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. 2020 Jan;20(1):37–59. doi: 10.1016/S1473-3099(19)30401-3

Table.

Mortality from diarrhoeal diseases and associated risk factors by GBD super-region and region, 2017

Deaths (95% UI) Mortality rate per 100 000 (95% UI) Percent change in mortality rate (95% UI), 1990 to 2017 Absolute difference in mortality rate per 100 000 (95% UI), 1990 to 2017 Deaths per 100 000 episodes (95% UI) Attributable fraction for nutrition-associated risks (95% UI) Attributable fraction for low rotavirus vaccine coverage (95% UI) Attributable fraction for unsafe WASH (95% UI) Attributable fraction low ORS coverage (95% UI) Attributable fraction for all risks (95% UI)
Global 533 768 (477 162 to 593 145) 78·4 (70·1 to 87·1) –69·6% (−74·6 to −63·1) –179·5 (−207·1 to −149·2) 48·2 (44·5 to 51·5) 88·5% (81·3 to 92·4) 22·0% (16·7 to 27·9) 94·0% (85·9 to 98·1) 57·7% (39·9 to 70·8) 99·4% (98·7 to 99·8)
Central Europe, eastern Europe, and central Asia 2395 (1907 to 3032) 8·6 (6·8 to 10·8) –78·6% (−83·2 to −72·8) –31·4 (−31·8 to −30·5) 6·5 (6·5 to 6·6) 85·3% (75·4 to 90·8) 8·0% (5·0 to 12·2) 82·5% (66·8 to 93·3) 51·1% (33·7 to 65·0) 97·7% (95·4 to 99·1)
Central Asia 2187 (1703 to 2812) 22·8 (17·8 to 29·3) –82·2% (−86·4 to −76·8) –105·1 (−108·4 to −100·5) 24·3 (23·2 to 25·4) 86·2% (76·8 to 91·5) 6·5% (4·0 to 10·3) 85·0% (69·3 to 94·8) 50·5% (33·1 to 64·6) 98·3% (96·3 to 99·4)
Central Europe 70 (61 to 82) 1·2 (1·1 to 1·4) –83·4% (−86·4 to −79·4) –6·2 (−7·0 to −5·6) 0·7 (0·7 to 0·8) 79·1% (65·2 to 86·6) 28·6% (18·8 to 40·0) 47·0% (26·6 to 68·9) 58·7% (40·9 to 71·9) 90·4% (84·0 to 95·0)
Eastern Europe 138 (122 to 154) 1·1 (1·0 to 1·2) –87·3% (−88·8 to −85·8) –7·4 (−7·9 to −7·0) 0·8 (0·7 to 0·8) 74·5% (60·7 to 81·8) 31·4% (20·2 to 44·5) 62·2% (43·7 to 79·4) 56·3% (38·4 to 69·7) 92·2% (86·3 to 96·2)
High-income 706 (618 to 769) 1·2 (1·1 to 1·3) –44·0% (−52·9 to −35·7) –1·0 (−1·1 to −0·9) 1·4 (1·2 to 1·7) 69·3% (53·4 to 79·0) 10·6% (6·0 to 16·5) 19·6% (11·6 to 30·0) 57·1% (39·6 to 70·2) 77·0% (67·2 to 83·6)
Australasia 12 (8 to 17) 0·7 (0·5 to 0·9) 61·1% (−4·1 to 143·1) 0·3 (0·1 to 0·4) 1·4 (1·3 to 1·5) 66·8% (47·3 to 78·6) 4·1% (1·8 to 8·2) 22·3% (10·3 to 40·8) 56·9% (39·0 to 70·1) 75·6% (63·8 to 83·8)
High-income Asia Pacific 53 (45 to 61) 0·7 (0·6 to 0·8) –43·5% (−56·0 to −28·5) –0·5 (−0·7 to −0·5) 0·9 (0·8 to 1·0) 72·0% (55·8 to 81·0) 16·1% (10·3 to 23·2) 21·7% (10·3 to 40·3) 56·6% (38·5 to 69·8) 81·1% (70·4 to 87·9)
High-income North America 371 (314 to 410) 1·7 (1·5 to 1·9) 125·3% (76·4 to 164·1) 1·0 (0·8 to 1·0) 3·3 (2·7 to 3·8) 66·9% (50·4 to 77·7) 7·9% (3·8 to 13·6) 11·6% (7·1 to 17·9) 56·9% (39·1 to 70·2) 72·4% (61·5 to 79·8)
Southern Latin America 141 (114 to 170) 2·8 (2·2 to 3·3) –83·4% (−87·1 to −79·0) –13·9 (−15·3 to −12·6) 0·9 (0·9 to 0·9) 76·4% (61·2 to 85·2) 10·1% (5·2 to 16·7) 49·6% (26·5 to 74·4) 57·8% (40·2 to 71·6) 89·6% (82·3 to 95·2)
Western Europe 129 (114 to 146) 0·6 (0·5 to 0·7) –25·0% (−44·2 to −6·8) –0·2 (−0·3 to −0·2) 0·9 (0·8 to 1·0) 69·1% (52·5 to 79·1) 18·5% (11·9 to 26·8) 8·9% (5·1 to 15·0) 56·7% (39·0 to 70·0) 74·9% (63·5 to 81·6)
Latin America and Caribbean 9904 (8527 to 11 490) 19·5 (16·7 to 22·6) –90·0% (−91·5 to −88·1) –175·6 (−185·4 to −165·7) 10·4 (9·8 to 10·9) 79·4% (65·6 to 87·3) 8·0% (4·9 to 12·1) 82·0% (67·5 to 92·1) 55·7% (37·6 to 69·1) 96·2% (92·6 to 98·5)
Andean Latin America 754 (560 to 1 003) 11·2 (8·4 to 15·0) –94·5% (−96·0 to −92·4) –193·7 (−227·1 to −163·8) 5·6 (4·8 to 6·5) 70·4% (53·3 to 81·4) 5·1% (2·7 to 8·7) 77·0% (54·8 to 91·3) 60·3% (42·0 to 73·0) 93·5% (86·7 to 97·7)
Caribbean 3513 (2358 to 5044) 89·8 (60·3 to 128·9) –72·4% (−82·1 to −57·9) –236·1 (−262·3 to −212·3) 48·1 (40·2 to 55·6) 83·9% (70·9 to 91·2) 6·9% (4·4 to 10·0) 95·8% (88·9 to 98·9) 53·7% (35·3 to 67·7) 99·5% (98·6 to 99·9)
Central Latin America 3781 (3269 to 4428) 15·6 (13·5 to 18·3) –89·9% (−91·4 to −88·0) –138·4 (−143·5 to −132·7) 7·1 (6·8 to 7·5) 76·3% (62·5 to 84·9) 10·5% (6·3 to 16·3) 74·4% (55·8 to 88·3) 58·7% (41·1 to 71·5) 94·6% (89·7 to 97·8)
Tropical Latin America 1856 (1647 to 2087) 11·5 (10·2 to 13·0) –94·6% (−95·4 to −93·6) –202·7 (−225·0 to −178·9) 8·7 (7·7 to 9·8) 79·8% (64·7 to 88·2) 2·2% (0·8 to 4·9) 73·6% (56·7 to 87·7) 51·7% (33·6 to 66·5) 94·5% (89·9 to 97·6)
North Africa and Middle East 28 962 (23 106 to 35 611) 45·0 (35·9 to 55·3) –80·7% (−84·8 to −75·3) –188·5 (−227·8 to −149·5) 17·9 (16·7 to 18·7) 88·0% (78·6 to 92·8) 17·2% (11·0 to 25·1) 87·0% (74·9 to 94·9) 61·2% (43·6 to 73·6) 98·3% (96·5 to 99·4)
South Asia 135 390 (115 688 to 156 734) 77·6 (66·3 to 89·9) –81·4% (−85·8 to −76·1) –339·4 (−397·7 to −282·5) 74·8 (71·6 to 77·1) 89·6% (84·1 to 92·9) 16·9% (10·9 to 24·5) 92·9% (82·9 to 97·9) 53·5% (36·1 to 67·7) 99·6% (99·1 to 99·9)
Southeast Asia, east Asia, and Oceania 22 105 (19 881 to 24 679) 15·6 (14·0 to 17·4) –83·1% (−85·5 to −79·9) –76·7 (−88·6 to −65·6) 10·2 (9·1 to 11·3) 88·1% (79·8 to 92·1) 29·5% (20·7 to 39·8) 85·7% (66·4 to 95·6) 54·8% (37·1 to 68·1) 98·6% (96·8 to 99·6)
East Asia 2645 (2309 to 3198) 3·1 (2·7 to 3·8) –95·1% (−95·9 to −94·1) –60·5 (−70·9 to −52·3) 2·4 (2·2 to 2·6) 77·3% (61·4 to 86·2) 9·9% (4·5 to 19·7) 77·4% (58·2 to 91·2) 55·5% (37·8 to 68·7) 95·1% (89·8 to 98·2)
Oceania 1450 (961 to 2127) 81·5 (54·0 to 119·6) –37·3% (−60·7 to 0·0) –48·5 (−52·2 to −41·3) 27·4 (22·9 to 31·9) 88·1% (80·5 to 93·0) 21·5% (13·9 to 31·0) 94·8% (86·7 to 98·6) 61·7% (44·0 to 74·5) 99·5% (98·8 to 99·9)
Southeast Asia 18 009 (15 924 to 20 389) 32·4 (28·6 to 36·7) –79·3% (−83·3 to −73·7) –123·9 (−152·3 to −96·8) 18·0 (17·0 to 19·1) 89·5% (82·3 to 93·0) 33·3% (23·8 to 44·5) 86·2% (66·0 to 95·9) 54·1% (36·4 to 67·5) 99·0% (97·4 to 99·7)
Sub-Saharan Africa 334 306 (285 351 to 388 790) 204·6 (174·7 to 238·0) –68·4% (−74·2 to −60·3) –443·0 (−523·8 to −352·9) 91·3 (91·0 to 91·4) 88·5% (80·6 to 92·6) 24·4% (19·2 to 30·0) 96·2% (90·1 to 99·0) 59·5% (41·7 to 72·4) 99·7% (99·1 to 99·9)
Central sub-Saharan Africa 34 800 (25 798 to 46 206) 176·1 (130·6 to 233·9) –63·5% (−73·9 to −49·3) –306·9 (−364·9 to −246·9) 59·5 (52·6 to 67·7) 88·6% (79·2 to 93·4) 39·8% (32·0 to 47·2) 96·5% (91·2 to 99·1) 60·5% (42·2 to 73·4) 99·7% (99·2 to 99·9)
Eastern sub-Saharan Africa 98 175 (84 620 to 114 013) 155·1 (133·7 to 180·1) –70·3% (−76·4 to −62·3) –367·1 (−446·7 to −287·5) 72·2 (69·7 to 75·4) 86·7% (78·5 to 91·2) 13·4% (8·7 to 19·0) 96·7% (91·2 to 99·2) 58·9% (41·1 to 71·5) 99·7% (99·1 to 99·9)
Southern sub-Saharan Africa 8 070 (6 972 to 9 314) 94·5 (81·7 to 109·1) –67·9% (−73·3 to −61·4) –200·1 (−223·6 to −173·6) 85·4 (85·4 to 86·6) 81·5% (68·3 to 88·6) 7·1% (4·1 to 11·1) 89·0% (78·3 to 96·0) 53·2% (35·2 to 66·7) 98·3% (96·2 to 99·4)
Western sub-Saharan Africa 193 260 (157 286 to 236 075) 269·3 (219·1 to 328·9) –70·1% (−76·9 to −60·2) –630·4 (−785·7 to −480·1) 119·0 (111·2 to 126·9) 89·8% (82·2 to 93·6) 29·2% (23·7 to 35·0) 96·1% (89·9 to 99·0) 59·9% (41·0 to 72·9) 99·7% (99·2 to 99·9)

WASH=water, sanitation, and hygiene. ORS=oral rehydration solution. GBD=Global Burden of Diseases, Injuries, and Risk Factors Study. UI=uncertainty interval.