<br><span class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>><br>crossposted from : <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<h1 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="maroon" size="4"><span style="FONT-SIZE: 14pt; COLOR: maroon; FONT-FAMILY: Arial">The global burden of disease: 2004 update <br></span></font><font color="maroon"><span style="COLOR: maroon"><br>
</span></font></b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">World Health Organization WHO – October 2008<br></span></font><font size="2"><span style="FONT-SIZE: 10pt"><br>
</span></font><strong><b><i><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">A response to the need for comprehensive, consistent and comparable information on diseases and injuries at global and regional level.</span></font></i></b></strong><font size="1"><span style="FONT-SIZE: 9pt"> </span></font></h1>

<h1 style="MARGIN-LEFT: 0.5in"><span><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Website:</span></font></b></span><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html</span></font></a> </span></font></h1>

<h1 style="MARGIN-LEFT: 0.5in"><span><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Full text PDF [160p</span></font></b></span><span><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">.</span></font></b></span><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">]</span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">at: <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf</span></font></a></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></h1>

<h1 style="MARGIN-LEFT: 0.5in"><em><b><i><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The global burden of disease: 2004 update</span></font></i></b></em><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> is a comprehensive assessment of the health of the world's population. It provides detailed global and regional estimates of premature mortality, disability and loss of health for 135 causes by age and sex, drawing on extensive WHO databases and on information provided by Member States.<br>
<br>The  study provides a comprehensive picture of the global and regional state of health. Drawing from extensive data across the Organization, it features comparisons between deaths, diseases and injuries by region, age, sex and country income for the year 2004. It also provides projections of deaths and burden of disease by cause and region to the year 2030.</span></font></h1>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The study contains details of the top 10 causes of death and estimates for over 130 disease and injury causes. Striking findings include:</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Worldwide, Africa accounts for nine out of every 10 child deaths due to malaria, for nine out of every 10 child deaths due to AIDS, and for half of the world's child deaths due to diarrhoeal disease and pneumonia. </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">The top five causes of death in low-income countries are: pneumonia, followed by heart disease, diarrhoea, HIV/AIDS and stroke. In high-income countries, the list is topped by heart disease and followed by stroke, lung cancer, pneumonia, and asthma/bronchitis. </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Men between the ages of 15 and 60 years have much higher risks of dying than women in the same age category in every region of the world. This, is mainly due to injuries, including those caused in violence and conflict, and to higher levels of heart diseases. This difference is most pronounced in Latin America, the Caribbean, the Middle East and the eastern European regions. </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Depression is the leading cause of years lost due to disability, the burden being 50% higher for females than males. In both low- and middle-income countries, and high-income countries, alcohol dependence and problem use are among the 10 leading causes of disability. </span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The production and dissemination of health information for action is one of WHO's core mandated activities. This study provides Member States with an important input for health decision making, planning and priority setting. </span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The study contains information on:</span></font></p>
<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">causes of death in different parts of the world </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">the leading causes of death by age, sex and disease </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">the numbers of people with various diseases and disabilities </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">how many people become ill each year </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">the causes of loss of health and the actual loss of years of good health: these are measured in disability-adjusted life years (DALYs). One DALY is equivalent to the loss of one year of full health. </span></font></p>

<h3 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; TEXT-TRANSFORM: uppercase; COLOR: navy; FONT-FAMILY: Arial">NOTE FOR THE MEDIA</span></font></b></h3>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/ar/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Arabic</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/zh/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Chinese</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">English</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/fr/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">French</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/ru/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Russian</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/news/notes/2008/np11/es/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Spanish</span></font></a> </span></font></p>

<h3 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; TEXT-TRANSFORM: uppercase; COLOR: navy; FONT-FAMILY: Arial">OTHER MATERIALS ON THE REPORT</span></font></b></h3>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/features/factfiles/global_burden/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">10 facts on the GBD</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/mediacentre/factsheets/fs310/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Top 10 causes of death fact sheet</span></font></a> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD2004ReportFigures.ppt" target="_blank"><font color="navy"><span style="COLOR: navy">Key figures and graphs [ppt 1.74Mb]</span></font></a> </span></font></p>

<h3 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; TEXT-TRANSFORM: uppercase; COLOR: navy; FONT-FAMILY: Arial">THE REPORT IN SECTIONS</span></font></b></h3>
<p style="MARGIN-LEFT: 0.5in"><span><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_part1.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Part 1: Introduction [pdf 577kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_part2.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Part 2: Causes of death [pdf 635kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_part3.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Part 3: Disease incidence, prevalence and disability [pdf 247kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_part4.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Part 4: Burden of disease: DALYs [pdf 395kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_AnnexA.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Annex A: Deaths and DALYs 2004 Annex tables [pdf 581kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_AnnexB.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Annex B: Data sources and methods [pdf 300kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_AnnexC.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Annex C: Analysis categories and mortality data sources [pdf 224kb]</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/GBD_report_2004update_References.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">References [pdf 144kb]</span></font></a> </span></font></p>

<h3 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; TEXT-TRANSFORM: uppercase; COLOR: navy; FONT-FAMILY: Arial">STATISTICS FROM THE REPORT</span></font></b></h3>
<p style="MARGIN-LEFT: 0.5in"><span><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/estimates_regional/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Regional estimates of YLL, YLD, and DALYs, deaths, incidence and prevalence for 2004</span></font></a> <br>
<span><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">::</span></font></b></span> <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.who.int/entity/healthinfo/global_burden_disease/projections/en/index.html" target="_blank"><font color="navy"><span style="COLOR: navy">Regional projections of deaths and DALYs for 2008, 2015, and 2030</span></font></a></span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" size="2"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"> </span></font></p>
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