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BOD working group BURDEN OF DISEASE IN THAILAND, 2009
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DISABILITY-ADJUSTED LIFE YEAR (DALY) Sum of the years of life lost due to premature mortality (YLL) in the population and the equivalent ‘healthy’ years lost due to disability (YLD) for incident cases of the health condition DALY = YLL + YLD YLL = number of deaths x standard life expectancy at age of death YLD = incidence x duration x severity weight 1 DALY = one lost year of “healthy” life HEALTH-ADJUSTED LIFE EXPECTANCY (HALE) Life expectancy which people are expected to have healthy life HALE= LE - healthy years lost DALY and HALE
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DATA SOURCES Mortality Death registration 2009 Survey of Population Change 2005-6 Verbal Autopsy 2005 Morbidity Population Surveys National health examination survey Mental health survey Nutritional survey Facilities Data In-patient database Injury surveillance Small-scale studies GBD estimates Health welfare survey Disability survey Etc. Disease notification report
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Healthy Life Expectancy 2009 HALE (Health-Adjusted Life Expectancy) MaleFemale
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BURDEN (DALY) BY AGE AND GENDER
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Proportion of total Proportion by sex BURDEN (DALY) BY BROAD DISEASE GROUPS, 2009
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BURDEN (DALY) BY LEADING BROAD DISEASE GROUPS
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TOP TEN DALY BY SPECIFIC DISEASE AND GENDER DALY Male Female RankDisease DALY ('000) % % Disease 1 Traffic accidents 4768.76 8.57 363 Diabetes 2 Alcohol dependence/harmful use 4518.29 8.05 341 Stroke 3 3596.60 7.31 309 Depression 4 HIV/AIDS 2674.91 4.02 170 Ischaemic heart disease 5 Liver cancer 2514.62 3.52 149 Osteoarthritis 6 Ischaemic heart disease 2364.3 3.5 147 HIV/AIDS 7 Diabetes 2073.8 2.8 120 Traffic accidents 8 Depression 1653.0 2.8 118 Anaemia 9 Cirrhosis 1643.0 2.6 108 Liver cancer 10 COPD 1592.9 2.5 106 Dementia All causes 5436100 4231 All causes
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BURDEN (DALY) BY BROAD DISEASE GROUPS AND AGE
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BURDEN, 0-14 YEARS OF AGE ชาย 0-14 ปี 0.4 ล้าน DALYs
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BURDEN, 15-29 YEARS OF AGE
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BURDEN, 30-59 YEARS OF AGE
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BURDEN, > 60 YEARS OF AGE
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DALY ATTRIBUTABLE TO RISK FACTORS BY AGE AND GENDER: 2009
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Percent death from Attributable RF of total death due to NCD Percent DALY from Attributable RF of total DALY due to NCD RISK FACTORS
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