6. The past 37 years have featured declining rates of
communicable, maternal, neonatal, and nutritional diseases
across all quintiles of SDI. A global shift toward deaths at older
ages suggests success in reducing many causes of early death.
YLLs have increased globally for causes such as diabetes mellitus
or some neoplasms, and in some locations for causes such as
drug use disorders, and conflict and terrorism. Increasing levels
of YLLs might reflect outcomes from conditions that required
high levels of care but for which effective treatments remain
elusive, potentially increasing costs to health systems.
Lancet Sept.2017
7. Catharina Wesseling, Senior Consultant of Epidemiology
La Isla Network
Catharina (Ineke) Wesseling graduated as a physician at the University of Costa Rica
and obtained a PhD degree in occupational and environmental epidemiology at the
Karolinska Institutet, in Sweden. She worked for more than 25 years at the Central
American Institute for Studies on Toxic Substances (IRET) of the Universidad Nacional
(UNA) in Heredia, Costa Rica, where she coordinated the Health Section of IRET. Her
main expertise is related to pesticides and the Mesoamerican nephropathy. Between
2003 and 2013, she was the Regional Director of the Central American Program on
Work, Environment & Health (SALTRA), where she initiated international research
collaboration on chronic kidney disease of unknown origin in Central America.
Currently, Catharina is a member of the LIN team and a researcher affiliated to the
Institute of Environmental Medicine of the Karolinska Institutet in Stockholm,
Sweden. She has (co)authored 130 peer reviewed international publications, book
chapters and monographs.
Notes de l'éditeur
As mortality rates decline, life expectancy increases, and population age. According to the burden of disease Lancet publication in 2017, Deaths due to communicable, maternal, neonatal, and nutritional causes continue to decline, while deaths from noncommunicable diseases increase and injury deaths are stable. Nonetheless, Non-Communicable diseases are grossly neglected on the global health agenda.
Deaths from non-communicable diseases (NCDs) represented 72.3% of deaths in 2016 with 19.3% (18.5–20.4) of deaths in that year occurring from communicable, maternal, neonatal, and nutritional (CMNN) diseases and a further 8.43% (8.00–8.67) from injuries.
SDI: Socio Demographic Index
GBD 2016 Causes of Death Collaborators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 14 Sept 2017: 390;1151–210.