Skip to main content
. 2025 Nov 24;15:50. doi: 10.1038/s41387-025-00405-7

Table 1.

Death and DALYs of NCDs between 1990 and 2021 in Globally and Regionally.

Death
1990 2021 1990-2021
Number(95%UI) ASDR (95%UI) Number(95%UI) ASDR (95%UI) EAPC(95%CI)
Global 2,045,353.45(1797028.54, 2309642.78) 59.61(52.08, 67.46) 5,145,604.31(4,365,333.70, 5943615.11) 62.01(52.53,71.83) 0.11(0.05,0.17)
Low SDI 131,099.77(116888.57, 146,165.51) 69.94(61.95, 78.70) 325253.65(285,623.57, 370685.19) 78.75(69.16,89.33) 0.38(0.30,0.47)
Low-middle SDI 312,093.78(279,767.56, 347,251.06) 61.73(55.10, 68.98) 1,064,630.10(949,929.60, 1,187,755.57) 85.25(75.79,94.85) 1.13(1.08,1.18)
Middle SDI 512,920.34(453,685.09, 578,868.82) 62.73(55.27, 71.46) 1,663,274.59(1,438,482.63, 1,891,582.78) 69.02(59.43,78.68) 0.37(0.29,0.45)
High-middle SDI 505,216.15(433,893.04, 579,954.87) 60.04(51.56, 69.21) 1,084,877.96(899,361.14, 1,289,234.74) 55.98(46.35,66.53) -0.28(-0.45,-0.12)
High SDI 580,558.45(490,224.91, 666,815.12) 52.17(44.02, 59.95) 1,001,522.30(767,694.12, 1,270,055.99) 41.67(32.15,52.14) -0.87(-0.96,-0.77)
Andean Latin America 9046.31(7852.34, 10,265.21) 48.63(42.10, 55.25) 35,517.14(29,060.41, 43,687.22) 62.45(51.18,76.71) 0.77(0.64,0.91)
Australasia 10,534.95(8945.70, 12,167.29) 46.18(39.30, 53.46) 18,267.08(14,239.50, 22,867.57) 29.88(23.13,37.46) -1.52(-1.60,-1.45)
Caribbean 24,536.76(22,467.52, 26,564.35) 101.50(92.96, 109.82) 48,284.86(41,420.51, 55,627.22) 88.76(76.08,102.30) -0.42(-0.52,-0.31)
Central Asia 19,994.02(17,666.77, 22,408.64) 47.51(41.88, 53.33) 51,805.81(44,670.23, 60,302.93) 74.98(64.22,87.35) 1.27(0.97,1.56)
Central Europe 113,608.29(99,143.20, 128,272.64) 84.00(73.20, 94.77) 168,523.38(140,221.58, 196,884.17) 70.43(58.53,82.43) -0.77(-0.85,-0.70)
Central Latin America 68212.69(62,833.91, 73016.60) 92.28(84.44, 99.28) 234567.15(203,288.33, 265,378.22) 96.74(83.89,109.47) 0.05(-0.03,0.14)
Central Sub-Saharan Africa 18474.00(15,095.85, 22,075.47) 106.94(88.21, 125.26) 46698.55(37,599.42, 57,139.91) 110.81(89.87,135.31) -0.01(-0.10,0.08)
East Asia 336,016.35(272,986.79, 411,893.62) 52.43(42.65, 64.68) 993,903.67(792,675.43, 123,2957.77) 51.25(41.03,63.40) 0.14(-0.13,0.42)
Eastern Europe 127,947.90(109,310.23, 147,677.83) 51.69(44.12,59.51) 230,308.91(195,807.60, 267,754.16) 63.77(54.34,74.15) 0.19(-0.12,0.49)
Eastern Sub-Saharan Africa 46,441.82(41,456.18, 52,115.77) 73.76(65.42, 83.21) 99183.89(85,593.05, 114,856.33) 72.74(62.66,83.72) -0.23(-0.30,-0.16)
High-income Asia Pacific 83,848.36(689,17.94, 100,663.72) 47.26(38.70, 56.97) 160,588.12(108,449.65, 217,385.22) 25.38(17.20,34.22) -2.12(-2.19,-2.04)
High-income North America 198,462.24(167,203.19, 230,479.69) 54.37(45.84, 63.10) 407,836.54(322,555.69, 505,776.24) 57.77(45.96,70.99) -0.02(-0.23,0.19)
North Africa and Middle East 119,323.00(105,895.93, 133,962.64) 89.96(79.83, 101.13) 413,495.67(356,427.49,474,413.70) 111.99(96.44,127.75) 0.87(0.79,0.96)
Oceania 4125.42(3417.56, 4944.68) 166.92(142.94, 196.17) 11,581.79(9903.98, 13,685.59) 180.85(155.95,212.24) 0.23(0.17,0.30)
South Asia 272,616.45(244,287.92, 306,077.55) 57.98(51.42, 65.82) 101,2694.90(901,878.54, 113,8524.04) 79.18(69.72,88.93) 1.03(0.92,1.15)
Southeast Asia 139,481.57(122,922.90, 156,334.75) 65.88(57.33, 74.58) 450,507.47(396,182.47, 512,392.14) 80.30(70.15,91.65) 0.63(0.55,0.71)
Southern Latin America 27,016.04(23,501.94, 30,587.93) 62.39(54.13,70.70) 43,795.14(35,311.69, 52,948.81) 48.22(38.90,58.24) -0.71(-0.83,-0.58)
Southern Sub-Saharan Africa 16,622.42(14,810.27, 18,485.26) 70.47(62.48,79.14) 59,780.73(53,736.90, 65,438.36) 121.97(108.76,134.34) 2.12(1.66,2.58)
Tropical Latin America 61,919.38(56,069.81, 68,081.34) 78.87(71.07, 87.41) 156,506.16(136,372.38, 178,074.23) 62.91(54.69,71.64) -0.57(-0.63,-0.51)
Western Europe 299,941.41(254,217.20, 344,466.59) 49.52(41.83, 56.95) 372,643.67(278,490.27, 489,289.87) 31.51(23.44,41.04) -1.53(-1.59,-1.46)
Western Sub-Saharan Africa 47184.10(41260.31, 53687.63) 65.69(57.33, 74.80) 129113.68(110245.85, 153086.91) 83.76(73.01,98.02) 0.80(0.72,0.88)
Disability-Adjusted Life Years
1990 2021 1990-2021
Number(95%UI) ASDsR (95%UI) Number(95%UI) ASDsR (95%UI) EAPC(95%CI)
Global 57289690.49(49453929.42, 65224653.61) 1470.98(1268.86, 1678.95) 151945759.58(129022495.92, 175485188.13) 1775.66(1506.14,2050.22) 0.55(0.51,0.60)
Low SDI 4231120.26(3744682.52, 4786863.29) 1799.47(1590.85, 2038.10) 11089376.76(9508347.09, 12710903.22) 2102.12(1811.02,2395.26) 0.44(0.37,0.50)
Low-middle SDI 9938002.73(8749109.03, 11236244.13) 1618.67(1421.35, 1846.70) 33706436.36(29032817.07, 38239653.89) 2337.33(2016.12,2649.32) 1.23(1.20,1.27)
Middle SDI 16194333.46(14005487.02, 18518251.74) 1591.59(1364.58,1827.96) 50756865.82(43612088.67, 58260829.47) 1911.64(1638.08,2195.61) 0.58(0.53,0.62)
High-middle SDI 13151585.30(11143320.55, 15231811.36) 1382.13(1169.29, 1596.72) 28927475.61(24034145.46, 34088472.88) 1497.61(1242.99,1768.14) 0.15(0.01,0.29)
High SDI 13684763.50(11677889.65, 15801425.93) 1245.34(1063.93, 1438.68) 27295469.40(22042484.27, 32888774.04) 1362.80(1102.16,1630.30) 0.17(0.09,0.25)
Andean Latin America 260723.25(224673.79, 299413.28) 1259.51(1081.02, 1446.94) 1036036.57(854045.87, 1233956.05) 1750.24(1444.65,2085.35) 1.00(0.90,1.11)
Australasia 241792.37(205067.35, 280672.85) 1037.17(880.64, 1204.21) 463090.95(368644.20, 557956.96) 875.00(701.68,1053.63) -0.65(-0.72,-0.58)
Caribbean 685570.32(617010.81, 759093.90) 2621.23(2356.32, 2900.64) 1509193.14(1288982.57, 1770157.35) 2816.88(2405.56,3307.53) 0.24(0.15,0.32)
Central Asia 568064.43(498956.90, 645338.55) 1216.69(1065.07, 1383.87) 1637458.76(1389677.98, 1903916.74) 2025.47(1722.42,2353.10) 1.40(1.12,1.68)
Central Europe 2709717.34(2364975.43, 3070347.32) 1866.82(1631.34, 2117.63) 3938371.01(3295391.49, 4599932.26) 1772.44(1483.54,2071.41) -0.32(-0.38,-0.27)
Central Latin America 2193082.88(1942287.64, 2452480.75) 2543.52(2257.29, 2831.42) 7406560.11(6354706.15, 8554116.56) 2917.04(2507.72,3365.46) 0.29(0.22,0.36)
Central Sub-Saharan Africa 583384.45(481081.50, 691390.62) 2568.70(2106.43, 3007.34) 1621356.39(1326419.95, 1950047.84) 2833.00(2321.54,3384.37) 0.22(0.13,0.30)
East Asia 10774049.86(8785635.79, 12927493.45) 1295.62(1048.15, 1558.34) 28755898.09(23245087.92, 34549519.94) 1386.46(1119.26,1664.51) 0.31(0.12,0.50)
Eastern Europe 3043098.68(2612312.78, 3512977.58) 1138.38(979.11, 1312.91) 5406194.90(4646885.36, 6184470.47) 1548.77(1331.04,1768.25) 0.50(0.23,0.78)
Eastern Sub-Saharan Africa 1476515.83(1304900.73, 1653624.67) 1818.27(1612.10, 2037.34) 3214215.76(2789190.58, 3671423.10) 1800.52(1560.73,2063.26) -0.23(-0.30,-0.16)
High-income Asia Pacific 2255557.08(1891630.38, 2654377.28) 1160.28(972.70, 1369.44) 4533660.99(3458730.75, 5726475.79) 1049.74(803.87,1309.56) -0.47(-0.55,-0.39)
High-income North America 4820762.85(4092935.01, 5599565.05) 1384.58(1178.87, 1605.52) 11620888.83(9502154.34, 13755470.97) 1836.71(1505.33,2161.64) 0.77(0.63,0.91)
North Africa and Middle East 3376568.20(2967109.36, 3816550.51) 2082.55(1832.34, 2358.27) 13159533.13(11255676.08, 15323483.72) 2936.39(2501.03,3391.78) 1.22(1.16,1.29)
Oceania 139011.34(116701.46, 166040.36) 4399.83(3720.07, 5208.92) 425670.32(361631.68, 492421.64) 5198.97(4442.82,5974.55) 0.51(0.45,0.58)
South Asia 9114393.38(7913048.71, 10425946.17) 1566.35(1350.59, 1802.06) 32401264.24(27648893.90, 37024633.24) 2185.03(1865.08,2500.57) 1.06(0.97,1.14)
Southeast Asia 4293429.79(3746004.36, 4842166.91) 1692.12(1474.48, 1926.99) 14059259.66(12117438.31, 16055229.60) 2186.89(1893.04,2506.39) 0.75(0.72,0.79)
Southern Latin America 661888.26(576743.86, 751227.58) 1448.32(1260.93, 1643.57) 1228474.40(1010567.55, 1461859.12) 1413.11(1162.10,1681.09) -0.06(-0.14,0.03)
Southern Sub-Saharan Africa 491450.56(440669.57, 544235.92) 1798.05(1606.48, 2001.22) 1751603.32(1567963.35, 1954623.65) 3074.53(2744.93,3434.10) 2.05(1.67,2.43)
Tropical Latin America 1902022.72(1681721.58, 2124206.73) 2063.96(1817.19, 2307.25) 4824223.50(4126698.83, 5563645.32) 1876.54(1606.27,2163.54) -0.25(-0.29,-0.22)
Western Europe 6287501.16(5360888.46, 7282660.51) 1080.55(921.47, 1251.67) 8683367.09(6813958.07, 10788992.67) 947.57(733.97,1175.25) -0.53(-0.60,-0.46)
Western Sub-Saharan Africa 1411105.77(1230792.96, 1616249.34) 1589.40(1386.19, 1814.86) 4269438.42(3628947.05, 5123786.52) 2119.14(1826.89,2516.45) 0.93(0.85,1.00)

Abbreviations: DALYs Disability-Adjusted Life Years; NCDs Non-communicable diseases; ASDR age-standardized death rate; ASDsR age-standardized disability-adjusted life years rate; UI uncertainty interval; EAPC estimated annual percentage change; CI confidence interval.