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Burden of Diarrhea in the Eastern Mediterranean Region, 1990–2015: Findings From the Global Burden of Disease 2015 Study Publisher Pubmed



Mokdad AH1 ; Khalil I1 ; El Bcheraoui C1 ; Charara R2 ; Moradilakeh M3 ; Afshin A1 ; Kassebaum NJ1, 4 ; Collison M1 ; Chew A1 ; Krohn KJ1 ; Daoud F1 ; Colombara D1 ; Foreman KJ1, 5 ; Godwin WW1 Show All Authors
Authors
  1. Mokdad AH1
  2. Khalil I1
  3. El Bcheraoui C1
  4. Charara R2
  5. Moradilakeh M3
  6. Afshin A1
  7. Kassebaum NJ1, 4
  8. Collison M1
  9. Chew A1
  10. Krohn KJ1
  11. Daoud F1
  12. Colombara D1
  13. Foreman KJ1, 5
  14. Godwin WW1
  15. Kutz M1
  16. Mirarefin M1, 6
  17. Rao PC1
  18. Troeger C1
  19. Wang H1
  20. Niguse Abraha H7
  21. Abuelyazeed R8
  22. Aburaddad LJ9
  23. Ahmad Kiadaliri A10
  24. Ahmadi A11
  25. Beshir Ahmed M12
  26. Alam K13, 14, 15
  27. Alizadehnavaei R16
  28. Alraddadi R17
  29. Altirkawi KA18
  30. Alvisguzman N19
  31. Anber N20
  32. Anwari P21
  33. Mehari Atey T7
  34. Arthur Avokpaho EFG22, 23
  35. Bacha U24
  36. Bazarganhejazi S25, 26
  37. Bedi N27
  38. Bensenor IM28
  39. Berhane A29
  40. Obong Bessong P30
  41. Shunu Beyene A31
  42. Bhutta ZA32, 33
  43. Colin Buckle G34
  44. Butt ZA35
  45. Danawi H36
  46. Deribew A37, 38
  47. Djalalinia S39
  48. Dubey M40
  49. Yesuf Endries A41
  50. Eshrati B42, 43
  51. Fereshtehnejad SM44
  52. Fischer F45
  53. Tewelde Gebrehiwot T46
  54. Chander Gugnani H47
  55. Ribhi Hamadeh R48
  56. Hamidi S49
  57. Husseini A50
  58. James SL51
  59. Jonas JB52
  60. Kasaeian A53, 54
  61. Saleh Khader Y55
  62. Ahmad Khan E56
  63. Khan G57
  64. Khubchandani J58
  65. Kissoon N59, 81
  66. Kopec JA59, 81
  67. Koyanagi A60
  68. Kuate Defo B61, 62
  69. Larson HJ1, 63
  70. Abdul Latif A64
  71. Lunevicius R65, 66
  72. Abd El Razek HM67
  73. Abd El Razek MM68
  74. Majdzadeh R69
  75. Majeed A70
  76. Malekzadeh R71
  77. Memiah P72
  78. Memish ZA73, 74
  79. Mendoza W75
  80. Tadese Mengistu D76
  81. Mohammed S77, 78
  82. Murthy S59, 81
  83. Wanjiku Ngunjiri J79
  84. Akpojene Ogbo F80
  85. Pourmalek F59, 81
  86. Qorbani M82
  87. Radfar A83
  88. Rafay A84, 85
  89. Rahimimovaghar V86
  90. Kumar Rai R87
  91. Ram U40
  92. Laith Rawaf D88, 89, 90
  93. Rawaf S5
  94. Renzaho AMN91
  95. Rezaei S92
  96. Roshandel G71, 93
  97. Safdarian M94
  98. Ali Sahraian M95
  99. Salamati P86
  100. Samy AM96
  101. Ramon Sanabria J97, 98
  102. Sartorius B99, 100
  103. Sepanlou SG71
  104. Ali Shaikh M101
  105. Shigematsu M102, 103
  106. Sobaih BHA18
  107. Sreeramareddy CT104
  108. Sykes BL105
  109. Tehranibanihashemi A106
  110. Temsah MH18
  111. Sulieman Terkawi A107, 108, 109
  112. Yimer Tiruye T110
  113. Topormadry R111, 112
  114. Nnanna Ukwaja K113
  115. Emil Vollset S1, 114, 115
  116. Wakayo T46
  117. Werdecker A116
  118. Shey Wiysonge C117, 118
  119. Workicho A46, 119
  120. Yaghoubi M120
  121. Yaseri M121, 122
  122. Yenesew M123
  123. Yonemoto N124
  124. Younis MZ125
  125. El Sayed Zaki M126
  126. Zodpey S127
  127. Zein B128
  128. Jumaan AO129
  129. Vos T1
  130. Hay SI1, 130
  131. Naghavi M1
  132. Murray CJL1

Source: International Journal of Public Health Published:2018


Abstract

Objectives: Diarrheal diseases (DD) are an important cause of disease burden, especially in children in low-income settings. DD can also impact children’s potential livelihood through growth faltering, cognitive impairment, and other sequelae. Methods: As part of the Global Burden of Disease study, we estimated DD burden, and the burden attributable to specific risk factors and etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2015. We calculated disability-adjusted life-years (DALYs)—the sum of years of life lost and years lived with disability—for both sexes and all ages. Results: We estimate that over 103,692 diarrhea deaths occurred in the EMR in 2015 (95% uncertainty interval: 87,018–124,692), and the mortality rate was 16.0 deaths per 100,000 persons (95% UI: 13.4–19.2). The majority of these deaths occurred in children under 5 (63.3%) (65,670 deaths, 95% UI: 53,640–79,486). DALYs per 100,000 ranged from 304 (95% UI 228–400) in Kuwait to 38,900 (95% UI 25,900–54,300) in Somalia. Conclusions: Our findings will guide evidence-based health policy decisions for interventions to achieve the ultimate goal of reducing the DD burden. © 2017, The Author(s).
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