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The Global Burden of Viral Hepatitis From 1990 to 2013: Findings From the Global Burden of Disease Study 2013 Publisher Pubmed



Stanaway JD1 ; Flaxman AD1 ; Naghavi M1 ; Fitzmaurice C1, 2 ; Vos T1 ; Abubakar I3 ; Aburaddad LJ4 ; Assadi R5 ; Bhala N6, 7 ; Cowie B8, 9 ; Forouzanfour MH1 ; Groeger J10 ; Hanafiah KM11, 12 ; Jacobsen KH13 Show All Authors
Authors
  1. Stanaway JD1
  2. Flaxman AD1
  3. Naghavi M1
  4. Fitzmaurice C1, 2
  5. Vos T1
  6. Abubakar I3
  7. Aburaddad LJ4
  8. Assadi R5
  9. Bhala N6, 7
  10. Cowie B8, 9
  11. Forouzanfour MH1
  12. Groeger J10
  13. Hanafiah KM11, 12
  14. Jacobsen KH13
  15. James SL14
  16. Maclachlan J8, 9
  17. Malekzadeh R15
  18. Martin NK16, 17
  19. Mokdad AA18
  20. Mokdad AH1
  21. Murray CJL1
  22. Plass D19
  23. Rana S20, 21
  24. Rein DB22
  25. Richardus JH23
  26. Sanabria J24, 25
  27. Saylan M26
  28. Shahraz S27
  29. So S28
  30. Vlassov VV29
  31. Weiderpass E30, 31, 32, 33
  32. Wiersma ST34
  33. Younis M35
  34. Yu C36
  35. El Sayed Zaki M37
  36. Cooke GS38
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  2. 2. Division of Hematology, Department of Medicine, University of Washington, Seattle, WA, United States
  3. 3. Institute for Global Health, University College London, London, United Kingdom
  4. 4. Infectious Disease Epidemiology Group, Weill Cornell Medicine—Qatar, Qatar Foundation, Doha, Qatar
  5. 5. Mashhad University of Medical Sciences, Mashhad, Iran
  6. 6. Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom
  7. 7. University of Otago Medical School, Wellington, New Zealand
  8. 8. WHO Collaborating Centre for Viral Hepatitis, Victorian Infectious Diseases Reference Laboratory, Melbourne, VIC, Australia
  9. 9. Doherty Institute, University of Melbourne, Melbourne, VIC, Australia
  10. 10. Johns Hopkins Bayview Medical Center, Baltimore, MD, United States
  11. 11. Centre for Biomedical Research, Burnet Institute, Melbourne, VIC, Australia
  12. 12. School of Biological Sciences, Universiti Sains Malaysia, Penang, Malaysia
  13. 13. Department of Global and Community Health, George Mason University, Fairfax, VA, United States
  14. 14. Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, NH, United States
  15. 15. Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. Division of Global Public Health, University of California San Diego, San Diego, CA, United States
  17. 17. School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom
  18. 18. Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
  19. 19. Section Exposure Assessment and Environmental Health Indicators, Federal Environmental Agency, Berlin, Germany
  20. 20. Contech School of Public Health, Lahore, Pakistan
  21. 21. Contech International Health Consultants, Lahore, Pakistan
  22. 22. NORC at the University of Chicago, Chicago, IL, United States
  23. 23. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
  24. 24. Case Western Reserve University, Cleveland, OH, United States
  25. 25. Cancer Treatment Centers of America, Rosalind Franklin University Chicago Medical School, North Chicago, IL, United States
  26. 26. Bayer AG Turkey, Fatih Sultan Mehmet Mah Balkan Cad, Istanbul, Turkey
  27. 27. Tufts Medical Center, Boston, MA, United States
  28. 28. Asian Liver Center, Stanford University School of Medicine, Palo Alto, CA, United States
  29. 29. National Research University Higher School of Economics, Moscow, Russian Federation
  30. 30. Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden
  31. 31. Department of Research, Cancer Registry of Norway, Oslo, Norway
  32. 32. Department of Community Medicine, Faculty of Health Sciences, University of Tromso—The Arctic University of Norway, Tromso, Norway
  33. 33. Genetic Epidemiology Group, Folkhalsan Research Center, University of Helsinki, Helsinki, Finland
  34. 34. US Centers for Disease Control and Prevention, Kampala, Uganda
  35. 35. Jackson State University, Jackson, MS, United States
  36. 36. Department of Epidemiology and Biostatistics, School of Public Health, and Global Health Institute, Wuhan University, Wuhan, Hubei, China
  37. 37. Faculty of Medicine, Mansoura University, Mansoura, Egypt
  38. 38. Division of Infectious Diseases, Imperial College, London, United Kingdom

Source: The Lancet Published:2016


Abstract

Background With recent improvements in vaccines and treatments against viral hepatitis, an improved understanding of the burden of viral hepatitis is needed to inform global intervention strategies. We used data from the Global Burden of Disease (GBD) Study to estimate morbidity and mortality for acute viral hepatitis, and for cirrhosis and liver cancer caused by viral hepatitis, by age, sex, and country from 1990 to 2013. Methods We estimated mortality using natural history models for acute hepatitis infections and GBD's cause-of-death ensemble model for cirrhosis and liver cancer. We used meta-regression to estimate total cirrhosis and total liver cancer prevalence, as well as the proportion of cirrhosis and liver cancer attributable to each cause. We then estimated cause-specific prevalence as the product of the total prevalence and the proportion attributable to a specific cause. Disability-adjusted life-years (DALYs) were calculated as the sum of years of life lost (YLLs) and years lived with disability (YLDs). Findings Between 1990 and 2013, global viral hepatitis deaths increased from 0·89 million (95% uncertainty interval [UI] 0·86–0·94) to 1·45 million (1·38–1·54); YLLs from 31·0 million (29·6–32·6) to 41·6 million (39·1–44·7); YLDs from 0·65 million (0·45–0·89) to 0·87 million (0·61–1·18); and DALYs from 31·7 million (30·2–33·3) to 42·5 million (39·9–45·6). In 2013, viral hepatitis was the seventh (95% UI seventh to eighth) leading cause of death worldwide, compared with tenth (tenth to 12th) in 1990. Interpretation Viral hepatitis is a leading cause of death and disability worldwide. Unlike most communicable diseases, the absolute burden and relative rank of viral hepatitis increased between 1990 and 2013. The enormous health loss attributable to viral hepatitis, and the availability of effective vaccines and treatments, suggests an important opportunity to improve public health. Funding Bill & Melinda Gates Foundation. © 2016 Elsevier Ltd
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