International Journal of Epidemiology 2001;30:433-434
© International Epidemiological Association 2001
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Commentary: Sick populations and sick individuals
a Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. E-mail: shah.ebrahim@bristol.ac.uk
b Department of Community and Family Medicine, The Chinese University of Hong Kong, Hong Kong.
The emerging burdens of chronic non-communicable disease in the developing world are stubbornly resistant to prevention given the limited infrastructure, the competing priorities of communicable diseases and trauma and limited resources. Worldwide, there are approximately 55 million deaths each year, over half of which occur in people less than 60 years of age. Communicable diseases account for 31%, non-communicable diseases for 60% and injuries for 9%.1 However, this mortality picture does not give a good indication of just how sick the population is. Disability-adjusted years provide a different lens
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