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Mizoram: Disease Burden Profile, 1990 to 2016

1990 life expectancy 2016 life expectancy


Females: 66.7 years Males: 64.0 years Females: 73.8 years Males: 68.3 years

How much did the under-5 mortality rate change from 1990 to 2016?
How much did the under-5 mortality rate change from 1990 to 2016?
Under-5 mortality
Under-5 mortality rate, bothrate, both sexes
sexes combined, combined, 1990-2016
1990-2016

Mizoram under-5 rate India under-5 rate Comparative average rate globally for similar
Socio-demographic Index as Mizoram

150
Deaths per 1,000 live births

100

50
39.2
30.6
The shaded
26.2 bands indicate
95% uncertainty
intervals around
0 the estimates
1990 1995 2000 2005 2010 2016
Year
What caused the most deaths in different age groups in 2016?
Whatcontribution
Percent causedofthe most
top 10 causesdeaths
of death byin
agedifferent
in 2016?age 2016
group, both sexes, groups
Percent contribution of top 10 causes of death by age group, both sexes, 2016

0−14 years [12% of total deaths] 15−39 years [13.7% of total deaths]

1% HIV/AIDS & tuberculosis


3.7%
3.8% Diarrhoea/LRI*/other
6.6% 0.9% 13.8% 15.7%
1.3% NTDs† & malaria
30.6% 1.3%
0.9% Maternal disorders
7.8%
13.8%
Neonatal disorders

6.7% Nutritional deficiencies

5.5% Other communicable diseases

34% 11.7% Cancers


15.8% 10.3%
Cardiovascular diseases

4.6% 5.7% 4.4% Chronic respiratory diseases

Cirrhosis

Digestive diseases

Neurological disorders

40−69 years [37.8% of total deaths] 70+ years [36.6% of total deaths]
Diabetes/urog‡/blood/endo§
2.9% 3.6% Other non-communicable
3.2%
Transport injuries
5.9% 7.3% 3.3% 4%
Unintentional injuries
8.9% 8.2%
19.9%
Suicide & violence
6.6% 5.3%
Other causes of death
4.7% 3.9%
*LRI is lower respiratory infections.
2%
5.9% †
NTDs are neglected tropical diseases.
30% 15% ‡
Urog is urogenital diseases.
§
Endo is endocrine diseases.

12.3% 21%

11.8% 14.1%

India: Health of the Nation's States — The India State-Level Disease Burden Initiative.
New Delhi: ICMR, PHFI, and IHME; 2017. ISBN 978-0-9976462-1-4. 1
Proportion of total disease burden from:
Premature death: 64.6% | Disability or morbidity: 35.4%

What caused the most years of life lost, by sex, in 2016?


Top 15 causes of YLLs, ranked by percent for both sexes combined, 2016

Females Males

Malaria
Lower respiratory infections
COPD*
Road injuries
Intestinal infectious diseases
Diarrhoeal diseases
Preterm birth complications
Other neonatal disorders
Ischaemic heart disease
Tuberculosis
HIV/AIDS
Stomach cancer
Tracheal, bronchus, and lung cancer
Neonatal encephalopathy
Stroke

10 7.5 5 2.5 0 0 2.5 5 7.5 10


Percent of total years of life lost due to premature mortality Percent of total years of life lost due to premature mortality
Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries

*COPD is chronic obstructive pulmonary disease.


What caused the most years lived with disability, by sex, in 2016?
Top 15 causes of YLDs, ranked by percent for both sexes combined, 2016

Females Males

Sense organ diseases*


Low back & neck pain
Migraine
Iron-deficiency anaemia
Skin diseases
COPD*
Other musculoskeletal
Depressive disorders
Anxiety disorders
Preterm birth complications
Diabetes
Oral disorders
Falls
Drug use disorders
Schizophrenia

10.0 7.5 5.0 2.5 0 0 2.5 5.0 7.5 10.0


Percent of total years lived with disability Percent of total years lived with disability
Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries

*COPD is chronic obstructive pulmonary disease.


*Sense organ diseases includes mainly hearing and vision loss.

2 Mizoram
Proportion of total disease burden from:
CMNNDs: 34.6% | NCDs: 55.5% | Injuries: 9.8%
How
How have
have the leading
leading causes
causesofofdeath
deathand
anddisability
disability combined
combined changed
changed from
from 1990
1990 to 2016?
to 2016?
Change
Change in top 15 causes
causesof
ofDALYs,
DALYs,both
bothsexes,
sexes,ranked
rankedbyby number
number of of DALYs,
DALYs, 1990–2016
1990–2016

Communicable, maternal, Non-communicable diseases Injuries same or increase decrease


neonatal, and nutritional diseases

Leading causes of DALYs 1990 Leading causes of DALYs 2016

Lower respiratory infections [9.9%] 1 1 COPD† [5.5%]


Diarrhoeal diseases [6.7%] 2 2 Malaria [4.7%]*
Malaria [5.1%] 3 3 Lower respiratory infections [4.4%]
Intestinal infectious diseases [4.6%] 4 4 Preterm birth complications [3.2%]*
Tuberculosis [4.1%] 5 5 Diarrhoeal diseases [3.1%]
Preterm birth complications [3.7%] 6 6 Road injuries [3.0%]
COPD† [3.2%] 7 7 Sense organ diseases‡ [3.0%]
Other neonatal disorders [3.1%] 8 8 Intestinal infectious diseases [2.6%]
Neonatal encephalopathy [2.6%] 9 9 Low back & neck pain [2.6%]
Road injuries [2.2%] 10 10 Migraine [2.5%]
Congenital birth defects [2.1%] 11 11 Skin diseases [2.3%]
Sense organ diseases‡ [1.8%] 12 12 Iron-deficiency anaemia [2.3%]
Skin diseases [1.8%] 13 13 Ischaemic heart disease [2.2%]
Low back & neck pain [1.7%] 14 14 Tuberculosis [2.2%]
Iron-deficiency anaemia [1.7%] 15 15 Other neonatal disorders [2.1%]*
Migraine [1.7%] 16 22 Congenital birth defects [1.7%]*
Ischaemic heart disease [1.3%] 20 23 Neonatal encephalopathy [1.6%]*


*Change not significant. COPD is chronic obstructive pulmonary disease.

The percent figure in brackets next to each cause is Sense organ diseases includes mainly hearing and vision loss.
DALYs from that cause out of total DALYs. §
Self-harm refers to suicide and the nonfatal outcomes of self-harm.

What causedthe
What caused themost
most death
death and
and disability
disability combined
combined across
across age groups
age groups in 2016?
in 2016?
Percent
Percent of
of DALYs by age group,
group, both
both sexes,
sexes,2016
2016
20

[1.95]

15
Percent of total DALYs

10

[1.45]
[0.73] [1.18] [1.83]
[0.58] [0.65]
[0.86] [0.97]
[2.25]
5 [0.48] [2.81]
[3.37] [3.85]
[0.32] [0.33]
[4.46]
[5.02]

0
)
%)
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64
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54

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70

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80

Age
Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries

The number in the bracket on top of each vertical bar is the ratio of percent DALYs to population for that age group.
The number in parentheses after each age group on the x-axis is the percent of population in that age group.

Mizoram 3
What risk factors are driving the most death and disability combined?
Contribution of top 10 risks to DALYs number, both sexes, ranked by number of DALYs, 19
What risk factors are driving the most death and disability combined?
What risk factors are driving the most death and disability combined?
Contribution
Contribution
Behaviouralof
oftop
top1010risks toto
risks DALYs number,
DALYs bothboth
number,
Environmental/occupational sexes, ranked
sexes, by number
ranked
Metabolic of DALYs,
by number 1990-2016
of DALYs,
same 1990-2016
or increase decrease
Behavioural Environmental/occupational Metabolic same or increase decrease

Risk factors 1990 Risk factors 2016


Risk factors 1990 Risk factors 2016
Malnutrition* [22.4%]
Malnutrition* [32.2%] 1
1 1 Malnutrition* [14.8%]
1 Malnutrition* [11.5%]
Air pollution
WaSH †
[15.2%] [8.3%]
2 2 2 Air pollution [5.1%] 2 Tobacco use [11.0%]
Air pollution
Tobacco [7.7%] 3
use [7.3%] 3 3 High blood pressure [5.0%]
3 Air pollution [5.4%]
Tobacco use [3.6%] † 4 4 Tobacco use [4.9%]
WaSH [7.3%] 4 4 Alcohol & drug use [4.1%]
Dietary risks [2.3%] 5 5 Dietary risks [4.7%]
Dietary[2.2%]
High blood pressure risks [2.5%]
6 5 6 5 [4.0%]
High fasting plasma glucose Dietary risks [3.6%]
Alcohol &risks
Occupational drug use [2.4%]
[1.9%] 7 6 7 WaSH† [3.9%] 6 High fasting plasma glucose [3.5%]
Alcohol & drug use [1.6%] 8 8 Alcohol & drug use [3.9%]
Occupational risks [2.4%] 7 7 High blood pressure [3.3%]
High fasting plasma glucose [1.4%] 9 9 Occupational risks [2.6%]
High blood pressure [2.2%] 8
Impaired kidney function [0.9%] 10 10 Impaired kidney function8 [2.0%]Occupational risks [3.0%]
High fasting plasma glucose [1.8%] 9 9 WaSH† [2.9%]
The percent figure in bracket next to each risk is DALYs from that risk out of total DALYs. *Malnutrition is child and maternal malnutrition.
Impaired kidney function [1.3%] 10 † 10 Impaired
WaSH is unsafe water, sanitation, kidney function
and handwashing. [1.9%]

The percent figure in bracket next to each risk is DALYs from that risk out of total DALYs. *Malnutrition is child and maternal malnutrition.

WaSH is unsafe water, sanitation, and handwashing.

How did the risk factors differ by sex in 2016?


Percent of total DALYs attributable to top 10 risks, ranked by percent for both sexes combined, 2016

Females Males

Malnutrition*
Tobacco use
Air pollution
Alcohol & drug use
Dietary risks
High fasting plasma glucose
High blood pressure
Occupational risks
WaSH†
Unsafe sex

15 10 5 0 0 5 10 15
Percent of years of life lost and years lived with disability Percent of years of life lost and years lived with disability
Behavioural Environmental/occupational Metabolic

*Malnutrition is child and maternal malnutrition.



WaSH is unsafe water, sanitation, and handwashing.

4 Mizoram