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Title: Burden of injuries in Nepal, 1990-2017: Findings from the Global Burden of Disease Study 2017
Authors: Pant, PR
Banstola, A
Bhatta, S
Mytton, JA
Acharya, D
Bhattarai, S
Bisignano, C
Castle, CD
Prasad Dhungana, G
Dingels, ZV
Fox, JT
Kumar Hamal, P
Liu, Z
Bahadur Mahotra, N
Paudel, D
Narayan Pokhrel, K
Lal Ranabhat, C
Roberts, NLS
Sylte, DO
James, SL
Issue Date: 8-Jan-2020
Publisher: BMJ Publishing Group
Citation: Pant PR, Banstola A, Bhatta S, et alBurden of injuries in Nepal, 1990–2017: findings from the Global Burden of Disease Study 2017Injury Prevention 2020;26:i57-i66.
Abstract: Background Nepal is a low-income country undergoing rapid political, economic and social development. To date, there has been little evidence published on the burden of injuries during this period of transition. Methods The Global Burden of Disease Study (GBD) is a comprehensive measurement of population health outcomes in terms of morbidity and mortality. We analysed the GBD 2017 estimates for deaths, years of life lost, years lived with disability, incidence and disability-adjusted life years (DALYs) from injuries to ascertain the burden of injuries in Nepal from 1990 to 2017. Results There were 16 831 (95% uncertainty interval 13 323 to 20 579) deaths caused by injuries (9.21% of all-cause deaths (7.45% to 11.25%)) in 2017 while the proportion of deaths from injuries was 6.31% in 1990. Overall, the injury-specific age-standardised mortality rate declined from 88.91 (71.54 to 105.31) per 100 000 in 1990 to 70.25 (56.75 to 85.11) per 100 000 in 2017. In 2017, 4.11% (2.47% to 6.10%) of all deaths in Nepal were attributed to transport injuries, 3.54% (2.86% to 4.08%) were attributed to unintentional injuries and 1.55% (1.16% to 1.85%) were attributed to self-harm and interpersonal violence. From 1990 to 2017, road injuries, falls and self-harm all rose in rank for all causes of death. Conclusions The increase in injury-related deaths and DALYs in Nepal between 1990 and 2017 indicates the need for further research and prevention interventions. Injuries remain an important public health burden in Nepal with the magnitude and trend of burden varying over time by cause-specific, sex and age group. Findings from this study may be used by the federal, provincial and local governments in Nepal to prioritise injury prevention as a public health agenda and as evidence for country-specific interventions.
ISSN: 1353-8047
Appears in Collections:Dept of Clinical Sciences Research Papers

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