Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVES:We used data from the Global Burden of Disease 2015 study (GBD) to calculate the burden of lower respiratory infections (LRIs) in the 22 countries of the Eastern Mediterranean Region (EMR) from 1990 to 2015. METHODS:We conducted a systematic analysis of mortality and morbidity data for LRI and its specific etiologic factors, including pneumococcus, Haemophilus influenzae type b, Respiratory syncytial virus, and influenza virus. We used modeling methods to estimate incidence, deaths, and disability-adjusted life-years (DALYs). We calculated burden attributable to known risk factors for LRI. RESULTS:In 2015, LRIs were the fourth-leading cause of DALYs, causing 11,098,243 (95% UI 9,857,095-12,396,566) DALYs and 191,114 (95% UI 170,934-210,705) deaths. The LRI DALY rates were higher than global estimates in 2015. The highest and lowest age-standardized rates of DALYs were observed in Somalia and Lebanon, respectively. Undernutrition in childhood and ambient particulate matter air pollution in the elderly were the main risk factors. CONCLUSIONS:Our findings call for public health strategies to reduce the level of risk factors in each age group, especially vulnerable child and elderly populations.

Original publication

DOI

10.1007/s00038-017-1007-0

Type

Journal article

Journal

International journal of public health

Publication Date

05/2018

Volume

63

Pages

97 - 108

Keywords

GBD 2015 Eastern Mediterranean Region Lower Respiratory Infections Collaborators, Humans, Respiratory Tract Infections, Incidence, Risk Factors, Age Factors, Quality-Adjusted Life Years, Adolescent, Adult, Aged, Middle Aged, Child, Child, Preschool, Infant, Middle East, Mediterranean Region, Female, Male, Young Adult, Global Health, Global Burden of Disease