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Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017 Publisher



Safiri S1, 2 ; Sullman MJM3, 4 ; Lajunen T5 ; Hill T6 ; Almasihashiani A7 ; Moradilakeh M8 ; Farzadfar F9 ; Sepanlou SG10, 11 ; Abugharbieh E12 ; Aghamolaei T13 ; Ahmad T14 ; Alghnam SA15, 16 ; Alhajj S17, 18 ; Alipour V19, 20 Show All Authors
Authors
  1. Safiri S1, 2
  2. Sullman MJM3, 4
  3. Lajunen T5
  4. Hill T6
  5. Almasihashiani A7
  6. Moradilakeh M8
  7. Farzadfar F9
  8. Sepanlou SG10, 11
  9. Abugharbieh E12
  10. Aghamolaei T13
  11. Ahmad T14
  12. Alghnam SA15, 16
  13. Alhajj S17, 18
  14. Alipour V19, 20
  15. Aljunid SM21, 22
  16. Anjomshoa M23
  17. Ansarimoghaddam A24
  18. Arabloo J19
  19. Bayati M25
  20. Bedi N26, 27
  21. Bendak S28, 29
  22. Bhutta ZA30, 31
  23. Bijani A32
  24. Dahlawi SMA33
  25. Dianatinasab M34, 35
  26. Forooshani ZSD36
  27. Elhabashy HR37
  28. Zeydi AE38
  29. Eskandarieh S39
  30. Ghafourifard M40
  31. Ghashghaee A19, 41
  32. Grivna M42, 43
  33. Gubari MIM44
  34. Hamadeh RR45
  35. Hamidi S46
  36. Hayat K47, 48
  37. Rad EH49, 50
  38. Hosseinzadeh M51, 52
  39. Househ M53
  40. Naghibi SS54
  41. Jahani MA32
  42. Kalankesh LR55
  43. Kalhor R56, 57
  44. Kamel I58, 59
  45. Khammarnia M60
  46. Khan M61
  47. Khazaie H62
  48. Komaki H63, 64
  49. Lahimchi A65
  50. Madadin M66
  51. Maleki S67
  52. Manafi N68, 69
  53. Mansourghanaei F70, 71
  54. Mansournia MA72
  55. Menezes RG73
  56. Mohammad Y74
  57. Mohammadianhafshejani A75
  58. Mohebi F9, 76
  59. Moradi G77, 78
  60. Moradzadeh R7
  61. Mousavi SM79
  62. Naderi M67
  63. Nikbakhsh R80
  64. Pakshir K81
  65. Pourshams A10
  66. Rabiee N82
  67. Rafiei A83, 84
  68. Rawassizadeh R85
  69. Rezapour A19
  70. Saddik B86
  71. Moghaddam SS9
  72. Salamati P87
  73. Salem MR88
  74. Salem H89
  75. Samy AM90
  76. Sathian B91, 92
  77. Shahabi S93
  78. Shaikh MA94
  79. Shamsbeyranvand M95
  80. Shamsizadeh M96
  81. Sobhiyeh MR97
  82. Soheili A98
  83. Tehranibanihashemi A8, 99
  84. Waheed Y100
  85. Yusefzadeh H101
  86. Moghadam TZ102
  87. Zaki L103
  88. Zamani M104
  89. Zandian H102, 105
  90. Malekzadeh R10, 11
  91. Naghavi M106, 107

Source: Archives of Iranian Medicine Published:2021


Abstract

Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100 000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs). Results: In 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100 000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100 000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100 000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100 000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3 454 121; UI 2 297 890- 4 342 908) and the lowest was found in Bahrain (8616; UI 7670-9751). Conclusion: The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100 000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently. © 2021 Academy of Medical Sciences of I.R. Iran. All rights reserved.
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