WHO Statistics, 2000

1
WHO Statistics, 2000
Dr. Rüdiger Krech A/Regional Adviser, Healthy
Ageing World Health Organization
2
Death, by broad cause group, 1999
Noncommunicable conditions (59.8)
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies (31.1)
Injuries (9.1)
3
Global burden of disease in disability-adjusted
life years (DALYs), 1999
Noncommunicable conditions (43.2)
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies (42.8)
Injuries (13.9)
4
Global distribution of causes of death,1999 (000s)
Other Noncommunicable Diseases (2137)
Injuries (5101)
Other causes (800)
Digestive Diseases (2049)
Respiratory Diseases (3575)
Perinatal conditions (2356)
Nutritional deficiences (493)
Malaria (1086)
HIV/AIDS (2673)
Tuberculosis (1669)
Cardiovascular Diseases (16970)
Diarrhoeal diseases (2213)
Respiratory Infections (4039)
Neuropsychiatric Disorders (911)
Childhood diseases (1554)
Diabetes (777)
Maternal Conditions (497)
Malignant neoplasms (7065)
5
Global burden of disease in disability-adjusted
life years (DALYs), 1999 (000s)
Injuries (201307)
Other causes (59025)
Perinatal conditions (89508)
Other Noncommunicable diseases (99420)
Nutritional deficiences (44539)
Malaria (44998)
Digestive diseases (36829)
HIV/AIDS (89819)
Respiratory diseases (70017)
Tuberculosis (33287)
Cardiovascular diseases (157185)
Diarrhoeal diseases (72063)
Respiratory infections (101127)
Childhood diseases (54638)
Neuropsychiatric disorders (158721)
Maternal conditions (26101)
Diabetes (15070)
Malignant neoplasms (84500)
6
Deaths, by broad cause group and WHO Region,1999

75
Noncommunicable conditions
Injuries
50
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies
25
AFR
EMR
EUR
SEAR
WPR
AMR
7
DALYS, by broad cause group and WHO Region,1999
DALY Disability adjusted life-year

75
Noncommunicable conditions
Injuries
50
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies
25
AFR
EMR
EUR
SEAR
WPR
AMR
8
)
Leading causes of death, both sexes, 1998 Low-
and Middle-Income Countries by age
Noncommunicable conditions
Injuries
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies
0-4 Years
5-14 Years
15-44 Years
45-59 Years
gt60 Years
) 15 leading causes
Source World Health Report 1999 Database
Source World Health Report 1999 Database
9
)
Leading causes of burden of disease, both sexes,
1998 Low- and Middle-Income Countries by age
Noncommunicable conditions
Injuries
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies
0-4 Years
5-14 Years
15-44 Years
45-59 Years
gt60 Years
) 15 leading causes
Source World Health Report 1999 Database
10
DALYs, by broad cause group 1990 - 2020 in
developing countries (baseline scenario)


Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies
22
49
21
Injuries
14
15
Neuropsychiatric disorders
9
43
Noncommunicable conditions
27
Source WHO, Evidence, Information and Policy,
2000
11
Increasing burden of noncommunicable diseases and
injuries change in rank order of DALYs for the 15
leading causes (baseline scenario)
1999 Disease or Injury
2020 Disease or Injury
1 Acute lower respiratory infections 2.HIV/AIDS 3.
Perinatal conditions 4.Diarrhoeal
diseases 5.Unipolar major depression 6.Ischaemic
heart disease 7.Cerebrovascular
disease 8.Malaria 9.Road traffic
injuries 10.Chronic obstructive pulmonary
disease 11.Congenital abnormalities 12.Tuberculosi
s 13.Falls 14.Measles 15.Anaemias
1. Ischaemic heart disease 2. Unipolar major
depression 3. Road traffic injuries 4.
Cerebrovascular disease 5 .Chronic obstructive
pulmonary 6. Lower respiratory infections 7.
Tuberculosis 8. War 9. Diarrhoeal
diseases 10.HIV 11.Perinatal conditions 12.Violenc
e 13.Congenital abnormalities 14.Self-inflict
ed injuries 15.Trachea, bronchus and lung cancers
12
Deaths, 1990 among poorest 20 of global
population principal causes ( of deaths)
Respiratory Infections (13.4)
Diarrheal Diseases (11.3)
intentional and unintentional Injuries (9.4)

Other (8.5)
Perinatal Conditions (7.9) Childhood Cluster
Diseases (7.8)
Ischaemic Heart Disease (7.3)
Tuberculosis (6.2)
Malignant Neoplasms (5.6)
Cerebrovascular Diseases (4.6)

• Maternal Conditions (1.4)
• Congenital Abnormalities (1.3)
• Inflammatory and Rheumatic Heart Diseases (1.2)
• Genito-Urinary Conditions (1.1)
• HIV/AIDS (0.9)
• Neuropsychiatric Conditions (0.8)
• Diabetis Mellitus (0.7)

Malaria (3.6)
Respiratory Diseases (2.7) Digestive Diseases
(2.5)
Nutritional Deficiencies (1.8)
Source The Burden of Disease among the Global
Poor, World Bank 2000
13
DALYs, 1990 among poorest 20 of global
population principal causes ( of DALYs)
intentional and unintentional Injuries (13.1)
Respiratory Infections (11.8)
Diarrheal Diseases (11)
Other (10.4)

Perinatal Conditions (8.8)
Childhood Cluster Diseases (8.1)

• Respiratory Diseases (2.4)
• Malignant Neoplasms (2.3)
• Digestive Diseases (2.1)
• Congenital Abnormalities (2)
• Ischaemic Heart Disease (1.9)
• Cerebrovascular Disease (1.5)
• HIV/AIDS (1)
• Inflammatory and Rheumatic Heart Diseases (0.9)
• Genito-Urinary Diseases (0.7)
• Diabetes (0.5)

Neuropsychiatric Conditions (5.4)
Nutritional Deficiencies (4.5)
Maternal Conditions (3.9) Malaria
(3.9) Tuberculosis (3.8)
Source The Burden of Disease among the Global
Poor, World Bank 2000
14
Distribution of causes of death in Africa, 1999
(000s)
Nutritional deficiencies (180)
Perinatal conditions (615)
Malaria (953)
Other causes (255)
Injuries (776)
HIV/AIDS (2154)
Noncommunicable conditions (2300)
Tuberculosis (357)
Diarrhoeal diseases (765)
Maternal Conditions (255)
Respiratory infections (1086)
Childhood diseases (740)
15
Burden of disease in disability-adjusted
life years (DALYs) in Africa,
1999 (000s)
Other causes (23075)
Injuries (36103)
Perinatal conditions (24097)
Nutritional deficiencies (11037)
Noncommunicable conditions (63681)
Malaria (36838)
Maternal conditions (12525)
HIV/AIDS (74449)
Childhood diseases (25742)
Tuberculosis (8721)
Respiratory infections (32771)
Diarrhoeal diseases (24321)
16
Distribution of causes of death in Americas, 1999
(000s)
Injuries (552)
Respiratory infections (299)
Perinatal conditions (153)
Other causes (101)
HIV/AIDS (81)
Diarrhoeal diseases (74)
Nutritional deficiencies (72)
Tuberculosis (59)
Childhood diseases (21)
Noncommunicable conditions (4255)
Maternal conditions (18)
Malaria (2)
17
Burden of disease in disability-adjusted life
years (DALYs) in Americas, 1999 (000s)
Injuries (17738)
Other causes (4536)
Perinatal conditions (5566)
Respiratory infections (4204)
Nutritional deficiencies (2733)
HIV/AIDS (2812)
Diarrhoeal diseases (2514)
Maternal conditions (1207)
Noncommunicable conditions (82909)
Tuberculosis (1114)
Childhood diseases (533)
Malaria (76)
18
Distribution of causes of death in the Eastern
Mediterranean, 1999 (000s)
Other causes (80)
Injuries (405)
Perinatal conditions (313)
Nutritional deficiencies (44)
Malaria (44)
HIV/AIDS (29)
Tuberculosis (112)
Diarrhoeal diseases (300)
Noncommunicable conditions (2318)
Respiratory infections (343)
Childhood diseases (191)
Maternal conditions (39)
19
Burden of disease in disability-adjusted life
years (DALYs) in Eastern Mediterranean,1999 (000s)
Other causes (4931)
Injuries (13214)
Perinatal conditions (11755)
Nutritional deficiencies (4119)
Malaria (2774)
HIV/AIDS (2172)
Tuberculosis (2260)
Diarrhoeal diseases (10123)
Noncommunicable conditions (51039)
Respiratory infections (10916)
Childhood diseases (6560)
Maternal conditions (2720)
20
Distribution of causes of death in Europe, 1999
(000s)
Injuries (750)
Respiratory infections (275)
Perinatal conditions (62)
Tuberculosis (60)
Other causes (58)
Diarrhoeal diseases (30)
HIV/AIDS (15)
Nutritional deficiencies (14)
Childhood diseases (13)
Maternal conditions (4)
Noncommunicable conditions (7776)
21
Burden of disease in disability-adjusted life
years (DALYs) in Europe,1999 (000s)
Injuries (19323)
Respiratory infections (3509)
Perinatal conditions (2370)
Other causes (1921)
Tuberculosis (1258)
Nutritional deficiencies (1152)
Diarrhoeal diseases (1131)
HIV/AIDS (725)
Childhood diseases (477)
Maternal conditions (451)
Malaria (2)
Noncommunicable conditions (104032)
22
Distribution of causes of death in South-East
Asia, 1999 (000s)
Injuries (1301)
Other causes (236)
Perinatal conditions (851)
Nutritional deficiencies (159)
Malaria (69)
HIV/AIDS (360)
Tuberculosis (723)
Diarrhoeal diseases (978)
Respiratory infections (1523)
Noncommunicable conditions (7370)
Childhood diseases (542)
Maternal conditions (158)
23
Burden of disease in disability-adjusted life
years (DALYs) in South-East Asia,1999 (000s)
Other causes (19693)
Injuries (65289)
Perinatal conditions (32715)
Nutritional deficiencies (16866)
Malaria (3071)
HIV/AIDS (8866)
Tuberculosis (14101)
Diarrhoeal diseases (30017)
Noncommunicable conditions (156536)
Respiratory infections (38144)
Childhood diseases (19449)
Maternal conditions (7733)
24
Distribution of causes of death in Western
Pacific, 1999 (000s)
Injuries (1317)
Respiratory infections (514)
Perinatal conditions (363)
Tuberculosis (359)
Other causes (75)
Diarrhoeal diseases (67)
Childhood diseases (47)
HIV/AIDS (34)
Noncommunicable Conditions (9462)
Nutritional deficiencies (22)
Maternal conditions (21)
Malaria (16)
25
Burden of disease in disability-adjusted life
years (DALYs) in Western Pacific, 1999 (000s)
Injuries (49641)
Perinatal conditions (13005)
Respiratory infections (11584)
Nutritional deficiencies (8633)
Tuberculosis (5832)
Other causes (4872)
Diarrhoeal diseases (3955)
Malaria (2235)
Childhood diseases (1875)
Maternal conditions (1466)
Noncommunicable conditions (163546)
HIV/AIDS (795)
26
Tobacco deaths by World Bank regions estimates
for 1990 and 2020
8.4 million
Middle Eastern Crescent
Latin America Caribbean
Sub-Saharan Africa
Other Asia and Islands
China
India
3 million
Former Socialist Countries
Established Market Economies
Source Murray CJL, Lopez AD 1996
27
Deaths ( of total) attributable to tobacco use
by World Bank Region, estimates for 1990 and 2020
2020
1990
28
Cardiovascular (CVD) epidemicin countries of
different stages of development
-----1940-----1950-----1960-----1970-----1980-----
1990-----2000-----
Remains as first cause of death disability
High Income Economies
Economies in Transition
First cause of death disability
Reach the peak in some countries

Slow increase
Rapid increase
First cause of death disability in most
countries
Middle and Low Income Countries
Source WHO, NMH/MNC
29
Low- and middle-income countries suffer the
greatest impact on noncommunicable diseases
85 of the global NCD disease burden is borne by
low- and middle-income countries
77 of the total number of deaths attributable to
NCDs occurred in developing countries
Source WHO WHA A53/14, 2000