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The global burden of epilepsy
Matilde Leonardi1, T Bedirhan Ustun
1Evidence and Information for policy Cluster/EIP, World Health Organization, Geneva, Switzerland. Leonardim@who.ch
Epilepsia
|August 23, 2002
Summary
The Global Burden of Diseases study highlights the significant impact of neurologic and psychiatric disorders, including epilepsy. It emphasizes the shift towards disability indicators and introduces the WHO ICF framework for better health measurement.
Area of Science:
- Public Health
- Neurology
- Psychiatry
- Epidemiology
Background:
- The Global Burden of Diseases (GBD) study provides critical insights into population health.
- There is a recognized need for evolving health indicators, moving from mortality to disability measures.
- Neurologic and psychiatric disorders represent a substantial global health challenge.
Purpose of the Study:
- To describe the GBD study's goals and outcomes concerning neurologic and psychiatric disorders.
- To explain the significance of Disability Adjusted Life Years (DALYs) as a health indicator.
- To introduce the World Health Organization's (WHO) ICF framework for functioning and disability.
Main Methods:
- Review of the Global Burden of Diseases (GBD) study methodologies and findings.
- Explanation of the Disability Adjusted Life Years (DALYs) metric.
- Overview of the World Health Organization's Classification of Functioning, Disability and Health (ICF).
Main Results:
- Neurologic and psychiatric disorders contribute significantly to the global disease burden.
- Epilepsy's burden is substantial, accounting for approximately 0.5% of the global disease burden in 2000.
- The shift towards disability indicators, exemplified by the WHO World Health Report 2001, is crucial for understanding conditions like epilepsy.
Conclusions:
- The GBD study and the WHO ICF framework offer improved tools for assessing and addressing global health issues.
- Despite increased recognition, epilepsy requires greater prioritization as a public health concern.
- Understanding and addressing the disability burden of epilepsy is essential for global health agendas.