Incidence of non-communicable diseases in India rose by 25 % since 1990

Incidence of non-communicable diseases in India rose by 25 % since 1990

The dominance is lower in Bihar, Jharkhand, Uttar Pradesh and Rajasthan. This means that the underdeveloped states in India have a higher risk of suffering from these factors.

According to the report, child and maternal malnutrition contribute to disease burden mainly through increasing the risk of neonatal disorders, nutritional deficiencies, diarrhoeal diseases, lower respiratory infections, and other common infections. But that is a rare bit of good news as India faces a severe lifestyle crisis, with its disease burden from communicable diseases such as diarrhoea and tuberculosis to non-communicable diseases like heart disease and diabetes, the study has found. The report was on Tuesday launched by Vice President M. Venkaiah Naidu, who called for the immediate tackling of high disease burden caused by malnutrition.

The contribution of injuries to the total disease burden has increased in most states since 1990, affecting the young adults (15-39 years of age) the maximum.

As per the Lancet study, Assam, Uttar Pradesh and Chattisgarh have the highest disease burden rates, while Kerala and Goa have the lowest rates.

The state-level data is a result of an exercise initiated in 2015 by Indian Council of Medical Research (ICMR), Public Health Foundation of India (PHFI) and Institute for Health Metrics and Evaluation (IHME) in collaboration with the Ministry of Health and Family Welfare.

"We have recommended monitoring of health status in each state, and the NITI Aayog Action Agenda 2017-2020 envisions data-driven and decentralized health planning to more effectively improve population health", said Dr Vinod Paul, a member of NITI Aayog.

Incidence of non-communicable diseases in India rose by 25 % since 1990

The report says that there is rising burden of non-communicable diseases in all states.

In 2016, three of the five leading individual causes of the disease burden in India were NCDs-ischaemic heart disease, chronic obstructive pulmonary disease and stroke.

India's disability adjusted life years, or DALYs - one combined measure of the health loss burden taking into account both premature mortality and disability - from communicable diseases reduced from 60.9 per cent of the total DALYs to 32.7 per cent, while DALYs from NCDs rose from 37.9 per cent to 61.8 per cent.

"The per person burden from numerous leading infectious and non-communicable diseases varies 5-10 times between different States and malnutrition continues to be the single largest risk for health loss in India, which is higher among females and is particularly severe in the empowered action group States and Assam", noted the report. Jammu and Kashmir, Punjab, Uttarakhand and Haryana saw very high death rate from road injuries even if they did not figure among the top killers in these states. He suggested that generation of such comprehensive estimates for each district.

This knowledge base can be a crucial aid for more informed policy and interventions to improve population health in every state and union territory of India and in reducing health inequalities between the states. While air pollution and tobacco continue to be major contributors to health loss, the extent of these risk factors varies considerably across states.

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