7.疾病负担研究的组织实施-周麦耕

GBD 2000
• • • • • 世界卫生组织，2000-2002 定期发布对全球和14个区域的疾病负担研究结果 2002年还发布了每个国家的疾病负担研究结果 160 种疾病或伤残，25种危险因素 GATES基金会支持，WHO、世行、NIH合作，在GBD基础上，开展 疾病控制优先权研究，进行成本效益分析
疾病负担研究的组织与实施
周脉耕
中国疾病预防控制中心
报告内容
全球疾病负担研究回顾 全球疾病负担研究的组织实施 中国CDC疾病负担研究进展 对各省的工作建议
中国疾病预防控制中心
全球疾病负担研究回顾
GBD 1990
• 世界银行，1991 • 107 种疾病或伤残，10种危险因素 • 全球八大主要区域
2004年全球疾病负担报告内容简介
第一部分：前言 Overview of the Global Burden of Disease Study.............................................................. 2 What is new in this update for 2004?................................................................................. 3 Regional estimates for 2004.............................................................................................. 5 第二部分：死亡原因 1. Deaths in 2004: who and where?.................................................................................. 8 2. Deaths by broad cause groups...................................................................................... 8 3. Leading causes of death.............................................................................................. 11 4. Cancer mortality........................................................................................................... 12 5. Causes of death among children aged under five years................. ................... ......... 14 6. Causes of death among adults aged 15–59 years.................................. .................... 17 7. Years of life lost: taking age at death into account........................ ................ .............. 21 8. Projected trends in global mortality: 2004–2030....................... .......................... ........ 22 第三部分：发病、患病和伤残 9. How many people become sick each year?.......................... ............... ..................... .28 10. Cancer incidence by site and region............................................ ............................. 29 11. How many people are sick at any given time?.......................... .................. ...... ....... 31 12. Prevalence of moderate and severe disability................................. ......... ................ 31 13. Leading causes of years lost due to disability in 2004......... ................ ........ ............ 36 第四部分：疾病负担 14. Broad cause composition.............................................................. ........................... 40 15. The age distribution of burden of disease............................... ................................. 42 16. Leading causes of burden of disease........................... ..................... ....................... 42 17. The disease and injury burden for women................................................... ............. 46 18. The growing burden of noncommunicable disease....................... .......... ................ .47 19. The unequal burden of injury................................................... ................. ............... .48 20. Projected burden of disease in 2030............................ ........ .................................... 49
中国疾病预防控制中心
Βιβλιοθήκη Baidu
全球健康危险因素——主要危险因素归因死亡和疾病负担
1、危险因素简介 1.1 Purpose of this report.......................................................................................... 1 1.2 Understanding the nature of health risks.......................................................... .. 1 1.3 The risk transition................................................................................................ 2 1.4 Measuring impact of risk........................................................................... .......... 4 1.5 Risk factors in the update for 2004...................................................................... 5 1.6 Regional estimates for 2004................................................................................. 7 2、主要危险因素的归因死亡和疾病负担 2.1 Global patterns of health risk................................................................................ 9 2.2 Childhood and maternal undernutrition.................................................... ........ 13 2.3 Other diet-related risk factors and physical inactivity......................................... 16 2.4 Sexual and reproductive health.......................................................................... 19 2.5 Addictive substances.......................................................................................... 21 2.6 Environmental risks........................................................................................... 23 2.7 Occupational and other risks.............................................................................. 25 3、危险因素的联合效应 3.1 Joint contribution of risk factors to specific diseases........................................... 28 3.2 Potential health gains from reducing multiple risk factors............ ...................... 29 3.3 Conclusions............................... .................... .............. ........... ... ...... .......... 31 Annex A: Data and methods References
GBD 2005 study
• 于2007年启动，由哈佛大学、华盛顿大学、霍普金斯大学、澳大利 亚昆士兰大学、世界卫生组织联合开展研究 • 220多种疾病与伤害，43 危险因素，21个地区 • 对2005年和1990年的结果进行比较，观察变化趋势 • 将在今年年底发布研究结果
中国疾病预防控制中心