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Course 17: NCDs & NTDs Introduction: The Global Burden of Disease and the Rationale for Disease Groupings . Serge Resnikoff MD, PhD. Classification of Diseases. 1893: “Bertillon Classification of Causes of Death” – 161 titles. 10 yr. interval. ICD-6: WHO, 1946. ICD-9: 1975 (17,000 codes)

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Course 17:NCDs & NTDsIntroduction:The Global Burden of Disease and the Rationale for Disease Groupings

Serge Resnikoff MD, PhD


Classification of diseases
Classification of Diseases

1893: “Bertillon Classification of

Causes of Death” – 161 titles

10 yr. interval

ICD-6: WHO, 1946

ICD-9: 1975 (17,000 codes)

ICD-10: 1983 (155,000 codes)


GBD

  • Initiated in 1992

    • 107 causes of mortality and disability (diseases and injuries)

    • 10 risk factors

  • GBD 2004: last published

  • GBD 2010: 400 causes

GBD 2001 (2006)


GBD 2004

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Group I: Communicable, Maternal,

Perinatal and Nutritional conditions

Group II: Noncommunicable conditions

Group III: Injuries

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Eye/Vision-related

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“NCDs”

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“NTDs”

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Leading causes of burden of diseases 2004
Leading Causes of Burden of Diseases, 2004

HIV + TB + Malaria

3.8 + 2.2 + 2.2

= 8.2%

NCDs = 16.6%

Isch.HD + Cer.VD + COPD + Diab + Cancer

4.1 + 3.1 + 2.0 + 1.3 + 5.1

NTDs = 2.2%

0.2+0.1+0.2+0.2+0.7+0.05+0.02+0.1+0.2+0.2+0.1+0.1

Eye/Vision: 4.1%


Rationale for disease grouping
Rationale for Disease Grouping

  • To measure the “True” burden

  • Mainly for Advocacy purpose

    “My group is bigger than your group”

    “I deserve more resources”


Misfinancing global health: a case for transparency in disbursements and decision makingDevi Sridhar, RajaieBatniji, Lancet 2008

Visual Impairment

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