Course 17:NCDs & NTDs

Introduction:The Global Burden of Disease and the

Rationale for Disease Groupings

Serge Resnikoff MD, PhD

Classification of Diseases

1893: “Bertillon Classification of Causes of Death” – 161 titles

10 yr. interval

ICD-6: WHO, 1946

ICD-9: 1975 (17,000 codes)

ICD-10: 1983 (155,000 codes)

GBD

• Initiated in 1992– 107 causes of mortality

and disability (diseases and injuries)

– 10 risk factors• GBD 2004: last published

• GBD 2010: 400 causes

GBD 2001 (2006)

Group I: Communicable, Maternal,Perinatal and Nutritional conditions

Group II: Noncommunicable conditions

Group III: Injuries

“NTDs”

Eye/Vision-related

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GBD 2004

“NCDs”

Leading Causes of Burden of Diseases, 2004

NCDs = 16.6%Isch.HD + Cer.VD + COPD + Diab + Cancer 4.1 + 3.1 + 2.0 + 1.3 + 5.1

HIV + TB + Malaria3.8 + 2.2 + 2.2

= 8.2%

NTDs = 2.2%

0.2+0.1+0.2+0.2+0.7+0.05+0.02+0.1+0.2+0.2+0.1+0.1

Eye/Vision: 4.1%

Rationale for Disease Grouping

• To measure the “True” burden

• Mainly for Advocacy purpose

“My group is bigger than your group”“I deserve more resources”

Misfinancing global health: a case for transparency in disbursements and decision makingDevi Sridhar, Rajaie Batniji, Lancet 2008

Visual Impairment*