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6. Incorporating Deaths Near the Time of Birth into Estimates of the Global Burden of Disease

Table 6B.6: The Burden of Disease—DALYsSB(3,0,1). Calculated to Include Stillbirths (Valued the Same as Newborn Deaths) (thousands)

The Burden of Disease—DALYs_SB(3,0,1). Calculated to Include Stillbirths (Valued the Same as Newborn Deaths) (thousands)
	Low- and middle-income countries							High-income countries							World
	DALYs							DALYs							DALYs
	Stillbirth			Under age 5				Stillbirth			Under age 5				Stillbirth			Under age 5
Cause	Antepartum	Intrapartum	Total	After live birth	Including stillbirth	age 5+	Total	Antepartum	Intrapartum	Total	After live birth	Including stillbirth	age 5+	Total	Antepartum	Intrapartum	Total	After live birth	Including stillbirth	age 5+	Total
Total DALYs	65,463	32,755	98,198	424,062	522,260	963,364	1,485,623	1,222	153	1,375	6,804	8,178	142,358	150,536	66,685	32,907	99,592	430,866	530,458	1,105,721	1,636,179
I. Communicable, maternal, perinatal, and nutritional conditions				330,086	330,086	222,553	552,639				2,177	2,177	6,384	8,561				332,263	332,263	228,937	561,200
A. Infectious and parasitic diseases				159,602	159,602	161,226	320,828				563	563	2,812	3,375				160,165	160,165	164,039	324,203
1. Tuberculosis				1,385	1,385	34,502	35,887				2	2	217	219				1,387	1,387	34,719	36,106
2. Sexually transmitted diseases excluding HIV/AIDS				3,194	3,194	6,149	9,343				13	13	132	145				3,207	3,207	6,280	9,488
3. HIV/AIDS				10,467	10,467	60,362	70,830				3	3	662	665				10,471	10,471	61,024	71,495
4. Diarrheal diseases				53,343	53,343	5,376	58,719				235	235	210	444				53,578	53,578	5,586	59,164
5. Childhood-cluster diseases				34,124	34,124	9,031	43,155				141	141	33	175				34,266	34,266	9,064	43,330
a. Pertussis				11,310	11,310	99	11,408				138	138	2	139				11,448	11,448	100	11,548
b. Poliomyelitis				30	30	106	136						8	8				30	30	114	144
c. Diphtheria				137	137	28	164											137	137	28	164
d. Measles				16,984	16,984	6,121	23,106				3	3	20	23				16,988	16,988	6,141	23,129
e. Tetanus				5,663	5,663	2,677	8,340				1	1	5	5				5,664	5,664	2,681	8,345
6. Meningitis				2,784	2,784	2,695	5,479				50	50	81	131				2,834	2,834	2,776	5,610
8. Malaria				36,159	36,159	3,827	39,986				2	2	7	9				36,161	36,161	3,834	39,995
Other I.A. (7, 9-15)^a				18,144	18,144	8	18,152				117	117	1,470	1,587				18,261	18,261	40,755	59,016
B. Respiratory infections				62,826	62,826	23,926	86,752				98	98	2,376	2,474				62,924	62,924	26,302	89,227
C. Maternal conditions						26,398	26,398						391	391						26,789	26,789
D. Perinatal conditions				89,096	89,096		89,096				1,405	1,405	4	1,408				90,501	90,501	4	90,505
1. Low birthweight^b				42,606	42,606		42,606				467	467		467				43,072	43,072		43,073
2. Birth asphyxia and birth trauma				31,442	31,442		31,443				528	528	1	530				31,971	31,971	2	31,972
3. Other perinatal conditions				15,048	15,048		15,048				410	410	2	412				15,458	15,458	2	15,460
E. Nutritional deficiencies				18,562	18,562	11,002	29,564				111	111	801	912				18,673	18,673	11,803	30,475
II. Noncommunicable diseases				78,798	78,798	600,044	678,842				4,229	4,229	125,127	129,356				83,027	83,027	725,171	808,198
A. Malignant neoplasms				1,148	1,148	73,644	74,792				54	54	25,834	25,888				1,202	1,202	99,478	100,680
C. Diabetes mellitus				102	102	15,715	15,817				1	1	4,191	4,192				103	103	19,906	20,009
E. Neuropsychiatric disorders				20,180	20,180	116,960	137,140				976	976	30,254	31,230				21,156	21,156	147,214	168,371
1. Unipolar depressive disorders						43,444	43,445						8,408	8,408				1	1	51,852	51,853
2. Bipolar affective disorder						8,681	8,681						1,056	1,056						9,737	9,737
3. Schizophrenia				1	1	10,530	10,531						1,115	1,115				1	1	11,645	11,646
Other II.E. (4-16)^c				7	7	20	27				976	976	19,675	20,651				21,154	21,154	73,981	95,134
G. Cardiovascular diseases				3,033	3,033	175,983	179,016				78	78	29,780	29,859				3,111	3,111	205,764	208,875
3. Ischemic heart disease				177	177	71,735	71,913				2	2	12,388	12,390				180	180	84,124	84,303
4. Cerebrovascular disease				371	371	62,326	62,697				11	11	9,344	9,354				382	382	71,669	72,051
Other II.G. (1, 2, 5, 6)^d				2,484	2,484		2,484				65	65	8,049	8,114				2,550	2,550	49,970	52,520
H. Respiratory diseases				5,966	5,966	52,146	58,112				569	569	9,233	9,801				6,535	6,535	61,379	67,914
I. Digestive diseases				14,442	14,442	37,990	52,433				475	475	6,061	6,536				14,917	14,917	44,051	58,968
M. Congenital anomalies				22,061	22,061	1,483	23,544				1,191	1,191	228	1,420				23,252	23,252	1,712	24,964
Other II. (B, D, F, J, K, L, N)^e				11,866	11,866	1	11,867				885	885	19,546	20,431				12,751	12,751	145,667	158,418
III. Injuries				15,178	15,178	140,767	155,945				398	398	10,846	11,244				15,576	15,576	151,613	167,189
A. Unintentional				14,621	14,621	98,684	113,306				364	364	7,513	7,876				14,985	14,985	106,197	121,182
1. Road traffic accidents				2,275	2,275	29,766	32,041				68	68	2,978	3,045				2,343	2,343	32,744	35,087
Other III.A. (2-6)^f				12,346	12,346	12	12,358				296	296	4,535	4,831				12,642	12,642	73,453	86,095
B. Intentional				557	557	42,083	42,640				34	34	3,334	3,368				591	591	45,416	46,007
1. Self-inflicted				4	4	17,674	17,678						2,581	2,581				4	4	20,255	20,259
Other III.B. (2-4)^g				553	553	2	555				34	34	753	787				587	587	25,161	25,749
IV. Not allocated	65,463	32,755	98,198		98,198		98,198	1,222	153	1,375		1,375		1,375	66,685	32,907	99,592		99,592		99,592

Sources: Stillbirth data are from WHO 2005a. Neonatal and perinatal mortality are country, regional, and global estimates. Age 5+ and total data are from table 6.4 for low- and middle-income countries. All other data are from chapter 3 of this volume.

Note: A blank cell indicates that fewer than 1,000 deaths are attributable to the specific cause. DALYs used here: DALYs(3,0,1).

a. Hepatitis, tropical-cluster diseases, leprosy, dengue, Japanese encephalitis, trachoma, intestinal nematode infections, and other infectious diseases.

b. Low birthweight deaths are those resulting from intrauterine growth retardation or preterm birth. Almost all low birthweight deaths in the neonatal period result from preterm birth.

c. Epilepsy, alcohol use disorders, Alzheimer's and other dementias, Parkinson's disease, multiple sclerosis, drug use disorders, post-traumatic stress disorder, obsessive-compulsive disorder, panic disorder, insomnia (primary), migraine, mental retardation attributable to lead exposure, and other neuropsychiatric disorders.

d. Rheumatic heart disease, hypertensive heart disease, inflammatory heart diseases, and other cardiovascular diseases.

e. Other neoplasms, endocrine disorders, sense organ diseases, genitourinary diseases, skin diseases, musculoskeletal diseases, and oral conditions.

f. Poisonings, falls, fires, drownings, and other unintentional injuries.

g. Violence, war, and other intentional injuries.

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6. Incorporating Deaths Near the Time of Birth into Estimates of the Global Burden of Disease

Table 6B.6: The Burden of Disease—DALYsSB(3,0,1). Calculated to Include Stillbirths (Valued the Same as Newborn Deaths) (thousands)

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