Friday, November 09, 2018

Health News

The Lancet's Global Burden of Disease Study makes interesting if depressing reading. 

 "Careful reading of the results of GBD 2017 shatter this comforting trend of gradual improvement and instead show plateauing mortality rates on a background of faltering and uneven progress, era-defining epidemics, and dramatic health worker shortages. Instead of the progress updates we have become accustomed to, GBD 2017 comes as an urgent warning signal from a fragile and fragmented world. In 2017, global adult mortality rates decreases plateaued, and, in some cases, mortality rates increased."

"GBD 2017 is disturbing. Not only do the amalgamated global figures show a worrying slowdown in progress but the more granular data unearths exactly how patchy progress has been. GBD 2017 is a reminder that, without vigilance and constant effort, progress can easily be reversed."

"Opioid dependence has grown to an unprecedented scale, with 4 million new cases in 2017 and 110 000 deaths. Non-communicable diseases accounted for 73% of all global deaths in 2017, with over half of all deaths (28·8 million) attributable to just four risk factors: high blood pressure, smoking, high blood glucose, and high body-mass index. Obesity prevalence has risen in almost every country in the world—leading to more than a million deaths from type 2 diabetes, half a million deaths from diabetes-related chronic kidney disease, and 180 000 deaths related to non-alcoholic steatohepatitis. In 2017, depressive disorders were the third leading cause of years lived with disability after low back pain and headache disorders, and deaths from dengue fever, a disease often associated with struggling development and urbanisation, increased substantially in most tropical and subtropical countries, rising from 24 500 deaths globally in 2007 to 40 500 in 2017."

"The authors estimate that only half of all countries had the health-care workers required to deliver quality health care (estimated at 30 physicians, 100 nurses or midwives, and five pharmacists per 10 000 people)."

"GBD 2017 estimates that no country is on track to meet all of WHO's health-related SDGs by 2030. Under-five mortality, neonatal mortality, maternal mortality, and malaria indicators had the most countries with at least 95% probability of success. However, for many other targets—including child malnutrition and violence reduction goals—no country in the world has attained the pace of change that is required for these goals to be met."

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32858-7/fulltext?dgcid=etoc-edschoice_email_gbd17

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