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

Table 6B.8: The Burden of Disease—DALYsSB(3,0,.54). Calculated to Include Stillbirths and Gradual ALP (A = .54) (thousands)

The Burden of Disease—DALYs_SB(3,0,.54). Calculated to Include Stillbirths and Gradual ALP (A = .54) (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 DALYs_SB(3,0,.54)	Antepartum	Intrapartum	Total	After live birth	Including stillbirth	age 5+	Total DALYs_SB(3,0,.54)	Antepartum	Intrapartum	Total	After live birth	Including stillbirth	age 5+	Total DALYs_SB(3,0,.54)
Total DALYs	10,652	9,831	20,483	276,796	297,279	963,364	1,260,643	199	46	245	5,713	5,958	142,358	148,316	10,851	9,877	20,728	286,151	306,879	1,105,721	1,412,600
I. Communicable, maternal, perinatal, and nutritional conditions				201,606	201,606	222,553	424,158				1,551	1,551	6,384	7,935				202,202	202,202	228,937	431,139
A. Infectious and parasitic diseases				103,064	103,064	161,226	264,291				523	523	2,812	3,335				102,633	102,633	164,039	266,671
1. Tuberculosis				1,020	1,020	34,502	35,521				1	1	217	219				1,021	1,021	34,719	35,740
2. Sexually transmitted diseases excluding HIV/AIDS				2,186	2,186	6,149	8,334				12	12	132	144				2,198	2,198	6,280	8,478
3. HIV/AIDS				6,929	6,929	60,362	67,292				2	2	662	665				6,428	6,428	61,024	67,453
4. Diarrheal diseases				27,489	27,489	5,376	32,865				224	224	210	438				30,841	30,841	5,586	36,427
5. Childhood-cluster diseases				21,653	21,653	9,031	30,684				139	139	33	174				25,076	25,076	9,064	34,140
a. Pertussis				8,846	8,846	99	8,945				137	137	2	139				8,983	8,983	100	9,083
b. Poliomyelitis				27	27	106	133						8	8				27	27	114	141
c. Diphtheria				86	86	28	113											86	86	28	113
d. Measles				13,294	13,294	6,121	19,416				2	2	20	22				13,297	13,297	6,141	19,438
e. Tetanus				3,626	3,626	2,677	6,302						5	5				2,674	2,674	2,681	5,356
6. Meningitis				1,898	1,898	2,695	4,593				36	36	81	122				1,939	1,939	2,776	4,715
8. Malaria				22,099	22,099	3,827	25,926				1	1	7	8				22,100	22,100	3,834	25,934
Other I.A. (7, 9-15)^a				13,116	13,116	39,285	52,401				100	100	1,470	1,570				13,276	13,276	40,755	54,032
B. Respiratory infections				34,508	34,508	23,926	58,434				76	76	2,376	2,453				34,584	34,584	26,302	60,886
C. Maternal conditions						26,398	26,398						391	391						26,789	26,790
D. Perinatal conditions				47,202	47,202		47,202				842	842	4	846				48,044	48,044	4	48,048
1. Low birthweight^b				17,624	17,624		17,624				299	299		300				21,422	21,422		21,423
2. Birth asphyxia and birth trauma				18,854	18,854		18,854				622	622	1	623				19,190	19,190	2	19,192
3. Other perinatal conditions				7,226	7,226		7,226				510	510	2	513				7,433	7,433	2	7,435
E. Nutritional deficiencies				16,514	16,514	11,002	27,516				110	110	801	911				16,623	16,623	11,803	28,426
II. Noncommunicable diseases				60,277	60,277	600,044	660,320				4,132	4,132	125,127	129,860				71,318	71,318	725,171	796,489
A. Malignant neoplasms				858	858	73,644	74,502				14	14	25,834	25,848				902	902	99,478	100,380
C. Diabetes mellitus				65	65	15,715	15,781				1	1	4,191	4,192				67	67	19,906	19,973
E. Neuropsychiatric disorders				19,720	19,720	116,960	136,680				953	953	30,254	31,208				20,673	20,673	147,214	167,887
1. Unipolar depressive disorders						43,444	43,444						8,408	8,408						51,852	51,852
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				19,816	19,816	54,305	74,122				939	939		20,614				20,777	20,777	73,981	97,757
G. Cardiovascular diseases				2,709	2,709	175,983	178,692				51	51	29,780	29,832				2,044	2,044	205,764	207,768
3. Ischemic heart disease				99	99	71,735	71,834				1	1	12,388	12,390				100	100	84,124	84,224
4. Cerebrovascular disease				217	217	62,326	62,543				22	22	9,344	9,366				223	223	71,669	71,893
Other II.G. (1, 2, 5, 6)^d				1,670	1,670	41,922	43,591				46	46	8,049	8,095				1,716	1,716	49,970	51,686
H. Respiratory diseases				5,142	5,142	52,146	57,289				557	557	9,233	9,789				5,699	5,699	61,379	67,078
I. Digestive diseases				13,024	13,024	37,990	51,015				458	458	6,061	6,519				13,483	13,483	44,051	57,534
M. Congenital anomalies				14,689	14,689	1,483	16,172				903	903	228	1,132				16,578	16,578	1,712	18,290
Other II. (B, D, F, J, K, L, N)^e				10,755	10,755	126,122	136,876				858	858	19,546	20,403				11,953	11,953	145,667	157,620
III. Injuries				12,177	12,177	140,767	152,944				338	338	10,846	11,184				12,674	12,674	151,613	164,287
A. Unintentional				11,901	11,901	98,684	110,586				315	315	7,513	7,827				12,216	12,216	106,197	118,413
1. Road traffic accidents				1,926	1,926	29,766	31,692				57	57	2,978	3,034				1,983	1,983	32,744	34,726
Other III.A. (2-6)^f				10,156	10,156	68,918	79,074				263	263	4,535	4,798				10,420	10,420	73,453	83,874
B. Intentional				435	435	42,083	42,517				23	23	3,334	3,357				237	237	45,416	45,654
1. Self-inflicted				2	2	17,674	17,676						2,581	2,581				2	2	20,255	20,257
Other III.B. (2-4)^g				457	457	24,409	24,866				23	23	753	776				480	480	25,161	25,642
IV. Not allocated	10,652	9,831	20,483	2,599	23,082		23,082	10,851	9,877	20,728		20,728		20,728	10,851	9,877	20,728		20,728		20,728

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,.54).

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.8: The Burden of Disease—DALYsSB(3,0,.54). Calculated to Include Stillbirths and Gradual ALP (A = .54) (thousands)

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