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. 2023 Jul 15;402(10397):203–234. doi: 10.1016/S0140-6736(23)01301-6

Table.

DALY counts and age-standardised DALY rates per 100 000 population and the corresponding percentage change in DALY counts and age-standardised DALY rates between 1990 and 2021 for diabetes globally, in 21 GBD regions and 204 countries

DALY count in 2021 (thousands) Percentage change in DALY count, 1990–2021 (%) Age-standardised DALY rate in 2021 (per 100 000) Percentage change in age-standardised DALY rate, 1990–2021 (%)
Global 79 200 (67 800 to 92 500) 189·8% (171·1 to 203·4) 915·0 (782·6 to 1067·4) 38·6% (29·7 to 45·3)
Central Europe, eastern Europe, and central Asia 4370 (3670 to 5230) 126·9% (119·3 to 132·4) 700·0 (588·3 to 840·2) 70·8% (65·4 to 75·1)
Central Asia 800 (675 to 970) 236·0% (211·0 to 257·1) 923·6 (780·8 to 1119·9) 96·6% (82·6 to 108·9)
Armenia 32·3 (27·0 to 39·3) 52·3% (38·8 to 67·0) 771·2 (646·7 to 942·3) 4·5% (−4·7 to 14·9)
Azerbaijan 97·7 (77·0 to 122) 249·3% (196·6 to 319·7) 870·6 (689·0 to 1090·4) 72·0% (45·0 to 108·0)
Georgia 49·4 (40·1 to 60·8) 57·6% (42·9 to 78·0) 903·5 (732·2 to 1121·7) 81·4% (65·6 to 104·6)
Kazakhstan 144 (111 to 180) 142·5% (118·1 to 164·1) 750·2 (581·8 to 932·6) 70·4% (53·5 to 85·2)
Kyrgyzstan 30·3 (23·7 to 38·0) 199·3% (172·3 to 226·4) 560·7 (436·3 to 696·9) 76·5% (61·8 to 91·6)
Mongolia 17·2 (13·6 to 21·1) 337·2% (268·5 to 419·9) 564·3 (448·0 to 688·7) 76·7% (48·4 to 112·3)
Tajikistan 52·6 (43·1 to 64·1) 237·8% (182·8 to 307·7) 801·9 (659·3 to 955·8) 63·2% (36·7 to 96·7)
Turkmenistan 44·3 (35·8 to 53·2) 357·2% (286·9 to 446·2) 929·3 (757·9 to 1110·5) 112·3% (80·2 to 153·5)
Uzbekistan 341 (292 to 411) 479·8% (418·0 to 538·7) 1147·1 (980·2 to 1375·1) 150·9% (124·3 to 175·8)
Central Europe 1550 (1250 to 1890) 73·7% (63·6 to 82·0) 748·1 (598·1 to 913·2) 23·0% (15·3 to 29·4)
Albania 17·8 (13·7 to 23·2) 147·8% (119·1 to 175·6) 417·5 (323·5 to 544·8) 26·9% (12·3 to 40·5)
Bosnia and Herzegovina 75·2 (61·2 to 91·0) 171·1% (134·0 to 204·2) 1253·6 (1022·6 to 1527·9) 88·3% (62·4 to 111·5)
Bulgaria 115 (89·8 to 138) 35·5% (23·2 to 48·7) 868·1 (675·6 to 1051·7) 24·6% (13·5 to 36·2)
Croatia 62·7 (49·6 to 75·9) 73·0% (58·1 to 84·2) 743·1 (580·3 to 903·3) 29·7% (18·3 to 37·8)
Czechia 171 (136 to 211) 106·7% (87·4 to 125·6) 829·8 (659·6 to 1029·7) 35·7% (22·9 to 47·6)
Hungary 136 (109 to 170) 55·8% (43·0 to 69·8) 747·5 (594·9 to 932·2) 22·5% (12·9 to 32·3)
Montenegro 8·79 (7·12 to 10·7) 118·1% (95·9 to 139·0) 896·2 (728·1 to 1091·2) 39·7% (26·3 to 52·0)
North Macedonia 41·7 (32·6 to 51·1) 153·4% (116·8 to 190·3) 1268·1 (1000·4 to 1554·4) 46·4% (26·1 to 68·5)
Poland 520 (427 to 632) 76·6% (66·0 to 86·6) 764·5 (626·8 to 926·1) 13·5% (6·0 to 20·7)
Romania 167 (130 to 208) 47·7% (32·0 to 61·6) 482·9 (374·8 to 607·4) 18·8% (5·3 to 30·8)
Serbia 161 (127 to 197) 73·7% (56·3 to 95·3) 1020·2 (794·1 to 1249·1) 24·1% (11·2 to 40·2)
Slovakia 52·0 (40·1 to 64·2) 62·0% (43·5 to 79·3) 565·3 (438·2 to 700·8) 4·8% (−7·5 to 15·4)
Slovenia 22·1 (17·5 to 27·6) 68·7% (54·6 to 82·3) 540·8 (423·5 to 678·6) 0·0% (−9·2 to 8·5)
Eastern Europe 2020 (1730 to 2370) 153·9% (144·0 to 165·1) 596·8 (508·3 to 706·5) 104·6% (97·4 to 112·7)
Belarus 52·3 (41·0 to 65·9) 59·8% (44·9 to 73·7) 353·4 (281·1 to 444·3) 36·7% (25·0 to 48·6)
Estonia 14·5 (11·9 to 18·0) 130·0% (115·0 to 147·7) 635·2 (517·4 to 798·5) 96·5% (84·4 to 110·4)
Latvia 23·8 (19·8 to 28·8) 105·3% (90·9 to 119·9) 702·4 (588·1 to 852·5) 104·7% (89·8 to 120·0)
Lithuania 26·9 (22·3 to 33·3) 132·9% (111·9 to 149·3) 551·1 (454·0 to 687·3) 107·7% (90·0 to 123·5)
Moldova 36·6 (29·3 to 46·3) 95·9% (81·0 to 112·7) 668·0 (537·5 to 847·3) 62·0% (49·9 to 75·0)
Russia 1580 (1370 to 1830) 206·7% (191·9 to 225·4) 671·2 (583·8 to 780·4) 131·4% (121·6 to 145·0)
Ukraine 285 (217 to 354) 42·8% (29·1 to 56·9) 409·4 (312·0 to 504·9) 38·4% (24·3 to 52·3)
High income 12 800 (10 200 to 15 700) 114·7% (94·6 to 132·5) 676·9 (536·0 to 839·8) 31·6% (19·1 to 43·4)
Australasia 226 (183 to 288) 140·8% (122·2 to 164·8) 469·2 (378·1 to 602·4) 15·3% (5·5 to 27·1)
Australia 188 (152 to 240) 148·1% (126·5 to 175·4) 462·3 (373·1 to 597·4) 17·8% (7·1 to 32·0)
New Zealand 38·6 (30·8 to 46·9) 111·0% (91·4 to 126·4) 503·2 (399·3 to 616·2) 4·6% (−5·1 to 13·6)
High-income Asia Pacific 2340 (1780 to 2980) 133·5% (110·4 to 154·9) 642·5 (487·3 to 829·0) 29·3% (14·9 to 42·3)
Brunei 8·37 (7·00 to 9·97) 213·7% (155·8 to 259·6) 2279·7 (1946·8 to 2686·7) −7·7% (−23·2 to 5·8)
Japan 1400 (1050 to 1800) 99·3% (83·1 to 118·5) 512·8 (381·4 to 665·9) 21·4% (8·4 to 34·5)
Singapore 56·7 (40·2 to 78·0) 179·9% (133·2 to 221·4) 661·1 (467·9 to 910·6) −21·2% (−34·5 to −9·3)
South Korea 879 (670 to 1130) 215·6% (172·8 to 257·4) 966·4 (737·7 to 1251·9) 16·4% (0·0 to 33·5)
High-income North America 5470 (4400 to 6580) 170·0% (147·2 to 188·3) 928·6 (744·8 to 1122·5) 53·6% (40·6 to 63·6)
Canada 435 (335 to 562) 205·2% (168·7 to 246·4) 668·1 (519·4 to 859·5) 49·9% (32·1 to 69·8)
Greenland 0·361 (0·282 to 0·435) 136·5% (91·6 to 180·5) 492·5 (386·3 to 591·1) 21·3% (−0·3 to 44·5)
USA 5040 (4060 to 6010) 168·1% (145·4 to 185·2) 958·5 (770·8 to 1150·9) 53·9% (41·0 to 63·6)
Southern Latin America 648 (524 to 802) 105·9% (86·1 to 126·9) 762·3 (617·3 to 946·0) 12·7% (1·6 to 24·4)
Argentina 426 (350 to 522) 81·8% (62·6 to 99·7) 780·1 (639·2 to 957·3) 8·0% (−3·5 to 18·7)
Chile 183 (146 to 233) 205·6% (172·5 to 248·0) 725·1 (577·6 to 923·6) 24·1% (10·7 to 41·0)
Uruguay 38·7 (32·3 to 47·0) 90·9% (76·4 to 111·7) 753·0 (623·6 to 919·4) 42·7% (31·5 to 58·3)
Western Europe 4070 (3280 to 5030) 62·6% (47·1 to 77·4) 511·8 (402·0 to 648·3) 13·2% (1·6 to 25·9)
Andorra 0·724 (0·579 to 0·941) 212·5% (148·7 to 282·8) 510·6 (404·9 to 665·7) 22·8% (−2·3 to 50·4)
Austria 66·6 (54·3 to 79·9) 49·2% (33·0 to 65·7) 402·0 (322·2 to 492·3) 3·5% (−9·2 to 16·9)
Belgium 96·7 (73·1 to 129) 61·1% (41·8 to 80·6) 494·3 (372·4 to 669·1) 19·6% (4·3 to 35·0)
Cyprus 17·2 (14·2 to 21·5) 58·3% (36·0 to 79·9) 873·5 (722·7 to 1091·7) −39·6% (−48·3 to −31·4)
Denmark 46·1 (38·3 to 55·6) 76·9% (59·3 to 94·3) 440·8 (359·4 to 538·1) 24·0% (11·3 to 37·0)
Finland 55·7 (41·6 to 72·8) 101·8% (87·3 to 116·7) 577·7 (427·5 to 756·2) 39·3% (28·1 to 50·6)
France 426 (345 to 524) 90·3% (74·4 to 108·1) 351·7 (278·2 to 445·7) 25·0% (13·1 to 37·8)
Germany 804 (662 to 966) 56·8% (40·0 to 73·5) 482·1 (390·3 to 593·3) 15·1% (2·3 to 28·9)
Greece 102 (77·2 to 132) 88·6% (77·0 to 101·5) 534·8 (399·5 to 703·1) 42·6% (32·1 to 52·7)
Iceland 2·10 (1·57 to 2·72) 188·7% (156·8 to 211·8) 408·8 (303·2 to 540·4) 55·7% (38·0 to 68·4)
Ireland 27·7 (21·4 to 36·3) 81·2% (58·9 to 104·1) 386·6 (295·5 to 505·8) 0·8% (−11·6 to 13·9)
Israel 81·9 (67·3 to 98·8) 159·1% (141·9 to 176·2) 690·7 (567·3 to 839·3) 4·7% (−2·4 to 11·7)
Italy 665 (557 to 792) 31·0% (20·5 to 42·4) 521·1 (422·4 to 637·8) −11·5% (−20·3 to −2·5)
Luxembourg 4·30 (3·31 to 5·48) 109·4% (81·7 to 129·5) 440·0 (336·1 to 565·0) 11·9% (−3·5 to 23·1)
Malta 6·28 (5·03 to 7·94) 127·8% (96·4 to 163·9) 738·0 (585·7 to 953·5) 13·0% (−3·7 to 32·2)
Monaco 0·283 (0·214 to 0·359) 129·5% (104·8 to 154·5) 375·5 (275·0 to 478·4) 77·1% (61·5 to 94·7)
Netherlands 137 (111 to 171) 32·3% (17·1 to 51·2) 445·2 (355·9 to 563·0) −16·5% (−26·3 to −3·8)
Norway 36·8 (29·4 to 45·5) 54·1% (46·2 to 61·4) 433·2 (339·1 to 545·4) 7·0% (1·0 to 12·8)
Portugal 157 (124 to 199) 68·2% (48·4 to 90·8) 736·1 (573·1 to 952·9) 6·9% (−7·6 to 22·3)
San Marino 0·232 (0·179 to 0·300) 167·6% (132·4 to 204·5) 413·3 (313·5 to 540·1) 47·9% (27·4 to 65·7)
Spain 554 (423 to 729) 62·8% (43·1 to 82·2) 650·1 (491·1 to 868·0) 1·3% (−12·3 to 14·6)
Sweden 84·0 (68·2 to 102) 58·2% (45·1 to 70·5) 465·0 (365·4 to 577·8) 15·9% (5·9 to 25·1)
Switzerland 89·2 (68·0 to 118) 75·4% (53·4 to 97·7) 578·8 (435·7 to 770·7) 12·7% (−1·5 to 26·2)
UK 601 (458 to 764) 92·4% (70·3 to 111·6) 580·3 (431·2 to 751·1) 53·5% (34·0 to 70·1)
Latin America and Caribbean 9160 (7850 to 10 600) 193·1% (177·6 to 205·7) 1446·1 (1240·9 to 1673·7) 10·1% (4·1 to 15·0)
Andean Latin America 582 (473 to 707) 290·7% (245·4 to 344·7) 962·1 (782·4 to 1166·8) 40·5% (24·1 to 60·0)
Bolivia 142 (115 to 177) 257·4% (198·9 to 343·6) 1482·2 (1205·0 to 1828·0) 27·0% (6·5 to 57·4)
Ecuador 206 (168 to 252) 359·9% (300·1 to 413·6) 1257·7 (1027·0 to 1532·8) 57·6% (37·0 to 76·0)
Peru 233 (183 to 290) 264·7% (208·3 to 330·1) 678·6 (532·1 to 844·7) 34·8% (13·5 to 58·7)
Caribbean 924 (774 to 1140) 124·6% (105·5 to 146·5) 1722·1 (1442·8 to 2116·7) 12·9% (3·2 to 23·9)
Antigua and Barbuda 2·36 (2·01 to 2·82) 122·3% (104·1 to 142·7) 2202·5 (1875·0 to 2613·0) 6·6% (−1·9 to 16·3)
The Bahamas 7·60 (6·26 to 9·55) 166·7% (130·4 to 206·8) 1759·3 (1452·3 to 2185·9) 2·8% (−10·7 to 17·8)
Barbados 9·94 (8·16 to 12·1) 61·1% (38·7 to 86·2) 2015·7 (1652·9 to 2474·1) −7·9% (−20·6 to 6·8)
Belize 6·79 (5·71 to 8·08) 343·1% (303·1 to 388·5) 2082·4 (1767·0 to 2459·3) 35·5% (24·4 to 48·1)
Bermuda 1·15 (0·906 to 1·41) 68·5% (45·8 to 89·5) 928·4 (732·2 to 1144·6) −14·4% (−26·1 to −3·1)
Cuba 149 (116 to 196) 68·8% (50·4 to 88·4) 806·9 (626·1 to 1061·3) −5·0% (−15·6 to 6·4)
Dominica 2·35 (1·95 to 2·77) 60·0% (42·9 to 77·2) 2592·0 (2151·2 to 3058·7) 23·4% (10·5 to 37·1)
Dominican Republic 159 (126 to 192) 304·1% (244·9 to 357·3) 1566·3 (1244·2 to 1882·6) 67·1% (42·6 to 89·0)
Grenada 3·40 (2·91 to 4·01) 94·6% (74·3 to 115·1) 2908·0 (2508·7 to 3409·0) 16·6% (5·2 to 27·8)
Guyana 24·4 (19·2 to 29·3) 108·5% (79·0 to 139·9) 3477·6 (2755·8 to 4160·9) 25·6% (8·3 to 43·2)
Haiti 242 (196 to 320) 142·2% (91·1 to 198·8) 2931·0 (2369·9 to 3870·4) 6·9% (−15·6 to 30·8)
Jamaica 65·4 (53·5 to 77·9) 90·0% (58·7 to 123·0) 2115·9 (1729·3 to 2520·6) 9·5% (−8·7 to 28·4)
Puerto Rico 123 (99·5 to 154) 94·1% (76·1 to 112·1) 1934·2 (1541·0 to 2440·5) 9·9% (−0·2 to 22·0)
Saint Kitts and Nevis 1·49 (1·22 to 1·81) 78·1% (50·3 to 103·0) 2031·5 (1681·0 to 2430·3) −11·9% (−23·4 to −1·9)
Saint Lucia 5·27 (4·28 to 6·35) 107·4% (85·5 to 132·6) 2309·0 (1874·8 to 2774·3) −19·1% (−27·7 to −9·0)
Saint Vincent and the Grenadines 3·86 (3·24 to 4·57) 85·5% (63·5 to 107·5) 2732·3 (2301·1 to 3218·6) −4·2% (−15·2 to 6·8)
Suriname 14·0 (11·0 to 16·7) 243·1% (194·0 to 289·5) 2140·5 (1695·3 to 2537·5) 44·4% (23·5 to 64·1)
Trinidad and Tobago 67·3 (54·7 to 80·9) 100·5% (73·5 to 132·4) 3468·0 (2824·5 to 4171·5) −10·8% (−22·8 to 3·3)
Virgin Islands 3·59 (2·76 to 4·41) 146·7% (107·8 to 182·0) 2082·7 (1591·3 to 2557·8) 27·3% (5·9 to 44·1)
Central Latin America 4810 (4120 to 5540) 222·5% (202·5 to 239·1) 1865·9 (1601·9 to 2146·4) 13·9% (6·7 to 20·1)
Colombia 470 (362 to 590) 180·0% (148·7 to 207·6) 841·3 (647·5 to 1057·6) −2·6% (−14·5 to 7·4)
Costa Rica 59·1 (46·2 to 74·5) 334·4% (301·0 to 362·0) 1074·4 (841·0 to 1353·2) 47·4% (36·0 to 58·1)
El Salvador 99·5 (81·8 to 119) 269·1% (224·2 to 328·5) 1625·6 (1333·0 to 1942·8) 93·2% (70·3 to 125·1)
Guatemala 277 (233 to 323) 737·3% (662·0 to 836·9) 2377·2 (2006·3 to 2777·2) 212·5% (182·1 to 250·2)
Honduras 100 (80·4 to 126) 454·8% (386·5 to 533·7) 1434·0 (1156·8 to 1787·1) 85·0% (63·4 to 111·4)
Mexico 3160 (2720 to 3530) 192·5% (173·7 to 206·9) 2451·3 (2122·5 to 2733·0) 5·3% (−1·4 to 10·5)
Nicaragua 76·5 (63·0 to 95·4) 329·5% (283·2 to 379·5) 1498·1 (1244·5 to 1854·1) 47·1% (30·3 to 64·3)
Panama 56·2 (45·0 to 67·2) 337·9% (289·3 to 388·2) 1265·1 (1010·5 to 1510·6) 56·3% (38·3 to 74·7)
Venezuela 502 (402 to 605) 316·5% (256·3 to 384·2) 1597·3 (1280·8 to 1922·2) 39·1% (19·0 to 62·0)
Tropical Latin America 2850 (2460 to 3290) 165·0% (153·9 to 177·1) 1092·4 (945·9 to 1261·3) −0·6% (−5·1 to 3·9)
Brazil 2740 (2370 to 3160) 159·7% (149·2 to 172·1) 1075·2 (931·4 to 1239·0) −2·7% (−7·1 to 2·1)
Paraguay 110 (89·2 to 136) 429·0% (348·8 to 553·8) 1831·6 (1487·5 to 2246·3) 107·8% (75·9 to 157·6)
North Africa and Middle East 6650 (5330 to 8120) 348·3% (296·1 to 389·1) 1338·3 (1087·5 to 1632·2) 67·5% (48·0 to 82·5)
North Africa and Middle East 6650 (5330 to 8120) 348·3% (296·1 to 389·1) 1338·3 (1087·5 to 1632·2) 67·5% (48·0 to 82·5)
Afghanistan 366 (282 to 462) 327·2% (250·3 to 393·8) 2099·1 (1634·4 to 2633·2) 93·7% (59·7 to 122·1)
Algeria 437 (320 to 545) 481·2% (417·5 to 544·4) 1148·4 (855·6 to 1413·8) 101·2% (80·0 to 121·4)
Bahrain 37·5 (30·6 to 45·2) 693·4% (565·3 to 819·2) 3125·4 (2614·7 to 3660·0) 21·9% (4·0 to 42·8)
Egypt 1220 (993 to 1440) 386·2% (306·5 to 462·3) 1713·4 (1406·1 to 2009·2) 122·4% (86·5 to 156·0)
Iran 780 (631 to 947) 426·2% (363·8 to 464·6) 961·3 (786·6 to 1158·7) 82·1% (58·8 to 95·7)
Iraq 608 (453 to 754) 369·3% (286·7 to 449·5) 2193·8 (1688·9 to 2691·6) 45·9% (21·7 to 70·0)
Jordan 148 (117 to 184) 491·2% (391·1 to 606·2) 1792·3 (1459·9 to 2220·5) 1·6% (−16·3 to 22·0)
Kuwait 62·2 (46·2 to 80·4) 682·3% (600·7 to 758·0) 1666·7 (1268·4 to 2159·2) 60·8% (44·7 to 77·9)
Lebanon 80·8 (64·1 to 101) 177·6% (132·1 to 219·9) 1481·5 (1174·1 to 1856·7) 18·5% (−0·5 to 37·6)
Libya 84·9 (67·4 to 108) 560·4% (464·1 to 655·3) 1392·5 (1122·5 to 1767·4) 123·5% (88·7 to 154·7)
Morocco 559 (438 to 693) 451·5% (389·5 to 516·7) 1592·8 (1247·8 to 1970·3) 137·6% (110·1 to 161·2)
Oman 39·6 (32·9 to 47·6) 302·2% (205·7 to 377·3) 1656·7 (1410·7 to 1957·2) 30·7% (−1·7 to 57·6)
Palestine 47·1 (40·0 to 55·8) 278·8% (210·9 to 343·0) 1782·5 (1530·8 to 2084·5) 29·4% (5·3 to 51·9)
Qatar 34·2 (26·3 to 44·2) 1235·6% (946·6 to 1505·7) 2217·1 (1780·0 to 2815·6) 6·4% (−18·6 to 27·2)
Saudi Arabia 391 (306 to 489) 541·8% (375·2 to 679·2) 1456·8 (1179·8 to 1781·1) 64·3% (21·1 to 98·2)
Sudan 225 (172 to 279) 281·2% (216·0 to 341·0) 989·8 (784·3 to 1227·1) 81·0% (52·5 to 106·7)
Syria 147 (116 to 185) 239·1% (179·9 to 299·4) 1090·0 (864·6 to 1369·0) 48·9% (23·0 to 75·6)
Tunisia 152 (114 to 192) 451·4% (379·7 to 525·9) 1111·2 (836·7 to 1392·4) 116·2% (86·2 to 145·3)
Türkiye 1010 (833 to 1250) 184·1% (136·4 to 236·1) 1074·0 (888·7 to 1319·3) 10·8% (−7·9 to 31·1)
United Arab Emirates 82·2 (62·2 to 107) 1161·8% (863·5 to 1360·7) 1486·3 (1176·6 to 1815·6) 10·8% (−15·9 to 31·8)
Yemen 132 (101 to 173) 337·6% (264·5 to 424·4) 800·4 (616·8 to 1059·2) 59·1% (31·5 to 89·3)
South Asia 18 000 (15 500 to 20 500) 267·0% (230·1 to 299·6) 1153·4 (999·6 to 1306·6) 44·6% (30·0 to 58·2)
South Asia 18 000 (15 500 to 20 500) 267·0% (230·1 to 299·6) 1153·4 (999·6 to 1306·6) 44·6% (30·0 to 58·2)
Bangladesh 1650 (1350 to 2060) 282·6% (226·1 to 342·0) 1148·7 (939·1 to 1425·3) 37·8% (18·1 to 61·4)
Bhutan 6·50 (5·16 to 7·83) 210·3% (152·9 to 284·2) 1061·5 (851·2 to 1278·8) 41·6% (17·3 to 75·5)
India 13 900 (11 900 to 15 800) 262·9% (225·9 to 304·6) 1106·2 (952·1 to 1250·3) 44·0% (28·6 to 61·8)
Nepal 304 (245 to 377) 285·3% (224·2 to 373·6) 1240·2 (1009·1 to 1516·9) 63·5% (37·0 to 102·0)
Pakistan 2070 (1650 to 2420) 283·3% (232·6 to 347·4) 1604·6 (1301·4 to 1859·8) 80·1% (57·6 to 110·9)
Southeast Asia, east Asia, and Oceania 20 800 (17 600 to 24 300) 187·7% (165·6 to 206·9) 735·6 (621·3 to 861·9) 25·3% (15·2 to 33·8)
East Asia 12 400 (9900 to 15 000) 171·1% (144·8 to 190·5) 592·5 (472·1 to 720·7) 24·0% (9·3 to 35·3)
China 11 700 (9310 to 14 200) 172·9% (145·5 to 194·1) 581·5 (460·5 to 707·6) 25·2% (9·7 to 37·0)
North Korea 257 (205 to 326) 176·8% (127·3 to 229·0) 764·9 (611·9 to 962·9) 41·4% (16·1 to 66·3)
Taiwan (province of China) 406 (337 to 489) 124·7% (104·9 to 143·5) 1002·2 (832·0 to 1210·2) −8·4% (−17·1 to −0·1)
Oceania 308 (269 to 355) 213·9% (151·7 to 270·2) 3577·0 (3157·0 to 4120·5) 22·5% (−1·4 to 43·4)
American Samoa 2·24 (1·92 to 2·62) 208·3% (159·3 to 263·7) 4307·8 (3692·1 to 4989·9) 49·8% (26·4 to 75·9)
Cook Islands 1·03 (0·868 to 1·18) 91·1% (56·2 to 120·5) 4029·3 (3361·3 to 4643·7) −2·0% (−19·6 to 12·9)
Federated States of Micronesia 3·19 (2·55 to 3·85) 138·3% (93·8 to 194·0) 3933·7 (3207·9 to 4681·1) 50·1% (22·6 to 85·2)
Fiji 59·9 (49·1 to 72·5) 182·8% (118·8 to 252·7) 7333·9 (6066·7 to 8776·7) 38·5% (7·5 to 71·5)
Guam 2·54 (2·06 to 3·03) 137·3% (110·1 to 163·5) 1289·1 (1045·8 to 1545·5) 0·3% (−12·3 to 11·4)
Kiribati 4·42 (3·61 to 5·50) 166·2% (112·0 to 238·9) 5510·6 (4508·6 to 6709·3) 36·3% (6·5 to 69·5)
Marshall Islands 2·45 (1·89 to 3·17) 293·0% (206·7 to 367·4) 5750·8 (4384·5 to 7411·2) 69·8% (32·2 to 101·0)
Nauru 0·272 (0·220 to 0·341) 68·7% (35·2 to 117·5) 4870·4 (4039·5 to 5855·2) 38·6% (12·5 to 78·5)
Niue 0·0887 (0·0723 to 0·105) 64·6% (29·8 to 92·5) 4095·0 (3321·0 to 4823·2) 62·3% (27·9 to 89·6)
Northern Mariana Islands 1·38 (1·17 to 1·70) 228·5% (159·0 to 283·2) 2199·4 (1871·3 to 2680·6) 14·1% (−8·5 to 34·0)
Palau 0·891 (0·763 to 1·08) 227·0% (169·0 to 309·2) 3726·9 (3210·3 to 4536·0) 43·4% (19·2 to 78·6)
Papua New Guinea 187 (157 to 225) 239·8% (143·5 to 337·0) 3062·0 (2597·2 to 3685·0) 18·6% (−14·6 to 52·3)
Samoa 5·48 (4·61 to 6·57) 152·3% (109·8 to 200·3) 3390·8 (2876·6 to 4052·4) 44·0% (20·0 to 70·2)
Solomon Islands 13·6 (11·0 to 16·9) 268·7% (154·5 to 421·5) 3473·1 (2878·9 to 4232·1) 46·6% (2·6 to 97·3)
Tokelau 0·0503 (0·0410 to 0·0600) 49·1% (25·5 to 79·2) 3345·0 (2747·6 to 3948·8) 31·9% (11·1 to 56·3)
Tonga 2·99 (2·44 to 3·46) 90·0% (55·1 to 130·2) 3640·0 (2966·9 to 4203·8) 35·5% (10·8 to 63·6)
Tuvalu 0·357 (0·300 to 0·422) 93·5% (65·7 to 128·5) 3259·8 (2755·1 to 3847·4) 27·5% (9·7 to 49·6)
Vanuatu 6·01 (5·05 to 6·97) 301·3% (216·9 to 400·6) 3006·9 (2550·6 to 3504·3) 45·7% (16·0 to 80·1)
Southeast Asia 8100 (7220 to 9290) 216·6% (185·8 to 244·3) 1220·7 (1084·5 to 1393·3) 31·8% (19·3 to 43·3)
Cambodia 160 (130 to 199) 252·3% (173·7 to 337·9) 1205·1 (982·9 to 1497·6) 35·1% (5·7 to 66·9)
Indonesia 2570 (2190 to 2960) 224·0% (181·4 to 258·5) 1067·0 (913·7 to 1215·4) 48·7% (29·7 to 64·4)
Laos 69·4 (56·8 to 86·4) 159·1% (105·5 to 232·1) 1399·1 (1145·8 to 1723·4) 20·1% (−3·5 to 52·0)
Malaysia 318 (258 to 382) 224·1% (186·5 to 257·5) 1073·7 (879·7 to 1284·2) 7·3% (−5·2 to 19·7)
Maldives 3·22 (2·67 to 3·91) 188·6% (135·5 to 235·2) 867·6 (730·0 to 1043·3) −21·9% (−35·1 to −9·8)
Mauritius 65·1 (59·2 to 72·6) 340·4% (317·6 to 360·7) 3480·5 (3163·3 to 3879·7) 87·5% (78·0 to 96·5)
Myanmar 1000 (832 to 1200) 119·9% (66·5 to 179·8) 1996·5 (1650·3 to 2388·4) 11·0% (−14·7 to 40·8)
Philippines 1190 (1080 to 1310) 268·2% (244·3 to 296·0) 1357·9 (1234·4 to 1488·3) 39·9% (31·5 to 50·7)
Seychelles 1·82 (1·44 to 2·31) 347·5% (295·4 to 398·0) 1524·8 (1215·2 to 1928·2) 114·8% (91·9 to 138·8)
Sri Lanka 529 (416 to 646) 301·7% (230·8 to 378·2) 1952·5 (1540·5 to 2378·8) 62·1% (34·1 to 91·5)
Thailand 1070 (847 to 1290) 248·5% (187·6 to 317·9) 996·4 (790·8 to 1194·2) 23·8% (2·0 to 49·2)
Timor-Leste 9·40 (7·69 to 11·5) 350·7% (255·7 to 461·0) 1051·4 (861·6 to 1284·4) 69·5% (35·9 to 110·2)
Viet Nam 1090 (913 to 1300) 217·6% (154·4 to 281·3) 1118·3 (935·5 to 1329·5) 33·1% (6·4 to 58·8)
Sub-Saharan Africa 7560 (6720 to 8730) 175·6% (145·4 to 200·4) 1387·6 (1247·6 to 1589·2) 21·4% (7·9 to 31·6)
Central sub-Saharan Africa 1060 (887 to 1270) 195·0% (138·8 to 260·6) 1631·3 (1376·3 to 1914·5) 14·7% (−6·8 to 39·8)
Angola 235 (191 to 292) 262·9% (175·0 to 356·7) 1650·6 (1379·4 to 2022·0) 15·8% (−11·8 to 45·6)
Central African Republic 57·6 (45·8 to 71·2) 137·2% (97·2 to 194·9) 2120·9 (1666·3 to 2574·1) 16·4% (−3·3 to 40·9)
Congo (Brazzaville) 61·8 (51·3 to 74·7) 194·8% (132·9 to 269·1) 1954·0 (1656·2 to 2322·6) 9·1% (−10·8 to 33·9)
Democratic Republic of the Congo 670 (554 to 803) 184·1% (115·7 to 259·5) 1548·7 (1287·0 to 1836·5) 14·7% (−11·5 to 45·7)
Equatorial Guinea 11·7 (9·02 to 15·7) 239·8% (153·6 to 347·4) 1903·0 (1507·2 to 2541·0) 21·1% (−6·2 to 57·5)
Gabon 26·8 (21·2 to 34·4) 166·8% (115·3 to 242·9) 2245·1 (1805·7 to 2846·3) 31·1% (5·9 to 65·6)
Eastern sub-Saharan Africa 2390 (2170 to 2720) 112·9% (93·2 to 140·7) 1197·0 (1080·8 to 1351·0) −5·4% (−14·4 to 6·3)
Burundi 69·9 (54·8 to 96·1) 87·2% (49·5 to 135·8) 1248·1 (972·5 to 1719·7) −10·7% (−29·9 to 15·4)
Comoros 7·38 (5·70 to 9·02) 143·7% (79·3 to 203·7) 1369·6 (1049·7 to 1675·2) 10·9% (−18·4 to 39·6)
Djibouti 9·15 (7·24 to 12·2) 445·9% (327·7 to 596·2) 1289·2 (1051·9 to 1683·3) 35·7% (5·1 to 71·2)
Eritrea 54·0 (41·8 to 68·4) 218·7% (159·8 to 288·4) 1606·5 (1256·2 to 2033·8) 16·5% (−3·3 to 36·7)
Ethiopia 573 (502 to 639) 31·3% (10·8 to 58·7) 1125·9 (989·3 to 1258·3) −38·8% (−48·0 to −27·5)
Kenya 254 (221 to 302) 284·1% (224·3 to 367·9) 987·6 (865·7 to 1167·0) 38·8% (16·7 to 67·8)
Madagascar 144 (116 to 179) 159·9% (110·5 to 221·8) 1051·9 (849·7 to 1309·9) 16·4% (−4·9 to 44·4)
Malawi 113 (92·0 to 135) 118·1% (80·9 to 162·7) 1284·3 (1038·3 to 1531·5) 12·7% (−5·6 to 35·9)
Mozambique 204 (160 to 249) 175·0% (113·9 to 240·1) 1476·8 (1183·7 to 1765·7) 41·2% (11·5 to 73·7)
Rwanda 79·1 (57·6 to 106) 54·4% (19·1 to 90·6) 1126·8 (801·4 to 1517·9) −26·1% (−42·4 to −10·2)
Somalia 142 (111 to 179) 225·8% (162·6 to 304·4) 1631·2 (1318·2 to 2027·8) 15·1% (−5·9 to 40·9)
South Sudan 71·7 (57·2 to 95·4) 125·8% (72·3 to 209·8) 1553·8 (1246·4 to 2083·2) 33·3% (1·3 to 82·9)
Tanzania 322 (270 to 382) 157·5% (115·3 to 210·6) 1090·2 (913·7 to 1291·3) 12·6% (−4·8 to 37·5)
Uganda 214 (167 to 286) 185·4% (105·5 to 261·7) 1239·5 (959·8 to 1659·6) 21·4% (−11·9 to 53·1)
Zambia 131 (105 to 162) 177·0% (110·8 to 250·6) 1499·3 (1194·8 to 1858·4) 10·5% (−13·5 to 36·6)
Southern sub-Saharan Africa 1290 (1190 to 1410) 260·9% (231·1 to 288·7) 2128·5 (1978·7 to 2333·3) 73·3% (59·6 to 86·1)
Botswana 25·0 (21·4 to 28·9) 191·9% (119·0 to 273·4) 1690·0 (1443·9 to 1932·7) 16·8% (−10·8 to 49·3)
Eswatini 20·8 (16·4 to 27·4) 244·5% (170·7 to 376·3) 3334·2 (2669·6 to 4350·2) 67·0% (32·3 to 129·0)
Lesotho 36·2 (28·2 to 44·8) 205·6% (134·9 to 330·9) 2711·4 (2145·2 to 3314·6) 131·9% (80·9 to 220·4)
Namibia 28·3 (22·2 to 35·6) 153·7% (99·6 to 217·1) 1901·2 (1501·7 to 2375·0) 27·3% (0·7 to 57·1)
South Africa 1030 (937 to 1140) 271·1% (239·4 to 298·5) 2150·8 (1962·4 to 2367·3) 71·5% (57·6 to 84·8)
Zimbabwe 145 (120 to 179) 258·5% (180·1 to 353·4) 1899·2 (1570·7 to 2329·5) 96·8% (55·1 to 145·3)
Western sub-Saharan Africa 2820 (2340 to 3340) 213·3% (166·3 to 259·3) 1245·7 (1058·9 to 1460·1) 33·8% (14·6 to 51·2)
Benin 82·6 (67·5 to 101) 311·2% (234·0 to 382·9) 1344·0 (1096·9 to 1632·3) 53·0% (25·9 to 76·3)
Burkina Faso 128 (105 to 157) 176·5% (111·4 to 239·5) 1119·2 (915·3 to 1359·2) 16·3% (−9·8 to 39·2)
Cabo Verde 6·20 (4·80 to 7·34) 418·7% (360·6 to 489·5) 1316·5 (1029·0 to 1552·2) 160·2% (132·2 to 194·7)
Cameroon 223 (168 to 285) 326·9% (242·2 to 462·6) 1532·2 (1181·5 to 1947·8) 44·5% (14·1 to 89·2)
Chad 87·3 (70·0 to 109) 282·3% (217·7 to 353·9) 1227·8 (977·1 to 1518·7) 69·1% (39·6 to 101·6)
Côte d'Ivoire 179 (145 to 219) 295·2% (214·4 to 377·1) 1366·9 (1127·7 to 1673·7) 45·6% (17·0 to 78·5)
The Gambia 16·0 (13·1 to 20·2) 376·0% (282·7 to 471·2) 1407·0 (1130·9 to 1778·1) 73·5% (39·4 to 105·8)
Ghana 283 (229 to 351) 380·0% (278·8 to 499·8) 1502·0 (1222·6 to 1838·6) 82·2% (43·4 to 129·8)
Guinea 80·5 (65·3 to 98·3) 164·9% (110·2 to 232·3) 1267·2 (1043·5 to 1556·9) 50·7% (20·2 to 88·7)
Guinea-Bissau 15·6 (13·0 to 19·0) 157·0% (111·1 to 218·8) 1747·0 (1463·8 to 2118·2) 36·7% (11·8 to 69·5)
Liberia 36·3 (27·8 to 46·2) 228·6% (162·6 to 289·8) 1427·7 (1112·3 to 1804·9) 54·0% (24·9 to 86·3)
Mali 176 (147 to 213) 241·1% (182·5 to 295·4) 1679·9 (1415·5 to 2038·6) 48·7% (24·1 to 71·6)
Mauritania 24·8 (19·2 to 31·6) 170·0% (119·1 to 249·5) 1065·7 (830·4 to 1351·9) 25·5% (1·9 to 61·6)
Niger 100 (79·4 to 131) 294·3% (224·2 to 375·0) 1015·3 (812·7 to 1335·0) 40·7% (18·9 to 68·3)
Nigeria 1140 (917 to 1380) 154·5% (106·4 to 213·1) 1103·6 (914·0 to 1298·0) 16·0% (−6·0 to 40·9)
São Tomé and Príncipe 1·17 (0·885 to 1·46) 201·2% (161·9 to 252·6) 911·6 (711·8 to 1136·5) 65·2% (48·7 to 89·5)
Senegal 138 (113 to 167) 270·8% (212·3 to 337·6) 1618·7 (1325·9 to 1973·4) 59·3% (33·4 to 87·1)
Sierra Leone 50·6 (41·3 to 63·4) 222·9% (164·9 to 291·0) 1151·4 (950·3 to 1419·0) 55·6% (29·9 to 93·5)
Togo 47·9 (38·1 to 61·5) 343·6% (270·5 to 446·9) 1089·9 (870·3 to 1387·9) 51·7% (25·6 to 83·5)

Data in parentheses are 95% uncertainty intervals. Count data are presented to three significant figures, and percentages and rates are presented to 1 decimal place. GBD=Global Burden of Diseases, Injuries, and Risk Factors Study. DALY=disability-adjusted life-year.