Authors

Khalil Ibrahim
Danny V. Colombara
Mohammad Hossein Forouzanfar
Christopher Troeger
Farah Daoud
Maziar Moradi-Lakeh
Charbel El Bcheraoui
Puja C. Rao
Ashkan Afshin
Raghid Charara
Kalkidan Hassen Abate
Mohammed Magdy Abd El Razek
Foad Abd-Allah
Remon Abu-Elyazeed
Aliasghar Ahmad Kiadaliri
Ali Shafqat Akanda
Nadia Akseer
Khurshid Alam
Deena Alasfoor
Raghib Ali
Mohammad A. Al Mazroa
Mahmoud A. Alomari
Rajaa Mohammad Salem Al-Raddadi
Ubai Alsharif
Shirina Alsowaidi
Khalid A. Altirkawi
Nelson Alvis-Guzman
Walid Ammar
Carl Abelardo T. Antonio
Hamid Asayesh
Rana Jawad Asghar
Suleman Atique
Ashish Awasthi
Umar Bacha
Alaa Badawi
Aleksandra Barac
Neeraj Bedi
Tolesa Bekele
Isabela M. Bensenor
Balem Demtsu Betsu
Zulfiqar Bhutta
Aref A. Bin Abdulhak
Zahid A. Butt
Hadi Danawi
Manisha Dubey
Aman Yesuf Endries
Imad D. A. Faghmous
Talha Farid
Maryam S. Farvid
Farshad Farzadfar
Seyed-Mohammad Fereshtehnejad
Florian Fischer
Joseph Robert Anderson Fitchett
Katherine B. Gibney
Ibrahim Abdelmageem Mohamed Ginawi
Melkamu Dedefo Gishu
Harish Chander Gugnani
Rahul Gupta
Gessessew Bugssa Hailu
Randah Ribhi Hamadeh
Samer Hamidi
Hilda L. Harb
Mohammad T. Hedayati
Mohamed Hsairi
Abdullatif Husseini
Nader Jahanmehr
Mehdi Javanbakht
Tariku Jibat
Jost B. Jonas
Amir Kasaeian
Yousef Saleh Khader
Abdur Rahman Khan
Ejaz Ahmad Khan
Gulfaraz Khan
Tawfik Ahmed Muthafer Khoja
Yohannes Kinfu
Niranjan Kissoon
Ai Koyanagi
Aparna Lal
Asma Abdul Abdul Latif
Raimundas Lunevicius
Hassan Magdy Abd El Razek
Azeem Majeed
Reza Malekzadeh
Alem Mehari
Alemayehu B. Mekonnen
Yohannes Adama Melaku
Ziad A. Memish
Walter Mendoza
Awoke Misganaw
Layla Abdalla Ibrahim Mohamed
Jean B. Nachega
Quyen Le Nguyen
Muhammad Imran Nisar
Emmanuel Kwame Peprah
James A. Platts-Mills
Farshad Pourmalek
Mostafa Qorbani
Anwar Rafay
Vafa Rahimi-Movaghar
Sajjad Ur Rahman
Rajesh Kumar Rai
Saleem M. Rana
Chhabi L. Ranabhat
Sowmya R. Rao
Amany H. Refaat
Mark Riddle
Gholamreza Roshandel
George Mugambage Ruhago
Muhammad Muhammad Saleh
Juan R. Sanabria
Monika Sawhney
Sadaf G. Sepanlou
Tesfaye Setegn
Karen Sliwa, Australian Catholic UniversityFollow
Chandrashekhar T. Sreeramareddy
Bryan L. Sykes
Mohammad Tavakkoli
Bemnet Amare Tedla
Abdullah S. Terkawi
Kingsley Ukwaja
Olalekan A. Uthman
Ronny Westerman
Mamo Wubshet
Muluken A. Yenesew
Naohiro Yonemoto
Mustafa Z. Younis
Zoubida Zaidi
Maysaa El Sayed Zaki
Abdullah A. Al Rabeeah
Haidong Wang
Mohsen Naghavi
Theo Vos
Alan D. Lopez
Christopher J. L. Murray
Ali H. Mokdad

Publication Date

2016

Abstract

Diarrheal diseases ( DD ) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region ( EMR ) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years ( DALYs ), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths ( 3.6% of total deaths ) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one ( 95% uncertainty interval [UI] = 0–1 ) in Bahrain and Oman to 471 ( 95% UI = 245–763 ) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 ( 95% UI = 520–989 ) in Syria to 40,869 ( 95% UI = 21,540–65,823 ) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden.

School/Institute

Mary MacKillop Institute for Health Research

Document Type

Journal Article

Access Rights

ERA Access

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