GBD PROFILE: MOROCCO

1 GLOBAL BURDEN OF DISEASES, INJURIES, AND RISK FACTORS STUDY 2010 The Global Burden of Disease Study 2010 (GBD 2010) is a collaborative project of nearly 500 researchers in 50 countries led by theInstitute for Health Metrics and Evaluation (IHME) at the University of Washington. It is the largest systematic scientific effort in history toquantify levels and trends of health loss due to diseases, injuries, and risk factors. GBD serves as a global public good to informevidence-based policymaking and health systems OVERVIEWlIn terms of the number of years of life lost (YLLs) due topremature death in MOROCCO , preterm birth complications,cerebrovascular disease, and ischemic heart disease were thehighest ranking causes in the 25 most important causes of burden, as measured bydisability-adjusted life years (DALYs)

2 , diarrheal diseases showedthe largest decrease, falling by 79% from 1990 to leading risk factor in MOROCCO is high body-mass MORTALITY RATElThis chart shows the decline in mortality rate at every age higher points on the chart indicate that declines in mortalityrates were faster in those age groups between 1990 and greatest reductions in all-cause mortality rate wereexperienced by females aged 1-4 years (64%). Males aged 80+years saw the smallest decrease in mortality rate (12%).Percent decline in age-specific mortality rate by sex from 1990-2010 in MoroccoCAUSES OF PREMATURE DEATHY ears of life lost (YLLs) quantify premature mortality by weighting younger deaths more than older chart shows thechange in the top 25causes of YLLs due topremature mortalityfrom 1990 to lines indicate acause has moved up inrank or stayed thesame.

3 Broken linesindicate a cause hasmoved down in causes are colorcoded by blue fornon-communicablediseases, green forinjuries, and red forcommunicable,maternal, neonatal, andnutritional causes PROFILE: | GBD | page 1015304560 Percent decline in age specific mortality rate 1 45 910 1415 1920 2425 2930 3435 3940 4445 4950 5455 5960 6465 6970 7475 7980+Age groupMalesFemales# YLLs in thousands(% of total)Rank and disorder 1990 Rank and disorder 2010# YLLs in thousands(% of total)% change79 ( )21 Asthma52 ( )25 COPD29 COPD78 ( )22 Cardiomyopathy80 ( )20 Cirrhosis308 ( )8 Congenital anomalies230 ( )10 Diabetes573 ( )3 Diarrheal diseases90 ( )18 Drowning53 ( )24 Encephalitis41 Encephalitis85 ( )19 Hypertensive heart disease357 ( )

4 5 Ischemic heart disease872 ( )1 Lower respiratory infections73 ( )23 Lung cancer111 ( )17 Malaria162 Malaria134 ( )15 Maternal disorders33 Maternal disorders191 ( )13 Meningitis360 ( )6 Neonatal encephalopathy206 ( )11 Neonatal sepsis147 ( )14 Other cardio & circulatory659 ( )2 Preterm birth complications317 ( )7 Protein-energy malnutrition123 ( )16 Road injury371 ( )4 Stroke248 ( )9 Syphilis196 ( )12 Tuberculosis77 ( )21 Asthma-277 ( )22 Breast cancer15633 Breast cancer84 ( )19 Cardiomyopathy971 ( )23 Chronic kidney disease14134 Chronic kidney disease87 ( )16 Cirrhosis12163 ( )7 Congenital anomalies-47363 ( )4 Diabetes5887 ( )17 Diarrheal diseases-8591 ( )14 Drowning371 ( )24 HIV/AIDS45455 HIV/AIDS103 ( )13 Hypertensive heart disease22401 ( )3 Ischemic heart disease1351 ( )25 Leukemia1826 Leukemia355 ( )5 Lower respiratory infections-60113 ( )12 Lung cancer5489 ( )15 Meningitis-54227 ( )6 Neonatal encephalopathy-36156 ( )9 Neonatal sepsis-24142 ( )8 Other cardio & circulatory-2449 ( )1 Preterm birth complications-3386 ( )

5 20 Protein-energy malnutrition-73132 ( )10 Road injury8400 ( )2 Stroke888 ( )18 Syphilis-65115 ( )11 Tuberculosis-42 Ranks for top 25 causes of YLLs 1990-2010, MoroccoCCCommuni cabl e, maternal , neonatal , and nutri ti onalCCNon-communi cabl eCCInj uri es0100,000200,000300,000400,000 YLDs0 6 days7 27 days28 364 days1 4 years5 9 years10 14 years15 19 years20 24 years25 29 years30 34 years35 39 years40 44 years45 49 years50 54 years55 59 years60 64 years65 69 years70 74 years75 79 years80+ yearsWar & disasterIntentional injuriesUnintentional injuriesTransport injuriesOther non communicableMusculoskeletal disordersDiabetes/urogen/blood/endoMenta l & behavioral disordersNeurological disordersDigestive diseasesCirrhosisChronic respiratory diseasesCardio & circulatory diseasesCancerOther communicableNutritional

6 DeficienciesNeonatal disordersMaternal disordersNTD & malariaDiarrhea/LRI/other infectiousHIV/AIDS & tuberculosisDIABETESPRETERM BIRTH COMPLICATIONSISCHEMIC HEART DISEASEMAJOR DEPRESSIVE DISORDERSTROKELOW BACK PAINLOWER RESPIRATORY INFECTIONSANXIETY DISORDERSNEONATAL ENCEPHALOPATHYTUBERCULOSISIRON-DEFICIENC Y ANEMIAROAD INJURYCONGENITAL ANOMALIESOTHER CARDIO & CIRCULATORYNEONATAL SEPSISCOPDASTHMADIARRHEAL DISEASESNECK PAINOTHER MUSCULOSKELETALLUNG CANCERFALLSHYPERTENSIVE HEART DISEASEDRUG USE DISORDERSMENINGITIS123 4 5 6789 10 111213141516 171819 20 21 22 23 2425-80-60-40-20020406080 | GBD | page 2 Percent change 1990-2010 YEARS LIVED WITH DISABILITY (YLDs)Years lived with disability (YLDs) are estimated by weighting the prevalence of different conditions based on severity.

7 The top five leadingcauses of YLDs in MOROCCO are major depressive disorder, low back pain, anxiety disorders, diabetes mellitus, and iron-deficiency size of the coloredportion in each barrepresents the number ofYLDs attributable to eachcause. The height of each barshows which age groups hadthe most YLDs in 2010. Thecauses are aggregated. Forexample, musculoskeletaldisorders include low backpain and neck YLDs by cause and age 2010 DISABILITY-ADJUSTED LIFE YEARS (DALYs)Disability-adjusted life years (DALYs) quantify both premature mortality (YLLs) and disability (YLDs) within a population.

8 In MOROCCO , thetop three causes of DALYs in 2010 were diabetes mellitus, preterm birth complications, and ischemic heart disease. The causes that werein the 10 leading causes of DALYs in 2010 and not 1990 were low back pain, anxiety disorders, and top 25 causes of DALY sare ranked from left to rightin order of the number ofDALYs they contributed in2010. Bars going up show thepercent by which DALYs haveincreased since 1990. Barsgoing down show the percentby which DALYs havedecreased. Globally,non-communicable diseasesand injuries are generally onthe rise, while communicable,maternal, neonatal.

9 Andnutritional causes of DALY sare generally on the causes of DALYs and percent change 1990 to 2010 for | GBD | page 30123456789% DALYs attributable to risk factorsIntimate partner violenceAlcohol useChildhood underweightDrug useHigh total cholesterolSuboptimal breastfeedingAmbient PM pollutionIron deficiencyOccupational risksPhysical inactivitySmokingHigh blood pressureHigh fasting plasma glucoseDietary risksHigh body mass indexWar & disasterIntentional injuriesUnintentional injuriesTransport injuriesOther non communicableMusculoskeletal disordersDiabetes/urogen/blood/endoMenta l & behavioral disordersNeurological disordersDigestive diseasesCirrhosisChronic respiratory diseasesCardio & circulatory diseasesCancerOther communicableNutritional deficienciesNeonatal disordersMaternal disordersNTD & malariaDiarrhea/LRI/other infectiousHIV/AIDS & tuberculosisAge-standardized death rates, YLL rates, YLD rates, and life expectancy at birth and health-adjusted life expectancy at birth for 1990 and 2010, both sexes combinedCountryAge-standardized death rate(per 100,000)

10 Age-standardized YLL rate(per 100,000)Age-standardized YLD rate(per 100,000)Life expectancy at birthHealth-adjusted lifeexpectancy at birth19902010199020101990201019902010199 02010 Rate Rank Rate Rank Rate Rank Rate Rank Rate Rank Rate Rank LE Rank LE Rank HALE Rank HALE RankGeorgia82567165 24,291 4 19,529 5 11,437 1 11,256 21,457 3 12,094 1 13,133 7 12,031 ,284 1282210 49,438 13 26,020 11 13,781 12 12,113 18,868 1 18,059 4 12,337 5 12,006 Lanka71226203 20,846 2 14.