Browsing by Author "Pengpeng Ye"
Now showing 1 - 9 of 9
- Results Per Page
- Sort Options
PublicationArticle Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019(Elsevier Ltd, 2022) Amy E. Peden; Patricia Cullen; Kate Louise Francis; Holger Moeller; Margaret M. Peden; Pengpeng Ye; Maoyi Tian; Zhiyong Zou; Susan M. Sawyer; Amirali Aali; Zeinab Abbasi-Kangevari; Mohsen Abbasi-Kangevari; Michael Abdelmasseh; Meriem Abdoun; Rami Abd-Rabu; Deldar Morad Abdulah; Ame Mehadi Abdurehman; Getachew Abebe; Ayele Mamo Abebe; Aidin Abedi; Hassan Abidi; Richard Gyan Aboagye; Hiwa Abubaker Ali; Eman Abu Gharbieh; Denberu Eshetie Adane; Tigist Demssew Adane; Isaac Yeboah Addo; Ololade Grace Adewole; Sangeet Adhikari; Mohammad Adnan; Qorinah Estiningtyas Sakilah Adnani; Aanuoluwapo Adeyimika Bachelor Afolabi; Saira Afzal; Muhammad Sohail Afzal; Zahra Babaei Aghdam; Bright Opoku Ahinkorah; Araz Ramazan Ahmad; Tauseef Ahmad; Sajjad Ahmad; Ali Ahmadi; Haroon Ahmed; Muktar Beshir Ahmed; Ali Ahmed; Ayman Ahmed; Jivan Qasim Ahmed; Tarik Ahmed Rashid; Janardhana P. Aithala; Budi Aji; Meisam Akhlaghdoust; Fares Alahdab; Fahad Mashhour Alanezi; Astawus Alemayehu; Hanadi Al Hamad; Syed Shujait Ali; Liaqat Ali; Yousef Alimohamadi; Vahid Alipour; Syed Mohamed Aljunid; Louay Almidani; Sami Almustanyir; Khalid A. Altirkawi; Nelson J. Alvis-Zakzuk; Edward Kwabena Ameyaw; Tarek Tawfik Amin; Mehrdad Amir-Behghadami; Sohrab Amiri; Hoda Amiri; Tadele Fentabil Anagaw; Tudorel Andrei; Catalina Liliana Andrei; Davood Anvari; Sumadi Lukman Anwar; Anayochukwu Edward Anyasodor; Jalal Arabloo; Morteza Arab-Zozani; Asrat Arja; Judie Arulappan; Ashokan Arumugam; Armin Aryannejad; Saeed Asgary; Tahira Ashraf; Seyyed Shamsadin Athari; Alok Atreya; Sameh Attia; Avinash Aujayeb; Atalel Fentahun Awedew; Sina Azadnajafabad; Mohammadreza Azangou-Khyavy; Samad Azari; Amirhossein Azari Jafari; Hosein Azizi; Ahmed Y. Azzam; Ashish D. Badiye; Nayereh Baghcheghi; Sara Bagherieh; Atif Amin Baig; Shankar M. Bakkannavar; Asaminew Birhanu Balta; MacIej Banach; Palash Chandra Banik; Hansi Bansal; Mainak Bardhan; Francesco BaroneAdesi; Amadou Barrow; Azadeh Bashiri; Pritish Baskaran; Saurav Basu; Nebiyou Simegnew Bayileyegn; Abebe Ayalew Bekel; Alehegn Bekele Bekele; Salaheddine Bendak; Isabela M. Bensenor; Alemshet Yirga Berhie; Devidas S. Bhagat; Akshaya Srikanth Bhagavathula; Pankaj Bhardwaj; Nikha Bhardwaj; Sonu Bhaskar; Ajay Nagesh Bhat; Krittika Bhattacharyya; Zulfiqar A. Bhutta; Sadia Bibi; Bagas Suryo Bintoro; Saeid Bitaraf; Belay Boda Abule Bodicha; Archith Boloor; Souad Bouaoud; Julie Brown; Katrin Burkart; Nadeem Shafique Butt; Muhammad Hammad Butt; Luis Alberto Cámera; Julio Cesar Campuzano Rincon; Chao Cao; Andre F. Carvalho; Márcia Carvalho; Promit Ananyo Chakraborty; Eeshwar K. Chandrasekar; Jung-Chen Chang; Periklis Charalampous; Jaykaran Charan; Vijay Kumar Chattu; Bitew Mekonnen Chekole; Abdulaal Chitheer; Daniel Youngwhan Cho; Hitesh Chopra; Devasahayam J. Christopher; Isaac Sunday Chukwu; Natália Cruz-Martins; Omid Dadras; Saad M.A. Dahlawi; Xiaochen Dai; Giovanni Damiani; Gary L. Darmstadt; Reza Darvishi Cheshmeh Soltani; Aso Mohammad Darwesh; Saswati Das; Anna Dastiridou; Sisay Abebe Debela; Amin Dehghan; Getnet Makasha Demeke; Andreas K. Demetriades; Solomon Demissie; Fikadu Nugusu Dessalegn; Abebaw Alemayehu Desta; Mostafa Dianatinasab; Nancy Diao; Diana Dias Da Silva; Daniel Diaz; Lankamo Ena Digesa; Mengistie Diress; Shirin Djalalinia; Linh Phuong Doan; Milad Dodangeh; Paul Narh Doku; Deepa Dongarwar; Haneil Larson Dsouza; Ebrahim Eini; Michael Ekholuenetale; Temitope Cyrus Ekundayo; Ahmed Elabbas Mustafa Elagali; Mostafa Ahmed Elbahnasawy; Hala Rashad Elhabashy; Muhammed Elhadi; Maysaa El Sayed Zaki; Daniel Berhanie Enyew; Ryenchindorj Erkhembayar; Sharareh Eskandarieh; Farshid Etaee; Adeniyi Francis Fagbamigbe; Pawan Sirwan Faris; Abbas Farmany; Andre Faro; Farshad Farzadfar; Ali Fatehizadeh; Seyed Mohammad Fereshtehnejad; Abdullah Hamid Feroze; Getahun Fetensa; Bikila Regassa Feyisa; Irina Filip; Florian Fischer; Behzad Foroutan; Masoud Foroutan; Kayode Raphael Fowobaje; Richard Charles Franklin; Takeshi Fukumoto; Peter Andras Gaal; Muktar A. Gadanya; Yaseen Galali; Nasrin Galehdar; Balasankar Ganesan; Tushar Garg; Mesfin Gebrehiwot Damtew Gebrehiwot; Yosef Haile Gebremariam; Yibeltal Yismaw Gela; Urge Gerema; Mansour Ghafourifard; Seyyed-Hadi Ghamari; Reza Ghanbari; Mohammad Ghasemi Nour; Maryam Gholamalizadeh; Ali Gholami; Ali Gholamrezanezhad; Sherief Ghozy; Syed Amir Gilani; Tiffany K. Gill; Iago Giné-Vázquez; Zeleke Abate Girma; James C. Glasbey; Franklin N. Glozah; Mahaveer Golechha; Pouya Goleij; Michal Grivna; Habtamu Alganeh Guadie; Damitha Asanga Gunawardane; Yuming Guo; Veer Bala Gupta; Sapna Gupta; Bhawna Gupta; Vivek Kumar Gupta; Arvin Haj-Mirzaian; Rabih Halwani; Randah R. Hamadeh; Sajid Hameed; Lolemo Kelbiso Hanfore; Asif Hanif; Arief Hargono; Netanja I. Harlianto; Mehdi Harorani; Ahmed I. Hasaballah; S.M. Mahmudul Hasan; Amr Hassan; Soheil Hassanipour; Hadi Hassankhani; Rasmus J. Havmoeller; Simon I. Hay; Mohammad Heidari; Delia Hendrie; Demisu Zenbaba Heyi; Yuta Hiraike; Ramesh Holla; Nobuyuki Horita; Sheikh Jamal Hossain; Mohammad Bellal Hossain Hossain; Sedighe Hosseini Shabanan; Mehdi Hosseinzadeh; Sorin Hostiuc; Amir Human Hoveidaei; Alexander Kevin Hsiao; Salman Hussain; Amal Hussein; Segun Emmanuel Ibitoye; Olayinka Stephen Ilesanmi; Irena M. Ilic; Milena D. Ilic; Behzad Imani; Mustapha Immurana; Leeberk Raja Inbaraj; Sheikh Mohammed Shariful Islam; Rakibul M. Islam; Mohammad Mainul Islam; Nahlah Elkudssiah Ismail; J. Linda Merin; Haitham Jahrami; Mihajlo Jakovljevic; Manthan Dilipkumar Janodia; Tahereh Javaheri; Sathish Kumar Jayapal; Umesh Umesh Jayarajah; Sudha Jayaraman; Jayakumar Jeganathan; Bedru Jemal; Ravi Prakash Jha; Jost B. Jonas; Tamas Joo; Nitin Joseph; Jacek Jerzy Jozwiak; Mikk Jürisson; Ali Kabir; Vidya Kadashetti; Dler Hussein Kadir; Laleh R. Kalankesh; Leila R. Kalankesh; Rohollah Kalhor; Vineet Kumar Kamal; Rajesh Kamath; Himal Kandel; Rami S. Kantar; Neeti Kapoor; Hassan Karami; Ibraheem M. Karaye; Samad Karkhah; Patrick D.M.C. Katoto; Joonas H. Kauppila; Gbenga A. Kayode; Leila Keikavoosi-Arani; Cumali Keskin; Yousef Saleh Khader; Himanshu Khajuria; Mohammad Khammarnia; Ejaz Ahmad Khan; Md Nuruzzaman Khan; Maseer Khan; Yusra H. Khan; Imteyaz A. Khan; Abbas Khan; Moien A.B. Khan; Javad Khanali; Moawiah Mohammad Khatatbeh; Hamid Reza Khayat Kashani; Habibolah Khazaie; Jagdish Khubchandani; Zemene Demelash Kifle; Jihee Kim; Yun Jin Kim; Sezer Kisa; Adnan Kisa; Cameron J. Kneib; Farzad Kompani; Hamid Reza Koohestani; Parvaiz A. Koul; Sindhura Lakshmi Koulmane Laxminarayana; Ai Koyanagi; Kewal Krishan; Vijay Krishnamoorthy; Burcu Kucuk Bicer; Nithin Kumar; Naveen Kumar; Narinder Kumar; Manasi Kumar; Om P. Kurmi; Lucie Laflamme; Judit Lám; Iván Landires; Bagher Larijani; Savita Lasrado; Paolo Lauriola; Carlo La Vecchia; Shaun Wen Huey Lee; Yo Han Lee; Sang-Woong Lee; Wei Chen Lee; Samson Mideksa Legesse; Shanshan Li; Stephen S. Lim; László Lorenzovici; Amana Ogeto Luke; Farzan Madadizadeh; Áurea M. Madureira-Carvalho; Muhammed Magdy Abd El Razek; Soleiman Mahjoub; Ata Mahmoodpoor; Razzagh Mahmoudi; Marzieh Mahmoudimanesh; Azeem Majeed; Alaa Makki; Elaheh Malakan Rad; Mohammad-Reza Malekpour; Ahmad Azam Malik; Tauqeer Hussain Mallhi; Deborah Carvalho Malta; Borhan Mansouri; Mohammad Ali Mansournia; Elezebeth Mathews; Sazan Qadir Maulud; Dennis Mazingi; Entezar Mehrabi Nasab; Oliver Mendoza-Cano; Ritesh G. Menezes; Dechasa Adare Mengistu; Alexios-Fotios A. Mentis; Atte Meretoja; Mohamed Kamal Mesregah; Tomislav Mestrovic; Ana Carolina Micheletti Gomide Nogueira de Sá; Ted R. Miller; Seyed Peyman Mirghaderi; Andreea Mirica; Seyyedmohammadsadeq Mirmoeeni; Erkin M. Mirrakhimov; Moonis Mirza; Sanjeev Misra; Prasanna Mithra; Chaitanya Mittal; Madeline E. Moberg; Mokhtar Mohammadi; Soheil Mohammadi; Esmaeil Mohammadi; Reza Mohammadpourhodki; Shafiu Mohammed; Teroj Abdulrahman Mohammed; Mohammad Mohseni; Ali H. Mokdad; Sara Momtazmanesh; Lorenzo Monasta; Mohammad Ali Moni; Rafael Silveira Moreira; Shane Douglas Morrison; Ebrahim Mostafavi; Haleh Mousavi Isfahani; Sumaira Mubarik; Lorenzo Muccioli; Soumyadeep Mukherjee; Francesk Mulita; Ghulam Mustafa; Ahamarshan Jayaraman Nagarajan; Mukhammad David Naimzada; Vinay Nangia; Hasan Nassereldine; Zuhair S. Natto; Biswa Prakash Nayak; Ionut Negoi; Seyed Aria Nejadghaderi; Samata Nepal; Sandhya Neupane Kandel; Nafise Noroozi; Virginia Nuñez-Samudio; Ogochukwu Janet Nzoputam; Chimezie Igwegbe Nzoputam; Chimedsuren Ochir; Julius Nyerere Odhiambo; Oluwakemi Ololade Odukoya; Hassan Okati-Aliabad; Osaretin Christabel Okonji; Andrew T. Olagunju; Ahmed Omar Bali; Emad Omer; Adrian Otoiu; Stanislav S. Otstavnov; Nikita Otstavnov; Bilcha Oumer; Mayowa O. Owolabi; P.A. Mahesh; Alicia Padron-Monedero; Jagadish Rao Padubidri; Mohammad Taha Pahlevan Fallahy; Songhomitra Panda-Jonas; Seithikurippu R. Pandi-Perumal; Shahina Pardhan; Eun-Kee Park; Sangram Kishor Patel; Aslam Ramjan Pathan; Siddhartha Pati; Uttam Paudel; Shrikant Pawar; Paolo Pedersini; Mario F.P. Peres; Ionela-Roxana Petcu; Michael R. Phillips; Julian David Pillay; Zahra Zahid Piracha; Mohsen Poursadeqiyan; Naeimeh Pourtaheri; Ibrahim Qattea; Amir Radfar; Ata Rafiee; Pankaja Raghav Raghav; Fakher Rahim; Muhammad Aziz Rahman; Firman Suryadi Rahman; Mosiur Rahman; Amir Masoud Rahmani; Shayan Rahmani; Sheetal Raj Moolambally; Sheena Ramazanu; Kiana Ramezanzadeh; Juwel Rana; Saleem Muhammad Rana; Chythra R. Rao; Sowmya J. Rao; Vahid Rashedi; Mohammad Mahdi Rashidi; Prateek Rastogi; Azad Rasul; Salman Rawaf; David Laith Rawaf; Lal Rawal; Reza Rawassizadeh; Negar Rezaei; Nazila Rezaei; Mohsen Rezaeian; Aziz Rezapour; Abanoub Riad; Muhammad Riaz; Jennifer Rickard; Jefferson Antonio Buendia Rodriguez; Leonardo Roever; Luca Ronfani; Bedanta Roy; S. Manjula; Aly M.A. Saad; Siamak Sabour; Leila Sabzmakan; Basema Saddik; Malihe Sadeghi; Mohammad Reza Saeb; Umar Saeed; Sahar Saeedi Moghaddam; Sher Zaman Safi; Biniyam Sahiledengle; Harihar Sahoo; Mohammad Ali Sahraian; Morteza Saki; Payman Salamati; Sana Salehi; Marwa Rashad Salem; Abdallah M. Samy; Juan Sanabria; Milena M. Santric-Milicevic; Muhammad Arif Nadeem Saqib; Yaser Sarikhani; Arash Sarveazad; Brijesh Sathian; Maheswar Satpathy; Ganesh Kumar Saya; Ione Jayce Ceola Schneider; David C. Schwebel; Hamed Seddighi; Subramanian Senthilkumaran; Allen Seylani; Hosein Shabaninejad; Melika Shafeghat; Pritik A. Shah; Saeed Shahabi; Ataollah Shahbandi; Fariba Shahraki-Sanavi; Masood Ali Shaikh; Elaheh Shaker; Mehran Shams-Beyranvand; Mohd Shanawaz; Mohammed Shannawaz; Mequannent Melaku Sharew Sharew; Neeraj Sharma; Bereket Beyene Shashamo; Maryam Shayan; Rahim Ali Sheikhi; Jiabin Shen; B. Suresh Kumar Shetty; Pavanchand H. Shetty; Jae Il Shin; Nebiyu Aniley Shitaye; K.M. Shivakumar; Parnian Shobeiri; Seyed Afshin Shorofi; Sunil Shrestha; Soraya Siabani; Negussie Boti Sidemo; Wudneh Simegn; Ehsan Sinaei; Paramdeep Singh; Robert Sinto; Md Shahjahan Siraj; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; David A. Sleet; S.N. Chandan; Bogdan Socea; Marco Solmi; Yonatan Solomon; Yi Song; Raúl A.R.C. Sousa; Ireneous N. Soyiri; Mark A. Stokes; Muhammad Suleman; Rizwan Suliankatchi Abdulkader; Jing Sun; Rafael Tabarés-Seisdedos; Seyyed Mohammad Tabatabaei; Mohammad Tabish; Ensiyeh Taheri; Moslem Taheri Soodejani; Mircea Tampa; KerKan Tan; Ingan Ukur Tarigan; Md Tariqujjaman; Nathan Y. Tat; Vivian Y. Tat; Arash Tavakoli; Belay Negash Tefera; Yibekal Manaye Tefera; Gebremaryam Temesgen; Mohamad-Hani Temsah; Pugazhenthan Thangaraju; Rekha Thapar; Nikhil Kenny Thomas; Jansje Henny Vera Ticoalu; Marius Belmondo Tincho; Amir Tiyuri; Munkhsaikhan Togtmol; Marcos Roberto Tovani-Palone; Mai Thi Ngoc Tran; Sana Ullah; Saif Ullah; Irfan Ullah; Srikanth Umakanthan; Bhaskaran Unnikrishnan; Era Upadhyay; Sahel Valadan Tahbaz; Pascual R. Valdez; Tommi Juhani Vasankari; Siavash Vaziri; Massimiliano Veroux; Dominique Vervoort; Francesco S. Violante; Vasily Vlassov; Linh Gia Vu; Yasir Waheed; Yanzhong Wang; Yuan-Pang Wang; Cong Wang; Taweewat Wiangkham; Nuwan Darshana Wickramasinghe; Abay Tadesse Woday; Ai-Min Wu; Gahin Abdulraheem Tayib Yahya; Seyed Hossein Yahyazadeh Jabbari; Lin Yang; Sanni Yaya; Arzu Yigit; Vahit Yigit; Eshetu Yisihak; Naohiro Yonemoto; Yuyi You; Mustafa Z. Younis; Chuanhua Yu; Ismaeel Yunusa; Hossein Yusefi; Mazyar Zahir; Sojib Bin Zaman; Iman Zare; Kourosh Zarea; Mikhail Sergeevich Zastrozhin; Zhi-Jiang Zhang; Yunquan Zhang; Arash Ziapour; Sanjay Zodpey; Mohammad Zoladl; George C. Patton; Rebecca Q. IversBackground: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licensePublicationArticle Alcohol use and burden for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016(Lancet Publishing Group, 2018) Max G. Griswold; Nancy Fullman; Caitlin Hawley; Nicholas Arian; Stephanie R. M. Zimsen; Hayley D. Tymeson; Vidhya Venkateswaran; Austin Douglas Tapp; Mohammad H. Forouzanfar; Joseph S. Salama; Kalkidan Hassen Abate; Degu Abate; Solomon M. Abay; Cristiana Abbafati; Rizwan Suliankatchi Abdulkader; Zegeye Abebe; Victor Aboyans; Mohammed Mehdi Abrar; Pawan Acharya; Olatunji O. Adetokunboh; Tara Ballav Adhikari; Jose C. Adsuar; Mohsen Afarideh; Emilie Elisabet Agardh; Gina Agarwal; Sargis Aghasi Aghayan; Sutapa Agrawal; Muktar Beshir Ahmed; Mohammed Akibu; Tomi Akinyemiju; Nadia Akseer; Deena H. Al Asfoor; Ziyad Al-Aly; Fares Alahdab; Khurshid Alam; Ammar Albujeer; Kefyalew Addis Alene; Raghib Ali; Syed Danish Ali; Mehran Alijanzadeh; Syed Mohamed Aljunid; Ala'A Alkerwi; Peter Allebeck; Nelson Alvis-Guzman; Azmeraw T. Amare; Leopold N. Aminde; Walid Ammar; Yaw Ampem Amoako; Gianna Gayle Herrera Amul; Catalina Liliana Andrei; Colin Angus; Mustafa Geleto Ansha; Carl Abelardo T. Antonio; Olatunde Aremu; Johan Ärnlöv; Al Artaman; Krishna K. Aryal; Reza Assadi; Marcel Ausloos; Leticia Avila-Burgos; Euripide F. G. A. Avokpaho; Ashish Awasthi; Henok Tadesse Ayele; Rakesh Ayer; Tambe B. Ayuk; Peter S. Azzopardi; Hamid Badali; Alaa Badawi; Maciej Banach; Suzanne Lyn Barker-Collo; Lope H. Barrero; Huda Basaleem; Estifanos Baye; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Yannick Béjot; Abate Bekele Belachew; Saba Abraham Belay; Derrick A. Bennett; Isabela M. Bensenor; Eduardo Bernabe; Robert S. Bernstein; Addisu Shunu Beyene; Tina Beyranvand; Soumyadeeep Bhaumik; Zulfiqar A. Bhutta; Belete Biadgo; Ali Bijani; Nigus Bililign; Sait Mentes Birlik; Charles Birungi; Hailemichael Bizuneh; Peter Bjerregaard; Tone Bjørge; Guilherme Borges; Cristina Bosetti; Soufiane Boufous; Nicola Luigi Bragazzi; Hermann Brenner; Zahid A. Butt; Lucero Cahuana-Hurtado; Bianca Calabria; Ismael R. Campos-Nonato; Julio Cesar Campuzano Rincon; Giulia Carreras; Juan J. Carrero; Félix Carvalho; Carlos A. Castañeda-Orjuela; Jacqueline Castillo Rivas; Ferrán Catalá-López; Jung-Chen Chang; Fiona J. Charlson; Aparajita Chattopadhyay; Pankaj Chaturvedi; Rajiv Chowdhury; Devasahayam J. Christopher; Sheng-Chia Chung; Liliana G. Ciobanu; Rafael M. Claro; Sara Conti; Ewerton Cousin; Michael H. Criqui; Berihun Assefa Dachew; Paul I. Dargan; Ahmad Daryani; José Das Neves; Kairat Davletov; Filipa De Castro; Barbora De Courten; Jan-Walter De Neve; Louisa Degenhardt; Gebre Teklemariam Demoz; Don C. Des Jarlais; Subhojit Dey; Rupinder Singh Dhaliwal; Samath Dhamminda Dharmaratne; Meghnath Dhimal; David Teye Doku; Kerrie E. Doyle; Manisha Dubey; Eleonora Dubljanin; Bruce B. Duncan; Hedyeh Ebrahimi; Dumessa Edessa; Maysaa El Sayed Zaki; Sergei Petrovich Ermakov; Holly E. Erskine; Alireza Esteghamati; Mahbobeh Faramarzi; Andrea Farioli; Andre Faro; Maryam S. Farvid; Farshad Farzadfar; Valery L. Feigin; Mariana Santos Felisbino-Mendes; Eduarda Fernandes; Alize J. Ferrari; Cleusa P. Ferri; Daniel Obadare Fijabi; Irina Filip; Jonas David Finger; Florian Fischer; Abraham D. Flaxman; Richard Charles Franklin; Neal D. Futran; Silvano Gallus; Morsaleh Ganji; Fortune Gbetoho Gankpe; Gebremedhin Berhe Gebregergs; Tsegaye Tewelde Gebrehiwot; Johanna M. Geleijnse; Reza Ghadimi; Lilian A. Ghandour; Mamata Ghimire; Paramjit Singh Gill; Ibrahim Abdelmageed Ginawi; Ababi Zergaw Z. Giref; Philimon N. Gona; Sameer Vali Gopalani; Carolyn C. Gotay; Alessandra C. Goulart; Felix Greaves; Giuseppe Grosso; Yuming Guo; Rahul Gupta; Rajeev Gupta; Vipin Gupta; Reyna Alma Gutiérrez; Murthy Gvs; Nima Hafezi-Nejad; Tekleberhan Beyene Hagos; Gessessew Bugssa Hailu; Randah R. Hamadeh; Samer Hamidi; Graeme J. Hankey; Hilda L. Harb; Sivadasanpillai Harikrishnan; Josep Maria Haro; Hamid Yimam Hassen; Rasmus Havmoeller; Simon I. Hay; Behzad Heibati; Andualem Henok; Ileana Heredia-Pi; Norberto Francisco Hernández-Llanes; Claudiu Herteliu; Desalegn Ts Tsegaw Hibstu; Praveen Hoogar; Nobuyuki Horita; H. Dean Hosgood; Mostafa Hosseini; Mihaela Hostiuc; Guoqing Hu; Hsiang Huang; Abdullatif Husseini; Bulat Idrisov; Bogdan Vasile Ileanu; Olayinka Stephen Ilesanmi; Seyed Sina Naghibi Irvani; Sheikh Mohammed Shariful Islam; Maria D. Jackson; Mihajlo Jakovljevic; Moti Tolera Jalu; Achala Upendra Jayatilleke; Ravi Prakash Jha; Jost B. Jonas; Jacek Jerzy Jozwiak; Zubair Kabir; Rajendra Kadel; Amaha Kahsay; Umesh Kapil; Amir Kasaeian; Tesfaye D. Dessale Kassa; Srinivasa Vittal Katikireddi; Norito Kawakami; Seifu Kebede; Adane Teshome Kefale; Peter Njenga Keiyoro; Andre Pascal Kengne; Yousef Khader; Morteza Abdullatif Khafaie; Ibrahim A. Khalil; Md Nuruzzaman Khan; Young-Ho Khang; Mona M. Khater; Jagdish Khubchandani; Cho-Il Kim; Daniel Kim; Yun Jin Kim; Ruth W. Kimokoti; Adnan Kisa; Mika Kivimäki; Sonali Kochhar; Soewarta Kosen; Parvaiz A. Koul; Ai Koyanagi; Kewal Krishan; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Veena S. Kulkarni; Pushpendra Kumar; Alessandra Lafranconi; Arjun Lakshmana Balaji; Ratilal Lalloo; Tea Lallukka; Hilton Lam; Faris Hasan Lami; Qing Lan; Justin J. Lang; Sonia Lansky; Anders O. Larsson; Arman Latifi; Janet L. Leasher; Paul H. Lee; James Leigh; Mall Leinsalu; Janni Leung; Miriam Levi; Yichong Li; Lee-Ling Lim; Shai Linn; Shiwei Liu; Andrea Lobato-Cordero; Alan D. Lopez; Paulo A. Lotufo; Erlyn Rachelle King Macarayan; Isis Eloah Machado; Fabiana Madotto; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Marek Majdan; Reza Majdzadeh; Azeem Majeed; Reza Malekzadeh; Deborah Carvalho Malta; Chabila Christopher Mapoma; Jose Martinez-Raga; Pallab K. Maulik; Mohsen Mazidi; Martin McKee; Varshil Mehta; Toni Meier; Tesfa Mekonen; Kidanu Gebremariam Meles; Addisu Melese; Peter T. N. Memiah; Walter Mendoza; Desalegn Tadese Mengistu; George A. Mensah; Tuomo J. Meretoja; Haftay Berhane Mezgebe; Tomasz Miazgowski; Ted R. Miller; Gk Mini; Andreea Mirica; Erkin M. Mirrakhimov; Babak Moazen; Karzan Abdulmuhsin Mohammad; Noushin Mohammadifard; Shafiu Mohammed; Lorenzo Monasta; Paula Moraga; Lidia Morawska; Seyyed Meysam Mousavi; Satinath Mukhopadhyay; Kamarul Imran Musa; Aliya Naheed; Gurudatta Naik; Farid Najafi; Vinay Nangia; Jobert Richie Nansseu; Mudavath Siva Durga Prasad Nayak; Chakib Nejjari; Subas Neupane; Sudan Prasad Neupane; Josephine W. Ngunjiri; Cuong Tat Nguyen; Long Hoang Nguyen; Trang Huyen Nguyen; Dina Nur Anggraini Ningrum; Yirga Legesse Nirayo; Jean Jacques Noubiap; Richard Ofori-Asenso; Felix Akpojene Ogbo; In-Hwan Oh; Olanrewaju Oladimeji; Andrew T. Olagunju; Pedro R. Olivares; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Anu Mary Oommen; Eyal Oren; Heather M. Orpana; Doris D. V. Ortega-Altamirano; Justin R. Ortiz; Erika Ota; Mayowa Ojo Owolabi; Abayomi Samuel Oyekale; P.A. Mahesh; Adrian Pana; Eun-Kee Park; Charles D. H. Parry; Hadi Parsian; Ajay Patle; George C. Patton; Deepak Paudel; Max Petzold; Michael R. Phillips; Julian David Pillay; Maarten J. Postma; Farshad Pourmalek; Dorairaj Prabhakaran; Mostafa Qorbani; Amir Radfar; Anwar Rafay; Alireza Rafiei; Fakher Rahim; Afarin Rahimi-Movaghar; Mahfuzar Rahman; Muhammad Aziz Rahman; Rajesh Kumar Rai; Sasa Rajsic; Sree Bhushan Raju; Usha Ram; Saleem M. Rana; Chhabi Lal Ranabhat; David Laith Rawaf; Salman Rawaf; Robert C. Reiner; Cesar Reis; Andre M. N. Renzaho; Mohammad Sadegh Rezai; Leonardo Roever; Luca Ronfani; Robin Room; Gholamreza Roshandel; Ali Rostami; Gregory A. Roth; Ambuj Roy; Yogesh Damodar Sabde; Basema Saddik; Saeid Safiri; Amirhossein Sahebkar; Zikria Saleem; Joshua A. Salomon; Sundeep Santosh Salvi; Juan Sanabria; Maria Dolores Sanchez-Niño; Damian Francesco Santomauro; Itamar S. Santos; Milena M. M. Santric Milicevic; Abdur Razzaque Sarker; Rodrigo Sarmiento-Suárez; Nizal Sarrafzadegan; Benn Sartorius; Maheswar Satpathy; Monika Sawhney; Sonia Saxena; Mete Saylan; Michael P. Schaub; Maria Inês Schmidt; Ione J. C. Schneider; Ben Schöttker; Aletta Elisabeth Schutte; Falk Schwendicke; Sadaf G. Sepanlou; Masood Ali Shaikh; Mehdi Sharif; Jun She; Aziz Sheikh; Jiabin Shen; Mekonnen Sisay Shiferaw; Mika Shigematsu; Rahman Shiri; Kawkab Shishani; Ivy Shiue; Sharvari Rahul Shukla; Inga Dora Sigfusdottir; Diego Augusto Santos Silva; Natacha Torres Da Silva; Dayane Gabriele Alves Silveira; Dhirendra Narain Sinha; Freddy Sitas; Adauto Martins Soares Filho; Moslem Soofi; Reed J. D. Sorensen; Joan B. Soriano; Chandrashekhar T. Sreeramareddy; Nadine Steckling; Dan J. Stein; Mu'Awiyyah Babale Sufiyan; Patrick J. Sur; Bryan L. Sykes; Rafael Tabarés-Seisdedos; Takahiro Tabuchi; Mohammad Tavakkoli; Arash Tehrani-Banihashemi; Merhawi Gebremedhin Tekle; Subash Thapa; Nihal Thomas; Roman Topor-Madry; Fotis Topouzis; Bach Xuan Tran; Christopher E. Troeger; Thomas Clement Truelsen; Nikolaos Tsilimparis; Stefanos Tyrovolas; Kingsley Nnanna Ukwaja; Irfan Ullah; Olalekan A. Uthman; Pascual R. Valdez; Job F. M. Van Boven; Tommi Juhani Vasankari; Narayanaswamy Venketasubramanian; Francesco S. Violante; Sergey Konstantinovitch Vladimirov; Vasily Vlassov; Stein Emil Vollset; Theo Vos; Fasil Wagnew Shiferaw Wagnew; Yasir Waheed; Yuan-Pang Wang; Elisabete Weiderpass; Fitsum Weldegebreal; Kidu Gidey Weldegwergs; Andrea Werdecker; Ronny Westerman; Harvey A. Whiteford; Justyna Widecka; Tissa Wijeratne; Grant M. A. Wyper; Gelin Xu; Tomohide Yamada; Yuichiro Yano; Pengpeng Ye; Ebrahim M. Yimer; Paul Yip; Biruck Desalegn Yirsaw; Engida Yisma; Naohiro Yonemoto; Seok-Jun Yoon; Marcel Yotebieng; Mustafa Z. Younis; Geevar Zachariah; Zoubida Zaidi; Mohammad Zamani; Xueying Zhang; Sanjay Zodpey; Ali H. Mokdad; Mohsen Naghavi; Christopher J. L. Murray; Emmanuela GakidouBackground: Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of alcohol use and alcohol-attributable deaths and disability-adjusted lifeyears (DALYs) for 195 locations from 1990 to 2016, for both sexes and for 5-year age groups between the ages of 15 years and 95 years and older. Methods: Using 694 data sources of individual and population-level alcohol consumption, along with 592 prospective and retrospective studies on the risk of alcohol use, we produced estimates of the prevalence of current drinking, abstention, the distribution of alcohol consumption among current drinkers in standard drinks daily (defined as 10 g of pure ethyl alcohol), and alcohol-attributable deaths and DALYs. We made several methodological improvements compared with previous estimates: first, we adjusted alcohol sales estimates to take into account tourist and unrecorded consumption; second, we did a new meta-analysis of relative risks for 23 health outcomes associated with alcohol use; and third, we developed a new method to quantify the level of alcohol consumption that minimises the overall risk to individual health. Findings: Globally, alcohol use was the seventh leading risk factor for both deaths and DALYs in 2016, accounting for 2·2% (95% uncertainty interval [UI] 1·5-3·0) of age-standardised female deaths and 6·8% (5·8-8·0) of agestandardised male deaths. Among the population aged 15-49 years, alcohol use was the leading risk factor globally in 2016, with 3·8% (95% UI 3·2-4·3) of female deaths and 12·2% (10·8-13·6) of male deaths attributable to alcohol use. For the population aged 15-49 years, female attributable DALYs were 2·3% (95% UI 2·0-2·6) and male attributable DALYs were 8·9% (7·8-9·9). The three leading causes of attributable deaths in this age group were tuberculosis (1·4% [95% UI 1·0-1·7] of total deaths), road injuries (1·2% [0·7-1·9]), and self-harm (1·1% [0·6-1·5]). For populations aged 50 years and older, cancers accounted for a large proportion of total alcohol-attributable deaths in 2016, constituting 27·1% (95% UI 21·2-33·3) of total alcohol-attributable female deaths and 18·9% (15·3-22·6) of male deaths. The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0·0-0·8) standard drinks per week. Interpretation: Alcohol use is a leading risk factor for global disease burden and causes substantial health loss. We found that the risk of all-cause mortality, and of cancers specifically, rises with increasing levels of consumption, and the level of consumption that minimises health loss is zero. These results suggest that alcohol control policies might need to be revised worldwide, refocusing on efforts to lower overall population-level consumption. Funding Bill & Melinda Gates Foundation. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.PublicationArticle Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019(Nature Research, 2025) Yves Miel H. Zuñiga; Alimudin I. Zumla; Liesl Joanna Zühlke; Mohammad Zoladl; Boback Ziaeian; Claire Chenwen Zhong; Xiu Ju George Zhao; Zhijiang Zhang; Jianrong Zhang; Nejimu Biza Zepro; Getachew Assefa; Jean David Zeitoun; Zelalem Banjaw Zegeye; Michael Sergeevich Zastrozhin; Zahra Zareshahrabadi; Kourosh Zarea; Ali Zare Dehnavi; Iman Zare; Moein Zangiabadian; Alireza Zangeneh; Nelson Zamora; Sojib Bin Zaman; Nazar Zaki; Farima Zakaryaei; Mazyar Zahir; Farbod Zahedi Tajrishi; Vesna Zadnik; Siddhesh Zadey; Hossein Yusefi; Taraneh Yousefinezhadi; Zabihollah Allah Yousefi; Mustafa Zeedan Younis; Yuyi You; Naohiro Yonemoto; Dong Keon Yon; Eshetu Yisihak Ukumo; Paul Siu Fai Yip; Vahit Yigit; Arzu Yigit; Siyan Yi; Pengpeng Ye; Fereshteh Yazdanpanah; Sanni Yaya; Tetsuhiro Yokonishi; Lin Yang; Kazumasa Yamagishi; Tomohide Yamada; Seyed Hossein Yahyazadeh Jabbari; Gahin Abdulraheem Tayib Yahya; Sajad Yaghoubi; Xiaoyue Xu; Suowen Xu; Hanzhang Xu; Yang Xie; Hong Xiao; Ratna Dwi Wulandari; Gedif Ashebir Wubetie; Aimin Wu; Anthony D. Woolf; Charles David Alexander Wolfe; Melat K. Woldemariam; Daniel Sisay Wolde Tsadik; Abay Woday Woday Tadesse; Nuwan Darshana Wickramasinghe; Taweewat Wiangkham; Ronny Westerman; Yifeng Wen; Melissa Y.Wei Wei; Abdul Waris; Paul R. Ward; Ziyue Wang; Yuan Pang Wang; Yu Wang; Yanzhong Wang; Linh Gia Vu; Victor Volovici; Bay Vo; Vasiliy V. Vlassov; Prashant M. Vishwanath; Francesco Saverio Violante; Jorge Hugo Villafañe; Dominique Vervoort; Massimiliano Veroux; Madhur Verma; Narayanaswamy Venketasubramanian; Siavash Vaziri; Milena Vasić; Tommi Juhani Vasankari; Santosh Varughese; Priya Vart; Ravi Prasad Varma; Constantine Ilias Vardavas; Jef Van den Eynde; Rohollah Valizadeh; Pascual Rubén Valdez; Sahel Valadan Tahbaz; Alireza Vakilian; Marco Vacante; Era Upadhyay; Unnikrishnan BhaskaranChronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly. © The Author(s) 2025.PublicationErratum Erratum: Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015 (The Lancet (2016) 388(10053) (1725–1774)(S0140673616315756)(10.1016/S0140-6736(16)31575-6))(Lancet Publishing Group, 2017) Haidong Wang; Zulfiqar A Bhutta; Matthew M Coates; Megan Coggeshall; Lalit Dandona; Khassoum Diallo; Elisabeth Barboza Franca; Maya Fraser; Nancy Fullman; Peter W Gething; Simon I Hay; Yohannes Kinfu; Maaya Kita; Xie Rachel Kulikoff; Heidi J Larson; Juan Liang; Xiaofeng Liang; Stephen S Lim; Margaret Lind; Alan D Lopez; Rafael Lozano; George A Mensah; Joseph B Mikesell; Ali H Mokdad; Meghan D Mooney; Mohsen Naghavi; Grant Nguyen; Ivo Rakovac; Joshua A Salomon; Naris Silpakit; Amber Sligar; Reed J D Sorensen; Theo Vos; Jun Zhu; Amanuel Alemu Abajobir; Kalkidan Hassen Abate; Kaja M Abbas; Foad Abd-Allah; Abdishakur M Abdulle; Semaw Ferede Abera; Victor Aboyans; Biju Abraham; Ibrahim Abubakar; Laith J Abu-Raddad; Niveen M E Abu-Rmeileh; Gebre Yitayih Abyu; Tom Achoki; Akindele Olupelumi Adebiyi; Isaac Akinkunmi Adedeji; Ademola Lukman Adelekan; Arsène Kouablan Adou; Arnav Agarwal; Oluremi N Ajala; Tomi F Akinyemiju; Nadia Akseer; Khurshid Alam; Noore K M Alam; Deena Alasfoor; Robert William Aldridge; Miguel Angel Alegretti; Zewdie Aderaw Alemu; Raghib Ali; Ala’a Alkerwi; François Alla; Rajaa Al-Raddadi; Ubai Alsharif; Khalid A Altirkawi; Elena Alvarez Martin; Nelson Alvis-Guzman; Azmeraw T Amare; Alemayehu Amberbir; Adeladza Kofi Amegah; Emmanuel A Ameh; Walid Ammar; Stephen Marc Amrock; Hjalte H Andersen; Gregory M Anderson; Carl Abelardo T Antonio; Johan Ärnlöv; Al Artaman; Hamid Asayesh; Rana Jawad Asghar; Reza Assadi; Suleman Atique; Euripide Frinel G Arthur Avokpaho; Ashish Awasthi; Beatriz Paulina Ayala Quintanilla; Umar Bacha; Alaa Badawi; Kalpana Balakrishnan; Amitava Banerjee; Bolanle F Banigbe; Aleksandra Barac; Ryan M Barber; Suzanne L Barker-Collo; Till Bärnighausen; Lope H Barrero; Tigist Assefa Bayou; Yibeltal Tebekaw Bayou; Shahrzad Bazargan-Hejazi; Justin Beardsley; Neeraj Bedi; Tolesa Bekele; Michelle L Bell; Aminu K Bello; Derrick A Bennett; Isabela M Bensenor; Adugnaw Berhane; Eduardo Bernabé; Balem Demtsu Betsu; Addisu Shunu Beyene; Samir Bhatt; Sibhatu Biadgilign; Boris Bikbov; Sait Mentes Birlik; Donal Bisanzio; Espen Bjertness; Jed D Blore; Rupert R A Bourne; Michael Brainin; Alexandra Brazinova; Nicholas J K Breitborde; Alexandria Brown; Geoffrey Colin Buckle; Michael Burch; Zahid A Butt; Ismael Ricardo Campos-Nonato; Julio Cesar Campuzano; Rosario Cárdenas; David O Carpenter; Juan Jesus Carrero; Austin Carter; Daniel C Casey; Carlos A Castañeda-Orjuela; Jacqueline Castillo Rivas; Ruben Estanislao Castro; Ferrán Catalá-López; Kelly Cercy; Hsing-Yi Chang; Jung-Chen Chang; Chioma Ezinne Chibueze; Vesper Hichilombwe Chisumpa; Jee-Young Jasmine Choi; Rajiv Chowdhury; Devasahayam Jesudas Christopher; Liliana G Ciobanu; Samantha M Colquhoun; Cyrus Cooper; Leslie Cornaby; Solomon Abrha Damtew; Hadi Danawi; Rakhi Dandona; José Das Neves; Adrian C Davis; Pieter de Jager; Diego De Leo; Louisa Degenhardt; Kebede Deribe; Amare Deribew; Don C Des Jarlais; Gabrielle A Deveber; Samath D Dharmaratne; Preet K Dhillon; Eric L Ding; Pratik Pinal Doshi; Kerrie E Doyle; Leilei Duan; Manisha Dubey; Hedyeh Ebrahimi; Christian Lycke Ellingsen; Iqbal Elyazar; Aman Yesuf Endries; Sergey Petrovich Ermakov; Babak Eshrati; Alireza Esteghamati; Emerito Jose Aquino Faraon; Talha A Farid; Carla Sofia E Sa Farinha; André Faro; Maryam S Farvid; Farshad Farzadfar; Seyed-Mohammad Fereshtehnejad; Joao C Fernandes; Florian Fischer; Joseph R A Fitchett; Nataliya Foigt; Richard C Franklin; Joseph Friedman; Thomas Fürst; Ketevan Gambashidze; Amiran Gamkrelidze; Parthasarathi Ganguly; Teshome Gebre; Tsegaye Tewelde Gebrehiwot; Amanuel Tesfay Gebremedhin; Alemseged Aregay Gebru; Johanna M Geleijnse; Bradford D Gessner; Ibrahim Abdelmageem Mohamed Ginawi; Ababi Zergaw Giref; Melkamu Dedefo Gishu; Hector Gomez-Dantes; Philimon Gona; Amador Goodridge; Sameer Vali Gopalani; Atsushi Goto; Hebe N Gouda; Harish Chander Gugnani; Yuming Guo; Rahul Gupta; Rajeev Gupta; Vipin Gupta; Bishal Gyawali; Juanita A Haagsma; Nima Hafezi-Nejad; Demewoz Haile; Alemayehu Desalegne Hailu; Gessessew Bugssa Hailu; Randah Ribhi Hamadeh; Samer Hamidi; Jamie Hancock; Alexis J Handal; Graeme J Hankey; Hilda L Harb; Sivadasanpillai Harikrishnan; Kimani M Harun; Rasmus Havmoeller; Roderick J Hay; Ileana Beatriz Heredia-Pi; Hans W Hoek; Masako Horino; Nobuyuki Horita; H. Dean Hosgood; Peter J Hotez; Damian G Hoy; Mohamed Hsairi; Guoqing Hu; Cheng Huang; John J Huang; Hsiang Huang; Laetitia Huiart; Chantal Huynh; Kim Moesgaard Iburg; Bulat T Idrisov; Kaire Innos; Kathryn H Jacobsen; Nader Jahanmehr; Mehdi Javanbakht; Achala Upendra Jayatilleke; Sun Ha Jee; Panniyammakal Jeemon; Vivekanand Jha; Guohong Jiang; Ying Jiang; Tariku Jibat; Ye Jin; Jost B Jonas; Zubair Kabir; Yogeshwar Kalkonde; Ritul Kamal; Haidong Kan; Gagandeep Kang; André Karch; Corine Kakizi Karema; Amir Kasaeian; Anil Kaul; Norito Kawakami; Jeanne Françoise Kayibanda; Konstantin Kazanjan; Peter Njenga Keiyoro; Andrew Haddon Kemp; Andre Pascal Kengne; Andre Keren; Maia Kereselidze; Chandrasekharan Nair Kesavachandran; Yousef Saleh Khader; Ibrahim A Khalil; Abdur Rahman Khan; Ejaz Ahmad Khan; Young-Ho Khang; Irma Khonelidze; Jagdish Khubchandani; Cho-Il Kim; Daniel Kim; Yun Jin Kim; Niranjan Kissoon; Miia Kivipelto; Luke D Knibbs; Yoshihiro Kokubo; Soewarta Kosen; Parvaiz A Koul; Ai Koyanagi; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Andreas A Kudom; G. Anil Kumar; Michael J Kutz; Hmwe H Kyu; Dharmesh Kumar Lal; Ratilal Lalloo; Hilton Lam; Jennifer O Lam; Van C Lansingh; Anders Larsson; James Leigh; Ricky Leung; Yichong Li; Yongmei Li; M Patrice Lindsay; Patrick Y Liu; Shiwei Liu; Belinda K Lloyd; Warren D Lo; Giancarlo Logroscino; Nicola Low; Raimundas Lunevicius; Ronan A Lyons; Stefan Ma; Hassan Magdy Abd El Razek; Mohammed Magdy Abd El Razek; Mahdi Mahdavi; Marek Majdan; Azeem Majeed; Reza Malekzadeh; Chabila C Mapoma; Wagner Marcenes; Jose Martinez-Raga; Melvin Barrientos Marzan; Felix Masiye; John J McGrath; Peter A Meaney; Alem Mehari; Man Mohan Mehndiratta; Alemayehu B Mekonnen; Yohannes Adama Melaku; Peter Memiah; Ziad A Memish; Walter Mendoza; Atte Meretoja; Tuomo J Meretoja; Francis Apolinary Mhimbira; Ted R Miller; Edward J Mills; Mojde Mirarefin; Awoke Misganaw; Charles N Mock; Karzan Abdulmuhsin Mohammad; Alireza Mohammadi; Shafiu Mohammed; Lorenzo Monasta; Julio Cesar Montañez Hernandez; Marcella Montico; Ami R Moore; Maziar Moradi-Lakeh; Lidia Morawska; Rintaro Mori; Ulrich O Mueller; Georgina A V Murphy; Srinivas Murthy; Jean B Nachega; Aliya Naheed; Kovin S Naidoo; Luigi Naldi; Devina Nand; Vinay Nangia; Subas Neupane; Charles R Newton; John N Newton; Marie Ng; Frida Namnyak Ngalesoni; Peter Nguhiu; Quyen Le Nguyen; Muhammad Imran Nisar; Patrick Martial Nkamedjie Pete; Ole F Norheim; Rosana E Norman; Felix Akpojene Ogbo; In-Hwan Oh; Foluke Adetola Ojelabi; Pedro R Olivares; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Eyal Oren; Erika Ota; P.A. Mahesh; Eun-Kee Park; Hye-Youn Park; Mahboubeh Parsaeian; Angel J Paternina Caicedo; Scott B Patten; João Mário Pedro; David M Pereira; Norberto Perico; Konrad Pesudovs; Max Petzold; Michael Robert Phillips; Julian David Pillay; Farhad Pishgar; Suzanne Polinder; Daniel Pope; Svetlana Popova; Farshad Pourmalek; Mostafa Qorbani; Rynaz H S Rabiee; Anwar Rafay; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Mohammad Hifz Ur Rahman; Sajjad Ur Rahman; Rajesh Kumar Rai; Murugesan Raju; Usha Ram; Saleem M Rana; Chhabi Lal Ranabhat; Puja Rao; Amany H Refaat; Giuseppe Remuzzi; Serge Resnikoff; Alex Reynolds; David Rojas-Rueda; Luca Ronfani; Gholamreza Roshandel; Gregory A Roth; Ambuj Roy; George Mugambage Ruhago; Rajesh Sagar; Muhammad Muhammad Saleh; Juan R Sanabria; Maria Dolores Sanchez-Niño; Itamar S Santos; João Vasco Santos; Rodrigo Sarmiento-Suarez; Benn Sartorius; Maheswar Satpathy; Miloje Savic; Monika Sawhney; Ione J C Schneider; Ben Schöttker; David C Schwebel; Soraya Seedat; Sadaf G Sepanlou; Edson E Servan-Mori; Tesfaye Setegn; Saeid Shahraz; Masood Ali Shaikh; Marina Shakh-Nazarova; Rajesh Sharma; Jun She; Sara Sheikhbahaei; Jiabin Shen; Kevin N Sheth; Kenji Shibuya; Hwashin Hyun Shin; Min-Jeong Shin; Rahman Shiri; Ivy Shuie; Inga Dora Sigfusdottir; Diego Augusto Santos Silva; Jonathan Silverberg; Edgar P Simard; Shireen Sindi; Abhishek Singh; Jasvinder A Singh; Om Prakash Singh; Prashant Kumar Singh; Virendra Singh; Joan B Soriano; Sergey Soshnikov; Luciano A Sposato; Chandrashekhar T Sreeramareddy; Vasiliki Stathopoulou; Nicholas Steel; Konstantinos Stroumpoulis; Lela Sturua; Bruno F Sunguya; Soumya Swaminathan; Bryan L Sykes; Cassandra E I Szoeke; Rafael Tabarés-Seisdedos; Mohammad Tavakkoli; Bineyam Taye; Bemnet Amare Tedla; Worku Mekonnen Tefera; Tesfaye Tekle; Girma Temam Shifa; Abdullah Sulieman Terkawi; Fisaha Haile Tesfay; Gizachew Assefa Tessema; Kiran Thapa; Alan J Thomson; Andrew L Thorne-Lyman; Ruoyan Tobe-Gai; Marcello Tonelli; Roman Topor-Madry; Fotis Topouzis; Bach Xuan Tran; Christopher Troeger; Thomas Truelsen; Zacharie Tsala Dimbuene; Abera Kenay Tura; Stefanos Tyrovolas; Kingsley N Ukwaja; Chigozie Jesse Uneke; Olalekan A Uthman; Masoud Vaezghasemi; Tommi Vasankari; Ana Maria Nogales Vasconcelos; Narayanaswamy Venketasubramanian; Raj Kumar Verma; Francesco S Violante; Sergey K Vladimirov; Vasiliy Victorovich Vlassov; Stein Emil Vollset; Linhong Wang; Yanping Wang; Scott Weichenthal; Elisabete Weiderpass; Robert G Weintraub; Daniel J Weiss; Andrea Werdecker; Ronny Westerman; Marc-Alain Widdowson; Tissa Wijeratne; Thomas Neil Williams; Charles Shey Wiysonge; Charles D A Wolfe; Ingrid Wolfe; Sungho Won; Mamo Wubshet; Qingyang Xiao; Gelin Xu; Ajit Kumar Yadav; Bereket Yakob; Yuichiro Yano; Mehdi Yaseri; Pengpeng Ye; Henock Gebremedhin Yebyo; Paul Yip; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Chuanhua Yu; Zoubida Zaidi; Maysaa El Sayed Zaki; Hajo Zeeb; Hao Zhang; Yong Zhao; Yingfeng Zheng; Maigeng Zhou; Sanjay Zodpey; Christopher J L MurrayGBD 2015 Child Mortality Collaborators. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388: 1725–74—In this Article, Mohsen Naghavi, Michael J Kutz, Chantal Huynh, Samer Hamidi, Addisu Shunu Beyene, and Stephen S Lim should have been listed as authors. The affiliation details for Simon I Hay have been updated. The funding statement for Simon I Hay has been added. These corrections have been made to the online version as of Jan 5, 2017. © 2017 Elsevier LtdPublicationArticle Estimating global injuries morbidity and mortality: Methods and data used in the Global Burden of Disease 2017 study(BMJ Publishing Group, 2020) Spencer L. James; Chris D. Castle; Zachary V. Dingels; Jack T. Fox; Erin B. Hamilton; Zichen Liu; Nicholas L. S. Roberts; Dillon O. Sylte; Gregory J. Bertolacci; Matthew Cunningham; Nathaniel J. Henry; Kate E. Legrand; Ahmed Abdelalim; Ibrahim Abdollahpour; Rizwan Suliankatchi Abdulkader; Aidin Abedi; Kedir Hussein Abegaz; Akine Eshete Abosetugn; Abdelrahman I. Abushouk; Oladimeji M. Adebayo; Jose C. Adsuar; Shailesh M. Advani; Marcela Agudelo-Botero; Tauseef Ahmad; Muktar Beshir Ahmed; Rushdia Ahmed; Miloud Taki Eddine Aichour; Fares Alahdab; Fahad Mashhour Alanezi; Niguse Meles Alema; Biresaw Wassihun Alemu; Suliman A. Alghnam; Beriwan Abdulqadir Ali; Saqib Ali; Cyrus Alinia; Vahid Alipour; Syed Mohamed Aljunid; Amir Almasi-Hashiani; Nihad A. Almasri; Khalid Altirkawi; Yasser Sami Abdeldayem Amer; Catalina Liliana Andrei; Alireza Ansari-Moghaddam; Carl Abelardo T. Antonio; Davood Anvari; Seth Christopher Yaw Appiah; Jalal Arabloo; Morteza Arab-Zozani; Zohreh Arefi; Olatunde Aremu; Filippo Ariani; Amit Arora; Malke Asaad; Beatriz Paulina Ayala Quintanilla; Getinet Ayano; Martin Amogre Ayanore; Ghasem Azarian; Alaa Badawi; Ashish D. Badiye; Atif Amin Baig; Mohan Bairwa; Ahad Bakhtiari; Arun Balachandran; Maciej Banach; Srikanta K. Banerjee; Palash Chandra Banik; Amrit Banstola; Suzanne Lyn Barker-Collo; Till Winfried Bärnighausen; Akbar Barzegar; Mohsen Bayati; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Masoud Behzadifar; Habte Belete; Derrick A. Bennett; Isabela M. Bensenor; Kidanemaryam Berhe; Akshaya Srikanth Bhagavathula; Pankaj Bhardwaj; Anusha Ganapati Bhat; Krittika Bhattacharyya; Zulfiqar A. Bhutta; Sadia Bibi; Ali Bijani; Archith Boloor; Guilherme Borges; Rohan Borschmann; Antonio Maria Borzì; Soufiane Boufous; Dejana Braithwaite; Nikolay Ivanovich Briko; Traolach Brugha; Shyam S. Budhathoki; Josip Car; Rosario Cárdenas; Félix Carvalho; João Mauricio Castaldelli-Maia; Carlos A. Castañeda-Orjuela; Giulio Castelpietra; Ferrán Catalá-López; Ester Cerin; Joht S. Chandan; Jens Robert Chapman; Vijay Kumar Chattu; Soosanna Kumary Chattu; Irini Chatziralli; Neha Chaudhary; Daniel Youngwhan Cho; Jee-Young J. Choi; Mohiuddin Ahsanul Kabir Chowdhury; Devasahayam J. Christopher; Dinh-Toi Chu; Flavia M. Cicuttini; João M. Coelho; Vera M. Costa; Saad M. A. Dahlawi; Ahmad Daryani; Claudio Alberto Dávila-Cervantes; Diego De Leo; Feleke Mekonnen Demeke; Gebre Teklemariam Demoz; Desalegn Getnet Demsie; Kebede Deribe; Rupak Desai; Mostafa Dianati Nasab; Diana Dias Da Silva; Zahra Sadat Dibaji Forooshani; Hoa Thi Do; Kerrie E. Doyle; Tim Robert Driscoll; Eleonora Dubljanin; Bereket Duko Adema; Arielle Wilder Eagan; Demelash Abewa Elemineh; Shaimaa I. El-Jaafary; Ziad El-Khatib; Christian Lycke Ellingsen; Maysaa El Sayedzaki; Sharareh Eskandarieh; Oghenowede Eyawo; Pawan Sirwan Faris; Andre Faro; Farshad Farzadfar; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Pietro Ferrara; Florian Fischer; Morenike Oluwatoyin Folayan; Artem Alekseevich Fomenkov; Masoud Foroutan; Joel Msafiri Francis; Richard Charles Franklin; Takeshi Fukumoto; Biniyam Sahiledengle Geberemariyam; Hadush Gebremariam; Ketema Bizuwork Gebremedhin; Leake G. Gebremeskel; Gebreamlak Gebremedhn Gebremeskel; Berhe Gebremichael; Getnet Azeze Gedefaw; Birhanu Geta; Agegnehu Bante Getenet; Mansour Ghafourifard; Farhad Ghamari; Reza Ghanei Gheshlagh; Asadollah Gholamian; Syed Amir Gilani; Tiffany K. Gill; Amir Hossein Goudarzian; Alessandra C. Goulart; Ayman Grada; Michal Grivna; Rafael Alves Guimarães; Yuming Guo; Gaurav Gupta; Juanita A. Haagsma; Brian James Hall; Randah R. Hamadeh; Samer Hamidi; Demelash Woldeyohannes Handiso; Josep Maria Haro; Amir Hasanzadeh; Shoaib Hassan; Soheil Hassanipour; Hadi Hassankhani; Hamid Yimam Hassen; Rasmus Havmoeller; Delia Hendrie; Fatemeh Heydarpour; Martha Híjar; Hung Chak Ho; Chi Linh Hoang; Michael K. Hole; Ramesh Holla; Naznin Hossain; Mehdi Hosseinzadeh; Sorin Hostiuc; Guoqing Hu; Segun Emmanuel Ibitoye; Olayinka Stephen Ilesanmi; Leeberk Raja Inbaraj; Seyed Sina Naghibi Irvani; M. Mofizul Islam; Sheikh Mohammed Shariful Islam; Rebecca Q. Ivers; Mohammad Ali Jahani; Mihajlo Jakovljevic; Farzad Jalilian; Sudha Jayaraman; Achala Upendra Jayatilleke; Ravi Prakash Jha; Yetunde O. John-Akinola; Jost B. Jonas; Kelly M. Jones; Nitin Joseph; Farahnaz Joukar; Jacek Jerzy Jozwiak; Suresh Banayya Jungari; Mikk Jürisson; Ali Kabir; Amaha Kahsay; Leila R. Kalankesh; Rohollah Kalhor; Teshome Abegaz Kamil; Tanuj Kanchan; Neeti Kapoor; Manoochehr Karami; Amir Kasaeian; Hagazi Gebremedhin Kassaye; Taras Kavetskyy; Gbenga A. Kayode; Peter Njenga Keiyoro; Abraham Getachew Kelbore; Yousef Saleh Khader; Morteza Abdullatif Khafaie; Nauman Khalid; Ibrahim A. Khalil; Rovshan Khalilov; Maseer Khan; Ejaz Ahmad Khan; Junaid Khan; Tripti Khanna; Salman Khazaei; Habibolah Khazaie; Roba Khundkar; Daniel N. Kiirithio; Young-Eun Kim; Yun Jin Kim; Daniel Kim; Sezer Kisa; Adnan Kisa; Hamidreza Komaki; Shivakumar K. M. Kondlahalli; Ali Koolivand; Vladimir Andreevich Korshunov; Ai Koyanagi; Moritz U. G. Kraemer; Kewal Krishan; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Nuworza Kugbey; Nithin Kumar; Manasi Kumar; Vivek Kumar; Narinder Kumar; Girikumar Kumaresh; Faris Hasan Lami; Van C. Lansingh; Savita Lasrado; Arman Latifi; Paolo Lauriola; Carlo La Vecchia; Janet L. Leasher; Shaun Wen Huey Lee; Shanshan Li; Xuefeng Liu; Alan D. Lopez; Paulo A. Lotufo; Ronan A. Lyons; Daiane Borges Machado; Mohammed Madadin; Muhammed Magdy Abd El Razek; Narayan Bahadur Mahotra; Marek Majdan; Azeem Majeed; Venkatesh Maled; Deborah Carvalho Malta; Navid Manafi; Amir Manafi; Ana-Laura Manda; Narayana Manjunatha; Fariborz Mansour-Ghanaei; Mohammad Ali Mansournia; Joemer C. Maravilla; Amanda J. Mason-Jones; Seyedeh Zahra Masoumi; Benjamin Ballard Massenburg; Pallab K. Maulik; Man Mohan Mehndiratta; Zeleke Aschalew Melketsedik; Peter T. N. Memiah; Walter Mendoza; Ritesh G. Menezes; Melkamu Merid Mengesha; Tuomo J. Meretoja; Atte Meretoja; Hayimro Edemealem Merie; Tomislav Mestrovic; Bartosz Miazgowski; Tomasz Miazgowski; Ted R. Miller; G.K. Mini; Andreea Mirica; Erkin M. Mirrakhimov; Mehdi Mirzaei-Alavijeh; Prasanna Mithra; Babak Moazen; Masoud Moghadaszadeh; Efat Mohamadi; Yousef Mohammad; Aso Mohammad Darwesh; Abdollah Mohammadian-Hafshejani; Reza Mohammadpourhodki; Shafiu Mohammed; Jemal Abdu Mohammed; Farnam Mohebi; Mohammad A. Mohseni Bandpei; Mariam Molokhia; Lorenzo Monasta; Yoshan Moodley; Masoud Moradi; Ghobad Moradi; Maziar Moradi-Lakeh; Rahmatollah Moradzadeh; Lidia Morawska; Ilais Moreno Velásquez; Shane Douglas Morrison; Tilahun Belete Mossie; Atalay Goshu Muluneh; Kamarul Imran Musa; Ghulam Mustafa; Mehdi Naderi; Ahamarshan Jayaraman Nagarajan; Gurudatta Naik; Mukhammad David Naimzada; Farid Najaf; Vinay Nangia; Bruno Ramos Nascimento; Morteza Naserbakht; Vinod Nayak; Javad Nazari; Duduzile Edith Ndwandwe; Ionut Negoi; Josephine W. Ngunjiri; Trang Huyen Nguyen; Cuong Tat Nguyen; Diep Ngoc Nguyen; Huong Lan Thi Nguyen; Rajan Nikbakhsh; Dina Nur Anggraini Ningrum; Chukwudi A. Nnaji; Richard Ofori-Asenso; Felix Akpojene Ogbo; Onome Bright Oghenetega; In-Hwan Oh; Andrew T. Olagunju; Tinuke O. Olagunju; Ahmed Omar Bali; Obinna E. Onwujekwe; Heather M. Orpana; Erika Ota; Nikita Otstavnov; Stanislav S. Otstavnov; A.P. Mahesh; Jagadish Rao Padubidri; Smita Pakhale; Keyvan Pakshir; Songhomitra Panda-Jonas; Eun-Kee Park; Sangram Kishor Patel; Ashish Pathak; Sanghamitra Pati; Kebreab Paulos; Amy E. Peden; Veincent Christian Filipino Pepito; Jeevan Pereira; Michael R. Phillips; Roman V. Polibin; Suzanne Polinder; Farshad Pourmalek; Akram Pourshams; Hossein Poustchi; Swayam Prakash; Dimas Ria Angga Pribadi; Parul Puri; Zahiruddin Quazi Syed; Navid Rabiee; Mohammad Rabiee; Amir Radfar; Anwar Rafay; Ata Rafee; Alireza Rafei; Fakher Rahim; Siavash Rahimi; Muhammad Aziz Rahman; Ali Rajabpour-Sanati; Fatemeh Rajati; Ivo Rakovac; Sowmya J. Rao; Vahid Rashedi; Prateek Rastogi; Priya Rathi; Salman Rawaf; Lal Rawal; Reza Rawassizadeh; Vishnu Renjith; Serge Resnikoff; Aziz Rezapour; Ana Isabel Ribeiro; Jennifer Rickard; Carlos Miguel Rios González; Leonardo Roever; Luca Ronfani; Gholamreza Roshandel; Basema Saddik; Hamid Safarpour; Mahdi Safdarian; S. Mohammad Sajadi; Payman Salamati; Marwa R. Rashad Salem; Hosni Salem; Inbal Salz; Abdallah M. Samy; Juan Sanabria; Lidia Sanchez Riera; Milena M. Santric Milicevic; Abdur Razzaque Sarker; Arash Sarveazad; Brijesh Sathian; Monika Sawhney; Mehdi Sayyah; David C. Schwebel; Soraya Seedat; Subramanian Senthilkumaran; Seyedmojtaba Seyedmousavi; Feng Sha; Faramarz Shaahmadi; Saeed Shahabi; Masood Ali Shaikh; Mehran Shams-Beyranvand; Aziz Sheikh; Mika Shigematsu; Jae Il Shin; Rahman Shiri; Soraya Siabani; Inga Dora Sigfusdottir; Jasvinder A. Singh; Pankaj Kumar Singh; Dhirendra Narain Sinha; Amin Soheili; Joan B. Soriano; Muluken Bekele Sorrie; Ireneous N. Soyiri; Mark A. Stokes; Mu'awiyyah Babale Sufiyan; Bryan L. Sykes; Rafael Tabarés-Seisdedos; Karen M. Tabb; Biruk Wogayehu Taddele; Yonatal Mesfin Tefera; Arash Tehrani-Banihashemi; Gebretsadkan Hintsa Tekulu; Ayenew Kassie Tesema Tesema; Berhe Etsay Tesfay; Rekha Thapar; Mariya Vladimirovna Titova; Kenean Getaneh Tlaye; Hamid Reza Tohidinik; Roman Topor-Madry; Khanh Bao Tran; Bach Xuan Tran; Jaya Prasad Tripathy; Alexander C. Tsai; Aristidis Tsatsakis; Lorainne Tudor Car; Irfan Ullah; Saif Ullah; Bhaskaran Unnikrishnan; Era Upadhyay; Olalekan A. Uthman; Pascual R. Valdez; Tommi Juhani Vasankari; Yousefi Veisani; Narayanaswamy Venketasubramanian; Francesco S. Violante; Vasily Vlassov; Yasir Waheed; Yuan-Pang Wang; Taweewat Wiangkham; Haileab Fekadu Wolde; Dawit Habte Woldeyes; Temesgen Gebeyehu Wondmeneh; Adam Belay Wondmieneh; Ai-Min Wu; Grant M. A. Wyper; Rajaram Yadav; Ali Yadollahpour; Yuichiro Yano; Sanni Yaya; Vahid Yazdi-Feyzabadi; Pengpeng Ye; Paul Yip; Engida Yisma; Naohiro Yonemoto; Seok-Jun Yoon; Yoosik Youm; Mustafa Z. Younis; Zabihollah Yousef; Chuanhua Yu; Yong Yu; Telma Zahirian Moghadam; Zoubida Zaidi; Sojib Bin Zaman; Mohammad Zamani; Hamed Zandian; Fatemeh Zarei; Zhi-Jiang Zhang; Yunquan Zhang; Arash Ziapour; Sanjay Zodpey; Rakhi Dandona; Samath Dhamminda Dharmaratne; Simon I. Hay; Ali H. Mokdad; David M. Pigott; Robert C. Reiner; Theo VosBackground: While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods: In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results: GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions: GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC B Y. Published by BMJ.PublicationArticle Global, regional, and national burden of injuries, and burden attributable to injuries risk factors, 1990 to 2019: results from the Global Burden of Disease study 2019(Elsevier B.V., 2024) Mohammad-Reza Malekpour; Negar Rezaei; Sina Azadnajafabad; Javad Khanali; Mohammadreza Azangou-Khyavy; Sahar Saeedi Moghaddam; Mahsa Heidari-Foroozan; Sahba Rezazadeh-Khadem; Seyyed-Hadi Ghamari; Mohsen Abbasi-Kangevari; Gdiom Gebreheat Abady; Rizwan Suliankatchi Abdulkader; Ayele Mamo Abebe; Eman Abu-Gharbieh; Dilaram Acharya; Isaac Yeboah Addo; Oluwafemi Atanda Adeagbo; Oyelola A. Adegboye; Daniel Adedayo Adeyinka; Qorinah Estiningtyas Sakilah Adnani; Aanuoluwapo Adeyimika Afolabi; Saira Afzal; Muhammad Sohail Afzal; Sajjad Ahmad; Aqeel Ahmad; Ali Ahmadi; Hamid Ahmadieh; Haroon Ahmed; Mehrunnisha Sharif Ahmed; Marjan Ajami; Hossein Akbarialiabad; Chisom Joyqueenet Akunna; Fares Alahdab; Fahad Mashhour Alanezi; Turki M. Alanzi; Robert Kaba Alhassan; Liaqat Ali; Shohreh Alian Samakkhah; Yousef Alimohamadi; Syed Mohamed Aljunid; Sami Almustanyir; Salman Khalifah Al-Sabah; Khalid A. Altirkawi; Hiwot Amare; Edward Kwabena Ameyaw; Tarek Tawfik Amin; Sohrab Amiri; Tudorel Andrei; Catalina Liliana Andrei; Davood Anvari; Sumadi Lukman Anwar; Muhammad Aqeel; Morteza Arab-Zozani; Ashokan Arumugam; Umesh Raj Aryal; Malke Asaad; Saeed Asgary; Tahira Ashraf; Thomas Astell-Burt; Seyyed Shamsadin Athari; Alok Atreya; Avinash Aujayeb; Atalel Fentahun F. Awedew; Beatriz Paulina Ayala Quintanilla; Setognal Birara Aychiluhm; Alemu Degu Ayele; Hosein Azizi; Ahmed Y. Azzam; Shankar M. Bakkannavar; Mainak Bardhan; Suzanne Lyn Barker-Collo; Hiba Jawdat Barqawi; Amadou Barrow; Azadeh Bashiri; Pritish Baskaran; Saurav Basu; Neeraj Bedi; Alehegn Bekele; Luis Belo; Derrick A. Bennett; Isabela M. Bensenor; Alemshet Yirga Berhie; Akshaya Srikanth Bhagavathula; Soumyadeep Bhaumik; Zulfiqar A. Bhutta; Saeid Bitaraf; Archith Boloor; Guilherme Borges; Rohan Borschmann; Soufiane Boufous; Michael Brauer; Andrew M. Briggs; Julie Brown; Dana Bryazka; Luis Alberto Cámera; Rosario Cárdenas; Márcia Carvalho; Ferrán Catalá-López; Ester Cerin; Jaykaran Charan; Vijay Kumar Chattu; Wai Tong Chien; Abdulaal Chitheer; Daniel Youngwhan Cho; Steffan Wittrup McPhee Christensen; Devasahayam J. Christopher; Dinh-Toi Chu; Isaac Sunday Chukwu; Beniamino Cislaghi; Scott Richard Clark; Natalia Cruz-Martins; Patricia Cullen; Omid Dadras; Xiaochen Dai; Giovanni Damiani; Rakhi Dandona; Gary L. Darmstadt; Reza Darvishi Cheshmeh Soltani; Aso Mohammad Darwesh; Claudio Alberto Dávila-Cervantes; Diego De Leo; Katie de Luca; Andreas K. Demetriades; Biniyam Demisse; Fitsum Wolde Demisse; Solomon Demissie; Belay Desye; Samath Dhamminda Dharmaratne; Mengistie Diress; Shirin Djalalinia; Milad Dodangeh; Deepa Dongarwar; Hisham Atan Edinur; Ebrahim Eini; Michael Ekholuenetale; Frank J. Elgar; Islam Y. Elgendy; Hala Rashad Elhabashy; Muhammed Elhadi; Waseem El-Huneidi; Mohammad Hassan Emamian; Luchuo Engelbert Bain; Daniel Berhanie Enyew; Habitu Birhan Eshetu; Sharareh Eskandarieh; Farshid Etaee; Adeniyi Francis Fagbamigbe; Andre Faro; Abidemi Omolara Fasanmi; Ali Fatehizadeh; Xiaoqi Feng; Seyed-Mohammad Fereshtehnejad; Pietro Ferrara; Getahun Fetensa; Florian Fischer; Richard Charles Franklin; Takeshi Fukumoto; Yaseen Galali; Nasrin Galehdar; Fortune Gbetoho Gankpe; Mesfin Gebrehiwot; Teferi Gebru Gebremeskel; Leta Adugna Geleta; Motuma Erena Getachew; Mansour Ghafourifard; Mohammad Ghasemi Nour; Ahmad Ghashghaee; Ali Gholamrezanezhad; Tiffany K. Gill; Themba G. Ginindza; James C. Glasbey; Laszlo Göbölös; Kimiya Gohari; Mahaveer Golechha; Pouya Goleij; Michal Grivna; Damitha Asanga Gunawardane; Bhawna Gupta; Brian J. Hall; Randah R. Hamadeh; Pawan Kumar Hamal; Sajid Hameed; Samer Hamidi; Mohammad Hamiduzzaman; Asif Hanif; Syed Emdadul Haque; Arief Hargono; Netanja I. Harlianto; Risky Kusuma Hartono; Ahmed I. Hasaballah; Hamidreza Hasani; Hossein Hassanian-Moghaddam; Soheil Hassanipour; Hadi Hassankhani; Khezar Hayat; Mohammad Heidari; Delia Hendrie; Demisu Zenbaba Heyi; Yuta Hiraike; Nobuyuki Horita; Mohammad Bellal Hossain; Mehdi Hosseinzadeh; Amir Human Hoveidaei; Guoqing Hu; Olayinka Stephen Ilesanmi; Mustapha Immurana; Leeberk Raja Inbaraj; Sheikh Mohammed Shariful Islam; Rakibul M. Islam; Nahlah Elkudssiah Ismail; Jagnoor Jagnoor; Haitham Jahrami; Mihajlo Jakovljevic; Elham Jamshidi; Manthan Dilipkumar Janodia; Tahereh Javaheri; Sathish Kumar Jayapal; Jayakumar Jeganathan; Jost B. Jonas; Nitin Joseph; Farahnaz Joukar; Mikk Jürisson; Ali Kabir; Vidya Kadashetti; Rajesh Kamath; Ashwin Kamath; Bhushan Dattatray Kamble; Himal Kandel; Rami S. Kantar; Ibraheem M. Karaye; Samad Karkhah; Faizan Zaffar Kashoo; Bekalu Getnet Kassa; Joonas H. Kauppila; Leila Keikavoosi-Arani; Phillip M. Kemp Bohan; Mohammad Keykhaei; Nauman Khalid; Mohammad Khammarnia; Moien A.B. Khan; M. Nuruzzaman Khan; Ejaz Ahmad Khan; Maseer Khan; Moawiah Mohammad Khatatbeh; Jagdish Khubchandani; Yun Jin Kim; Gyu Ri Kim; Adnan Kisa; Sezer Kisa; Farzad Kompani; K.M. Marulasiddaiah Kondlahalli Shivakumar; Parvaiz A. Koul; Ai Koyanagi; Kewal Krishan; Vijay Krishnamoorthy; Estie Kruger; Burcu Kucuk Bicer; Nithin Kumar; Narinder Kumar; Carlo La Vecchia; Hilton Lam; Faris Hasan Lami; Iván Landires; Van Charles Lansingh; Paolo Lauriola; Long Khanh Dao Le; Janet L. Leasher; Caterina Ledda; Doo Woong Lee; Yo Han Lee; Wei-Chen Lee; Andrew Tiyamike Makhiringa Likaka; Stephen S. Lim; Shai Linn; Giancarlo Lucchetti; Raimundas Lunevicius; Ronan A. Lyons; Mohammed Magdy Abd El Razek; Mahadeshwara Prasad; Razzagh Mahmoudi; Azeem Majeed; Jeadran N. Malagón-Rojas; Elaheh Malakan Rad; Deborah Carvalho Malta; Yosef Manla; Borhan Mansouri; Mohammad Ali Mansournia; Joemer C. Maravilla; Elezebeth Mathews; Pallab K. Maulik; Enkeleint A. Mechili; Entezar Mehrabi Nasab; Walter Mendoza; Dechasa Adare Mengistu; Alexios-Fotios A. Mentis; Mohamed Kamal Mesregah; Tomislav Mestrovic; Tomasz Miazgowski; Shabir Ahmad Mir; Andreea Mirica; Erkin M. Mirrakhimov; Moonis Mirza; Soheil Mohammadi; Shafiu Mohammed; Modhurima Moitra; Ali H. Mokdad; Mariam Molokhia; Lorenzo Monasta; Maryam Moradi; Shane Douglas Morrison; Sumaira Mubarik; Efren Murillo-Zamora; Ghulam Mustafa; Ashraf Fawzy Nabhan; Vinay Nangia; Bruno Ramos Nascimento; Zuhair S. Natto; Ionut Negoi; Seyed Aria Nejadghaderi; Evangelia Nena; Samata Nepal; Haruna Asura Nggada; Josephine W. Ngunjiri; Chukwudi A. Nnaji; Ogochukwu Janet Nzoputam; Chimezie Igwegbe Nzoputam; Bogdan Oancea; Kehinde O. Obamiro; Oluwakemi Ololade Odukoya; Onome Bright Oghenetega; Oh In-Hwan; Hassan Okati-Aliabad; Osaretin Christabel Okonji; Adeolu Olufunso Oladunjoye; Andrew T. Olagunju; Diriba Dereje Olana; Ahmed Omar Bali; Adrian Otoiu; Mayowa O. Owolabi; Mahesh Padukudru P A; Alicia Padron-Monedero; Songhomitra Panda-Jonas; Seithikurippu R. Pandi-Perumal; Shahina Pardhan; Park Eun-Kee; Jay Patel; Uttam Paudel; Shrikant Pawar; Hamidreza Pazoki Toroudi; Amy E. Peden; Paolo Pedersini; Marcos Pereira; Konrad Pesudovs; Ionela-Roxana Petcu; Tom Pham; Michael R. Phillips; Zahra Zahid Piracha; Suzanne Polinder; Ibrahim Qattea; Ata Rafiee; Pankaja Raghav; Muhammad Aziz Rahman; Mosiur Rahman; Amir Masoud Rahmani; Vahid Rahmanian; Sheena Ramazanu; Usha Rani; Temam Beshir Raru; Mohammad-Mahdi Rashidi; Prateek Rastogi; Azad Rasul; Zubair Ahmed Ratan; Reza Rawassizadeh; Maryam Rezaei; Nazila Rezaei; Mohsen Rezaeian; Muhammad Riaz; Jennifer Rickard; Nicholas L.S. Roberts; Jefferson Antonio Buendia Rodriguez; Leonardo Roever; Luca Ronfani; Bedanta Roy; S. Manjula; S.N. Chandan; Siamak Sabour; Mohammad Reza Saeb; Umar Saeed; Sare Safi; Amirhossein Sahebkar; Biniyam Sahiledengle; Mohammad Ali Sahraian; Payman Salamati; Juan Sanabria; Muhammad Arif Nadeem Saqib; Yaser Sarikhani; Arash Sarveazad; Davide Sattin; Ganesh Kumar Saya; David C. Schwebel; Binyam Tariku Seboka; Abdul-Aziz Seidu; Allen Seylani; Pritik A. Shah; Ataollah Shahbandi; Amira A. Shaheen; Masood Ali Shaikh; Mohd Shanawaz; Nigussie Tadesse Sharew; Azam Sharifi; Neeraj Sharma; Vishal Sharma; Bereket Beyene Shashamo; Ali Sheidaei; Rahim Ali Sheikhi; Jiabin Shen; Adithi Shetty; B. Suresh Kumar Shetty; Rahman Shiri; Seyed Afshin Shorofi; Roman Shrestha; Negussie Boti Sidamo; Luís Manuel Lopes Rodrigues Silva; Wudneh Simegn; Jasvinder A. Singh; Surjit Singh; Ambrish Singh; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; David A. Sleet; Bogdan Socea; Yonatan Solomon; Yi Song; Houman Sotoudeh; Raul A.R. C. Sousa; Jeffrey D. Stanaway; Dan J. Stein; Paschalis Steiropoulos; Mark A. Stokes; Narayan Subedi; Jing Sun; Rafael Tabarés-Seisdedos; Moslem Taheri Soodejani; Mircea Tampa; Ker-Kan Tan; M.D. Tariqujjaman; Elvis Enowbeyang Tarkang; Nathan Y. Tat; Yibekal Manaye Tefera; Rekha Thapar; Jansje Henny Vera Ticoalu; Jaya Prasad Tripathy; Lorainne Tudor Car; Derara Girma Tufa; Sana Ullah; Irfan Ullah; Krishna Kishore Umapathi; Era Upadhyay; Sahel Valadan Tahbaz; Pascual R. Valdez; Shoban Babu Varthya; Massimiliano Veroux; Dominique Vervoort; Francesco S. Violante; Vasily Vlassov; Bay Vo; Yasir Waheed; Yanzhong Wang; Gizachew Tadesse Wassie; Taweewat Wiangkham; Caroline Wilkerson; Asrat Arja Wolde; Hong Xiao; Yuichiro Yano; Sanni Yaya; Pengpeng Ye; Paul Yip; Naohiro Yonemoto; Mustafa Z. Younis; Chuanhua Yu; Leila Zaki; Michael Zastrozhin; Yunquan Zhang; Zhi-Jiang Zhang; Sanjay Zodpey; Mohsen Naghavi; Bagher Larijani; Farshad FarzadfarObjectives: In this study, the trends and current situation of the injury burden as well as attributable burden to injury risk factors at global, regional, and national levels based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 are presented. Study design: To assess the attributable burden of injury risk factors, the data of interest on data sources were retrieved from the Global Health Data Exchange (GHDx) and analyzed. Methods: Cause-specific death from injuries was estimated using the Cause of Death Ensemble model in the GBD 2019. The burden attributable to each injury risk factor was incorporated in the population attributable fraction to estimate the total attributable deaths and disability-adjusted life years. The Socio-demographic Index (SDI) was used to evaluate countries’ developmental status. Results: Globally, there were 713.9 million (95% uncertainty interval [UI]: 663.8 to 766.9) injuries incidence and 4.3 million (UI: 3.9 to 4.6) deaths caused by injuries in 2019. There was an inverse relationship between age-standardized disability-adjusted life year rate and SDI quintiles in 2019. Overall, low bone mineral density was the leading risk factor of injury deaths in 2019, with a contribution of 10.5% (UI: 9.0 to 11.6) of total injuries and age-standardized deaths, followed by occupational risks (7.0% [UI: 6.3–7.9]) and alcohol use (6.8% [UI: 5.2 to 8.5]). Conclusion: Various risks were responsible for the imposed burden of injuries. This study highlighted the small but persistent share of injuries in the global burden of diseases and injuries to provide beneficial data to produce proper policies to reach an effective global injury prevention plan. © 2024PublicationArticle Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016(Lancet Publishing Group, 2017) Simon I. Hay; Amanuel Alemu Abajobir; Kalkidan Hassen Abate; Cristiana Abbafati; Kaja M. Abbas; Foad Abd-Allah; Abdishakur M. Abdulle; Teshome Abuka Abebo; Semaw Ferede Abera; Victor Aboyans; Laith J. Abu-Raddad; Ilana N. Ackerman; Isaac A. Adedeji; Olatunji Adetokunboh; Ashkan Afshin; Rakesh Aggarwal; Sutapa Agrawal; Anurag Agrawal; Aliasghar Ahmad Kiadaliri; Muktar Beshir Ahmed; Amani Nidhal Aichour; Ibtihel Aichour; Miloud Taki Eddine Aichour; Sneha Aiyar; Tomi F. Akinyemiju; Nadia Akseer; Faris Hasan Al Lami; Fares Alahdab; Ziyad Al-Aly; Khurshid Alam; Noore Alam; Tahiya Alam; Deena Alasfoor; Kefyalew Addis Alene; Raghib Ali; Reza Alizadeh-Navaei; Juma M. Alkaabi; Ala'a Alkerwi; François Alla; Peter Allebeck; Christine Allen; Fatma Al-Maskari; Mohammad Abdulaziz Almazroa; Rajaa Al-Raddadi; Ubai Alsharif; Shirina Alsowaidi; Benjamin M. Althouse; Khalid A. Altirkawi; Nelson Alvis-Guzman; Azmeraw T. Amare; Erfan Amini; Walid Ammar; Yaw Ampem Amoako; Mustafa Geleto Ansha; Carl Abelardo T. Antonio; Palwasha Anwari; Johan Ärnlöv; Megha Arora; Al Artaman; Krishna Kumar Aryal; Solomon W. Asgedom; Tesfay Mehari Atey; Niguse Tadele Atnafu; Leticia Avila-Burgos; Euripide Frinel G. Arthur Avokpaho; Ashish Awasthi; Shally Awasthi; Beatriz Paulina Ayala Quintanilla; Mahmoud Reza Azarpazhooh; Peter Azzopardi; Tesleem Kayode Babalola; Umar Bacha; Alaa Badawi; Kalpana Balakrishnan; Marlena S. Bannick; Aleksandra Barac; Suzanne L. Barker-Collo; Till Bärnighausen; Simon Barquera; Lope H. Barrero; Sanjay Basu; Robert Battista; Katherine E. Battle; Bernhard T. Baune; Shahrzad Bazargan-Hejazi; Justin Beardsley; Neeraj Bedi; Yannick Béjot; Bayu Begashaw Bekele; Michelle L. Bell; Derrick A. Bennett; James R. Bennett; Isabela M. Bensenor; Jennifer Benson; Adugnaw Berhane; Derbew Fikadu Berhe; Eduardo Bernabé; Balem Demtsu Betsu; Mircea Beuran; Addisu Shunu Beyene; Anil Bhansali; Samir Bhatt; Zulfqar A. Bhutta; Sibhatu Biadgilign; Kelly Bienhof; Boris Bikbov; Charles Birungi; Stan Biryukov; Donal Bisanzio; Habtamu Mellie Bizuayehu; Fiona M. Blyth; Dube Jara Boneya; Dipan Bose; Ibrahim R. Bou-Orm; Rupert R. A. Bourne; Michael Brainin; Carol E. G. Brayne; Alexandra Brazinova; Nicholas J. K. Breitborde; Paul S. Briant; Gabrielle Britton; Traolach S. Brugha; Rachelle Buchbinder; Lemma Negesa Bulto Bulto; Blair Bumgarner; Zahid A. Butt; Lucero Cahuana-Hurtado; Ewan Cameron; Ismael Ricardo Campos-Nonato; Hélène Carabin; Rosario Cárdenas; David O. Carpenter; Juan Jesus Carrero; Austin Carter; Felix Carvalho; Daniel Casey; Carlos A. Castañeda-Orjuela; Jacqueline Castillo Rivas; Chris D. Castle; Ferrán Catalá-López; Jung-Chen Chang; Fiona J. Charlson; Pankaj Chaturvedi; Honglei Chen; Mirriam Chibalabala; Chioma Ezinne Chibueze; Vesper Hichilombwe Chisumpa; Abdulaal A. Chitheer; Rajiv Chowdhury; Devasahayam Jesudas Christopher; Liliana G. Ciobanu; Massimo Cirillo; Danny Colombara; Leslie Trumbull Cooper; Cyrus Cooper; Paolo Angelo Cortesi; Monica Cortinovis; Michael H. Criqui; Elizabeth A. Cromwell; Marita Cross; John A. Crump; Abel Fekadu Dadi; Koustuv Dalal; Albertino Damasceno; Lalit Dandona; Rakhi Dandona; José Das Neves; Dragos V. Davitoiu; Kairat Davletov; Barbora De Courten; Diego De Leo; Hans De Steur; Louisa Degenhardt; Selina Deiparine; Robert P. Dellavalle; Kebede Deribe; Amare Deribew; Don C. Das Jarlais; Subhojit Dey; Samath D. Dharmaratne; Preet K. Dhillon; Daniel Dicker; Shirin Djalalinia; Huyen Phuc Do; Klara Dokova; David Teye Doku; E. Ray Dorsey; Kadine Priscila Bender Dos Santos; Tim R. Driscoll; Manisha Dubey; Bruce Bartholow Duncan; Beth E. Ebel; Michelle Echko; Ziad Ziad El-Khatib; Ahmadali Enayati; Aman Yesuf Endries; Sergey Petrovich Ermakov; Holly E. Erskine; Setegn Eshetie; Babak Eshrati; Alireza Esteghamati; Kara Estep; Fanuel Belayneh Bekele Fanuel; Tamer Farag; Carla Sofa E Sa Farinha; André Faro; Farshad Farzadfar; Mir Sohail Fazeli; Valery L. Feigin; Andrea B. Feigl; Seyed-Mohammad Fereshtehnejad; João C. Fernandes; Alize J. Ferrari; Tesfaye Regassa Feyissa; Irina Filip; Florian Fischer; Christina Fitzmaurice; Abraham D. Flaxman; Nataliya Foigt; Kyle J. Foreman; Richard C. Franklin; Joseph J. Frostad; Nancy Fullman; Thomas Fürst; Joao M. Furtado; Neal D. Futran; Emmanuela Gakidou; Alberto L. Garcia-Basteiro; Teshome Gebre; Gebremedhin Berhe Gebregergs; Tsegaye Tewelde Gebrehiwot; Johanna M. Geleijnse; Ayele Geleto; Bikila Lencha Gemechu; Hailay Abrha Gesesew; Peter W. Gething; Alireza Ghajar; Katherine B. Gibney; Richard F. Gillum; Ibrahim Abdelmageem Mohamed Ginawi; Melkamu Dedefo Gishu; Giorgia Giussani; William W. Godwin; Kashish Goel; Shifalika Goenka; Ellen M. Goldberg; Philimon N. Gona; Amador Goodridge; Sameer Vali Gopalani; Richard A. Gosselin; Carolyn C. Gotay; Atsushi Goto; Alessandra Carvalho Goulart; Nicholas Graetz; Harish Chander Gugnani; Rajeev Gupta; Prakash C. Gupta; Tanush Gupta; Vipin Gupta; Rahul Gupta; Reyna A. Gutiérrez; Vladimir Hachinski; Nima Hafezi-Nejad; Alemayehu Desalegne Hailu; Gessessew Bugssa Hailu; Randah Ribhi Hamadeh; Samer Hamidi; Mouhanad Hammami; Alexis J. Handal; Graeme J. Hankey; Yuantao Hao; Hilda L. Harb; Habtamu Abera Hareri; Josep Maria Haro; Kimani M. Harun; James Harvey; Mohammad Sadegh Hassanvand; Rasmus Havmoeller; Roderick J. Hay; Mohammad T. Hedayati; Delia Hendrie; Nathaniel J. Henry; Ileana Beatriz Heredia-Pi; Pouria Heydarpour; Hans W. Hoek; Howard J. Hofman; Masako Horino; Nobuyuki Horita; H. Dean Hosgood; Sorin Hostiuc; Peter J. Hotez; Damian G. Hoy; Aung Soe Htet; Guoqing Hu; John J. Huang; Chantal Huynh; Kim Moesgaard Iburg; Ehimario Uche Igumbor; Chad Ikeda; Caleb Mackay Salpeter Irvine; Kathryn H. Jacobsen; Nader Jahanmehr; Mihajlo B. Jakovljevic; Peter James; Simerjot K. Jassal; Mehdi Javanbakht; Sudha P. Jayaraman; Panniyammakal Jeemon; Paul N. Jensen; Vivekanand Jha; Guohong Jiang; Denny John; Catherine O. Johnson; Sarah Charlotte Johnson; Jost B. Jonas; Mikk Jürisson; Zubair Kabir; Rajendra Kadel; Amaha Kahsay; Ritul Kamal; Chittaranjan Kar; Nadim E. Karam; André Karch; Corine Kakizi Karema; Seyed M. Karimi; Chante Karimkhani; Amir Kasaeian; Getachew Mullu Kassa; Nicholas J. Kassebaum; Nigussie Assefa Kassaw; Anshul Kastor; Srinivasa Vittal Katikireddi; Anil Kaul; Norito Kawakami; Peter Njenga Keiyoro; Laura Kemmer; Andre Pascal Kengne; Andre Keren; Chandrasekharan Nair Kesavachandran; Yousef Saleh Khader; Ibrahim A. Khalil; Ejaz Ahmad Khan; Young-Ho Khang; Abdullah T. Khoja; Ardeshir Khosravi; Jagdish Khubchandani; Christian Kieling; Yun Jin Kim; Daniel Kim; Ruth W. Kimokoti; Yohannes Kinfu; Adnan Kisa; Katarzyna A. Kissimova-Skarbek; Niranjan Kissoon; Mika Kivimaki; Ann Kristin Knudsen; Yoshihiro Kokubo; Dhaval Kolte; Jacek A. Kopec; Soewarta Kosen; Georgios A. Kotsakis; Parvaiz A. Koul; Ai Koyanagi; Michael Kravchenko; Kristopher J. Krohn; Barthelemy Kuate Defo; Burcu Kucuk Bicer; G. Anil Kumar; Pushpendra Kumar; Hmwe H. Kyu; Anton Carl Jonas Lager; Dharmesh Kumar Lal; Ratilal Lalloo; Tea Lallukka; Nkurunziza Lambert; Qing Lan; Van C. Lansingh; Anders Larsson; Janet L. Leasher; Paul H. Lee; James Leigh; Cheru Tesema Leshargie; Janni Leung; Ricky Leung; Miriam Levi; Yichong Li; Yongmei Li; Xiaofeng Liang; Misgan Legesse Liben; Stephen S. Lim; Shai Linn; Angela Liu; Patrick Y. Liu; Shiwei Liu; Yang Liu; Rakesh Lodha; Giancarlo Logroscino; Katharine J. Looker; Alan D. Lopez; Stefan Lorkowski; Paulo A. Lotufo; Rafael Lozano; Timothy C. D. Lucas; Raimundas Lunevicius; Ronan A. Lyons; Erlyn Rachelle King Macarayan; Emilie R. Maddison; Hassan Magdy Abd El Razek; Mohammed Magdy Abd El Razek; Carlos Magis-Rodriguez; Mahdi Mahdavi; Marek Majdan; Reza Majdzadeh; Azeem Majeed; Reza Malekzadeh; Rajesh Malhotra; Deborah Carvalho Malta; Abdullah A. Mamun; Helena Manguerra; Treh Manhertz; Lorenzo G. Mantovani; Chabila C. Mapoma; Lyn M. March; Laurie B. Marczak; Jose Martinez-Raga; Paulo Henrique Viegas Martins; Francisco Rogerlândio Martins-Melo; Ira Martopullo; Winfried März; Manu Raj Mathur; Mohsen Mazidi; Colm McAlinden; Madeline McGaughey; John J. McGrath; Martin McKee; Suresh Mehata; Toni Meier; Kidanu Gebremariam Meles; Peter Memiah; Ziad A. Memish; Walter Mendoza; Melkamu Merid Mengesha; Mubarek Abera Mengistie; Desalegn Tadese Mengistu; George A. Mensah; Atte Meretoja; Tuomo J. Meretoja; Haftay Berhane Mezgebe; Renata Micha; Anoushka Millear; Ted R. Miller; Shawn Minnig; Mojde Mirarefn; Erkin M. Mirrakhimov; Awoke Misganaw; Shiva Raj Mishra; Philip B. Mitchell; Karzan Abdulmuhsin Mohammad; Alireza Mohammadi; Shafu Mohammed; Kedir Endris Mohammed; Muktar Sano Kedir Mohammed; Murali B. V. Mohan; Ali H. Mokdad; Sarah K. Mollenkopf; Lorenzo Monasta; Julio Cesar Montañez Hernandez; Marcella Montico; Maziar Moradi-Lakeh; Paula Moraga; Lidia Morawska; Rintaro Mori; Shane D. Morrison; Mark Moses; Clif Mountjoy-Venning; Kalayu Birhane Mruts; Ulrich O. Mueller; Kate Muller; Michele E. Mudoch; Srinivas Murthy; Gudlavalleti Venkata Satyanarayana Murthy; Kamarul Imran Musa; Jean B. Nachega; Gabriele Nagel; Mohsen Naghavi; Aliya Naheed; Kovin S. Naidoo; Vinay Nangia; Jamal T. Nasher; Gopalakrishnan Natarajan; Dumessa Edessa Negasa; Ionut Negoi; Ruxandra Irina Negoi; Charles R. Newton; Josephine Wanjiku Ngunjiri; Cuong Tat Nguyen; Quyen Le Nguyen; Grant Nguyen; Trang Huyen Nguyen; Minh Nguyen; Emma Nichols; Dina Nur Anggraini Ningrum; Vuong Minh Nong; Ole F. Norheim; Bo Norrving; Jean Jacques N. Noubiap; Alypio Nyandwi; Carla Makhlouf Obermeyer; Martin J. O'Donnell; Felix Akpojene Ogbo; In-Hwan Oh; Anselm Okoro; Olanrewaju Oladimeji; Andrew Toyin Olagunju; Tinuke Oluwasefunmi Olagunju; Helen E. Olsen; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Kanyin Ong; John Nelson Opio; Eyal Oren; Alberto Ortiz; Richard H. Osborne; Aaron Osgood-Zimmerman; Majdi Osman; Erika Ota; Mayowa O. Owolabi; Mahesh Pa; Rosana E. Pacella; Basant Kumar Panda; Jeyaraj D. Pandian; Christina Papachristou; Eun-Kee Park; Charles D. Parry; Mahboubeh Parsaeian; Snehal T. Patil; Scott B. Patten; George C. Patton; Deepak Paudel; Katherine Paulson; Neil Pearce; David M. Pereira; Krystle Marie Perez; Norberto Perico; Konrad Pesudovs; Carrie Beth Peterson; William Arthur Petri; Max Petzold; Michael Robert Phillips; Geofrey Phipps; David M. Pigott; Julian David Pillay; Christine Pinho; Michael A. Piradov; Dietrich Plass; Martin A. Pletcher; Svetlana Popova; Richie G. Poulton; Farshad Pourmalek; Dorairaj Prabhakaran; Narayan Prasad; Carrie Purcell; Manorama Purwar; Mostafa Qorbani; Rynaz H. S. Rabiee; Amir Radfar; Anwar Rafay; Kazem Rahimi; Afarin Rahimi-Movaghar; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Muhammad Aziz Rahman; Mohammad Hifz Ur Rahman; Rajesh Kumar Rai; Sasa Rajsic; Usha Ram; Chhabi Lal Ranabhat; Thara Rangaswamy; Zane Rankin; Paturi Vishnupriya Rao; Puja C. Rao; Salman Rawaf; Sarah E. Ray; Robert C. Reiner; Nikolas Reinig; Marissa Reitsma; Giuseppe Remuzzi; Andre M. N. Renzaho; Serge Resnikof; Satar Rezaei; Antonio L. Ribeiro; Hirbo Shore Roba; Stephen R. Robinson; David Rojas-Rueda; Mohammad Bagher Rokni; Luca Ronfani; Gholamreza Roshandel; Gregory A. Roth; Dietrich Rothenbacher; Ambuj Roy; Enrico Rubagotti; George Mugambage Ruhago; Soheil Saadat; Mahdi Safdarian; Saeid Safri; Rajesh Sagar; Ramesh Sahathevan; Mohammad Ali Sahraian; Joseph Salama; Muhammad Muhammad Saleh; Joshua A. Salomon; Sundeep Santosh Salvi; Abdallah M. Samy; Juan Ramon Sanabria; Maria Dolores Sanchez-Niño; Damian Santomauro; João Vasco Santos; Itamar S. Santos; Milena M. Santric Milicevic; Benn Sartorius; Maheswar Satpathy; Monika Sawhney; Sonia Saxena; Kathryn Schelonka; Maria Inês Schmidt; Ione J. C. Schneider; Ben Schöttker; Aletta E. Schutte; David C. Schwebel; Falk Schwendicke; Soraya Seedat; Sadaf G. Sepanlou; Edson E. Servan-Mori; Amira Shaheen; Masood Ali Shaikh; Mansour Shamsipour; Sheikh Mohammed Shariful Islam; Rajesh Sharma; Jayendra Sharma; Jun She; Peilin Shi; Kenji Shibuya; Chloe Shields; Mekonnen Sisay Shiferaw; Mika Shigematsu; Rahman Shiri; Reza Shirkoohi; Shreya Shirude; Kawkab Shishani; Haitham Shoman; Soraya Siabani; Abla Mehio Sibai; Inga Dora Sigfusdottir; Donald H. Silberberg; João Pedro Silva; Diego Augusto Santos Silva; Dayane Gabriele Alves Silveira; Jasvinder A. Singh; Virendra Singh; Om Prakash Singh; Narinder Pal Singh; Dhirendra Narain Sinha; Eirini Skiadaresi; Vegard Skirbekk; Erica Leigh Slepak; David L. Smith; Mari Smith; Badr H. A. Sobaih; Eugene Sobngwi; Michael Soljak; Reed J. D. Sorensen; Tatiane Cristina Moraes Sousa; Luciano A. Sposato; Chandrashekhar T. Sreeramareddy; Vinay Srinivasan; Jefrey D. Stanaway; Vasiliki Stathopoulou; Nicholas Steel; Dan J. Stein; Caitlyn Steiner; Sabine Steinke; Mark Andrew Stokes; Lars Jacob Stovner; Bryan Strub; Michelle Subart; Muawiyyah Babale Sufyan; Rizwan Suliankatchi Abdulkader; Bruno F. Sunguya; Patrick J. Sur; Soumya Swaminathan; Bryan L. Sykes; Dillon Sylte; Cassandra E. I. Szoeke; Rafael Tabarés-Seisdedos; Santosh Kumar Tadakamadla; Getachew Redae Tafere; Jukka S. Takala; Nikhil Tandon; David Tanne; Yihunie L. Tarekegn; Mohammad Tavakkoli; Nuno Taveira; Hugh R. Taylor; Teketo Kassaw Tegegne; Arash Tehrani-Banihashemi; Tesfalidet Tekelab; Girma Temam Shifa; Abdullah Sulieman Terkawi; Dawit Jember Tesfaye; Belay Tesssema; J.S. Thakur; Ornwipa Thamsuwan; Alice M. Theadom; Andrew M. Theis; Katie E. Thomas; Nihal Thomas; Robert Thompson; Amanda G. Thrift; Ruoyan Tobe-Gai; Myriam Tobollik; Marcello Tonelli; Roman Topor-Madry; Miguel Tortajada; Mathilde Touvier; Jeferson Traebert; Bach Xuan Tran; Christopher Troeger; Thomas Truelsen; Derrick Tsoi; Emin Murat Tuzcu; Hayley Tymeson; Stefanos Tyrovolas; Kingsley Nnanna Ukwaja; Eduardo A. Undurraga; Chigozie Jesse Uneke; Rachel Updike; Olalekan A. Uthman; Benjamin S. Chudi Uzochukwu; Job F. M. Van Boven; Santosh Varughese; Tommi Vasankari; Lennert J. Veerman; S. Venkatesh; Narayanaswamy Venketasubramanian; Ramesh Vidavalur; Lakshmi Vijayakumar; Francesco S. Violante; Abhishek Vishnu; Sergey K. Vladimirov; Vasiliy Victorovich Vlassov; Stein Emil Vollset; Theo Vos; Fiseha Wadilo; Tolassa Wakayo; Mitchell T. Wallin; Yuan-Pang Wang; Scott Weichenthal; Elisabete Weiderpass; Robert G. Weintraub; Daniel J. Weiss; Andrea Werdecker; Ronny Westerman; Harvey A. Whiteford; Tissa Wijeratne; Hywel C. Williams; Charles Shey Wiysonge; Belete Getahun Woldeyes; Charles D. A. Wolfe; Rachel Woodbrook; Anthony D. Woolf; Abdulhalik Workicho; Denis Xavier; Gelin Xu; Simon Yadgir; Mohsen Yaghoubi; Bereket Yakob; Lijing L. Yan; Yuichiro Yano; Pengpeng Ye; Mahari Gidey Yihdego; Hassen Hamid Yimam; Paul Yip; Naohiro Yonemoto; Seok-Jun Yoon; Marcel Yotebieng; Mustafa Z. Younis; Chuanhua Yu; Zoubida Zaidi; Maysaa El Sayed Zaki; Elias Asfaw Zegeye; Zerihun Menlkalew Zenebe; Xueying Zhang; Yingfeng Zheng; Maigeng Zhou; Ben Zipkin; Sanjay Zodpey; Leo Zoeckler; Liesl Joanna Zuhlke; Christopher J. L. Murray; I.A. Adedji; M.E. Murdoch; C.E.G. BryaneBackground: Measurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary measures to monitor such changes in population health: disability-adjusted life-years (DALYs) and healthy life expectancy (HALE). We used these measures to track trends and benchmark progress compared with expected trends on the basis of the Socio-demographic Index (SDI). Methods: We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2016. We calculated DALYs by summing years of life lost and years of life lived with disability for each location, age group, sex, and year. We estimated HALE using age-specific death rates and years of life lived with disability per capita. We explored how DALYs and HALE difered from expected trends when compared with the SDI: the geometric mean of income per person, educational attainment in the population older than age 15 years, and total fertility rate. Findings: The highest globally observed HALE at birth for both women and men was in Singapore, at 75·2 years (95% uncertainty interval 71·9-78·6) for females and 72·0 years (68·8-75·1) for males. The lowest for females was in the Central African Republic (45·6 years [42·0-49·5]) and for males was in Lesotho (41·5 years [39·0-44·0]). From 1990 to 2016, global HALE increased by an average of 6·24 years (5·97-6·48) for both sexes combined. Global HALE increased by 6·04 years (5·74-6·27) for males and 6·49 years (6·08-6·77) for females, whereas HALE at age 65 years increased by 1·78 years (1·61-1·93) for males and 1·96 years (1·69-2·13) for females. Total global DALYs remained largely unchanged from 1990 to 2016 (-2·3% [-5·9 to 0·9]), with decreases in communicable, maternal, neonatal, and nutritional (CMNN) disease DALYs ofset by increased DALYs due to non-communicable diseases (NCDs). The exemplars, calculated as the fve lowest ratios of observed to expected age-standardised DALY rates in 2016, were Nicaragua, Costa Rica, the Maldives, Peru, and Israel. The leading three causes of DALYs globally were ischaemic heart disease, cerebrovascular disease, and lower respiratory infections, comprising 16·1% of all DALYs. Total DALYs and age-standardised DALY rates due to most CMNN causes decreased from 1990 to 2016. Conversely, the total DALY burden rose for most NCDs; however, age-standardised DALY rates due to NCDs declined globally. Interpretation: At a global level, DALYs and HALE continue to show improvements. At the same time, we observe that many populations are facing growing functional health loss. Rising SDI was associated with increases in cumulative years of life lived with disability and decreases in CMNN DALYs ofset by increased NCD DALYs. Relative compression of morbidity highlights the importance of continued health interventions, which has changed in most locations in pace with the gross domestic product per person, education, and family planning. The analysis of DALYs and HALE and their relationship to SDI represents a robust framework with which to benchmark location-specific health performance. Country-specific drivers of disease burden, particularly for causes with higher-than-expected DALYs, should inform health policies, health system improvement initiatives, targeted prevention eforts, and development assistance for health, including fnancial and research investments for all countries, regardless of their level of sociodemographic development. The presence of countries that substantially outperform others suggests the need for increased scrutiny for proven examples of best practices, which can help to extend gains, whereas the presence of underperforming countries suggests the need for devotion of extra attention to health systems that need more robust support. © The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.PublicationArticle Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015(Lancet Publishing Group, 2016) Haidong Wang; Zulfiqar A Bhutta; Matthew M Coates; Megan Coggeshall; Lalit Dandona; Khassoum Diallo; Elisabeth Barboza Franca; Maya Fraser; Nancy Fullman; Peter W Gething; Simon I Hay; Yohannes Kinfu; Maaya Kita; Xie Rachel Kulikoff; Heidi J Larson; Juan Liang; Xiaofeng Liang; Stephen S Lim; Margaret Lind; Alan D Lopez; Rafael Lozano; George A Mensah; Joseph B Mikesell; Ali H Mokdad; Meghan D Mooney; Mohsen Naghavi; Grant Nguyen; Ivo Rakovac; Joshua A Salomon; Naris Silpakit; Amber Sligar; Reed J D Sorensen; Theo Vos; Jun Zhu; Amanuel Alemu Abajobir; Kalkidan Hassen Abate; Kaja M Abbas; Foad Abd-Allah; Abdishakur M Abdulle; Semaw Ferede Abera; Victor Aboyans; Biju Abraham; Ibrahim Abubakar; Laith J Abu-Raddad; Niveen M E Abu-Rmeileh; Gebre Yitayih Abyu; Tom Achoki; Akindele Olupelumi Adebiyi; Isaac Akinkunmi Adedeji; Ademola Lukman Adelekan; Arsène Kouablan Adou; Arnav Agarwal; Oluremi N Ajala; Tomi F Akinyemiju; Nadia Akseer; Khurshid Alam; Noore K M Alam; Deena Alasfoor; Robert William Aldridge; Miguel Angel Alegretti; Zewdie Aderaw Alemu; Raghib Ali; Ala’a Alkerwi; François Alla; Rajaa Al-Raddadi; Ubai Alsharif; Khalid A Altirkawi; Elena Alvarez Martin; Nelson Alvis-Guzman; Azmeraw T Amare; Alemayehu Amberbir; Adeladza Kofi Amegah; Emmanuel A Ameh; Walid Ammar; Stephen Marc Amrock; Hjalte H Andersen; Gregory M Anderson; Carl Abelardo T Antonio; Johan Ärnlöv; Al Artaman; Hamid Asayesh; Rana Jawad Asghar; Reza Assadi; Suleman Atique; Euripide Frinel G Arthur Avokpaho; Ashish Awasthi; Beatriz Paulina Ayala Quintanilla; Umar Bacha; Alaa Badawi; Kalpana Balakrishnan; Amitava Banerjee; Bolanle F Banigbe; Aleksandra Barac; Ryan M Barber; Suzanne L Barker-Collo; Till Bärnighausen; Lope H Barrero; Tigist Assefa Bayou; Yibeltal Tebekaw Bayou; Shahrzad Bazargan-Hejazi; Justin Beardsley; Neeraj Bedi; Tolesa Bekele; Michelle L Bell; Aminu K Bello; Derrick A Bennett; Isabela M Bensenor; Adugnaw Berhane; Eduardo Bernabé; Balem Demtsu Betsu; Addisu Shunu Beyene; Samir Bhatt; Sibhatu Biadgilign; Boris Bikbov; Sait Mentes Birlik; Donal Bisanzio; Espen Bjertness; Jed D Blore; Rupert R A Bourne; Michael Brainin; Alexandra Brazinova; Nicholas J K Breitborde; Alexandria Brown; Geoffrey Colin Buckle; Michael Burch; Zahid A Butt; Ismael Ricardo Campos-Nonato; Julio Cesar Campuzano; Rosario Cárdenas; David O Carpenter; Juan Jesus Carrero; Austin Carter; Daniel C Casey; Carlos A Castañeda-Orjuela; Jacqueline Castillo Rivas; Ruben Estanislao Castro; Ferrán Catalá-López; Kelly Cercy; Hsing-Yi Chang; Jung-Chen Chang; Chioma Ezinne Chibueze; Vesper Hichilombwe Chisumpa; Jee-Young Jasmine Choi; Rajiv Chowdhury; Devasahayam Jesudas Christopher; Liliana G Ciobanu; Samantha M Colquhoun; Cyrus Cooper; Leslie Cornaby; Solomon Abrha Damtew; Hadi Danawi; Rakhi Dandona; José Das Neves; Adrian C Davis; Pieter de Jager; Diego De Leo; Louisa Degenhardt; Kebede Deribe; Amare Deribew; Don C Des Jarlais; Gabrielle A Deveber; Samath D Dharmaratne; Preet K Dhillon; Eric L Ding; Pratik Pinal Doshi; Kerrie E Doyle; Leilei Duan; Manisha Dubey; Hedyeh Ebrahimi; Christian Lycke Ellingsen; Iqbal Elyazar; Aman Yesuf Endries; Sergey Petrovich Ermakov; Babak Eshrati; Alireza Esteghamati; Emerito Jose Aquino Faraon; Talha A Farid; Carla Sofia E Sa Farinha; André Faro; Maryam S Farvid; Farshad Farzadfar; Seyed-Mohammad Fereshtehnejad; Joao C Fernandes; Florian Fischer; Joseph R A Fitchett; Nataliya Foigt; Richard C Franklin; Joseph Friedman; Thomas Fürst; Ketevan Gambashidze; Amiran Gamkrelidze; Parthasarathi Ganguly; Teshome Gebre; Tsegaye Tewelde Gebrehiwot; Amanuel Tesfay Gebremedhin; Alemseged Aregay Gebru; Johanna M Geleijnse; Bradford D Gessner; Ibrahim Abdelmageem Mohamed Ginawi; Ababi Zergaw Giref; Melkamu Dedefo Gishu; Hector Gomez-Dantes; Philimon Gona; Amador Goodridge; Sameer Vali Gopalani; Atsushi Goto; Hebe N Gouda; Harish Chander Gugnani; Yuming Guo; Rahul Gupta; Rajeev Gupta; Vipin Gupta; Bishal Gyawali; Juanita A Haagsma; Nima Hafezi-Nejad; Demewoz Haile; Alemayehu Desalegne Hailu; Gessessew Bugssa Hailu; Randah Ribhi Hamadeh; Samer Hamidi; Jamie Hancock; Alexis J Handal; Graeme J Hankey; Hilda L Harb; Sivadasanpillai Harikrishnan; Kimani M Harun; Rasmus Havmoeller; Roderick J Hay; Ileana Beatriz Heredia-Pi; Hans W Hoek; Masako Horino; Nobuyuki Horita; H. Dean Hosgood; Peter J Hotez; Damian G Hoy; Mohamed Hsairi; Guoqing Hu; Cheng Huang; John J Huang; Hsiang Huang; Laetitia Huiart; Chantal Huynh; Kim Moesgaard Iburg; Bulat T Idrisov; Kaire Innos; Kathryn H Jacobsen; Nader Jahanmehr; Mehdi Javanbakht; Achala Upendra Jayatilleke; Sun Ha Jee; Panniyammakal Jeemon; Vivekanand Jha; Guohong Jiang; Ying Jiang; Tariku Jibat; Ye Jin; Jost B Jonas; Zubair Kabir; Yogeshwar Kalkonde; Ritul Kamal; Haidong Kan; Gagandeep Kang; André Karch; Corine Kakizi Karema; Amir Kasaeian; Anil Kaul; Norito Kawakami; Jeanne Françoise Kayibanda; Konstantin Kazanjan; Peter Njenga Keiyoro; Andrew Haddon Kemp; Andre Pascal Kengne; Andre Keren; Maia Kereselidze; Chandrasekharan Nair Kesavachandran; Yousef Saleh Khader; Ibrahim A Khalil; Abdur Rahman Khan; Ejaz Ahmad Khan; Young-Ho Khang; Irma Khonelidze; Jagdish Khubchandani; Cho-Il Kim; Daniel Kim; Yun Jin Kim; Niranjan Kissoon; Miia Kivipelto; Luke D Knibbs; Yoshihiro Kokubo; Soewarta Kosen; Parvaiz A Koul; Ai Koyanagi; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Andreas A Kudom; G. Anil Kumar; Michael J Kutz; Hmwe H Kyu; Dharmesh Kumar Lal; Ratilal Lalloo; Hilton Lam; Jennifer O Lam; Van C Lansingh; Anders Larsson; James Leigh; Ricky Leung; Yichong Li; Yongmei Li; M Patrice Lindsay; Patrick Y Liu; Shiwei Liu; Belinda K Lloyd; Warren D Lo; Giancarlo Logroscino; Nicola Low; Raimundas Lunevicius; Ronan A Lyons; Stefan Ma; Hassan Magdy Abd El Razek; Mohammed Magdy Abd El Razek; Mahdi Mahdavi; Marek Majdan; Azeem Majeed; Reza Malekzadeh; Chabila C Mapoma; Wagner Marcenes; Jose Martinez-Raga; Melvin Barrientos Marzan; Felix Masiye; John J McGrath; Peter A Meaney; Alem Mehari; Man Mohan Mehndiratta; Alemayehu B Mekonnen; Yohannes Adama Melaku; Peter Memiah; Ziad A Memish; Walter Mendoza; Atte Meretoja; Tuomo J Meretoja; Francis Apolinary Mhimbira; Ted R Miller; Edward J Mills; Mojde Mirarefin; Awoke Misganaw; Charles N Mock; Karzan Abdulmuhsin Mohammad; Alireza Mohammadi; Shafiu Mohammed; Lorenzo Monasta; Julio Cesar Montañez Hernandez; Marcella Montico; Ami R Moore; Maziar Moradi-Lakeh; Lidia Morawska; Rintaro Mori; Ulrich O Mueller; Georgina A V Murphy; Srinivas Murthy; Jean B Nachega; Aliya Naheed; Kovin S Naidoo; Luigi Naldi; Devina Nand; Vinay Nangia; Subas Neupane; Charles R Newton; John N Newton; Marie Ng; Frida Namnyak Ngalesoni; Peter Nguhiu; Quyen Le Nguyen; Muhammad Imran Nisar; Patrick Martial Nkamedjie Pete; Ole F Norheim; Rosana E Norman; Felix Akpojene Ogbo; In-Hwan Oh; Foluke Adetola Ojelabi; Pedro R Olivares; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Eyal Oren; Erika Ota; P.A. Mahesh; Eun-Kee Park; Hye-Youn Park; Mahboubeh Parsaeian; Angel J Paternina Caicedo; Scott B Patten; João Mário Pedro; David M Pereira; Norberto Perico; Konrad Pesudovs; Max Petzold; Michael Robert Phillips; Julian David Pillay; Farhad Pishgar; Suzanne Polinder; Daniel Pope; Svetlana Popova; Farshad Pourmalek; Mostafa Qorbani; Rynaz H S Rabiee; Anwar Rafay; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Mohammad Hifz Ur Rahman; Sajjad Ur Rahman; Rajesh Kumar Rai; Murugesan Raju; Usha Ram; Saleem M Rana; Chhabi Lal Ranabhat; Puja Rao; Amany H Refaat; Giuseppe Remuzzi; Serge Resnikoff; Alex Reynolds; David Rojas-Rueda; Luca Ronfani; Gholamreza Roshandel; Gregory A Roth; Ambuj Roy; George Mugambage Ruhago; Rajesh Sagar; Muhammad Muhammad Saleh; Juan R Sanabria; Maria Dolores Sanchez-Niño; Itamar S Santos; João Vasco Santos; Rodrigo Sarmiento-Suarez; Benn Sartorius; Maheswar Satpathy; Miloje Savic; Monika Sawhney; Ione J C Schneider; Ben Schöttker; David C Schwebel; Soraya Seedat; Sadaf G Sepanlou; Edson E Servan-Mori; Tesfaye Setegn; Saeid Shahraz; Masood Ali Shaikh; Marina Shakh-Nazarova; Rajesh Sharma; Jun She; Sara Sheikhbahaei; Jiabin Shen; Kevin N Sheth; Kenji Shibuya; Hwashin Hyun Shin; Min-Jeong Shin; Rahman Shiri; Ivy Shuie; Inga Dora Sigfusdottir; Diego Augusto Santos Silva; Jonathan Silverberg; Edgar P Simard; Shireen Sindi; Abhishek Singh; Jasvinder A Singh; Om Prakash Singh; Prashant Kumar Singh; Virendra Singh; Joan B Soriano; Sergey Soshnikov; Luciano A Sposato; Chandrashekhar T Sreeramareddy; Vasiliki Stathopoulou; Nicholas Steel; Konstantinos Stroumpoulis; Lela Sturua; Bruno F Sunguya; Soumya Swaminathan; Bryan L Sykes; Cassandra E I Szoeke; Rafael Tabarés-Seisdedos; Mohammad Tavakkoli; Bineyam Taye; Bemnet Amare Tedla; Worku Mekonnen Tefera; Tesfaye Tekle; Girma Temam Shifa; Abdullah Sulieman Terkawi; Fisaha Haile Tesfay; Gizachew Assefa Tessema; Kiran Thapa; Alan J Thomson; Andrew L Thorne-Lyman; Ruoyan Tobe-Gai; Marcello Tonelli; Roman Topor-Madry; Fotis Topouzis; Bach Xuan Tran; Christopher Troeger; Thomas Truelsen; Zacharie Tsala Dimbuene; Abera Kenay Tura; Stefanos Tyrovolas; Kingsley N Ukwaja; Chigozie Jesse Uneke; Olalekan A Uthman; Masoud Vaezghasemi; Tommi Vasankari; Ana Maria Nogales Vasconcelos; Narayanaswamy Venketasubramanian; Raj Kumar Verma; Francesco S Violante; Sergey K Vladimirov; Vasiliy Victorovich Vlassov; Stein Emil Vollset; Linhong Wang; Yanping Wang; Scott Weichenthal; Elisabete Weiderpass; Robert G Weintraub; Daniel J Weiss; Andrea Werdecker; Ronny Westerman; Marc-Alain Widdowson; Tissa Wijeratne; Thomas Neil Williams; Charles Shey Wiysonge; Charles D A Wolfe; Ingrid Wolfe; Sungho Won; Mamo Wubshet; Qingyang Xiao; Gelin Xu; Ajit Kumar Yadav; Bereket Yakob; Yuichiro Yano; Mehdi Yaseri; Pengpeng Ye; Henock Gebremedhin Yebyo; Paul Yip; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Chuanhua Yu; Zoubida Zaidi; Maysaa El Sayed Zaki; Hajo Zeeb; Hao Zhang; Yong Zhao; Yingfeng Zheng; Maigeng Zhou; Sanjay Zodpey; Christopher J L MurrayBackground Established in 2000, Millennium Development Goal 4 (MDG4) catalysed extraordinary political, financial, and social commitments to reduce under-5 mortality by two-thirds between 1990 and 2015. At the country level, the pace of progress in improving child survival has varied markedly, highlighting a crucial need to further examine potential drivers of accelerated or slowed decreases in child mortality. The Global Burden of Disease 2015 Study (GBD 2015) provides an analytical framework to comprehensively assess these trends for under-5 mortality, age-specific and cause-specific mortality among children under 5 years, and stillbirths by geography over time. Methods Drawing from analytical approaches developed and refined in previous iterations of the GBD study, we generated updated estimates of child mortality by age group (neonatal, post-neonatal, ages 1–4 years, and under 5) for 195 countries and territories and selected subnational geographies, from 1980–2015. We also estimated numbers and rates of stillbirths for these geographies and years. Gaussian process regression with data source adjustments for sampling and non-sampling bias was applied to synthesise input data for under-5 mortality for each geography. Age-specific mortality estimates were generated through a two-stage age–sex splitting process, and stillbirth estimates were produced with a mixed-effects model, which accounted for variable stillbirth definitions and data source-specific biases. For GBD 2015, we did a series of novel analyses to systematically quantify the drivers of trends in child mortality across geographies. First, we assessed observed and expected levels and annualised rates of decrease for under-5 mortality and stillbirths as they related to the Soci-demographic Index (SDI). Second, we examined the ratio of recorded and expected levels of child mortality, on the basis of SDI, across geographies, as well as differences in recorded and expected annualised rates of change for under-5 mortality. Third, we analysed levels and cause compositions of under-5 mortality, across time and geographies, as they related to rising SDI. Finally, we decomposed the changes in under-5 mortality to changes in SDI at the global level, as well as changes in leading causes of under-5 deaths for countries and territories. We documented each step of the GBD 2015 child mortality estimation process, as well as data sources, in accordance with the Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER). Findings Globally, 5·8 million (95% uncertainty interval [UI] 5·7–6·0) children younger than 5 years died in 2015, representing a 52·0% (95% UI 50·7–53·3) decrease in the number of under-5 deaths since 1990. Neonatal deaths and stillbirths fell at a slower pace since 1990, decreasing by 42·4% (41·3–43·6) to 2·6 million (2·6–2·7) neonatal deaths and 47·0% (35·1–57·0) to 2·1 million (1·8-2·5) stillbirths in 2015. Between 1990 and 2015, global under-5 mortality decreased at an annualised rate of decrease of 3·0% (2·6–3·3), falling short of the 4·4% annualised rate of decrease required to achieve MDG4. During this time, 58 countries met or exceeded the pace of progress required to meet MDG4. Between 2000, the year MDG4 was formally enacted, and 2015, 28 additional countries that did not achieve the 4·4% rate of decrease from 1990 met the MDG4 pace of decrease. However, absolute levels of under-5 mortality remained high in many countries, with 11 countries still recording rates exceeding 100 per 1000 livebirths in 2015. Marked decreases in under-5 deaths due to a number of communicable diseases, including lower respiratory infections, diarrhoeal diseases, measles, and malaria, accounted for much of the progress in lowering overall under-5 mortality in low-income countries. Compared with gains achieved for infectious diseases and nutritional deficiencies, the persisting toll of neonatal conditions and congenital anomalies on child survival became evident, especially in low-income and low-middle-income countries. We found sizeable heterogeneities in comparing observed and expected rates of under-5 mortality, as well as differences in observed and expected rates of change for under-5 mortality. At the global level, we recorded a divergence in observed and expected levels of under-5 mortality starting in 2000, with the observed trend falling much faster than what was expected based on SDI through 2015. Between 2000 and 2015, the world recorded 10·3 million fewer under-5 deaths than expected on the basis of improving SDI alone. Interpretation Gains in child survival have been large, widespread, and in many places in the world, faster than what was anticipated based on improving levels of development. Yet some countries, particularly in sub-Saharan Africa, still had high rates of under-5 mortality in 2015. Unless these countries are able to accelerate reductions in child deaths at an extraordinary pace, their achievement of proposed SDG targets is unlikely. Improving the evidence base on drivers that might hasten the pace of progress for child survival, ranging from cost-effective intervention packages to innovative financing mechanisms, is vital to charting the pathways for ultimately ending preventable child deaths by 2030. Funding Bill & Melinda Gates Foundation. © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license.PublicationArticle Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017(Lancet Publishing Group, 2018) Christopher J.L. Murray; Charlton S.K.H. Callender; Xie Rachel Kulikoff; Vinay Srinivasan; Degu Abate; Kalkidan Hassen Abate; Solomon M. Abay; Nooshin Abbasi; Hedayat Abbastabar; Jemal Abdela; Ahmed Abdelalim; Omar Abdel-Rahman; Alireza Abdi; Nasrin Abdoli; Ibrahim Abdollahpour; Rizwan Suliankatchi Abdulkader; Haftom Temesgen Abebe; Molla Abebe; Zegeye Abebe; Teshome Abuka Abebo; Ayenew Negesse Abejie; Victor Aboyans; Haftom Niguse Abraha; Daisy Maria Xavier Abreu; Aklilu Roba Abrham; Laith Jamal Abu-Raddad; Niveen M.E. Abu-Rmeileh; Manfred Mario Kokou Accrombessi; Pawan Acharya; Abdu A. Adamu; Oladimeji M. Adebayo; Isaac Akinkunmi Adedeji; Victor Adekanmbi; Olatunji O. Adetokunboh; Beyene Meressa Adhena; Tara Ballav Adhikari; Mina G. Adib; Arsène Kouablan Adou; Jose C. Adsuar; Mohsen Afarideh; Ashkan Afshin; Gina Agarwal; Kareha M. Agesa; Sargis Aghasi Aghayan; Sutapa Agrawal; Alireza Ahmadi; Mehdi Ahmadi; Muktar Beshir Ahmed; Sayem Ahmed; Amani Nidhal Aichour; Ibtihel Aichour; Miloud Taki Eddine Aichour; Ali S. Akanda; Mohammad Esmaeil Akbari; Mohammed Akibu; Rufus Olusola Akinyemi; Tomi Akinyemiju; Nadia Akseer; Fares Alahdab; Ziyad Al-Aly; Khurshid Alam; Animut Alebel; Alicia V. Aleman; Kefyalew Addis Alene; Ayman Al-Eyadhy; Raghib Ali; Mehran Alijanzadeh; Reza Alizadeh-Navaei; Syed Mohamed Aljunid; Ala'a Alkerwi; François Alla; Peter Allebeck; Ali Almasi; Jordi Alonso; Rajaa M. Al-Raddadi; Ubai Alsharif; Khalid Altirkawi; Nelson Alvis-Guzman; Azmeraw T. Amare; Walid Ammar; Nahla Hamed Anber; Catalina Liliana Andrei; Sofia Androudi; Megbaru Debalkie Animut; Hossein Ansari; Mustafa Geleto Ansha; Carl Abelardo T. Antonio; Seth Christopher Yaw Appiah; Olatunde Aremu; Habtamu Abera Areri; Nicholas Arian; Johan Ärnlöv; Al Artaman; Krishna K. Aryal; Hamid Asayesh; Ephrem Tsegay Asfaw; Solomon Weldegebreal Asgedom; Reza Assadi; Tesfay Mehari Mehari Atey; Suleman Atique; Madhu Sudhan Atteraya; Marcel Ausloos; Euripide F.G.A. Avokpaho; Ashish Awasthi; Beatriz Paulina Ayala Quintanilla; Yohanes Ayele; Rakesh Ayer; Tambe B. Ayuk; Peter S. Azzopardi; Tesleem Kayode Babalola; Arefeh Babazadeh; Hamid Badali; Alaa Badawi; Ayele Geleto Bali; Maciej Banach; Suzanne Lyn Barker-Collo; Till Winfried Bärnighausen; Lope H. Barrero; Huda Basaleem; Quique Bassat; Arindam Basu; Bernhard T. Baune; Habtamu Wondifraw Baynes; Ettore Beghi; Masoud Behzadifar; Meysam Behzadifar; Bayu Begashaw Bekele; Abate Bekele Belachew; Aregawi Gebreyesus Belay; Ezra Belay; Saba Abraham Belay; Yihalem Abebe Belay; Michelle L. Bell; Aminu K. Bello; Derrick A. Bennett; Isabela M. Bensenor; Gilles Bergeron; Adugnaw Berhane; Adam E. Berman; Eduardo Bernabe; Robert S. Bernstein; Gregory J. Bertolacci; Mircea Beuran; Suraj Bhattarai; Soumyadeep Bhaumik; Zulfiqar A. Bhutta; Belete Biadgo; Ali Bijani; Boris Bikbov; Nigus Bililign; Muhammad Shahdaat Bin Sayeed; Sait Mentes Birlik; Charles Birungi; Tuhin Biswas; Hailemichael Bizuneh; Archie Bleyer; Berrak Bora Basara; Cristina Bosetti; Soufiane Boufous; Oliver J. Brady; Nicola Luigi Bragazzi; Michael Brainin; Alexandra Brazinova; Nicholas J.K. Breitborde; Hermann Brenner; Jerry D. Brewer; Paul Svitil Briant; Gabrielle Britton; Roy Burstein; Reinhard Busse; Zahid A. Butt; Lucero Cahuana-Hurtado; Ismael R. Campos-Nonato; Julio Cesar Campuzano Rincon; Jorge Cano; Mate Car; Rosario Cárdenas; Juan J. Carrero; Félix Carvalho; Carlos A. Castañeda-Orjuela; Jacqueline Castillo Rivas; Franz Castro; Ferrán Catalá-López; Alanur Çavlin; Ester Cerin; Julian Chalek; Hsing-Yi Chang; Jung-Chen Chang; Aparajita Chattopadhyay; Pankaj Chaturvedi; Peggy Pei-Chia Chiang; Ken Lee Chin; Vesper Hichilombwe Chisumpa; Abdulaal Chitheer; Jee-Young J. Choi; Rajiv Chowdhury; Devasahayam J. Christopher; Flavia M. Cicuttini; Liliana G. Ciobanu; Massimo Cirillo; Rafael M. Claro; Daniel Collado-Mateo; Maria-Magdalena Constantin; Sara Conti; Cyrus Cooper; Leslie Trumbull Cooper; Leslie Cornaby; Paolo Angelo Cortesi; Monica Cortinovis; Megan Costa; Elizabeth A. Cromwell; Christopher Stephen Crowe; Petra Cukelj; Matthew Cunningham; Alemneh Kabeta Daba; Berihun Assefa Dachew; Lalit Dandona; Rakhi Dandona; Paul I. Dargan; Ahmad Daryani; Rajat Das Gupta; José Das Neves; Tamirat Tesfaye Dasa; Aditya Prasad Dash; Nicole Davis Weaver; Dragos Virgil Davitoiu; Kairat Davletov; Diego De Leo; Jan-Walter De Neve; Meaza Girma Degefa; Louisa Degenhardt; Tizta Tilahun Degfie; Selina Deiparine; Gebre Teklemariam Demoz; Balem Demtsu; Edgar Denova-Gutiérrez; Kebede Deribe; Nikolaos Dervenis; Don C. Des Jarlais; Getenet Ayalew Dessie; Samath D. Dharmaratne; Meghnath Dhimal; Daniel Dicker; Eric L. Ding; Girmaye Deye Dinsa; Shirin Djalalinia; Huyen Phuc Do; Klara Dokova; David Teye Doku; Kate A. Dolan; Kerrie E. Doyle; Tim R. Driscoll; Manisha Dubey; Eleonora Dubljanin; Eyasu Ejeta Duken; Andre R. Duraes; Soheil Ebrahimpour; David Edvardsson; Charbel El Bcheraoui; Ziad El-Khatib; Iqbal Rf Elyazar; Ahmadali Enayati; Aman Yesuf Endries; Sergey Petrovich Ermakov; Babak Eshrati; Sharareh Eskandarieh; Reza Esmaeili; Alireza Esteghamati; Sadaf Esteghamati; Kara Estep; Hamed Fakhim; Tamer Farag; Mahbobeh Faramarzi; Mohammad Fareed; Carla Sofia E. SáFarinha; Andre Faro; Maryam S. Farvid; Farshad Farzadfar; Mohammad Hosein Farzaei; Kairsten A. Fay; Mir Sohail Fazeli; Valery L. Feigin; Andrea B. Feigl; Fariba Feizy; Ama P. Fenny; Netsanet Fentahun; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Garumma Tolu Feyissa; Irina Filip; Samuel Finegold; Florian Fischer; Luisa Sorio Flor; Nataliya A. Foigt; Kyle J. Foreman; Carla Fornari; Thomas Fürst; Takeshi Fukumoto; John E. Fuller; Nancy Fullman; Emmanuela Gakidou; Silvano Gallus; Amiran Gamkrelidze; Morsaleh Ganji; Fortune Gbetoho Gankpe; Gregory M. Garcia; Miguel Á. Garcia-Gordillo; Abadi Kahsu Gebre; Teshome Gebre; Gebremedhin Berhe Gebregergs; Tsegaye Tewelde Gebrehiwot; Amanuel Tesfay Gebremedhin; Tilayie Feto Gelano; Yalemzewod Assefa Gelaw; Johanna M. Geleijnse; Ricard Genova-Maleras; Peter Gething; Kebede Embaye Gezae; Mohammad Rasoul Ghadami; Reza Ghadimi; Keyghobad Ghadiri; Khalil Ghasemi Falavarjani; Maryam Ghasemi-Kasman; Hesam Ghiasvand; Mamata Ghimire; Aloke Gopal Ghoshal; Paramjit Singh Gill; Tiffany K. Gill; Giorgia Giussani; Elena V. Gnedovskaya; Srinivas Goli; Ricardo Santiago Gomez; Hector Gómez-Dantés; Philimon N. Gona; Amador Goodridge; Sameer Vali Gopalani; Alessandra C. Goulart; Bárbara Niegia Garcia Goulart; Ayman Grada; Giuseppe Grosso; Harish Chander C. Gugnani; Jingwen Guo; Yuming Guo; Prakash C. Gupta; Rahul Gupta; Rajeev Gupta; Tanush Gupta; Juanita A. Haagsma; Vladimir Hachinski; Nima Hafezi-Nejad; Tekleberhan B. Hagos; Tewodros Tesfa Hailegiyorgis; Gessessew Bugssa Hailu; Arvin Haj-Mirzaian; Arya Haj-Mirzaian; Randah R. Hamadeh; Samer Hamidi; Alexis J. Handal; Graeme J. Hankey; Yuantao Hao; Hilda L. Harb; Hamidreza Haririan; Josep Maria Haro; Mehedi Hasan; Hadi Hassankhani; Hamid Yimam Hassen; Rasmus Havmoeller; Simon I. Hay; Yihua He; Akbar Hedayatizadeh-Omran; Mohamed I. Hegazy; Behzad Heibati; Behnam Heidari; Delia Hendrie; Andualem Henok; Nathaniel J. Henry; Claudiu Herteliu; Fatemeh Heydarpour; Desalegn T. Hibstu; Michael K. Hole; Enayatollah Homaie Rad; Praveen Hoogar; H. Dean Hosgood; Seyed Mostafa Hosseini; Meimanat M. Hosseini Chavoshi; Mehdi Hosseinzadeh; Mihaela Hostiuc; Sorin Hostiuc; Mohamed Hsairi; Thomas Hsiao; Guoqing Hu; John J. Huang; Kim Moesgaard Iburg; Ehimario U. Igumbor; Chad Thomas Ikeda; Olayinka Stephen Ilesanmi; Usman Iqbal; Asnake Ararsa Irenso; Seyed Sina Naghibi Irvani; Oluwaseyi Oluwakemi Isehunwa; Sheikh Mohammed Shariful Islam; Leila Jahangiry; Nader Jahanmehr; Sudhir Kumar Jain; Mihajlo Jakovljevic; Moti Tolera Jalu; Spencer L. James; Simerjot K. Jassal; Mehdi Javanbakht; Achala Upendra Jayatilleke; Panniyammakal Jeemon; Ravi Prakash Jha; Vivekanand Jha; John S. Ji; Jost B. Jonas; Jacek Jerzy Jozwiak; Suresh Banayya Jungari; Mikk Jürisson; Zubair Kabir; Rajendra Kadel; Amaha Kahsay; Rizwan Kalani; Umesh Kapil; Manoochehr Karami; Behzad Karami Matin; André Karch; Corine Karema; Seyed M. Karimi; Amir Kasaeian; Dessalegn H. Kassa; Getachew Mullu Kassa; Tesfaye Dessale Kassa; Zemenu Yohannes Kassa; Nicholas J. Kassebaum; Anshul Kastor; Srinivasa Vittal Katikireddi; Anil Kaul; Norito Kawakami; Ali Kazemi Karyani; Seifu Kebede; Peter Njenga Keiyoro; Grant Rodgers Kemp; Andre Pascal Kengne; Andre Keren; Maia Kereselidze; Yousef Saleh Khader; Morteza Abdullatif Khafaie; Alireza Khajavi; Nauman Khalid; Ibrahim A. Khalil; Ejaz Ahmad Khan; Muhammad Shahzeb Khan; Young-Ho Khang; Tripti Khanna; Mona M. Khater; Alireza Khatony; Zahra Khazaeipour; Habibolah Khazaie; Abdullah T. Khoja; Ardeshir Khosravi; Mohammad Hossein Khosravi; Getiye D. Kibret; Zelalem Teklemariam Kidanemariam; Daniel N. Kiirithio; Paul Evan Kilgore; Daniel Kim; Jun Y. Kim; Young-Eun Kim; Yun Jin Kim; Ruth W. Kimokoti; Yohannes Kinfu; Sanjay Kinra; Adnan Kisa; Mika Kivimäki; Sonali Kochhar; Yoshihiro Kokubo; Tufa Kolola; Jacek A. Kopec; Margaret N. Kosek; Soewarta Kosen; Parvaiz A. Koul; Ai Koyanagi; Kewal Krishan; Sanjay Krishnaswami; Kristopher J. Krohn; Barthelemy Kuate Defo; Burcu Kucuk Bicer; G. Anil Kumar; Manasi Kumar; Pushpendra Kumar; Fekede Asefa Kumsa; Michael J. Kutz; Sheetal D. Lad; Alessandra Lafranconi; Dharmesh Kumar Lal; Ratilal Lalloo; Hilton Lam; Faris Hasan Lami; Justin J. Lang; Sonia Lansky; Van C. Lansingh; Dennis Odai Laryea; Zohra S. Lassi; Arman Latifi; Avula Laxmaiah; Jeffrey V. Lazarus; James B. Lee; Paul H. Lee; James Leigh; Cheru Tesema Leshargie; Samson Leta; Miriam Levi; Shanshan Li; Xiaohong Li; Yichong Li; Juan Liang; Xiaofeng Liang; Misgan Legesse Liben; Lee-Ling Lim; Miteku Andualem Limenih; Shai Linn; Shiwei Liu; Stefan Lorkowski; Paulo A. Lotufo; Rafael Lozano; Raimundas Lunevicius; Crispin Mabika Mabika; Erlyn Rachelle King Macarayan; Mark T. Mackay; Fabiana Madotto; Tarek Abd Elaziz Mahmood; Narayan Bahadur Mahotra; Marek Majdan; Reza Majdzadeh; Azeem Majeed; Reza Malekzadeh; Manzoor Ahmad Malik; Abdullah A. Mamun; Wondimu Ayele Manamo; Ana-Laura Manda; Srikanth Mangalam; Mohammad Ali Mansournia; Lorenzo Giovanni Mantovani; Chabila Christopher Mapoma; Dadi Marami; Joemer C. Maravilla; Wagner Marcenes; Shakhnazarova Marina; Francisco Rogerlândio Martins-Melo; Winfried März; Melvin B. Marzan; Tivani Phosa Mashamba-Thompson; Felix Masiye; Amanda J. Mason-Jones; Benjamin Ballard Massenburg; Manu Raj Mathur; Pallab K. Maulik; Mohsen Mazidi; John J. McGrath; Suresh Mehata; Sanjay Madhav Mehendale; Man Mohan Mehndiratta; Ravi Mehrotra; Saeed Mehrzadi; Kala M. Mehta; Varshil Mehta; Tefera C. Mekonnen; Hagazi Gebre Meles; Kidanu Gebremariam Meles; Addisu Melese; Mulugeta Melku; Peter T.N. Memiah; Ziad A. Memish; Walter Mendoza; Melkamu Merid Mengesha; Desalegn Tadese Mengistu; Getnet Mengistu; George A. Mensah; Seid Tiku Mereta; Atte Meretoja; Tuomo J. Meretoja; Tomislav Mestrovic; Haftay Berhane Mezgebe; Yode Miangotar; Bartosz Miazgowski; Tomasz Miazgowski; Ted R. Miller; Molly Katherine Miller-Petrie; G.K. Mini; Parvaneh Mirabi; Andreea Mirica; Erkin M. Mirrakhimov; Awoke Temesgen Misganaw; Babak Moazen; Karzan Abdulmuhsin Mohammad; Moslem Mohammadi; Noushin Mohammadifard; Maryam Mohammadi-Khanaposhtani; Mohammed A. Mohammed; Shafiu Mohammed; Ali H. Mokdad; Glen Dl Mola; Mariam Molokhia; Lorenzo Monasta; Julio Cesar Montañez; Ghobad Moradi; Mahmoudreza Moradi; Maziar Moradi-Lakeh; Mehdi Moradinazar; Paula Moraga; Joana Morgado-Da-Costa; Rintaro Mori; Shane Douglas Morrison; Abbas Mosapour; Marilita M. Moschos; Seyyed Meysam Mousavi; Achenef Asmamaw Muche; Kindie Fentahun Muchie; Ulrich Otto Mueller; Satinath Mukhopadhyay; Tasha B. Murphy; Kate Muller; G.V.S. Murthy; Jonah Musa; Kamarul Imran Musa; Ghulam Mustafa; Saravanan Muthupandian; Jean B. Nachega; Gabriele Nagel; Mohsen Naghavi; Aliya Naheed; Azin Nahvijou; Gurudatta Naik; Paulami Naik; Farid Najafi; Luigi Naldi; Vinay Nangia; Jobert Richie Nansseu; Bruno Ramos Nascimento; Haseeb Nawaz; Busisiwe P. Ncama; Nahid Neamati; Ionut Negoi; Ruxandra Irina Negoi; Subas Neupane; Charles Richard James Newton; Frida N. Ngalesoni; Josephine W. Ngunjiri; Grant Nguyen; Long Hoang Nguyen; Trang Huyen Nguyen; Dina Nur Anggraini Ningrum; Yirga Legesse Nirayo; Muhammad Imran Nisar; Molly R. Nixon; Shuhei Nomura; Mehdi Noroozi; Jean Jacques Noubiap; Hamid Reza Nouri; Malihe Nourollahpour Shiadeh; Mohammad Reza Nowroozi; Alypio Nyandwi; Peter S. Nyasulu; Christopher M. Odell; Richard Ofori-Asenso; Okechukwu Samuel Ogah; Felix Akpojene Ogbo; In-Hwan Oh; Anselm Okoro; Olanrewaju Oladimeji; Andrew T. Olagunju; Tinuke O. Olagunju; Pedro R. Olivares; Bolajoko Olubukunola Olusanya; Jacob Olusegun Olusanya; Sok King Ong; Alberto Ortiz; Aaron Osgood-Zimmerman; Erika Ota; Brenda Achieng Otieno; Stanislav S. Otstavnov; Mayowa Ojo Owolabi; Abayomi Samuel Oyekale; P.A. Mahesh; Smita Pakhale; Abhijit P. Pakhare; Adrian Pana; Basant Kumar Panda; Songhomitra Panda-Jonas; Achyut Raj Pandey; Eun-Kee Park; Hadi Parsian; Shanti Patel; Snehal T. Patil; Ajay Patle; George C. Patton; Vishnupriya Rao Paturi; Deepak Paudel; Marcel Moraes Pedroso; Emmanuel K. Peprah; David M. Pereira; Norberto Perico; Konrad Pesudovs; William A. Petri; Max Petzold; Maxwell Pierce; David M. Pigott; Julian David Pillay; Meghdad Pirsaheb; Guilherme V. Polanczyk; Maarten J. Postma; Farshad Pourmalek; Akram Pourshams; Hossein Poustchi; Swayam Prakash; Narayan Prasad; Caroline A. Purcell; Manorama B. Purwar; Mostafa Qorbani; Reginald Quansah; Amir Radfar; Anwar Rafay; Alireza Rafiei; Fakher Rahim; Afarin Rahimi-Movaghar; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Md Shafiur Rahman; Mohammad Hifz Ur Rahman; Muhammad Aziz Rahman; Sajjad Ur Rahman; Rajesh Kumar Rai; Fatemeh Rajati; Sasa Rajsic; Usha Ram; Chhabi Lal Ranabhat; Prabhat Ranjan; David Laith Rawaf; Salman Rawaf; Sarah E. Ray; Christian Razo-García; Robert C. Reiner; Cesar Reis; Giuseppe Remuzzi; Andre M.N. Renzaho; Serge Resnikoff; Satar Rezaei; Shahab Rezaeian; Mohammad Sadegh Rezai; Seyed Mohammad Riahi; Maria Jesus Rios-Blancas; Kedir Teji Roba; Nicholas L.S. Roberts; Leonardo Roever; Luca Ronfani; Gholamreza Roshandel; Ali Rostami; Enrico Rubagotti; George Mugambage Ruhago; Yogesh Damodar Sabde; Perminder S. Sachdev; Basema Saddik; Sahar Saeedi Moghaddam; Hosein Safari; Yahya Safari; Roya Safari-Faramani; Mahdi Safdarian; Sare Safi; Saeid Safiri; Rajesh Sagar; Amirhossein Sahebkar; Mohammad Ali Sahraian; Haniye Sadat Sajadi; Mohamadreza Salahshoor; Nasir Salam; Joseph S. Salama; Payman Salamati; Raphael De Freitas Saldanha; Zikria Saleem; Yahya Salimi; Hamideh Salimzadeh; Joshua A. Salomon; Sundeep Santosh Salvi; Inbal Salz; Evanson Zondani Sambala; Abdallah M. Samy; Juan Sanabria; Maria Dolores Sanchez-Niño; Itamar S. Santos; Milena M. Santric Milicevic; Bruno Piassi Sao Jose; Mayank Sardana; Abdur Razzaque Sarker; Rodrigo Sarmiento-Suárez; Satish Saroshe; Nizal Sarrafzadegan; Benn Sartorius; Shahabeddin Sarvi; Brijesh Sathian; Maheswar Satpathy; Arundhati R. Sawant; Monika Sawhney; Sonia Saxena; Elke Schaeffner; Kathryn Schelonka; Ione J.C. Schneider; David C. Schwebel; Falk Schwendicke; Soraya Seedat; Mario Sekerija; Sadaf G. Sepanlou; Edson Serván-Mori; Hosein Shabaninejad; Katya Anne Shackelford; Azadeh Shafieesabet; Amira A. Shaheen; Masood Ali Shaikh; Raad A. Shakir; Mehran Shams-Beyranvand; Mohammadbagher Shamsi; Morteza Shamsizadeh; Heidar Sharafi; Kiomars Sharafi; Mehdi Sharif; Mahdi Sharif-Alhoseini; Jayendra Sharma; Rajesh Sharma; Jun She; Aziz Sheikh; Peilin Shi; Kenji Shibuya; Mika Shigematsu; Rahman Shiri; Reza Shirkoohi; Ivy Shiue; Farhad Shokraneh; Sharvari Rahul Shukla; Si Si; Soraya Siabani; Abla Mehio Sibai; Tariq J. Siddiqi; Inga Dora Sigfusdottir; Rannveig Sigurvinsdottir; Naris Silpakit; Diego Augusto Santos Silva; João Pedro Silva; Dayane Gabriele Alves Silveira; Narayana Sarma Venkata Singam; Jasvinder A. Singh; Narinder Pal Singh; Virendra Singh; Dhirendra Narain Sinha; Karen Sliwa; Adauto Martins Soares Filho; Badr Hasan Sobaih; Soheila Sobhani; Moslem Soofi; Joan B. Soriano; Ireneous N. Soyiri; Chandrashekhar T. Sreeramareddy; Vladimir I. Starodubov; Caitlyn Steiner; Leo G. Stewart; Mark A. Stokes; Mark Strong; Michelle L. Subart; Mu'awiyyah Babale Sufiyan; Gerhard Sulo; Bruno F. Sunguya; Patrick John Sur; Ipsita Sutradhar; Bryan L. Sykes; P.N. Sylaja; Dillon O. Sylte; Cassandra E.I. Szoeke; Rafael Tabarés-Seisdedos; Karen M. Tabb; Santosh Kumar Tadakamadla; Nikhil Tandon; Aberash Abay Tassew; Segen Gebremeskel Tassew; Nuno Taveira; Nega Yimer Tawye; Arash Tehrani-Banihashemi; Tigist Gashaw Tekalign; Merhawi Gebremedhin Tekle; Mohamad-Hani Temsah; Abdullah Sulieman Terkawi; Manaye Yihune Teshale; Belay Tessema; Mebrahtu Teweldemedhin; Jarnail Singh Thakur; Kavumpurathu Raman Thankappan; Sathish Thirunavukkarasu; Nihal Thomas; Alan J. Thomson; Binyam Tilahun; Quyen G. To; Marcello Tonelli; Roman Topor-Madry; Anna E. Torre; Miguel Tortajada-Girbés; Marcos Roberto Tovani-Palone; Hideaki Toyoshima; Bach Xuan Tran; Khanh Bao Tran; Srikanth Prasad Tripathy; Thomas Clement Truelsen; Nu Thi Truong; Afewerki Gebremeskel Tsadik; Amanuel Tsegay; Nikolaos Tsilimparis; Lorainne Tudor Car; Kingsley N. Ukwaja; Irfan Ullah; Muhammad Shariq Usman; Olalekan A. Uthman; Selen Begüm Uzun; Muthiah Vaduganathan; Afsane Vaezi; Gaurang Vaidya; Pascual R. Valdez; Elena Varavikova; Santosh Varughese; Tommi Juhani Vasankari; Ana Maria Nogales Vasconcelos; Narayanaswamy Venketasubramanian; Santos Villafaina; Francesco S. Violante; Sergey Konstantinovitch Vladimirov; Vasily Vlassov; Stein Emil Vollset; Theo Vos; Kia Vosoughi; Isidora S. Vujcic; Fasil Shiferaw Wagnew; Yasir Waheed; Judd L. Walson; Yanping Wang; Yuan-Pang Wang; Elisabete Weiderpass; Robert G. Weintraub; Kidu Gidey Weldegwergs; Andrea Werdecker; Ronny Westerman; Harvey Whiteford; Justyna Widecka; Katarzyna Widecka; Tissa Wijeratne; Andrea Sylvia Winkler; Charles Shey Wiysonge; Charles D.A. Wolfe; Shouling Wu; Grant M.A. Wyper; Gelin Xu; Tomohide Yamada; Yuichiro Yano; Mehdi Yaseri; Yasin Jemal Yasin; Pengpeng Ye; Gökalp Kadri Yentür; Alex Yeshaneh; Ebrahim M. Yimer; Paul Yip; Engida Yisma; Naohiro Yonemoto; Seok-Jun Yoon; Marcel Yotebieng; Mustafa Z. Younis; Mahmoud Yousefifard; Chuanhua Yu; Vesna ZadnikBackground: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation. © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
