Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands
Background: Cause of death data are essential for rational health planning yet are not routinely available in Papua New Guinea (PNG) and Solomon Islands. Indirect estimation of cause of death patterns suggests these populations are epidemiologically similar, but such assessments are not based on dir...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
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| Series: | The Lancet Regional Health. Western Pacific |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666606521000596 |
| _version_ | 1818934070575366144 |
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| author | John D Hart PKB Mahesh Viola Kwa Matthew Reeve Hafizur Rahman Chowdhury Gregory Jilini Rooney Jagilly Baakai Kamoriki Rodley Ruskin Paison Dakulala Paulus Ripa Dale Frank Theresa Lei Tim Adair Deirdre McLaughlin Ian D Riley Alan D Lopez |
| author_facet | John D Hart PKB Mahesh Viola Kwa Matthew Reeve Hafizur Rahman Chowdhury Gregory Jilini Rooney Jagilly Baakai Kamoriki Rodley Ruskin Paison Dakulala Paulus Ripa Dale Frank Theresa Lei Tim Adair Deirdre McLaughlin Ian D Riley Alan D Lopez |
| author_sort | John D Hart |
| collection | DOAJ |
| description | Background: Cause of death data are essential for rational health planning yet are not routinely available in Papua New Guinea (PNG) and Solomon Islands. Indirect estimation of cause of death patterns suggests these populations are epidemiologically similar, but such assessments are not based on direct evidence. Methods: Verbal autopsy (VA) interviews were conducted at three sites in PNG and nationwide in Solomon Islands. Training courses were also facilitated to improve data from medical certificates of cause of death (MCCODs) in both countries. Data were categorised into broad groups of endemic and emerging conditions to aid assessment of the epidemiological transition. Findings: Between 2017 and 2020, VAs were collected for 1,814 adult deaths in PNG and 819 adult deaths in Solomon Islands. MCCODs were analysed for 662 deaths in PNG and 1,408 deaths in Solomon Islands. The VA data suggest lower NCD mortality (48.8% versus 70.3%); higher infectious mortality (27.0% versus 18.3%) and higher injury mortality (24.5% versus 11.4%) in PNG compared to Solomon Islands. Higher infectious mortality in PNG was evident for both endemic and emerging infections. Higher NCD mortality in Solomon Islands reflected much higher emerging NCDs (43.6% vs 21.4% in PNG). A similar pattern was evident from the MCCOD data. Interpretation: The cause of death patterns suggested by VA and MCCOD indicate that PNG is earlier in its epidemiological transition than Solomon Islands, with relatively higher infectious mortality and lower NCD mortality. Injury mortality was also particularly high in PNG. |
| first_indexed | 2024-12-20T04:58:26Z |
| format | Article |
| id | doaj.art-a2b1de7ef67b4241a6365101d902a436 |
| institution | Directory Open Access Journal |
| issn | 2666-6065 |
| language | English |
| last_indexed | 2024-12-20T04:58:26Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Western Pacific |
| spelling | doaj.art-a2b1de7ef67b4241a6365101d902a4362022-12-21T19:52:39ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652021-06-0111100150Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon IslandsJohn D Hart0PKB Mahesh1Viola Kwa2Matthew Reeve3Hafizur Rahman Chowdhury4Gregory Jilini5Rooney Jagilly6Baakai Kamoriki7Rodley Ruskin8Paison Dakulala9Paulus Ripa10Dale Frank11Theresa Lei12Tim Adair13Deirdre McLaughlin14Ian D Riley15Alan D Lopez16The University of Melbourne, Melbourne School of Population and Global Health, Australia; Corresponding author.The University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaMilne Bay Provincial Health Authority, Papua New GuineaMinistry of Health & Medical Services, Solomon IslandsMinistry of Health & Medical Services, Solomon IslandsCRVS country coordinator, D4H Initiative, Solomon IslandsNational Department of Health, Papua New GuineaWestern Highlands Provincial Health Authority, Papua New GuineaMilne Bay Provincial Health Authority, Papua New GuineaWest New Britain Provincial Health Authority, Papua New GuineaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaThe University of Melbourne, Melbourne School of Population and Global Health, AustraliaBackground: Cause of death data are essential for rational health planning yet are not routinely available in Papua New Guinea (PNG) and Solomon Islands. Indirect estimation of cause of death patterns suggests these populations are epidemiologically similar, but such assessments are not based on direct evidence. Methods: Verbal autopsy (VA) interviews were conducted at three sites in PNG and nationwide in Solomon Islands. Training courses were also facilitated to improve data from medical certificates of cause of death (MCCODs) in both countries. Data were categorised into broad groups of endemic and emerging conditions to aid assessment of the epidemiological transition. Findings: Between 2017 and 2020, VAs were collected for 1,814 adult deaths in PNG and 819 adult deaths in Solomon Islands. MCCODs were analysed for 662 deaths in PNG and 1,408 deaths in Solomon Islands. The VA data suggest lower NCD mortality (48.8% versus 70.3%); higher infectious mortality (27.0% versus 18.3%) and higher injury mortality (24.5% versus 11.4%) in PNG compared to Solomon Islands. Higher infectious mortality in PNG was evident for both endemic and emerging infections. Higher NCD mortality in Solomon Islands reflected much higher emerging NCDs (43.6% vs 21.4% in PNG). A similar pattern was evident from the MCCOD data. Interpretation: The cause of death patterns suggested by VA and MCCOD indicate that PNG is earlier in its epidemiological transition than Solomon Islands, with relatively higher infectious mortality and lower NCD mortality. Injury mortality was also particularly high in PNG.http://www.sciencedirect.com/science/article/pii/S2666606521000596 |
| spellingShingle | John D Hart PKB Mahesh Viola Kwa Matthew Reeve Hafizur Rahman Chowdhury Gregory Jilini Rooney Jagilly Baakai Kamoriki Rodley Ruskin Paison Dakulala Paulus Ripa Dale Frank Theresa Lei Tim Adair Deirdre McLaughlin Ian D Riley Alan D Lopez Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands The Lancet Regional Health. Western Pacific |
| title | Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands |
| title_full | Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands |
| title_fullStr | Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands |
| title_full_unstemmed | Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands |
| title_short | Diversity of epidemiological transition in the Pacific: Findings from the application of verbal autopsy in Papua New Guinea and the Solomon Islands |
| title_sort | diversity of epidemiological transition in the pacific findings from the application of verbal autopsy in papua new guinea and the solomon islands |
| url | http://www.sciencedirect.com/science/article/pii/S2666606521000596 |
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