Burden of Disease Research Unit
| Frequently
asked questions |
|
How
does South Africa compare with other countries?
It can be seen from Table
1 below that the burden of disease for South Africa, measured in DALYs/100
000 population (Initial
Burden of Disease estimates for South Africa, 2000 (pdf
format, 457 kb)), is high relative to all other regions of the world
excepting the African region (GBD 2000 Results (version 1)) .
Compared with the rest
of Africa, South Africa has similar DALYs/100 000 rates for HIV/AIDs but lower
rates for other communicable, maternal, perinatal and nutritional conditions.
It has higher burdens due to cardiovascular diseases, respiratory diseases
and diabetes mellitus than the rest of Africa but a comparable burden due
to non-communicable diseases overall. The overall burden due to injuries in
South Africa is similar to the African region but the intentional injuries
burden is higher for South Africa and the unintentional injury burden is lower.
Compared with other regions
of the world, South Africa has a higher overall burden of disease measured
by DALYs/100 000, arising from the high burdens due to HIV/AIDS, injuries
and respiratory diseases. The burden due to diabetes mellitus in South Africa
is higher than for any of the regions, excepting the American region.
URL: World Health Organisation,
2001. GBD 2000 Results (version 1). Available at http://www.who.int/evidence/bod.
Accessed April 2003.WHO, 2001.
Table 1: Estimated DALYs per 100 000 for WHO world regions and South Africa,
2000.
Cause
|
World
region * |
African |
American |
Eastern
Mediterranean |
South
East Asian |
European |
Western
Pacific |
South
Africa |
| All
causes |
55
233 |
17
206 |
27
688 |
17
527 |
27
676 |
15
722 |
34
309 |
| Communicable,
maternal perinatal and nutritional deficiencies |
40
412 |
3
258 |
13
105 |
1
897 |
11
971 |
3
638 |
19
044 |
| Infectious
and parasitic |
28
539 |
1
493 |
6
527 |
781 |
5
625 |
1
223 |
14
547 |
| HIV/AIDS |
11
358 |
286 |
371 |
87 |
747 |
80 |
11
241 |
| Respiratory
infections |
4
852 |
496 |
2
367 |
445 |
2
114 |
875 |
1
036 |
| Maternal
conditions |
2
013 |
234 |
871 |
179 |
724 |
165 |
225 |
| Perinatal
conditions# |
3
476 |
671 |
2
334 |
329 |
2
455 |
723 |
2
341 |
| Nutritional
deficiencies |
1
532 |
364 |
1
006 |
163 |
1
053 |
651 |
895 |
| Non-communicable |
10
202 |
11
660 |
11
587 |
13
031 |
12
173 |
9
553 |
9
740 |
| Malignant
neoplasms |
1
045 |
1
278 |
747 |
2
020 |
1
013 |
1
449 |
1
155 |
| Other
neoplasms |
12 |
29 |
20 |
32 |
32 |
13 |
31 |
| Diabetes
mellitus |
113 |
421 |
276 |
288 |
264 |
168 |
390 |
| Endocrine
disorders |
253 |
276 |
226 |
110 |
57 |
73 |
166 |
| Neuropsychiatric
conditions |
2
417 |
4
065 |
2
971 |
3
558 |
3
055 |
2
392 |
1
611 |
| Sense
organ diseases |
895 |
536 |
763 |
475 |
861 |
383 |
554 |
| Cardiovascular
diseases |
1
797 |
1
941 |
2
728 |
3
821 |
3
023 |
1
806 |
2
328 |
| Respiratory
diseases |
1
199 |
980 |
983 |
734 |
1
088 |
1
488 |
1
618 |
| Digestive
diseases |
979 |
741 |
949 |
811 |
978 |
581 |
846 |
| Genitourinary
diseases |
430 |
226 |
378 |
212 |
267 |
207 |
332 |
| Skin
diseases |
101 |
26 |
35 |
22 |
30 |
11 |
32 |
| Musculoskeletal
diseases |
290 |
531 |
389 |
607 |
521 |
504 |
101 |
| Congenital
anomalies |
592 |
454 |
903 |
216 |
832 |
375 |
493 |
| Oral
conditions |
79 |
157 |
218 |
124 |
151 |
104 |
47 |
| Injuries |
4
619 |
2
288 |
2
995 |
2
599 |
3
532 |
2
531 |
5 524 |
| Unintentional
injuries |
3
084 |
1
444 |
2
347 |
1
786 |
2
910 |
1
969 |
2
838 |
| Intentional
injuries |
1
535 |
844 |
648 |
813 |
622 |
562 |
2
686 |
*
Source : WHO, 2001.
# Cot death accounted for 36 DALYs /100 000 in South Africa and was included
under non-communicable diseases
Authors: Dr Rosana Norman, Prof Debbie Bradshaw, Michelle Schneider, Desiree Pieterse and Dr Pam Groenewald |