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Burden of injuries in Nepal, 1990-2017: findings from the Global Burden of Disease Study 2017.
Pant, Puspa Raj; Banstola, Amrit; Bhatta, Santosh; Mytton, Julie A; Acharya, Dilaram; Bhattarai, Suraj; Bisignano, Catherine; Castle, Chris D; Prasad Dhungana, Govinda; Dingels, Zachary V; Fox, Jack T; Kumar Hamal, Pawan; Liu, Zichen; Bahadur Mahotra, Narayan; Paudel, Deepak; Narayan Pokhrel, Khem; Lal Ranabhat, Chhabi; Roberts, Nicholas L S; Sylte, Dillon O; James, Spencer L.
Affiliation
  • Pant PR; Centre for Academic Child Health (CACH), University of the West of England, Bristol, UK puspa.pant@uwe.ac.uk.
  • Banstola A; Centre for Academic Child Health (CACH), University of the West of England, Bristol, UK.
  • Bhatta S; Department of Research, Public Health Perspective Nepal, Pokhara-Lekhnath Metropolitan City, Nepal.
  • Mytton JA; Centre for Academic Child Health (CACH), University of the West of England, Bristol, UK.
  • Acharya D; Department of Nursing and Midwifery, University of the West of England, Bristol, UK.
  • Bhattarai S; Department of Preventive Medicine, Dongguk University, Gyeongju, South Korea.
  • Bisignano C; Department of Community Medicine, Kathmandu University, Devdaha, Nepal.
  • Castle CD; London School of Hygiene & Tropical Medicine, London, UK.
  • Prasad Dhungana G; Nepal Academy of Science & Technology, Patan, Nepal.
  • Dingels ZV; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
  • Fox JT; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
  • Kumar Hamal P; Department of Microbiology, Far Western University, Mahendranagar, Nepal.
  • Liu Z; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
  • Bahadur Mahotra N; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
  • Paudel D; Department of Anaesthesiology and Intensive Care, National Academy of Medical Sciences, Kathmandu, Nepal.
  • Narayan Pokhrel K; Journal of Nepal Health Research Council, Nepal Health Research Council, Kathmandu, Nepal.
  • Lal Ranabhat C; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
  • Roberts NLS; Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
  • Sylte DO; Health, Nutrition and HIV/AIDS Program, Save the Children, Kathmandu, Nepal.
  • James SL; Center for International Health, Ludwig Maximilians University, Munich, Germany.
Inj Prev ; 26(Supp 1): i57-i66, 2020 10.
Article in En | MEDLINE | ID: mdl-31915272
BACKGROUND: Nepal is a low-income country undergoing rapid political, economic and social development. To date, there has been little evidence published on the burden of injuries during this period of transition. METHODS: The Global Burden of Disease Study (GBD) is a comprehensive measurement of population health outcomes in terms of morbidity and mortality. We analysed the GBD 2017 estimates for deaths, years of life lost, years lived with disability, incidence and disability-adjusted life years (DALYs) from injuries to ascertain the burden of injuries in Nepal from 1990 to 2017. RESULTS: There were 16 831 (95% uncertainty interval 13 323 to 20 579) deaths caused by injuries (9.21% of all-cause deaths (7.45% to 11.25%)) in 2017 while the proportion of deaths from injuries was 6.31% in 1990. Overall, the injury-specific age-standardised mortality rate declined from 88.91 (71.54 to 105.31) per 100 000 in 1990 to 70.25 (56.75 to 85.11) per 100 000 in 2017. In 2017, 4.11% (2.47% to 6.10%) of all deaths in Nepal were attributed to transport injuries, 3.54% (2.86% to 4.08%) were attributed to unintentional injuries and 1.55% (1.16% to 1.85%) were attributed to self-harm and interpersonal violence. From 1990 to 2017, road injuries, falls and self-harm all rose in rank for all causes of death. CONCLUSIONS: The increase in injury-related deaths and DALYs in Nepal between 1990 and 2017 indicates the need for further research and prevention interventions. Injuries remain an important public health burden in Nepal with the magnitude and trend of burden varying over time by cause-specific, sex and age group. Findings from this study may be used by the federal, provincial and local governments in Nepal to prioritise injury prevention as a public health agenda and as evidence for country-specific interventions.
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Full text: 1 Collection: 01-internacional Health context: 11_ODS3_cobertura_universal / 2_ODS3 Database: MEDLINE Main subject: Wounds and Injuries / Global Health / Global Burden of Disease Type of study: Diagnostic_studies / Incidence_studies / Prognostic_studies Aspects: Patient_preference Limits: Child / Female / Humans Country/Region as subject: Asia Language: En Journal: Inj Prev Year: 2020 Document type: Article

Full text: 1 Collection: 01-internacional Health context: 11_ODS3_cobertura_universal / 2_ODS3 Database: MEDLINE Main subject: Wounds and Injuries / Global Health / Global Burden of Disease Type of study: Diagnostic_studies / Incidence_studies / Prognostic_studies Aspects: Patient_preference Limits: Child / Female / Humans Country/Region as subject: Asia Language: En Journal: Inj Prev Year: 2020 Document type: Article