Table 2.
Disease burden in 2021 and rate change in age-standardized rates from 1990 to 2021 by 21 Global Burden of Disease regions
| Characteristics | Prevalence (95% uncertainty interval) | Incidence (95% uncertainty interval) | Mortality (95% uncertainty interval) | DALYs (95% uncertainty interval) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Counts (2021) |
Age-standardized rates per 100,000 (2021) |
Rate change in age-standardized rates, 1990–2021 |
Counts (2021) |
Age-standardized rates per 100,000 (2021) |
Rate change in age-standardized rates, 1990–2021 |
Counts (2021) |
Age-standardized rates per 100,000 (2021) |
Rate change in age-standardized rates, 1990–2021 |
Counts (2021) |
Age-standardized rates per 100,000 (2021) |
Rate change in age-standardized rates, 1990–2021 |
|
| Central Europe, eastern Europe, and central Asia | ||||||||||||
| Central Asia | 9,356,434 (8,704,146- 9,969,948) | 10,698.24 (10,022.94- 11,348.10) | 0.005 (−0.01 to 0.02) | 168,442 (154,020- 183,300) | 187.28 (173.80- 201.56) | 0.64 (0.57–0.72) | 9,397 (8,278- 10,515) | 12.11 (10.72- 13.53) | 1.42 (1.01–1.87) | 427,633 (377,524- 490,696) | 493.20 (435.99- 565.47) | 0.51 (0.37–0.68) |
| Central Europe | 11,481,266 (10,766,159- 12,145,281) | 6205.18 (5841.05- 6596.24) | −0.03 (−0.04 to −0.01) | 458,516 (423,618- 495,453) | 218.39 (203.44- 234.06) | 0.65 (0.56–0.75) | 21,635 (19,445- 23,977) | 9.39 (8.41–10.47) | −0.10 (−0.18 to −0.02) | 539,982 (472,193- 612,672) | 266.92 (233.43- 306.23) | −0.22 (−0.28 to −0.15) |
| Eastern Europe | 27,312,843 (25,403,078- 29,335,270) | 9266.31 (8619.37- 9989.49) | −0.01 (−0.01 to 0.002) | 548,051 (501,351- 595,626) | 180.10 (167.54- 193.25) | 0.66 (0.59–0.73) | 17,821 (16,126- 19,853) | 5.22 (4.73–5.82) | 0.46 (0.3–0.60) | 642,467 (562,943- 726,952) | 204.68 (180.40- 232.13) | −0.01 (−0.08 to 0.07) |
| High-income | ||||||||||||
| Australasia | 2,810,776 (2,637,789- 2,995,329) | 5910.04 (5548.15- 6301.57) | −0.03 (−0.06 to 0.001) | 160,661 (146,984- 172,346) | 297.30 (274.48- 317.56) | 0.15 (0.07–0.22) | 5,968 (5,025- 6,525) | 9.63 (8.23–10.47) | 0.14 (0.06–0.20) | 113,693 (101,514- 125,301) | 216.61 (193.23- 239.24) | 0.03 (−0.02 to 0.07) |
| High-income Asia Pacific | 29,276,226 (27,336,162- 31,020,670) | 7920.71 (7393.74- 8457.44) | −0.08 (−0.09 to −0.07) | 1,249,340 (1,151,298- 1,346,531) | 274.49 (255.82- 293.59) | 0.02 (−0.02 to 0.06) | 63,459 (50,432- 70,953) | 9.74 (8.09–10.68) | −0.23 (−0.29 to −0.19) | 1,146,613 (990,343- 1,268,312) | 235.57 (206.04- 259.61) | −0.25 (−0.29 to −0.22) |
| High-income North America | 42,488,578 (39,404,535–45,165,702) | 7434.68 (6959.33- 7911.44) | 0.004 (−0.01 to 0.02) | 2,026,546 (1,868,598- 2,175,327) | 316.15 (294.31- 338.42) | 0.06 (−0.00 to 0.12) | 143,679 (124,827- 154,757) | 20.55 (18.10- 22.00) | 1.47 (1.39–1.55) | 3,120,983 (2,864,207- 3,351,576) | 508.81 (467.04- 545.39) | 0.91 (0.82–1.00) |
| Southern Latin America | 4,860,631 (4,530,777- 5,214,539) | 5970.43 (5543.08- 6414.98) | 0.03 (0.01–0.06) | 244,517 (224,582- 263,090) | 281.73 (260.45- 302.55) | 0.32 (0.22–0.44) | 21,583 (19,510- 22,986) | 23.85 (21.63- 25.37) | −0.08 (−0.14 to −0.03) | 441,138 (411,345- 467,913) | 515.22 (481.75- 515.22) | −0.16 (−0.20 to −0.11) |
| Western Europe | 41,591,466 (39,070,950- 43,910,754) | 5226.19 (4924.43- 5544.20) | −0.04 (−0.06 to −0.03) | 2,271,237 (2,122,275- 2,425,621) | 238.55 (223.94- 254.27) | 0.07 (0.01–0.13) | 133,481 (109,637- 148,166) | 10.66 (8.90- 11.81) | 0.29 (0.18–0.38) | 2,361,342 (2,067,098- 2,638,163) | 241.72 (209.82- 271.06) | 0.03 (−0.02 to 0.09) |
| Latin America and Caribbean | ||||||||||||
| Andean Latin America | 3,743,589 (3,478,926- 4,028,408) | 5946.06 (5524.81- 6371.54) | 0.03 (0.01–0.05) | 177,934 (165,435- 192,798) | 298.18 (276.18- 322.60) | 0.85 (0.71–1.00) | 21,619 (17,903- 25,800) | 37.66 (31.27- 44.93) | 0.32 (0.08–0.63) | 524,246 (434,446- 625,013) | 872.44 (723.54- 1037.91) | 0.16 (−0.04 to 0.41) |
| Caribbean | 3,468,705 (3,235,452- 3,720,720) | 6632.98 (6181.25- 7112.38) | 0.02 (0.01–0.04) | 145,322 (136,425- 154,427) | 274.22 (257.52- 291.86) | 0.62 (0.53–0.72) | 13,888 (12,086- 16,193) | 25.78 (22.39- 30.07) | 0.38 (0.19–0.58) | 385,286 (331,558- 454,109) | 735.85 (631.01- 867.89) | 0.30 (0.13–0.50) |
| Central Latin America | 22,101,801 (20,701,763- 23,422,153) | 8642.90 (8089.33- 9163.75) | 0.02 (0.00–0.04) | 1,056,443 (1,000,773- 1,110,306) | 411.41 (390.17- 431.32) | 0.49 (0.37–0.61) | 104,444 (94,171- 116,461) | 42.35 (38.32- 47.03) | 0.52 (0.37–0.67) | 2,993,750 (2,691,663- 3,371,708) | 1171.14 (1054.82- 1316.26) | 0.53 (0.38–0.69) |
| Tropical Latin America | 19,295,702 (18,022,781- 20,680,042) | 7576.23 (7080.97- 8107.55) | −0.02 (−0.03 to −0.01) | 663,468 (620,124- 707,786) | 259.33 (242.85- 275.61) | 0.34 (0.26–0.45) | 46,925 (42,508- 49,437) | 18.84 (17.00- 19.87) | 0.05 (−0.00 to 0.09) | 1,311,915 (1,220,675- 1,401,164) | 516.97 (480.55- 552.11) | −0.08 (−0.12 to −0.05) |
| North Africa and Middle East | ||||||||||||
|
North Africa and Middle East |
49,668,756 (45,835,433- 53,616,786) | 9180.02 (8523.53- 9830.12) | 0.01 (−0.00 to 0.02) | 1,988,922 (1,863,403- 2,127,840) | 411.19 (385.40- 438.45) | 0.61 (0.53–0.70) | 144,687 (126,153- 162,699) | 37.71 (32.73- 42.39) | 0.21 (−0.24 to 0.51) | 3,925,988 (3,427,227- 4,413,622) | 846.64 (747.17- 948.02) | 0.11 (−0.24 to 0.35) |
| South Asia | ||||||||||||
| South Asia | 158,803,354 (147,190,732- 171,556,959) | 9565.26 (8903.67- 10,265.71) | −0.04 (−0.05 to −0.03) | 2,755,183 (2,545,113- 2,967,871) | 177.65 (164.06- 192.03) | 0.21 (0.16–0.27) | 226,043 (192,546- 264,155) | 16.45 (14.03- 19.25) | 0.18 (−0.08 to 0.41) | 8,443,339 (7,372,315- 9,681,828) | 540.57 (473.83- 620.42) | 0.06 (−0.10 to 0.24) |
| Southeast Asia, east Asia, and Ocean | ||||||||||||
| East Asia | 122,849,231 (113,607,491- 132,118,615) | 6258.13 (5823.13- 6729.82) | −0.12 (−0.13 to −0.10) | 3,505,756 (3,245,783- 3,750,967) | 176.80 (156.01- 176.80) | 0.12 (0.05–0.20) | 217,342 (178,047- 259,057) | 11.15 (9.20–13.21) | −0.22 (−0.39 to −0.05) | 6,486,167 (5,538,060- 7,597,380) | 322.36 (275.35- 377.34) | −0.30 (−0.42 to −0.18) |
| Oceania | 776,661 (715,870- 846,878) | 7950.68 (7408.82- 8567.73) | 0.03 (0.01–0.04) | 15,011 (13,905- 16,088) | 162.83 (151.06- 174.45) | 0.28 (0.19–0.36) | 1,546 (1,265- 1,892) | 21.56 (17.98- 26.37) | 0.25 (−0.11 to 0.79) | 65,815 (55,558- 77,796) | 699.04 (597.93- 821.29) | 0.20 (−0.09 to 0.60) |
| Southeast Asia | 73,561,437 (67,779,796- 79,733,436) | 10,474.65 (9718.92- 11,301.72) | 0.02 (0.02–0.03) | 1,568,475 (1,457,741- 1,685,245) | 231.28 (215.53- 247.34) | 0.48 (0.40–0.56) | 170,033 (148,864- 190,537) | 28.47 (24.79- 31.87) | 0.25 (0.02–0.43) | 5,703,263 (5,028,657- 6,329,025) | 846.26 (753.05- 940.53) | 0.13 (−0.02 to 0.27) |
| Sub-Saharan Africa | ||||||||||||
|
Central Sub-Saharan Africa |
6,811,951 (6,363,747- 7,313,187) | 9165.20 (8640.85- 9709.73) | −0.01 (−0.03 to 0.02) | 88,402 (82,071- 94,885) | 130.46 (120.30- 142.08) | 0.38 (0.30–0.47) | 21,011 (16,114- 27,467) | 43.69 (33.26- 56.29) | 0.02 (−0.22 to 0.33) | 783,700 (622,595- 996,532) | 1124.70 (899.03- 1436.09) | −0.03 (−0.24 to 0.25) |
|
Eastern Sub-Saharan Africa |
15,017,845 (13,741,759- 16,422,384) | 5821.27 (5404.49- 6293.60) | 0.03 (0.02–0.03) | 244,189 (228,098- 260,057) | 118.08 (108.97- 127.55) | 0.24 (0.18–0.31) | 60,918 (53,817- 69,935) | 40.09 (35.57- 46.03) | −0.05 (−0.19 to 0.08) | 2,047,629 (1,792,019- 2,374,164) | 948.36 (838.71- 1090.36) | −0.13 (−0.23 to −0.01) |
|
Southern Sub-Saharan Africa |
5,972,950 (5,547,456- 6,415,524) | 9037.91 (8440.60- 9647.06) | 0.01 (−0.00 to 0.02) | 142,811 (132,638- 152,029) | 233.60 (216.73- 248.74) | 0.38 (0.32–0.45) | 17,365 (15,612- 19,485) | 34.43 (31.05- 38.29) | 0.65 (0.27–0.90) | 551,466 (494,226- 622,064) | 895.96 (807.34- 996.98) | 0.44 (0.20–0.62) |
|
Western Sub-Saharan Africa |
22,472,497 (20,882,526- 24,191,820) | 8324.27 (7782.26–8871.02) | 0.002 (−0.01 to 0.01) | 455,812 (426,702–486,021) | 179.77 (165.43–194.20) | 0.32 (0.26–0.38) | 64,796 (53,512–76,124) | 36.41 (31.14–42.75) | 0.08 (−0.09 to 0.25) | 2,437,269 (1,992,652–2,893,649) | 930.73 (788.43–1081.08) | 0.002 (−0.13 to 0.14) |
Data in parentheses represent the 95% uncertainty intervals. DALYs disability-adjusted life-years