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Research Articles


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December 30, 2019
Travel time to health facilities in areas of outbreak potential: maps for guiding local preparedness and response
Research Article

Here, we use travel time to link facilities and populations at risk of viral hemorrhagic fevers (VHFs) and identify spatial variation in these respective preparedness demands.

December 25, 2019
Mapping disparities in education across low- and middle-income countries
Research Article

Educational attainment is an important social determinant of maternal, newborn, and child health. Here we expand on the available precision SDG evidence by estimating the subnational distribution of educational attainment, including the proportions of individuals who have completed key levels of schooling, across all low- and middle-income countries from 2000 to 2017.

December 20, 2019
The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017
Research Article

Mental disorders are among the leading causes of non-fatal disease burden in India. In this report, we describe the prevalence and disease burden of each mental disorder for the states of India, from 1990 to 2017.

December 20, 2019
Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017
Research Article

A systematic understanding of population-level trends in deaths due to road injuries at the subnational level over time for India's 1.4 billion people, by age, sex, and type of road user is not readily available; we aimed to fill this knowledge gap.

December 19, 2019
Epidemiology of injuries from fire, heat and hot substances: global, regional and national morbidity and mortality estimates from the Global Burden of Disease 2017 study
Research Article

The incidence and mortality of injuries that result from fire, heat, and hot substances affect every region of the world but are most concentrated in middle- and lower-income areas.

December 13, 2019
A database of geopositioned Middle East Respiratory Syndrome Coronavirus occurrences
Research Article

The purpose of this article is to share a collated MERS-CoV database and extraction protocol that can be utilized in future mapping efforts for both MERS-CoV and other infectious diseases.

December 2, 2019
Mapping the global distribution of podoconiosis: Applying an evidence consensus approach
Research Article

Podoconiosis is a type of elephantiasis characterised by swelling of the lower legs. It is often confused with other causes of tropical lymphedema and its global distribution is uncertain. Here we synthesise the available information on the presence of podoconiosis to produce evidence consensus maps of its global geographical distribution.

November 22, 2019
Monitoring the health-related Sustainable Development Goals: lessons learned and recommendations for improved measurement
Research Article

Regular monitoring of the health-related Sustainable Development Goals is important for fostering a shared notion of accountability for results, identifying important gaps in resources and rates of progress, and taking into account emerging challenges that can influence the trajectory of progress.

November 20, 2019
Life expectancy and disease burden in the Nordic countries: results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017
Research Article

The Nordic countries have commonalities in gender equality, economy, welfare, and health care, but differ in culture and lifestyle, which might create country-wise health differences. This study compared life expectancy, disease burden, and risk factors in the Nordic region.

November 20, 2019
Italy's health performance, 1990–2017: findings from the Global Burden of Disease Study 2017
Research Article

Through a comprehensive analysis of Italy's estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, we aimed to understand the patterns of health loss and response of the health care system, and offer evidence-based policy indications in light of the demographic transition and government health spending in the country.

October 30, 2019
Quantifying risks and interventions that have affected the burden of lower respiratory infections among children younger than 5 years: an analysis for the Global Burden of Disease Study 2017
Research Article

To better inform programs and policies focused on preventing and treating LRIs, we assessed the contributions and patterns of risk factor attribution, intervention coverage, and sociodemographic development in 195 countries and territories by drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) LRI estimates.

October 30, 2019
Quantifying risks and interventions that have affected the burden of diarrhea among children younger than 5 years: an analysis of the Global Burden of Disease Study 2017
Research Article

With this analysis, we provide updated results on diarrheal disease mortality among children younger than 5 years from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) and use the study’s comparative risk assessment to quantify trends and effects of risk factors, interventions, and broader sociodemographic development on mortality changes in 195 countries and territories from 1990 to 2017.

October 22, 2019
The global need and availability of blood products: a modeling study
Research Article

Blood transfusions are an important resource of every health care system, with often limited supply in low-income and middle-income countries; however, the degree of unmet need for blood transfusions is often unknown.

October 21, 2019
The global, regional, and national burden of stomach cancer in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease study 2017
Research Article

Understanding the current burden of stomach cancer and the differential trends across various locations is essential for formulating effective preventive strategies. We report on the incidence, mortality, and disability-adjusted life years (DALYs) due to stomach cancer in 195 countries and territories from 21 regions between 1990 and 2017.

October 21, 2019
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
Research Article

Evaluation of pancreatic cancer burden and its global, regional, and national patterns is crucial to policymaking and better resource allocation for controlling pancreatic cancer risk factors, developing early detection methods, and providing faster and more effective treatments.

October 21, 2019
The global, regional, and national burden of colorectal cancer and its attributable risk factors in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
Research Article

This study provides a status report on the incidence, mortality, and disability caused by colorectal cancer in 195 countries and territories between 1990 and 2017.

October 21, 2019
The global, regional, and national burden of inflammatory bowel disease in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
Research Article

The burden of inflammatory bowel disease (IBD) is rising globally, with substantial variation in levels and trends of disease in different countries and regions. We report the prevalence, mortality, and overall burden of IBD in 195 countries and territories between 1990 and 2017.

October 16, 2019
Mapping 123 million neonatal, infant, and child deaths between 2000 and 2017
Research Article

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.

October 8, 2019
Tracking development assistance for health from China, 2007–2017
Research Article

In recent years, China has increased its international engagement in health. In this study, we generated estimates of DAH from China from 2007 through 2017 and disaggregated those estimates by disbursing agency and health focus area.

September 30, 2019
Identifying residual hotspots and mapping lower respiratory infection morbidity and mortality in African children from 2000 to 2017
Research Article

Lower respiratory infections (LRIs) are the leading cause of death in children under the age of 5, despite the existence of vaccines against many of their aetiologies.

September 27, 2019
Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups, 1990 to 2017
Research Article

We used the GBD study estimation methods to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs). Results are presented at the national level as well as by Socio-demographic Index (SDI), a composite indicator of income, educational attainment, and total fertility rate.We also analyzed the influence of the epidemiological vs the demographic transition on cancer incidence.

September 24, 2019
The global burden of non-typhoidal salmonella invasive disease: a systematic analysis for the Global Burden of Disease Study 2017
Research Article

Non-typhoidal salmonella invasive disease is a major cause of global morbidity and mortality. Malnourished children, those with recent malaria or sickle-cell anemia, and adults with HIV infection are at particularly high risk of disease. We sought to estimate the burden of disease attributable to non-typhoidal salmonella invasive disease for the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017.

September 8, 2019
Malaria eradication within a generation: ambitious, achievable, and necessary
Research Article

In this report of the Commission, we synthesize existing evidence and new epidemiological and financial analyses to show that malaria eradication by 2050 is a bold but attainable goal, and a necessary one given the never-ending struggle against drug and insecticide resistance and the social and economic costs associated with a failure to eradicate.

September 2, 2019
World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions
Research Article

To help adapt cardiovascular disease risk prediction approaches to low-income and middle-income countries, WHO has convened an effort to develop, evaluate, and illustrate revised risk models. Here, we report the derivation, validation, and illustration of the revised WHO cardiovascular disease risk prediction charts that have been adapted to the circumstances of 21 global regions.

September 2, 2019
Pareto rules for malaria super-spreaders and super-spreading
Research Article

This study describes the distribution of relative entomological risks for malaria transmission among households at multiple sites across a range of mosquito densities and transmission levels and through multiple seasons.

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