1. Measuring the Global Burden of Disease and Risk Factors, 1990—2001

Table 1.2: Deaths and Burden of Disease Attributable to Risk Factors—Low- and Middle-Income Countries, High-Income Countries, and World, 2001

Deaths and Burden of Disease Attributable to Risk Factors—Low- and Middle-Income Countries, High-Income Countries, and World, 2001
Low- and middle-income High-income World
Deaths DALYs(3,0) a Deaths DALYs(3,0) a Deaths DALYs(3,0) a
Total number (thousands) 48,351 1,386 709 7,891 149,161 56,242 1,535 871
Rate per 1,000 population 9.3 265.7 8.5 160.6 9.1 249.8
Age-standardized rate per 1,000 b 11.4 281.7 5.0 128.2 10.0 256.5
Risk factor Number in thousands (percent)
Childhood and maternal undernutrition
  Childhood underweight 3,630 (7.5) 120,579 (8.7) 0 (0.0) 67 (<0.1) 3,630 (6.5) 120,647 (7.9)
  Iron-deficiency anemia 613 (1.3) 23,933 (1.7) 8 (0.1) 789 (0.5) 621 (1.1) 24,722 (1.6)
  Vitamin A deficiency 800 (1.7) 24,686 (1.8) 0 (0.0) 0 (0.0) 800 (1.4) 24,686 (1.6)
  Zinc deficiency 849 (1.8) 27,631 (2.0) 0 (0.0) 5 (<0.1) 849 (1.5) 27,636 (1.8)
Other nutrition-related risk factors and physical activity
  High blood pressure 6,223 (12.9) 78,063 (5.6) 1,392 (17.6) 13,887 (9.3) 7,615 (13.5) 91,950 (6.0)
  High cholesterol 3,038 (6.3) 42,815 (3.1) 842 (10.7) 9,431 (6.3) 3,880 (6.9) 52,246 (3.4)
  Overweight and obesity 1,747 (3.6) 31,515 (2.3) 614 (7.8) 10,733 (7.2) 2,361 (4.2) 42,248 (2.8)
  Low fruit and vegetable intake 2,308 (4.8) 32,836 (2.4) 333 (4.2) 3,982 (2.7) 2,641 (4.7) 36,819 (2.4)
  Physical inactivity 1,559 (3.2) 22,679 (1.6) 376 (4.8) 4,732 (3.2) 1,935 (3.4) 27,411 (1.8)
Addictive substances
  Smoking 3,340 (6.9) 54,019 (3.9) 1,462 (18.5) 18,900 (12.7) 4,802 (8.5) 72,919 (4.7)
  Alcohol use 1,869 (3.9) 49,449 (3.6) 24 (0.3) 6,580 (4.4) 1,893 (3.4) 56,029 (3.6)
  Illicit drug use 189 (0.4) 7,890 (0.6) 37 (0.5) 2,024 (1.4) 226 (0.4) 9,914 (0.6)
Sexual and reproductive health
  Unsafe sex 2,819 (5.8) 80,270 (5.8) 32 (0.4) 909 (0.6) 2,851 (5.1) 81,179 (5.3)
  Non-use and use of ineffective methods of contraception 162 (0.3) 7,411 (0.5) 0 (0.0) 23 (<0.1) 162 (0.3) 7,434 (0.5)
Environmental risks
  Unsafe water, sanitation, and hygiene 1,563 (3.2) 51,622 (3.7) 4 (<0.1) 289 (0.2) 1,567 (2.8) 51,911 (3.4)
  Urban air pollution 735 (1.5) 8,707 (0.6) 76 (1.0) 664 (0.4) 811 (1.4) 9,371 (0.6)
  Indoor smoke from household use of solid fuels 1,791 (3.7) 41,731 (3.0) 0 (0.0) 2 (<0.1) 1,791 (3.2) 41,734 (2.7)
Other selected risks
  Contaminated injections in health care setting 407 (0.8) 8,974 (0.6) 4 (<0.1) 76 (<0.1) 412 (0.7) 9,050 (0.6)
  Child sexual abuse 65 (0.1) 5,381 (0.4) 6 (<0.1) 699 (0.5) 71 (0.1) 6,079 (0.4)
All selected risk factors together 22,014 (45.6) 500,066 (36.1) 3,473 (44.0) 51,092 (34.3) 25,488 (45.3) 551,158 (35.9)

Source: Chapter 4 . Note that mortality and disease burden attributable to individual risk factors cannot be added due to multicausality. See Chapter 4 for details.

a. (some footnote as Table 1.1 )

b. Age-standardized using the WHO World Standard Population