1. WHO Statistics, 2000 Dr. Rüdiger Krech
A/Regional Adviser, Healthy Ageing
World Health Organization

2. Death, by broad cause group, 1999
Noncommunicable
conditions (59.8%)
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies (31.1%)
Injuries (9.1%)

3. Global burden of disease
in disability-adjusted life years (DALYs), 1999
Noncommunicable
conditions (43.2%)
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies (42.8%)
Injuries (13.9%)

4. Global distribution of causes of death,1999 (000s)
Other Noncommunicable Diseases (2137)
Injuries (5101)
Digestive Diseases (2049)
Other causes (800)
Respiratory Diseases (3575)
Perinatal conditions (2356)
Nutritional deficiences (493)
Malaria (1086)
HIV/AIDS (2673)
Tuberculosis (1669)
Cardiovascular Diseases (16970)
Diarrhoeal diseases (2213)
Respiratory Infections (4039)
Neuropsychiatric Disorders (911)
Childhood diseases (1554)
Diabetes (777)
Maternal Conditions (497)
Malignant neoplasms (7065)

5. Global burden of disease in disability-adjusted life years (DALYs),
Injuries (201307)
Other causes (59025)
Perinatal conditions (89508)
Other Noncommunicable
diseases (99420)
Nutritional deficiences (44539)
Digestive diseases (36829)
Malaria (44998)
Respiratory diseases (70017)
HIV/AIDS (89819)
Tuberculosis (33287)
Cardiovascular
diseases (157185)
Diarrhoeal diseases (72063)
Respiratory infections (101127)
Childhood diseases (54638)
Neuropsychiatric disorders (158721)
Maternal conditions (26101)
Diabetes (15070)
Malignant neoplasms (84500)

6. Deaths, by broad cause group and WHO Region,1999% 75
Noncommunicable
conditions
Injuries 50
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies 25
AFR
EMR
SEAR
WPR
AMR
EUR

7. DALYS, by broad cause group and WHO Region,1999
DALY = Disability adjusted life-year % 75
Noncommunicable
conditions 50
Injuries
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies 25
AFR
EMR
SEAR
WPR
AMR
EUR

8. Leading causes of death, both sexes, 1998 *)
Leading causes of death, both sexes, 1998
Low- and Middle-Income Countries by age
Noncommunicable conditions
Injuries
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies
0-4 Years
5-14 Years
15-44 Years
45-59 Years
>60 Years
*) 15 leading causes
Source: World Health Report 1999 Database
Source: World Health Report 1999 Database

9. Leading causes of burden of disease, both sexes, *)
Leading causes of burden of disease, both sexes,
1998 Low- and Middle-Income Countries by age
Noncommunicable conditions
Injuries
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies
0-4 Years
5-14 Years
15-44 Years
45-59 Years
>60 Years
*) 15 leading causes
Source: World Health Report 1999 Database

10. DALYs, by broad cause group 1990 - 2020
in developing countries (baseline scenario) % %
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies 22 49 21
Injuries 14 15
Neuropsychiatric disorders 9 43 27
Noncommunicable conditions
Source: WHO, Evidence, Information and Policy, 2000

11. Increasing burden of noncommunicable diseases and injuries
change in rank order of DALYs for the 15 leading causes
(baseline scenario)
1999 Disease or Injury
2020 Disease or Injury
1 Acute lower respiratory infections
2.HIV/AIDS
3.Perinatal conditions
4.Diarrhoeal diseases
5.Unipolar major depression
6.Ischaemic heart disease
7.Cerebrovascular disease
8.Malaria
9.Road traffic injuries
10.Chronic obstructive pulmonary disease
11.Congenital abnormalities
12.Tuberculosis
13.Falls
14.Measles
15.Anaemias
1. Ischaemic heart disease
2. Unipolar major depression
3. Road traffic injuries
4. Cerebrovascular disease
5 .Chronic obstructive pulmonary
6. Lower respiratory infections
7. Tuberculosis
8. War
9. Diarrhoeal diseases
10.HIV
11.Perinatal conditions
12.Violence
13.Congenital abnormalities
14.Self-inflicted injuries
15.Trachea, bronchus and lung cancers
Source: WHO, Evidence, Information and Policy, 2000
DALY = Disability-adjusted life year

12. principal causes (% of deaths)
among poorest 20%
of global population
principal causes (% of deaths)
Respiratory Infections (13.4)
Diarrheal Diseases (11.3)
intentional and unintentional
Injuries (9.4)
Other (8.5)
Perinatal Conditions (7.9)
Childhood Cluster Diseases (7.8)
Ischaemic Heart Disease (7.3)
Tuberculosis (6.2)
Malignant Neoplasms (5.6)
Cerebrovascular Diseases (4.6)
Maternal Conditions (1.4)
Congenital Abnormalities (1.3)
Inflammatory and Rheumatic Heart Diseases (1.2)
Genito-Urinary Conditions (1.1)
HIV/AIDS (0.9)
Neuropsychiatric Conditions (0.8)
Diabetis Mellitus (0.7)
Malaria (3.6)
Respiratory Diseases (2.7)
Digestive Diseases (2.5)
Nutritional Deficiencies (1.8)
Source: The Burden of Disease among the Global Poor, World Bank 2000

13. principal causes (% of DALYs)
among poorest 20%
of global population
principal causes (% of DALYs)
intentional and unintentional
Injuries (13.1)
Respiratory Infections (11.8)
Diarrheal Diseases (11)
Other (10.4)
Perinatal Conditions (8.8)
Childhood Cluster Diseases (8.1)
Respiratory Diseases (2.4)
Malignant Neoplasms (2.3)
Digestive Diseases (2.1)
Congenital Abnormalities (2)
Ischaemic Heart Disease (1.9)
Cerebrovascular Disease (1.5)
HIV/AIDS (1)
Inflammatory and Rheumatic Heart Diseases (0.9)
Genito-Urinary Diseases (0.7)
Diabetes (0.5)
Neuropsychiatric Conditions (5.4)
Nutritional Deficiencies (4.5)
Maternal Conditions (3.9)
Malaria (3.9)
Tuberculosis (3.8)
Source: The Burden of Disease among the Global Poor, World Bank 2000

14. Distribution of causes of death
in Africa, 1999 (000s)
Perinatal conditions (615)
Nutritional deficiencies (180)
Malaria (953)
Other causes (255)
Injuries (776)
HIV/AIDS (2154)
Noncommunicable
conditions (2300)
Tuberculosis (357)
Diarrhoeal diseases (765)
Maternal Conditions (255)
Respiratory infections (1086)
Childhood diseases (740)

15. Burden of disease in disability-adjusted life years (DALYs) in Africa, 1999 (000s)
Other causes (23075)
Injuries (36103)
Perinatal conditions (24097)
Nutritional deficiencies (11037)
Noncommunicable
conditions (63681)
Malaria (36838)
Maternal conditions (12525)
HIV/AIDS (74449)
Childhood diseases (25742)
Tuberculosis (8721)
Respiratory infections (32771)
Diarrhoeal diseases (24321)

16. Distribution of causes of death
in Americas, 1999 (000s)
Injuries (552)
Respiratory infections (299)
Perinatal conditions (153)
Other causes (101)
HIV/AIDS (81)
Diarrhoeal diseases (74)
Nutritional deficiencies (72)
Tuberculosis (59)
Childhood diseases (21)
Noncommunicable
conditions (4255)
Maternal conditions (18)
Malaria (2)

17. Burden of disease in disability-adjusted
life years (DALYs) in Americas, 1999 (000s)
Injuries (17738)
Other causes (4536)
Perinatal conditions (5566)
Respiratory infections (4204)
Nutritional deficiencies (2733)
HIV/AIDS (2812)
Diarrhoeal diseases (2514)
Maternal conditions (1207)
Noncommunicable
conditions (82909)
Tuberculosis (1114)
Childhood diseases (533)
Malaria (76)

18. Distribution of causes of death
in the Eastern Mediterranean, 1999 (000s)
Other causes (80)
Injuries (405)
Perinatal conditions (313)
Nutritional deficiencies (44)
Malaria (44)
HIV/AIDS (29)
Tuberculosis (112)
Diarrhoeal diseases (300)
Noncommunicable
conditions (2318)
Respiratory infections (343)
Childhood diseases (191)
Maternal conditions (39)

19. in disability-adjusted life years (DALYs)
Burden of disease
in disability-adjusted life years (DALYs)
in Eastern Mediterranean,1999 (000s)
Injuries (13214)
Other causes (4931)
Perinatal conditions (11755)
Nutritional deficiencies (4119)
Malaria (2774)
HIV/AIDS (2172)
Tuberculosis (2260)
Diarrhoeal diseases (10123)
Noncommunicable
conditions (51039)
Respiratory infections (10916)
Childhood diseases (6560)
Maternal conditions (2720)

20. Distribution of causes of death
in Europe, 1999 (000s)
Injuries (750)
Respiratory infections (275)
Perinatal conditions (62)
Tuberculosis (60)
Other causes (58)
Diarrhoeal diseases (30)
HIV/AIDS (15)
Nutritional deficiencies (14)
Childhood diseases (13)
Maternal conditions (4)
Noncommunicable
conditions (7776)

21. in disability-adjusted life years (DALYs)
Burden of disease
in disability-adjusted life years (DALYs)
in Europe,1999 (000s)
Injuries (19323)
Respiratory infections (3509)
Perinatal conditions (2370)
Other causes (1921)
Tuberculosis (1258)
Nutritional deficiencies (1152)
Diarrhoeal diseases (1131)
HIV/AIDS (725)
Childhood diseases (477)
Maternal conditions (451)
Malaria (2)
Noncommunicable
conditions (104032)

22. Distribution of causes of death
in South-East Asia, 1999 (000s)
Injuries (1301)
Other causes (236)
Perinatal conditions (851)
Nutritional deficiencies (159)
Malaria (69)
HIV/AIDS (360)
Tuberculosis (723)
Diarrhoeal diseases (978)
Noncommunicable
conditions (7370)
Respiratory infections (1523)
Childhood diseases (542)
Maternal conditions (158)

23. in disability-adjusted life years (DALYs)
Burden of disease
in disability-adjusted life years (DALYs)
in South-East Asia,1999 (000s)
Other causes (19693)
Injuries (65289)
Perinatal conditions (32715)
Nutritional deficiencies (16866)
Malaria (3071)
HIV/AIDS (8866)
Tuberculosis (14101)
Diarrhoeal diseases (30017)
Noncommunicable
conditions (156536)
Respiratory infections (38144)
Childhood diseases (19449)
Maternal conditions (7733)

24. Distribution of causes of death
in Western Pacific, 1999 (000s)
Injuries (1317)
Respiratory infections (514)
Perinatal conditions (363)
Tuberculosis (359)
Other causes (75)
Diarrhoeal diseases (67)
Childhood diseases (47)
HIV/AIDS (34)
Noncommunicable
Conditions (9462)
Nutritional deficiencies (22)
Maternal conditions (21)
Malaria (16)

25. in disability-adjusted life years (DALYs)
Burden of disease
in disability-adjusted life years (DALYs)
in Western Pacific, 1999 (000s)
Injuries (49641)
Perinatal conditions (13005)
Respiratory infections (11584)
Nutritional deficiencies (8633)
Tuberculosis (5832)
Other causes (4872)
Diarrhoeal diseases (3955)
Malaria (2235)
Childhood diseases (1875)
Noncommunicable
conditions (163546)
Maternal conditions (1466)
HIV/AIDS (795)

26. Tobacco: deaths by World Bank regions
estimates for 1990 and 2020
8.4 million
Middle Eastern Crescent
Latin America & Caribbean
Sub-Saharan Africa
Other Asia and Islands
China
3 million
India
Former Socialist Countries
Established Market Economies
Source: Murray CJL, Lopez AD 1996

27. Deaths (% of total) attributable to tobacco use
by World Bank Region, estimates for 1990 and 2020
2020
1990
Source: Murray CJL, Lopez AD 1996

28. Cardiovascular (CVD) epidemic in countries of different stages of development
High
Income
Economies
Remains as
first cause
of death & disability
Reach
the peak
Progressive
decline
Rapid
increase
Economies in
Transition
First cause
of death & disability
Reach
the peak
in some
countries
Slow
increase
Rapid
increase
First cause
of death & disability in
most
countries
Middle
and Low
Income
Countries
Low
rates
Slow
increase
Rapid
in most
countries
Source: WHO, NMH/MNC

29. Low- and middle-income countries suffer the greatest impact on noncommunicable diseases
77% of the total number of deaths attributable to NCDs
occurred in developing countries
85% of the global NCD disease burden is borne by low- and middle-income countries
Source: WHO: WHA A53/14, 2000