nazan yardim, md, public health specialist school of public health
DESCRIPTION
Nazan YARDIM, MD, Public Health Specialist School of Public Health. National Burden of Disease and Cost Effectiveness Study. NBD STUDY IN TURKEY. - PowerPoint PPT PresentationTRANSCRIPT
-
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEY
Grafik20
8.9
8
5.9
3.9
3.8
3
2.9
2.8
2.4
2.1
Toplam lmler (%)
Percentage
Percentage Distribution of the First 10 Diseases Causing DALY, at National Level, Turkey
Sayfa1
5q045q15TRKYE 2000TRKYE 2000 N WHO TAHMNEUR B1 N WHO TAHMN
ERKEKKADINUlusal43.9147.8ERKEKKADINTOPLAMERKEKKADINTOPLAMERKEKKADINTOPLAM
5q045q155q045q15Kentsel alan39.0131.9ULUSAL
KIRSAL5319950.9154Krsal alan52.0176.4KENTSEL
KENTSEL39.9917037.9990.99Bat Blgesi31.9139.4KIRSAL
ULUSAL44.89180.2242.9114.03Gney Blgesi35.7143.3TRKYE 2000TRKYE 2000 N WHO TAHMNEUR B1 N WHO TAHMN
Orta Blge41.3149.5ERKEK13.416.116.3
Kuzey Blgesi41.9152.6KADIN15.917.819.9
Dou Blgesi63.4168.8TOPLAM14.416.918.1
Sayfa1
000
000
000
000
KIRSAL
KENTSEL
ULUSAL
LM/1000 K
FFF
Sayfa2
00
00
00
00
00
00
00
00
5q0
45q15
LM/1000 K
sa
Sayfa3
000
000
000
TRKYE 2000
TRKYE 2000 N WHO TAHMN
EUR B1 N WHO TAHMN
YIL
SS
Sayfa4
ERKEKKADIN
5q045q15
Bat Blgesi68.9773.36ERKEKKADINERKEKKADIN
Gney Blgesi68.6972.87
Orta Blge67.6872.05Bat Blgesi32.731.2169.4107.3
Kuzey Blgesi67.6371.9Gney Blgesi36.335.1174.0110.8
Dou Blgesi65.5169.25Orta Blge42.540.2183.8114.3
Kuzey Blgesi42.741.1187.3117.8
Dou Blgesi64.662.2205.0131.0
Sayfa4
00
00
00
00
00
ERKEK
KADIN
YIL
GG
Sayfa5
0000
0000
0000
0000
0000
5q0 ERKEK
5q0 KADIN
45q15 ERKEK
45q15 KADIN
LM/1000 K
SS
Sayfa6
11,919,13311,878,52123,797,654
165841720633789
8261674957157573
599728998897
1.41.41.4
6.96.36.6
0.50.20.4
8.88.08.4
TOPLAMERKEKKADIN
GRUP I40.335.844.9
GRUP II101.9104.998.7
GRUP III17.224.210.0
Sayfa6
000
000
000
GRUP I
GRUP II
GRUP III
DALY/1000 K
DD
Sayfa8
0-4 YA5-14 YA15-29 YA30-44 YA45-59 YA60-69 YA70-79 YA80 VE ZER
Erkek10.20.81.72.89.729.868.4189.2
Kadn100.71.22.47.221.255.2172.9
Sayfa8
00
00
00
00
00
00
00
00
Erkek
Kadn
LM/1000 K
SS
projeksiyon
KIRSAL ALANAVRUPA BRLGELM LKELERGELMEKTE OLAN LKELERULUSALAVRUPA BRLGELM LKELERGELMEKTE OLAN LKELER
GRUP I176.3741GRUP I10.70.73.7
GRUP II7985.68650GRUP II59.58.54.5
GRUP III48.179GRUP III0.350.90.70.9
ULUSALBATI BLGESGNEY BLGESORTA BLGEKUZEY BLGESDOU BLGES
GRUP I0.40.60.70.90.91.9
GRUP II55.24.75.36.53.9
GRUP III10.40.30.30.40.4
projeksiyon
000
000
000
000
GRUP I
GRUP II
GRUP III
TOPLAM LMLER ERSNDE HASTALIK GRUPLARININ YZDE DAILIMI
SAS
lm
000
000
000
000
GRUP I
GRUP II
GRUP III
LM/1000 K
SS
000
000
000
000
000
000
GRUP I
GRUP II
GRUP III
LM/1000 K
SS
PAFTmErkekKadnAtfedilebilir lmlerErkekKadnTm
skemik Kalp Hast.315191619415325skemik Kalp Hast.225022821550717
skemik nme1026948815389Serebrovaskler Hast.183592137239731
Diabet1663953710Hipertansif Kalp Hast.5451605211503
Meme Kanseri821-821
Kolon ve Rektum Kanseri848487361
Tm Nedenler451202251522605
000
000
000
000
000
000
Tm
Erkek
Kadn
BAS
0-14 Ya5-14 Ya15-29 Ya30-44 Ya45-59 Ya60-69 Ya70 Ya zeriToplamERKEKKADIN
20307,0841,6194,11911,01726,91443,982216,064310799200032131369
202010,5362,1014,77911,98627,44838,982155,968251800201038171497
201017,3232,7275,68811,90825,16231,337126,708220853202041711567
200027,1473,3686,89210,97221,64232,11195,044197176203044471593
0000
0000
0000
0000
0000
0000
0000
0000
2030
2020
2010
2000
ss
0000
0000
2000
2010
2020
2030
LM SAYISI
SSS
lm nedenleriToplam lmler (%)
Perinatal Causes8.9
Ischaemic Heart Diseases8
Cerebrovascular Diseases5.9
Unipolar Depressive Disorders3.9
Lower Respiratory Infections3.8
Congenital Anomalies3
Osteoarthritis2.9
COPD2.8
Road Traffic Accidents2.4
Iron-deficiency Anaemia2.1
Erkekler%Kadnlar%
skemik Kalp Hastal21.3skemik Kalp Hastal21
Serebrovaskler Hastalklar14.5Serebrovaskler Hastalklar16.2
KOAH8.6Perinatal Nedenler5.6
Perinatal Nedenler6Alt Solunum Yolu Enfeksiyonlar4.8
Alt Solunum Yolu Enfeksiyonlar4KOAH4.1
Trakea, Bron ve Akcier Kanseri3.9Hipertansif Kalp Hastal3.2
Hipertansif Kalp Hastal2.9Diabetes mellitus3
nflamatuar Kalp hastal2.4nflamatuar Kalp hastal2.4
Trafik Kazalar1.9Meme Kanseri2
shalle Seyreden Hastalklar1.8shalle Seyreden Hastalklar2
0
0
0
0
0
0
0
0
0
0
Toplam lmler (%)
YZDE
21.3
14.5
8.6
6
4
3.9
2.9
2.4
1.9
1.8
%
YZDE
ERKEK
21
16.2
5.6
4.8
4.1
3.2
3
2.4
2
2
%
YILLAR
KADIN
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY , TURKEY
Grafik16
19.32
13.31
11.17
10.79
10.04
6.77
Percentage Distribution of DALY Causes to Main Diseases, at National Level, Turkey
Cardiovascular; 19,3
Neuropsychiatric; 13,3
Communicable diseases except HIV/AIDS ; 11,2
Injuries; 10,8
Maternal and Perinatal; 10,0
Cancers; 6,8
Sayfa1
erkekkadn
Kardiyovaskler19.32Kardiyovaskler Hastalklar52.27
Nropsikiatrik13.31Kanserler10.74
HIV/AIDS Hari Dier Enf.Hast.11.17HIV/AIDS Hari Dier Enfeksiyon Hast.9.06
Yaralanmalar10.79Solunum Sist. Hast.6.25
Maternal ve Perinatal10.04Maternal ve Perinatal Ned.6.44
Kanserler6.77
Sayfa1
0
0
0
0
0
0
aa
Sayfa2
Sayfa3
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEYDistribution of DALY Causes at Western Turkey by Basic Disease Groups Cancers; 7,6 Infections other than HIV/AIDS; 8,1
Maternal and Perinatal; 6,8Cardiovascular; 22,3 Neuro-psychiatric ; 13,8 Injuries; 11,4
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEYMaternal and Perinatal; 7,9Cancers; 7,3 Cardiovascular; 20,0 Injuries; 10,6Neuro-psychiatric ; 13,5 Infections other than HIV/AIDS; 9,9
Distribution of DALY Causes at Southern Turkey by Basic Disease Groups
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEYDistribution of DALY Causes at Central Turkey by Basic Disease Groups Maternal and Perinatal; 9,7Cancers; 7,3 Cardiovascular; 20,6 Infections other than HIV/AIDS; 10,1
Injuries; 10,4Neuro-psychiatric ; 13,4
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEYDistribution of DALY Causes at Northern Turkey by Basic Disease Groups
Neuro-psychiatric ; 12,7 Maternal and Perinatal; 8,6Cancers; 7,1Cardiovascular; 23,1 Injuries; 9,8Infections other than HIV/AIDS; 9,9
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
NBD-CE STUDY, TURKEYDistribution of DALY Causes at Eastern Turkey by Basic Disease Groups
Injuries; 10,8Cardiovascular; 12,4 Infections other than HIV/AIDS; 17,4Neuro-psychiatric ; 12,7 Maternal and Perinatal; 16,4Respiratory System Diseases; 5,3
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Region-Specific % Distribution of Major Diseases Causing DALY Among WomenNBD-CE STUDY , TURKEY
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Region-Specific % Distribution of Major Diseases Causing DALY Among Women inNBD-CE STUDY, TURKEY
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
PROJECTIONS: WHO methodology was used to calculate trends and estimations for the number of deaths to occur among women and men by causes of deaths in 2000, 2010, 2020 and 2030.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Comparison of Deaths Among Men at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030 by Age Groups (NBD-CE STUDY, TURKEY)Age groups Deaths Total
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Comparison of Deaths Among Women at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030 by Age Groups (NBD-CE STUDY, 2000, TURKEY)Age groups Deaths Total
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Trkiye Ulusal Dzey 2000 Ylnda Erkeklerde Solunum Sistemi Hastalklarna Bal Gelien lm Saylarnn 2010, 2020 ve 2030 Ylnda Beklenen lm Saylar le KarlatrlmasAge groups Deaths Chronic Respiratory Tract Diseases among Men Comparison of Deaths from Respiratory Tract Diseases Among Men at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Trkiye Ulusal Dzey 2000 Ylnda Kadnlarda Solunum Sistemi Hastalklarna Bal Gelien lm Saylarnn 2010, 2020 ve 2030 Ylnda Beklenen lm Saylar le Karlatrlmas Chronic Respiratory Tract Diseases among Women Age groups Deaths Comparison of Deaths from Respiratory Tract Diseases Among Women at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Trkiye Ulusal Dzey 2000 Ylnda Erkeklerde Solunum Enfeksiyonlarna Bal Gelien lm Saylarnn 2010, 2020 ve 2030 Ylnda Beklenen lm Saylar le Karlatrlmas Respiratory Tract Diseases among Men Age groups Deaths Comparison of Deaths from Respiratory Tract Infections Among Men at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Trkiye Ulusal Dzey 2000 Ylnda Kadnlarda Solunum Enfeksiyonlar Bal Gelien lm Saylarnn 2010, 2020 ve 2030 Ylnda Beklenen lm Saylar le Karlatrlmas Respiratory Tract Diseases among Women Age groups Comparison of Deaths from Respiratory Tract Infections Among Women at National Level in 2000 with the Number of Deaths Estimated for the Year 2010, 2020 and 2030
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Number of Deaths and DALYs To Be Prevented By Gender in Turkey Avoiding Selected Risk Factors (NBD-CE STUDY, TURKEY)
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
Number of Deaths and DALYs To Be Prevented By Gender in Turkey Avoiding Selected Risk Factors (NBD-CE STUDY, TURKEY)
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
RECOMMENDATIONSPopulation in Turkey is getting elder (60+ aged population was 6.4 % in 2003) Chronicle Diseases, which have a very big share in Burden of Diseases and Causes of Deaths, are likely to increase in number as indicated by projections. Regular notification forms are not available for chronicle diseases within the current system. Accurate and regular notification and data system should be established.As for diseases that cause burden, necessary preventive measures should be regulated considering age groups and regions.The lack of diagnosis and treatment guidelines for secondary care makes standardization of treatment difficult.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
RECOMMENDATIONSAvoiding major factors such as hypertension, smoking, cholesterol and obesity and facilitating physical exercise could prevent Ischemic Heart Diseases-caused 772.814 DALY of 860.083 burden of DALY More than 300,000 deaths
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
RECOMMENDATIONSSmoking - discouraging factors in laws and regulations should be reviewed, indoor smoking should absolutely be banned and implementation of preventive measures should be controlled so as to fight with smoking, which is an important risk factor that increases the burden of disease caused by ischemic heart diseases the COPD.Education and awareness of health personnel should be promoted by in-service trainings and etc.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
ASTHMAdiagnosing based on announcement above 18 years in Turkey is %3.87 percent.%3.11 among men%4.44 among women
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
ASTHMAIs within the 20 major diseases causing %0,2 death among men in 0-14 age group at national level. Is at seventeenth rank in urban area 0-14 age group Not among the 20 major diseases that cause death at rural area.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
ASTHMAWith %1.3 ratio, Asthma is the 18th in ranking of national level death causes ranking among the 15 49 age groupThis ratio is %1,7 among women and %1,1 among men. 20th in rural area with %1.3, 19th with %1.1 among men, and 15th with %1.5 among women.Although it is the 20th with %1.1 ratio among men in rural area and 17th with %1.5 ratio among women within the cause of death ranking, it is not among the 20 major diseases in total
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
% Distribution of Asthma among the 20 major diseases causing death at regional level by age groups
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
AsthmaAsthma has a %1,2 ratio among the 20 major diseases that cause DALY at national level in Turkey. (%1,2 among women, %1,3 among men) Is the 14th within the ranking of 20 major diseases that cause DALY in urban area with %1.3 ratio Is the 19th in rural area with %1.1 ratio.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
AsthmaConstitutes %1.2 of the total burden of disease among women in urban area and %1.4 among men; in the rural area,%1.1 among women and men. Among the diseases that cause DALY at regional level, asthma is among the 20 major diseases with %1.2 in the Western, Southern, Central Turkey,%1.1 in the Northern Turkey, and %1.3 in the Eastern Turkey
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
AsthmaWhen the age groups are investigated, asthma is seen among the 0-14 age group in the % distribution of 10 major diseases that cause DALY at national and regional level, however, is not among the 10 major burdens of disease among the 15-59 and above 60 age groups.
Republic of Turkey Ministry of Health, Refik Saydam Hygiene Center PresidencySchool of Public Health
% Distribution of Asthma within the first 10 diseases causing DALY among 0-14 age group
Chart9
1.61.41.8
1.81.62
1.41.30
1.71.61.9
1.61.51.8
1.61.51.8
1.61.51.8
1.51.41.7
Total
Male
Female
%DALY
0-14 Age group Asthma %DALY Distribution
genel
yllar200020012002
ulusal kanser insidans49.2960.4970.24
yllar200020012002
Kadn40.1650.6659.57
Erkek58.1870.0680.43
Yllar200020012002200320042005
Ulusal16.915.814.713.17.52.9
Yllar200020012002200320042005
anlurfa40.275.8825029.823.5
Mardin8380.966.241.830.215.7
Diyarbakr190.6194.1246.8290.7163.261
Siirt89.370.858.450.139.48.6
Batman12341050815648.8340.184
SHAL NSDANSI
YILLAR20012002200320042005
VAKA SAYISI9311298697007721519903841413333
YIL ORTASI NFUS6836500069302000702310007115200072065000
NSDANS13.612.511.014.019.6
Pnmoni insidans
YILLAR20012002200320042005
VAKA SAYISI10037111159499656125263183703
YIL ORTASI NFUS6836500069302000702310007115200072065000
NSDANS1.471.611.421.762.55
Yllar2003200420052006201020202030
Kaba lm Hz (binde)6.26.26.26.36.577.7
Yllar2003200420052006201020202030
Kaba lm Hz (binde)6.36.26.26.36.577.7
Yllar200020012002
Marmara44.059.542.5
Ege70.5111.5105.6
Anadolu54.956.178.7
Karadeniz36.739.579.0
Akdeniz56.050.289.8
Dou Anadolu53.353.557.8
Gneydou Anadolu27.021.528.3
Yllar200020012002200320042005
NSDANS
Ulusal26.2426.624.2524.3124.5225.79
2003200420052006201020202030
Toplam Dourganlk Hz2.232.212.192.182.122.011.92
2003200420052006201020202030
Kaba Doum Hz19.719.118.918.717.515.613.8
Gonore1.4
Sifiliz1.1
Klamidya0.2
Yllar200020012002200320042005
Ulusal0.5
Kadn0.3
Erkek0.6
YILLARKadnda Okuma Yazma Oran
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Yllar19751980198519902000
Okumaz Yazmaz Oran65.6362.4145.9540.2127.39
Yllar199019911992199319941995199619971998199920002001200220032004
Okuma Yazma Oran67.468.97276.775.676.676.376.977.678.178.378.279.981.179.6
Kadnlarda Okullama Oran
retim YlYksekretim
1997/98Brt15.95
Net9.179.17
1998/99Brt17.68
Net9.679.67
1999/00Brt17.42
Net10.5210.52
2000/01Brt18.79
Net11.3811.38
2001/02Brt19.99
Net12.1712.17
2002/03Brt23.04
Net13.5313.53
2003/04Brt23.88
Net13.9313.93
2004/05Brt25.97
Net15.115.1
2005/06Brt29.94
Net17.4117.41
Yllar
198045.8
198543.6
199042.8
200039.6
MESLEKTOPLAM%
GENEL TOPLAM1672100
DOKTOR53533
EBE-HEMRE41725
SA. MEMURU40124
ATT1187
ANES. TEK412
LAB. TEK.241
DER1368
MESLEKTOPLAMSTANBULANKARABURSAADANAZMRAFYONKARAHSARSAKARYADYARBAKIRERZURUMSAMSUNVAN
GENEL TOPLAM1672258116130155119203101223110137120
Hipertansiyon Prevelans
Tm grupErkekKadn
Yzde %31.827.536.1
KentselKrsalTrkiye
Erkek26.728.927.5
Kadn35.238.136.1
ya gruplar18-2930-3940-4950-5960-6970-79>=80
prevelans12213956707680
Diabet
YllarVakaNfusnsidans
2001728,45468,365,00011
2002834,63369,302,00012
2003950,15070,231,00014
20041,408,54571,152,00020
20052,057,45972,065,00029
shal
Yllar20012002200320042005
vaka9311298697007721519903841413333
nfus yl ortas projeksiyon tik6836500069302000702310007115200072065000
nsidans hz13.6112.5410.9913.9119.61
Pnmoni
Yllar20012002200320042005
vaka10037111159499656125263183703
nfus yl ortas projeksiyon tik6836500069302000702310007115200072065000
nsidans hz (100 000)147161142176255
nsidans hz (10 000)14.6816.1014.1817.625.49
Yaa gre boyBoya gre arlkYaa gre arlk
Temel zellik-3 SD'nin altndaki yzde-3 SD'nin altndaki yzde-3 SD'nin altndaki yzde
ocuun ya (ay olarak)