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. 2022 Jul 27;378:e069679. doi: 10.1136/bmj-2021-069679

Table 1.

Prevalent cases, deaths, and disability adjusted life years (DALYs) for chronic obstructive pulmonary disease in 2019, and percentage change in age standardised rates (ASRs) per 100 000, by Global Burden of Disease region, from 1990 to 2019 (generated from data available at https://ghdx.healthdata.org/gbd-results-tool)

Prevalence (95% UI) Deaths (95% UI) DALYs (95% UI)
No, in millions (95% UI) ASRs per 100 000 (95% UI) Percentage change in ASRs from
1990 to 2019
No, in thousands (95% UI) ASRs per 100 000 (95% UI) Percentage change in ASRs from
1990 to 2019
No, in thousands (95% UI) ASRs per 100 000 (95% UI) Percentage change in ASRs from
1990 to 2019
Global 212.3 (200.4 to 225.1) 2638.2 (2492.2 to 2796.1) −8.7 (−10.2 to −7.3) 3280.6 (2902.9 to 3572.4) 42.5 (37.6 to 46.3) −41.7 (−48 to −31.1) 74432.4 (68204.1 to 80193.3) 926.1 (848.8 to 997.7) −39.8 (−44.9 to −30.2)
High income Asia Pacific 6.6 (6.1 to 7.1) 1500.7 (1384.2 to 1621.3) −20.5 (−23 to −17.5) 49.3 (37.7 to 63.1) 8.2 (6.4 to 10.4) −41.8 (−51.4 to −25.6) 1071.2 (912.7 to 1249.7) 224.5 (193.6 to 258.4) −34.4 (−39.5 to −25.6)
High income North America 22.0 (21.0 to 22.8) 3558.4 (3412.9 to 3694.4) 1.1 (−1.9 to 4.9) 211.4 (174.0 to 229.9) 31.2 (25.9 to 33.8) 17.7 (−4.6 to 28.6) 5346.3 (4812.3 to 5695.2) 848.4 (765.9 to 903) 4.1 (−5.7 to 9.3)
Western Europe 26.3 (25.1 to 27.6) 3017.5 (2874.7 to 3165.8) 0.5 (−0.7 to 1.7) 212.5 (186.0 to 233.3) 19.2 (17 to 21.1) −23.6 (−29.5 to −17.8) 4306.9 (3887.6 to 4666.2) 460.8 (418.3 to 499.6) −19.1 (−22.8 to −15.2)
Australasia 1.5 (1.5 to 1.6) 3192.8 (3027.7 to 3372.1) −10.1 (−13.2 to −6.6) 11.4 (9.6 to 13.0) 20.6 (17.4 to 23.3) −32.2 (−39.8 to −23.6) 257.8 (228.5 to 285.0) 512.1 (455.1 to 564.8) −30 (−34.9 to −24.6)
Andean Latin America 0.8 (0.8 to 0.9) 1382.6 (1297.9 to 1464.5) 17.8 (14.2 to 21.3) 8.1 (6.4 to 9.9) 15.4 (12.2 to 18.9) −24.9 (−40 to −7) 155.8 (130.5 to 184.3) 281.9 (236.1 to 335.1) −31 (−41.7 to −18.3)
Tropical Latin America 6.3 (5.8 to 6.9) 2634.5 (2436.3 to 2860.8) −15.5 (−18.8 to −12.5) 69.7 (62.0 to 78.8) 30.6 (27.2 to 34.7) −38.4 (−43 to −31.4) 1454.6 (1339.1 to 1596.9) 613.2 (563.9 to 674) −36.2 (−39.9 to −30.6)
Central Latin America 5.2 (4.8 to 5.5) 2186.5 (2052.6 to 2332.4) 10.3 (8.3 to 12.3) 64.3 (54.8 to 74.2) 29.2 (24.9 to 33.7) −12.6 (−22.9 to −0.6) 1214.7 (1059.5 to 1391.0) 530 (461.5 to 605.6) −13.8 (−22.9 to −3.1)
Southern Latin America 2.2 (2.1 to 2.3) 2741.7 (2619.3 to 2875) 19.8 (16.6 to 22.9) 22.7 (19.7 to 25.3) 26.4 (23 to 29.5) 2.1 (−10.5 to 15.1) 453.5 (409.5 to 500.7) 544.8 (493 to 601.2) −3.1 (−11.2 to 6.1)
Caribbean 1.1 (1.0 to 1.1) 2044.2 (1944.5 to 2141) 29.2 (26.5 to 32) 10.7 (8.9 to 12.4) 20.6 (17.2 to 23.9) 9.7 (−8.4 to 26.6) 237.9 (205.5 to 270.4) 463.2 (400.1 to 527.7) 12.6 (−2.3 to 27.5)
Central Europe 4.8 (4.5 to 5.0) 2427.4 (2316.9 to 2552.3) −0.4 (−2.2 to 1.4) 38.8 (33.7 to 44.8) 17.3 (15 to 19.9) −43.2 (−50.4 to −34.5) 941.5 (839.4 to 1047.0) 452.8 (402.7 to 504.1) −34.6 (−40.7 to −28.5)
Eastern Europe 5.7 (5.3 to 6.1) 1821.5 (1705.9 to 1949.5) −29.5 (−31.5 to −27.5) 52.4 (45.9 to 66.1) 15.0 (13.1 to 18.9) −55.8 (−61.9 to −35.7) 1270.3 (1122.4 to 1498.7) 381.5 (336.8 to 448.4) −50.8 (−56.3 to −36.6)
Central Asia 1.7 (1.6 to 1.7) 2257.2 (2169.4 to 2349.1) −12.5 (−14.2 to −10.9) 17.2 (15.4 to 20.0) 31.5 (27.9 to 36.8) −16.4 (−26.6 to 6.4) 450.9 (408.7 to 509.4) 662.8 (602.4 to 747.8) −24.1 (−32 to −6.9)
North Africa and Middle East 10.7 (10.3 to 11.2) 2333.9 (2230.1 to 2443.6) 30.6 (28.2 to 33) 89.9 (76.8 to 101.8) 26.1 (22.2 to 29.5) −18 (−30.9 to −2.8) 2761.8 (2436.8 to 3062.6) 649.1 (574.6 to 717.7) −11.8 (−21.1 to −0.9)
South Asia 45.7 (43.1 to 48.4) 3298.8 (3104.7 to 3490.8) −5 (−6.9 to −3.2) 1048.7 (838.4 to 1216.1) 93.2 (74.5 to 107.8) −30.3 (−43.4 to −17.3) 25068.3 (21179.0 to 28364.4) 1915.9 (1617 to 2171.7) −29.5 (−39.9 to −18.8)
South East Asia 15.0 (14.2 to 15.8) 2480.1 (2353 to 2624.5) 3.9 (2.5 to 5.4) 189.0 (160.2 to 210.4) 38.8 (33.2 to 43) −33.3 (−42.1 to −20.5) 5135.3 (4483.3 to 5641.3) 895.6 (785 to 981.4) −28.5 (−36.6 to −17.7)
East Asia 46.7 (42.6 to 51.2) 2396.1 (2191.3 to 2620.1) −27.1 (−31 to −22.8) 1075.5 (924.7 to 1301.4) 64.6 (55.3 to 78.9) −69.6 (−74.8 to −53.4) 20687.0 (18186.6 to 24532.6) 1100.0 (964.1 to 1299.4) −68.9 (−73.8 to −54.3)
Oceania 0.2 (0.2 to 0.2) 2514.7 (2435.2 to 2581.7) −0.6 (−2.5 to 1.1) 5.8 (4.5 to 7.4) 112.1 (86.8 to 139.9) −11.8 (−29 to 7.2) 158.3 (125.7 to 199.3) 2309.9 (1847.5 to 2874.6) −12.8 (−28.9 to 6.5)
Western sub-Saharan Africa 4.0 (3.8 to 4.2) 1618.4 (1521.6 to 1721.3) −4.5 (−6.5 to −2) 35.5 (29.7 to 41.0) 24.3 (20.5 to 27.8) −17.5 (−32.3 to −3.8) 1256.9 (1102.0 to 1409.7) 619 (542.8 to 692.7) −16 (−29 to −5.6)
Eastern sub-Saharan Africa 3.3 (3.1 to 3.5) 1503.5 (1408 to 1608.7) −4.7 (−6.2 to −2.9) 37.1 (31.6 to 43.5) 29.3 (25.1 to 33.7) −27.2 (−36.3 to −17.6) 1233.6 (1081.8 to 1417.1) 707.5 (622.5 to 801.7) −25.9 (−33.2 to −18.4)
Central sub-Saharan Africa 1.3 (1.2 to 1.4) 1943.2 (1816.7 to 2076.2) 12.3 (9.1 to 15.7) 15.8 (11.1 to 23.4) 42.6 (29.6 to 66.7) −18.6 (−36 to 3) 505.2 (396.0 to 653.0) 964.5 (743.7 to 1321.3) −15.6 (−30.2 to 1.4)
Southern sub-Saharan Africa 1.3 (1.3 to 1.4) 2243.9 (2090 to 2411.7) −9.7 (−12.2 to −7.1) 14.9 (13.5 to 16.3) 32.4 (29 to 35.4) −17.1 (−32.7 to −1.8) 464.5 (427.7 to 502.7) 838.6 (772.6 to 907.8) −16.3 (−27.4 to −6.6)

95% UI=95% uncertainty intervals.