Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019

Respiratory infections remain a major public health problem, affecting people of all age groups, but there is still a lack of studies analyzing the burden of upper respiratory infections (URIs) in Asian countries. We used the data from the Global Burden of Diseases Study 2019 results to assess the c...

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Main Authors: Qiao Liu, Chenyuan Qin, Min Du, Yaping Wang, Wenxin Yan, Min Liu, Jue Liu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/11/2550
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author Qiao Liu
Chenyuan Qin
Min Du
Yaping Wang
Wenxin Yan
Min Liu
Jue Liu
author_facet Qiao Liu
Chenyuan Qin
Min Du
Yaping Wang
Wenxin Yan
Min Liu
Jue Liu
author_sort Qiao Liu
collection DOAJ
description Respiratory infections remain a major public health problem, affecting people of all age groups, but there is still a lack of studies analyzing the burden of upper respiratory infections (URIs) in Asian countries. We used the data from the Global Burden of Diseases Study 2019 results to assess the current status and trends of URI burden from 1990 to 2019 in Asian countries. We found that Thailand had the highest age-standardized incidence rate (ASIR) of URI both in 1990 (354,857.14 per 100,000) and in 2019 (344,287.93 per 100,000); and the highest age-standardized mortality rate (ASMR) was in China in 1990 (2.377 per 100,000), and in Uzbekistan in 2019 (0.418 per 100,000). From 1990 to 2019, ASIRs of URI slightly increased in several countries, with the speediest in Pakistan (estimated annual percentage change [EAPC] = 0.404%, 95% CI, 0.322% to 0.486%); and Kuwait and Singapore had uptrends of ASMRs, at a speed of an average 3.332% (95% CI, 2.605% to 4.065%) and 3.160% (95% CI, 1.971% to 4.362%) per year, respectively. The age structure of URI was similar at national, Asian and Global levels. Children under the age of five had the highest incidence rate, and the elderly had the highest mortality rate of URI. Asian countries with a Socio-demographic Index between 0.5 and 0.7 had relatively lower ASIRs but higher ASMRs of URIs. The declined rate of URI ASMR in Asian countries was more pronounced in higher baseline (ASMR in 1990) countries. Our findings suggest that there was a huge burden of URI cases in Asia that affected vulnerable and impoverished people’s livelihoods. Continuous and high-quality surveillance data across Asian countries are needed to improve the estimation of the disease burden attributable to URIs, and the best public health interventions are needed to curb this burden.
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spelling doaj.art-25aca5d0355e470cb533e6f4f18309e62023-11-24T10:19:02ZengMDPI AGViruses1999-49152022-11-011411255010.3390/v14112550Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019Qiao Liu0Chenyuan Qin1Min Du2Yaping Wang3Wenxin Yan4Min Liu5Jue Liu6Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, ChinaRespiratory infections remain a major public health problem, affecting people of all age groups, but there is still a lack of studies analyzing the burden of upper respiratory infections (URIs) in Asian countries. We used the data from the Global Burden of Diseases Study 2019 results to assess the current status and trends of URI burden from 1990 to 2019 in Asian countries. We found that Thailand had the highest age-standardized incidence rate (ASIR) of URI both in 1990 (354,857.14 per 100,000) and in 2019 (344,287.93 per 100,000); and the highest age-standardized mortality rate (ASMR) was in China in 1990 (2.377 per 100,000), and in Uzbekistan in 2019 (0.418 per 100,000). From 1990 to 2019, ASIRs of URI slightly increased in several countries, with the speediest in Pakistan (estimated annual percentage change [EAPC] = 0.404%, 95% CI, 0.322% to 0.486%); and Kuwait and Singapore had uptrends of ASMRs, at a speed of an average 3.332% (95% CI, 2.605% to 4.065%) and 3.160% (95% CI, 1.971% to 4.362%) per year, respectively. The age structure of URI was similar at national, Asian and Global levels. Children under the age of five had the highest incidence rate, and the elderly had the highest mortality rate of URI. Asian countries with a Socio-demographic Index between 0.5 and 0.7 had relatively lower ASIRs but higher ASMRs of URIs. The declined rate of URI ASMR in Asian countries was more pronounced in higher baseline (ASMR in 1990) countries. Our findings suggest that there was a huge burden of URI cases in Asia that affected vulnerable and impoverished people’s livelihoods. Continuous and high-quality surveillance data across Asian countries are needed to improve the estimation of the disease burden attributable to URIs, and the best public health interventions are needed to curb this burden.https://www.mdpi.com/1999-4915/14/11/2550upper respiratory infectionsChinaAsiaburdentrends
spellingShingle Qiao Liu
Chenyuan Qin
Min Du
Yaping Wang
Wenxin Yan
Min Liu
Jue Liu
Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
Viruses
upper respiratory infections
China
Asia
burden
trends
title Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
title_full Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
title_fullStr Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
title_full_unstemmed Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
title_short Incidence and Mortality Trends of Upper Respiratory Infections in China and Other Asian Countries from 1990 to 2019
title_sort incidence and mortality trends of upper respiratory infections in china and other asian countries from 1990 to 2019
topic upper respiratory infections
China
Asia
burden
trends
url https://www.mdpi.com/1999-4915/14/11/2550
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