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. 2018 Nov 10;392(10159):1923–1994. doi: 10.1016/S0140-6736(18)32225-6

Table 3.

Global all-age attributable deaths and DALYs, 2007–17, and percentage change of deaths and DALYs and age-standardised death rates and DALY rates, 2007–17, for all risk-outcome pairs

Risk factors and outcomes 2007 deaths (thousands) 2017 deaths (thousands) Percentage change in deaths, 2007–17 Percentage change in age-standardised death rate, 2007–17 2007 DALYs (thousands) 2017 DALYs (thousands) Percentage change in DALYs, 2007–17 Percentage change in age-standardised DALY rate, 2007–17
0 All risk factors: all causes 31 500 (30 900 to 32 200) 34 100 (33 300 to 35 000) 8·3% (6·9 to 9·5)* −15·7% (−16·6 to −14·8)* 1 270 000 (1 210 000 to 1 340 000) 1 210 000 (1 140 000 to 1280 000) −4·9% (−6·5 to −3·3)* −19·9% (−21·3 to −18·5)*
1 Environmental and occupational risks: all causes 8150 (7590 to 8810) 8320 (7690 to 9020) 2·2% (−0·3 to 4·7) −20·1% (−21·8 to −18·2)* 345 000 (319 000 to 370 000) 308 000 (283 000 to 333 000) −10·7% (−13·7 to −7·5)* −24·9% (−27·4 to −22·3)*
2 Unsafe water, sanitation, and handwashing: all causes 1990 (1610 to 2570) 1610 (1230 to 2230) −18·8% (−26·2 to −10·1)* −31·6% (−36·9 to −25·0)* 120 000 (103 000 to 138 000) 84 400 (71 800 to 102 000) −29·6% (−35·3 to −23·0)* −36·0% (−41·2 to −30·3)*
3 Unsafe water source: all causes 1500 (938 to 2110) 1230 (736 to 1830) −18·0% (−26·9 to −8·0)* −31·2% (−37·2 to −23·3)* 90 100 (58 500 to 113 000) 63 900 (40 800 to 83 100) −29·1% (−35·4 to −21·5)* −35·7% (−41·3 to −29·0)*
.. Diarrhoeal diseases 1500 (938 to 2110) 1230 (736 to 1830) −18·0% (−26·9 to −8·0)* −31·2% (−37·2 to −23·3)* 90 100 (58 500 to 113 000) 63 900 (40 800 to 83 100) −29·1% (−35·4 to −21·5)* −35·7% (−41·3 to −29·0)*
3 Unsafe sanitation: all causes 1110 (856 to 1450) 774 (566 to 1060) −30·2% (−37·4 to −21·6)* −41·2% (−46·4 to −34·2)* 66 500 (55 600 to 78 100) 41 500 (34 100 to 49 700) −37·6% (−43·3 to −30·6)* −43·2% (−48·4 to −37·1)*
.. Diarrhoeal diseases 1110 (856 to 1450) 774 (566 to 1060) −30·2% (−37·4 to −21·6)* −41·2% (−46·4 to −34·2)* 66 500 (55 600 to 78 100) 41 500 (34 100 to 49 700) −37·6% (−43·3 to −30·6)* −43·2% (−48·4 to −37·1)*
3 No access to handwashing facility: all causes 892 (528 to 1250) 707 (416 to 1020) −20·7% (−26·4 to −13·1)* −32·5% (−36·9 to −26·9)* 55 300 (33 200 to 75 300) 38 400 (22 800 to 52 100) −30·5% (−35·6 to −24·7)* −36·4% (−41·0 to −31·1)*
.. Lower respiratory infections 229 (148 to 306) 188 (122 to 249) −17·9% (−21·9 to −13·6)* −29·0% (−32·4 to −25·3)* 14 700 (9630 to 19 700) 10 300 (6780 to 13 800) −29·8% (−34·1 to −25·0)* −35·0% (−39·0 to −30·4)*
.. Diarrhoeal diseases 663 (312 to 1010) 520 (240 to 839) −21·7% (−29·6 to −12·0)* −33·7% (−39·6 to −26·4)* 40 500 (19 500 to 59 500) 28 100 (13 500 to 41 500) −30·7% (−37·1 to −22·9)* −36·9% (−42·8 to −29·5)*
2 Air pollution: all causes 4630 (4210 to 5040) 4900 (4420 to 5390) 5·8% (3·0 to 8·8)* −18·7% (−20·7 to −16·7)* 158 000 (142 000 to 172 000) 147 000 (132 000 to 162 000) −6·6% (−9·8 to −2·8)* −23·5% (−26·0 to −20·8)*
3 Particulate matter pollution: all causes 4380 (3960 to 4780) 4580 (4130 to 5030) 4·6% (1·7 to 7·5)* −19·5% (−21·5 to −17·4)* 154 000 (138 000 to 168 000) 143 000 (129 000 to 156 000) −7·3% (−10·8 to −3·4)* −23·9% (−26·6 to −21·1)*
4 Ambient particulate matter pollution: all causes 2420 (2080 to 2760) 2940 (2500 to 3360) 21·6% (16·2 to 26·8)* −7·8% (−11·7 to −3·8)* 73 600 (63 300 to 83 400) 83 000 (71 400 to 94 300) 12·8% (5·6 to 20·2)* −9·3% (−15·1 to −3·0)*
.. Lower respiratory infections 420 (337 to 500) 433 (343 to 527) 2·9% (−8·8 to 15·4) −15·3% (−24·3 to −5·1)* 22 300 (17 700 to 27 200) 18 500 (14 400 to 23 400) −16·9% (−29·4 to −0·9)* −24·3% (−35·8 to −9·2)*
.. Tracheal, bronchus, and lung cancer 205 (143 to 270) 265 (183 to 351) 29·3% (22·0 to 36·3)* −2·0% (−7·6 to 3·4) 4680 (3280 to 6150) 5860 (4050 to 7730) 25·1% (17·8 to 31·7)* −3·9% (−9·5 to 1·3)
.. Ischaemic heart disease 780 (671 to 901) 977 (839 to 1120) 25·3% (20·6 to 30·2)* −5·8% (−9·2 to −2·4)* 17 800 (15 300 to 20 600) 21 900 (18 900 to 25 400) 23·1% (18·4 to 28·3)* −4·2% (−7·8 to −0·5)*
.. Ischaemic stroke 147 (113 to 183) 184 (140 to 228) 24·6% (18·8 to 30·9)* −7·8% (−11·4 to −3·8)* 3060 (2360 to 3780) 3950 (3040 to 4870) 28·9% (22·7 to 35·4)* −2·0% (−6·2 to 2·4)
.. Intracerebral haemorrhage 194 (152 to 238) 226 (176 to 280) 17·0% (11·1 to 23·2)* −11·3% (−15·2 to −6·9)* 4770 (3800 to 5850) 5520 (4340 to 6840) 15·8% (9·5 to 22·2)* −9·8% (−14·0 to −5·2)*
.. Subarachnoid haemorrhage 29 (22 to 36) 35 (27 to 44) 22·1% (14·8 to 29·8)* −5·4% (−10·9 to 0·1) 877 (686 to 1100) 1040 (809 to 1310) 18·8% (12·2 to 25·9)* −5·0% (−10·3 to 0·2)
.. Chronic obstructive pulmonary disease 519 (347 to 679) 633 (416 to 838) 22·1% (13·7 to 29·8)* −10·5% (−16·5 to −4·8)* 12 800 (8460 to 16 700) 15 700 (10 300 to 20 800) 23·5% (16·1 to 30·7)* −6·0% (−11·6 to −0·5)*
.. Type 2 diabetes mellitus 122 (82 to 149) 184 (123 to 227) 50·7% (44·8 to 56·0)* 11·1% (6·8 to 15·1)* 7380 (4720 to 9790) 10 500 (6700 to 13 900) 41·9% (35·0 to 48·7)* 10·5% (5·3 to 15·6)*
4 Household air pollution from solid fuels: all causes 1960 (1700 to 2270) 1640 (1400 to 1930) −16·3% (−20·2 to −11·9)* −34·2% (−37·3 to −31·0)* 80 100 (68 300 to 92 400) 59 500 (50 800 to 68 900) −25·8% (−30·2 to −20·9)* −37·4% (−41·1 to −33·6)*
.. Lower respiratory infections 669 (536 to 797) 459 (367 to 552) −31·4% (−36·6 to −25·9)* −40·4% (−44·9 to −35·8)* 43 600 (34 500 to 52 000) 25 900 (20 300 to 31 300) −40·7% (−46·2 to −35·0)* −44·9% (−50·1 to −39·6)*
.. Tracheal, bronchus, and lung cancer 94 (69 to 120) 85 (60 to 113) −10·0% (−16·4 to −3·7)* −31·5% (−36·4 to −26·7)* 2280 (1660 to 2890) 1990 (1410 to 2640) −12·7% (−18·7 to −6·9)* −32·6% (−37·2 to −28·0)*
.. Ischaemic heart disease 435 (371 to 512) 410 (344 to 490) −5·8% (−10·1 to −1·5)* −28·2% (−31·4 to −25·0)* 11 100 (9400 to 13 000) 10 200 (8450 to 12 100) −8·2% (−12·7 to −3·9)* −27·9% (−31·4 to −24·5)*
.. Ischaemic stroke 88 (69 to 112) 81 (62 to 104) −8·2% (−13·0 to −3·3)* −31·3% (−35·0 to −27·8)* 1980 (1540 to 2470) 1830 (1390 to 2330) −7·2% (−12·4 to −2·6)* −29·0% (−32·8 to −25·5)*
.. Intracerebral haemorrhage 156 (123 to 191) 132 (102 to 165) −15·2% (−19·5 to −10·9)* −35·3% (−38·5 to −32·1)* 4080 (3210 to 5010) 3440 (2660 to 4310) −15·5% (−19·9 to −11·2)* −34·0% (−37·2 to −30·9)*
.. Subarachnoid haemorrhage 20 (16 to 27) 18 (14 to 24) −9·2% (−15·0 to −2·8)* −29·0% (−33·6 to −24·2)* 664 (506 to 870) 591 (443 to 777) −11·0% (−16·5 to −5·1)* −28·4% (−32·7 to −23·9)*
.. Chronic obstructive pulmonary disease 421 (296 to 548) 362 (248 to 482) −13·9% (−20·5 to −7·4)* −36·3% (−41·1 to −31·6)* 10 800 (7740 to 13 900) 9370 (6480 to 12 400) −13·0% (−19·0 to −7·4)* −33·5% (−38·1 to −29·3)*
.. Type 2 diabetes mellitus 77 (54 to 92) 92 (63 to 113) 19·6% (12·6 to 27·1)* −10·6% (−15·8 to −5·1)* 4360 (2900 to 5780) 4750 (3110 to 6190) 9·0% (2·6 to 15·5)* −14·6% (−19·6 to −9·5)*
.. Cataract .. .. .. .. 1320 (696 to 2010) 1440 (732 to 2250) 9·2% (4·6 to 12·7)* −17·3% (−20·9 to −14·7)*
3 Ambient ozone pollution: all causes 392 (146 to 638) 472 (177 to 768) 20·4% (15·9 to 24·5)* −11·6% (−14·8 to −8·6)* 6330 (2370 to 10 300) 7370 (2740 to 12 000) 16·4% (12·0 to 20·6)* −12·2% (−15·6 to −9·1)*
.. Chronic obstructive pulmonary disease 392 (146 to 638) 472 (177 to 768) 20·4% (15·9 to 24·5)* −11·6% (−14·8 to −8·6)* 6330 (2370 to 10 300) 7370 (2740 to 12 000) 16·4% (12·0 to 20·6)* −12·2% (−15·6 to −9·1)*
2 Other environmental risks: all causes 929 (646 to 1240) 1140 (794 to 1530) 23·0% (19·2 to 26·6)* −7·9% (−10·4 to −5·3)* 23 500 (16 500 to 30 600) 26 400 (18 400 to 34 800) 12·3% (8·9 to 15·6)* −12·0% (−14·4 to −10·1)*
3 Residential radon: all causes 68 (38 to 107) 88 (50 to 139) 28·1% (21·4 to 34·9)* −2·9% (−6·9 to 1·0) 1570 (859 to 2420) 1930 (1080 to 3020) 23·3% (16·1 to 30·2)* −5·2% (−9·3 to −1·0)*
.. Tracheal, bronchus, and lung cancer 68 (38 to 107) 88 (50 to 139) 28·1% (21·4 to 34·9)* −2·9% (−6·9 to 1·0) 1570 (859 to 2420) 1930 (1080 to 3020) 23·3% (16·1 to 30·2)* −5·2% (−9·3 to −1·0)*
3 Lead exposure: all causes 860 (586 to 1160) 1050 (709 to 1430) 22·6% (18·7 to 26·4)* −8·3% (−10·8 to −5·7)* 21 900 (15 200 to 28 900) 24 400 (16 700 to 32 800) 11·5% (7·8 to 14·8)* −12·5% (−15·0 to −10·5)*
.. Rheumatic heart disease 8 (5 to 15) 8 (4 to 14) −2·9% (−12·8 to 6·5) −25·0% (−31·6 to −18·8)* 255 (145 to 430) 219 (120 to 368) −14·2% (−23·1 to −5·5)* −31·1% (−38·1 to −25·4)*
.. Ischaemic heart disease 391 (256 to 547) 488 (317 to 685) 24·6% (20·7 to 28·4)* −6·9% (−9·1 to −4·6)* 8350 (5480 to 11 500) 9600 (6210 to 13 300) 15·0% (11·6 to 18·1)* −11·5% (−13·9 to −9·5)*
.. Ischaemic stroke 110 (69 to 159) 139 (87 to 200) 25·8% (21·1 to 31·5)* −6·7% (−9·7 to −3·3)* 2380 (1510 to 3340) 3000 (1920 to 4220) 26·2% (21·7 to 30·6)* −4·2% (−7·4 to −1·0)*
.. Intracerebral haemorrhage 191 (125 to 270) 205 (132 to 292) 7·0% (2·4 to 10·9)* −19·4% (−22·5 to −16·8)* 4420 (2920 to 6090) 4470 (2850 to 6300) 1·0% (−4·0 to 5·0) −22·2% (−26·0 to −19·2)*
.. Subarachnoid haemorrhage 23 (14 to 33) 26 (16 to 38) 14·8% (6·1 to 25·2)* −12·0% (−18·4 to −4·4)* 655 (387 to 964) 693 (409 to 1040) 5·9% (−1·6 to 14·5) −16·8% (−22·9 to −10·5)*
.. Hypertensive heart disease 66 (25 to 137) 98 (33 to 213) 48·0% (22·7 to 63·0)* 9·2% (−8·9 to 19·8) 1310 (620 to 2560) 1710 (725 to 3480) 31·0% (12·4 to 45·5)* 0·2% (−14·0 to 10·2)
.. Non-rheumatic calcific aortic valve disease 2 (1 to 3) 2 (1 to 4) 30·7% (22·7 to 37·8)* −5·4% (−10·2 to −1·8)* 28 (16 to 45) 34 (18 to 54) 20·3% (12·8 to 26·9)* −8·8% (−14·1 to −4·7)*
.. Other cardiomyopathy 5 (3 to 7) 6 (3 to 9) 22·2% (14·6 to 28·8)* −8·2% (−13·4 to −3·7)* 111 (61 to 176) 126 (68 to 201) 12·8% (4·9 to 19·9)* −11·8% (−18·1 to −6·7)*
.. Atrial fibrillation and flutter 5 (3 to 8) 8 (5 to 11) 48·1% (43·4 to 53·0)* 5·2% (2·6 to 8·3)* 150 (91 to 218) 193 (118 to 283) 29·0% (25·3 to 32·5)* −2·9% (−5·2 to −0·8)*
.. Aortic aneurysm 4 (2 to 5) 4 (3 to 6) 19·3% (13·7 to 24·8)* −10·3% (−14·2 to −6·6)* 75 (44 to 113) 84 (48 to 127) 12·5% (6·8 to 17·9)* −13·5% (−18·0 to −9·4)*
.. Peripheral vascular disease 1 (0 to 1) 1 (0 to 2) 54·1% (30·4 to 74·7)* 10·5% (−6·0 to 25·2) 19 (9 to 32) 25 (12 to 43) 31·2% (21·0 to 42·9)* −1·6% (−9·1 to 6·8)
.. Endocarditis 1 (1 to 2) 2 (1 to 3) 30·2% (19·4 to 36·6)* −1·4% (−8·7 to 2·6) 36 (19 to 59) 42 (22 to 67) 17·1% (5·9 to 24·4)* −7·4% (−16·0 to −2·3)*
.. Other cardiovascular and circulatory diseases 11 (7 to 16) 13 (8 to 18) 19·1% (12·3 to 24·1)* −9·7% (−14·6 to −6·3)* 347 (208 to 528) 383 (227 to 580) 10·2% (4·1 to 14·3)* −13·9% (−19·1 to −10·8)*
.. Idiopathic developmental intellectual disability .. .. .. .. 2670 (1070 to 4880) 2540 (1000 to 4700) −4·8% (−9·1 to −2·7)* −13·6% (−17·1 to −11·7)*
.. Chronic kidney disease due to type 1 diabetes mellitus 3 (1 to 4) 3 (2 to 5) 11·2% (3·8 to 17·6)* −12·6% (−18·6 to −8·0)* 90 (48 to 150) 93 (47 to 159) 2·8% (−5·5 to 9·8) −17·6% (−24·1 to −12·5)*
.. Chronic kidney disease due to type 2 diabetes mellitus 13 (8 to 20) 18 (10 to 27) 34·6% (27·8 to 39·0)* 0·4% (−4·5 to 3·2) 303 (179 to 458) 380 (218 to 578) 25·4% (19·4 to 29·6)* −4·9% (−9·2 to −1·8)*
.. Chronic kidney disease due to hypertension 12 (7 to 19) 17 (10 to 26) 38·2% (31·8 to 41·9)* 1·4% (−3·2 to 3·9) 255 (148 to 382) 320 (187 to 485) 25·6% (19·9 to 29·3)* −4·4% (−8·6 to −1·6)*
.. Chronic kidney disease due to glomerulonephritis 6 (3 to 9) 7 (4 to 12) 25·9% (20·3 to 30·2)* −4·3% (−8·2 to −1·6)* 160 (86 to 260) 177 (93 to 294) 10·7% (5·0 to 15·2)* −12·6% (−17·2 to −9·1)*
.. Chronic kidney disease due to other and unspecified causes 9 (5 to 13) 11 (6 to 17) 27·7% (22·2 to 32·1)* −3·3% (−7·3 to −0·6)* 286 (161 to 454) 327 (183 to 526) 14·2% (9·1 to 18·3)* −11·0% (−15·0 to −8·0)*
2 Occupational risks: all causes 1090 (995 to 1190) 1160 (1050 to 1280) 6·5% (3·5 to 9·4)* −16·6% (−18·7 to −14·7)* 59 800 (52 300 to 68 100) 63 700 (54 900 to 73 200) 6·7% (4·1 to 9·3)* −11·6% (−13·7 to −9·4)*
3 Occupational carcinogens: all causes 271 (220 to 322) 334 (271 to 397) 23·3% (19·1 to 27·1)* −7·4% (−10·5 to −4·5)* 5600 (4560 to 6710) 6750 (5490 to 8120) 20·6% (16·5 to 24·5)* −8·0% (−11·3 to −5·0)*
4 Occupational exposure to asbestos: all causes 194 (148 to 243) 232 (177 to 289) 19·6% (14·6 to 23·6)* −10·5% (−14·2 to −7·5)* 3410 (2570 to 4310) 3930 (2980 to 4950) 15·3% (9·9 to 19·8)* −12·7% (−16·7 to −9·4)*
.. Larynx cancer 3 (2 to 5) 4 (2 to 6) 20·9% (13·4 to 27·0)* −9·6% (−15·0 to −5·2)* 63 (35 to 95) 74 (41 to 112) 17·1% (9·4 to 23·1)* −11·6% (−17·3 to −7·0)*
.. Tracheal, bronchus, and lung cancer 161 (115 to 208) 191 (137 to 247) 18·5% (13·5 to 22·6)* −11·3% (−15·0 to −8·3)* 2740 (1910 to 3590) 3120 (2180 to 4110) 14·0% (8·7 to 18·4)* −13·8% (−17·8 to −10·6)*
.. Ovarian cancer 5 (3 to 8) 6 (3 to 10) 17·4% (9·6 to 24·2)* −14·0% (−19·6 to −9·1)* 88 (44 to 138) 100 (49 to 156) 14·3% (6·4 to 21·4)* −14·3% (−20·1 to −9·2)*
.. Mesothelioma 22 (21 to 23) 27 (27 to 28) 27·7% (20·5 to 33·7)* −3·6% (−8·8 to 0·7) 464 (434 to 512) 569 (542 to 598) 22·4% (14·5 to 29·4)* −6·0% (−11·7 to −1·0)*
.. Asbestosis 3 (2 to 3) 3 (2 to 4) 23·3% (15·2 to 33·9)* −8·3% (−14·1 to −0·4)* 58 (41 to 70) 69 (52 to 81) 19·2% (11·8 to 30·4)* −8·5% (−14·1 to 0·3)
4 Occupational exposure to arsenic: all causes 7 (1 to 12) 9 (2 to 16) 33·8% (27·3 to 55·2)* 1·9% (−3·0 to 18·6) 189 (43 to 346) 245 (65 to 436) 29·5% (23·2 to 49·0)* −0·6% (−5·5 to 15·1)
.. Tracheal, bronchus, and lung cancer 7 (1 to 12) 9 (2 to 16) 33·8% (27·3 to 55·2)* 1·9% (−3·0 to 18·6) 189 (43 to 346) 245 (65 to 436) 29·5% (23·2 to 49·0)* −0·6% (−5·5 to 15·1)
4 Occupational exposure to benzene: all causes 2 (1 to 3) 2 (1 to 3) 18·6% (13·0 to 24·6)* 0·3% (−5·1 to 6·1) 73 (23 to 120) 84 (26 to 137) 15·4% (10·1 to 21·2)* −0·2% (−5·2 to 5·2)
.. Leukaemia 2 (1 to 3) 2 (1 to 3) 18·6% (13·0 to 24·6)* 0·3% (−5·1 to 6·1) 73 (23 to 120) 84 (26 to 137) 15·4% (10·1 to 21·2)* −0·2% (−5·2 to 5·2)
.. Acute lymphoid leukaemia 0 (0 to 0) 0 (0 to 1) 29·4% (17·7 to 39·6)* 12·2% (2·1 to 21·3)* 14 (4 to 23) 18 (5 to 29) 26·3% (15·0 to 36·0)* 11·4% (1·4 to 20·1)*
.. Chronic lymphoid leukaemia 0 (0 to 0) 0 (0 to 0) 27·9% (16·8 to 45·2)* 2·0% (−7·4 to 17·1) 3 (1 to 4) 4 (1 to 6) 31·4% (19·4 to 48·4)* 7·3% (−3·4 to 23·2)
.. Acute myeloid leukaemia 0 (0 to 1) 1 (0 to 1) 29·2% (20·2 to 39·2)* 8·6% (0·4 to 17·8)* 20 (7 to 33) 25 (8 to 41) 25·8% (16·6 to 35·6)* 8·2% (−0·3 to 17·2)
.. Chronic myeloid leukaemia 0 (0 to 0) 0 (0 to 0) 7·0% (−1·1 to 15·2) −9·6% (−16·8 to −2·3)* 6 (2 to 10) 7 (2 to 11) 5·6% (−2·4 to 13·7) −9·0% (−16·3 to −1·9)*
.. Other leukaemia 1 (0 to 1) 1 (0 to 1) 8·2% (3·0 to 14·7)* −8·4% (−13·1 to −2·8)* 30 (9 to 49) 31 (10 to 52) 4·1% (−1·0 to 10·4) −9·9% (−14·6 to −4·3)*
4 Occupational exposure to beryllium: all causes 0 (0 to 0) 0 (0 to 0) 45·4% (38·9 to 52·2)* 11·0% (6·5 to 15·6)* 5 (5 to 6) 8 (6 to 9) 40·1% (33·4 to 47·3)* 8·0% (3·5 to 12·8)*
.. Tracheal, bronchus, and lung cancer 0 (0 to 0) 0 (0 to 0) 45·4% (38·9 to 52·2)* 11·0% (6·5 to 15·6)* 5 (5 to 6) 8 (6 to 9) 40·1% (33·4 to 47·3)* 8·0% (3·5 to 12·8)*
4 Occupational exposure to cadmium: all causes 0 (0 to 1) 1 (1 to 1) 47·7% (40·1 to 56·0)* 12·7% (7·2 to 18·7)* 13 (11 to 15) 18 (15 to 22) 42·4% (34·6 to 50·8)* 9·7% (4·3 to 15·6)*
.. Tracheal, bronchus, and lung cancer 0 (0 to 1) 1 (1 to 1) 47·7% (40·1 to 56·0)* 12·7% (7·2 to 18·7)* 13 (11 to 15) 18 (15 to 22) 42·4% (34·6 to 50·8)* 9·7% (4·3 to 15·6)*
4 Occupational exposure to chromium: all causes 1 (1 to 1) 1 (1 to 2) 49·3% (42·0 to 56·6)* 14·0% (9·0 to 19·3)* 27 (24 to 30) 38 (34 to 43) 44·1% (36·8 to 51·2)* 11·0% (6·0 to 16·3)*
.. Tracheal, bronchus, and lung cancer 1 (1 to 1) 1 (1 to 2) 49·3% (42·0 to 56·6)* 14·0% (9·0 to 19·3)* 27 (24 to 30) 38 (34 to 43) 44·1% (36·8 to 51·2)* 11·0% (6·0 to 16·3)*
4 Occupational exposure to diesel engine exhaust: all causes 12 (11 to 13) 18 (16 to 20) 48·9% (41·6 to 55·4)* 13·5% (8·5 to 18·1)* 344 (304 to 386) 494 (434 to 559) 43·9% (36·8 to 50·5)* 10·8% (5·7 to 15·3)*
.. Tracheal, bronchus, and lung cancer 12 (11 to 13) 18 (16 to 20) 48·9% (41·6 to 55·4)* 13·5% (8·5 to 18·1)* 344 (304 to 386) 494 (434 to 559) 43·9% (36·8 to 50·5)* 10·8% (5·7 to 15·3)*
4 Occupational exposure to formaldehyde: all causes 1 (1 to 1) 1 (1 to 1) 20·6% (13·4 to 28·5)* 1·3% (−3·7 to 7·1) 40 (33 to 48) 46 (38 to 56) 16·1% (9·4 to 23·6)* −0·3% (−5·4 to 5·4)
.. Nasopharynx cancer 0 (0 to 1) 0 (0 to 1) 23·9% (10·4 to 39·0)* 2·1% (−7·0 to 11·9) 15 (10 to 21) 18 (12 to 25) 18·8% (5·4 to 34·1)* −0·1% (−9·3 to 10·1)
.. Acute lymphoid leukaemia 0 (0 to 0) 0 (0 to 0) 31·7% (21·7 to 40·9)* 14·4% (6·1 to 22·0)* 5 (4 to 6) 6 (5 to 8) 27·8% (18·3 to 36·9)* 12·9% (4·6 to 20·5)*
.. Chronic lymphoid leukaemia 0 (0 to 0) 0 (0 to 0) 41·3% (32·6 to 51·4)* 14·5% (7·3 to 22·2)* 1 (1 to 1) 1 (1 to 1) 45·0% (34·0 to 57·3)* 20·6% (11·8 to 30·2)*
.. Acute myeloid leukaemia 0 (0 to 0) 0 (0 to 0) 32·0% (24·7 to 38·4)* 12·0% (5·9 to 17·3)* 6 (5 to 7) 8 (6 to 9) 27·8% (20·3 to 34·2)* 10·7% (4·3 to 16·3)*
.. Chronic myeloid leukaemia 0 (0 to 0) 0 (0 to 0) 7·9% (2·7 to 13·8)* −8·3% (−12·8 to −3·4)* 2 (2 to 2) 2 (2 to 3) 5·6% (0·2 to 11·7)* −8·7% (−13·6 to −3·5)*
.. Other leukaemia 0 (0 to 0) 0 (0 to 0) 5·9% (−1·3 to 15·0) −10·0% (−15·6 to −2·6)* 11 (9 to 14) 11 (9 to 14) 1·3% (−5·8 to 10·1) −12·0% (−17·9 to −4·7)*
4 Occupational exposure to nickel: all causes 7 (1 to 18) 9 (1 to 23) 33·9% (25·4 to 55·2)* 2·0% (−4·5 to 18·6) 184 (26 to 493) 238 (36 to 607) 29·5% (21·2 to 49·1)* −0·5% (−6·9 to 15·0)
.. Tracheal, bronchus, and lung cancer 7 (1 to 18) 9 (1 to 23) 33·9% (25·4 to 55·2)* 2·0% (−4·5 to 18·6) 184 (26 to 493) 238 (36 to 607) 29·5% (21·2 to 49·1)* −0·5% (−6·9 to 15·0)
4 Occupational exposure to polycyclic aromatic hydrocarbons: all causes 3 (3 to 4) 5 (4 to 6) 48·9% (41·4 to 56·4)* 13·7% (8·4 to 19·0)* 94 (80 to 107) 134 (114 to 156) 43·7% (36·4 to 51·2)* 10·8% (5·8 to 16·0)*
.. Tracheal, bronchus, and lung cancer 3 (3 to 4) 5 (4 to 6) 48·9% (41·4 to 56·4)* 13·7% (8·4 to 19·0)* 94 (80 to 107) 134 (114 to 156) 43·7% (36·4 to 51·2)* 10·8% (5·8 to 16·0)*
4 Occupational exposure to silica: all causes 47 (27 to 69) 60 (34 to 88) 27·2% (20·5 to 33·7)* −3·5% (−8·7 to 1·5) 1280 (702 to 1880) 1590 (870 to 2330) 24·6% (18·4 to 31·4)* −4·2% (−9·0 to 1·3)
.. Tracheal, bronchus, and lung cancer 37 (17 to 58) 49 (22 to 77) 31·2% (24·3 to 41·4)* 0·0% (−5·3 to 7·9) 1050 (470 to 1630) 1330 (595 to 2080) 27·1% (20·2 to 36·5)* −2·4% (−7·7 to 5·1)
.. Silicosis 10 (9 to 12) 11 (10 to 12) 12·0% (1·2 to 22·8)* −15·5% (−23·6 to −7·4)* 230 (205 to 266) 261 (233 to 286) 13·2% (1·2 to 24·1)* −12·3% (−21·6 to −3·9)*
4 Occupational exposure to sulphuric acid: all causes 3 (1 to 6) 4 (2 to 7) 25·5% (19·2 to 32·4)* −3·8% (−8·7 to 1·5) 101 (43 to 182) 124 (53 to 224) 22·5% (16·1 to 29·5)* −4·9% (−10·0 to 0·4)
.. Larynx cancer 3 (1 to 6) 4 (2 to 7) 25·5% (19·2 to 32·4)* −3·8% (−8·7 to 1·5) 101 (43 to 182) 124 (53 to 224) 22·5% (16·1 to 29·5)* −4·9% (−10·0 to 0·4)
4 Occupational exposure to trichloroethylene: all causes 0 (0 to 0) 0 (0 to 0) 51·9% (46·4 to 59·7)* 16·6% (12·4 to 22·5)* 1 (0 to 2) 2 (0 to 3) 48·8% (43·2 to 56·4)* 15·7% (11·4 to 21·7)*
.. Kidney cancer 0 (0 to 0) 0 (0 to 0) 51·9% (46·4 to 59·7)* 16·6% (12·4 to 22·5)* 1 (0 to 2) 2 (0 to 3) 48·8% (43·2 to 56·4)* 15·7% (11·4 to 21·7)*
3 Occupational asthmagens: all causes 38 (21 to 52) 34 (22 to 47) −9·4% (−16·1 to 0·5) −28·8% (−34·5 to −20·6)* 1930 (1460 to 2430) 1910 (1500 to 2410) −1·2% (−6·9 to 6·9) −18·6% (−23·9 to −11·3)*
.. Asthma 38 (21 to 52) 34 (22 to 47) −9·4% (−16·1 to 0·5) −28·8% (−34·5 to −20·6)* 1930 (1460 to 2430) 1910 (1500 to 2410) −1·2% (−6·9 to 6·9) −18·6% (−23·9 to −11·3)*
3 Occupational particulate matter, gases, and fumes: all causes 432 (354 to 510) 488 (397 to 584) 13·0% (9·2 to 17·0)* −16·2% (−18·7 to −13·5)* 10 500 (9050 to 12 100) 12 100 (10 200 to 13 900) 14·4% (11·1 to 17·8)* −12·8% (−15·2 to −10·5)*
.. Chronic obstructive pulmonary disease 425 (347 to 503) 481 (391 to 577) 13·1% (9·3 to 17·2)* −16·1% (−18·7 to −13·4)* 10 400 (8870 to 11 900) 11 900 (10 100 to 13 700) 14·6% (11·2 to 18·0)* −12·7% (−15·1 to −10·4)*
.. Coal worker pneumoconiosis 3 (3 to 4) 3 (3 to 4) −2·2% (−12·0 to 11·7) −26·6% (−33·8 to −16·7)* 81 (65 to 99) 81 (69 to 100) 0·1% (−8·8 to 12·9) −23·0% (−29·8 to −13·3)*
.. Other pneumoconiosis 3 (3 to 4) 4 (3 to 4) 8·8% (0·0 to 25·4)* −17·5% (−24·1 to −5·0)* 90 (74 to 110) 97 (82 to 117) 7·6% (0·6 to 20·4)* −15·9% (−21·4 to −5·5)*
3 Occupational noise: all causes .. .. .. .. 4830 (3300 to 6830) 5980 (4080 to 8430) 23·7% (22·4 to 25·0)* 0·7% (−0·2 to 1·6)
.. Age-related and other hearing loss .. .. .. .. 4830 (3300 to 6830) 5980 (4080 to 8430) 23·7% (22·4 to 25·0)* 0·7% (−0·2 to 1·6)
3 Occupational injuries: all causes 348 (327 to 370) 304 (288 to 323) −12·8% (−17·3 to −7·8)* −24·5% (−28·4 to −20·1)* 22 700 (20 800 to 24 800) 21 100 (19 200 to 23 500) −7·0% (−11·8 to −1·4)* −18·4% (−22·7 to −13·5)*
.. Pedestrian road injuries 71 (64 to 81) 58 (53 to 66) −18·1% (−24·3 to −11·2)* −29·6% (−35·0 to −23·7)* 3840 (3460 to 4350) 3190 (2880 to 3600) −16·8% (−23·0 to −10·0)* −27·2% (−32·6 to −21·3)*
.. Cyclist road injuries 10 (9 to 12) 10 (8 to 11) −8·4% (−17·8 to 2·2) −21·8% (−29·8 to −12·6)* 709 (600 to 821) 705 (588 to 832) −0·6% (−9·2 to 8·1) −13·9% (−21·4 to −6·1)*
.. Motorcyclist road injuries 45 (39 to 50) 39 (34 to 43) −13·8% (−21·5 to −5·8)* −23·7% (−30·5 to −16·7)* 2790 (2460 to 3110) 2470 (2190 to 2740) −11·6% (−18·6 to −4·4)* −21·4% (−27·4 to −14·8)*
.. Motor vehicle road injuries 68 (62 to 76) 62 (58 to 68) −9·0% (−13·3 to −3·9)* −20·0% (−23·9 to −15·5)* 3860 (3540 to 4220) 3540 (3310 to 3860) −8·1% (−12·4 to −3·4)* −18·3% (−22·1 to −14·1)*
.. Other road injuries 2 (1 to 2) 2 (1 to 2) −17·5% (−24·5 to 1·9) −28·6% (−34·6 to −12·0)* 162 (133 to 196) 170 (136 to 211) 4·9% (−3·9 to 17·0) −8·7% (−16·3 to 1·4)
.. Other transport injuries 17 (15 to 20) 15 (13 to 18) −13·5% (−20·0 to −6·8)* −24·5% (−30·2 to −18·6)* 1300 (1130 to 1500) 1200 (1020 to 1400) −7·4% (−13·8 to −1·1)* −18·4% (−24·2 to −12·8)*
.. Falls 37 (32 to 41) 36 (32 to 39) −3·0% (−10·7 to 6·6) −19·0% (−25·5 to −11·0)* 3390 (2850 to 4090) 3700 (3030 to 4540) 9·1% (2·6 to 16·4)* −6·6% (−12·2 to −0·5)*
.. Drowning 26 (25 to 28) 23 (21 to 24) −13·9% (−19·3 to −8·1)* −24·5% (−29·3 to −19·4)* 1380 (1290 to 1480) 1170 (1090 to 1260) −15·3% (−20·6 to −9·6)* −24·2% (−29·0 to −19·1)*
.. Fire, heat, and hot substances 10 (8 to 11) 8 (7 to 9) −14·2% (−18·6 to −5·3)* −26·3% (−30·0 to −18·4)* 898 (753 to 1060) 878 (719 to 1070) −2·1% (−7·5 to 4·2) −14·2% (−18·9 to −8·7)*
.. Poisoning by carbon monoxide 5 (4 to 5) 4 (3 to 4) −14·8% (−23·9 to −4·5)* −27·0% (−34·9 to −18·3)* 230 (182 to 257) 197 (147 to 223) −14·3% (−22·8 to −4·4)* −25·2% (−32·6 to −16·6)*
.. Poisoning by other means 4 (3 to 5) 4 (3 to 4) −6·3% (−16·3 to 5·4) −19·4% (−28·0 to −9·4)* 234 (183 to 265) 230 (174 to 266) −1·6% (−9·8 to 9·1) −13·6% (−20·8 to −4·3)*
.. Unintentional firearm injuries 4 (3 to 4) 3 (3 to 4) −10·3% (−16·0 to −4·2)* −20·9% (−25·7 to −15·5)* 237 (210 to 270) 224 (199 to 256) −5·3% (−10·7 to 0·6) −15·7% (−20·5 to −10·5)*
.. Other exposure to mechanical forces 18 (15 to 19) 15 (13 to 16) −17·5% (−23·3 to −11·0)* −28·8% (−33·7 to −23·2)* 1420 (1220 to 1660) 1390 (1160 to 1690) −2·0% (−9·0 to 5·4) −14·8% (−20·7 to −8·4)*
.. Venomous animal contact 7 (4 to 8) 6 (3 to 7) −19·2% (−29·8 to −5·9)* −30·6% (−39·7 to −19·1)* 430 (269 to 524) 368 (245 to 440) −14·3% (−25·0 to −2·1)* −24·6% (−34·0 to −14·0)*
.. Non-venomous animal contact 1 (1 to 1) 1 (1 to 1) −9·7% (−18·5 to 1·3) −23·1% (−30·6 to −13·5)* 93 (69 to 125) 90 (68 to 121) −3·4% (−11·0 to 3·5) −16·0% (−22·6 to −10·0)*
.. Pulmonary aspiration and foreign body in airway 5 (5 to 5) 5 (5 to 6) 3·5% (−0·6 to 7·2) −12·2% (−15·7 to −9·2)* 254 (241 to 271) 263 (247 to 281) 3·5% (−0·5 to 7·5) −10·2% (−13·6 to −6·8)*
.. Foreign body in other body part 1 (1 to 1) 1 (1 to 1) −2·1% (−8·5 to 4·0) −15·4% (−20·8 to −10·2)* 109 (85 to 135) 120 (92 to 150) 10·9% (5·1 to 16·5)* −3·4% (−8·4 to 1·5)
.. Other unintentional injuries 18 (17 to 20) 14 (13 to 16) −23·3% (−29·2 to −16·8)* −32·9% (−38·0 to −27·1)* 1360 (1200 to 1550) 1200 (1030 to 1430) −11·9% (−18·4 to −5·0)* −22·7% (−28·2 to −16·8)*
3 Occupational ergonomic factors: all causes .. .. .. .. 14 200 (10 000 to 19 400) 15 900 (11 200 to 21 800) 12·5% (10·6 to 14·5)* −5·0% (−6·3 to −3·6)*
.. Low back pain .. .. .. .. 14 200 (10 000 to 19 400) 15 900 (11 200 to 21 800) 12·5% (10·6 to 14·5)* −5·0% (−6·3 to −3·6)*
1 Behavioural risks: all causes 23 200 (22 600 to 23 800) 23 800 (23 100 to 24 600) 2·7% (1·2 to 4·1)* −18·7% (−19·9 to −17·7)* 1 020 000 (970 000 to 1 060 000) 913 000 (863 000 to 961 000) −10·1% (−11·9 to −8·4)* −23·1% (−24·6 to −21·6)*
2 Child and maternal malnutrition: all causes 4650 (4450 to 4880) 3190 (3020 to 3360) −31·4% (−34·4 to −28·6)* −34·2% (−37·1 to −31·5)* 455 000 (430 000 to 482 000) 327 000 (303 000 to 352 000) −28·2% (−31·2 to −25·3)* −31·5% (−34·3 to −28·8)*
3 Suboptimal breastfeeding: all causes 270 (200 to 338) 169 (132 to 210) −37·1% (−42·4 to −30·9)* −39·4% (−44·4 to −33·4)* 23 800 (17 700 to 29 900) 15 000 (11 700 to 18 600) −36·8% (−42·0 to −30·6)* −39·0% (−44·1 to −33·1)*
4 Non-exclusive breastfeeding: all causes 256 (191 to 324) 161 (124 to 201) −37·1% (−42·4 to −30·8)* −39·3% (−44·4 to −33·2)* 22 600 (16 800 to 28 500) 14 200 (11 000 to 17 800) −36·9% (−42·1 to −30·6)* −39·0% (−44·1 to −33·0)*
.. Lower respiratory infections 97 (52 to 150) 60 (34 to 91) −38·1% (−43·0 to −30·8)* −40·2% (−44·9 to −33·1)* 8530 (4530 to 13 100) 5280 (2940 to 7960) −38·1% (−43·0 to −30·8)* −40·2% (−44·9 to −33·1)*
.. Diarrhoeal diseases 159 (118 to 199) 101 (77 to 127) −36·5% (−44·0 to −28·1)* −38·7% (−45·9 to −30·6)* 14 000 (10 500 to 17 600) 8970 (6850 to 11 300) −36·1% (−43·5 to −27·8)* −38·4% (−45·5 to −30·3)*
4 Discontinued breastfeeding: all causes 16 (5 to 28) 10 (4 to 18) −36·7% (−46·5 to −25·2)* −39·9% (−49·2 to −28·9)* 1420 (488 to 2550) 931 (322 to 1630) −34·7% (−44·2 to −23·1)* −37·9% (−47·0 to −26·9)*
.. Diarrhoeal diseases 16 (5 to 28) 10 (4 to 18) −36·7% (−46·5 to −25·2)* −39·9% (−49·2 to −28·9)* 1420 (488 to 2550) 931 (322 to 1630) −34·7% (−44·2 to −23·1)* −37·9% (−47·0 to −26·9)*
3 Child growth failure: all causes 1980 (1800 to 2170) 1190 (1060 to 1300) −40·1% (−43·9 to −36·0)* −43·6% (−47·2 to −39·8)* 170 000 (155 000 to 186 000) 100 000 (89 800 to 110 000) −40·9% (−44·7 to −37·0)* −43·8% (−47·5 to −40·1)*
4 Child underweight: all causes 710 (606 to 853) 417 (365 to 498) −41·3% (−45·7 to −36·1)* −46·2% (−50·1 to −41·6)* 58 700 (49 700 to 71 300) 32 400 (28 000 to 39 500) −44·7% (−48·9 to −40·0)* −47·9% (−51·8 to −43·5)*
.. Lower respiratory infections 181 (121 to 310) 93 (61 to 169) −48·8% (−53·5 to −44·1)* −51·2% (−55·6 to −46·6)* 15 700 (10 500 to 26 900) 8050 (5270 to 14 700) −48·8% (−53·4 to −44·1)* −51·1% (−55·6 to −46·6)*
.. Diarrhoeal diseases 139 (113 to 177) 66 (52 to 83) −53·0% (−59·3 to −45·6)* −55·3% (−61·3 to −48·2)* 12 300 (10 000 to 15 600) 5860 (4670 to 7430) −52·4% (−58·7 to −45·2)* −54·7% (−60·7 to −47·8)*
.. Measles 76 (16 to 199) 27 (5 to 75) −64·9% (−72·1 to −59·0)* −66·8% (−73·6 to −61·2)* 6560 (1400 to 17 200) 2300 (437 to 6480) −65·0% (−72·1 to −59·0)* −66·8% (−73·6 to −61·2)*
.. Protein-energy malnutrition 313 (288 to 339) 232 (212 to 254) −26·1% (−31·7 to −18·0)* −34·6% (−39·4 to −27·5)* 24 100 (21 800 to 26 400) 16 200 (14 500 to 18 000) −32·6% (−38·3 to −24·7)* −37·2% (−42·5 to −29·7)*
4 Child wasting: all causes 1770 (1480 to 2020) 1080 (891 to 1220) −39·1% (−43·1 to −35·0)* −42·8% (−46·6 to −38·9)* 152 000 (127 000 to 173 000) 91 000 (75 400 to 104 000) −40·1% (−44·2 to −36·0)* −43·1% (−47·1 to −39·2)*
.. Lower respiratory infections 700 (481 to 841) 426 (281 to 523) −39·2% (−44·2 to −34·6)* −41·9% (−46·7 to −37·5)* 60 900 (41 800 to 73 100) 37 000 (24 500 to 45 500) −39·1% (−44·1 to −34·5)* −41·8% (−46·6 to −37·4)*
.. Diarrhoeal diseases 680 (534 to 788) 389 (288 to 452) −42·8% (−50·5 to −33·8)* −45·5% (−52·9 to −36·9)* 60 300 (47 200 to 69 700) 35 100 (26 000 to 40 800) −41·8% (−49·6 to −33·1)* −44·6% (−52·0 to −36·3)*
.. Measles 76 (11 to 246) 30 (4 to 108) −60·2% (−68·0 to −53·9)* −62·3% (−69·6 to −56·4)* 6610 (942 to 21 400) 2630 (322 to 9370) −60·2% (−68·0 to −53·9)* −62·2% (−69·6 to −56·4)*
.. Protein-energy malnutrition 313 (288 to 339) 232 (212 to 254) −26·1% (−31·7 to −18·0)* −34·6% (−39·4 to −27·5)* 24 100 (21 800 to 26 400) 16 200 (14 500 to 18 000) −32·6% (−38·3 to −24·7)* −37·2% (−42·5 to −29·7)*
4 Child stunting: all causes 458 (237 to 754) 221 (103 to 395) −51·8% (−57·8 to −46·0)* −54·2% (−59·9 to −48·5)* 40 000 (20 700 to 65 700) 19 400 (9070 to 34 600) −51·5% (−57·3 to −45·8)* −53·9% (−59·5 to −48·3)*
.. Lower respiratory infections 229 (30 to 505) 119 (13 to 285) −48·0% (−58·0 to −42·3)* −50·4% (−59·9 to −44·9)* 19 900 (2600 to 43 900) 10 300 (1120 to 24 800) −47·9% (−57·9 to −42·2)* −50·3% (−59·9 to −44·8)*
.. Diarrhoeal diseases 174 (69 to 303) 81 (30 to 149) −53·3% (−61·1 to −44·7)* −55·5% (−63·0 to −47·4)* 15 400 (6100 to 26 700) 7310 (2720 to 13 400) −52·5% (−60·3 to −44·2)* −54·8% (−62·3 to −46·9)*
.. Measles 56 (6 to 158) 20 (2 to 61) −63·5% (−72·0 to −57·8)* −65·4% (−73·5 to −60·1)* 4810 (513 to 13 700) 1760 (168 to 5310) −63·5% (−72·0 to −57·8)* −65·4% (−73·5 to −60·1)*
3 Low birthweight and short gestation: all causes 2490 (2400 to 2570) 1880 (1790 to 1970) −24·4% (−27·4 to −21·2)* −26·4% (−29·4 to −23·3)* 229 000 (221 000 to 237 000) 178 000 (169 000 to 187 000) −22·1% (−25·3 to −18·7)* −24·7% (−27·6 to −21·5)*
4 Short gestation for birthweight: all causes 1890 (1820 to 1970) 1430 (1360 to 1510) −24·2% (−27·4 to −21·0)* −26·3% (−29·4 to −23·1)* 176 000 (170 000 to 184 000) 139 000 (131 000 to 147 000) −21·3% (−24·4 to −17·6)* −24·0% (−27·0 to −20·6)*
.. Lower respiratory infections 186 (172 to 200) 129 (117 to 142) −30·7% (−36·5 to −23·8)* −32·6% (−38·3 to −25·9)* 16 300 (15 100 to 17 600) 11 300 (10 300 to 12 400) −30·7% (−36·5 to −23·8)* −32·6% (−38·3 to −25·9)*
.. Upper respiratory infections 0 (0 to 0) 0 (0 to 0) −38·4% (−48·3 to −21·7)* −40·2% (−49·8 to −23·9)* 10 (5 to 13) 6 (4 to 9) −38·4% (−48·3 to −21·7)* −40·2% (−49·8 to −23·9)*
.. Otitis media 0 (0 to 0) 0 (0 to 0) −51·6% (−70·5 to −22·3)* −53·0% (−71·3 to −24·5)* 3 (1 to 11) 2 (1 to 6) −51·6% (−70·5 to −22·3)* −53·0% (−71·3 to −24·5)*
.. Diarrhoeal diseases 48 (43 to 53) 31 (27 to 35) −35·1% (−43·6 to −25·9)* −37·0% (−45·2 to −28·0)* 4180 (3790 to 4620) 2710 (2410 to 3040) −35·1% (−43·6 to −25·9)* −37·0% (−45·2 to −28·0)*
.. Pneumococcal meningitis 2 (2 to 3) 2 (1 to 2) −20·4% (−31·4 to −6·9)* −22·6% (−33·3 to −9·4)* 187 (148 to 224) 149 (118 to 183) −20·4% (−31·4 to −6·8)* −22·6% (−33·3 to −9·4)*
.. H influenzae type B meningitis 4 (4 to 5) 3 (2 to 3) −40·9% (−48·8 to −31·0)* −42·6% (−50·2 to −33·0)* 382 (309 to 462) 225 (176 to 277) −40·9% (−48·8 to −31·0)* −42·6% (−50·2 to −33·0)*
.. Meningococcal infection 2 (2 to 3) 2 (1 to 2) −34·6% (−42·8 to −24·4)* −36·5% (−44·4 to −26·5)* 211 (175 to 246) 138 (109 to 167) −34·6% (−42·8 to −24·4)* −36·4% (−44·4 to −26·5)*
.. Other meningitis 7 (5 to 8) 6 (5 to 7) −11·8% (−22·6 to 2·5) −14·2% (−24·8 to −0·3)* 573 (475 to 664) 505 (413 to 592) −11·8% (−22·6 to 2·5) −14·2% (−24·8 to −0·3)*
.. Encephalitis 1 (1 to 1) 1 (1 to 1) −16·0% (−33·2 to −1·7)* −18·4% (−35·1 to −4·4)* 95 (85 to 107) 80 (67 to 89) −16·0% (−33·2 to −1·7)* −18·4% (−35·1 to −4·4)*
.. Neonatal preterm birth 879 (830 to 991) 649 (605 to 721) −26·2% (−31·3 to −21·5)* −28·1% (−33·2 to −23·6)* 87 700 (82 100 to 97 300) 70 200 (64 400 to 77 200) −19·9% (−25·3 to −14·4)* −23·3% (−28·4 to −18·3)*
.. Neonatal encephalopathy due to birth asphyxia and trauma 351 (314 to 379) 281 (248 to 309) −20·0% (−26·6 to −12·4)* −22·1% (−28·5 to −14·7)* 30 800 (27 600 to 33 300) 24 700 (21 800 to 27 200) −20·0% (−26·6 to −12·4)* −22·1% (−28·5 to −14·7)*
.. Neonatal sepsis and other neonatal infections 120 (106 to 157) 111 (97 to 144) −8·1% (−17·1 to 2·0) −10·6% (−19·3 to −0·8)* 10 600 (9280 to 13 800) 9710 (8540 to 12 700) −8·1% (−17·1 to 2·0) −10·6% (−19·3 to −0·8)*
.. Haemolytic disease and other neonatal jaundice 44 (38 to 50) 28 (24 to 32) −36·3% (−44·7 to −26·2)* −38·0% (−46·2 to −28·2)* 3840 (3340 to 4380) 2450 (2140 to 2810) −36·3% (−44·7 to −26·2)* −38·0% (−46·2 to −28·2)*
.. Other neonatal disorders 242 (210 to 266) 188 (160 to 207) −22·3% (−28·9 to −13·9)* −24·4% (−30·8 to −16·1)* 21 300 (18 400 to 23 400) 16 500 (14 000 to 18 200) −22·3% (−28·9 to −13·9)* −24·4% (−30·8 to −16·1)*
.. Sudden infant death syndrome 3 (1 to 5) 2 (1 to 4) −20·9% (−31·2 to −4·0)* −23·2% (−33·2 to −6·8)* 262 (103 to 467) 208 (98 to 351) −20·9% (−31·2 to −4·0)* −23·2% (−33·2 to −6·8)*
4 Low birthweight for gestation: all causes 1480 (1410 to 1570) 1100 (1040 to 1160) −25·7% (−28·9 to −22·2)* −27·6% (−30·8 to −24·3)* 140 000 (134 000 to 148 000) 110 000 (103 000 to 117 000) −21·8% (−25·4 to −17·9)* −24·7% (−28·0 to −21·0)*
.. Lower respiratory infections 95 (86 to 105) 63 (56 to 71) −33·9% (−40·6 to −26·4)* −35·6% (−42·2 to −28·3)* 8350 (7530 to 9270) 5520 (4880 to 6260) −33·8% (−40·6 to −26·4)* −35·6% (−42·2 to −28·3)*
.. Upper respiratory infections 0 (0 to 0) 0 (0 to 0) −45·8% (−54·9 to −30·6)* −47·3% (−56·1 to −32·5)* 5 (3 to 7) 3 (2 to 4) −45·8% (−54·9 to −30·6)* −47·3% (−56·1 to −32·5)*
.. Otitis media 0 (0 to 0) 0 (0 to 0) −48·9% (−68·4 to −16·0)* −50·3% (−69·3 to −18·4)* 2 (0 to 7) 1 (0 to 4) −48·9% (−68·4 to −16·0)* −50·3% (−69·3 to −18·4)*
.. Diarrhoeal diseases 18 (16 to 21) 11 (10 to 13) −37·4% (−46·1 to −28·8)* −39·1% (−47·5 to −30·7)* 1610 (1400 to 1830) 1010 (878 to 1150) −37·4% (−46·1 to −28·8)* −39·1% (−47·5 to −30·7)*
.. Pneumococcal meningitis 1 (1 to 1) 1 (1 to 1) −28·4% (−39·6 to −14·4)* −30·4% (−41·3 to −16·7)* 100 (76 to 124) 72 (56 to 89) −28·4% (−39·6 to −14·4)* −30·4% (−41·3 to −16·7)*
.. H influenzae type B meningitis 2 (2 to 3) 1 (1 to 1) −46·5% (−53·9 to −37·0)* −48·0% (−55·2 to −38·7)* 177 (134 to 227) 95 (71 to 118) −46·5% (−53·9 to −37·0)* −48·0% (−55·2 to −38·7)*
.. Meningococcal infection 1 (1 to 1) 1 (1 to 1) −37·6% (−46·6 to −26·6)* −39·2% (−48·0 to −28·6)* 104 (81 to 126) 65 (50 to 80) −37·6% (−46·6 to −26·6)* −39·2% (−48·0 to −28·6)*
.. Other meningitis 3 (3 to 4) 3 (2 to 3) −16·0% (−27·6 to −2·3)* −18·3% (−29·5 to −5·0)* 286 (229 to 340) 240 (191 to 284) −16·0% (−27·6 to −2·3)* −18·3% (−29·5 to −5·0)*
.. Encephalitis 0 (0 to 0) 0 (0 to 0) −16·7% (−32·2 to −3·4)* −19·0% (−34·1 to −6·0)* 38 (33 to 44) 31 (27 to 36) −16·7% (−32·2 to −3·4)* −19·0% (−34·1 to −6·0)*
.. Neonatal preterm birth 879 (830 to 991) 649 (605 to 721) −26·2% (−31·3 to −21·5)* −28·1% (−33·2 to −23·6)* 87 700 (82 100 to 97 300) 70 200 (64 400 to 77 200) −19·9% (−25·3 to −14·4)* −23·3% (−28·4 to −18·3)*
.. Neonatal encephalopathy due to birth asphyxia and trauma 249 (221 to 271) 188 (166 to 207) −24·6% (−30·7 to −17·7)* −26·6% (−32·5 to −19·8)* 21 900 (19 400 to 23 800) 16 500 (14 600 to 18 200) −24·6% (−30·7 to −17·7)* −26·6% (−32·5 to −19·8)*
.. Neonatal sepsis and other neonatal infections 64 (55 to 90) 57 (49 to 80) −10·8% (−20·3 to 0·0)* −13·2% (−22·4 to −2·7)* 5620 (4830 to 7910) 5010 (4320 to 6990) −10·8% (−20·3 to 0·0)* −13·2% (−22·4 to −2·7)*
.. Haemolytic disease and other neonatal jaundice 21 (18 to 24) 13 (12 to 15) −35·7% (−44·1 to −26·2)* −37·4% (−45·6 to −28·2)* 1810 (1570 to 2080) 1160 (1010 to 1330) −35·7% (−44·1 to −26·2)* −37·4% (−45·6 to −28·2)*
.. Other neonatal disorders 141 (121 to 156) 109 (92 to 121) −22·8% (−29·7 to −13·9)* −24·8% (−31·5 to −16·2)* 12 400 (10 600 to 13 700) 9560 (8060 to 10 600) −22·8% (−29·7 to −13·9)* −24·8% (−31·5 to −16·2)*
.. Sudden infant death syndrome 1 (0 to 1) 1 (0 to 1) −22·7% (−33·6 to −7·6)* −24·9% (−35·5 to −10·3)* 68 (32 to 127) 52 (27 to 93) −22·7% (−33·6 to −7·6)* −24·9% (−35·5 to −10·3)*
3 Iron deficiency: all causes 89 (36 to 133) 60 (24 to 91) −32·6% (−37·0 to −28·4)* −38·5% (−42·5 to −34·6)* 37 100 (25 800 to 51 300) 33 700 (23 200 to 47 200) −9·3% (−13·2 to −5·3)* −17·6% (−21·1 to −14·1)*
.. Maternal haemorrhage 28 (12 to 44) 12 (5 to 19) −56·9% (−64·0 to −48·6)* −60·7% (−67·3 to −53·2)* 1650 (670 to 2570) 702 (281 to 1100) −57·4% (−64·6 to −48·7)* −60·9% (−67·6 to −53·1)*
.. Maternal sepsis and other pregnancy related infections 11 (4 to 17) 7 (3 to 11) −36·7% (−49·0 to −23·8)* −42·1% (−53·2 to −30·3)* 634 (265 to 1010) 397 (156 to 635) −37·4% (−49·4 to −24·1)* −42·3% (−53·3 to −30·0)*
.. Maternal hypertensive disorders 10 (4 to 16) 9 (3 to 14) −16·0% (−32·6 to 2·1) −22·6% (−37·9 to −5·8)* 659 (262 to 1050) 550 (212 to 863) −16·6% (−32·7 to 0·5) −22·7% (−37·6 to −6·9)*
.. Maternal obstructed labour and uterine rupture 6 (2 to 10) 4 (2 to 7) −26·8% (−44·8 to −5·1)* −33·5% (−49·6 to −13·6)* 461 (188 to 761) 343 (139 to 561) −25·6% (−40·2 to −10·8)* −32·1% (−45·2 to −18·5)*
.. Maternal abortive outcome 6 (3 to 10) 5 (2 to 9) −17·0% (−32·9 to 0·5) −24·7% (−38·9 to −8·9)* 374 (152 to 602) 304 (118 to 484) −18·7% (−35·0 to −0·3)* −25·5% (−40·1 to −9·0)*
.. Ectopic pregnancy 4 (2 to 9) 3 (1 to 6) −21·9% (−51·6 to 20·4) −28·4% (−55·1 to 10·5) 263 (92 to 541) 203 (75 to 378) −23·0% (−51·4 to 19·5) −29·0% (−55·2 to 9·9)
.. Indirect maternal deaths 12 (5 to 20) 10 (4 to 17) −14·5% (−28·4 to −0·6)* −21·9% (−34·7 to −9·5)* 714 (287 to 1150) 598 (233 to 956) −16·2% (−30·5 to −1·9)* −23·0% (−36·3 to −10·3)*
.. Late maternal deaths 1 (0 to 2) 1 (0 to 2) −13·3% (−19·6 to −7·3)* −20·7% (−26·2 to −15·2)* 65 (26 to 104) 56 (21 to 92) −14·3% (−20·4 to −8·3)* −21·2% (−26·6 to −15·7)*
.. Maternal deaths aggravated by HIV/AIDS 1 (0 to 1) 0 (0 to 1) −30·3% (−37·6 to −22·8)* −37·8% (−44·3 to −31·1)* 38 (15 to 63) 25 (9 to 44) −32·8% (−39·9 to −25·6)* −39·7% (−46·2 to −33·2)*
.. Other maternal disorders 9 (4 to 15) 8 (3 to 12) −18·8% (−35·7 to 2·8) −25·8% (−41·4 to −6·0)* 577 (227 to 936) 470 (184 to 736) −18·6% (−36·0 to 2·5) −25·2% (−40·9 to −5·8)*
.. Dietary iron deficiency .. .. .. .. 31 700 (21 400 to 45 200) 30 000 (20 300 to 43 600) −5·2% (−8·4 to −1·9)* −14·3% (−17·2 to −11·4)*
3 Vitamin A deficiency: all causes 437 (339 to 550) 233 (179 to 294) −46·8% (−51·4 to −42·0)* −49·2% (−53·7 to −44·6)* 48 500 (38 700 to 59 900) 29 000 (23 000 to 35 600) −40·2% (−44·7 to −35·8)* −43·3% (−47·6 to −39·0)*
.. Lower respiratory infections 94 (36 to 161) 53 (20 to 92) −43·4% (−47·6 to −39·3)* −45·9% (−49·8 to −41·9)* 8130 (3110 to 14 000) 4600 (1750 to 8000) −43·4% (−47·6 to −39·3)* −45·8% (−49·8 to −41·9)*
.. Diarrhoeal diseases 263 (217 to 308) 146 (120 to 173) −44·5% (−51·0 to −37·1)* −47·1% (−53·3 to −40·0)* 23 300 (19 300 to 27 300) 13 100 (10 800 to 15 500) −43·7% (−50·1 to −36·5)* −46·3% (−52·4 to −39·4)*
.. Measles 81 (27 to 181) 34 (11 to 78) −58·0% (−63·3 to −53·0)* −60·2% (−65·2 to −55·4)* 6980 (2310 to 15 700) 2930 (961 to 6750) −58·0% (−63·2 to −53·0)* −60·2% (−65·1 to −55·4)*
.. Vitamin A deficiency .. .. .. .. 10 000 (6650 to 14 500) 8310 (5400 to 12 200) −17·3% (−20·8 to −13·6)* −22·3% (−25·7 to −18·8)*
3 Zinc deficiency: all causes 60 (3 to 157) 29 (1 to 77) −52·3% (−61·6 to −41·7)* −55·2% (−64·0 to −45·3)* 5290 (398 to 13 600) 2580 (235 to 6750) −51·2% (−60·2 to −36·4)* −54·2% (−62·6 to −40·2)*
.. Lower respiratory infections 24 (0 to 98) 12 (0 to 52) −49·3% (−58·1 to 0) −57·2% (−60·4 to 0) 2100 (3 to 8430) 1070 (2 to 4460) −49·2% (−57·9 to −21·2)* −52·2% (−60·4 to −26·0)*
.. Diarrhoeal diseases 36 (0 to 102) 16 (0 to 48) −54·4% (−63·4 to 0) −52·3% (−65·6 to 0) 3190 (132 to 8890) 1510 (113 to 4270) −52·6% (−61·0 to −12·4)* −55·4% (−63·3 to −17·7)*
2 Tobacco: all causes 7280 (7010 to 7560) 8100 (7790 to 8420) 11·3% (9·1 to 13·4)* −15·9% (−17·6 to −14·4)* 200 000 (188 000 to 212 000) 213 000 (201 000 to 227 000) 6·8% (4·6 to 9·0)* −16·8% (−18·5 to −15·2)*
3 Smoking: all causes 6380 (6170 to 6590) 7100 (6830 to 7370) 11·2% (8·8 to 13·5)* −16·2% (−18·0 to −14·4)* 169 000 (160 000 to 177 000) 182 000 (173 000 to 193 000) 8·2% (6·0 to 10·3)* −16·4% (−18·1 to −14·7)*
.. Drug-susceptible tuberculosis 200 (163 to 234) 156 (124 to 188) −22·1% (−29·6 to −14·5)* −38·7% (−44·6 to −32·8)* 6740 (5450 to 7860) 5210 (4140 to 6290) −22·7% (−29·7 to −15·3)* −37·5% (−43·1 to −31·7)*
.. Multidrug-resistant tuberculosis without extensive drug resistance 26 (20 to 34) 20 (11 to 32) −26·0% (−54·4 to 16·5) −41·4% (−63·9 to −7·6)* 887 (671 to 1130) 636 (368 to 1030) −28·3% (−54·8 to 10·7) −41·7% (−63·2 to −9·8)*
.. Extensively drug-resistant tuberculosis 3 (2 to 4) 3 (2 to 4) −2·6% (−26·1 to 27·8) −21·8% (−40·8 to 2·5) 110 (83 to 140) 103 (74 to 138) −6·5% (−28·6 to 20·6) −23·1% (−41·4 to −1·0)*
.. Lower respiratory infections 241 (180 to 301) 265 (194 to 338) 9·9% (5·2 to 13·8)* −17·6% (−21·0 to −14·8)* 5200 (3950 to 6410) 5410 (4020 to 6820) 4·0% (−0·6 to 7·9) −18·9% (−22·5 to −15·9)*
.. Lip and oral cavity cancer 48 (40 to 56) 59 (48 to 69) 22·2% (15·8 to 27·9)* −7·2% (−12·0 to −2·8)* 1270 (1030 to 1500) 1500 (1190 to 1780) 17·9% (11·3 to 23·6)* −9·1% (−14·1 to −4·6)*
.. Nasopharynx cancer 15 (11 to 19) 18 (13 to 23) 19·7% (13·9 to 26·5)* −8·2% (−12·5 to −3·0)* 427 (303 to 541) 492 (350 to 627) 15·3% (9·3 to 22·3)* −10·0% (−14·5 to −4·9)*
.. Other pharynx cancer 39 (32 to 45) 51 (41 to 59) 29·9% (18·4 to 39·8)* −1·1% (−9·9 to 6·5) 1060 (867 to 1220) 1330 (1050 to 1580) 25·7% (14·4 to 35·6)* −3·2% (−12·0 to 4·5)
.. Oesophageal cancer 151 (137 to 164) 170 (156 to 186) 13·1% (8·4 to 18·0)* −14·4% (−17·9 to −10·6)* 3520 (3170 to 3850) 3810 (3470 to 4170) 8·3% (3·8 to 12·8)* −17·1% (−20·5 to −13·6)*
.. Stomach cancer 147 (120 to 174) 155 (126 to 183) 5·1% (0·8 to 10·0)* −20·6% (−23·7 to −17·0)* 3220 (2570 to 3850) 3270 (2640 to 3890) 1·6% (−2·6 to 6·5) −22·4% (−25·6 to −18·8)*
.. Colon and rectum cancer 101 (68 to 134) 119 (79 to 160) 18·2% (13·6 to 22·6)* −11·3% (−14·9 to −7·8)* 2190 (1420 to 2870) 2540 (1620 to 3390) 16·0% (11·2 to 20·2)* −11·8% (−15·5 to −8·5)*
.. Liver cancer due to hepatitis B 53 (28 to 78) 64 (35 to 92) 20·7% (9·5 to 38·7)* −7·1% (−15·1 to 5·9) 1520 (742 to 2250) 1760 (933 to 2560) 16·0% (5·2 to 34·1)* −9·6% (−17·0 to 4·0)
.. Liver cancer due to hepatitis C 33 (19 to 46) 41 (23 to 58) 25·9% (19·2 to 34·1)* −5·4% (−10·1 to 0·4) 712 (388 to 1020) 880 (491 to 1260) 23·5% (17·0 to 31·7)* −6·2% (−10·7 to −0·5)*
.. Liver cancer due to alcohol use 20 (11 to 30) 26 (14 to 38) 26·0% (19·6 to 33·8)* −4·1% (−8·8 to 1·2) 484 (266 to 712) 595 (319 to 888) 23·1% (16·4 to 31·1)* −5·4% (−9·9 to 0·1)
.. Liver cancer due to non-alcoholic steatohepatitis 8 (4 to 12) 11 (6 to 16) 39·6% (30·5 to 51·3)* 5·3% (−1·3 to 13·7) 179 (96 to 261) 244 (128 to 353) 36·1% (26·8 to 47·9)* 4·1% (−2·4 to 12·7)
.. Liver cancer due to other causes 8 (4 to 11) 10 (5 to 14) 29·8% (18·6 to 45·9)* −0·7% (−8·6 to 10·5) 205 (104 to 304) 255 (135 to 370) 24·2% (13·2 to 41·5)* −3·4% (−10·8 to 8·2)
.. Pancreatic cancer 75 (67 to 83) 94 (83 to 105) 24·9% (21·1 to 28·4)* −6·3% (−9·3 to −3·6)* 1570 (1380 to 1750) 1910 (1670 to 2140) 21·6% (17·7 to 24·9)* −7·6% (−10·5 to −5·1)*
.. Larynx cancer 67 (59 to 73) 77 (68 to 84) 14·9% (11·4 to 18·0)* −12·7% (−15·4 to −10·3)* 1730 (1540 to 1900) 1930 (1700 to 2130) 11·3% (7·6 to 14·6)* −14·5% (−17·4 to −12·0)*
.. Tracheal, bronchus, and lung cancer 965 (940 to 992) 1190 (1150 to 1230) 23·3% (19·9 to 26·4)* −6·9% (−9·4 to −4·6)* 21 000 (20 400 to 21 700) 25 100 (24 100 to 26 100) 19·3% (15·8 to 22·4)* −9·1% (−11·7 to −6·8)*
.. Breast cancer 16 (12 to 21) 17 (12 to 22) 5·2% (1·9 to 8·4)* −20·4% (−23·1 to −17·7)* 447 (317 to 582) 451 (320 to 593) 0·8% (−2·5 to 3·8) −22·0% (−24·9 to −19·5)*
.. Cervical cancer 27 (14 to 43) 27 (14 to 43) −0·5% (−6·1 to 4·5) −23·2% (−27·6 to −19·0)* 807 (443 to 1260) 766 (414 to 1190) −5·0% (−10·0 to −0·4)* −24·8% (−28·9 to −20·7)*
.. Prostate cancer 22 (10 to 34) 25 (10 to 40) 15·7% (7·1 to 23·3)* −13·9% (−20·1 to −8·4)* 414 (188 to 640) 475 (206 to 750) 14·7% (6·6 to 22·6)* −13·6% (−19·8 to −7·6)*
.. Kidney cancer 21 (15 to 27) 26 (18 to 34) 19·7% (14·8 to 24·6)* −9·8% (−13·5 to −6·0)* 482 (336 to 623) 554 (378 to 721) 15·0% (10·3 to 19·7)* −12·3% (−16·1 to −8·6)*
.. Bladder cancer 56 (42 to 67) 66 (50 to 81) 19·5% (16·1 to 23·2)* −10·8% (−13·4 to −7·9)* 1130 (869 to 1350) 1320 (1010 to 1590) 16·9% (13·4 to 20·2)* −11·2% (−14·0 to −8·7)*
.. Acute lymphoid leukaemia 5 (3 to 8) 7 (4 to 10) 25·7% (16·2 to 33·3)* −2·7% (−9·5 to 2·5) 149 (78 to 232) 179 (95 to 279) 20·1% (11·1 to 28·0)* −4·9% (−11·8 to 0·3)
.. Chronic lymphoid leukaemia 8 (5 to 12) 9 (6 to 13) 11·5% (6·3 to 17·8)* −17·4% (−21·4 to −12·6)* 168 (103 to 234) 187 (116 to 261) 11·3% (5·0 to 18·2)* −16·0% (−21·0 to −10·3)*
.. Acute myeloid leukaemia 18 (11 to 25) 21 (13 to 30) 18·8% (13·7 to 23·2)* −9·6% (−13·7 to −6·0)* 412 (248 to 595) 471 (275 to 704) 14·4% (9·2 to 18·7)* −11·3% (−16·0 to −7·2)*
.. Chronic myeloid leukaemia 5 (3 to 7) 5 (3 to 7) −6·1% (−10·0 to −2·2)* −28·8% (−32·2 to −25·6)* 116 (67 to 174) 104 (58 to 157) −10·4% (−14·4 to −6·6)* −30·3% (−34·3 to −27·0)*
.. Other leukaemia 24 (15 to 34) 26 (16 to 38) 9·5% (4·0 to 16·8)* −16·9% (−20·6 to −11·5)* 565 (327 to 830) 588 (346 to 862) 4·2% (−1·3 to 13·1) −19·0% (−22·8 to −13·1)*
.. Ischaemic heart disease 1500 (1440 to 1570) 1620 (1540 to 1690) 7·8% (4·6 to 11·1)* −17·8% (−20·2 to −15·3)* 38 400 (36 800 to 40 200) 40 600 (38 700 to 42 500) 5·6% (2·4 to 9·0)* −18·0% (−20·4 to −15·3)*
.. Ischaemic stroke 295 (276 to 317) 335 (313 to 361) 13·4% (8·6 to 17·8)* −14·7% (−18·2 to −11·4)* 7540 (6910 to 8260) 9000 (8170 to 9920) 19·3% (14·7 to 23·8)* −9·0% (−12·5 to −5·6)*
.. Intracerebral haemorrhage 470 (439 to 500) 481 (450 to 514) 2·3% (−2·2 to 6·9) −21·9% (−25·4 to −18·5)* 12 400 (11 600 to 13 300) 12 600 (11 800 to 13 600) 1·5% (−2·8 to 5·8) −21·2% (−24·6 to −17·8)*
.. Subarachnoid haemorrhage 67 (60 to 77) 71 (63 to 81) 6·2% (−1·4 to 14·5) −17·4% (−23·3 to −11·1)* 2190 (1950 to 2510) 2270 (2020 to 2560) 3·5% (−3·2 to 10·7) −17·9% (−23·2 to −12·4)*
.. Atrial fibrillation and flutter 10 (6 to 13) 12 (8 to 16) 27·2% (22·5 to 32·3)* −6·4% (−9·8 to −2·9)* 414 (262 to 591) 502 (315 to 718) 21·2% (17·8 to 24·7)* −7·5% (−9·9 to −5·2)*
.. Aortic aneurysm 51 (47 to 56) 56 (51 to 62) 10·4% (6·0 to 15·3)* −16·3% (−19·6 to −12·6)* 1160 (1080 to 1270) 1270 (1160 to 1400) 9·5% (4·9 to 14·7)* −15·4% (−18·9 to −11·4)*
.. Peripheral vascular disease 13 (8 to 21) 17 (11 to 29) 31·6% (9·2 to 47·5)* −2·2% (−19·0 to 9·8) 376 (240 to 553) 471 (298 to 716) 25·1% (9·1 to 37·0)* −5·7% (−17·8 to 3·3)
.. Chronic obstructive pulmonary disease 1130 (1030 to 1230) 1230 (1120 to 1350) 9·5% (6·4 to 13·0)* −19·1% (−21·3 to −16·7)* 26 100 (23 300 to 28 700) 28 200 (25 100 to 31 100) 7·8% (4·7 to 11·1)* −18·4% (−20·7 to −16·0)*
.. Asthma 69 (34 to 108) 59 (29 to 90) −15·5% (−23·9 to −3·8)* −35·8% (−42·2 to −27·0)* 2340 (1220 to 3350) 2130 (1100 to 3080) −9·0% (−16·4 to 0·5) −28·7% (−34·7 to −20·9)*
.. Peptic ulcer disease 51 (44 to 58) 46 (39 to 54) −10·1% (−15·5 to −3·9)* −31·5% (−35·6 to −26·7)* 1370 (1180 to 1540) 1200 (1020 to 1400) −11·9% (−17·0 to −6·8)* −30·9% (−35·0 to −26·8)*
.. Gallbladder and biliary diseases 5 (4 to 6) 6 (4 to 7) 15·1% (9·7 to 22·7)* −13·6% (−17·6 to −7·9)* 106 (78 to 136) 116 (84 to 151) 9·6% (4·1 to 16·8)* −14·9% (−19·0 to −9·4)*
.. Alzheimer's disease and other dementias 249 (158 to 338) 318 (198 to 434) 27·6% (21·8 to 32·5)* −9·5% (−13·4 to −6·0)* 3800 (2410 to 5110) 4650 (2900 to 6310) 22·4% (17·2 to 26·7)* −10·0% (−13·6 to −6·6)*
.. Parkinson's disease −24 (−38 to −12) −29 (−46 to −14) 20·0% (10·5 to 28·2)* −10·4% (−17·3 to −4·4)* −481 (−750 to −239) −567 (−890 to −281) 17·9% (9·1 to 26·2)* −10·5% (−17·1 to −4·3)*
.. Multiple sclerosis 2 (2 to 3) 3 (2 to 3) 12·1% (−1·6 to 19·2) −11·4% (−21·9 to −5·7)* 132 (101 to 165) 143 (107 to 179) 8·2% (0·3 to 14·5)* −12·0% (−18·3 to −6·8)*
.. Type 2 diabetes mellitus 65 (53 to 78) 83 (67 to 100) 27·3% (22·6 to 32·2)* −4·6% (−8·1 to −0·9)* 4710 (3450 to 6160) 5680 (4140 to 7530) 20·6% (15·2 to 26·2)* −5·6% (−9·6 to −1·4)*
.. Cataract .. .. .. .. 534 (362 to 747) 610 (408 to 860) 14·3% (8·7 to 19·5)* −13·0% (−17·1 to −8·9)*
.. Age-related macular degeneration .. .. .. .. 48 (20 to 79) 56 (24 to 95) 17·0% (9·3 to 23·4)* −12·7% (−18·4 to −8·0)*
.. Rheumatoid arthritis 3 (1 to 6) 4 (1 to 6) 10·4% (2·4 to 20·2)* −16·8% (−22·8 to −9·3)* 245 (72 to 443) 285 (82 to 519) 16·4% (10·0 to 21·8)* −9·0% (−13·9 to −4·8)*
.. Low back pain .. .. .. .. 9350 (6160 to 13 000) 10 100 (6700 to 14 100) 8·1% (5·4 to 10·7)* −12·6% (−14·7 to −10·9)*
.. Pedestrian road injuries 4 (3 to 5) 4 (3 to 5) 0·9% (−8·3 to 7·2) −22·2% (−29·4 to −17·2)* 126 (91 to 167) 126 (90 to 169) −0·4% (−7·7 to 5·0) −21·1% (−27·0 to −16·9)*
.. Cyclist road injuries 1 (0 to 1) 1 (0 to 1) 13·2% (3·4 to 23·5)* −12·0% (−19·7 to −4·3)* 25 (17 to 34) 29 (20 to 40) 16·8% (10·0 to 23·7)* −8·1% (−13·2 to −2·7)*
.. Motorcyclist road injuries 1 (1 to 2) 1 (1 to 2) 6·7% (−7·3 to 16·4) −14·0% (−25·5 to −6·2)* 71 (48 to 96) 76 (51 to 105) 6·9% (−2·7 to 13·7) −13·3% (−21·1 to −7·9)*
.. Motor vehicle road injuries 3 (2 to 4) 3 (2 to 3) −1·9% (−9·8 to 2·7) −22·5% (−28·8 to −18·8)* 105 (71 to 143) 103 (69 to 140) −2·0% (−7·4 to 1·7) −21·2% (−25·7 to −18·3)*
.. Other road injuries 0 (0 to 0) 0 (0 to 0) −2·7% (−12·4 to 16·6) −24·9% (−32·5 to −10·6)* 8 (6 to 12) 10 (7 to 15) 26·6% (19·1 to 34·2)* −1·8% (−7·3 to 4·0)
.. Other transport injuries 1 (1 to 2) 1 (1 to 2) 3·3% (−2·3 to 10·4) −19·5% (−23·9 to −14·1)* 71 (52 to 94) 77 (55 to 104) 8·6% (4·3 to 13·2)* −14·5% (−17·7 to −11·1)*
.. Falls 15 (11 to 20) 19 (13 to 25) 23·6% (15·1 to 34·6)* −10·5% (−16·9 to −2·4)* 508 (365 to 694) 630 (443 to 870) 23·9% (19·2 to 29·2)* −6·4% (−9·9 to −2·5)*
.. Other exposure to mechanical forces 1 (1 to 1) 1 (1 to 1) 1·6% (−3·8 to 6·7) −21·3% (−25·2 to −17·5)* 64 (45 to 88) 71 (50 to 102) 12·3% (7·5 to 16·4)* −11·7% (−15·1 to −8·9)*
.. Non-venomous animal contact 0 (0 to 0) 0 (0 to 0) −0·4% (−11·7 to 15·6) −23·6% (−32·3 to −11·3)* 5 (3 to 7) 5 (3 to 8) 5·3% (−0·8 to 12·3) −18·4% (−23·0 to −12·9)*
.. Assault by other means 0 (0 to 0) 0 (0 to 0) −8·1% (−15·2 to −0·8)* −27·5% (−33·1 to −21·8)* 17 (12 to 23) 16 (12 to 22) −2·0% (−6·9 to 2·5) −22·2% (−25·9 to −18·7)*
3 Chewing tobacco: all causes 59 (48 to 70) 76 (62 to 91) 29·5% (22·0 to 38·3)* −1·6% (−7·3 to 5·2) 1490 (1220 to 1790) 1890 (1530 to 2270) 26·6% (19·5 to 35·1)* −1·9% (−7·5 to 4·8)
.. Lip and oral cavity cancer 31 (24 to 38) 44 (35 to 54) 41·3% (31·8 to 51·6)* 8·1% (0·9 to 16·0)* 853 (661 to 1050) 1160 (892 to 1440) 36·0% (26·2 to 46·3)* 6·3% (−1·3 to 14·4)
.. Oesophageal cancer 27 (20 to 36) 32 (22 to 41) 16·0% (6·0 to 27·2)* −12·4% (−20·2 to −4·0)* 641 (455 to 833) 731 (507 to 948) 14·0% (5·2 to 24·4)* −12·6% (−19·5 to −5·1)*
3 Second-hand smoke: all causes 1110 (888 to 1370) 1220 (984 to 1500) 10·2% (6·9 to 13·5)* −15·9% (−18·2 to −13·6)* 36 600 (28 600 to 46 000) 36 300 (28 600 to 45 100) −0·9% (−5·6 to 4·5) −20·0% (−23·0 to −16·5)*
.. Lower respiratory infections 208 (123 to 302) 179 (107 to 261) −13·6% (−16·3 to −10·5)* −27·8% (−30·0 to −25·4)* 11 900 (6940 to 17 400) 7960 (4630 to 11 600) −33·2% (−36·4 to −29·8)* −39·0% (−42·0 to −35·7)*
.. Otitis media 0 (0 to 0) 0 (0 to 0) −60·5% (−72·8 to −40·3)* −62·4% (−74·1 to −43·1)* 127 (69 to 209) 119 (63 to 199) −6·1% (−10·8 to −2·6)* −11·6% (−15·9 to −8·2)*
.. Tracheal, bronchus, and lung cancer 78 (44 to 117) 100 (57 to 149) 28·3% (22·5 to 33·8)* −2·5% (−6·7 to 1·6) 1830 (1050 to 2750) 2240 (1300 to 3360) 22·7% (17·6 to 28·1)* −5·5% (−9·4 to −1·4)*
.. Breast cancer 12 (3 to 21) 15 (4 to 26) 21·2% (14·3 to 26·9)* −5·4% (−10·6 to −1·0)* 404 (98 to 688) 478 (118 to 829) 18·5% (11·6 to 24·6)* −4·9% (−10·4 to −0·2)*
.. Ischaemic heart disease 330 (269 to 399) 382 (311 to 463) 16·0% (12·8 to 19·3)* −12·1% (−14·1 to −10·0)* 7890 (6440 to 9490) 8850 (7180 to 10 700) 12·2% (9·2 to 15·3)* −12·4% (−14·5 to −10·2)*
.. Ischaemic stroke 65 (48 to 85) 74 (55 to 98) 14·6% (9·6 to 20·4)* −14·6% (−17·4 to −11·3)* 1430 (1070 to 1850) 1670 (1250 to 2190) 17·4% (11·9 to 22·6)* −10·3% (−13·8 to −6·9)*
.. Intracerebral haemorrhage 96 (73 to 124) 102 (76 to 132) 5·9% (1·1 to 10·9)* −19·4% (−22·4 to −16·1)* 2460 (1840 to 3160) 2550 (1880 to 3290) 3·8% (−0·9 to 8·5) −18·9% (−21·9 to −15·8)*
.. Subarachnoid haemorrhage 14 (11 to 19) 16 (12 to 21) 10·9% (5·5 to 16·9)* −13·4% (−17·1 to −9·2)* 467 (337 to 616) 500 (360 to 656) 7·1% (2·2 to 12·6)* −14·0% (−17·2 to −10·3)*
.. Chronic obstructive pulmonary disease 244 (126 to 363) 266 (136 to 405) 9·0% (3·5 to 14·6)* −20·0% (−23·9 to −15·8)* 6230 (3190 to 9260) 6910 (3540 to 10 400) 10·8% (6·3 to 15·2)* −15·3% (−18·8 to −12·0)*
.. Type 2 diabetes mellitus 61 (23 to 92) 86 (33 to 131) 41·1% (37·5 to 45·0)* 5·3% (2·7 to 8·1)* 3890 (1390 to 6340) 5040 (1810 to 8230) 29·3% (25·1 to 33·8)* 1·3% (−2·0 to 4·8)
2 Alcohol use: all causes 2560 (2230 to 2910) 2840 (2440 to 3250) 11·0% (3·2 to 19·1)* −11·7% (−18·1 to −4·8)* 102 000 (92 400 to 114 000) 108 000 (96 200 to 120 000) 5·5% (0·5 to 10·7)* −13·1% (−17·2 to −8·7)*
.. Drug-susceptible tuberculosis 338 (247 to 415) 287 (209 to 361) −15·0% (−22·8 to −7·7)* −32·0% (−38·1 to −25·9)* 12 600 (9340 to 15 400) 10 500 (7730 to 13 100) −16·6% (−23·9 to −9·9)* −30·9% (−37·0 to −25·3)*
.. Multidrug-resistant tuberculosis without extensive drug resistance 45 (32 to 60) 38 (20 to 64) −16·0% (−50·5 to 31·4) −32·5% (−60·3 to 5·5) 1650 (1170 to 2170) 1330 (697 to 2260) −19·2% (−51·4 to 24·6) −33·0% (−59·7 to 3·5)
.. Extensively drug-resistant tuberculosis 5 (3 to 6) 5 (3 to 7) 6·1% (−20·2 to 43·2) −13·8% (−35·2 to 16·2) 178 (128 to 225) 178 (124 to 254) −0·4% (−24·4 to 32·7) −16·9% (−36·8 to 10·7)
.. Lower respiratory infections 96 (36 to 154) 114 (39 to 186) 19·1% (−0·6 to 31·4) −8·2% (−20·9 to 2·8) 2630 (1310 to 3830) 2840 (1380 to 4230) 8·0% (−5·2 to 18·0) −13·2% (−22·7 to −5·2)*
.. Lip and oral cavity cancer 59 (51 to 66) 78 (66 to 89) 32·8% (25·1 to 40·2)* 2·1% (−3·8 to 7·8) 1710 (1490 to 1910) 2200 (1900 to 2490) 28·6% (20·6 to 35·9)* 1·1% (−5·3 to 6·8)
.. Nasopharynx cancer 25 (21 to 29) 32 (26 to 37) 25·7% (17·7 to 34·3)* −2·2% (−8·4 to 4·3) 790 (662 to 900) 956 (801 to 1100) 21·1% (13·1 to 29·7)* −3·6% (−9·7 to 3·1)
.. Other pharynx cancer 38 (31 to 44) 52 (42 to 62) 38·0% (25·3 to 49·5)* 6·1% (−3·7 to 14·9) 1110 (912 to 1290) 1490 (1190 to 1770) 34·2% (21·6 to 45·3)* 4·9% (−5·0 to 13·5)
.. Oesophageal cancer 120 (97 to 143) 139 (110 to 166) 15·6% (7·8 to 24·5)* −12·1% (−18·2 to −5·3)* 2980 (2430 to 3510) 3310 (2650 to 3910) 10·9% (3·9 to 18·7)* −14·7% (−20·2 to −8·6)*
.. Colon and rectum cancer 103 (83 to 124) 126 (98 to 155) 22·3% (14·0 to 31·0)* −7·9% (−14·1 to −1·3)* 2410 (1970 to 2870) 2900 (2290 to 3500) 20·5% (12·2 to 29·3)* −7·2% (−13·6 to −0·4)*
.. Liver cancer due to alcohol use 98 (87 to 112) 129 (115 to 147) 31·7% (26·8 to 37·3)* 0·6% (−3·0 to 4·8) 2400 (2100 to 2790) 3080 (2680 to 3590) 27·9% (22·5 to 34·0)* −0·5% (−4·4 to 4·0)
.. Larynx cancer 32 (21 to 40) 38 (25 to 48) 17·6% (11·3 to 24·4)* −10·2% (−15·1 to −4·8)* 886 (594 to 1100) 1010 (683 to 1270) 14·4% (8·5 to 20·8)* −11·5% (−16·1 to −6·6)*
.. Breast cancer 54 (46 to 62) 59 (49 to 69) 9·7% (4·3 to 14·1)* −16·3% (−20·4 to −13·0)* 1560 (1320 to 1790) 1670 (1390 to 1940) 7·0% (2·0 to 11·3)* −15·9% (−19·9 to −12·3)*
.. Ischaemic heart disease −129 (−342 to 78) −112 (−364 to 123) −13·4% (−192·5 to 327·3) −38·7% (−304·3 to 136·6) −384 (−4880 to 4100) 343 (−4690 to 5200) −189·5% (−502·2 to 832·6) −111·5% (−487·6 to 473·6)
.. Ischaemic stroke 74 (11 to 143) 102 (28 to 181) 38·3% (−1·6 to 154·7) 9·2% (−32·8 to 220·5) 2070 (771 to 3370) 2870 (1210 to 4520) 38·2% (11·8 to 88·8)* 7·2% (−14·3 to 53·9)
.. Intracerebral haemorrhage 399 (292 to 503) 462 (338 to 592) 15·7% (3·0 to 31·2)* −12·1% (−21·8 to −0·3)* 9910 (7550 to 12 200) 11 200 (8440 to 14 000) 13·3% (2·4 to 27·2)* −11·9% (−20·5 to −1·0)*
.. Hypertensive heart disease 93 (63 to 120) 134 (84 to 179) 43·9% (21·8 to 61·4)* 6·5% (−9·2 to 19·1) 2000 (1410 to 2570) 2680 (1760 to 3520) 34·3% (15·8 to 49·2)* 3·3% (−10·9 to 14·9)
.. Alcoholic cardiomyopathy 119 (91 to 125) 89 (81 to 96) −25·3% (−29·5 to −8·3)* −40·5% (−43·7 to −27·6)* 4230 (3190 to 4450) 2990 (2720 to 3210) −29·4% (−33·5 to −11·1)* −42·2% (−45·6 to −27·5)*
.. Atrial fibrillation and flutter 20 (15 to 26) 28 (20 to 36) 40·1% (28·9 to 51·6)* −1·0% (−8·7 to 7·1) 567 (408 to 738) 740 (536 to 966) 30·4% (21·0 to 41·2)* −2·3% (−9·6 to 5·6)
.. Cirrhosis and other chronic liver diseases due to alcohol use 284 (260 to 309) 332 (303 to 373) 16·9% (11·2 to 23·7)* −8·8% (−13·2 to −3·4)* 9000 (8290 to 9790) 10 200 (9310 to 11 300) 13·1% (8·1 to 18·9)* −9·3% (−13·4 to −4·8)*
.. Pancreatitis 31 (24 to 38) 36 (29 to 45) 17·6% (7·5 to 27·4)* −6·2% (−14·2 to 1·8) 1150 (929 to 1390) 1300 (1050 to 1590) 13·0% (3·4 to 22·1)* −6·9% (−14·8 to 0·6)
.. Epilepsy 23 (17 to 29) 25 (19 to 32) 8·4% (2·1 to 16·0)* −9·6% (−15·0 to −2·9)* 2050 (1460 to 2760) 2240 (1550 to 3100) 9·0% (0·4 to 17·7)* −6·3% (−13·7 to 1·2)
.. Alcohol use disorders 180 (163 to 184) 185 (167 to 193) 2·7% (−2·2 to 7·7) −16·5% (−20·4 to −12·4)* 16 600 (13 600 to 20 400) 17 500 (14 100 to 21 600) 5·0% (2·4 to 7·4)* −10·2% (−12·7 to −8·1)*
.. Type 2 diabetes mellitus −4 (−24 to 15) −3 (−28 to 23) −41·1% (−486·6 to 318·0) −52·3% (−365·2 to 347·8) 240 (−1140 to 1620) 363 (−1460 to 2260) 51·2% (−291·8 to 254·2) 41·4% (−236·8 to 207·0)
.. Pedestrian road injuries 42 (25 to 59) 40 (23 to 56) −4·4% (−13·2 to 6·4) −19·7% (−26·9 to −10·7)* 2000 (1180 to 2820) 1880 (1120 to 2630) −6·0% (−13·7 to 4·2) −17·6% (−24·3 to −8·9)*
.. Cyclist road injuries 6 (3 to 8) 6 (3 to 9) 9·5% (−1·0 to 22·8) −7·6% (−16·2 to 3·4) 365 (221 to 528) 404 (246 to 573) 10·6% (2·5 to 21·6)* −4·3% (−11·2 to 5·1)
.. Motorcyclist road injuries 23 (14 to 33) 24 (14 to 34) 2·5% (−8·5 to 14·5) −9·0% (−18·7 to 1·4) 1450 (887 to 2050) 1480 (896 to 2070) 1·9% (−7·1 to 12·7) −8·6% (−16·5 to 0·8)
.. Motor vehicle road injuries 43 (25 to 60) 40 (24 to 56) −6·6% (−11·6 to −0·8)* −18·6% (−23·0 to −13·6)* 2380 (1430 to 3320) 2190 (1340 to 3030) −8·2% (−12·6 to −2·6)* −18·0% (−21·9 to −13·0)*
.. Other road injuries 1 (1 to 2) 1 (1 to 1) −8·8% (−16·0 to 7·3) −22·4% (−28·6 to −8·8)* 81 (47 to 117) 85 (51 to 124) 5·4% (−2·6 to 16·8) −8·7% (−15·4 to 1·1)
.. Other transport injuries 8 (5 to 12) 8 (5 to 11) −3·8% (−10·1 to 4·0) −17·1% (−22·7 to −10·5)* 565 (338 to 803) 577 (345 to 823) 2·1% (−4·1 to 9·7) −10·2% (−15·5 to −3·7)*
.. Falls 38 (17 to 62) 48 (22 to 80) 25·9% (16·3 to 39·2)* −3·7% (−11·1 to 6·8) 2540 (1150 to 4230) 2990 (1370 to 4980) 17·9% (11·8 to 27·0)* −4·6% (−9·4 to 3·1)
.. Drowning 17 (7 to 28) 16 (7 to 27) −2·3% (−8·4 to 6·8) −18·0% (−23·0 to −10·3)* 732 (322 to 1220) 669 (284 to 1100) −8·6% (−14·2 to 0·2) −20·5% (−25·2 to −13·5)*
.. Fire, heat, and hot substances 8 (4 to 13) 7 (3 to 12) −11·6% (−17·9 to −5·0)* −28·9% (−33·6 to −23·9)* 464 (202 to 766) 440 (192 to 743) −5·1% (−11·8 to 2·0) −20·4% (−25·9 to −14·4)*
.. Poisoning by carbon monoxide 4 (2 to 7) 3 (1 to 6) −21·4% (−31·1 to −11·3)* −35·1% (−42·9 to −26·8)* 177 (77 to 283) 132 (59 to 215) −25·3% (−33·4 to −16·5)* −36·6% (−43·4 to −29·4)*
.. Poisoning by other means 2 (1 to 3) 2 (1 to 4) 12·4% (−2·0 to 31·6) −7·6% (−19·3 to 7·9) 106 (48 to 176) 116 (53 to 197) 9·5% (0·6 to 23·0)* −7·1% (−14·4 to 4·1)
.. Unintentional firearm injuries 2 (1 to 3) 2 (1 to 3) −9·0% (−14·8 to −2·7)* −22·8% (−28·0 to −17·6)* 111 (50 to 192) 105 (47 to 179) −5·7% (−11·0 to 0·1) −18·1% (−23·0 to −13·3)*
.. Venomous animal contact 3 (1 to 5) 3 (1 to 6) 14·0% (−1·1 to 35·6) −6·8% (−19·3 to 10·9) 140 (56 to 246) 157 (63 to 285) 11·7% (−0·8 to 29·8) −5·6% (−15·9 to 9·1)
.. Non-venomous animal contact 1 (0 to 1) 1 (0 to 1) 2·6% (−7·3 to 16·5) −16·9% (−25·0 to −5·5)* 42 (18 to 70) 45 (20 to 77) 6·9% (−0·2 to 16·8) −11·1% (−16·9 to −3·1)*
.. Environmental heat and cold exposure 7 (3 to 12) 5 (2 to 9) −23·9% (−32·6 to −15·9)* −38·3% (−45·0 to −31·8)* 354 (154 to 572) 297 (130 to 498) −16·1% (−23·2 to −8·3)* −30·2% (−36·1 to −23·6)*
.. Exposure to forces of nature 1 (0 to 1) 1 (0 to 1) 4·6% (−7·6 to 25·0) −11·1% (−21·6 to 5·9) 42 (19 to 72) 57 (24 to 100) 34·9% (21·8 to 50·6)* 17·5% (6·5 to 31·1)*
.. Other unintentional injuries 9 (4 to 14) 8 (3 to 13) −8·2% (−16·0 to 4·6) −22·1% (−28·5 to −11·6)* 670 (287 to 1120) 683 (297 to 1130) 1·9% (−4·7 to 10·6) −14·0% (−19·3 to −6·8)*
.. Self-harm by firearm 16 (9 to 23) 17 (9 to 25) 5·7% (−6·8 to 18·1) −11·8% (−22·0 to −1·5)* 691 (389 to 995) 709 (399 to 1020) 2·6% (−8·9 to 14·5) −11·3% (−21·3 to −1·0)*
.. Self-harm by other specified means 157 (96 to 214) 161 (99 to 225) 2·8% (−4·7 to 11·0) −14·3% (−20·6 to −7·2)* 6730 (4120 to 9190) 6700 (4150 to 9310) −0·4% (−7·7 to 7·8) −14·5% (−20·9 to −7·7)*
.. Assault by firearm 34 (22 to 46) 36 (23 to 49) 6·6% (−0·6 to 13·3) −5·2% (−11·7 to 1·1) 1840 (1220 to 2510) 1940 (1270 to 2650) 5·2% (−2·1 to 11·8) −5·0% (−11·8 to 1·1)
.. Assault by sharp object 20 (13 to 29) 18 (11 to 24) −14·4% (−20·1 to −8·4)* −25·6% (−30·7 to −20·3)* 1100 (702 to 1550) 944 (598 to 1310) −14·4% (−19·5 to −8·9)* −24·4% (−29·2 to −19·5)*
.. Sexual violence .. .. .. .. 114 (50 to 200) 131 (58 to 228) 15·0% (6·7 to 26·4)* 1·5% (−5·8 to 10·6)
.. Assault by other means 21 (14 to 29) 22 (14 to 31) 4·1% (−3·5 to 11·1) −11·0% (−17·6 to −4·6)* 1260 (792 to 1770) 1340 (854 to 1880) 6·9% (−0·4 to 12·9) −7·5% (−14·1 to −2·2)*
2 Drug use: all causes 459 (416 to 501) 585 (535 to 635) 27·6% (24·0 to 31·4)* 4·1% (1·2 to 7·0)* 34 900 (29 800 to 40 400) 41 700 (35 300 to 48 200) 19·2% (16·8 to 21·6)* 3·2% (0·9 to 5·4)*
.. HIV/AIDS and drug-susceptible tuberculosis co-infection 14 (9 to 20) 8 (5 to 12) −42·6% (−47·6 to −37·9)* −50·7% (−55·2 to −46·9)* 700 (455 to 993) 412 (276 to 582) −41·1% (−45·9 to −36·2)* −48·8% (−53·0 to −44·7)*
.. HIV/AIDS and multidrug-resistant tuberculosis without extensive drug resistance co-infection 2 (1 to 4) 1 (1 to 2) −44·0% (−58·8 to −22·3)* −51·8% (−64·5 to −33·4)* 113 (68 to 176) 63 (36 to 103) −43·9% (−58·6 to −23·6)* −51·2% (−63·9 to −33·7)*
.. HIV/AIDS and extensively drug-resistant tuberculosis co-infection 0 (0 to 0) 0 (0 to 0) 4·1% (−19·4 to 33·5) −9·6% (−30·3 to 16·0) 14 (8 to 22) 14 (8 to 23) 3·5% (−20·2 to 33·2) −9·4% (−30·0 to 16·4)
.. HIV/AIDS resulting in other diseases 71 (58 to 88) 56 (46 to 70) −20·7% (−26·5 to −11·3)* −31·5% (−36·4 to −23·4)* 3630 (2920 to 4520) 2880 (2340 to 3630) −20·8% (−26·0 to −11·4)* −30·9% (−35·5 to −22·8)*
.. Acute hepatitis B 1 (0 to 1) 1 (0 to 1) 26·1% (13·9 to 41·6)* 0·8% (−8·8 to 13·1) 19 (14 to 25) 23 (17 to 30) 17·8% (6·3 to 31·3)* −3·0% (−12·2 to 7·9)
.. Acute hepatitis C 0 (0 to 1) 1 (0 to 1) 19·9% (2·2 to 41·8)* −6·3% (−20·3 to 10·9) 15 (8 to 29) 17 (9 to 33) 13·2% (−2·4 to 33·2) −7·6% (−19·6 to 7·1)
.. Liver cancer due to hepatitis B 3 (2 to 3) 4 (3 to 5) 44·0% (35·2 to 55·2)* 13·2% (6·4 to 21·4)* 85 (68 to 104) 112 (90 to 138) 32·2% (23·5 to 42·1)* 5·8% (−1·1 to 13·9)
.. Liver cancer due to hepatitis C 84 (72 to 97) 127 (110 to 144) 51·0% (44·1 to 59·6)* 14·6% (9·4 to 21·4)* 2040 (1760 to 2320) 2930 (2560 to 3310) 43·9% (37·8 to 51·0)* 10·9% (6·2 to 16·5)*
.. Cirrhosis and other chronic liver diseases due to hepatitis B 3 (2 to 4) 4 (3 to 4) 25·6% (17·6 to 35·0)* 0·3% (−6·4 to 8·0) 103 (82 to 131) 121 (96 to 152) 17·4% (9·7 to 25·7)* −3·9% (−10·2 to 3·1)
.. Cirrhosis and other chronic liver diseases due to hepatitis C 137 (115 to 160) 175 (150 to 204) 28·4% (22·3 to 35·0)* 1·7% (−3·1 to 7·2) 4730 (3970 to 5520) 5800 (4920 to 6760) 22·5% (17·0 to 28·5)* −0·6% (−4·8 to 4·2)
.. Opioid use disorders 62 (58 to 65) 110 (106 to 114) 77·0% (68·8 to 88·5)* 49·4% (42·5 to 59·2)* 16 400 (12 400 to 20 800) 21 500 (16 300 to 27 100) 30·8% (27·5 to 34·4)* 15·3% (12·4 to 18·3)*
.. Cocaine use disorders 5 (5 to 6) 7 (7 to 8) 42·2% (30·1 to 58·3)* 19·6% (9·2 to 33·0)* 833 (620 to 1090) 992 (747 to 1290) 19·0% (15·5 to 24·2)* 4·9% (1·9 to 9·3)*
.. Amphetamine use disorders 4 (3 to 4) 5 (3 to 5) 27·2% (0·8 to 41·0)* 8·6% (−14·0 to 20·6) 1120 (708 to 1670) 1180 (757 to 1740) 5·5% (1·5 to 9·4)* −2·5% (−6·2 to 0·4)
.. Cannabis use disorders .. .. .. .. 496 (314 to 727) 518 (329 to 766) 4·4% (2·2 to 6·6)* −3·7% (−5·7 to −1·8)*
.. Other drug use disorders 34 (32 to 37) 45 (43 to 48) 35·2% (22·8 to 46·1)* 11·3% (1·2 to 19·9)* 2560 (2130 to 3090) 3010 (2550 to 3540) 17·5% (10·9 to 24·0)* 3·5% (−2·2 to 8·9)
.. Self-harm by firearm 5 (3 to 7) 6 (3 to 9) 24·2% (16·4 to 31·8)* 8·2% (1·5 to 14·7)* 232 (137 to 378) 277 (165 to 441) 19·3% (11·8 to 27·0)* 6·7% (0·1 to 13·5)*
.. Self-harm by other specified means 35 (19 to 60) 36 (19 to 64) 3·1% (−1·8 to 7·1) −10·0% (−14·0 to −6·6)* 1820 (1010 to 3100) 1820 (980 to 3180) 0·1% (−4·7 to 4·1) −10·7% (−14·6 to −7·3)*
2 Dietary risks: all causes 9160 (8510 to 9810) 10 900 (10 100 to 11 700) 18·9% (17·0 to 20·7)* −11·2% (−12·6 to −9·8)* 219 000 (203 000 to 235 000) 255 000 (234 000 to 274 000) 16·4% (14·6 to 18·1)* −9·9% (−11·3 to −8·6)*
3 Diet low in fruits: all causes 2220 (1410 to 3180) 2420 (1480 to 3530) 9·0% (4·5 to 12·3)* −17·4% (−20·6 to −15·1)* 60 200 (38 600 to 84 000) 64 800 (40 600 to 92 000) 7·7% (3·2 to 11·1)* −15·7% (−19·0 to −13·1)*
.. Lip and oral cavity cancer 10 (0 to 21) 12 (0 to 26) 25·3% (17·0 to 1318·4)* −3·7% (−10·0 to 1002·4) 269 (0 to 582) 325 (0 to 709) 21·0% (12·2 to 1198·1)* −4·7% (−11·5 to 879·6)
.. Nasopharynx cancer 4 (0 to 8) 4 (0 to 10) 12·9% (5·1 to 1008·3)* −12·1% (−18·1 to 739·6) 118 (0 to 259) 128 (0 to 284) 8·6% (1·0 to 946·6)* −13·5% (−19·3 to 712·2)
.. Other pharynx cancer 6 (0 to 13) 7 (0 to 16) 28·4% (15·0 to 42·0)* −1·3% (−11·5 to 9·0) 163 (0 to 373) 204 (0 to 458) 24·8% (11·9 to 38·3)* −2·3% (−12·3 to 8·1)
.. Oesophageal cancer 82 (18 to 146) 83 (18 to 152) 1·7% (−5·1 to 6·4) −22·9% (−27·9 to −19·4)* 1900 (430 to 3400) 1860 (399 to 3390) −1·8% (−8·4 to 2·8) −24·4% (−29·4 to −21·0)*
.. Larynx cancer 7 (0 to 15) 8 (0 to 17) 11·4% (5·2 to 218·8)* −14·9% (−19·5 to 127·1) 183 (0 to 403) 199 (0 to 436) 8·4% (2·3 to 189·4)* −16·0% (−20·5 to 104·4)
.. Tracheal, bronchus, and lung cancer 152 (64 to 261) 185 (77 to 320) 21·8% (16·2 to 25·8)* −7·6% (−11·8 to −4·6)* 3470 (1460 to 5920) 4050 (1680 to 6950) 16·6% (10·9 to 20·6)* −10·2% (−14·4 to −7·1)*
.. Ischaemic heart disease 822 (280 to 1440) 916 (306 to 1650) 11·4% (7·5 to 14·5)* −16·1% (−18·8 to −14·0)* 19 500 (6770 to 33 700) 20 800 (7110 to 36 600) 7·0% (2·9 to 10·0)* −16·2% (−19·1 to −13·9)*
.. Ischaemic stroke 376 (195 to 573) 406 (206 to 631) 8·1% (2·9 to 11·9)* −18·8% (−22·6 to −16·1)* 9860 (5310 to 14 600) 11 200 (5800 to 16 900) 13·6% (7·8 to 18·1)* −12·4% (−16·7 to −9·1)*
.. Intracerebral haemorrhage 615 (338 to 933) 624 (331 to 972) 1·4% (−3·8 to 5·2) −22·3% (−26·2 to −19·5)* 16 700 (9480 to 24 800) 16 800 (9210 to 25 400) 0·4% (−4·6 to 4·0) −21·2% (−24·8 to −18·5)*
.. Subarachnoid haemorrhage 92 (50 to 138) 99 (53 to 152) 7·5% (1·2 to 13·4)* −15·8% (−20·4 to −11·2)* 3160 (1770 to 4650) 3330 (1820 to 5020) 5·2% (−0·2 to 10·5) −15·1% (−19·3 to −11·0)*
.. Type 2 diabetes mellitus 60 (12 to 112) 80 (15 to 151) 32·1% (27·1 to 36·2)* −0·6% (−4·2 to 2·4) 4880 (928 to 9240) 5900 (1090 to 11 300) 21·0% (15·1 to 26·1)* −3·5% (−7·9 to 0·4)
3 Diet low in vegetables: all causes 1390 (715 to 2240) 1460 (732 to 2400) 5·3% (−0·8 to 9·7) −20·7% (−25·2 to −17·7)* 33 600 (17 900 to 53 300) 34 200 (17 700 to 55 700) 1·8% (−4·0 to 6·1) −20·4% (−24·8 to −17·3)*
.. Ischaemic heart disease 947 (370 to 1660) 1020 (396 to 1830) 8·2% (3·0 to 12·0)* −19·1% (−23·0 to −16·3)* 21 400 (8520 to 37 400) 22 100 (8730 to 39 400) 3·2% (−2·2 to 7·2) −19·5% (−23·5 to −16·4)*
.. Ischaemic stroke 150 (36 to 280) 154 (36 to 297) 3·1% (−3·3 to 8·1) −22·6% (−27·4 to −19·0)* 3920 (970 to 7330) 4170 (1010 to 8090) 6·2% (−0·9 to 12·0) −17·9% (−23·3 to −13·6)*
.. Intracerebral haemorrhage 252 (71 to 474) 243 (66 to 469) −3·6% (−10·4 to 1·4) −26·1% (−31·2 to −22·4)* 6910 (1970 to 12 900) 6550 (1800 to 12 500) −5·2% (−11·5 to −0·5)* −25·4% (−30·3 to −21·9)*
.. Subarachnoid haemorrhage 39 (11 to 73) 41 (11 to 78) 3·3% (−3·2 to 9·3) −18·8% (−23·8 to −14·2)* 1360 (381 to 2530) 1380 (371 to 2580) 1·0% (−4·9 to 6·4) −18·4% (−22·9 to −14·1)*
3 Diet low in legumes: all causes 481 (192 to 819) 535 (214 to 909) 11·2% (9·2 to 13·0)* −17·3% (−18·8 to −16·0)* 10 600 (4280 to 18 000) 11 000 (4390 to 18 700) 3·3% (0·9 to 5·5)* −19·3% (−21·1 to −17·6)*
.. Ischaemic heart disease 481 (192 to 819) 535 (214 to 909) 11·2% (9·2 to 13·0)* −17·3% (−18·8 to −16·0)* 10 600 (4280 to 18 000) 11 000 (4390 to 18 700) 3·3% (0·9 to 5·5)* −19·3% (−21·1 to −17·6)*
3 Diet low in whole grains: all causes 2630 (1820 to 3490) 3070 (2110 to 4120) 16·7% (14·6 to 18·5)* −12·2% (−13·6 to −10·8)* 71 500 (51 300 to 93 800) 82 500 (59 000 to 109 000) 15·5% (13·2 to 17·6)* −9·7% (−11·4 to −8·1)*
.. Ischaemic heart disease 1510 (890 to 2170) 1780 (1050 to 2570) 18·4% (16·4 to 20·2)* −11·5% (−12·9 to −10·2)* 34 300 (20 600 to 48 800) 39 100 (23 300 to 55 700) 13·9% (11·9 to 15·9)* −11·2% (−12·8 to −9·7)*
.. Ischaemic stroke 363 (241 to 501) 418 (276 to 580) 15·1% (12·5 to 17·6)* −13·6% (−15·5 to −11·8)* 9870 (6680 to 13 500) 12 000 (8050 to 16 400) 21·3% (18·0 to 24·4)* −6·4% (−9·0 to −4·0)*
.. Intracerebral haemorrhage 550 (368 to 745) 597 (401 to 813) 8·5% (5·5 to 11·2)* −16·9% (−19·2 to −14·9)* 14 900 (10 100 to 20 100) 16 000 (10 800 to 21 400) 7·0% (4·1 to 9·7)* −16·0% (−18·3 to −14·0)*
.. Subarachnoid haemorrhage 86 (58 to 118) 98 (66 to 134) 13·6% (8·2 to 19·1)* −11·1% (−15·3 to −7·0)* 2960 (2010 to 3950) 3280 (2240 to 4410) 11·0% (6·5 to 15·6)* −10·7% (−14·3 to −7·1)*
.. Type 2 diabetes mellitus 122 (69 to 186) 169 (95 to 259) 38·4% (35·1 to 41·4)* 3·7% (1·4 to 5·9)* 9400 (4980 to 15 100) 12 200 (6400 to 19 400) 29·7% (25·6 to 33·9)* 2·8% (−0·4 to 6·0)
3 Diet low in nuts and seeds: all causes 1740 (1130 to 2410) 2060 (1330 to 2880) 18·7% (16·6 to 20·6)* −11·2% (−12·7 to −9·9)* 43 300 (28 800 to 58 800) 49 900 (33 100 to 68 000) 15·2% (12·9 to 17·3)* −10·0% (−11·8 to −8·3)*
.. Ischaemic heart disease 1660 (1070 to 2330) 1960 (1230 to 2750) 17·8% (15·7 to 19·7)* −11·9% (−13·4 to −10·6)* 37 600 (24 500 to 51 800) 42 600 (27 300 to 58 700) 13·2% (10·9 to 15·2)* −11·8% (−13·4 to −10·3)*
.. Type 2 diabetes mellitus 74 (36 to 116) 103 (50 to 160) 38·4% (35·4 to 41·3)* 3·9% (1·8 to 6·1)* 5700 (2640 to 9390) 7310 (3410 to 12 100) 28·2% (24·1 to 32·4)* 1·8% (−1·4 to 4·9)
3 Diet low in milk: all causes 96 (34 to 171) 126 (45 to 220) 30·6% (26·0 to 34·8)* −1·9% (−5·2 to 1·2) 2140 (757 to 3770) 2720 (965 to 4730) 27·0% (21·9 to 31·5)* −2·0% (−6·0 to 1·4)
.. Colon and rectum cancer 96 (34 to 171) 126 (45 to 220) 30·6% (26·0 to 34·8)* −1·9% (−5·2 to 1·2) 2140 (757 to 3770) 2720 (965 to 4730) 27·0% (21·9 to 31·5)* −2·0% (−6·0 to 1·4)
3 Diet high in red meat: all causes 17 (7 to 28) 25 (11 to 40) 47·5% (36·9 to 59·6)* 11·2% (3·0 to 20·4)* 880 (352 to 1520) 1310 (508 to 2250) 49·2% (36·7 to 63·8)* 17·8% (7·9 to 29·5)*
.. Colon and rectum cancer 11 (3 to 20) 16 (4 to 29) 45·7% (34·3 to 58·4)* 9·8% (1·4 to 19·6)* 262 (63 to 472) 378 (89 to 678) 44·3% (32·7 to 57·6)* 11·2% (2·6 to 21·2)*
.. Type 2 diabetes mellitus 6 (1 to 11) 9 (1 to 17) 50·8% (40·3 to 62·8)* 13·6% (5·8 to 23·1)* 618 (77 to 1200) 934 (113 to 1830) 51·2% (37·6 to 66·6)* 20·8% (10·1 to 32·9)*
3 Diet high in processed meat: all causes 125 (24 to 239) 130 (26 to 265) 4·3% (−5·0 to 13·2) −22·3% (−28·9 to −15·6)* 3360 (1050 to 6120) 3570 (1260 to 6770) 6·1% (−4·4 to 19·4) −17·9% (−25·9 to −6·9)*
.. Colon and rectum cancer 9 (5 to 15) 11 (5 to 18) 13·8% (6·4 to 20·3)* −14·9% (−20·4 to −10·1)* 205 (107 to 330) 227 (114 to 373) 10·6% (3·0 to 16·9)* −15·4% (−21·1 to −10·5)*
.. Ischaemic heart disease 105 (5 to 213) 107 (5 to 230) 2·0% (−9·8 to 10·2) −24·0% (−32·5 to −18·0)* 2320 (120 to 4650) 2270 (111 to 4860) −2·2% (−13·8 to 6·3) −24·5% (−33·3 to −17·8)*
.. Type 2 diabetes mellitus 10 (5 to 17) 12 (6 to 21) 18·6% (6·0 to 29·7)* −11·3% (−20·6 to −2·9)* 838 (404 to 1430) 1070 (490 to 1900) 28·0% (16·3 to 37·0)* 0·2% (−8·9 to 7·6)
3 Diet high in sugar-sweetened beverages: all causes 105 (13 to 206) 137 (20 to 264) 30·4% (23·2 to 52·7)* −2·5% (−8·2 to 14·4) 3350 (981 to 5910) 4450 (1490 to 7700) 32·8% (24·7 to 54·4)* 4·7% (−1·8 to 23·1)
.. Ischaemic heart disease 92 (0 to 189) 117 (0 to 242) 27·4% (0 to 34·2) −4·7% (−10·2 to 1·1) 2270 (0 to 4620) 2810 (0 to 5700) 23·7% (0 to 30·2) −2·9% (−7·8 to 2·4)
.. Type 2 diabetes mellitus 14 (7 to 20) 21 (11 to 30) 50·5% (39·9 to 62·8)* 12·5% (4·6 to 21·7)* 1080 (570 to 1670) 1650 (852 to 2520) 52·0% (43·2 to 62·5)* 21·1% (14·0 to 29·3)*
3 Diet low in fibre: all causes 737 (433 to 1110) 873 (510 to 1330) 18·6% (15·9 to 20·7)* −11·2% (−13·2 to −9·6)* 17 700 (10 400 to 26 500) 19 900 (11 600 to 30 400) 12·6% (9·5 to 15·0)* −11·4% (−13·7 to −9·6)*
.. Colon and rectum cancer 84 (44 to 131) 106 (54 to 167) 26·0% (21·7 to 29·8)* −5·8% (−8·9 to −3·0)* 1800 (926 to 2800) 2200 (1140 to 3470) 22·2% (17·2 to 26·4)* −5·8% (−9·5 to −2·7)*
.. Ischaemic heart disease 653 (368 to 1010) 768 (429 to 1210) 17·6% (14·9 to 19·8)* −11·9% (−13·9 to −10·4)* 15 900 (9030 to 24 400) 17 700 (9940 to 27 700) 11·5% (8·3 to 14·0)* −12·0% (−14·3 to −10·1)*
3 Diet low in calcium: all causes 145 (91 to 205) 185 (116 to 262) 27·4% (22·5 to 31·2)* −4·5% (−8·0 to −1·8)* 3150 (1990 to 4420) 3890 (2450 to 5480) 23·7% (18·1 to 27·9)* −4·7% (−8·9 to −1·5)*
.. Colon and rectum cancer 145 (91 to 205) 185 (116 to 262) 27·4% (22·5 to 31·2)* −4·5% (−8·0 to −1·8)* 3150 (1990 to 4420) 3890 (2450 to 5480) 23·7% (18·1 to 27·9)* −4·7% (−8·9 to −1·5)*
3 Diet low in seafood omega 3 fatty acids: all causes 1220 (565 to 2000) 1440 (667 to 2380) 18·4% (16·3 to 20·2)* −10·8% (−12·4 to −9·5)* 28 200 (13 300 to 45 600) 32 400 (15 200 to 52 700) 14·9% (12·8 to 17·0)* −10·3% (−12·0 to −8·8)*
.. Ischaemic heart disease 1220 (565 to 2000) 1440 (667 to 2380) 18·4% (16·3 to 20·2)* −10·8% (−12·4 to −9·5)* 28 200 (13 300 to 45 600) 32 400 (15 200 to 52 700) 14·9% (12·8 to 17·0)* −10·3% (−12·0 to −8·8)*
3 Diet low in polyunsaturated fatty acids: all causes 676 (288 to 1110) 799 (343 to 1310) 18·3% (15·7 to 20·8)* −11·3% (−13·1 to −9·5)* 15 700 (6740 to 25 500) 17 900 (7770 to 29 000) 13·7% (11·3 to 16·2)* −11·0% (−12·8 to −9·1)*
.. Ischaemic heart disease 676 (288 to 1110) 799 (343 to 1310) 18·3% (15·7 to 20·8)* −11·3% (−13·1 to −9·5)* 15 700 (6740 to 25 500) 17 900 (7770 to 29 000) 13·7% (11·3 to 16·2)* −11·0% (−12·8 to −9·1)*
3 Diet high in trans fatty acids: all causes 250 (93 to 519) 258 (80 to 577) 3·2% (−14·0 to 10·5) −23·1% (−36·5 to −17·4)* 6050 (2180 to 12 800) 6160 (1870 to 13 800) 1·9% (−14·3 to 8·6) −20·3% (−33·2 to −15·0)*
.. Ischaemic heart disease 250 (93 to 519) 258 (80 to 577) 3·2% (−14·0 to 10·5) −23·1% (−36·5 to −17·4)* 6050 (2180 to 12 800) 6160 (1870 to 13 800) 1·9% (−14·3 to 8·6) −20·3% (−33·2 to −15·0)*
3 Diet high in sodium: all causes 2520 (1070 to 4370) 3200 (1420 to 5450) 26·6% (21·5 to 38·3)* −5·4% (−9·4 to 4·4) 57 400 (26 500 to 97 000) 70 400 (33 600 to 118 000) 22·7% (18·0 to 32·2)* −5·9% (−9·4 to 1·7)
.. Stomach cancer 295 (158 to 460) 327 (175 to 506) 10·9% (3·1 to 19·9)* −15·8% (−20·4 to −9·2)* 6950 (3880 to 10 500) 7350 (4120 to 11 100) 5·8% (−2·1 to 14·9) −18·2% (−23·3 to −12·0)*
.. Rheumatic heart disease 19 (7 to 37) 18 (7 to 37) −0·8% (−10·5 to 6·8) −23·9% (−30·6 to −18·7)* 583 (240 to 1130) 554 (222 to 1100) −5·0% (−13·4 to 1·2) −24·3% (−30·6 to −19·9)*
.. Ischaemic heart disease 963 (336 to 1870) 1250 (472 to 2350) 29·8% (24·0 to 47·4)* −3·8% (−8·1 to 10·4) 20 000 (7450 to 37 200) 25 000 (10 300 to 45 300) 25·3% (20·2 to 40·6)* −4·2% (−8·2 to 7·9)
.. Ischaemic stroke 318 (120 to 582) 421 (179 to 744) 32·5% (24·5 to 52·5)* −2·1% (−8·2 to 13·6) 7270 (3110 to 12 300) 10 300 (4840 to 16 700) 41·2% (31·8 to 61·4)* 6·7% (−0·3 to 22·5)
.. Intracerebral haemorrhage 547 (261 to 912) 629 (305 to 1040) 14·9% (8·8 to 23·1)* −13·4% (−17·8 to −6·7)* 13 000 (6660 to 20 900) 14 500 (7450 to 23 300) 11·5% (5·8 to 18·6)* −14·2% (−18·4 to −8·4)*
.. Subarachnoid haemorrhage 66 (28 to 116) 82 (36 to 143) 24·0% (13·7 to 37·3)* −5·6% (−13·3 to 4·6) 1900 (837 to 3310) 2240 (1020 to 3850) 18·1% (8·5 to 29·0)* −7·8% (−15·2 to 0·3)
.. Hypertensive heart disease 147 (43 to 330) 236 (67 to 512) 60·1% (26·0 to 91·2)* 17·7% (−7·0 to 41·5) 3000 (1060 to 6130) 4380 (1590 to 8810) 46·3% (20·5 to 71·3)* 11·4% (−8·5 to 30·6)
.. Non-rheumatic calcific aortic valve disease 4 (1 to 10) 6 (1 to 14) 39·4% (29·6 to 48·8)* 0·3% (−5·3 to 7·3) 81 (22 to 172) 107 (29 to 225) 32·1% (24·2 to 40·3)* −0·4% (−5·5 to 6·2)
.. Other cardiomyopathy 12 (3 to 24) 15 (4 to 32) 29·8% (21·3 to 35·7)* −3·2% (−8·0 to 1·5) 292 (83 to 611) 366 (100 to 774) 25·6% (16·7 to 31·4)* −2·2% (−8·8 to 2·5)
.. Atrial fibrillation and flutter 15 (4 to 30) 22 (7 to 45) 51·5% (45·3 to 67·2)* 7·7% (3·2 to 21·1)* 446 (165 to 848) 628 (244 to 1170) 40·9% (35·9 to 53·2)* 5·8% (1·9 to 16·2)*
.. Aortic aneurysm 11 (3 to 22) 14 (5 to 28) 27·8% (21·8 to 40·3)* −4·4% (−8·7 to 5·6) 225 (75 to 447) 280 (98 to 552) 24·5% (17·8 to 37·2)* −4·6% (−9·6 to 5·3)
.. Peripheral vascular disease 2 (0 to 5) 3 (1 to 8) 60·6% (34·7 to 93·7)* 15·8% (−2·4 to 42·0) 64 (18 to 139) 91 (26 to 195) 42·4% (29·0 to 57·9)* 6·5% (−3·2 to 18·2)
.. Endocarditis 4 (1 to 9) 6 (2 to 12) 36·0% (25·7 to 43·2)* 2·2% (−4·7 to 8·0) 103 (31 to 212) 132 (40 to 272) 28·3% (18·6 to 35·5)* 0·6% (−6·7 to 5·6)
.. Other cardiovascular and circulatory diseases 23 (7 to 48) 30 (9 to 60) 27·1% (21·5 to 41·6)* −4·3% (−8·3 to 7·1) 832 (275 to 1680) 1020 (350 to 2040) 23·2% (18·7 to 31·0)* −4·3% (−7·6 to 1·7)
.. Chronic kidney disease due to type 1 diabetes mellitus 6 (2 to 13) 8 (3 to 16) 19·7% (7·3 to 26·9)* −5·8% (−14·3 to −1·4)* 231 (88 to 467) 262 (95 to 552) 13·2% (0·6 to 21·0)* −9·0% (−18·4 to −3·8)*
.. Chronic kidney disease due to type 2 diabetes mellitus 31 (11 to 62) 44 (16 to 89) 42·0% (34·4 to 49·7)* 5·3% (0·1 to 11·4)* 743 (282 to 1460) 1000 (383 to 1990) 35·0% (27·8 to 41·0)* 2·2% (−2·9 to 6·7)
.. Chronic kidney disease due to hypertension 29 (10 to 58) 42 (15 to 84) 46·1% (38·9 to 56·9)* 6·9% (1·7 to 16·3)* 619 (223 to 1230) 847 (318 to 1650) 36·9% (30·2 to 45·0)* 3·8% (−0·8 to 10·4)
.. Chronic kidney disease due to glomerulonephritis 13 (4 to 27) 17 (5 to 36) 34·2% (27·5 to 42·0)* 1·7% (−2·7 to 8·4) 372 (126 to 756) 460 (156 to 946) 23·7% (16·5 to 30·2)* −2·6% (−7·6 to 1·7)
.. Chronic kidney disease due to other and unspecified causes 19 (6 to 38) 25 (8 to 52) 36·3% (29·0 to 44·6)* 2·7% (−2·3 to 9·0) 664 (240 to 1340) 837 (304 to 1700) 26·1% (19·5 to 32·5)* −2·1% (−6·6 to 2·3)
2 Intimate partner violence: all causes 151 (95 to 217) 71 (49 to 97) −53·2% (−56·6 to −47·9)* −59·3% (−62·4 to −54·6)* 10 300 (7270 to 14 000) 6700 (5150 to 8580) −35·0% (−41·8 to −25·1)* −43·0% (−49·0 to −34·3)*
.. HIV/AIDS and drug-susceptible tuberculosis co-infection 27 (13 to 44) 10 (5 to 16) −63·0% (−66·7 to −58·0)* −68·3% (−71·7 to −64·1)* 1280 (615 to 2110) 500 (248 to 802) −61·0% (−65·0 to −55·5)* −66·1% (−69·6 to −61·2)*
.. HIV/AIDS and multidrug-resistant tuberculosis without extensive drug resistance co-infection 3 (1 to 5) 1 (0 to 2) −59·6% (−73·0 to −42·6)* −65·4% (−76·9 to −51·0)* 127 (50 to 230) 53 (23 to 94) −58·0% (−71·7 to −39·8)* −63·4% (−75·4 to −47·8)*
.. HIV/AIDS and extensively drug-resistant tuberculosis co-infection 0 (0 to 0) 0 (0 to 0) −19·2% (−39·7 to 4·2) −30·7% (−48·4 to −10·4)* 2 (1 to 4) 2 (1 to 3) −18·7% (−39·5 to 4·3) −29·3% (−47·3 to −9·1)*
.. HIV/AIDS resulting in other diseases 96 (51 to 148) 37 (20 to 58) −61·3% (−64·4 to −58·2)* −66·5% (−69·3 to −63·8)* 4890 (2580 to 7620) 1990 (1050 to 3100) −59·2% (−62·4 to −56·0)* −64·3% (−67·2 to −61·5)*
.. Maternal abortive outcome 3 (2 to 4) 3 (2 to 4) −9·2% (−25·8 to 11·4) −18·4% (−32·9 to 0·7) 162 (99 to 241) 144 (90 to 212) −10·7% (−26·8 to 9·4) −19·1% (−33·6 to −0·1)*
.. Major depressive disorder .. .. .. .. 1760 (1080 to 2660) 2000 (1240 to 3030) 13·7% (10·2 to 17·8)* −2·9% (−4·9 to −1·0)*
.. Assault by firearm 5 (4 to 6) 5 (4 to 6) −4·8% (−9·7 to 3·0) −15·7% (−20·1 to −8·8)* 270 (209 to 328) 251 (203 to 309) −7·1% (−11·7 to 1·0) −15·9% (−20·2 to −8·5)*
.. Assault by sharp object 7 (5 to 8) 5 (4 to 6) −17·2% (−21·1 to −10·6)* −27·5% (−30·8 to −21·8)* 368 (291 to 421) 302 (244 to 352) −18·0% (−22·1 to −10·6)* −26·8% (−30·6 to −20·4)*
.. Sexual violence .. .. .. .. 712 (469 to 1040) 787 (520 to 1150) 10·7% (5·2 to 16·0)* −0·8% (−5·3 to 3·5)
.. Assault by other means 11 (8 to 13) 10 (8 to 12) −11·9% (−16·6 to −4·4)* −22·6% (−26·7 to −16·2)* 733 (576 to 871) 669 (561 to 806) −8·7% (−13·4 to −0·9)* −19·0% (−22·9 to −12·2)*
2 Childhood maltreatment: all causes 7 (6 to 10) 8 (6 to 10) 6·6% (−0·6 to 13·9) −12·6% (−18·5 to −6·9)* 4670 (3280 to 6460) 5210 (3660 to 7220) 11·6% (9·9 to 13·5)* 1·7% (0·3 to 3·0)*
3 Childhood sexual abuse: all causes 7 (6 to 10) 8 (6 to 10) 6·6% (−0·6 to 13·9) −12·6% (−18·5 to −6·9)* 2380 (1670 to 3230) 2700 (1900 to 3690) 13·3% (11·2 to 15·6)* −2·4% (−4·3 to −0·7)*
.. Major depressive disorder .. .. .. .. 1620 (1080 to 2300) 1860 (1250 to 2640) 14·9% (12·8 to 17·2)* −1·0% (−2·9 to 0·8)
.. Alcohol use disorders 7 (6 to 10) 8 (6 to 10) 6·6% (−0·6 to 13·9) −12·6% (−18·5 to −6·9)* 760 (528 to 1050) 836 (583 to 1170) 10·0% (6·2 to 13·6)* −5·2% (−8·7 to −2·2)*
3 Bullying victimisation: all causes .. .. .. .. 2340 (1380 to 3660) 2570 (1540 to 3970) 9·9% (8·1 to 12·5)* 6·3% (4·5 to 8·8)*
.. Major depressive disorder .. .. .. .. 1110 (624 to 1800) 1210 (689 to 1940) 9·5% (6·9 to 12·6)* 6·0% (3·3 to 9·0)*
.. Anxiety disorders .. .. .. .. 1230 (732 to 1950) 1360 (815 to 2130) 10·2% (8·1 to 12·6)* 6·6% (4·6 to 9·0)*
2 Unsafe sex: all causes 1750 (1680 to 1830) 1030 (980 to 1080) −41·2% (−43·2 to −39·2)* −49·8% (−51·4 to −48·1)* 86 100 (81 700 to 90 600) 50 200 (47 100 to 53 400) −41·7% (−43·8 to −39·4)* −49·2% (−51·0 to −47·2)*
.. HIV/AIDS and drug-susceptible tuberculosis co-infection 330 (223 to 440) 153 (108 to 202) −53·6% (−56·9 to −49·1)* −59·9% (−62·8 to −56·2)* 16 000 (10 700 to 21 400) 7900 (5640 to 10 300) −50·7% (−54·5 to −45·7)* −56·6% (−60·0 to −52·2)*
.. HIV/AIDS and multidrug-resistant tuberculosis without extensive drug resistance co-infection 35 (20 to 55) 17 (10 to 26) −51·2% (−66·3 to −31·0)* −57·9% (−70·9 to −40·6)* 1690 (952 to 2650) 865 (513 to 1310) −48·8% (−64·4 to −28·1)* −54·9% (−68·6 to −36·8)*
.. HIV/AIDS and extensively drug-resistant tuberculosis co-infection 1 (1 to 1) 1 (0 to 1) −8·7% (−29·5 to 16·7) −21·3% (−39·4 to 0·4) 43 (26 to 65) 40 (24 to 59) −8·8% (−28·7 to 16·7) −20·1% (−37·6 to 2·0)
.. HIV/AIDS resulting in other diseases 1160 (1020 to 1290) 590 (526 to 656) −49·0% (−51·5 to −46·2)* −55·7% (−58·0 to −53·3)* 59 800 (52 700 to 67 100) 31 700 (28 300 to 35 400) −47·1% (−49·9 to −44·2)* −53·4% (−55·9 to −50·9)*
.. Syphilis 2 (1 to 2) 2 (1 to 2) 2·9% (−11·3 to 18·4) −17·6% (−28·9 to −5·0)* 124 (101 to 151) 132 (108 to 162) 7·1% (−0·1 to 14·1) −11·2% (−17·2 to −5·6)*
.. Chlamydial infection 1 (1 to 1) 1 (1 to 1) 2·5% (−4·4 to 11·3) −15·2% (−21·0 to −8·4)* 329 (205 to 555) 355 (219 to 606) 8·1% (5·1 to 10·6)* −3·0% (−5·9 to −0·8)*
.. Gonococcal infection 3 (2 to 3) 3 (2 to 3) 3·7% (−3·4 to 12·5) −15·0% (−20·8 to −8·2)* 290 (206 to 437) 303 (216 to 468) 4·5% (0·1 to 8·6)* −6·1% (−10·7 to −2·1)*
.. Trichomoniasis .. .. .. .. 209 (84 to 454) 243 (98 to 524) 16·0% (14·2 to 17·7)* 2·2% (1·1 to 3·2)*
.. Genital herpes .. .. .. .. 207 (68 to 492) 247 (80 to 594) 19·8% (18·1 to 21·0)* 1·5% (0·8 to 2·3)*
.. Other sexually transmitted infections 2 (1 to 2) 2 (1 to 2) 0·2% (−6·4 to 8·4) −15·9% (−21·6 to −9·5)* 385 (257 to 604) 416 (276 to 659) 8·1% (5·9 to 10·1)* −2·6% (−5·0 to −0·7)*
.. Cervical cancer 219 (204 to 231) 260 (241 to 269) 18·8% (12·9 to 22·8)* −7·2% (−11·6 to −4·0)* 7000 (6500 to 7340) 8060 (7530 to 8400) 15·2% (9·5 to 19·2)* −7·0% (−11·6 to −3·8)*
2 Low physical activity: all causes 1030 (557 to 1640) 1260 (681 to 2010) 22·0% (20·4 to 23·7)* −10·8% (−12·1 to −9·5)* 19 700 (10 500 to 31 300) 23 700 (12 500 to 37 300) 20·1% (18·0 to 22·1)* −8·9% (−10·7 to −7·2)*
.. Colon and rectum cancer 26 (3 to 61) 33 (4 to 77) 27·3% (23·8 to 31·3)* −5·2% (−7·9 to −1·8)* 525 (70 to 1230) 652 (89 to 1540) 24·1% (20·1 to 28·5)* −5·1% (−8·2 to −1·2)*
.. Breast cancer 7 (0 to 17) 9 (0 to 21) 25·9% (20·8 to 30·5)* −4·4% (−8·1 to −0·5)* 205 (4 to 470) 253 (5 to 575) 23·4% (17·7 to 28·5)* −3·2% (−7·5 to 1·3)
.. Ischaemic heart disease 730 (346 to 1220) 889 (416 to 1480) 21·8% (20·1 to 23·3)* −10·9% (−12·1 to −9·6)* 13 200 (6020 to 21 900) 15 400 (7120 to 25 700) 17·0% (15·2 to 18·7)* −11·1% (−12·5 to −9·7)*
.. Ischaemic stroke 246 (86 to 456) 295 (103 to 547) 20·1% (17·9 to 22·4)* −13·0% (−14·7 to −11·2)* 4410 (1520 to 8280) 5460 (1870 to 10 200) 23·8% (20·7 to 27·1)* −7·4% (−9·8 to −4·7)*
.. Type 2 diabetes mellitus 26 (6 to 48) 36 (8 to 69) 42·5% (39·8 to 45·2)* 5·3% (3·3 to 7·2)* 1380 (300 to 2710) 1870 (410 to 3660) 35·8% (32·1 to 40·0)* 5·2% (2·4 to 8·3)*
1 Metabolic risks: all causes 14 100 (12 900 to 15 100) 17 600 (16 100 to 18 900) 25·0% (23·3 to 26·6)* −7·3% (−8·5 to −6·1)* 346 000 (317 000 to 376 000) 423 000 (386 000 to 462 000) 22·2% (20·7 to 23·9)* −5·4% (−6·6 to −4·1)*
2 High fasting plasma glucose: all causes 5140 (4150 to 6490) 6530 (5230 to 8230) 27·1% (22·5 to 31·7)* −6·0% (−9·4 to −2·9)* 136 000 (115 000 to 160 000) 171 000 (144 000 to 201 000) 25·5% (21·8 to 29·5)* −3·2% (−6·1 to 0·0)
.. Drug-susceptible tuberculosis 125 (80 to 176) 118 (73 to 166) −6·1% (−14·1 to 2·4) −26·6% (−32·6 to −20·1)* 4060 (2680 to 5580) 3740 (2400 to 5200) −8·0% (−15·6 to 0·1) −26·0% (−31·9 to −19·6)*
.. Multidrug-resistant tuberculosis without extensive drug resistance 14 (9 to 22) 14 (7 to 25) −4·3% (−43·5 to 50·2) −24·9% (−55·9 to 17·7) 464 (285 to 672) 428 (210 to 757) −7·8% (−44·8 to 44·5) −25·7% (−55·7 to 16·6)
.. Extensively drug-resistant tuberculosis 1 (1 to 2) 1 (1 to 2) 21·5% (−12·2 to 68·0) −3·6% (−30·3 to 33·2) 40 (24 to 58) 46 (26 to 73) 14·3% (−16·3 to 56·9) −7·0% (−31·9 to 27·2)
.. Colon and rectum cancer 60 (15 to 129) 80 (19 to 172) 32·6% (25·5 to 41·0)* −1·7% (−7·0 to 4·5) 1130 (269 to 2450) 1470 (352 to 3200) 29·8% (22·4 to 38·2)* −1·8% (−7·3 to 4·5)
.. Liver cancer due to non-alcoholic steatohepatitis 4 (1 to 8) 5 (1 to 12) 44·0% (35·8 to 52·6)* 8·0% (1·8 to 14·7)* 74 (18 to 163) 105 (25 to 230) 40·8% (33·1 to 49·3)* 7·2% (1·2 to 13·9)*
.. Liver cancer due to other causes 3 (1 to 7) 4 (1 to 9) 26·5% (18·8 to 34·8)* −3·9% (−9·7 to 2·4) 81 (19 to 174) 99 (24 to 217) 22·4% (15·2 to 30·7)* −5·3% (−10·8 to 1·1)
.. Pancreatic cancer 27 (6 to 57) 39 (9 to 84) 46·3% (38·6 to 55·0)* 8·8% (3·1 to 15·1)* 502 (115 to 1090) 717 (163 to 1570) 42·9% (35·3 to 51·4)* 8·0% (2·4 to 14·5)*
.. Tracheal, bronchus, and lung cancer 119 (27 to 257) 154 (34 to 336) 29·6% (23·0 to 36·9)* −2·5% (−7·6 to 2·8) 2420 (544 to 5270) 3050 (674 to 6710) 26·4% (19·8 to 33·6)* −4·1% (−9·1 to 1·3)
.. Breast cancer 33 (6 to 73) 44 (9 to 99) 35·2% (27·9 to 43·9)* 1·3% (−4·2 to 7·6) 805 (153 to 1800) 1070 (205 to 2430) 33·5% (25·4 to 42·4)* 2·8% (−3·2 to 9·5)
.. Ovarian cancer 10 (2 to 23) 14 (3 to 32) 38·1% (31·3 to 46·3)* 3·1% (−1·9 to 9·3) 222 (43 to 521) 307 (61 to 718) 38·6% (31·6 to 46·9)* 5·6% (0·3 to 11·8)*
.. Bladder cancer 14 (3 to 31) 19 (4 to 42) 34·8% (28·0 to 42·5)* −0·8% (−5·7 to 5·0) 246 (50 to 538) 320 (65 to 697) 30·1% (23·8 to 37·6)* −2·2% (−6·9 to 3·4)
.. Ischaemic heart disease 1820 (1070 to 2930) 2270 (1340 to 3570) 24·9% (18·6 to 31·5)* −8·7% (−12·8 to −4·2)* 32 500 (20 800 to 49 400) 39 800 (25 900 to 60 000) 22·7% (17·6 to 28·7)* −7·2% (−11·3 to −2·5)*
.. Ischaemic stroke 504 (243 to 1010) 594 (301 to 1210) 17·8% (11·0 to 25·2)* −13·8% (−18·0 to −9·1)* 9580 (5110 to 16 800) 11 800 (6500 to 20 100) 23·0% (16·2 to 31·1)* −7·7% (−12·8 to −1·4)*
.. Intracerebral haemorrhage 529 (329 to 813) 591 (368 to 878) 11·7% (5·1 to 18·4)* −16·3% (−21·3 to −11·4)* 11 300 (7280 to 16 500) 12 700 (8210 to 18 000) 12·9% (6·0 to 19·1)* −13·9% (−19·4 to −8·6)*
.. Subarachnoid haemorrhage 72 (46 to 107) 88 (57 to 129) 23·0% (16·3 to 30·4)* −7·0% (−12·3 to −1·3)* 1850 (1190 to 2730) 2280 (1460 to 3230) 23·1% (16·5 to 30·3)* −4·6% (−9·7 to 0·9)
.. Peripheral vascular disease 12 (7 to 20) 19 (11 to 34) 61·8% (34·4 to 84·1)* 15·9% (−3·4 to 31·8) 278 (188 to 409) 402 (269 to 605) 44·8% (28·0 to 60·2)* 7·9% (−4·7 to 19·3)
.. Alzheimer's disease and other dementias 164 (37 to 353) 249 (58 to 532) 52·0% (44·2 to 60·8)* 4·6% (−0·9 to 11·0) 2060 (462 to 4440) 2940 (681 to 6340) 42·8% (35·7 to 50·9)* 2·5% (−2·6 to 8·4)
.. Type 1 diabetes mellitus 300 (276 to 326) 346 (319 to 371) 15·1% (10·5 to 19·0)* −11·0% (−14·6 to −7·8)* 9370 (8720 to 10 100) 10 400 (9790 to 11 100) 11·4% (7·9 to 14·5)* −9·8% (−12·8 to −7·2)*
.. Type 2 diabetes mellitus 716 (686 to 748) 1020 (986 to 1070) 43·0% (40·4 to 45·8)* 5·9% (4·1 to 8·0)* 42 900 (33 400 to 53 700) 57 400 (45 000 to 71 900) 34·0% (30·3 to 38·1)* 5·1% (2·3 to 8·1)*
.. Chronic kidney disease due to type 1 diabetes mellitus 63 (51 to 76) 77 (62 to 95) 23·2% (19·0 to 27·4)* −1·2% (−4·0 to 1·2) 2440 (2010 to 2950) 2890 (2370 to 3500) 18·2% (14·3 to 22·3)* −2·6% (−5·1 to −0·3)*
.. Chronic kidney disease due to type 2 diabetes mellitus 248 (219 to 282) 349 (307 to 396) 40·5% (36·4 to 43·6)* 4·2% (1·4 to 6·2)* 6050 (5290 to 6850) 8120 (7120 to 9250) 34·3% (30·9 to 37·2)* 2·3% (−0·2 to 4·2)
.. Chronic kidney disease due to hypertension 143 (100 to 181) 208 (150 to 255) 45·0% (37·7 to 53·6)* 4·8% (−0·2 to 10·9) 2670 (1880 to 3420) 3710 (2690 to 4650) 39·2% (32·0 to 47·4)* 4·4% (−0·8 to 10·4)
.. Chronic kidney disease due to glomerulonephritis 66 (46 to 85) 91 (66 to 116) 38·6% (31·3 to 47·4)* 3·6% (−1·5 to 9·7) 1600 (1100 to 2110) 2140 (1520 to 2730) 33·5% (26·6 to 41·2)* 3·7% (−1·4 to 9·6)
.. Chronic kidney disease due to other and unspecified causes 93 (64 to 121) 130 (93 to 165) 40·4% (33·1 to 48·9)* 4·2% (−0·8 to 10·3) 2800 (1920 to 3740) 3760 (2640 to 4880) 34·3% (27·0 to 42·4)* 2·8% (−2·6 to 9·0)
.. Glaucoma .. .. .. .. 46 (11 to 105) 61 (14 to 141) 32·7% (27·1 to 39·4)* −1·1% (−5·4 to 3·8)
.. Cataract .. .. .. .. 503 (112 to 1170) 687 (153 to 1580) 36·7% (31·0 to 43·1)* 2·4% (−2·0 to 7·1)
2 High low-density lipoprotein cholesterol: all causes 3570 (2780 to 4450) 4320 (3330 to 5440) 20·8% (18·2 to 23·2)* −10·6% (−11·8 to −9·4)* 81 000 (67 800 to 95 700) 94 900 (78 800 to 112 000) 17·2% (15·3 to 19·1)* −9·3% (−10·6 to −7·9)*
.. Ischaemic heart disease 3140 (2430 to 3900) 3790 (2890 to 4730) 20·7% (17·9 to 23·3)* −10·4% (−11·6 to −9·1)* 70 800 (59 400 to 82 400) 82 200 (68 600 to 96 400) 16·1% (14·3 to 17·8)* −9·9% (−11·3 to −8·6)*
.. Ischaemic stroke 439 (177 to 893) 532 (211 to 1080) 21·2% (16·4 to 24·7)* −12·1% (−13·6 to −10·2)* 10 200 (6160 to 16 900) 12 700 (7610 to 21 200) 25·0% (21·6 to 28·1)* −5·0% (−7·5 to −2·1)*
2 High systolic blood pressure: all causes 8500 (7640 to 9340) 10 400 (9390 to 11 500) 22·8% (20·5 to 24·7)* −9·0% (−10·6 to −7·6)* 182 000 (164 000 to 198 000) 218 000 (198 000 to 237 000) 20·0% (18·0 to 21·8)* −8·0% (−9·5 to −6·7)*
.. Rheumatic heart disease 69 (46 to 106) 72 (48 to 113) 4·5% (−1·9 to 11·0) −20·1% (−24·2 to −16·1)* 2070 (1420 to 3130) 2100 (1450 to 3260) 1·6% (−4·0 to 7·2) −18·8% (−23·0 to −15·0)*
.. Ischaemic heart disease 4030 (3350 to 4740) 4890 (4030 to 5760) 21·2% (19·0 to 23·0)* −10·4% (−11·6 to −9·2)* 80 500 (69 200 to 91 400) 94 800 (81 100 to 108 000) 17·7% (15·9 to 19·4)* −10·0% (−11·4 to −8·7)*
.. Ischaemic stroke 1150 (900 to 1390) 1370 (1060 to 1680) 19·4% (16·5 to 22·7)* −12·3% (−14·0 to −10·6)* 23 500 (18 700 to 27 700) 29 400 (23 400 to 34 700) 25·1% (21·9 to 28·4)* −5·7% (−8·1 to −3·2)*
.. Intracerebral haemorrhage 1530 (1230 to 1800) 1730 (1400 to 2050) 13·5% (10·5 to 16·6)* −14·9% (−17·0 to −12·8)* 34 700 (29 000 to 40 100) 38 900 (32 400 to 44 800) 12·0% (9·2 to 14·8)* −13·8% (−16·0 to −11·7)*
.. Subarachnoid haemorrhage 215 (175 to 258) 258 (211 to 311) 19·7% (14·4 to 26·0)* −8·8% (−12·8 to −4·4)* 6120 (5000 to 7240) 7140 (5900 to 8480) 16·7% (12·4 to 22·0)* −8·4% (−11·8 to −4·3)*
.. Hypertensive heart disease 632 (516 to 676) 926 (681 to 995) 46·6% (26·3 to 59·3)* 7·5% (−7·3 to 16·3) 12 200 (10 100 to 13 200) 16 500 (12 700 to 17 900) 35·6% (20·5 to 46·6)* 3·7% (−7·9 to 11·8)
.. Non-rheumatic calcific aortic valve disease 24 (17 to 34) 33 (23 to 47) 35·5% (28·7 to 41·4)* −3·2% (−7·4 to 0·0) 408 (317 to 514) 528 (410 to 670) 29·6% (24·4 to 34·3)* −2·9% (−6·1 to 0·2)
.. Other cardiomyopathy 61 (47 to 76) 80 (62 to 101) 31·6% (27·0 to 35·9)* −2·3% (−5·8 to 1·1) 1460 (1150 to 1770) 1890 (1490 to 2290) 29·5% (23·8 to 34·0)* 1·1% (−3·3 to 4·8)
.. Atrial fibrillation and flutter 70 (56 to 83) 100 (80 to 121) 43·8% (40·2 to 47·0)* 1·4% (−0·7 to 3·4) 1800 (1450 to 2210) 2410 (1930 to 2950) 33·8% (31·9 to 35·7)* −0·2% (−1·4 to 1·1)
.. Aortic aneurysm 49 (39 to 59) 59 (47 to 72) 21·3% (17·2 to 25·5)* −9·6% (−12·5 to −6·6)* 968 (801 to 1140) 1150 (952 to 1360) 18·8% (14·4 to 23·5)* −9·0% (−12·5 to −5·4)*
.. Peripheral vascular disease 12 (7 to 22) 18 (10 to 33) 49·1% (24·9 to 66·2)* 7·2% (−9·4 to 19·7) 300 (186 to 457) 410 (257 to 632) 36·8% (22·9 to 49·1)* 2·1% (−8·0 to 10·7)
.. Endocarditis 20 (15 to 25) 27 (21 to 34) 36·5% (29·4 to 41·4)* 2·4% (−2·5 to 6·6) 478 (375 to 589) 629 (499 to 762) 31·6% (24·3 to 36·8)* 3·9% (−1·4 to 7·8)
.. Other cardiovascular and circulatory diseases 117 (100 to 137) 143 (122 to 167) 22·8% (18·5 to 26·0)* −7·6% (−10·7 to −5·3)* 3840 (3170 to 4680) 4680 (3850 to 5660) 21·8% (18·8 to 24·2)* −5·3% (−7·5 to −3·5)*
.. Chronic kidney disease due to type 1 diabetes mellitus 23 (16 to 33) 30 (20 to 42) 29·1% (24·8 to 33·1)* 1·0% (−2·0 to 3·4) 799 (524 to 1130) 999 (660 to 1410) 25·1% (20·6 to 29·2)* 0·4% (−2·4 to 2·9)
.. Chronic kidney disease due to type 2 diabetes mellitus 119 (85 to 154) 168 (120 to 217) 41·4% (37·3 to 44·6)* 4·4% (1·6 to 6·5)* 2710 (1930 to 3550) 3700 (2640 to 4840) 36·5% (33·1 to 39·4)* 3·0% (0·4 to 5·0)*
.. Chronic kidney disease due to hypertension 246 (216 to 276) 347 (305 to 391) 41·4% (37·4 to 44·2)* 3·2% (0·4 to 5·2)* 5550 (4900 to 6230) 7350 (6450 to 8220) 32·4% (29·0 to 35·0)* 2·1% (−0·3 to 4·1)
.. Chronic kidney disease due to glomerulonephritis 57 (40 to 77) 77 (54 to 103) 34·2% (30·8 to 37·5)* 1·4% (−0·9 to 3·3) 1560 (1060 to 2110) 1990 (1350 to 2690) 27·1% (24·0 to 30·1)* 0·1% (−1·8 to 1·9)
.. Chronic kidney disease due to other and unspecified causes 80 (56 to 103) 109 (76 to 142) 36·7% (32·6 to 40·3)* 2·4% (−0·3 to 4·6) 2670 (1850 to 3560) 3450 (2410 to 4620) 29·0% (25·8 to 32·2)* −0·1% (−2·4 to 2·0)
2 High body-mass index: all causes 3470 (2110 to 5030) 4720 (2990 to 6700) 36·3% (31·9 to 42·5)* 2·3% (−0·9 to 7·2) 108 000 (69 000 to 153 000) 148 000 (98 600 to 202 000) 36·7% (31·5 to 44·5)* 6·8% (2·6 to 13·0)*
.. Oesophageal cancer 61 (20 to 121) 81 (27 to 153) 32·7% (24·0 to 45·1)* 0·3% (−6·4 to 9·8) 1470 (464 to 2860) 1900 (622 to 3530) 29·7% (20·9 to 42·0)* −0·5% (−7·3 to 9·0)
.. Colon and rectum cancer 54 (29 to 84) 73 (41 to 114) 36·4% (32·2 to 41·7)* 2·4% (−0·8 to 6·4) 1210 (662 to 1880) 1640 (920 to 2500) 35·4% (30·6 to 41·1)* 3·9% (0·3 to 8·2)*
.. Liver cancer due to hepatitis B 26 (9 to 55) 40 (15 to 79) 56·1% (42·2 to 86·2)* 21·5% (10·8 to 44·8)* 794 (264 to 1690) 1210 (429 to 2390) 51·8% (37·3 to 82·8)* 20·7% (9·1 to 45·2)*
.. Liver cancer due to hepatitis C 21 (8 to 40) 31 (12 to 58) 52·0% (44·1 to 64·6)* 14·0% (8·0 to 23·3)* 467 (181 to 895) 705 (286 to 1310) 51·0% (42·5 to 64·4)* 15·2% (8·7 to 25·3)*
.. Liver cancer due to alcohol use 13 (5 to 25) 19 (8 to 37) 50·8% (43·4 to 61·8)* 15·0% (9·2 to 23·2)* 317 (123 to 630) 471 (189 to 905) 48·9% (40·6 to 61·0)* 15·4% (9·2 to 24·6)*
.. Liver cancer due to other causes 5 (2 to 10) 8 (3 to 15) 59·4% (47·8 to 80·2)* 22·7% (13·8 to 38·2)* 142 (52 to 285) 220 (85 to 413) 54·7% (42·4 to 77·2)* 22·0% (12·5 to 39·1)*
.. Gallbladder and biliary tract cancer 20 (10 to 34) 27 (14 to 44) 32·7% (27·8 to 39·0)* −1·2% (−4·9 to 3·5) 422 (219 to 694) 561 (299 to 897) 33·0% (27·0 to 39·9)* 1·3% (−3·2 to 6·6)
.. Pancreatic cancer 19 (7 to 35) 27 (11 to 51) 47·2% (43·5 to 51·8)* 10·0% (7·1 to 13·6)* 398 (153 to 758) 577 (225 to 1090) 45·2% (41·2 to 49·9)* 10·7% (7·7 to 14·3)*
.. Breast cancer 26 (10 to 48) 40 (16 to 71) 54·8% (39·2 to 88·4)* 11·1% (−0·3 to 30·8) 487 (125 to 983) 817 (267 to 1530) 67·7% (45·5 to 153·1)* 16·2% (1·2 to 52·4)*
.. Uterine cancer 25 (17 to 34) 33 (23 to 44) 30·8% (25·9 to 37·6)* −1·7% (−5·3 to 3·2) 642 (426 to 869) 842 (584 to 1120) 31·2% (25·5 to 38·8)* 0·7% (−3·5 to 6·3)
.. Ovarian cancer 4 (0 to 10) 6 (0 to 13) 34·5% (22·4 to 39·8)* 1·8% (−5·1 to 5·8) 111 (0 to 251) 149 (0 to 334) 35·1% (22·6 to 41·2)* 4·9% (−4·4 to 9·5)
.. Kidney cancer 20 (12 to 30) 27 (16 to 40) 36·7% (32·4 to 42·0)* 3·0% (−0·3 to 7·0) 464 (275 to 690) 619 (370 to 911) 33·5% (29·0 to 39·3)* 2·6% (−0·8 to 7·1)
.. Thyroid cancer 3 (1 to 5) 4 (2 to 7) 43·9% (37·0 to 51·7)* 9·3% (3·9 to 15·2)* 81 (39 to 136) 116 (57 to 191) 43·1% (35·6 to 51·8)* 12·2% (6·3 to 18·8)*
.. Non-Hodgkin lymphoma 9 (4 to 17) 13 (6 to 24) 40·2% (36·2 to 46·1)* 6·4% (3·1 to 11·2)* 238 (100 to 427) 330 (144 to 591) 38·9% (34·5 to 44·6)* 9·0% (5·6 to 13·6)*
.. Multiple myeloma 5 (2 to 10) 8 (3 to 13) 41·2% (35·8 to 47·8)* 5·7% (1·6 to 10·9)* 119 (52 to 210) 168 (75 to 291) 41·0% (35·4 to 47·9)* 7·7% (3·4 to 13·2)*
.. Acute lymphoid leukaemia 2 (1 to 3) 2 (1 to 4) 44·4% (35·2 to 52·4)* 15·2% (8·0 to 21·4)* 56 (26 to 98) 79 (39 to 135) 40·9% (31·9 to 49·9)* 17·0% (9·6 to 24·2)*
.. Chronic lymphoid leukaemia 2 (1 to 4) 3 (2 to 5) 25·5% (21·2 to 30·2)* −7·8% (−10·9 to −4·2)* 48 (24 to 79) 60 (31 to 98) 25·9% (21·8 to 30·5)* −4·9% (−8·0 to −1·4)*
.. Acute myeloid leukaemia 5 (3 to 9) 7 (4 to 12) 36·3% (31·4 to 42·2)* 4·7% (0·9 to 9·2)* 138 (67 to 231) 184 (92 to 303) 33·3% (27·8 to 39·6)* 6·2% (2·0 to 11·1)*
.. Chronic myeloid leukaemia 2 (1 to 3) 2 (1 to 3) 10·2% (6·3 to 15·6)* −15·9% (−18·8 to −11·7)* 40 (19 to 68) 43 (21 to 72) 8·9% (4·5 to 15·0)* −13·2% (−16·6 to −8·5)*
.. Other leukaemia 7 (3 to 12) 8 (4 to 14) 26·6% (21·2 to 34·8)* −3·1% (−7·0 to 2·7) 175 (80 to 311) 215 (103 to 364) 22·9% (16·1 to 32·8)* −1·8% (−6·9 to 5·6)
.. Ischaemic heart disease 1270 (750 to 1890) 1630 (985 to 2380) 28·0% (24·4 to 32·6)* −3·7% (−6·1 to 0·0) 30 800 (19 100 to 44 100) 39 300 (25 300 to 55 000) 27·6% (23·6 to 33·4)* −0·6% (−3·7 to 4·2)
.. Ischaemic stroke 259 (143 to 394) 324 (184 to 493) 25·3% (20·9 to 30·2)* −5·4% (−8·2 to −1·8)* 7410 (4430 to 10 900) 10 100 (6190 to 14 600) 36·4% (31·2 to 43·2)* 5·3% (1·3 to 10·5)*
.. Intracerebral haemorrhage 487 (279 to 736) 622 (380 to 907) 27·7% (20·8 to 37·3)* −1·2% (−6·5 to 6·4) 14 900 (8960 to 21 400) 18 900 (12 000 to 26 000) 27·0% (19·9 to 37·1)* 0·5% (−5·3 to 8·6)
.. Subarachnoid haemorrhage 93 (59 to 132) 119 (79 to 164) 27·6% (21·7 to 34·5)* 1·0% (−3·8 to 6·6) 3510 (2300 to 4800) 4420 (3010 to 5900) 26·0% (20·4 to 33·2)* 2·2% (−2·6 to 8·1)
.. Hypertensive heart disease 213 (118 to 332) 327 (176 to 522) 53·8% (36·3 to 65·3)* 13·7% (1·6 to 21·2)* 4690 (2930 to 6620) 6830 (4290 to 9600) 45·7% (32·0 to 56·2)* 12·3% (1·9 to 20·2)*
.. Atrial fibrillation and flutter 39 (22 to 61) 60 (34 to 93) 53·5% (49·2 to 59·2)* 6·6% (3·5 to 11·0)* 907 (487 to 1450) 1310 (712 to 2070) 44·6% (41·3 to 49·1)* 6·8% (4·3 to 10·3)*
.. Asthma 58 (28 to 106) 72 (38 to 126) 23·9% (13·7 to 38·8)* −5·4% (−13·3 to 6·4) 2800 (1540 to 4510) 3550 (2050 to 5580) 27·0% (19·4 to 36·1)* 3·3% (−3·8 to 11·6)
.. Gallbladder and biliary diseases 24 (15 to 35) 34 (22 to 49) 41·8% (36·7 to 49·6)* 3·6% (−0·2 to 9·4) 453 (282 to 653) 611 (391 to 866) 35·0% (28·5 to 44·2)* 4·0% (−0·9 to 10·9)
.. Alzheimer's disease and other dementias 207 (77 to 395) 319 (121 to 599) 54·1% (49·4 to 61·7)* 5·8% (2·0 to 11·7)* 2640 (1030 to 5050) 3900 (1580 to 7270) 47·6% (43·1 to 54·7)* 5·9% (2·4 to 11·6)*
.. Type 1 diabetes mellitus 271 (186 to 363) 422 (299 to 552) 55·7% (49·7 to 64·0)* 16·6% (12·0 to 23·0)* 20 600 (13 500 to 29 500) 31 100 (21 400 to 43 000) 50·7% (42·7 to 61·5)* 19·3% (13·0 to 27·8)*
.. Chronic kidney disease due to type 2 diabetes mellitus 67 (32 to 112) 109 (54 to 177) 62·3% (52·2 to 75·4)* 20·2% (13·8 to 29·2)* 1800 (857 to 2940) 2840 (1400 to 4450) 58·2% (48·9 to 71·5)* 19·4% (13·3 to 27·9)*
.. Chronic kidney disease due to hypertension 63 (27 to 116) 100 (44 to 180) 59·0% (50·2 to 70·2)* 15·9% (10·3 to 26·0)* 1510 (725 to 2590) 2330 (1180 to 3780) 54·7% (45·4 to 67·0)* 17·4% (11·4 to 26·3)*
.. Chronic kidney disease due to glomerulonephritis 37 (17 to 62) 55 (26 to 90) 47·0% (38·4 to 58·2)* 11·9% (7·5 to 18·0)* 1160 (451 to 2030) 1650 (692 to 2760) 42·0% (33·8 to 54·8)* 12·3% (7·8 to 18·7)*
.. Chronic kidney disease due to other and unspecified causes 48 (22 to 80) 75 (35 to 120) 53·7% (44·5 to 66·6)* 16·0% (10·4 to 24·2)* 1850 (806 to 3110) 2710 (1260 to 4380) 46·9% (38·5 to 59·5)* 14·4% (8·7 to 22·4)*
.. Cataract .. .. .. .. 304 (130 to 581) 456 (207 to 847) 49·9% (43·0 to 61·0)* 13·2% (7·9 to 21·8)*
.. Osteoarthritis .. .. .. .. 1360 (520 to 2920) 2030 (801 to 4370) 49·2% (43·8 to 58·0)* 14·3% (10·2 to 21·0)*
.. Low back pain .. .. .. .. 3250 (1690 to 5610) 4370 (2350 to 7400) 34·4% (30·1 to 40·1)* 9·1% (5·8 to 13·4)*
.. Gout .. .. .. .. 284 (142 to 490) 419 (216 to 706) 47·8% (42·8 to 55·0)* 15·6% (11·8 to 21·2)*
2 Low bone mineral density: all causes 245 (226 to 256) 327 (308 to 347) 33·7% (27·2 to 41·0)* −2·7% (−7·3 to 2·6) 7850 (6660 to 9210) 10 300 (8690 to 12 200) 31·5% (28·1 to 34·8)* −0·9% (−3·3 to 1·5)
.. Pedestrian road injuries 29 (28 to 32) 33 (31 to 36) 13·9% (5·3 to 19·6)* −14·5% (−21·1 to −10·2)* 780 (704 to 857) 886 (792 to 981) 13·6% (6·5 to 18·8)* −12·5% (−18·1 to −8·7)*
.. Cyclist road injuries 3 (3 to 4) 4 (4 to 4) 27·6% (17·0 to 36·2)* −2·4% (−10·7 to 4·1) 166 (135 to 198) 218 (177 to 263) 31·6% (25·8 to 36·5)* 1·4% (−2·9 to 5·0)
.. Motorcyclist road injuries 6 (5 to 7) 8 (7 to 9) 25·9% (7·9 to 36·3)* −1·5% (−15·6 to 6·7) 319 (269 to 373) 406 (334 to 483) 27·2% (16·4 to 33·6)* 0·3% (−8·2 to 5·1)
.. Motor vehicle road injuries 18 (17 to 20) 22 (19 to 24) 17·1% (8·4 to 21·8)* −10·8% (−17·6 to −7·3)* 610 (534 to 683) 709 (615 to 800) 16·3% (9·9 to 20·1)* −9·6% (−14·6 to −6·9)*
.. Other road injuries 1 (1 to 1) 1 (1 to 1) 18·1% (7·6 to 36·0)* −10·9% (−19·0 to 2·2) 84 (64 to 109) 132 (99 to 175) 57·0% (51·0 to 62·7)* 19·2% (14·8 to 23·3)*
.. Other transport injuries 8 (7 to 9) 9 (8 to 10) 18·6% (13·6 to 27·6)* −9·4% (−13·3 to −2·5)* 481 (397 to 585) 616 (500 to 762) 28·1% (24·6 to 32·0)* −1·1% (−3·6 to 1·8)
.. Falls 169 (154 to 176) 238 (223 to 256) 41·1% (32·6 to 52·0)* 0·6% (−5·3 to 8·2) 4810 (4010 to 5760) 6590 (5500 to 7860) 37·0% (32·6 to 42·2)* 1·5% (−1·6 to 5·3)
.. Other exposure to mechanical forces 7 (6 to 8) 9 (7 to 10) 21·4% (15·6 to 27·3)* −9·0% (−13·2 to −4·4)* 443 (347 to 562) 582 (447 to 752) 31·5% (27·8 to 34·8)* 0·9% (−1·6 to 3·2)
.. Non-venomous animal contact 1 (0 to 1) 1 (1 to 1) 17·9% (4·3 to 37·3)* −11·3% (−21·4 to 3·2) 50 (36 to 69) 62 (44 to 88) 24·1% (17·5 to 30·2)* −5·9% (−10·7 to −1·2)*
.. Assault by other means 3 (2 to 3) 3 (3 to 3) 7·2% (−1·0 to 13·8) −17·8% (−24·0 to −12·7)* 114 (97 to 134) 132 (109 to 158) 16·1% (10·9 to 20·0)* −10·6% (−14·3 to −7·7)*
2 Impaired kidney function: all causes 2040 (1880 to 2210) 2590 (2390 to 2800) 26·6% (23·6 to 29·7)* −5·8% (−7·9 to −3·7)* 51 000 (47 300 to 54 900) 61 300 (56 900 to 66 100) 20·3% (17·9 to 22·9)* −5·4% (−7·3 to −3·5)*
.. Ischaemic heart disease 716 (593 to 844) 882 (726 to 1050) 23·2% (17·7 to 28·8)* −10·5% (−14·1 to −6·8)* 12 500 (10 700 to 14 400) 14 900 (12 800 to 17 200) 18·9% (14·6 to 23·8)* −9·7% (−12·9 to −6·1)*
.. Ischaemic stroke 187 (137 to 239) 223 (162 to 288) 19·0% (13·2 to 24·8)* −12·9% (−15·9 to −9·9)* 3760 (3010 to 4550) 4650 (3750 to 5700) 23·7% (19·0 to 28·9)* −6·6% (−9·9 to −3·2)*
.. Intracerebral haemorrhage 214 (175 to 257) 243 (199 to 293) 13·7% (9·2 to 18·0)* −14·3% (−17·2 to −11·5)* 4970 (4090 to 5860) 5530 (4580 to 6550) 11·4% (7·6 to 15·4)* −13·9% (−16·6 to −11·4)*
.. Peripheral vascular disease 6 (4 to 11) 10 (5 to 18) 52·4% (25·2 to 73·7)* 11·5% (−7·5 to 26·5) 184 (121 to 278) 257 (166 to 398) 39·9% (23·4 to 55·0)* 5·7% (−6·6 to 16·8)
.. Chronic kidney disease due to type 1 diabetes mellitus 63 (51 to 76) 77 (62 to 95) 23·2% (19·0 to 27·4)* −1·2% (−4·0 to 1·2) 2440 (2010 to 2950) 2890 (2370 to 3500) 18·2% (14·3 to 22·3)* −2·6% (−5·1 to −0·3)*
.. Chronic kidney disease due to type 2 diabetes mellitus 248 (219 to 282) 349 (307 to 396) 40·5% (36·4 to 43·6)* 4·2% (1·4 to 6·2)* 6050 (5290 to 6850) 8120 (7120 to 9250) 34·3% (30·9 to 37·2)* 2·3% (−0·2 to 4·2)
.. Chronic kidney disease due to hypertension 246 (216 to 276) 347 (305 to 391) 41·4% (37·4 to 44·2)* 3·2% (0·4 to 5·2)* 5550 (4900 to 6230) 7350 (6450 to 8220) 32·4% (29·0 to 35·0)* 2·1% (−0·3 to 4·1)
.. Chronic kidney disease due to glomerulonephritis 151 (132 to 172) 190 (165 to 217) 25·5% (22·1 to 28·8)* −1·3% (−3·2 to 0·7) 5800 (5180 to 6450) 6600 (5860 to 7420) 13·8% (11·0 to 17.0)* −4·4% (−6·3 to −2·4)*
.. Chronic kidney disease due to other and unspecified causes 212 (186 to 239) 267 (233 to 304) 25·9% (22·4 to 29·4)* −1·4% (−3·7 to 0·6) 9580 (8570 to 10 700) 10 900 (9660 to 12 200) 13·3% (10·4 to 16·2)* −6·0% (−8·0 to −4·1)*
.. Gout .. .. .. .. 135 (91 to 187) 191 (130 to 265) 41·5% (35·7 to 47·7)* 6·3% (2·1 to 10·7)*

Results are for both sexes combined. Data in parentheses are 95% uncertainty intervals.

*

Statistically significant increase or decrease. DALYs=disability-adjusted life-years.