概括
在2019年,传染病在全球造成了7.04亿残疾调整寿命年 (DALYs),其中5岁以下的儿童承担了重大负担. 结核病,疟疾和艾滋病毒/艾滋病是主要原因,这凸显了对低收入国家有针对性的投资的必要性.
科学领域:
- 全球卫生健康 全球卫生健康
- 流行病学 流行病学
- 传染病负担是因为传染病.
背景情况:
- 传染病仍然是一个重大的全球卫生挑战,尽管非传染病的增加.
- 了解传染病的地理和特定年龄负担对于全球资源配置和研究优先级至关重要.
研究的目的:
- 估计2019年全球,区域和国家层面的85种病原体负担,使用经残疾调整的寿命年 (DALYs).
- 确定导致传染病总体负担的关键病原体,并突出影响的差异.
主要方法:
- 利用一种新的方法来计算DALYs,计算涉及病原体的死亡的所有途径.
- 结合了多个数据来源,包括死亡率,出院和组织采样数据.
- 估计的病原体特异性比率包括直接和中间死亡原因,相应地调整DALY.
主要成果:
- 2019年,85种病原体占全球7.04亿个DALY,其中43.9%在5岁以下的儿童中.
- 撒哈拉以南非洲的负担最高 (61.5%的区域DALY),而高收入地区的负担最低.
- 结核病,疟疾和艾滋病毒/艾滋病是前三大病原体,每种病原体超过5000万DALY. 疟疾是5岁以下儿童死亡的主要原因.
结论:
- 该研究揭示了全球传染病的巨大负担以及研究资金的潜在不匹配.
- 对低收入和中等收入国家造成的不成比例影响,需要有针对性的投资来弥补发现的差距.
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