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. 2018 Nov 10;392(10159):1736–1788. doi: 10.1016/S0140-6736(18)32203-7

Table 1.

Global death and YLL numbers, age-standardised rates per 100 000, and percentage change between 2007 and 2017 for both sexes combined for all GBD causes and Levels 1 through 4 of the cause hierarchy

All-age deaths (thousands)
Age-standardised death rate (per 100 000)
All-age YLLs (thousands)
Age-standardised YLL rate (per 100 000)
2017 Percentage change, 2007–17 2017 Percentage change, 2007–17 2017 Percentage change, 2007–17 2017 Percentage change, 2007–17
All causes 55 945·7 (55 356·4 to 56 516·7) 9·3% (8·2 to 10·2)* 737·7 (729·9 to 745·4) −14·2% (−15·0 to −13·5)* 1 646 249·6 (1 622 870·6 to 1 673 178·4) −9·0% (−10·1 to −7·6)* 21 926·4 (21 601·1 to 22 314·9) −22·2% (−23·2 to −21·0)*
Communicable, maternal, neonatal, and nutritional diseases 10 389·9 (10 004·0 to 10 975·9) −22·2% (−24·0 to −20·0)* 143·8 (138·4 to 151·6) −31·8% (−33·3 to −30·1)* 578 416·6 (558 815·0 to 600 759·1) −30·4% (−32·4 to −28·2)* 8280·6 (8005·4 to 8602·8) −35·4% (−37·3 to −33·4)*
HIV/AIDS and sexually transmitted infections 1073·6 (983·3 to 1182·4) −47·7% (−50·0 to −45·1)* 13·9 (12·6 to 15·5) −53·6% (−55·8 to −51·0)* 60 550·2 (53 533·7 to 69 156·3) −47·3% (−50·2 to −44·0)* 806·4 (703·1 to 936·7) −52·1% (−55·2 to −48·6)*
HIV/AIDS 954·5 (907·3 to 1009·7) −50·3% (−52·1 to −48·3)* 12·1 (11·5 to 12·9) −56·5% (−58·0 to −54·7)* 50 497·1 (47 658·0 to 53 595·8) −51·2% (−52·9 to −49·2)* 655·1 (617·5 to 696·4) −56·6% (−58·1 to −54·8)*
HIV/AIDS and drug-susceptible tuberculosis co-infection 194·6 (137·7 to 253·0) −55·4% (−58·4 to −51·6)* 2·5 (1·8 to 3·2) −61·1% (−63·7 to −57·7)* 10 664·8 (7613·4 to 13 757·1) −55·6% (−58·7 to −51·7)* 140·0 (100·2 to 180·0) −60·5% (−63·1 to −57·0)*
HIV/AIDS and multidrug-resistant tuberculosis without extensive drug resistance co-infection 22·6 (13·4 to 34·5) −52·2% (−66·4 to −33·2)* 0·3 (0·2 to 0·4) −58·1% (−70·5 to −41·5)* 1247·8 (746·6 to 1906·7) −51·7% (−65·7 to −33·2)* 16·4 (9·8 to 25·1) −56·8% (−69·3 to −40·4)*
HIV/AIDS and extensively drug-resistant tuberculosis co-infection 1·2 (0·8 to 1·8) −8·3% (−26·8 to 14·7) 0·0 (0·0 to 0·0) −20·3% (−36·4 to −0·2)* 62·7 (38·3 to 92·9) −10·5% (−28·4 to 11·5) 0·8 (0·5 to 1·2) −21·0% (−36·7 to −1·4)*
HIV/AIDS resulting in other diseases 736·0 (659·5 to 817·7) −48·7% (−51·1 to −45·9)* 9·3 (8·4 to 10·4) −55·1% (−57·2 to −52·6)* 38 521·8 (34 381·3 to 43 095·5) −49·8% (−52·3 to −46·9)* 497·9 (444·2 to 558·4) −55·4% (−57·6 to −52·8)*
Sexually transmitted infections excluding HIV 119·1 (50·8 to 220·4) −10·8% (−18·4 to −2·5)* 1·8 (0·7 to 3·3) −14·4% (−21·5 to −6·6)* 10 053·1 (4057·0 to 18 915·2) −11·4% (−19·0 to −3·2)* 151·3 (60·6 to 285·3) −14·4% (−21·8 to −6·6)*
Syphilis 113·5 (45·2 to 214·5) −11·3% (−19·1 to −2·8)* 1·7 (0·7 to 3·2) −14·3% (−21·8 to −6·4)* 9836·1 (3848·5 to 18 676·4) −11·5% (−19·3 to −3·1)* 148·6 (58·0 to 282·3) −14·3% (−21·8 to −6·2)*
Chlamydial infection 1·1 (0·9 to 1·2) 2·5% (−4·5 to 11·3) 0·0 (0·0 to 0·0) −15·2% (−21·0 to −8·4)* 40·5 (32·6 to 45·0) −5·5% (−12·2 to 2·5) 0·5 (0·4 to 0·6) −17·9% (−23·7 to −11·0)*
Gonococcal infection 3·0 (2·4 to 3·3) 3·7% (−3·4 to 12·5) 0·0 (0·0 to 0·0) −14·9% (−20·8 to −8·2)* 112·8 (90·2 to 124·9) −3·8% (−10·7 to 4·3) 1·4 (1·1 to 1·6) −17·4% (−23·5 to −10·7)*
Other sexually transmitted infections 1·5 (1·2 to 1·7) 0·2% (−6·4 to 8·3) 0·0 (0·0 to 0·0) −15·9% (−21·6 to −9·5)* 63·6 (51·0 to 70·7) −6·2% (−12·7 to 1·1) 0·8 (0·6 to 0·9) −18·2% (−23·9 to −11·7)*
Respiratory infections and tuberculosis 3752·3 (3629·4 to 3889·3) −8·0% (−10·3 to −5·5)* 50·5 (48·8 to 52·3) −24·5% (−26·4 to −22·6)* 148 233·5 (141 335·1 to 155 291·4) −24·7% (−27·4 to −21·7)* 2056·0 (1956·3 to 2160·7) −32·8% (−35·4 to −30·0)*
Tuberculosis 1183·7 (1129·8 to 1245·3) −14·9% (−18·2 to −10·3)* 14·9 (14·3 to 15·7) −31·4% (−34·1 to −27·6)* 41 876·9 (39 972·4 to 44 120·5) −21·2% (−24·4 to −17·4)* 533·4 (509·1 to 562·6) −33·3% (−35·9 to −30·0)*
Drug-susceptible tuberculosis 1044·1 (951·6 to 1129·2) −15·5% (−22·3 to −8·6)* 13·2 (12·0 to 14·2) −31·9% (−37·3 to −26·4)* 36 932·5 (33 846·8 to 39 919·1) −21·9% (−27·8 to −16·0)* 470·7 (431·3 to 508·4) −33·8% (−38·7 to −29·0)*
Multidrug-resistant tuberculosis without extensive drug resistance 126·9 (70·1 to 202·2) −11·6% (−47·4 to 38·1) 1·6 (0·9 to 2·5) −28·6% (−57·4 to 11·4) 4505·1 (2582·5 to 6984·6) −17·6% (−49·4 to 26·5) 57·2 (33·0 to 88·4) −30·2% (−56·9 to 6·6)
Extensively drug-resistant tuberculosis 12·6 (8·6 to 18·0) 14·0% (−18·7 to 58·7) 0·2 (0·1 to 0·2) −7·7% (−34·1 to 28·8) 439·2 (306·2 to 616·5) 5·5% (−23·2 to 44·9) 5·5 (3·8 to 7·7) −11·1% (−35·2 to 22·1)
Lower respiratory infections 2558·6 (2442·2 to 2655·4) −4·3% (−6·9 to −1·5)* 35·4 (33·8 to 36·8) −21·1% (−23·2 to −18·9)* 105 834·5 (99 746·4 to 111 767·8) −25·9% (−29·2 to −22·2)* 1515·1 (1424·8 to 1602·2) −32·6% (−35·7 to −29·2)*
Upper respiratory infections 9·1 (6·1 to 12·4) −30·5% (−41·0 to −14·5)* 0·1 (0·1 to 0·2) −42·1% (−49·6 to −29·9)* 477·3 (247·3 to 730·5) −33·2% (−44·1 to −12·9)* 6·9 (3·5 to 10·6) −38·6% (−48·3 to −19·4)*
Otitis media 0·9 (0·7 to 1·5) −41·4% (−51·6 to −28·4)* 0·0 (0·0 to 0·0) −50·4% (−58·8 to −39·9)* 44·8 (31·2 to 72·1) −49·4% (−59·9 to −35·5)* 0·6 (0·4 to 1·0) −54·5% (−64·1 to −41·8)*
Enteric infections 1766·0 (1398·0 to 2386·0) −17·2% (−24·6 to −8·2)* 24·4 (19·5 to 32·4) −29·9% (−34·9 to −23·1)* 84 625·5 (73 770·6 to 100 720·2) −30·6% (−36·3 to −23·7)* 1208·6 (1064·1 to 1424·7) −36·6% (−41·8 to −30·7)*
Diarrhoeal diseases 1569·6 (1176·0 to 2193·0) −16·6% (−25·3 to −6·7)* 21·6 (16·4 to 29·7) −30·2% (−36·1 to −22·7)* 70 574·3 (60 421·1 to 86 165·2) −32·0% (−38·6 to −23·9)* 1009·1 (870·5 to 1211·0) −38·1% (−43·9 to −31·3)*
Typhoid and paratyphoid 135·9 (76·9 to 218·9) −22·3% (−27·3 to −18·1)* 1·9 (1·1 to 3·0) −27·8% (−32·8 to −23·9)* 9686·1 (5484·9 to 15 746·2) −23·8% (−29·3 to −19·4)* 136·3 (77·0 to 220·9) −28·7% (−34·0 to −24·4)*
Typhoid fever 116·8 (65·4 to 187·7) −23·7% (−29·0 to −19·3)* 1·6 (0·9 to 2·6) −29·1% (−34·1 to −25·0)* 8331·7 (4632·5 to 13 419·2) −25·3% (−31·0 to −20·8)* 117·3 (65·5 to 188·5) −30·1% (−35·6 to −25·7)*
Paratyphoid fever 19·1 (8·7 to 37·3) −12·7% (−20·1 to −4·2)* 0·3 (0·1 to 0·5) −18·9% (−26·1 to −10·8)* 1354·4 (622·3 to 2620·2) −13·2% (−21·3 to −3·8)* 19·0 (8·8 to 36·6) −18·6% (−26·5 to −9·7)*
Invasive non-typhoidal salmonella 59·1 (33·3 to 98·1) −17·9% (−25·1 to −8·7)* 0·8 (0·5 to 1·4) −24·8% (−31·9 to −15·6)* 4260·8 (2382·0 to 7378·6) −17·2% (−25·7 to −6·8)* 61·6 (34·7 to 107·6) −22·6% (−30·7 to −12·5)*
Other intestinal infectious diseases 1·4 (1·0 to 2·2) −39·7% (−67·1 to 9·7) 0·0 (0·0 to 0·0) −44·7% (−70·1 to 2·3) 104·4 (67·8 to 170·7) −43·6% (−71·6 to 11·9) 1·5 (1·0 to 2·5) −46·9% (−73·7 to 6·3)
Neglected tropical diseases and malaria 720·1 (530·7 to 938·8) −29·0% (−37·3 to −19·3)* 10·1 (7·5 to 13·2) −36·1% (−43·7 to −27·3)* 48 656·2 (35 574·6 to 64 934·2) −33·7% (−42·4 to −23·7)* 699·9 (508·0 to 933·6) −38·6% (−46·7 to −29·2)*
Malaria 619·8 (440·1 to 839·5) −30·8% (−39·4 to −20·8)* 8·7 (6·1 to 11·9) −37·3% (−45·4 to −27·9)* 43 546·6 (29 966·3 to 59 772·4) −34·5% (−43·8 to −23·6)* 629·4 (432·6 to 858·7) −39·2% (−48·2 to −28·8)*
Chagas disease 7·9 (7·5 to 8·6) 3·8% (−1·6 to 12·9) 0·1 (0·1 to 0·1) −21·1% (−25·2 to −14·3)* 174·9 (166·1 to 193·5) −4·2% (−9·0 to 4·8) 2·2 (2·0 to 2·4) −25·1% (−28·9 to −18·1)*
Leishmaniasis 7·5 (0·0 to 34·5) −64·8% (−96·8 to −44·5)* 0·1 (0·0 to 0·5) −67·8% (−97·5 to −50·3)* 509·8 (0·3 to 2440·2) −63·8% (−92·1 to −39·7)* 7·2 (0·0 to 34·6) −66·2% (−93·2 to −43·8)*
Visceral leishmaniasis 7·5 (0·0 to 34·5) −64·8% (−96·8 to −44·5)* 0·1 (0·0 to 0·5) −67·8% (−97·5 to −50·3)* 509·8 (0·3 to 2440·2) −63·8% (−92·1 to −39·7)* 7·2 (0·0 to 34·6) −66·2% (−93·2 to −43·8)*
African trypanosomiasis 1·4 (0·3 to 4·9) −80·7% (−95·6 to −27·8)* 0·0 (0·0 to 0·1) −82·8% (−96·0 to −34·3)* 77·6 (15·0 to 283·6) −80·8% (−95·6 to −27·2)* 1·0 (0·2 to 3·8) −82·3% (−96·0 to −33·6)*
Schistosomiasis 8·8 (8·0 to 9·8) −12·3% (−17·6 to −6·4)* 0·1 (0·1 to 0·1) −28·5% (−32·7 to −23·7)* 342·3 (305·3 to 384·3) −15·6% (−21·9 to −8·8)* 4·4 (3·9 to 5·0) −27·4% (−32·9 to −21·4)*
Cysticercosis 0·7 (0·5 to 1·0) −15·9% (−42·7 to 23·3) 0·0 (0·0 to 0·0) −27·3% (−50·5 to 5·3) 39·6 (26·9 to 55·0) −20·5% (−46·9 to 18·2) 0·5 (0·4 to 0·7) −28·9% (−52·5 to 4·8)
Cystic echinococcosis 1·2 (0·9 to 1·5) −30·0% (−52·1 to −1·3)* 0·0 (0·0 to 0·0) −41·9% (−59·8 to −19·0)* 52·0 (38·1 to 68·0) −38·8% (−56·8 to −12·9)* 0·7 (0·5 to 0·9) −46·4% (−62·0 to −24·1)*
Dengue 40·5 (17·6 to 49·8) 65·5% (21·7 to 99·7)* 0·5 (0·2 to 0·7) 40·7% (3·6 to 69·7)* 1902·9 (716·6 to 2312·9) 32·0% (−1·8 to 61·2) 26·1 (9·8 to 31·7) 18·2% (−12·0 to 45·0)
Yellow fever 4·8 (1·0 to 13·8) −16·6% (−28·7 to −2·0)* 0·1 (0·0 to 0·2) −23·3% (−34·4 to −9·6)* 313·9 (67·2 to 900·2) −16·0% (−28·9 to 0·0) 4·3 (0·9 to 12·4) −21·3% (−33·6 to −5·8)*
Rabies 11·7 (9·3 to 14·7) −48·1% (−58·8 to −37·3)* 0·2 (0·1 to 0·2) −54·8% (−63·8 to −45·0)* 633·7 (504·4 to 836·4) −51·5% (−61·3 to −38·9)* 8·6 (6·8 to 11·5) −56·2% (−65·1 to −44·3)*
Intestinal nematode infections 3·2 (2·5 to 4·1) −43·1% (−56·1 to −25·0)* 0·0 (0·0 to 0·1) −47·2% (−59·5 to −30·1)* 257·1 (194·1 to 336·3) −44·1% (−57·6 to −25·0)* 3·8 (2·9 to 5·0) −47·6% (−60·4 to −29·6)*
Ascariasis 3·2 (2·5 to 4·1) −43·1% (−56·1 to −25·0)* 0·0 (0·0 to 0·1) −47·2% (−59·5 to −30·1)* 257·1 (194·1 to 336·3) −44·1% (−57·6 to −25·0)* 3·8 (2·9 to 5·0) −47·6% (−60·4 to −29·6)*
Ebola virus disease 0·0 (0·0 to 0·0) −98·2% (−98·4 to −98·0)* 0·0 (0·0 to 0·0) −98·4% (−98·6 to −98·2)* 0·5 (0·5 to 0·5) −98·1% (−98·3 to −97·9)* 0·0 (0·0 to 0·0) −98·2% (−98·4 to −98·0)*
Zika virus disease 0·0 (0·0 to 0·1) .. 0·0 (0·0 to 0·0) .. 1·0 (0·2 to 3·4) .. 0·0 (0·0 to 0·0) ..
Other neglected tropical diseases 12·6 (8·0 to 36·3) 8·1% (−8·1 to 28·2) 0·2 (0·1 to 0·5) −3·7% (−18·3 to 13·9) 804·3 (442·8 to 2696·6) 3·9% (−16·3 to 29·4) 11·6 (6·3 to 39·6) −3·5% (−22·2 to 20·7)
Other infectious diseases 830·5 (732·2 to 947·8) −25·9% (−32·4 to −18·8)* 11·6 (10·1 to 13·3) −33·8% (−39·3 to −27·4)* 53 008·6 (44 786·0 to 63 000·4) −33·0% (−39·6 to −25·1)* 762·8 (640·5 to 911·5) −37·9% (−44·0 to −30·5)*
Meningitis 288·0 (254·3 to 333·2) −20·1% (−26·0 to −11·0)* 4·0 (3·6 to 4·6) −27·8% (−33·1 to −19·3)* 19 436·9 (16 935·1 to 22 335·8) −25·2% (−31·5 to −15·7)* 280·5 (243·6 to 323·2) −30·2% (−36·3 to −21·4)*
Pneumococcal meningitis 42·1 (36·6 to 49·4) −13·4% (−20·6 to −2·3)* 0·6 (0·5 to 0·7) −22·4% (−28·9 to −12·4)* 2751·8 (2325·8 to 3276·5) −18·5% (−26·8 to −6·5)* 39·6 (33·4 to 47·0) −24·2% (−32·1 to −12·8)*
H influenzae type B meningitis 75·7 (66·7 to 92·0) −33·7% (−39·6 to −26·0)* 1·1 (0·9 to 1·3) −40·6% (−45·8 to −33·9)* 4907·3 (4232·2 to 5813·6) −40·4% (−46·1 to −33·0)* 70·5 (60·6 to 83·9) −44·7% (−50·1 to −37·7)*
Meningococcal infection 30·0 (25·7 to 35·7) −31·5% (−37·4 to −22·8)* 0·4 (0·4 to 0·5) −37·1% (−42·6 to −29·2)* 2180·3 (1819·8 to 2614·5) −34·9% (−41·4 to −26·4)* 31·9 (26·5 to 38·4) −38·8% (−45·0 to −30·5)*
Other meningitis 140·3 (121·4 to 161·8) −8·9% (−15·4 to 1·4) 2·0 (1·7 to 2·3) −17·3% (−23·4 to −7·5)* 9597·5 (8195·6 to 11 118·5) −12·8% (−20·4 to −0·7)* 138·5 (118·3 to 160·5) −18·4% (−25·7 to −7·4)*
Encephalitis 92·4 (83·1 to 107·9) 0·0% (−14·2 to 16·2) 1·2 (1·1 to 1·4) −14·3% (−26·5 to −0·9)* 4588·2 (4059·5 to 5230·7) −12·1% (−28·1 to 4·5) 64·1 (56·6 to 72·4) −20·1% (−35·0 to −5·0)*
Diphtheria 3·6 (2·2 to 6·1) −23·9% (−55·6 to 36·4) 0·1 (0·0 to 0·1) −28·6% (−58·8 to 29·2) 298·7 (181·8 to 510·0) −23·9% (−56·7 to 38·7) 4·4 (2·7 to 7·6) −28·3% (−59·5 to 31·4)
Whooping cough 91·8 (45·9 to 163·2) −23·3% (−54·8 to 35·6) 1·4 (0·7 to 2·4) −27·1% (−57·1 to 28·8) 7879·2 (3938·1 to 14 010·3) −23·3% (−54·8 to 35·4) 117·9 (58·9 to 209·6) −27·1% (−57·0 to 28·8)
Tetanus 38·1 (25·9 to 48·8) −54·9% (−65·9 to −39·1)* 0·5 (0·4 to 0·7) −59·6% (−69·3 to −45·0)* 2447·7 (1734·9 to 3199·0) −59·3% (−69·9 to −43·5)* 35·1 (25·0 to 46·3) −62·1% (−72·1 to −47·0)*
Measles 95·3 (34·5 to 205·2) −57·0% (−61·9 to −51·9)* 1·4 (0·5 to 3·1) −59·3% (−64·0 to −54·4)* 8105·1 (2935·7 to 17 469·0) −56·9% (−61·8 to −51·8)* 120·8 (43·7 to 260·4) −59·2% (−63·9 to −54·3)*
Varicella and herpes zoster 15·6 (14·4 to 17·3) −16·4% (−22·9 to −9·5)* 0·2 (0·2 to 0·2) −29·2% (−34·7 to −23·4)* 833·0 (742·3 to 938·1) −22·5% (−31·4 to −13·2)* 12·1 (10·7 to 13·6) −28·4% (−36·6 to −19·4)*
Acute hepatitis 126·4 (94·5 to 143·7) −9·8% (−15·5 to −2·3)* 1·6 (1·2 to 1·9) −24·5% (−29·2 to −18·4)* 5478·4 (4040·3 to 6330·0) −21·7% (−27·7 to −14·4)* 72·3 (52·9 to 83·9) −31·2% (−36·5 to −24·9)*
Acute hepatitis A 18·6 (13·6 to 23·8) −33·1% (−41·9 to −22·5)* 0·3 (0·2 to 0·3) −38·7% (−46·8 to −28·6)* 1286·7 (935·2 to 1633·7) −36·0% (−45·1 to −24·3)* 18·0 (13·0 to 22·9) −40·7% (−49·1 to −29·0)*
Acute hepatitis B 89·6 (66·1 to 102·5) −0·8% (−8·4 to 8·5) 1·1 (0·8 to 1·3) −19·6% (−25·4 to −12·4)* 3262·4 (2367·8 to 3819·1) −12·2% (−19·7 to −2·7)* 41·8 (30·1 to 49·3) −25·6% (−31·9 to −17·5)*
Acute hepatitis C 3·5 (1·9 to 6·0) −23·7% (−35·9 to −9·4)* 0·0 (0·0 to 0·1) −32·1% (−42·4 to −19·6)* 219·7 (120·1 to 371·3) −31·0% (−43·3 to −15·3)* 3·2 (1·8 to 5·4) −35·5% (−47·2 to −20·7)*
Acute hepatitis E 14·7 (10·4 to 18·5) −15·8% (−27·2 to −3·1)* 0·2 (0·1 to 0·2) −25·8% (−35·3 to −15·6)* 709·6 (489·6 to 903·9) −25·5% (−35·2 to −14·5)* 9·3 (6·4 to 11·8) −31·9% (−40·6 to −22·0)*
Other unspecified infectious diseases 79·3 (59·9 to 85·1) 1·6% (−3·1 to 7·9) 1·1 (0·8 to 1·2) −13·4% (−17·5 to −8·1)* 3941·3 (2831·7 to 4325·8) −10·2% (−16·2 to −2·4)* 55·6 (39·6 to 61·3) −17·9% (−23·6 to −10·6)*
Maternal and neonatal disorders 1977·4 (1890·1 to 2060·6) −24·1% (−26·9 to −21·0)* 29·5 (28·2 to 30·8) −26·6% (−29·3 to −23·5)* 167 684·6 (160 060·7 to 174 918·2) −24·2% (−27·1 to −20·9)* 2518·2 (2403·8 to 2627·1) −26·5% (−29·3 to −23·3)*
Maternal disorders 193·6 (179·9 to 209·6) −24·0% (−28·4 to −19·5)* 2·5 (2·3 to 2·7) −30·7% (−34·8 to −26·6)* 10 993·1 (10 198·9 to 11 928·5) −25·3% (−29·7 to −20·9)* 140·9 (130·8 to 153·0) −31·5% (−35·5 to −27·5)*
Maternal haemorrhage 38·5 (33·2 to 45·2) −52·1% (−59·0 to −44·2)* 0·5 (0·4 to 0·6) −56·4% (−62·7 to −49·3)* 2173·8 (1859·7 to 2552·5) −53·0% (−60·1 to −45·0)* 27·8 (23·8 to 32·7) −57·1% (−63·6 to −49·7)*
Maternal sepsis and other pregnancy-related infections 21·2 (18·2 to 25·0) −27·1% (−38·8 to −15·1)* 0·3 (0·2 to 0·3) −33·5% (−44·2 to −22·6)* 1198·0 (1022·8 to 1420·8) −28·9% (−41·1 to −16·2)* 15·4 (13·1 to 18·3) −34·5% (−45·4 to −22·5)*
Maternal hypertensive disorders 29·4 (25·4 to 34·5) −5·5% (−20·7 to 11·2) 0·4 (0·3 to 0·4) −13·0% (−27·3 to 2·6) 1729·6 (1487·6 to 2033·2) −6·6% (−22·1 to 10·2) 22·3 (19·2 to 26·4) −13·6% (−28·1 to 2·0)
Maternal obstructed labour and uterine rupture 13·0 (10·2 to 16·8) −17·7% (−35·9 to 2·9) 0·2 (0·1 to 0·2) −25·2% (−41·0 to −6·3)* 720·9 (565·5 to 946·4) −18·9% (−37·6 to 1·9) 9·2 (7·2 to 12·1) −25·8% (−42·9 to −6·9)*
Maternal abortive outcome 17·4 (14·7 to 20·8) −7·0% (−22·3 to 10·1) 0·2 (0·2 to 0·3) −15·7% (−29·3 to −0·4)* 963·4 (807·6 to 1161·1) −8·9% (−24·2 to 8·7) 12·3 (10·3 to 14·9) −16·8% (−30·7 to −0·5)*
Ectopic pregnancy 10·2 (7·1 to 15·2) −11·6% (−41·4 to 27·9) 0·1 (0·1 to 0·2) −19·2% (−46·2 to 16·8) 590·6 (409·0 to 881·4) −13·3% (−43·8 to 26·9) 7·6 (5·3 to 11·4) −20·3% (−48·1 to 17·0)
Indirect maternal deaths 34·1 (30·0 to 38·7) −4·1% (−16·7 to 8·5) 0·4 (0·4 to 0·5) −12·5% (−24·0 to −1·0)* 1934·4 (1694·2 to 2216·7) −6·1% (−19·2 to 6·8) 24·8 (21·7 to 28·5) −13·9% (−25·8 to −2·3)*
Late maternal deaths 3·4 (2·6 to 4·3) −0·9% (−7·0 to 5·5) 0·0 (0·0 to 0·1) −9·5% (−14·7 to −4·0)* 194·7 (152·2 to 251·4) −2·0% (−8·2 to 4·1) 2·5 (2·0 to 3·2) −10·1% (−15·4 to −4·5)*
Maternal deaths aggravated by HIV/AIDS 1·6 (1·0 to 2·1) −23·9% (−31·0 to −16·0)* 0·0 (0·0 to 0·0) −32·1% (−38·4 to −25·2)* 84·4 (53·0 to 113·8) −26·7% (−33·6 to −19·2)* 1·1 (0·7 to 1·4) −34·2% (−40·6 to −27·5)*
Other maternal disorders 24·8 (20·8 to 29·8) −8·5% (−24·7 to 11·2) 0·3 (0·3 to 0·4) −16·5% (−31·2 to 1·5) 1403·1 (1159·5 to 1690·3) −9·8% (−26·7 to 10·8) 18·0 (14·9 to 21·7) −17·2% (−32·9 to 1·2)
Neonatal disorders 1783·8 (1698·5 to 1864·7) −24·1% (−27·2 to −20·6)* 27·1 (25·8 to 28·3) −26·2% (−29·1 to −22·7)* 156 691·6 (149 207·2 to 163 802·2) −24·1% (−27·2 to −20·6)* 2377·2 (2263·7 to 2485·1) −26·2% (−29·1 to −22·7)*
Neonatal preterm birth 649·4 (605·4 to 721·3) −26·2% (−31·3 to −21·5)* 9·9 (9·2 to 10·9) −28·1% (−33·2 to −23·6)* 57 052·0 (53 182·3 to 63 367·1) −26·2% (−31·3 to −21·5)* 865·6 (806·9 to 961·5) −28·1% (−33·2 to −23·6)*
Neonatal encephalopathy due to birth asphyxia and trauma 533·3 (476·9 to 580·3) −24·5% (−30·2 to −18·0)* 8·1 (7·2 to 8·8) −26·5% (−32·0 to −20·2)* 46 845·9 (41 894·1 to 50 985·7) −24·5% (−30·2 to −18·0)* 710·8 (635·7 to 773·7) −26·5% (−32·0 to −20·2)*
Neonatal sepsis and other neonatal infections 203·0 (178·7 to 267·1) −11·9% (−20·5 to −1·7)* 3·1 (2·7 to 4·1) −14·4% (−22·7 to −4·4)* 17 830·7 (15 692·9 to 23 459·0) −11·9% (−20·5 to −1·7)* 270·4 (238·0 to 355·8) −14·4% (−22·7 to −4·4)*
Haemolytic disease and other neonatal jaundice 49·1 (42·9 to 55·9) −37·5% (−45·3 to −28·2)* 0·7 (0·7 to 0·8) −39·3% (−46·8 to −30·2)* 4309·1 (3771·2 to 4914·0) −37·5% (−45·3 to −28·2)* 65·4 (57·2 to 74·5) −39·3% (−46·8 to −30·2)*
Other neonatal disorders 349·0 (294·9 to 382·3) −23·6% (−29·8 to −15·5)* 5·3 (4·5 to 5·8) −25·7% (−31·7 to −17·8)* 30 654·0 (25 899·7 to 33 578·7) −23·6% (−29·8 to −15·5)* 465·0 (392·9 to 509·4) −25·7% (−31·7 to −17·8)*
Nutritional deficiencies 270·0 (249·3 to 295·5) −23·9% (−29·2 to −15·7)* 3·8 (3·5 to 4·2) −33·6% (−38·1 to −26·5)* 15 658·0 (14 051·5 to 17 506·6) −34·7% (−40·5 to −26·1)* 228·7 (204·9 to 255·9) −39·4% (−44·8 to −31·4)*
Protein-energy malnutrition 231·8 (212·4 to 254·2) −26·1% (−31·7 to −17·9)* 3·3 (3·0 to 3·7) −34·6% (−39·4 to −27·5)* 14 405·4 (12 873·5 to 16 128·0) −35·1% (−41·1 to −26·7)* 211·8 (189·0 to 237·3) −39·4% (−45·0 to −31·6)*
Other nutritional deficiencies 38·2 (33·7 to 44·6) −7·2% (−14·6 to 3·1) 0·5 (0·4 to 0·6) −25·8% (−31·7 to −17·5)* 1252·7 (1087·5 to 1435·2) −29·2% (−36·9 to −19·7)* 16·9 (14·6 to 19·5) −38·6% (−45·4 to −30·4)*
Non-communicable diseases 41 071·1 (40 470·9 to 41 548·9) 22·7% (21·5 to 23·9)* 536·1 (528·4 to 542·2) −7·9% (−8·8 to −7·0)* 872 601·8 (859 538·6 to 884 787·7) 13·6% (12·2 to 14·9)* 11 097·4 (10 928·6 to 11 253·8) −9·6% (−10·7 to −8·6)*
Neoplasms 9556·2 (9395·7 to 9692·3) 25·4% (23·9 to 27·0)* 121·2 (119·1 to 122·9) −4·4% (−5·6 to −3·3)* 225 738·1 (221 608·8 to 229 322·4) 19·6% (17·8 to 21·4)* 2803·4 (2751·5 to 2848·8) −5·6% (−7·0 to −4·1)*
Lip and oral cavity cancer 193·7 (184·7 to 201·6) 35·6% (29·5 to 40·8)* 2·4 (2·3 to 2·5) 4·0% (−0·6 to 8·0) 5090·6 (4819·5 to 5328·3) 30·5% (23·8 to 36·4)* 62·2 (58·9 to 65·1) 3·0% (−2·3 to 7·6)
Nasopharynx cancer 69·5 (66·9 to 72·3) 24·4% (20·0 to 28·8)* 0·9 (0·8 to 0·9) −3·0% (−6·4 to 0·4) 2034·5 (1954·7 to 2117·4) 18·3% (13·9 to 23·1)* 24·8 (23·8 to 25·8) −5·0% (−8·5 to −1·3)*
Other pharynx cancer 117·4 (102·1 to 124·5) 40·4% (29·7 to 48·4)* 1·4 (1·3 to 1·5) 7·9% (−0·3 to 14·0) 3204·2 (2766·3 to 3405·1) 36·0% (25·4 to 44·2)* 38·9 (33·5 to 41·3) 6·5% (−1·7 to 12·8)
Oesophageal cancer 436·0 (425·0 to 447·6) 13·0% (9·9 to 16·3)* 5·5 (5·3 to 5·6) −14·5% (−16·9 to −12·0)* 9647·5 (9410·7 to 9903·5) 8·9% (5·8 to 12·2)* 118·3 (115·4 to 121·4) −16·2% (−18·6 to −13·7)*
Stomach cancer 865·0 (848·3 to 884·7) 9·4% (7·1 to 12·1)* 11·0 (10·8 to 11·2) −17·1% (−18·8 to −15·1)* 18 782·0 (18 409·7 to 19 207·7) 4·8% (2·4 to 7·4)* 231·6 (227·0 to 236·8) −18·6% (−20·5 to −16·6)*
Colon and rectum cancer 896·0 (876·3 to 915·7) 27·8% (24·0 to 31·3)* 11·5 (11·3 to 11·8) −4·3% (−7·1 to −1·8)* 18 106·7 (17 678·0 to 18 525·0) 23·8% (19·2 to 27·6)* 224·7 (219·4 to 229·9) −4·5% (−8·0 to −1·7)*
Liver cancer 819·4 (789·7 to 855·5) 27·0% (23·0 to 32·9)* 10·2 (9·8 to 10·7) −2·5% (−5·6 to 2·0) 20 536·2 (19 678·7 to 21 551·9) 21·2% (17·0 to 27·4)* 250·7 (240·4 to 263·0) −4·6% (−8·0 to 0·1)
Liver cancer due to hepatitis B 325·4 (304·6 to 348·2) 20·3% (15·3 to 28·2)* 4·0 (3·7 to 4·3) −6·2% (−10·0 to 0·1) 9449·0 (8837·3 to 10 138·6) 14·7% (9·7 to 21·9)* 114·6 (107·3 to 123·0) −8·4% (−12·2 to −2·6)*
Liver cancer due to hepatitis C 234·3 (219·4 to 250·6) 30·4% (26·7 to 35·0)* 3·0 (2·8 to 3·2) −2·1% (−4·9 to 1·4) 4898·4 (4554·0 to 5259·3) 26·9% (23·3 to 31·6)* 60·3 (56·2 to 64·7) −3·0% (−5·8 to 0·5)
Liver cancer due to alcohol use 129·3 (114·5 to 147·3) 31·7% (26·8 to 37·3)* 1·6 (1·4 to 1·8) 0·6% (−3·0 to 4·8) 3040·7 (2647·6 to 3549·8) 27·8% (22·4 to 33·9)* 37·2 (32·5 to 43·3) −0·6% (−4·5 to 3·9)
Liver cancer due to NASH 66·9 (59·6 to 74·5) 42·3% (38·0 to 47·6)* 0·8 (0·8 to 0·9) 7·6% (4·4 to 11·7)* 1443·8 (1288·9 to 1605·9) 37·3% (32·7 to 42·8)* 17·8 (15·9 to 19·7) 6·3% (2·9 to 10·5)*
Liver cancer due to other causes 63·5 (57·4 to 70·6) 28·2% (23·6 to 34·3)* 0·8 (0·7 to 0·9) −0·9% (−4·2 to 3·6) 1704·2 (1528·4 to 1903·8) 21·1% (16·0 to 27·4)* 20·9 (18·8 to 23·3) −3·5% (−7·2 to 1·4)
Gallbladder and biliary tract cancer 174·0 (154·2 to 184·9) 25·0% (21·5 to 28·7)* 2·2 (2·0 to 2·4) −6·7% (−9·4 to −4·0)* 3434·0 (3009·7 to 3660·0) 21·8% (17·8 to 26·3)* 42·6 (37·3 to 45·4) −6·8% (−9·9 to −3·5)*
Pancreatic cancer 441·1 (432·8 to 449·0) 39·9% (36·7 to 42·6)* 5·6 (5·5 to 5·7) 4·8% (2·5 to 6·8)* 8988·1 (8806·6 to 9162·9) 35·8% (32·5 to 38·6)* 111·1 (108·9 to 113·2) 4·0% (1·5 to 6·1)*
Larynx cancer 126·5 (123·4 to 129·9) 21·1% (17·8 to 24·4)* 1·6 (1·5 to 1·6) −7·7% (−10·1 to −5·2)* 3170·0 (3089·7 to 3260·3) 17·3% (13·9 to 20·9)* 38·5 (37·6 to 39·6) −9·1% (−11·7 to −6·4)*
Tracheal, bronchus, and lung cancer 1883·1 (1844·2 to 1922·8) 29·6% (26·5 to 32·5)* 23·7 (23·3 to 24·2) −2·0% (−4·3 to 0·1) 40 391·6 (39 506·7 to 41 285·6) 24·8% (21·7 to 27·6)* 496·4 (485·5 to 507·2) −4·1% (−6·5 to −2·0)*
Malignant skin melanoma 61·7 (47·9 to 70·3) 23·6% (19·0 to 26·9)* 0·8 (0·6 to 0·9) −5·1% (−8·5 to −2·5)* 1513·2 (1220·7 to 1774·4) 16·1% (12·7 to 20·0)* 18·7 (15·1 to 21·9) −7·2% (−9·8 to −3·8)*
Non-melanoma skin cancer 65·1 (63·1 to 66·5) 38·6% (34·9 to 41·2)* 0·8 (0·8 to 0·9) 2·7% (0·0 to 4·5)* 1239·1 (1200·2 to 1266·6) 30·0% (26·2 to 32·7)* 15·5 (15·0 to 15·8) 0·5% (−2·3 to 2·6)
Non-melanoma skin cancer (squamous-cell carcinoma) 65·1 (63·1 to 66·5) 38·6% (34·9 to 41·2)* 0·8 (0·8 to 0·9) 2·7% (0·0 to 4·5)* 1239·1 (1200·2 to 1266·6) 30·0% (26·2 to 32·7)* 15·5 (15·0 to 15·8) 0·5% (−2·3 to 2·6)
Breast cancer 611·6 (589·2 to 640·7) 27·0% (21·3 to 31·2)* 7·6 (7·4 to 8·0) −2·6% (−6·9 to 0·4) 16 400·7 (15 737·0 to 17 320·2) 23·9% (17·3 to 28·7)* 200·2 (192·1 to 211·4) −1·7% (−6·8 to 2·1)
Cervical cancer 259·7 (241·1 to 269·2) 18·8% (12·9 to 22·8)* 3·2 (3·0 to 3·3) −7·2% (−11·7 to −4·0)* 7773·5 (7227·4 to 8087·8) 15·1% (9·4 to 19·1)* 94·6 (88·1 to 98·5) −7·2% (−11·8 to −3·9)*
Uterine cancer 85·2 (83·2 to 87·4) 18·8% (15·8 to 22·5)* 1·1 (1·0 to 1·1) −10·4% (−12·5 to −7·7)* 1930·0 (1879·9 to 1983·0) 14·8% (11·6 to 19·0)* 23·7 (23·1 to 24·3) −11·2% (−13·7 to −8·0)*
Ovarian cancer 176·0 (171·4 to 181·2) 30·3% (26·8 to 33·7)* 2·2 (2·1 to 2·3) −1·0% (−3·6 to 1·6) 4496·9 (4370·7 to 4642·1) 29·1% (24·8 to 33·1)* 54·9 (53·4 to 56·7) 1·1% (−2·2 to 4·2)
Prostate cancer 415·9 (357·3 to 489·5) 32·5% (29·3 to 38·4)* 5·5 (4·7 to 6·5) −2·5% (−4·9 to 1·9) 6214·5 (5324·2 to 7293·0) 28·3% (24·9 to 34·5)* 79·3 (68·1 to 93·0) −3·6% (−6·2 to 1·2)
Testicular cancer 7·7 (7·4 to 8·0) 6·1% (2·3 to 10·9)* 0·1 (0·1 to 0·1) −9·4% (−12·6 to −5·2)* 338·7 (323·8 to 357·4) 0·9% (−3·3 to 6·3) 4·3 (4·1 to 4·5) −10·8% (−14·5 to −6·1)*
Kidney cancer 138·5 (128·7 to 142·5) 30·1% (26·2 to 34·1)* 1·8 (1·6 to 1·8) −1·3% (−4·3 to 1·7) 3143·3 (2952·2 to 3234·1) 23·1% (18·5 to 27·3)* 39·4 (37·0 to 40·5) −3·3% (−6·9 to 0·0)
Bladder cancer 196·5 (191·5 to 205·8) 27·8% (25·1 to 30·4)* 2·6 (2·5 to 2·7) −5·4% (−7·3 to −3·4)* 3350·1 (3257·4 to 3511·6) 22·6% (19·9 to 25·3)* 42·2 (41·0 to 44·1) −6·9% (−8·9 to −4·8)*
Brain and nervous system cancer 247·1 (213·0 to 265·0) 29·2% (23·2 to 33·4)* 3·1 (2·7 to 3·3) 3·8% (−1·0 to 7·0) 8577·8 (7527·0 to 9359·3) 18·4% (11·9 to 24·6)* 109·8 (96·1 to 120·0) 0·0% (−5·6 to 5·3)
Thyroid cancer 41·2 (39·9 to 44·1) 28·9% (24·3 to 33·3)* 0·5 (0·5 to 0·6) −1·2% (−4·5 to 2·0) 1001·2 (963·6 to 1074·0) 22·1% (16·7 to 28·0)* 12·4 (12·0 to 13·4) −2·3% (−6·6 to 2·4)
Mesothelioma 29·9 (29·1 to 30·6) 26·9% (20·1 to 32·6)* 0·4 (0·4 to 0·4) −3·4% (−8·4 to 0·7) 655·7 (635·2 to 677·0) 21·0% (13·8 to 27·3)* 8·1 (7·9 to 8·4) −5·4% (−10·8 to −0·8)*
Hodgkin lymphoma 32·6 (27·6 to 38·1) 0·2% (−3·5 to 3·6) 0·4 (0·4 to 0·5) −16·8% (−19·8 to −14·0)* 1327·6 (1110·1 to 1567·7) −5·2% (−8·6 to −1·8)* 17·1 (14·3 to 20·2) −17·1% (−20·1 to −13·9)*
Non-Hodgkin lymphoma 248·6 (243·5 to 253·1) 29·4% (25·5 to 32·4)* 3·2 (3·1 to 3·2) 0·1% (−2·7 to 2·4) 6828·8 (6611·8 to 7020·0) 22·1% (15·6 to 26·9)* 86·8 (84·0 to 89·5) 0·2% (−5·2 to 4·3)
Multiple myeloma 107·1 (98·5 to 118·9) 32·7% (28·4 to 36·4)* 1·4 (1·3 to 1·5) −0·4% (−3·5 to 2·4) 2234·7 (2091·4 to 2493·2) 30·4% (25·6 to 34·4)* 27·7 (25·9 to 30·8) 0·3% (−3·3 to 3·4)
Leukaemia 347·6 (317·3 to 364·9) 12·8% (9·5 to 15·6)* 4·5 (4·1 to 4·7) −9·6% (−12·2 to −7·4)* 11 712·0 (10 531·4 to 12 523·3) 2·3% (−3·7 to 6·2) 153·4 (137·9 to 164·5) −12·0% (−17·3 to −8·5)*
Acute lymphoid leukaemia 52·2 (46·0 to 56·7) 14·1% (2·6 to 23·2)* 0·7 (0·6 to 0·7) −1·5% (−11·6 to 6·2) 2661·7 (2341·7 to 2941·1) 5·3% (−8·6 to 15·4) 36·1 (31·7 to 40·0) −4·7% (−17·6 to 4·7)
Chronic lymphoid leukaemia 35·2 (33·5 to 36·9) 21·4% (17·7 to 25·0)* 0·5 (0·4 to 0·5) −10·3% (−13·0 to −7·6)* 634·1 (595·7 to 674·2) 18·3% (14·2 to 22·4)* 8·0 (7·5 to 8·5) −9·2% (−12·3 to −6·1)*
Acute myeloid leukaemia 99·9 (91·3 to 104·6) 24·6% (17·1 to 29·8)* 1·3 (1·2 to 1·3) −1·0% (−6·6 to 3·0) 3192·6 (2868·8 to 3405·6) 16·2% (4·4 to 24·6)* 41·3 (37·0 to 44·1) −1·4% (−11·3 to 5·8)
Chronic myeloid leukaemia 24·1 (22·2 to 26·1) 3·3% (0·4 to 6·4)* 0·3 (0·3 to 0·3) −19·9% (−22·2 to −17·6)* 643·3 (583·4 to 699·1) −1·7% (−5·2 to 1·5) 8·0 (7·3 to 8·7) −19·7% (−22·4 to −17·1)*
Other leukaemia 136·2 (121·0 to 146·8) 4·9% (0·9 to 9·7)* 1·8 (1·6 to 1·9) −15·6% (−18·7 to −12·1)* 4580·2 (3955·1 to 5013·3) −8·1% (−14·6 to −1·8)* 60·0 (51·9 to 65·7) −20·8% (−26·5 to −15·4)*
Other malignant cancers 359·5 (331·4 to 370·8) 26·8% (23·3 to 29·5)* 4·6 (4·2 to 4·8) 0·1% (−2·6 to 2·2) 11 189·0 (10 386·5 to 11 664·8) 18·4% (12·8 to 22·8)* 144·4 (133·8 to 150·9) −0·3% (−5·1 to 3·5)
Other neoplasms 102·9 (80·2 to 122·4) 42·0% (35·6 to 51·7)* 1·3 (1·0 to 1·6) 7·4% (2·1 to 15·8)* 2425·8 (2024·4 to 2932·1) 32·9% (25·9 to 42·7)* 31·1 (25·9 to 37·4) 7·9% (2·0 to 16·5)*
Myelodysplastic, myeloproliferative, and other haemopoietic neoplasms 98·8 (76·7 to 118·1) 42·6% (36·2 to 52·2)* 1·3 (1·0 to 1·5) 7·1% (1·8 to 15·3)* 2189·1 (1820·8 to 2665·5) 33·9% (26·6 to 43·3)* 27·9 (23·2 to 33·8) 7·2% (1·2 to 15·6)*
Other benign and in-situ neoplasms 4·1 (3·2 to 4·8) 29·6% (17·2 to 44·5)* 0·1 (0·0 to 0·1) 15·5% (4·1 to 29·2)* 236·8 (186·4 to 277·7) 25·0% (12·7 to 38·6)* 3·2 (2·5 to 3·7) 14·3% (3·0 to 27·0)*
Cardiovascular diseases 17 790·9 (17 527·1 to 18 042·7) 21·1% (19·7 to 22·6)* 233·1 (229·7 to 236·4) −10·3% (−11·4 to −9·3)* 330 172·6 (324 899·3 to 335 159·9) 14·7% (13·3 to 16·2)* 4148·0 (4082·0 to 4210·8) −11·3% (−12·4 to −10·1)*
Rheumatic heart disease 285·5 (266·2 to 303·3) 1·3% (−3·9 to 6·0) 3·7 (3·4 to 3·9) −21·3% (−25·2 to −17·8)* 7492·6 (6926·7 to 8046·7) −10·2% (−15·4 to −6·2)* 94·5 (87·5 to 101·4) −25·9% (−30·0 to −22·7)*
Ischaemic heart disease 8930·4 (8790·7 to 9138·7) 22·3% (20·6 to 23·8)* 116·9 (115·1 to 119·7) −9·7% (−11·0 to −8·7)* 164 983·4 (162 168·9 to 168 584·2) 17·3% (15·4 to 19·0)* 2065·9 (2030·6 to 2111·7) −9·8% (−11·2 to −8·5)*
Stroke 6167·3 (6044·3 to 6327·6) 16·6% (14·7 to 18·6)* 80·5 (78·9 to 82·6) −13·6% (−15·0 to −12·1)* 113 355·9 (110 957·8 to 116 180·6) 12·1% (9·9 to 14·1)* 1422·2 (1392·0 to 1457·7) −13·8% (−15·5 to −12·3)*
Ischaemic stroke 2747·4 (2657·1 to 2857·6) 21·2% (19·0 to 23·3)* 36·6 (35·5 to 38·0) −11·8% (−13·4 to −10·3)* 40 834·1 (39 133·3 to 43 140·9) 16·9% (14·3 to 19·3)* 521·8 (500·5 to 550·2) −12·0% (−13·9 to −10·3)*
Intracerebral haemorrhage 2974·9 (2880·8 to 3072·8) 12·5% (9·6 to 15·1)* 38·2 (37·0 to 39·4) −15·7% (−17·8 to −13·8)* 61 562·6 (59 598·2 to 63 531·4) 9·3% (6·5 to 11·8)* 764·1 (739·7 to 788·4) −15·4% (−17·6 to −13·5)*
Subarachnoid haemorrhage 445·0 (417·2 to 492·3) 18·4% (13·4 to 24·6)* 5·7 (5·3 to 6·3) −9·4% (−13·1 to −4·9)* 10 959·3 (10 294·3 to 12 264·1) 10·7% (6·8 to 16·5)* 136·4 (128·2 to 152·5) −11·4% (−14·5 to −7·0)*
Hypertensive heart disease 925·7 (681·4 to 994·9) 46·6% (26·3 to 59·3)* 12·3 (9·0 to 13·2) 7·5% (−7·3 to 16·3) 15 135·2 (11 349·8 to 16 311·7) 35·7% (19·1 to 47·9)* 191·5 (143·3 to 206·2) 3·8% (−8·8 to 12·9)
Non-rheumatic valvular heart disease 144·9 (121·8 to 150·4) 31·8% (27·7 to 34·7)* 2·0 (1·6 to 2·0) −5·3% (−7·9 to −3·2)* 2168·4 (1980·3 to 2322·7) 21·8% (18·6 to 25·0)* 27·9 (25·4 to 29·6) −6·2% (−8·5 to −3·8)*
Non-rheumatic calcific aortic valve disease 102·7 (82·7 to 108·0) 40·0% (33·0 to 44·9)* 1·4 (1·1 to 1·5) −1·0% (−5·6 to 2·2) 1345·1 (1185·5 to 1432·5) 30·4% (25·1 to 35·3)* 17·5 (15·3 to 18·6) −1·7% (−5·3 to 1·6)
Non-rheumatic degenerative mitral valve disease 35·7 (30·5 to 42·5) 16·4% (11·0 to 23·4)* 0·5 (0·4 to 0·6) −14·0% (−18·1 to −8·6)* 683·6 (592·6 to 787·0) 10·3% (4·9 to 16·2)* 8·7 (7·5 to 10·0) −13·0% (−16·9 to −8·3)*
Other non-rheumatic valve diseases 6·4 (4·9 to 8·7) 9·7% (−4·1 to 42·2) 0·1 (0·1 to 0·1) −17·8% (−28·5 to 8·0) 139·7 (105·8 to 187·5) 8·1% (−2·4 to 27·6) 1·8 (1·4 to 2·4) −12·4% (−21·3 to 4·7)
Cardiomyopathy and myocarditis 368·5 (341·9 to 386·9) 8·1% (3·8 to 18·2)* 4·8 (4·5 to 5·0) −16·6% (−19·8 to −9·4)* 9623·3 (8867·5 to 10 208·8) −5·1% (−9·6 to 5·5) 122·4 (113·0 to 129·7) −21·5% (−25·1 to −13·0)*
Myocarditis 46·5 (39·7 to 51·8) 14·4% (5·6 to 29·7)* 0·6 (0·5 to 0·7) −13·3% (−20·4 to −0·1)* 1259·3 (1100·1 to 1415·5) −0·3% (−6·9 to 7·6) 16·6 (14·5 to 18·5) −15·2% (−21·1 to −7·7)*
Alcoholic cardiomyopathy 88·9 (80·9 to 96·3) −25·3% (−29·5 to −8·3)* 1·1 (1·0 to 1·2) −40·5% (−43·7 to −27·6)* 2849·2 (2599·0 to 3073·1) −30·7% (−34·7 to −12·1)* 34·7 (31·7 to 37·5) −43·2% (−46·5 to −28·2)*
Other cardiomyopathy 233·2 (213·7 to 248·3) 28·5% (24·5 to 32·4)* 3·1 (2·8 to 3·3) −3·6% (−6·7 to −0·7)* 5514·8 (4946·7 to 5992·9) 15·7% (10·9 to 19·9)* 71·1 (64·0 to 77·0) −5·4% (−9·3 to −2·0)*
Atrial fibrillation and flutter 287·2 (276·4 to 304·8) 47·8% (45·4 to 50·6)* 4·0 (3·9 to 4·2) 2·6% (0·9 to 4·6)* 3054·5 (2923·0 to 3235·4) 40·5% (37·9 to 43·4)* 40·6 (38·9 to 43·1) 2·2% (0·3 to 4·2)*
Aortic aneurysm 167·2 (159·8 to 174·1) 23·7% (19·9 to 27·6)* 2·2 (2·1 to 2·3) −8·5% (−11·2 to −5·8)* 3039·9 (2877·2 to 3186·4) 19·0% (14·5 to 23·6)* 38·2 (36·2 to 40·0) −8·5% (−11·9 to −5·1)*
Peripheral vascular disease 70·2 (43·2 to 123·3) 55·7% (31·0 to 74·2)* 1·0 (0·6 to 1·7) 10·5% (−6·8 to 24·1) 916·9 (576·9 to 1540·0) 48·3% (25·0 to 65·6)* 11·8 (7·4 to 20·0) 9·7% (−7·5 to 22·6)
Endocarditis 83·4 (74·3 to 94·3) 32·2% (25·2 to 36·8)* 1·1 (1·0 to 1·2) 1·0% (−4·0 to 5·0) 2174·5 (2033·2 to 2373·0) 16·9% (8·9 to 22·2)* 28·3 (26·4 to 30·9) −2·3% (−8·8 to 2·1)
Other cardiovascular and circulatory diseases 360·7 (338·1 to 392·9) 21·9% (17·9 to 24·8)* 4·7 (4·4 to 5·1) −7·9% (−10·9 to −5·9)* 8228·0 (7681·4 to 9061·9) 12·6% (9·5 to 15·7)* 104·7 (97·8 to 115·2) −9·4% (−12·0 to −7·1)*
Chronic respiratory diseases 3914·2 (3790·6 to 4044·8) 15·8% (12·7 to 19·3)* 51·4 (49·7 to 53·1) −14·2% (−16·5 to −11·5)* 68 004·9 (65 869·4 to 70 592·2) 9·7% (7·0 to 13·2)* 861·9 (835·4 to 895·0) −15·7% (−17·7 to −13·0)*
Chronic obstructive pulmonary disease 3197·8 (3029·0 to 3358·9) 17·5% (13·3 to 21·1)* 42·2 (40·0 to 44·2) −13·6% (−16·5 to −11·0)* 50 990·0 (47 678·7 to 54 146·9) 13·2% (8·8 to 16·9)* 647·3 (605·9 to 686·4) −14·3% (−17·5 to −11·6)*
Pneumoconiosis 21·6 (20·5 to 22·7) 10·7% (5·1 to 16·6)* 0·3 (0·3 to 0·3) −16·7% (−20·8 to −12·4)* 426·9 (403·6 to 452·9) 7·9% (1·8 to 14·6)* 5·3 (5·0 to 5·6) −16·4% (−21·1 to −11·3)*
Silicosis 11·3 (10·4 to 12·5) 12·0% (1·2 to 22·8)* 0·1 (0·1 to 0·2) −15·5% (−23·6 to −7·4)* 235·7 (210·3 to 258·2) 11·8% (−0·7 to 23·6) 2·9 (2·6 to 3·2) −13·4% (−23·1 to −4·3)*
Asbestosis 3·4 (2·3 to 3·9) 23·3% (15·1 to 33·9)* 0·0 (0·0 to 0·1) −8·3% (−14·1 to −0·4)* 54·6 (38·6 to 65·6) 15·6% (7·4 to 28·5)* 0·7 (0·5 to 0·8) −11·4% (−17·5 to −1·3)*
Coal worker pneumoconiosis 3·2 (2·9 to 4·0) −2·2% (−12·0 to 11·7) 0·0 (0·0 to 0·1) −26·6% (−33·8 to −16·7)* 58·9 (52·2 to 76·4) −6·4% (−16·3 to 8·3) 0·7 (0·7 to 1·0) −27·9% (−35·4 to −16·9)*
Other pneumoconiosis 3·6 (3·1 to 4·5) 8·9% (0·0 to 25·4)* 0·0 (0·0 to 0·1) −17·5% (−24·1 to −5·0)* 77·6 (66·1 to 96·4) 4·2% (−3·8 to 19·5) 1·0 (0·8 to 1·2) −18·3% (−24·7 to −5·9)*
Asthma 495·1 (338·2 to 641·2) −0·7% (−6·2 to 8·1) 6·3 (4·3 to 8·2) −23·9% (−28·1 to −17·2)* 12 139·9 (8538·5 to 15 576·3) −7·5% (−11·4 to −1·6)* 152·8 (108·3 to 195·8) −25·8% (−28·9 to −20·4)*
Interstitial lung disease and pulmonary sarcoidosis 147·6 (114·9 to 181·3) 49·8% (39·0 to 58·6)* 1·9 (1·5 to 2·4) 11·4% (4·0 to 17·9)* 2716·7 (2156·9 to 3371·3) 43·0% (32·1 to 53·4)* 34·2 (27·1 to 42·4) 10·4% (2·3 to 18·6)*
Other chronic respiratory diseases 52·1 (45·9 to 59·6) 21·3% (14·1 to 34·2)* 0·7 (0·6 to 0·8) −3·2% (−8·7 to 6·7) 1731·4 (1504·5 to 1998·9) 10·8% (3·2 to 24·3)* 22·1 (19·3 to 25·5) −6·3% (−12·6 to 5·3)
Digestive diseases 2377·7 (2295·1 to 2518·0) 15·3% (12·1 to 19·7)* 30·3 (29·2 to 32·1) −10·7% (−13·1 to −7·3)* 65 348·4 (62 343·9 to 69 371·3) 7·5% (4·2 to 11·9)* 819·8 (781·7 to 869·7) −12·2% (−14·9 to −8·5)*
Cirrhosis and other chronic liver diseases 1322·9 (1268·2 to 1449·1) 15·0% (8·7 to 21·5)* 16·5 (15·8 to 18·1) −9·7% (−14·7 to −4·6)* 39 652·4 (37 985·2 to 43 624·9) 8·9% (3·4 to 14·4)* 488·9 (468·0 to 537·5) −11·3% (−15·8 to −6·9)*
Cirrhosis and other chronic liver diseases due to hepatitis B 384·0 (349·1 to 441·7) 8·6% (1·1 to 17·3)* 4·8 (4·3 to 5·5) −14·3% (−20·2 to −7·3)* 11 721·5 (10 648·0 to 13 431·7) 3·4% (−3·3 to 10·7) 144·1 (130·8 to 165·3) −15·5% (−20·9 to −9·5)*
Cirrhosis and other chronic liver diseases due to hepatitis C 342·2 (312·6 to 381·1) 17·4% (11·3 to 23·0)* 4·2 (3·9 to 4·7) −8·4% (−13·0 to −3·9)* 9980·1 (9074·7 to 11 116·9) 12·2% (6·8 to 17·3)* 121·9 (111·0 to 135·8) −9·6% (−13·9 to −5·5)*
Cirrhosis and other chronic liver diseases due to alcohol use 332·3 (303·0 to 373·3) 16·9% (11·2 to 23·7)* 4·1 (3·7 to 4·6) −8·8% (−13·2 to −3·4)* 9785·4 (8919·3 to 10 962·1) 12·3% (7·1 to 18·3)* 119·0 (108·6 to 133·5) −10·0% (−14·2 to −5·2)*
Cirrhosis due to NASH 118·0 (108·6 to 128·6) 27·6% (21·2 to 33·3)* 1·5 (1·3 to 1·6) −1·4% (−6·3 to 3·1) 3285·5 (3011·9 to 3586·8) 22·2% (16·6 to 27·2)* 40·0 (36·6 to 43·6) −3·0% (−7·4 to 1·0)
Cirrhosis and other chronic liver diseases due to other causes 146·4 (130·9 to 164·6) 14·2% (8·2 to 20·2)* 1·9 (1·7 to 2·1) −8·6% (−13·4 to −3·8)* 4880·0 (4392·5 to 5457·1) 2·1% (−4·3 to 10·7) 63·9 (57·5 to 71·4) −12·0% (−17·5 to −4·5)*
Upper digestive system diseases 292·1 (279·7 to 312·3) 2·9% (−1·3 to 8·6) 3·8 (3·6 to 4·0) −21·6% (−24·8 to −17·3)* 6789·9 (6413·1 to 7259·0) −4·5% (−9·5 to 1·8) 85·2 (80·4 to 91·2) −23·3% (−27·3 to −18·4)*
Peptic ulcer disease 240·3 (229·4 to 258·8) 0·6% (−3·6 to 5·6) 3·1 (3·0 to 3·3) −23·5% (−26·6 to −19·7)* 5513·3 (5202·4 to 5947·8) −6·8% (−11·4 to −1·5)* 69·1 (65·1 to 74·7) −25·4% (−29·0 to −21·0)*
Gastritis and duodenitis 51·8 (43·0 to 56·9) 15·5% (7·5 to 28·9)* 0·7 (0·6 to 0·7) −11·7% (−17·6 to −2·2)* 1276·6 (1047·1 to 1419·7) 6·8% (−3·1 to 22·4) 16·1 (13·2 to 17·9) −13·2% (−21·1 to −1·3)*
Appendicitis 43·9 (40·2 to 47·5) 1·8% (−4·0 to 9·6) 0·6 (0·5 to 0·6) −17·0% (−21·5 to −10·7)* 1633·2 (1473·2 to 1772·7) −8·7% (−16·7 to 0·6) 21·4 (19·3 to 23·3) −20·1% (−27·2 to −12·1)*
Paralytic ileus and intestinal obstruction 240·5 (198·7 to 261·6) 21·1% (14·4 to 29·0)* 3·2 (2·7 to 3·5) −5·8% (−11·0 to 0·3) 7245·9 (5866·8 to 7980·6) 6·5% (−3·1 to 15·5) 97·0 (78·9 to 106·8) −8·7% (−16·8 to −0·8)*
Inguinal, femoral, and abdominal hernia 44·2 (38·6 to 50·0) 21·7% (16·2 to 28·4)* 0·6 (0·5 to 0·7) −8·9% (−12·9 to −4·2)* 914·3 (792·8 to 1021·9) 12·1% (4·5 to 20·4)* 11·7 (10·1 to 13·1) −10·6% (−16·5 to −3·9)*
Inflammatory bowel disease 38·6 (31·6 to 41·2) 20·4% (11·5 to 27·2)* 0·5 (0·4 to 0·5) −10·5% (−16·0 to −5·9)* 829·7 (711·4 to 900·7) 10·3% (−2·7 to 19·5) 10·7 (9·1 to 11·7) −11·3% (−20·7 to −4·5)*
Vascular intestinal disorders 96·1 (89·0 to 100·8) 22·6% (17·0 to 28·1)* 1·3 (1·2 to 1·3) −10·2% (−14·2 to −6·2)* 1570·1 (1433·3 to 1667·3) 17·6% (10·7 to 24·8)* 20·0 (18·3 to 21·3) −10·0% (−15·3 to −5·0)*
Gallbladder and biliary diseases 110·5 (105·5 to 116·6) 28·8% (25·3 to 33·8)* 1·5 (1·4 to 1·6) −5·0% (−7·5 to −1·7)* 1983·2 (1863·2 to 2092·0) 18·5% (13·4 to 25·3)* 25·4 (23·8 to 26·8) −6·9% (−10·9 to −1·8)*
Pancreatitis 101·6 (89·5 to 108·3) 20·6% (16·4 to 25·7)* 1·3 (1·1 to 1·4) −5·7% (−9·0 to −1·7)* 2890·0 (2537·1 to 3102·9) 13·8% (8·7 to 19·5)* 35·8 (31·4 to 38·4) −6·8% (−10·9 to −2·1)*
Other digestive diseases 87·3 (81·9 to 93·3) 25·4% (18·1 to 32·3)* 1·2 (1·1 to 1·2) −7·1% (−12·1 to −2·4)* 1839·7 (1663·9 to 2038·5) 16·4% (5·8 to 27·4)* 23·7 (21·5 to 26·3) −6·5% (−14·9 to 1·8)
Neurological disorders 3094·2 (3039·6 to 3142·6) 42·1% (40·2 to 43·9)* 43·1 (42·3 to 43·7) 0·1% (−1·2 to 1·3) 38 004·5 (37 134·8 to 39 174·6) 26·2% (23·9 to 30·2)* 507·6 (496·1 to 523·4) −3·1% (−4·8 to −0·1)*
Alzheimer's disease and other dementias 2514·6 (2470·5 to 2550·3) 46·2% (43·9 to 48·0)* 35·4 (34·8 to 35·9) 0·6% (−0·9 to 1·8) 23 951·1 (23 523·6 to 24 326·8) 38·6% (35·7 to 40·9)* 323·7 (317·9 to 328·7) −0·3% (−2·3 to 1·2)
Parkinson's disease 340·6 (324·4 to 355·1) 38·3% (33·3 to 41·4)* 4·6 (4·4 to 4·8) 0·8% (−2·8 to 3·0) 4361·2 (4182·8 to 4578·7) 33·8% (28·5 to 37·0)* 56·9 (54·5 to 59·8) 0·3% (−3·6 to 2·6)
Epilepsy 130·2 (117·0 to 150·8) 3·8% (−1·6 to 15·7) 1·7 (1·5 to 2·0) −10·7% (−15·4 to −0·5)* 6232·1 (5709·8 to 7289·7) −5·5% (−11·6 to 8·3) 82·6 (75·5 to 96·6) −14·9% (−20·6 to −2·1)*
Multiple sclerosis 20·7 (17·7 to 22·2) 22·4% (8·0 to 27·8)* 0·3 (0·2 to 0·3) −3·9% (−14·5 to 0·4) 628·2 (563·0 to 682·4) 17·1% (4·1 to 24·5)* 7·7 (6·9 to 8·3) −5·5% (−15·1 to 0·6)
Motor neuron disease 34·1 (32·8 to 37·1) 32·7% (28·0 to 37·0)* 0·4 (0·4 to 0·5) 1·2% (−2·4 to 4·5) 828·1 (796·7 to 917·1) 27·2% (22·6 to 31·3)* 10·3 (9·9 to 11·4) 0·1% (−3·5 to 3·3)
Other neurological disorders 53·9 (51·6 to 59·0) 25·4% (17·8 to 32·3)* 0·7 (0·7 to 0·8) 2·0% (−3·9 to 6·8) 2003·8 (1856·8 to 2269·5) 11·4% (3·6 to 21·1)* 26·5 (24·3 to 30·1) −2·8% (−9·3 to 5·1)
Mental disorders 0·3 (0·3 to 0·4) 19·9% (10·0 to 29·2)* 0·0 (0·0 to 0·0) 7·5% (−1·4 to 15·9) 17·5 (15·9 to 19·2) 18·5% (8·8 to 27·5)* 0·2 (0·2 to 0·2) 7·2% (−1·6 to 15·3)
Eating disorders 0·3 (0·3 to 0·4) 19·9% (10·0 to 29·2)* 0·0 (0·0 to 0·0) 7·5% (−1·4 to 15·9) 17·5 (15·9 to 19·2) 18·5% (8·8 to 27·5)* 0·2 (0·2 to 0·2) 7·2% (−1·6 to 15·3)
Anorexia nervosa 0·2 (0·2 to 0·3) 17·6% (7·0 to 27·6)* 0·0 (0·0 to 0·0) 5·5% (−4·1 to 14·4) 12·7 (10·9 to 14·1) 15·9% (5·6 to 25·6)* 0·2 (0·1 to 0·2) 5·0% (−4·4 to 13·7)
Bulimia nervosa 0·1 (0·1 to 0·1) 26·4% (12·9 to 40·5)* 0·0 (0·0 to 0·0) 13·5% (1·0 to 26·2)* 4·8 (4·0 to 6·7) 25·9% (12·0 to 40·0)* 0·1 (0·1 to 0·1) 13·6% (1·1 to 26·3)*
Substance use disorders 351·5 (334·1 to 362·7) 23·8% (20·2 to 27·3)* 4·3 (4·1 to 4·5) 2·0% (−1·0 to 5·0) 13 597·6 (12 979·5 to 14 033·3) 18·8% (15·3 to 22·4)* 168·0 (160·4 to 173·3) 0·8% (−2·2 to 3·9)
Alcohol use disorders 184·9 (166·7 to 193·0) 2·7% (−2·2 to 7·7) 2·3 (2·0 to 2·4) −16·5% (−20·4 to −12·4)* 6750·4 (6113·2 to 7082·7) −2·1% (−7·2 to 3·3) 82·4 (74·7 to 86·5) −18·4% (−22·7 to −13·9)*
Drug use disorders 166·6 (163·4 to 170·3) 60·2% (56·9 to 63·6)* 2·1 (2·0 to 2·1) 34·1% (31·4 to 36·9)* 6847·2 (6704·5 to 7004·4) 50·4% (47·0 to 54·0)* 85·5 (83·7 to 87·5) 30·5% (27·6 to 33·5)*
Opioid use disorders 109·5 (105·7 to 113·6) 77·0% (68·8 to 88·5)* 1·4 (1·3 to 1·4) 49·4% (42·5 to 59·2)* 4641·2 (4480·6 to 4818·9) 65·0% (57·3 to 75·0)* 58·0 (56·1 to 60·3) 43·9% (37·1 to 52·6)*
Cocaine use disorders 7·3 (6·6 to 8·1) 42·2% (30·1 to 58·3)* 0·1 (0·1 to 0·1) 19·6% (9·2 to 33·0)* 311·5 (281·5 to 344·1) 35·6% (24·0 to 51·2)* 3·9 (3·5 to 4·3) 16·7% (6·5 to 30·0)*
Amphetamine use disorders 4·5 (3·3 to 5·0) 27·2% (0·8 to 41·0)* 0·1 (0·0 to 0·1) 8·7% (−14·0 to 20·7) 206·9 (151·6 to 227·8) 21·0% (−3·6 to 34·4) 2·6 (1·9 to 2·8) 5·6% (−15·5 to 17·4)
Other drug use disorders 45·3 (42·9 to 48·2) 35·2% (22·8 to 46·1)* 0·6 (0·5 to 0·6) 11·3% (1·2 to 19·9)* 1687·6 (1589·4 to 1805·9) 25·9% (14·0 to 37·3)* 21·0 (19·8 to 22·5) 8·2% (−2·0 to 17·8)
Diabetes and kidney diseases 2611·2 (2557·8 to 2667·2) 34·2% (32·0 to 36·2)* 33·6 (32·9 to 34·3) 1·3% (−0·3 to 2·7) 58 116·9 (56 801·5 to 59 525·7) 25·1% (23·0 to 27·2)* 726·4 (710·0 to 744·4) −1·1% (−2·8 to 0·6)
Diabetes mellitus 1369·8 (1340·3 to 1401·9) 34·7% (32·2 to 37·3)* 17·5 (17·1 to 17·9) 1·2% (−0·7 to 3·1) 29 300·2 (28 711·5 to 29 950·1) 29·9% (27·2 to 32·4)* 363·1 (355·7 to 371·2) 0·7% (−1·4 to 2·6)
Type 1 diabetes mellitus 345·5 (319·3 to 371·1) 15·1% (10·5 to 19·0)* 4·3 (4·0 to 4·7) −11·0% (−14·6 to −7·8)* 9477·3 (8944·6 to 10 079·9) 11·1% (7·2 to 14·3)* 117·3 (110·8 to 124·6) −10·6% (−13·9 to −7·9)*
Type 2 diabetes mellitus 1024·3 (985·5 to 1066·8) 43·0% (40·4 to 45·8)* 13·2 (12·7 to 13·7) 5·9% (4·1 to 8·0)* 19 822·9 (19 013·8 to 20 687·8) 41·3% (38·3 to 44·4)* 245·8 (235·8 to 256·5) 7·1% (5·0 to 9·4)*
Chronic kidney disease 1230·2 (1195·1 to 1258·8) 33·7% (30·5 to 36·1)* 15·9 (15·5 to 16·3) 1·5% (−0·9 to 3·2) 28 508·5 (27 610·2 to 29 314·0) 21·0% (18·2 to 23·5)* 359·4 (348·2 to 369·6) −2·5% (−4·7 to −0·6)*
Chronic kidney disease due to type 1 diabetes mellitus 77·3 (62·4 to 95·2) 23·2% (19·0 to 27·4)* 0·9 (0·8 to 1·2) −1·2% (−4·0 to 1·2) 2622·0 (2121·7 to 3205·5) 17·8% (13·6 to 22·3)* 31·9 (25·9 to 38·9) −2·9% (−5·6 to −0·3)*
Chronic kidney disease due to type 2 diabetes mellitus 349·0 (306·8 to 395·9) 40·5% (36·4 to 43·6)* 4·5 (4·0 to 5·1) 4·2% (1·4 to 6·2)* 6671·9 (5825·5 to 7625·9) 35·4% (31·0 to 38·7)* 82·8 (72·4 to 94·5) 2·9% (−0·2 to 5·2)
Chronic kidney disease due to hypertension 347·4 (304·6 to 391·5) 41·4% (37·4 to 44·2)* 4·6 (4·0 to 5·2) 3·2% (0·4 to 5·2)* 5954·8 (5175·1 to 6741·9) 33·4% (29·3 to 36·5)* 75·2 (65·4 to 84·9) 2·3% (−0·7 to 4·5)
Chronic kidney disease due to glomerulonephritis 189·7 (165·2 to 217·3) 25·5% (22·1 to 28·8)* 2·4 (2·1 to 2·8) −1·3% (−3·2 to 0·7) 5554·9 (4929·1 to 6250·8) 12·7% (9·6 to 16·1)* 70·6 (62·8 to 79·4) −5·5% (−7·5 to −3·3)*
Chronic kidney disease due to other and unspecified causes 266·8 (232·8 to 304·0) 25·9% (22·4 to 29·4)* 3·4 (3·0 to 3·9) −1·4% (−3·7 to 0·6) 7704·8 (6794·9 to 8614·8) 10·0% (6·8 to 13·4)* 98·9 (87·4 to 110·0) −7·7% (−9·9 to −5·4)*
Acute glomerulonephritis 11·2 (10·5 to 12·1) 14·7% (8·7 to 22·3)* 0·1 (0·1 to 0·2) −9·5% (−14·5 to −3·5)* 308·2 (282·4 to 336·8) −5·5% (−10·4 to 2·2) 3·9 (3·6 to 4·3) −20·9% (−25·1 to −15·1)*
Skin and subcutaneous diseases 100·3 (65·3 to 131·7) 42·3% (34·9 to 52·0)* 1·3 (0·9 to 1·7) 8·1% (2·7 to 16·5)* 2517·9 (1703·3 to 3283·8) 26·1% (18·6 to 35·7)* 33·1 (22·4 to 43·2) 5·0% (−1·2 to 13·8)
Bacterial skin diseases 76·0 (48·7 to 95·6) 45·5% (36·8 to 54·9)* 1·0 (0·6 to 1·3) 12·7% (6·0 to 20·7)* 2096·6 (1378·0 to 2691·9) 26·4% (18·0 to 36·9)* 27·6 (18·2 to 35·6) 6·4% (−0·6 to 15·9)
Cellulitis 18·9 (10·3 to 26·0) 57·0% (45·8 to 67·1)* 0·2 (0·1 to 0·3) 19·6% (9·8 to 28·2)* 480·1 (264·6 to 640·2) 38·3% (30·8 to 50·4)* 6·2 (3·4 to 8·3) 13·7% (7·3 to 23·9)*
Pyoderma 57·1 (35·8 to 70·8) 42·1% (32·4 to 52·4)* 0·8 (0·5 to 0·9) 10·5% (3·2 to 19·0)* 1616·4 (1051·6 to 2136·7) 23·3% (14·3 to 35·0)* 21·5 (14·1 to 28·8) 4·5% (−3·2 to 15·0)
Decubitus ulcer 20·3 (13·2 to 30·6) 32·4% (22·9 to 51·0)* 0·3 (0·2 to 0·4) −5·1% (−12·2 to 9·2) 321·7 (211·2 to 471·5) 26·2% (17·9 to 42·5)* 4·2 (2·7 to 6·1) −2·3% (−8·8 to 11·5)
Other skin and subcutaneous diseases 3·9 (2·6 to 7·2) 35·8% (26·6 to 49·6)* 0·1 (0·0 to 0·1) 3·3% (−3·5 to 14·4) 99·6 (69·4 to 165·8) 19·1% (10·8 to 34·1)* 1·3 (0·9 to 2·2) 0·7% (−6·1 to 13·1)
Musculoskeletal disorders 121·3 (105·6 to 126·2) 30·9% (25·1 to 35·1)* 1·6 (1·4 to 1·6) −0·1% (−4·4 to 3·2) 2842·7 (2440·7 to 2953·1) 19·6% (13·7 to 23·2)* 35·9 (30·8 to 37·3) −2·5% (−7·1 to 0·4)
Rheumatoid arthritis 47·3 (39·0 to 51·2) 25·8% (16·2 to 31·9)* 0·6 (0·5 to 0·7) −5·9% (−12·9 to −1·2)* 866·0 (707·8 to 941·4) 17·9% (8·6 to 23·3)* 10·9 (8·9 to 11·8) −9·1% (−16·1 to −5·0)*
Other musculoskeletal disorders 74·0 (66·1 to 78·7) 34·4% (30·2 to 38·8)* 1·0 (0·9 to 1·0) 3·9% (0·9 to 7·5)* 1976·6 (1730·3 to 2089·1) 20·3% (15·6 to 24·0)* 25·0 (21·9 to 26·4) 0·8% (−3·0 to 3·8)
Other non-communicable diseases 1153·3 (1101·8 to 1208·3) 0·8% (−3·9 to 4·0) 16·3 (15·5 to 17·1) −11·2% (−15·3 to −8·5)* 68 240·8 (64 835·4 to 72 452·1) −10·6% (−15·8 to −6·9)* 993·0 (941·3 to 1054·3) −16·4% (−21·3 to −12·8)*
Congenital anomalies 584·9 (556·3 to 618·3) −14·3% (−21·1 to −10·1)* 8·7 (8·2 to 9·2) −18·2% (−24·7 to −14·1)* 48 860·4 (46 405·7 to 51 687·3) −15·3% (−22·0 to −11·0)* 729·4 (692·5 to 771·7) −18·8% (−25·2 to −14·6)*
Neural tube defects 61·7 (46·7 to 83·7) −13·1% (−24·5 to −1·0)* 0·9 (0·7 to 1·3) −16·5% (−27·6 to −4·8)* 5317·5 (4017·1 to 7217·5) −13·4% (−24·8 to −1·4)* 80·0 (60·4 to 108·6) −16·7% (−27·7 to −5·0)*
Congenital heart anomalies 261·2 (216·6 to 308·2) −17·9% (−24·6 to −9·8)* 3·9 (3·2 to 4·6) −21·8% (−28·1 to −14·1)* 21 634·4 (17 770·6 to 25 604·8) −18·9% (−25·5 to −10·8)* 321·7 (263·6 to 381·4) −22·4% (−28·7 to −14·6)*
Orofacial clefts 3·8 (1·5 to 8·8) −40·0% (−54·5 to −22·5)* 0·1 (0·0 to 0·1) −41·9% (−55·9 to −25·1)* 331·3 (130·1 to 770·5) −40·0% (−54·5 to −22·7)* 5·0 (2·0 to 11·7) −41·9% (−56·0 to −25·2)*
Down syndrome 26·1 (21·3 to 35·1) 3·1% (−7·4 to 17·4) 0·4 (0·3 to 0·5) −5·2% (−14·2 to 7·0) 1906·1 (1481·7 to 2707·9) −1·4% (−11·5 to 13·9) 27·7 (21·3 to 39·8) −7·3% (−16·7 to 7·1)
Other chromosomal abnormalities 17·9 (12·0 to 26·3) 4·6% (−6·3 to 18·2) 0·3 (0·2 to 0·4) 0·3% (−10·1 to 13·2) 1507·9 (1012·2 to 2233·3) 3·9% (−6·9 to 17·4) 22·6 (15·1 to 33·5) 0·0% (−10·4 to 13·0)
Congenital musculoskeletal and limb anomalies 11·0 (8·6 to 14·0) −8·7% (−17·3 to 0·0) 0·2 (0·1 to 0·2) −12·8% (−20·9 to −4·5)* 912·2 (708·9 to 1172·9) −9·8% (−18·2 to −1·0)* 13·6 (10·6 to 17·5) −13·3% (−21·5 to −4·9)*
Urogenital congenital anomalies 14·1 (10·3 to 16·9) −2·5% (−11·8 to 9·2) 0·2 (0·1 to 0·2) −8·5% (−17·1 to 2·1) 1105·8 (781·3 to 1347·8) −5·5% (−14·6 to 6·3) 16·4 (11·5 to 20·0) −9·7% (−18·3 to 1·3)
Digestive congenital anomalies 50·8 (37·7 to 71·8) −16·2% (−27·1 to −6·4)* 0·8 (0·6 to 1·1) −19·3% (−29·8 to −9·8)* 4398·7 (3253·9 to 6229·0) −16·5% (−27·3 to −6·7)* 66·3 (49·0 to 93·9) −19·4% (−29·9 to −9·9)*
Other congenital anomalies 138·3 (102·3 to 175·6) −12·4% (−20·1 to −0·5)* 2·1 (1·5 to 2·6) −15·9% (−23·3 to −4·5)* 11 746·6 (8613·3 to 14 951·0) −13·0% (−20·7 to −1·1)* 176·1 (128·8 to 224·2) −16·3% (−23·7 to −4·8)*
Urinary diseases and male infertility 271·2 (263·9 to 282·2) 39·6% (34·9 to 43·4)* 3·6 (3·5 to 3·7) 5·7% (2·2 to 8·5)* 6255·2 (6044·8 to 6542·1) 20·8% (15·5 to 24·9)* 81·1 (78·3 to 84·8) −0·7% (−5·1 to 2·7)
Urinary tract infections 206·4 (197·9 to 223·2) 48·3% (42·9 to 53·5)* 2·7 (2·6 to 3·0) 10·9% (7·2 to 14·5)* 4522·3 (4285·2 to 5016·3) 31·4% (24·4 to 38·8)* 58·4 (55·2 to 65·0) 7·2% (1·7 to 13·0)*
Urolithiasis 12·3 (10·5 to 15·7) 30·4% (19·0 to 49·4)* 0·2 (0·1 to 0·2) −1·2% (−9·7 to 12·9) 255·1 (216·0 to 323·5) 19·6% (9·7 to 36·9)* 3·2 (2·7 to 4·0) −5·9% (−13·6 to 7·7)
Other urinary diseases 52·5 (42·3 to 58·0) 15·0% (8·0 to 25·5)* 0·7 (0·6 to 0·8) −9·9% (−15·3 to −2·2)* 1477·8 (1172·2 to 1660·2) −3·0% (−9·6 to 6·4) 19·4 (15·4 to 21·9) −18·2% (−23·3 to −10·6)*
Gynaecological diseases 8·2 (7·4 to 8·7) 19·1% (5·1 to 30·0)* 0·1 (0·1 to 0·1) −2·6% (−13·6 to 6·0) 292·9 (272·6 to 318·7) 9·2% (−2·8 to 20·6) 3·7 (3·4 to 4·0) −6·0% (−15·4 to 3·6)
Uterine fibroids 2·4 (1·6 to 3·0) 33·3% (6·7 to 54·6)* 0·0 (0·0 to 0·0) 8·1% (−14·9 to 24·7) 74·2 (52·7 to 95·5) 13·0% (−4·2 to 31·6) 0·9 (0·6 to 1·2) −4·8% (−20·0 to 10·5)
Polycystic ovarian syndrome 0·0 (0·0 to 0·0) 12·9% (−12·8 to 50·4) 0·0 (0·0 to 0·0) 1·0% (−22·5 to 34·8) 0·7 (0·1 to 1·5) 10·1% (−15·8 to 51·2) 0·0 (0·0 to 0·0) −0·1% (−24·3 to 37·2)
Endometriosis 0·2 (0·1 to 0·2) 11·8% (−12·4 to 45·5) 0·0 (0·0 to 0·0) −3·2% (−23·8 to 25·5) 7·7 (3·2 to 12·0) 10·4% (−12·9 to 41·7) 0·1 (0·0 to 0·1) −3·2% (−23·2 to 24·3)
Genital prolapse 0·6 (0·3 to 0·9) 0·6% (−15·4 to 16·1) 0·0 (0·0 to 0·0) −24·1% (−36·0 to −13·0)* 14·5 (6·8 to 20·1) −4·4% (−18·4 to 10·4) 0·2 (0·1 to 0·2) −24·0% (−35·2 to −11·9)*
Other gynaecological diseases 5·0 (4·1 to 5·6) 16·0% (4·1 to 27·9)* 0·1 (0·1 to 0·1) −3·6% (−12·2 to 5·9) 195·8 (163·0 to 228·9) 8·9% (−2·9 to 20·6) 2·5 (2·1 to 2·9) −4·8% (−14·2 to 5·1)
Haemoglobinopathies and haemolytic anaemias 104·6 (82·0 to 132·2) 5·8% (−1·4 to 13·4) 1·4 (1·1 to 1·8) −11·3% (−17·6 to −4·8)* 4831·6 (3643·1 to 6268·9) −1·8% (−13·1 to 9·4) 66·6 (50·0 to 86·2) −11·1% (−21·6 to −0·5)*
Thalassaemias 7·2 (6·0 to 8·4) −23·7% (−32·6 to −12·7)* 0·1 (0·1 to 0·1) −27·9% (−36·5 to −17·2)* 564·7 (474·8 to 667·6) −24·6% (−33·9 to −13·2)* 8·2 (6·9 to 9·7) −28·6% (−37·6 to −17·6)*
Sickle cell disorders 38·4 (24·0 to 54·8) 3·7% (−11·6 to 17·7) 0·5 (0·3 to 0·8) −3·1% (−17·6 to 10·3) 2796·4 (1747·3 to 3913·6) 2·1% (−13·7 to 17·3) 39·7 (24·8 to 55·3) −3·9% (−19·1 to 11·0)
G6PD deficiency 16·7 (12·1 to 22·5) 11·8% (4·7 to 19·6)* 0·2 (0·2 to 0·3) −7·1% (−12·1 to −1·0)* 692·6 (522·0 to 896·1) 4·4% (−2·5 to 12·3) 8·8 (6·7 to 11·4) −9·6% (−15·0 to −3·3)*
Other haemoglobinopathies and haemolytic anaemias 42·2 (35·1 to 49·2) 13·0% (9·3 to 16·5)* 0·6 (0·5 to 0·6) −16·1% (−18·7 to −13·4)* 777·8 (634·5 to 917·2) 1·3% (−2·2 to 4·8) 9·9 (8·1 to 11·7) −19·9% (−22·3 to −17·4)*
Endocrine, metabolic, blood, and immune disorders 144·5 (115·1 to 152·3) 28·2% (19·7 to 33·3)* 1·9 (1·5 to 2·0) 0·8% (−5·0 to 4·4) 4506·4 (3762·3 to 4919·9) 10·4% (2·7 to 16·9)* 59·7 (50·0 to 65·5) −5·5% (−11·2 to −0·2)*
Sudden infant death syndrome 40·0 (18·0 to 77·0) −17·3% (−28·6 to −1·4)* 0·6 (0·3 to 1·2) −20·2% (−31·2 to −4·9)* 3494·3 (1570·1 to 6734·0) −17·3% (−28·6 to −1·4)* 52·7 (23·7 to 101·5) −20·2% (−31·2 to −4·9)*
Injuries 4484·7 (4332·0 to 4585·6) 2·3% (0·5 to 4·0)* 57·9 (55·9 to 59·2) −13·7% (−15·1 to −12·2)* 195 231·1 (188 807·7 to 199 825·5) −6·4% (−7·8 to −4·8)* 2548·3 (2461·9 to 2609·6) −16·9% (−18·2 to −15·3)*
Transport injuries 1335·0 (1289·1 to 1369·5) −3·1% (−6·0 to −0·6)* 17·0 (16·4 to 17·4) −17·0% (−19·5 to −14·9)* 61 937·8 (60 031·2 to 63 736·5) −9·6% (−11·8 to −7·3)* 800·5 (775·9 to 823·3) −19·5% (−21·4 to −17·5)*
Road injuries 1243·1 (1191·9 to 1276·9) −3·2% (−6·3 to −0·5)* 15·8 (15·2 to 16·3) −17·1% (−19·7 to −14·9)* 57 638·4 (55 500·8 to 59 369·2) −9·7% (−12·0 to −7·3)* 745·0 (718·1 to 767·4) −19·6% (−21·6 to −17·5)*
Pedestrian road injuries 486·2 (459·7 to 535·0) −6·4% (−11·7 to −2·1)* 6·2 (5·9 to 6·8) −21·4% (−25·5 to −17·9)* 20 850·8 (19 596·0 to 23 164·4) −14·8% (−18·7 to −11·0)* 270·4 (253·9 to 300·8) −25·1% (−28·3 to −21·9)*
Cyclist road injuries 68·9 (59·2 to 76·2) 9·1% (1·8 to 16·4)* 0·9 (0·7 to 1·0) −8·8% (−14·8 to −2·5)* 2853·5 (2471·6 to 3209·0) 1·0% (−5·7 to 8·3) 36·3 (31·5 to 41·0) −11·8% (−17·8 to −5·3)*
Motorcyclist road injuries 225·7 (196·1 to 238·6) −0·6% (−8·9 to 5·2) 2·9 (2·5 to 3·0) −12·4% (−19·5 to −7·3)* 11 416·3 (9969·6 to 12 098·0) −5·7% (−12·5 to −0·5)* 146·2 (127·5 to 154·9) −14·8% (−20·7 to −10·1)*
Motor vehicle road injuries 451·1 (423·4 to 472·9) −2·5% (−6·2 to 1·3) 5·8 (5·4 to 6·0) −15·6% (−18·6 to −12·2)* 22 004·1 (20 639·8 to 23 130·9) −7·8% (−10·4 to −3·0)* 285·3 (267·6 to 299·7) −17·2% (−19·6 to −12·8)*
Other road injuries 11·2 (9·9 to 12·8) −5·5% (−11·0 to 16·1) 0·1 (0·1 to 0·2) −19·4% (−24·1 to −1·3)* 513·8 (454·1 to 583·4) −11·7% (−17·3 to 10·6) 6·7 (5·9 to 7·6) −21·4% (−26·5 to −1·7)*
Other transport injuries 91·9 (84·5 to 107·2) −1·5% (−6·2 to 3·7) 1·2 (1·1 to 1·4) −15·5% (−19·5 to −10·9)* 4299·4 (3919·6 to 5048·3) −7·8% (−12·6 to −2·4)* 55·4 (50·5 to 65·0) −17·9% (−22·2 to −13·2)*
Unintentional injuries 1804·9 (1695·7 to 1872·0) 2·9% (0·5 to 6·0)* 23·8 (22·4 to 24·7) −15·3% (−17·3 to −12·8)* 69 430·5 (64 685·1 to 72 366·8) −12·8% (−15·0 to −9·6)* 928·8 (865·6 to 969·3) −23·0% (−25·0 to −20·0)*
Falls 695·8 (644·9 to 741·7) 27·4% (21·2 to 35·6)* 9·2 (8·5 to 9·8) −2·8% (−7·4 to 3·4) 16 688·1 (15 101·9 to 17 636·8) 10·1% (4·8 to 17·2)* 216·6 (196·4 to 228·6) −8·4% (−12·7 to −2·5)*
Drowning 295·2 (284·5 to 306·2) −17·2% (−19·8 to −14·1)* 4·0 (3·8 to 4·1) −27·3% (−29·6 to −24·5)* 16 563·3 (15 784·2 to 17 350·0) −26·1% (−29·0 to −22·4)* 228·3 (217·2 to 239·7) −32·8% (−35·5 to −29·3)*
Fire heat and hot substances 120·6 (101·6 to 129·4) −7·9% (−10·9 to −1·2)* 1·6 (1·3 to 1·7) −22·9% (−25·4 to −17·3)* 5286·3 (4308·9 to 5836·4) −16·5% (−21·0 to −7·3)* 71·0 (57·8 to 78·6) −25·5% (−29·6 to −17·1)*
Poisonings 72·4 (52·7 to 79·4) −6·8% (−16·1 to 2·9) 0·9 (0·7 to 1·0) −20·8% (−28·4 to −12·5)* 3321·7 (2454·1 to 3669·2) −14·6% (−22·7 to −3·8)* 44·1 (32·7 to 48·8) −23·9% (−31·0 to −14·1)*
Poisoning by carbon monoxide 35·5 (25·7 to 38·8) −12·5% (−22·4 to −5·0)* 0·5 (0·3 to 0·5) −26·6% (−34·8 to −20·3)* 1462·4 (1073·0 to 1613·6) −19·1% (−27·2 to −11·8)* 18·9 (13·8 to 20·9) −29·0% (−36·2 to −22·4)*
Poisoning by other means 36·9 (26·8 to 41·0) −0·5% (−10·1 to 11·9) 0·5 (0·4 to 0·5) −14·4% (−22·4 to −3·9)* 1859·3 (1385·8 to 2072·9) −10·7% (−19·6 to 3·3) 25·2 (19·0 to 28·1) −19·6% (−27·7 to −6·8)*
Exposure to mechanical forces 136·5 (117·6 to 143·2) −6·7% (−9·8 to −3·7)* 1·8 (1·5 to 1·8) −20·3% (−22·9 to −17·8)* 6385·5 (5500·4 to 6710·8) −13·8% (−16·6 to −10·8)* 84·0 (72·3 to 88·3) −23·0% (−25·5 to −20·3)*
Unintentional firearm injuries 22·6 (21·1 to 25·8) −2·9% (−7·5 to 2·8) 0·3 (0·3 to 0·3) −16·4% (−20·3 to −11·5)* 1094·5 (1013·5 to 1275·4) −7·4% (−12·2 to −1·3)* 14·4 (13·3 to 16·9) −16·5% (−20·9 to −11·1)*
Other exposure to mechanical forces 113·9 (94·7 to 120·8) −7·4% (−10·6 to −4·1)* 1·5 (1·2 to 1·6) −21·0% (−23·7 to −18·3)* 5291·0 (4401·1 to 5626·1) −15·0% (−18·0 to −11·7)* 69·6 (57·8 to 74·0) −24·3% (−26·9 to −21·2)*
Adverse effects of medical treatment 121·6 (103·6 to 137·6) 16·6% (12·0 to 20·9)* 1·6 (1·4 to 1·8) −6·2% (−10·0 to −2·5)* 4363·9 (3619·9 to 5234·0) 4·0% (−1·2 to 11·0) 58·1 (48·0 to 70·7) −9·5% (−13·9 to −3·6)*
Animal contact 81·1 (44·9 to 94·0) −1·4% (−6·8 to 6·2) 1·1 (0·6 to 1·2) −16·0% (−20·5 to −9·6)* 3911·9 (2167·6 to 4585·6) −9·5% (−15·8 to 0·2) 52·4 (29·0 to 61·8) −19·2% (−25·2 to −10·2)*
Venomous animal contact 70·9 (37·0 to 83·8) −1·3% (−7·5 to 6·2) 0·9 (0·5 to 1·1) −16·0% (−21·0 to −9·7)* 3407·7 (1758·4 to 4087·5) −9·7% (−16·4 to −0·7)* 45·5 (23·4 to 54·9) −19·4% (−25·8 to −11·3)*
Non-venomous animal contact 10·1 (7·1 to 14·4) −1·6% (−15·3 to 10·2) 0·1 (0·1 to 0·2) −16·1% (−27·4 to −6·2)* 504·2 (335·8 to 750·1) −7·9% (−26·1 to 6·5) 6·9 (4·5 to 10·3) −17·2% (−33·6 to −4·3)*
Foreign body 124·1 (119·3 to 130·0) 1·7% (−1·9 to 4·8) 1·7 (1·6 to 1·8) −14·1% (−17·0 to −11·6)* 5907·0 (5566·3 to 6301·2) −12·4% (−16·4 to −8·3)* 83·3 (78·3 to 88·9) −20·1% (−23·8 to −16·3)*
Pulmonary aspiration and foreign body in airway 115·7 (111·4 to 121·3) 1·9% (−1·9 to 5·0) 1·6 (1·5 to 1·7) −13·9% (−17·0 to −11·4)* 5526·1 (5212·6 to 5910·0) −12·2% (−16·6 to −8·0)* 78·1 (73·5 to 83·7) −19·9% (−23·8 to −16·0)*
Foreign body in other body part 8·4 (7·5 to 10·3) −0·5% (−6·9 to 7·1) 0·1 (0·1 to 0·1) −15·8% (−20·8 to −10·0)* 381·0 (326·2 to 474·4) −14·4% (−21·1 to −6·2)* 5·2 (4·4 to 6·5) −23·3% (−29·2 to −16·1)*
Environmental heat and cold exposure 53·3 (36·8 to 59·2) −13·2% (−22·4 to −8·4)* 0·7 (0·5 to 0·8) −29·4% (−37·1 to −25·4)* 1845·6 (1246·6 to 2066·2) −21·4% (−28·8 to −17·5)* 23·7 (15·8 to 26·7) −32·7% (−39·5 to −29·1)*
Exposure to forces of nature 9·6 (8·7 to 11·0) −38·0% (−43·9 to −28·9)* 0·1 (0·1 to 0·1) −45·8% (−50·8 to −37·9)* 477·6 (438·4 to 544·3) −45·0% (−49·4 to −37·3)* 6·3 (5·8 to 7·2) −50·2% (−54·2 to −43·2)*
Other unintentional injuries 94·7 (91·9 to 98·3) −14·5% (−16·7 to −12·1)* 1·2 (1·2 to 1·3) −25·8% (−27·6 to −23·8)* 4679·6 (4519·4 to 4888·2) −20·7% (−22·9 to −18·1)* 60·9 (58·8 to 63·7) −28·9% (−30·9 to −26·6)*
Self-harm and interpersonal violence 1344·8 (1283·1 to 1380·4) 7·3% (4·6 to 9·7)* 17·1 (16·3 to 17·5) −7·6% (−9·9 to −5·5)* 63 862·9 (61 029·9 to 65 755·7) 5·4% (2·8 to 7·7)* 819·0 (782·2 to 843·4) −5·7% (−7·9 to −3·7)*
Self-harm 793·8 (743·5 to 819·7) 1·1% (−2·6 to 3·7) 10·0 (9·4 to 10·3) −14·8% (−18·0 to −12·6)* 33 577·2 (31 449·3 to 34 719·1) −3·4% (−7·0 to −0·9)* 423·6 (396·9 to 438·2) −15·1% (−18·4 to −12·9)*
Self-harm by firearm 63·8 (54·6 to 78·6) 6·8% (2·3 to 10·8)* 0·8 (0·7 to 1·0) −10·3% (−13·9 to −7·2)* 2653·6 (2241·9 to 3288·1) 0·9% (−3·5 to 5·5) 33·5 (28·2 to 41·6) −11·5% (−15·2 to −7·6)*
Self-harm by other specified means 730·0 (678·5 to 754·9) 0·6% (−3·2 to 3·4) 9·2 (8·5 to 9·5) −15·2% (−18·4 to −12·8)* 30 923·6 (28 832·4 to 32 098·2) −3·7% (−7·5 to −1·1)* 390·1 (363·6 to 405·1) −15·4% (−18·8 to −13·1)*
Interpersonal violence 405·3 (365·2 to 431·7) 0·5% (−2·0 to 3·2) 5·2 (4·7 to 5·5) −11·1% (−13·3 to −8·7)* 21 439·8 (19 275·8 to 22 799·8) −1·6% (−4·4 to 1·3) 276·8 (248·4 to 294·2) −10·9% (−13·4 to −8·2)*
Assault by firearm 174·4 (147·9 to 188·9) 7·5% (4·3 to 10·8)* 2·2 (1·9 to 2·4) −3·6% (−6·5 to −0·5)* 9541·2 (8106·2 to 10 291·7) 5·4% (2·1 to 9·0)* 122·9 (104·3 to 132·4) −3·7% (−6·7 to −0·4)*
Assault by sharp object 91·4 (74·4 to 111·2) −11·5% (−15·3 to −6·0)* 1·2 (0·9 to 1·4) −22·3% (−25·6 to −17·6)* 4634·5 (3747·0 to 5648·9) −13·9% (−17·6 to −8·5)* 59·2 (47·8 to 72·1) −22·6% (−25·9 to −17·8)*
Assault by other means 139·5 (123·6 to 164·4) 1·3% (−3·4 to 5·6) 1·8 (1·6 to 2·1) −11·5% (−15·4 to −7·6)* 7264·1 (6400·8 to 8583·0) −1·3% (−5·4 to 3·6) 94·7 (83·3 to 111·5) −11·2% (−14·9 to −6·8)*
Conflict and terrorism 129·7 (118·1 to 143·2) 118·0% (88·8 to 148·6)* 1·7 (1·6 to 1·9) 98·4% (72·4 to 126·1)* 7966·6 (7244·5 to 8855·9) 113·5% (84·5 to 146·8)* 107·3 (97·6 to 119·1) 97·9% (71·0 to 128·8)*
Executions and police conflict 16·0 (15·7 to 16·3) 203·9% (186·9 to 220·9)* 0·2 (0·2 to 0·2) 172·4% (156·8 to 187·6)* 879·3 (862·3 to 898·1) 202·1% (184·8 to 219·8)* 11·4 (11·2 to 11·7) 176·4% (160·5 to 192·9)*

Data in parentheses are 95% uncertainty intervals. G6PD=glucose-6-phosphate dehydrogenase. GBD=Global Burden of Diseases, Injuries, and Risk Factors Study. H influenzae=Haemophilus influenzae. NASH=non-alcoholic steatohepatitis. YLL=years of life lost.

*

Percentage changes that are statistically significant.