Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694834830179.pdf (India)
Telangana: Disease Burden Profile, 1990 to 2016 1990 life expectancy Females: 61.8 years Males: 60.2 years 2016 life expectancy Females: 73.2 years Males: 69.4 years How much did the under-5 mortality rate change from 1990 to 2016?

How much did the under-5 mortality rate change from 1990 to 2016?
Under-5 mortality rate, both sexes combined, 1990-2016 Under-5 mortality rate, both sexes combined, 1990-2016 Telangana under-5 rate India under-5 rate Comparative average rate globally for similar Socio-demographic Index as Telangana 150 100 50 s h t r i b e v i l , 0 0 0 1 r e p s h t a e D The state of Telangana was carved out from Andhra Pradesh in 2014.
Estimates for Telangana prior to 2014 were computed for comparison by disaggregating data from its parent state based on its current district composition.

0 1990 1995 2000 2005 2010 2016 Year The shaded bands indicate 95% uncertainty intervals around the estimates What caused the most deaths in different age groups in 2016?

What caused the most deaths in different age groups in 2016?
Percent contribution of top 10 causes of death by age group, both sexes, 2016 Percent contribution of top 10 causes of death by age group, both sexes, 2016 0−14 years [7.6% of total deaths] 15−39 years [11.4% of total deaths] 2.4% 3.4% 5.1% 1.2% 8.7% 30.5% 2.4% 42.5% 13% 10% 20.5% 1% 1.6% 1.2% 8.9% 2.5% 5.9% 13.5% 9.1% 10.4% 2.8% 3.3% 40−69 years [43.1% of total deaths] 70+ years [37.9% of total deaths] 8.5% 12.2% 5.5% 5.8% 3% 4.8% 2.8% 2.3% 2.9% 5.2% 7.3% 19% 6.5% 2.9% 10% 6.6% 4.6% 1.5% 1% 14.3% 38.1% 35.3% HIV/AIDS & tuberculosis Diarrhoea/LRI*/other NTDs† & malaria Maternal disorders Neonatal disorders Nutritional deﬁciencies Other communicable diseases Cancers Cardiovascular diseases Chronic respiratory diseases Cirrhosis Digestive diseases Neurological disorders Diabetes/urog‡/blood/endo§ Other non-communicable Transport injuries Unintentional injuries Suicide & violence Other causes of death *LRI is lower respiratory infections.
†NTDs are neglected tropical diseases.

‡Urog is urogenital diseases.

§Endo is endocrine diseases.

India: Health of the Nation's States — The India State-Level Disease Burden Initiative.

New Delhi: ICMR, PHFI, and IHME; 2017.

ISBN 978-0-9976462-1-4.

1 39.230.629.3 Proportion of total disease burden from: Premature death: 61.6% | Disability or morbidity: 38.4% What caused the most years of life lost, by sex, in 2016?
Top 15 causes of YLLs, ranked by percent for both sexes combined, 2016 Females Males Ischaemic heart disease Diarrhoeal diseases Suicide Stroke COPD* Preterm birth complications Lower respiratory infections Road injuries HIV/AIDS Tuberculosis Neonatal encephalopathy Falls Diabetes Chronic kidney disease Congenital birth defects 20 0 10 Percent of total years of life lost due to premature mortality 15 5 10 0 Percent of total years of life lost due to premature mortality 15 5 20 Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries What caused the most years lived with disability, by sex, in 2016?
Top 15 causes of YLDs, ranked by percent for both sexes combined, 2016 *COPD is chronic obstructive pulmonary disease.
Females Males Sense organ diseases* Iron-deﬁciency anaemia Low back & neck pain Depressive disorders Migraine Skin diseases Other musculoskeletal COPD* Diabetes Falls Anxiety disorders Oral disorders Preterm birth complications Road injuries Osteoarthritis 15 10 5 0 0 5 10 15 Percent of total years lived with disability Percent of total years lived with disability Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries *COPD is chronic obstructive pulmonary disease.
*Sense organ diseases includes mainly hearing and vision loss.

2 Telangana Proportion of total disease burden from: CMNNDs: 27.6% | NCDs: 59.2% | Injuries: 13.2% How have the leading causes of death and disability combined changed from 1990 to 2016?

How have the leading causes of death and disability combined changed from 1990 to 2016?
Change in top 15 causes of DALYs, both sexes, ranked by number of DALYs, 1990–2016 Change in top 15 causes of DALYs, both sexes, ranked by number of DALYs, 1990–2016 Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries same or increase decrease Leading causes of DALYs 1990 Leading causes of DALYs 2016 Diarrhoeal diseases [13.2%] Lower respiratory infections [7.5%] Preterm birth complications [7.2%] Ischaemic heart disease [4.9%] Measles [4.4%] Neonatal encephalopathy [3.7%] Tuberculosis [3.2%] COPD† [2.8%] Self-harm§ [2.6%] Iron-deﬁciency anaemia [2.2%] Other neonatal disorders [2.2%] Stroke [2.2%] Congenital birth defects [2.1%] Neonatal haemolytic disease [1.6%] Sense organ diseases‡ [1.5%] Road injuries [1.5%] Low back & neck pain [1.4%] Falls [1.3%] Migraine [1.2%] Depressive disorders [1.2%] Diabetes [0.8%] Ischaemic heart disease [10.3%] COPD† [4.6%] Diarrhoeal diseases [4.4%] Preterm birth complications [3.6%] Self-harm§ [3.5%]* Sense organ diseases‡ [3.4%] Iron-deﬁciency anaemia [3.3%] Stroke [3.3%]* Road injuries [2.9%] Low back & neck pain [2.8%] Depressive disorders [2.5%] Lower respiratory infections [2.5%] Migraine [2.4%] Diabetes [2.3%] Falls [2.3%] Tuberculosis [1.9%] Congenital birth defects [1.5%] Neonatal encephalopathy [1.4%] Other neonatal disorders [0.9%] Neonatal haemolytic disease [0.4%] Measles [0.2%] *Change not signiﬁcant.
The percent ﬁgure in brackets next to each cause is DALYs from that cause out of total DALYs.

What caused the most death and disability combined across age groups in 2016?

Percent of DALYs by age group, both sexes, 2016 What caused the most death and disability combined across age groups in 2016?

Percent of DALYs by age group, both sexes, 2016 †COPD is chronic obstructive pulmonary disease.

‡Sense organ diseases includes mainly hearing and vision loss.
§ Self-harm refers to suicide and the nonfatal outcomes of self-harm.
[1.69] 10 5 s Y L A D l a t o t f o t n e c r e P 0 Under 5 (7%) [2.07] [1.35] [1.66] [2.6] [0.8] [0.92] [1.1] [0.61] [0.69] [0.55] [0.46] [0.31] [0.32] [3.12] [3.57] [4.14] [4.7] 70 to 74 (2%) 75 to 79 (1%) 80 to 84 (1%) 85+ (<1%) 5 to 9 (8%) 10 to 14 (8%) 15 to 19 (9%) 20 to 24 (9%) 25 to 29 (9%) 30 to 34 (9%) 35 to 39 (8%) 40 to 44 (7%) 45 to 49 (6%) 50 to 54 (5%) 55 to 59 (4%) 60 to 64 (4%) 65 to 69 (3%) Communicable, maternal, neonatal, and nutritional diseases Non-communicable diseases Injuries The number in the bracket on top of each vertical bar is the ratio of percent DALYs to population for that age group.
The number in parentheses after each age group on the x-axis is the percent of population in that age group.

Age Telangana 3 What risk factors are driving the most death and disability combined?

Contribution of top 10 risks to DALYs number, both sexes, ranked by number of DALYs, 1990-2016 What risk factors are driving the most death and disability combined?

What risk factors are driving the most death and disability combined?
Contribution of top 10 risks to DALYs number, both sexes, ranked by number of DALYs, 1990-2016 Contribution of top 10 risks to DALYs number, both sexes, ranked by number of DALYs, 1990-2016 Environmental/occupational same or increase Behavioural Metabolic decrease Behavioural Environmental/occupational Metabolic same or increase decrease Risk factors 1990 Risk factors 1990 Malnutrition* [35.1%] Malnutrition* [32.2%] WaSH† [13.5%] WaSH† [15.2%] Air pollution [7.7%] Air pollution [10.1%] Tobacco use [3.6%] Dietary risks [5.7%] Dietary risks [2.3%] High blood pressure [4.2%] High blood pressure [2.2%] Tobacco use [4.0%] Occupational risks [1.9%] Alcohol & drug use [1.6%] High fasting plasma glucose [2.4%] High fasting plasma glucose [1.4%] Occupational risks [2.3%] High total cholesterol [2.3%] Impaired kidney function [0.9%] The percent ﬁgure in bracket next to each risk is DALYs from that risk out of total DALYs.
High body-mass index [1.8%] Risk factors 2016 Risk factors 2016 Malnutrition* [11.4%] Malnutrition* [14.8%] 2 Dietary risks [9.9%] Air pollution [5.1%] High blood pressure [5.0%] 3 High blood pressure [8.7%] Tobacco use [4.9%] 4 Air pollution [8.6%] Dietary risks [4.7%] 5 High fasting plasma glucose [5.9%] High fasting plasma glucose [4.0%] 6 High total cholesterol [5.1%] WaSH† [3.9%] Alcohol & drug use [3.9%] 7 Tobacco use [5.0%] Occupational risks [2.6%] 8 High body-mass index [4.6%] Impaired kidney function [2.0%] 9 WaSH† [4.2%] *Malnutrition is child and maternal malnutrition.
10 Occupational risks [3.4%] †WaSH is unsafe water, sanitation, and handwashing.

The percent ﬁgure in bracket next to each risk is DALYs from that risk out of total DALYs.

*Malnutrition is child and maternal malnutrition.

†WaSH is unsafe water, sanitation, and handwashing.

How did the risk factors differ by sex in 2016?
Percent of total DALYs attributable to top 10 risks, ranked by percent for both sexes combined, 2016 Females Males Malnutrition* Dietary risks High blood pressure Air pollution High fasting plasma glucose High total cholesterol Tobacco use High body-mass index WaSH† Occupational risks 10 5 0 0 5 10 Percent of years of life lost and years lived with disability Percent of years of life lost and years lived with disability Behavioural Environmental/occupational Metabolic *Malnutrition is child and maternal malnutrition.
†WaSH is unsafe water, sanitation, and handwashing.

4 Telangana