Book Bod 20 Orkhraaythamlaaychwngchiiwitkhnaithypii 2552

8/12/2019 Book Bod 20 Orkhraaythamlaaychwngchiiwitkhnaithypii 2552

1/64


2/64

.. 2552


3/64

Adjusted Life Year DALYs

Burden of Disease

.. 2552

.. 2552

: (.) (.)

: .. 2555

: 1,000

2 6 11000. 0 2590 2383 . 0 2590 2380E-mail :[email protected] www.thaibod.net

: 119/138 11 .3 . . ..11000

. 0 2525 1121, 0 2525 4669-70 . 0 2525 1272 E-mail : [email protected]


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Disability-Adjusted Life Year DALYs

.. 2552

Burden of Disease

21

.. 2552


5/64


Burden of Disease

.. 2552

.. 2552

Dr.Kenji Shibuya .. . (.) (.)


6/64


.. 2552

Burden of Disease

1. ..

2. . 3. . 7 4. . 5. . 6. .

7. . 8. . 9. 10. .

11. 12. . 7 13. .


7/64


Burden of Disease

.. 2552

.. 2552

1. . 2. . 3. 4. . 5. . 6. . 7. .

8. 9. 10. 11. 12. 13.


8/64


.. 2552

Burden of Disease

.

.......

. .. ... .

.. 2552 (Health Adjusted Life Expectancy: HALE) (Years of Life Lost: YLLs). (Years Lost due to Disability: YLDs).. (Disability-Adjusted Life Years: DALYs)

... 1 2 YLD.. 3 .. 4 Death, YLL, YLD, DALY . 5 .

1

234

4455555

67810

13

15

182526292931374550


9/64


Burden of Disease

.. 2552

1 (LE) (HALE)

.. 25522 .. 2552..3 .. 2552 .4 .. 2552 5 .. 2552

6 0-14 .. 2552 ..7 15-29 .. 2552 ..8 30-59

.. 2552 ..9 60

.. 2552 .10 .. 2542 .. 2547 .. 2552.

89

12

14

17

19

20

22

23

24


10/64


.. 2552

Burden of Disease

1 .. 2552 (log scale)..

2 .. 2480 - .. 2552..3 .. 2552 ..

4 .. 2552 ..

5 .. 2552..

6 .. 2552

.7 .. 2552

..8 .. 2552

9 .. 2552 .

10 .. 2552 11 0-14 .. 2552 .12 15-29 .. 2552 .13 30-59 .. 2552 .

14 60 .. 2552 .

6

6

8

10

11

11

13

14

16

16

18

20

21

23


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Burden of Disease

.. 2552

>>>


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1 .. 2552

Burden of Disease

(Burden of disease)

.. 2552 (Healthgap) (Disability-Adjusted Life Years: DALYs) (Years ofLife Lost: YLLs) (Years of Life Lost due to

Disability: YLDs)

.. 2552 71 77 65 71 (DALYs)

.. 2552 10.2 DALYs

1.3 5.8 DALYs 4.4 DALYs (Alcohol dependence/harmful use) 9 ()

/ 9 /

(Years of Life Lost: YLLs) 6.2

61

(DALYs) 3.7 2.5 2 3 YLLs 10 58 54

12 / 10 /

YLDs 4 2.1 YLDs 1.9 YLDs 10 YLDs 23 YLDs

12


13/64


Burden of Disease

.. 25522

-

0-14 - 15-29 15-29

/

- 30-59 /30-59

- 60

(Burden of disease)

(Disability-Adjusted Life Years: DALYs) (Health gap) (Years of Life Lost: YLLs) (Years of Life Lost due to Disability: YLDs)

.. 2542 ..2547 DALYs

5 (.. 2552) ..2542 .. 2547

.. 2552


14/64


3 .. 2552

Burden of Disease

5

(indicator)

DALYs: Disability-adjustedlife years (Health gap) (1 DALY) 1

DALYs (life years)

(Year of Life Lost : YLL) (premature death)

(Life Expectancy)

YLL StandardExpected Years of Life Lost Coale and Demeny West Level 26

80 82.5

YLL

YLL = N x LN = L =

(age-specific life expectancy)

(YLD)

(disability incidence) (disability duration) (age at onset) (disability byseverity class)

DALYs = YLLs (Years of Life Lost due to premature death) + YLDs (Years Lost due to Disability) = +


15/64


Burden of Disease

.. 25524

YLD

YLD= I x DW x L I =

DW = L = ()

(Discount Rate) 3 (Global Burden of Disease: GBD) 3 30.5

GBD 2000 0-4, 5-14, 15-29, 30-44, 45-59, 60-69, 70-79 80+

3 GBD 2000 3 22 107

1 (Infectious diseases, maternal, perinatal andnutritional conditions)

2 (Non-communicable diseases)

3 (Injuries) 22

1 5 Infectious diseases, Respiratory

infections, Maternal conditions, Perinatalconditions, Nutritional disorders

107 3

/ (Social values)Coale and Demeny West Level 26 80 82.5

GBD (Discount rate) 3% GBD standard (Age weights) GBD standard (Disability Weight: DW)

GBD (2000)

3% GBD

(mid-year population) .. 2552


16/64


5 .. 2552

Burden of Disease

..2552

ICD-10 (..2554) 5

(Survey ofPopulation Change: SPC) .. 2548-49

5

5

.. 2548 SPICE (Setting Priority using

Information on Cost-Effectiveness)

1 (Infant Mortality Rate: IMR) 1-4 .. 2548-49 11 1,000 1 1 1,000

1-4

( 2)

1 15-49 2 3 15-24

15-60 492

229 (Adult MortalityRate) 15-60 239 112 (270 139 )


17/64


Burden of Disease

.. 25526

.. 2552

.. 2552 71 77

1.. 2552 (log scale)

0.

0.

0.

0.

1.

1 5 0 15 20 25 3 35 4 5 50 55 60 65 70 75 8 5

10,0

00

(logscale)

(

70 40 (1)

.. 2500-.. 2510

2.. 2480 - .. 2552

0

1

2

3

4

5

6

7

8

9

2 70 24 490 25 0 251 520 25 0 254 550 25

()

..


18/64


7 .. 2552

Burden of Disease

: 1) .. 2480, .. 2490, ..2503 : Rungpitarangsi, B. (..1974)

2) .. 2507-8, .. 2517-9,.. 2528-9, .. 2532, 4,.. 2538-9 :

3) .. 2547, .. 2552

(IHPP)

(Health-Adjusted Life Expectancy: HALE) (Health-Adjusted

Life Expectancy: HALE) HALE 1 0

(Years of Life Lost due to

Disability: YLDs) ..2552 HALE x

( disability) x x+5 x x+5

x x+5 Prevalent YLD lx x x+5 .. 2552

(Prevalent YLD) HALE 65.4 71.4 16.5 18.4 60 World Health Statistic .. 2554(.. 2011)

66 74 17 20 60

HALEx= i=xYWDi

x+5

lx


19/64


Burden of Disease

.. 25528

3 .. 2552

45

1 (LE) (HALE) .. 2552

Age Males Females

(years) LE HALE LE (years) LE HALE LE (years) (years) (years) (WHO*, 2011) (years) (years) (WHO*, 2011) 0 70.5 65.4 66 77.3 71.4 74 60 20.3 16.9 17 22.7 18.6 20

:WHO HALE .. 2552 (.. 2009) * World Health Statistics (2011)

0-4

, 5-29 5-14 (3)

3 .. 2552

0% 1 % 20% % 4 % 50% 0% 7 % 80% 0% 100%

-4

5-14

15-29

30-44

45-59

60-69

70-79

0+

-4

5-14

15-29

30-44

45-59

60-69

70-79

0+

.. 2552

1, 23


20/64


9 .. 2552

Burden of Disease

.. 2552

10.4 8.2 7.7 6.9

14.4 9.4 8.9 4.1

3.9 (2)

2 .. 2552

Deaths % % Deaths (000) (000)

1 25 10.4 14.4 27 2 20 8.2 9.4 18 3 19 7.7 8.9 17 4 17 6.9 4.1 8 5 15 6.0 3.9 7 6 / 12 4.8 3.3 6 / 7 10 4.2 3.0 6 8 10 4.0 2.8 5 9 9 3.9 2.8 5 10 7 2.9 2.4 4 11 6 2.7 2.3 4 12 5 2.2 2.3 4 13 5 1.9 2.0 4 14 5 1.9 1.8 3 15 4 1.8 1.7 3 16 4 1.5 1.5 3 17 3 1.4 1.5 3

18 3 1.2 1.1 2 19 3 1.1 1.1 2 20 2 0.9 1.0 2 243 100 100 187


21/64


Burden of Disease

.. 255210

(Years of Life Lost: YLLs) 1.

.. 2552

3.7 2.5 4

19 18 22 9

4 .. 2552

(3.7 YLLs) (2.5 YLLs)

18%

18%

19%

11%

2%

3%

/

7%

6%

6%

5%

5%

9%

9%

22%

22%

13%

3%

2%

4%

4%

5%

/

6%

2.

.. 2552 5 5 5-14 45-59

45-59 60 5 45


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11 .. 2552

Burden of Disease

3.

5-14 5 15 ( 6)

15-29 30-44 70

45-69 70

5 .. 2552

0

200

400

600

800

1,000

1,200

0-4 5-14 15-29 30-44 4 5-59 60-69 70-79 80+ 0-4 5-14 15-29 30-44 4 5-59 60-69 70-79 80+

YearofLife

Lost(000s)

.. 2552

1,

2

3

6 .. 2552

0

100

200

300

400

500

600

700

0-4 5-14 15-29 30-44 60-69 0-79 0+5-59

er1,000

population

()

-4 5-14 15-29 30-44 60-69 70-79 0+45-59

()

/

10

200

30

400

50

600

70

YLLs

per

,

population

/


23/64


Burden of Disease

.. 255212

4.

20 3 80 70 12.4

/ 10.5

/

11 20

3 .. 2552

YLL % % YLL (000) (000)

1 464 12.4 10.5 262 2 296 7.9 9.2 231 3 / 268 7.2 6.8 170 4 259 6.9 6.0 150 /

5 239 6.4 4.7 118 6 168 4.5 4.5 112 7 132 3.5 3.7 92 8 129 3.5 3.4 86 9 120 3.2 2.8 69 10 111 3.0 2.5 62 11 102 2.7 2.1 53 12 90 2.4 2.0 51

13 87 2.3 1.9 48 14 78 2.1 1.8 44 15 66 1.8 1.5 37 16 58 1.6 1.2 30 17 53 1.4 1.2 29 18 43 1.2 1.1 28 19 43 1.2 1.1 28 20 38 1.0 1.1 27 3,739 100 100 2,505


24/64


13 .. 2552

Burden of Disease

(Years Lost due to Disability:YLDs)

1. 2.1 YLDs 1.9 YLDs 7

34 20 26 21

7 .. 2552

5-14 5 15 59 60

8 15-29 30-59

15-29 30-44 60

(2.1 YLDs) (1.9 YLDs)10%

26%

21%

34%

20%

9%

5%

5%

5%

5%

4%

3%

3%

10%

6%

3%

2%

2%

6%

6%

7%

8%


25/64


Burden of Disease

.. 255214

2. 22.6 12.4

4 (20 )

2 3 6.0 5.7

2 3 8.1 7.9

8 .. 2552

4 ..2552

YLD % % YLD

(000) (000) 1 467 22.6 12.4 235 2 124 6.0 8.1 154 3 119 5.7 7.9 149 4 99 4.8 7.2 136 5 90 4.3 6.1 116 6 80 3.8 4.7 88 7 77 3.7 4.4 84 8 3 3.5 3.8 72

0

50

100

150

200

0

50

100

150

200

0-4 5-14 15-29 30-44 60-69 70-79 0+45-59

Y

D

per1,000population

Y

D

per1,000population

()

0-4 5-14 15-29 30-44 60-69 70-79 80+45-59

()


26/64


15 .. 2552

Burden of Disease

YLD % % YLD (000) (000)

9 66 3.2 3.4 64 10 51 2.5 3.0 57 11 51 2.5 2.4 46 12 40 2.0 1.8 34 13 37 1.8 1.4 27 14 31 1.5 1.4 26 15 29 1.4 0.8 15

16 27 1.3 0.8 15 17 15 0.7 0.6 12 18 / 14 0.7 0.6 12 19 14 0.7 0.6 12 20 14 0.7 0.6 11 2,070 100 100 1,894

(Disability-Adjusted Life Years: DALYs)

1. .. 2552 10.2 DALYs 1.3

5.8 DALYs 4.4 DALYs 9

14 13 15

13

4 ()


27/64


Burden of Disease

.. 255216

2. 5 60 10

15-29 30-44

60+ 15-29 30-44

45-59

60

(5.8 DALYs) (4.4 DALYs)

21%

11%

13%

9%

13%

7%

5%

14%

13%

4%

19%

/

5%

5%

3%

15%

4%

9%

12%

4%

4%

6%

/4%

9 .. 2552

10 .. 2552

DALYs

per1,000

population

1

20

3

40

5

60

7

8

0-4 5-14 15-29 30-44 60-69 70-79 80+45-59

()

/

DALYs

er1,000

population

0

1

200

300

400

500

600

700

800

-4 5-14 15-29 30-44 0-69 70-79 80+45-59

()


28/64


17 .. 2552

Burden of Disease

5 .. 2552

DALY % % DALY (000) (000)

1 506 8.7 8.6 380 2 501 8.6 8.0 350 3 369 6.4 5.4 236

4 / 282 4.9 4.0 178 5 262 4.5 3.6 160 / 6 250 4.3 3.5 154 7 218 3.8 3.1 138

8 206 3.5 2.9 129 9 176 3.0 2.7 117 10 133 2.3 2.6 114

11 124 2.1 2.2 96 12 120 2.1 2.1 94 13 119 2.0 2.1 93 14 102 1.8 1.7 73 15 101 1.7 1.6 72

16 92 1.6 1.5 67 17 87 1.5 1.5 64 18 84 1.4 1.4 63 19 80 1.4 1.3 59 20 78 1.3 1.3 56 5,808 100 100 4,399

3. 20 .. 2552 5

8.7

8.6 8.6

8.0


29/64


Burden of Disease

.. 255218

1. 0-14

0-14 0.8 DALYs 0.4 DALYs 0.3 DALYs 11

10 6 12.5 8.1 8.9 8.7

110-14 .. 2552

0-14 (0.4 DALYs) 0-14 (0.3 DALYs)

9% 12%

10%

18%

2% 3%

3%

3%

6%

2%

3%

13%

25%

21%

23%

15%

3%

3%

7%

8%

8%

3%


30/64


19 .. 2552

Burden of Disease

2. 15-29 15-29

1.4 DALYs 2.4 0.9 DALYs 0.4 DALYs

62

36 12 10

7 22.6 22.5 10.1 / 9.4

6 0-14 .. 2552

DALY % % DALY (000) (000)

1 58 12.5 8.9 32 2 38 8.1 8.7 31 3 33 7.2 6.4 23 4 31 6.6 5.0 18 5 31 6.6 4.9 18 6 26 5.6 3.3 12

7 13 2.7 2.7 10 8 10 2.3 2.5 9 / 9 6 1.4 1.7 6 10 / 6 1.4 1.6 6


31/64


Burden of Disease

.. 255220

7 15-29 .. 2552

DALY % % DALY (000) (000)

1 210 22.6 10.1 39 2 210 22.5 9.4 37 /

3 66 7.0 8.3 33 4 53 5.7 7.0 27 5 / 44 4.7 5.7 22 6 34 3.6 5.3 21 7 28 3.0 4.6 18 8 20 2.1 4.0 16 9 17 1.8 3.0 12 10 14 1.5 2.5 10

1215-29 .. 2552

15-29 (0.9 DALYs) 15-29 (0.4 DALYs)

11%

13%

29%

/9%

7%

6%

33%

23%

9%

14%

31%

6%

4%/

5%


32/64


21 .. 2552

Burden of Disease

3. 30-59 30-59 4.6

DALYs 1.6 2.8 DALYs 1.8 DALYs

13 15

13 18

14 12

30-59 8 10.3 / 8.2 8.9

7.7 6.5

1330-59 .. 2552

30-59 (2.8 DALYs) 30-59 (1.8 DALYs)

6%

6%

14%

3%

14%

15%

5%

14%

15%

18%

13%

9%

13%

12%

7%

4%

/

6%

7%

/

8%

3%

4%

4%


33/64


Burden of Disease

.. 255222

4. 60

60 3.5 DALYs 1.7 DALYs 1.9 DALYs 14 22

18 15

60 9 10.7 9 11.6 11.3

8 30-59 .. 2552

DALY % % DALY (000) (000)

1 283 10.3 8.9 156 2 227 8.2 7.7 134 3 / 223 8.1 6.5 115 4 175 6.3 6.1 107 / 5 161 5.8 5.1 89 6 135 4.9 3.5 62

7 126 4.6 3.3 58 8 106 3.8 3.2 57

9 76 2.8 3.2 56 10 66 2.4 2.8 50


34/64


23 .. 2552

Burden of Disease

1460 .. 2552

9 60 .. 2552

DALY % % DALY (000) (000)

1 177 10.7 11.6 219 2 148 9.0 11.3 215 3 120 7.2 6.9 131 4 103 6.2 5.8 109 5 95 5.7 4.5 86 6 78 4.7 3.6 68 7 75 4.5 3.2 61 8 39 2.4 3.2 61 9 38 2.3 3.0 56 10 37 2.2 2.5 48

60 (1.7 DALYs) 60 (1.9 DALYs)

15%

13%

11%

6%

18%

21%

22%

5%

4%

6%

23%

25%

10%

5%

4%

12%


35/64


Burden of Disease

.. 255224

..2542 .. 2547 .. 2552

YLD .. 2542 .. 2547

10 .. 2542 .. 2547 .. 2552

/ (Comparability)

- - / - 3 - - -

- - - / / (/ - )

- - -

- - -


36/64


25 .. 2552

Burden of Disease

.. 2552

(DALYs) 10.2 1.3 3 ,

14

73 13

.. 2552 .. 2542 .. 2547


37/64


Burden of Disease

.. 255226

, :

2551. : , 2551., .. 2550.: . 2551.

, 5 .. 2546 , .. 2550 : , 2551.

, 3

.. 2546-2547. : , 2549.

. .. 2551-2552. : . .

. . .

,[]. : http:// www.ipsr.mahidol.ac.th/content/home/ ConferenceII/Article/Article01.htm. ( 16 2552)Bundhamcharoen K, Odton P, Phulkerd S, Tangcharoensathien V. Burden of disease in Thailand :

changes in health gap between 1999 and 2004. BMC Public Health. 2011; 11 : 53.doi : 10.1186/1471-2458-11-53

Murray C, Lopez A, eds, The global burden of disease and injury series, volume 1:a comprehensive assessment of mortality and disability from diseases, injuries, and riskfactors in 1990 and projected to 2020. Cambridge, MA: Published by the Harvard School of

Public Health on behalf of the World Health Organization and the World Bank, HarvardUniversity Press, 1996.

Pattaraarchachai J, Rao C, Polprasert W, Porapakkham Y, Poa-in W, Singwerathum N,Lopez AD. Cause-specific mortality patterns among hospital deaths in Thailand :validating routine death certification. Popul Health Metr. 2010;8:12.

doi:10.1186/1478-7954-8-12.Polprasert W, Rao C, Adair T, Pattaraarchachai J, Porapakkham Y, Lopez AD. Cause of death

ascertainment for deaths that occur outside hospitals in Thailand : application of verbalautopsy methods. Popul Health Metr. 2010;8:13. doi: 10.1186/1478-7954-8-13.


38/64


27 .. 2552

Burden of Disease

Rao C, Porapakkham Y, Pattaraarchachai J, Polprasert W, Sawanpanyalert N, Lopez AD.Verifying causes of death in Thailand : rationale & methods for empirical.Popul Health Metr. 2010;8:10. doi: 10.1186/1478-7954-8-11.

Thai Working group on Burden of Disease, Burden of disease and injuries in Thailand :priority setting for policy. Bangkok : Veteran Publishing House, 2002.Vapattanawong, P. and Prasartkul, P. Under-registration of deaths in Thailand in 2005-2006 :

results of cross-matching data from two sources, Bulletin of the World HealthOrganization, 2011; Vol.89(11): pp.806-812. doi: 10.2471/BLT.10.083931

World Health Organisation. World health statistics 2011. Geneva: WHO. 2011.


39/64


Burden of Disease

.. 255228

>>>


40/64


29 .. 2552

Burden of Disease

1

.. 2550 2550 (.50) 2548-2549

2544 (Health Welfare Survey) 2545-2548 2552 2549 SPICE (verbal autopsy) (Setting Priorities using Information on Cost-Effectiveness) 2546-2548 (, , ) 2550-2551

2551-2552 4 2551 2549 2551 / 2552 2552 ,

,


41/64


Burden of Disease

.. 255230

2552

(vital registration) 2552 2544-2547

- 2544. 2548 /

2550-2552 ( 2549-2552 )

2550-2552

2550-2552 2550-2552 () 2542-2548 2540-2548 2550-2552 ELISA 2544

2539

2545

2540


42/64


31 .. 2552

Burden of Disease

2 YLD

A 1 (Tuberculosis) 506 .. 2550-52 2

(Sexually transmitted diseases) a. (Syphilis) .. 2552 b. (Chlamydia) GBD-OAI (Other Asia and Islands) .. 2533 506 .. 2550-52 c. (Gonorrhoea) GBD-OAI

(Other Asia and Islands) .. 2533

506 .. 2550-52 3 / (HIV/AIDS) .. 2548 - .. 2568 4 (Diarrhea) .. 2552 5 (Childhoold-cluster diseases) a. (Pertussis) 506 .. 2550-52 b. (Poliomyelitis) 506 .. 2550-52

c. (Diphtheria) 506 .. 2550-52 d. (Measles) 506 .. 2550-52 e. (Tetanus) 506 .. 2550-52 f. (Rubella) 506 .. 2550-52 g. .. 2543 (Haemophilus influenza B) 6 .. 2552

(Bacterial meningitis and meningococcaemia) 7 (Hepatitis)

a. A .. 2545 (Hepatitis A) .. 2544 b. B HBV .. 2541 (Hepatitis B) .. 2544 c. C .. 2544

(Hepatitis C)


43/64


Burden of Disease

.. 255232

8 (Malaria) 506 .. 2550-52

9 (Leprosy) 506 .. 2550-52 10 (Dengue) 506 .. 2550-52 11 (Leptospirosis) 506 .. 2550-52 12 (Other infectious diseases)

B 1 .. 2552 (Lower respiratory infections) 2 .. 2552

(Upper respiratory infections) 3 (Otitis media) .. 2547 C 1 .. 2552

(Maternal haemorrhage) 2 .. 2552 (Maternal sepsis) .. 2547 3 .. 2552 (Hypertensive disorders of pregnancy) 4 .. 2552 (Obstructed labour) 5 (Abortion) 2 .. 2539 - .. 2540

.. 2552 D 1

(Low birth weight) .. 2552 2 .. 2552 (Birth asphyxia and birth trauma) E 1 (Protein-energy malnutrition) 4 .. 2551-52 2 (Anaemia) 4 .. 2551-52

.. 2546


44/64


33 .. 2552

Burden of Disease

F 1

(Mouth & pharynx cancer) .. 2550-52 2 (Nasopharynx cancer) 3 (Oesophagus cancer) 4 (Stomach cancer) 5

(Colon and rectum cancers) 6 (Liver cancer) 7

(Pancreas cancer)8 (Larynx cancer)

9 (Bronchus & Lung cancer) 10 (Skin cancer)

11 (Breast cancer) 12 (Cervix uteri cancer) 13 (Endometrium cancer) 14 (Prostate cancer) 15

(Bladder cancer) 16 (Hodgkin lymphomas) 17

(Non-Hodgkin lymphomas)18 (Leukaemia)

19 (Thyroid cancers)

20 (Other cancers)


45/64


Burden of Disease

.. 255234

H 1 (Diabetes mellitus)

4 .. 2551-52 I 1 (Thalassaemia) .. 2540

J 1 (Depression) .. 2551 2 .. 2551 (Bipolar disorder) 3 (Schizophrenia) .. 2551 4 .. 2551

(Alcohol dependence/harmful use) 5 .. 2551

(Drug dependence/harmful use) .. 2550-51

6 (Anxiety disorders) .. 2551 K 1 (Dementia) 4 ..2551-52 2 (Epilepsy)

.. 2545 3 (Parkinson disease) GBD-OAI

(Other Asia and Islands) .. 2533 4

(Mental retardation) .. 2548 L 1 (Glaucoma)

.. 2549

2 (Cataracts) .. 2549

3 (Other vision disorders) .. 2549 4 .. 2552

(Deafness) .. 2550

M 1 .. 2552 (Rheumatic heart disease)


46/64


35 .. 2552

Burden of Disease

2 .. 2552

(Ischaemic heart disease) 3 (Cerebrovascular disease) 4 .. 2551-52 .. 2552 4 .. 2552 (Inflammatory heart disease) 5 .. 2552 (Hypertensive heart disease)

N 1 (Chronic obstructive 4 .. 2551-52 pulmonary disease) 2 (Asthma) 4 .. 2551-52 O 1 .. 2547 (Peptic ulcer disease) 2 HBV .. 2541 (Cirrhosis)

.. 2544 3 (Appendicitis) .. 2552 P 1 .. 2551 (Nephritis and nephrosis) 2 GBD-OAI

(Benign prostatic hypertophy) (Other Asia and Islands) .. 2533

R 1 .. 2539 (Rheumatoid arthritis) 2 (Osteoarthritis) .. 2539 3 (Back pain)

a. .. 2552

(Occupational back pain)


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Burden of Disease

.. 255236

S 1 .. 2552

(Spina bifida) 2 .. 2552 (Congenital heart disease) 3 .. 2552 (Clef lip and cleft palate) 4 (Down syndrome) .. 2537 T 1 (Dental caries) .. 2551 2 (Periodontal disease) .. 2551

3 (Edentulism) .. 2551 U 1 ..2552 (Road traffic accidents) 2 .. 2552 (Poisonings) 3 (Falls) .. 2552 4 (Fires) .. 2552 5 (Drowning) .. 2552 6 .. 2552 (Other unintentional injuries) V 1 (Suicide) .. 2552 2 (Violence/homicide) .. 2552 3 (War) .. 2552


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37 .. 2552

Burden of Disease

3

10 (International Classification

of Diseases and Related Health Problem: ICD-10)

3 (I,I,III)20 (A-V)

107

I. , (Infectious diseases, maternal, perinatal and nutritional conditions)

II. (Non-communicable diseases) III. (Injuries)

A. L. (Infectious diseases) (Sensory disorders)B. M.

(Respiratory infections) (Cardiovascular diseases)C. N. (Maternal conditions) (Chronic respiratory diseases)

D. O. (Perinatal conditions) (Digestive disorders)

E. P. (Nutritional disorders) (Genito-urinary diseases)

F. R.

(Cancer) (Musculo-skeletal diseases)H. S.

(Diabetes mellitus) (Congenital anomalies) I. T.

(Other endocrine and metabolic disorders) (Oral conditions)J. U.

(Mental disorders) (Unintentional injuries)K. V.

(Neurological disorders) (Intentional injuries)


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Burden of Disease

.. 255238

ICD-10

(A) 1 (Tuberculosis) A15-A199, B90-B909, P370

2 A50-A64, N70-N739 (Sexually transmitted diseases excluding HIV) a. (Syphilis) A50-A539 b. (Chlamydia) A55-A568 c.(Gonorrhoea) A54-A549 3 / B20-B24, C46, D84 (HIV/AIDS)

4 (Diarrhea) A00-A01,A03-A04,A06-A09 5 A33-A379, A80-A809, B05-B069, B91, (Childhoold-cluster diseases) G000,J05 a. (Pertussis) A37-A379 b. (Poliomyelitis) A80-A809, B91 c. (Diphtheria) A36-A369 d. (Measles) B05-B059 e. (Tetanus) A33-A35 f. (Rubella) B06-B069 g. G000, J05 (Haemophilus influenza B) 6 A39-A399, G001-G009, G03 (Bacterial meningitis and

meningococcaemia)

7 (Hepatitis) B15-B199 a. A B15-B159 (Hepatitis A) b. B B16-B169, B170, B180-B181 (Hepatitis B) c. C B171, B182 (Hepatitis C) d. B172-B178, B188-B199

(Other hepatitis)


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39 .. 2552

Burden of Disease

ICD-10

8 (Malaria) B50-B54

9 (Leprosy) A30-A309, B92 (sequelae) 10 (Dengue) A90-A91 11 (Leptospirosis) A27 12 A02, A05, A20-A269,A28, A31-A329, A38, (Other infectious diseases) A42-A499, A65-A799, A81-A89, A92-A99,

B00-B04, B07-B09, B25-B49, B55-B89,B94-B998, G01-G02,G04-G058

13 A40-A41

(Septicemia) (B) 1 J09-J189, J20-J22

(Lower respiratory infections) 2 J00-J069 (Upper respiratory infections) 3 (Otitis media) H65-H669 (C) 1 O44-O46, 067, 072 (Maternal haemorrhage) 2 O85-O86 (Maternal sepsis) 3 O10-O16 (Hypertensive disorders of pregnancy) 4 O64-O66 (Obstructed labour)

5 (Abortion) O00-O08 6 O20-O43, O47-O63, O68-O71, 073-O75,

(Other maternal conditions) O87-O99 (D) 1 P05-P07 (Low birth weight) 2 P03, P10-P15, P20-P22 (Birth asphyxia and birth trauma) 3 P00 - P02, P04, P08,P23-P299, P35-P369, (Other perinatal conditions) P371-P96


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Burden of Disease

.. 255240

ICD-10

(E) 1 E40-E46,E640

(Protein-energy malnutrition) 2 E00-E02, E031 (Lodine deficiency anaemia) 3 E50-E509, E641 (Vitamin A deficiency) 4 D50-D53 (Deficiency anaemia) 5 E51-E63, E642-E649

(Other nutritional disorders) (F) 1 C00-C10, C12-C14 (Mouth & pharynx cancer) 2 C11 (Nasopharynx cancer) 3 C15 (Oesophagus cancer) 4 C16

(Stomach cancer) 5 C18-C21 (Colon and rectum cancer) 6 (Liver cancer) C22 7 C25 (Pancreas cancer) 8 C32 (Larynx cancer)

9 C33-C34 (Bronchus & Lung cancer) 10 C43-C44 (Skin cancer) 11 (Breast cancer) C50 12 C53 (Cervix uteri cancer) 13 C54.0,C54.2,C54.3,C54.8,C54.9

(Uterus cancer)


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Burden of Disease

ICD-10

14 C54.1

(Endometrium cancer) 15 (Ovary cancer) C56 16 C61 (Prostate cancer) 17 C67 (Bladder cancer) 18 C81 (Hodgkin lymphomas)

19 C82-C85,C96 (Non-Hodgkin lymphomas) 20 C91-C95 (Leukaemia) 21 (Billiary tract) C23-C24 22 C73 (Thyroid cancer)

23 C74-C75 (Other endocrine glands cancer) 24 C70-C72 (Central nervous system cancer) 25 (Other cancers) C17,C26-C31, C35-C42,C45, C47-C49,

C51-52, C57-C60, C62-C66, C68-C69, C76,C86-C90

26 C77-C80, C97

(Ill-defined cancer) 27 C55

(Uterus cancer - not specified) (G) D00-D48 (Benign neoplasms) (H) (Diabetes mellitus) E10-E14 (I) 1 (Thalassaemia) D56 2 D55, D57-D83, D85-D89, E030, E032-E07, (Other endocrine disorders) E15-E16, E20-E34, E65-E89


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Burden of Disease

.. 255242

ICD-10

(J) 1 (Depression) F32-F33

2 F30-F31 (Bipolar disorder) 3 (Schizophrenia) F20-F29 4 F10 (Alcohol dependence/harmful use) 5 F11-F16, F18-F19 (Drug dependence/harmful use)

6 (Anxiety disorders) F40-F42

7 F04-F09, F17, F34-42, F43-F69, F80-99 (Other mental disorders) (K) 1 (Dementia) F00-F03, G30-G32 2 (Epilepsy) G40-G41 3 (Parkinsons disease) G20-G21 4 F70-F79 (Mental retardation) 5 G06-G13, G22-G26, G35-G37, G43-G99

(Other neurological disorders) (L) 1 (Glaucoma) H40 2 (Cataracts) H25-H26 3 H00-H24, H27-H39, H42-H59 (Other vision disorders) 4 H90-H91 (Deafness) 5 H60-H62, H67-H75, H80-H83, H92-95

(Other hearing disorders) (M) 1 I01-I09 (Rheumatic heart disease) 2 I20-I25 (Ischaemic heart disease) 3 I60-I69 (Cerebrovascular disease) 4 I30-I33, I38, I40-I42

(Inflammatory heart disease)


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43 .. 2552

Burden of Disease

ICD-10

5 I11, I13

(Hypertensive heart disease) 6 I12, I15, I26-I28, I34-37, I39, I43-I45,(Other cardiovascular diseases) I47-I49, I51-I51. 4, I52, I71-I99

7 I46, I51. 5-I51. 9, I70 (Ill-defined heart disease) 8 (Heart failure) I50 9 I10 (Hypertension)

(N) 1 J40-J44 (Chronic obstructivepulmonary disease)

2 (Asthma) J45-J46 3 J30-J39, J47-J99 (Other chronic respiratory diseases) (O) 1 K25-K27 (Peptic ulcer disease)

2 K70, K74 (Cirrhosis) 3 (Appendicitis) K35-K37 4 K20-K24, K28-K31, K38-K69, K71-K73, (Other digestive disorders) K75-K99 (Q) (Skin diseases) L00-L99 (P) 1 N00-N19 (Nephritis and nephrosis)

2 N40 (Benign prostatic hypertophy) 3 N20-N39, N41-N99 (Genito-urinary diseases) (R) 1 M05-M06 (Rheumatoid arthritis) 2 (Osteoarthritis) M15-M19 3 (Back pain) M464, M469-M483, M488-M489, M51-M519,

M538-M539, M543-M549


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Burden of Disease

.. 255244

ICD-10

4 M00-M04, M07-M14, M20-M463, M465, M484-M487, M49-M50, M52-M537,

(Other musculoskeletal disorders) M540-M542, M55-M99 (S) 1 Q05 (Spina bifida) 2 Q20-Q28 (Congenital heart disease) 3 Q35-Q37 (Clef lip and cleft palate) 4 Q90 (Down syndrome) 5 Q91-Q99 (Other chromosomal disorders) 6 Q00-Q04,Q06-Q18, Q30-Q34, Q38-Q89 (Other congenital disorders) (T) 1 (Dental caries) K02 2 (Periodontal disease) K05 3 (Edentulism) K06 4 K00-K01, K03-K04, K07-K14 (Other oral conditions) (U) 1 V01-V89, Y85 (Road traffic accidents) 2 X40-X49 (Poisonings) 3 (Falls) W00-W19 4 (Fires) X00-X09 5 (Drowning) W65-W74 6 V90-V99, W20-W64, W75-W84, W85-W99, (Other unintentional injuries) X10-X39, X50-X59, Y40-Y84, Y86, Y88-Y98 (V) 1 X60-X84, Y870 (Suicide) 2 (Violence/homicide) X85-Y09, Y87 1 3 (War) Y36 4 Y35

(Other intentional injuries)


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Burden of Disease

.. 255250

5

(Infectious diseases)

1. . 2. . 3. .

(Cancer)1. .. 2. ..

3. .

(Maternal and perinatal conditions)1. . 2. .

3. .

(Diabetes mellitus)1. .. 2. .

(Mental disorders)

1. ..

2. . 3. . 4. .


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51 .. 2552

Burden of Disease

(Cardiovascular diseases)1. .. 2. .. (.)

(Injuries)1. .. 2. .. 3. . 4. . 5.

(Oral conditions)1. . 2. . (.)

(Neurological disorders)1. ..

2. .. 3. .

(Sensory disorders)1. . 2. .. 3. .

4. . (.)

1. . 2. .. 3. .. 4.


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Burden of Disease

.. 255252

1. ..

2. ..

3. . 4. . 5. .


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Documents

Book Bod 20 Orkhraaythamlaaychwngchiiwitkhnaithypii 2552