Life­style dis­eases big­gest killer even in most back­ward states

The Times of India (New Delhi edition) - - FRONT PAGE - NEWS NET­WORK

Life­style dis­eases like heart and chronic res­pi­ra­tory dis­eases now kill more peo­ple than com­mu­ni­ca­ble ones like tu­ber­colo­sis or di­ar­rhoea in ev­ery state in In­dia, in­clud­ing the most back­ward. This was re­vealed in the In­dia State-Level Dis­ease Bur­den Ini­tia­tive’s Re­port re­leased on Tues­day.

The re­port notes that while all states have thus made what’s called the ‘epi­demi­o­log­i­cal tran­si­tion’ there re­main wide vari­a­tions in their dis­ease pro­files with some hav­ing made that tran­si­tion as early as 1986, and oth­ers as re­cently as 2010.

The first group to make the tran­si­tion in 1986 in­cluded Ker­ala, Tamil Nadu, Goa, Hi­machal Pradesh and Pun­jab. The last group to do so, ac­count­ing for the high­est num­ber of peo­ple (588 mil­lion), made the tran­si­tion al­most a quar­ter of a cen­tury later, in 2010. This group in­cluded Bi­har, Ut­tar Pradesh, Mad­hya Pradesh, Ch­hat­tis­garh, Jhark­hand, Ra­jasthan and Odisha. In­dia as a coun­try made the tran­si­tion in 2003.

The re­port stud­ies the pe­riod from 1990 to 2016 and shows that com­mu­ni­ca­ble dis­eases con­sti­tute al­most two-thirds of the dis­ease bur­den in In­dia from a lit­tle over a third in 1990. De­spite the tran­si­tion, which is as­so­ci­ated with de­vel­op­ment, mal­nu­tri­tion re­mains the sin­gle top risk for health loss.

“While the dis­ease bur­den due to child and ma­ter­nal mal­nu­tri­tion has dropped in In­dia sub­stan­tially since 1990, this is still the sin­gle largest risk fac­tor re­spon­si­ble for 15% of the to­tal dis­ease bur­den in In­dia in 2016,” noted the re­port. Dhanan­jay Ma­ha­p­a­tra.

The dis­ease bur­den due to child and ma­ter­nal mal­nu­tri­tion in In­dia was 12 times higher per per­son than in China in 2016. Ker­ala had the low­est bur­den due to this risk among the In­dian states, but even this was 2.7 times higher per per­son than in China.

The lead­ing in­di­vid­ual cause of death in In­dia in 2016 was is­chaemic heart dis­ease, the death rate from which was twice as much as the next lead­ing cause. But there were wide vari­a­tions with the high­est death rate among the states from this dis­ease be­ing 12 times the low­est. The other non-com­mu­ni­ca­ble dis­eases (NCD) in the top 10 in­di­vid­ual causes of death in­cluded chronic ob­struc­tive pul­monary dis­ease (COPD), stroke, di­a­betes, and chronic kid­ney dis­ease.

Com­mu­ni­ca­ble dis­eases such as di­ar­rhoeal dis­eases, lower res­pi­ra­tory in­fec­tions, and tu­ber­cu­lo­sis, and road in­juries and sui­cides were also

Non­com­mu­ni­ca­ble dis­eases

in the top 10 causes of death. The death rates from di­ar­rhoeal dis­eases and tu­ber­cu­lo­sis were also higher in the least de­vel­oped states and had a 12-fold and seven-fold vari­a­tion in rates, re­spec­tively, be­tween states.

The least de­vel­oped states that re­cently tran­si­tioned are hav­ing to grap­ple with hav­ing a higher bur­den of NCDs while they con­tinue to have a high bur­den of in­fec­tious and ma-

Death rates from di­ar­rhoeal dis­eases and tu­ber­cu­lo­sis were also higher in the least de­vel­oped states

ter­nal-child dis­eases, the re­port pointed out. The In­dia States Dis­ease Bur­den Ini­tia­tive is a joint ini­tia­tive of In­dian Coun­cil of Med­i­cal Re­search, Pub­lic Health Foun­da­tion of In­dia and In­sti­tute for Health Met­rics and Eval­u­a­tion in col­lab­o­ra­tion with Union health min­istry.

(The sec­ond mock test is on Nov 19th, at 11am IST sharp. To take this test, self-verif ica­tion is com­pul­sory on


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