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US Disease Data

 

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Institute for Health Metrics and Evaluation (IHME)

The Institute for Health Metrics and Evaluation (IHME) goal is to provide an impartial, evidence-based picture of global health trends to inform the work of policymakers, researchers, and funders. Main supporters are the Bill & Melinda Gates Foundation and the state of Washington. IHME aspires to make available to the world high-quality information on population health, its determinants, and the performance of health systems. They seek to achieve this directly, by catalyzing the work of others, and by training researchers as well as policymakers. The IHME largest undertaking to date, the update of the Global Burden of Diseases (GBD), Injuries, and Risk Factors Study, over 1,000 people from over 100 countries put together all the world’s data on more than 1,000 different clinical outcomes, giving us insights into patterns of disease by age, by sex, by locality, showing who’s making progress and who’s not. That information is made publicly available on their website, in peer-reviewed journals, in policy reports, and via a suite of data visualization tools created to better inform the very people whose health is at stake.

Global Burden of Diseases (GBD)

The IHME largest undertaking to date, the update of the Global Burden of Diseases (GBD), Injuries, and Risk Factors Study, over 1,000 people from over 100 countries put together all the world’s data on more than 1,000 different clinical outcomes, giving us insights into patterns of disease by age, by sex, by locality, showing who’s making progress and who’s not. That information is made publicly available on their website, in peer-reviewed journals, in policy reports, and via a suite of data visualization tools created to better inform the very people whose health is at stake. There are 6 billion people in the world and hundreds of millions experience disease or injury each year Taken as a whole the pain, suffering and loss of productivity are the world’s burden of disease. Hence the burden of disease is a measure of the gap between current health of the population and an ideal situation where everyone meets their full life expectancy in full health. The GBD attempts to measure the total disease burden.

 

GBD Summary

1. The Team: 486 authors from 302 institutions in 50 countries.

2. GBD ammassed the best evidence on the state of the world’s health.

  • • 291 diseases and injuries

  • • 1,160 disabling sequelae (a chronic condition that is a complication of an acute condition) of these diseases and injuries

  • • 67 risk factors

  • • 20 age groups, two sexes

  • • 187 countries

  • • 1990-2010.

  • 3. Enhanced scientific rigor for global descriptive epidemiology

  • • Statistical methods designed for the challenges of global health data developed and applied.

  • • All figures have 95% uncertainty intervals.

  • • Multiple efforts at validation, e.g., deaths by cause must add up to 100%; anemia by cause must add up to total anemia.

  • • Data visualization environments used as quality control tools.

  • 4. GBD 2010 has 650 million different findings. Bird’s-eye view provides five main messages, but detailed findings are important for many diseases, injuries, risks and for different regions and countries.

    Below is the GBD data for the United States. It addresses the following risks:

    • • War & disaster

    • • Chronic respiratory diseases

    • • Intentional injuries

    • • Cardio & circulatory diseases

    • • Unintentional injuries

    • • Cancer

    • • Transport injuries

    • • Other communicable

    • • Other-non-communicable

    • • Nutritional deficiencies

    • • Musculoskeletal disorders

    • • Neonatal disorders

    • • Diabetes/urogen /blood/endo

    • • Maternal disorders

    • • Mental & behavioral disorders

    • • NTD & malaria

    • • Neurological disorders

    • • Diarrhea/LRI/other infectious

    • • Cirrhosis

    • • HIV/AIDS & tuberculosis

    Causes of US Deaths by Age and Disease

    SOURCE: Institute for Health Metrics and Evaluation (IHME). GBD Cause Patterns. Seattle, WA: IHME, University of Washington, 2013. Available from http://vizhub.healthdata.org/gbd-cause-patterns/. Accessed 5.25.2014