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Int J Public Health. 2018 May;63(Suppl 1):63-77. doi: 10.1007/s00038-017-0998-x. Epub 2017 Aug 3.

Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study.

Collaborators (167)

Khalil I, Collison M, El Bcheraoui C, Charara R, Moradi-Lakeh M, Afshin A, Krohn KJ, Daoud F, Chew A, Kassebaum NJ, Colombara D, Cornaby L, Ehrenkranz R, Foreman KJ, Fraser M, Frostad J, Kemmer L, Kulikoff XR, Kutz M, Kyu HH, Liu P, Mikesell J, Nguyen G, Rao PC, Silpakit N, Sligar A, Smith A, Stanaway JD, Ärnlöv J, Abate KH, Ahmad Kiadaliri A, Alam K, Alasfoor D, Ali R, Alizadeh-Navaei R, Al-Raddadi R, Altirkawi KA, Alvis-Guzman N, Anber N, Ansari H, Antonio CAT, Anwari P, Artaman A, Asayesh H, Asgedom SW, Azzopardi P, Bacha U, Barac A, Barker-Collo SL, Bedi N, Beghi E, Bennett DA, Bhutta ZA, Bisanzio D, Castañeda-Orjuela CA, Castro RE, Danawi H, Deribe K, Deribew A, Des Jarlais DC, deVeber GA, Dey S, Dharmaratne SD, Djalalinia S, Do HP, Esteghamati A, Farvid MS, Fereshtehnejad SM, Fischer F, Gebrehiwot TT, Giussani G, Gona PN, Hafezi-Nejad N, Hamadeh RR, Hamidi S, Hoy DG, Hu G, John D, Jonas JB, Karimi SM, Kasaeian A, Khader YS, Khan EA, Khan G, Kim D, Kim YJ, Kinfu Y, Larson HJ, Latif AA, Leasher JL, Lunevicius R, Magdy Abd El Razek H, Magdy Abd El Razek M, Majeed A, Malekzadeh R, Memish ZA, Mendoza W, Mezgebe HB, Miller TR, Monasta L, Le Nguyen Q, Obermeyer CM, Ortiz A, Papachristou C, Park EK, Pereira CC, Petzold M, Phillips MR, Pourmalek F, Qorbani M, Rafay A, Rahimi-Movaghar V, Rai RK, Rana SM, Rawaf DL, Rawaf S, Renzaho AMN, Rezaei S, Rezai MS, Ronfani L, Roshandel G, Ruhago GM, Safdarian M, Safiri S, Sahraian MA, Salamati P, Samy AM, Sanabria JR, Sartorius B, Schwebel DC, Seedat S, Sepanlou SG, Setegn T, Shaheen A, Shaikh MA, Shamsizadeh M, Shiri R, Skirbekk V, Sobaih BHA, Sreeramareddy CT, Stathopoulou V, Suliankatchi Abdulkader R, Tehrani-Banihashemi A, Temsah MH, Thakur JS, Thomson AJ, Tran BX, Truelsen T, Ukwaja KN, Uthman OA, Vasankari T, Vlassov VV, Weiderpass E, Weintraub RG, Werdecker A, Yaghoubi M, Yaseri M, Yonemoto N, Younis MZ, Yu C, Jumaan AO, Vos T, Hay SI, Naghavi M, Wang H, Murray CJL, Mokdad AH.

Abstract

OBJECTIVES:

Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study.

METHODS:

We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries.

RESULTS:

In 2015, 755,844 (95% uncertainty interval (UI) 712,064-801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812-181,463) in 1990 to 80,985 (76,308-85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally.

CONCLUSIONS:

Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths.

KEYWORDS:

Burden of disease; Child mortality; Eastern Mediterranean Region; Infant mortality; Neonatal mortality

PMID:
28776242
PMCID:
PMC5702263
DOI:
10.1007/s00038-017-0998-x
[Indexed for MEDLINE]
Free PMC Article

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