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Burden of Diarrhea in the Eastern Mediterranean Region, 1990-2013: Findings From the Global Burden of Disease Study 2013 Publisher Pubmed



Khalil I1 ; Colombara DV1 ; Forouzanfar MH1 ; Troeger C1 ; Daoud F1 ; Moradilakeh M1, 2 ; El Bcheraoui C1 ; Rao PC1 ; Afshin A1 ; Charara R1 ; Abate KH3 ; Abd El Razek MM4 ; Abdallah F5 ; Abuelyazeed R6 Show All Authors
Authors
  1. Khalil I1
  2. Colombara DV1
  3. Forouzanfar MH1
  4. Troeger C1
  5. Daoud F1
  6. Moradilakeh M1, 2
  7. El Bcheraoui C1
  8. Rao PC1
  9. Afshin A1
  10. Charara R1
  11. Abate KH3
  12. Abd El Razek MM4
  13. Abdallah F5
  14. Abuelyazeed R6
  15. Kiadaliri AA7, 8
  16. Akanda AS9
  17. Akseer N10, 11
  18. Alam K12, 13, 14
  19. Alasfoor D15
  20. Ali R16
  21. Almazroa MA17
  22. Alomari MA18
  23. Salem Alraddadi RM19
  24. Alsharif U20
  25. Alsowaidi S21
  26. Altirkawi KA22
  27. Alvisguzman N23
  28. Ammar W24
  29. Antonio CAT25
  30. Asayesh H26
  31. Asghar RJ27
  32. Atique S28
  33. Awasthi A29
  34. Bacha U30
  35. Badawi A31
  36. Barac A32
  37. Bedi N33
  38. Bekele T34
  39. Bensenor IM35
  40. Betsu BD36
  41. Bhutta Z10, 37
  42. Abdulhak AAB38
  43. Butt ZA39
  44. Danawi H40
  45. Dubey M41
  46. Endries AY42
  47. Faghmous IMDA43
  48. Farid T44, 45
  49. Farvid MS44, 46
  50. Farzadfar F47
  51. Fereshtehnejad SM48
  52. Fischer F49
  53. Anderson Fitchett JR50
  54. Gibney KB51, 52
  55. Mohamed Ginawi IA53
  56. Gishu MD54, 55
  57. Gugnani HC56, 57
  58. Gupta R58
  59. Hailu GB36, 59
  60. Hamadeh RR60
  61. Hamidi S61
  62. Harb HL24
  63. Hedayati MT62
  64. Hsairi M63
  65. Husseini A64
  66. Jahanmehr N65
  67. Javanbakht M66
  68. Jibat T67, 68
  69. Jonas JB69
  70. Kasaeian A47, 70
  71. Khader YS71
  72. Khan AR44
  73. Khan EA72
  74. Khan G73
  75. Khoja TAM74
  76. Kinfu Y75
  77. Kissoon N76
  78. Koyanagi A77
  79. Lal A78
  80. Abdul Latif AA79
  81. Lunevicius R80, 81
  82. Abd El Razek HM82
  83. Majeed A83
  84. Malekzadeh R84
  85. Mehari A85
  86. Mekonnen AB14, 86
  87. Melaku YA87, 88
  88. Memish ZA89, 90
  89. Mendoza W91
  90. Misganaw A1
  91. Ibrahim Mohamed LA92
  92. Nachega JB93, 94
  93. Nguyen QL95
  94. Nisar MI96
  95. Peprah EK97
  96. Plattsmills JA98
  97. Pourmalek F76
  98. Qorbani M99
  99. Rafay A100, 101
  100. Rahimimovaghar V102
  101. Ur Rahman S103
  102. Rai RK104
  103. Rana SM100, 101
  104. Ranabhat CL105, 106
  105. Rao SR107
  106. Refaat AH40, 108
  107. Riddle M109
  108. Roshandel G84, 110
  109. Ruhago GM111
  110. Saleh MM112
  111. Sanabria JR113, 114
  112. Sawhney M115
  113. Sepanlou SG84
  114. Setegn T116
  115. Sliwa K117
  116. Sreeramareddy CT118
  117. Sykes BL119
  118. Tavakkoli M120
  119. Tedla BA86, 121
  120. Terkawi AS122, 123, 124
  121. Ukwaja K125
  122. Uthman OA126
  123. Westerman R127, 128
  124. Wubshet M86, 129
  125. Yenesew MA116
  126. Yonemoto N130
  127. Younis MZ131
  128. Zaidi Z132
  129. El Sayed Zaki M133
  130. Al Rabeeah AA17
  131. Wang H1
  132. Naghavi M1
  133. Vos T1
  134. Lopez AD1, 134
  135. Murray CJL1
  136. Mokdad AH1

Source: American Journal of Tropical Medicine and Hygiene Published:2016


Abstract

Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low-and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0-1) in Bahrain and Oman to 471 (95% UI = 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520-989) in Syria to 40,869 (95% UI = 21,540-65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden. Copyright © 2016 by The American Society of Tropical Medicine and Hygiene.
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