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

Infant Gbd 2015 Eastern Mediterranean Region Neonatal, Ibrahim Khalil, Michael Collison, Charbel El Bcheraoui, Raghid Charara, Maziar Moradi-Lakeh, Ashkan Afshin, Kristopher J. Krohn, Farah Daoud, Adrienne Chew, Nicholas J. Kassebaum, Danny Colombara, Leslie Cornaby, Rebecca Ehrenkranz R., Kyle J. Foreman, Maya Fraser, Joseph Frostad, Laura Kemmer, Xie Rachel Kulikoff, Michael KutzHmwe H. Kyu, Patrick Liu, Joseph Mikesell, Grant Nguyen, Puja C. Rao, Naris Silpakit, Amber Sligar, Alison Smith, Jeffrey D. Stanaway, Johan Ärnlöv, Kalkidan Hassen Abate, Aliasghar Ahmad Kiadaliri, Khurshid Alam, Deena Alasfoor, Raghib Ali, Reza Alizadeh-Navaei, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nelson Alvis-Guzman, Nahla Anber, Hossein Ansari, Carl Abelardo T. Antonio, Palwasha Anwari, Al Artaman, Hamid Asayesh, Solomon Weldegebreal Asgedom, Peter Azzopardi, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Neeraj Bedi, Ettore Beghi, Derrick A. Bennett, Zulfiqar A. Bhutta, Donal Bisanzio, Carlos A. Castaneda-Orjuela, Ruben Estanislao Castro, Hadi Danawi, Kebede Deribe, Amare Deribew, Don C. Des Jarlais, Gabrielle A. deVeber, Subhojit Dey, Samath D. Dharmaratne, Shirin Djalalinia, Huyen Phuc Do, Alireza Esteghamati, Maryam S. Farvid, Seyed-Mohammad Fereshtehnejad, Florian Fischer, Tsegaye Tewelde Gebrehiwot, Giorgia Giussani, Philimon N. Gona, Nima Hafezi-Nejad, Randah Ribhi Hamadeh, Samer Hamidi, Damian G. Hoy, Guoqing Hu, Denny John, Jost B. Jonas, Seyed M. Karimi, Amir Kasaeian, Yousef Saleh Khader, Ejaz Ahmad Khan, Gulfaraz Khan, Daniel Kim, Yun Jin Kim, Yohannes Kinfu, Heidi J. Larson, Asma Abdul Latif, Janet L. Leasher, Raimundas Lunevicius, Hassan Magdy Abd El Razek, Mohammed Magdy Abd El Razek, Azeem Majeed, Reza Malekzadeh, Ziad A. Memish, Walter Mendoza, Haftay Berhane Mezgebe, Ted R. Miller, Lorenzo Monasta, Quyen Le Nguyen, Carla Makhlouf Obermeyer, Alberto Ortiz, Christina Papachristou, Eun-Kee Park, Claudia C. Pereira, Max Petzold, David M. Pereira, Michael Robert Phillips, Farshad Pourmalek, Mostafa Qorbani, Anwar Rafay, Vafa Rahimi-Movaghar, Rajesh Kumar Rai, Saleem M. Rana, David Laith Rawaf, Salman Rawaf, Andre M. N. Renzaho, Satar Rezaei, Mohammad Sadegh Rezai, Luca Ronfani, Gholamreza Roshandel, George Mugambage Ruhago, Mahdi Safdarian, Saeid Safiri, Mohammad Ali Sahraian, Payman Salamati, Abdallah M. Samy, Juan Ramon Sanabria, Benn Sartorius, David C. Schwebel, Soraya Seedat, Sadaf G. Sepanlou, Tesfaye Setegn, Amira Shaheen, Masood Ali Shaikh, Morteza Shamsizadeh, Rahman Shiri, Vegard Skirbekk, Badr H. A. Sobaih, Chandrashekhar T. Sreeramareddy, Vasiliki Stathopoulou, Rizwan Suliankatchi Abdulkader, Arash Tehrani-Banihashemi, Mohamad-Hani Temsah, J. S. Thakur, Alan J. Thomson, Bach Xuan Tran, Thomas Truelsen, Kingsley Nnanna Ukwaja, Olalekan A. Uthman, Tommi Vasankari, Vasiliy Victorovich Vlassov, Elisabete Weiderpass, Robert G. Weintraub, Andrea Werdecker, Mohsen Yaghoubi, Mehdi Yaseri, Naohiro Yonemoto, Mustafa Z. Younis, Chuanhua Yu, Aisha O. Jumaan, Theo Vos, Simon I. Hay, Mohsen Naghavi, Haidong Wang, Christopher J. L. Murray, Ali H. Mokdad

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study. Methods: We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries. Results: In 2015, 755,844 (95% uncertainty interval (UI) 712,064–801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812–181,463) in 1990 to 80,985 (76,308–85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally. Conclusions: Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths.
Original languageEnglish
Pages (from-to)63-77
Number of pages15
JournalInternational Journal of Public Health
Volume63
Issue numberSupplement 1
DOIs
Publication statusPublished - 2018

Open Access - Access Right Statement

© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Keywords

  • Middle East
  • children
  • infants
  • mortality
  • newborn infants

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