the need for efforts based on the specific trends in each state,” the report said.

The contribution of most of the major non-communicable disease groups to the total disease burden has increased all over India since 1990, including cardiovascular diseases, diabetes, chronic respiratory diseases, mental health and neurological disorders, cancers, musculoskeletal disorders, and chronic kidney disease.

In 2016, three of the five leading individual causes of disease burden in India were non-communicable, with ischaemic heart disease and chronic obstructive pulmory disease as the top two causes and stroke as the fifth leading cause.

The range of disease burden, or DALY rate, among the states in 2016 was nine-fold for ischaemic heart disease, four-fold for chronic obstructive pulmory disease, and six-fold for stroke, and four-fold for diabetes, the report said.

The report also said that the contribution of injuries to the total disease burden has increased in most states since 1990. (IANS)

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