Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

<h4>Background</h4> <p>Lower respiratory infections are a leading cause of morbidity and mortality around the world. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, provides an up-to-date analysis of the burden of lower respiratory infections in 195 cou...

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Main Authors: Troeger, C, Blacker, BF, Khalil, IA, Rao, PC, Cao, S, Zimsen, SRM, Albertson, S, Stanaway, JD, Deshpande, A, Farag, T, Forouzanfar, MH, Abebe, Z, Adetifa, IMO, Adhikari, TB, Akibu, M, Lami, FH, Al-Eyadhy, A, Alvis-Guzman, N, Amare, AT, Amoako, YA, Antonio, CAT, Aremu, O, Asfaw, ET, Asgedom, SW, Atey, TM, Attia, EF, Avokpaho, EFGA, Ayele, HT, Ayuk, TB, Balakrishnan, K, Barac, A, Bassat, Q, Behzadifar, M, Bhaumik, S, Bhutta, ZA, Bijani, A, Brauer, M, Brown, A, Camargos, PAM, Castaneda-Orjuela, CA, Colombara, D, Conti, S, Dadi, AF, Dandona, L, Dandona, R, Do, HP, Dubljanin, E, Edessa, D, Elkout, H, Endries, AY, Fijabi, DO, Foreman, KJ, Fullman, N, Garcia-Basteiro, AL, Gessner, BD, Gething, PW, Gupta, R, Gupta, T, Hailu, GB, Hassen, HY, Hedayati, MT, Heidari, M, Hibstu, DT, Horita, N, Ilesanmi, OS, Jakovljevic, MB, Jamal, AA, Kahsay, A, Kasaeian, A, Kassa, DH, Khader, YS, Khan, EA, Khan, MN, Khang, Y-H, Kim, YJ, Kissoon, N, Knibbs, LD, Kochhar, S, Koul, PA, Kumar, GA, Lodha, R, Razek, HM, Malta, DC, Mathew, JL, Mengistu, DT, Mezgebe, HB, Mohammad, KA, Mohammed, AM, Momeniha, F, Murthy, S, Nguyen, CT, Nielsen, KR, Ningrum, DNA, Nirayo, YL, Oren, E, Ortiz, JR, Mahesh, PA, Postma, MJ, Qorbani, M, Quansah, R, Rai, RK, Rana, SM, Ranabhat, CL, Ray, SE, Rezai, MS, Ruhago, GM, Safiri, S, Salomon, JA, Sartorius, B, Savic, M, Sawhney, M, She, J, Sheikh, A, Shiferaw, MS, Shigematsu, M, Singh, JA, Somayaji, R, Sufiyan, MB, Taffere, GR, Temsah, M-H, Thompson, MJ, Tobe-Gai, R, Topor-Madry, R, Tran, BX, Tran, TT, Tuem, KB, Ukwaja, KN, Vollset, SE, Walson, JL, Weldegebreal, F, Werdecker, A, West, TE, Yonemoto, N, Zaki, MES, Zhou, L, Zodpey, S, Vos, T, Lim, SS, Naghavi, M, Murray, CJL, Mokdad, AH, Hay, SI, Jr, RRC, Infecti, GBDLR
Formato: Journal article
Publicado em: Elsevier 2018
_version_ 1826298200093360128
author Troeger, C
Blacker, BF
Khalil, IA
Rao, PC
Cao, S
Zimsen, SRM
Albertson, S
Stanaway, JD
Deshpande, A
Farag, T
Forouzanfar, MH
Abebe, Z
Adetifa, IMO
Adhikari, TB
Akibu, M
Lami, FH
Al-Eyadhy, A
Alvis-Guzman, N
Amare, AT
Amoako, YA
Antonio, CAT
Aremu, O
Asfaw, ET
Asgedom, SW
Atey, TM
Attia, EF
Avokpaho, EFGA
Ayele, HT
Ayuk, TB
Balakrishnan, K
Barac, A
Bassat, Q
Behzadifar, M
Behzadifar, M
Bhaumik, S
Bhutta, ZA
Bijani, A
Brauer, M
Brown, A
Camargos, PAM
Castaneda-Orjuela, CA
Colombara, D
Conti, S
Dadi, AF
Dandona, L
Dandona, R
Do, HP
Dubljanin, E
Edessa, D
Elkout, H
Endries, AY
Fijabi, DO
Foreman, KJ
Fullman, N
Garcia-Basteiro, AL
Gessner, BD
Gething, PW
Gupta, R
Gupta, T
Hailu, GB
Hassen, HY
Hedayati, MT
Heidari, M
Hibstu, DT
Horita, N
Ilesanmi, OS
Jakovljevic, MB
Jamal, AA
Kahsay, A
Kasaeian, A
Kassa, DH
Khader, YS
Khan, EA
Khan, MN
Khang, Y-H
Kim, YJ
Kissoon, N
Knibbs, LD
Kochhar, S
Koul, PA
Kumar, GA
Lodha, R
Razek, HM
Malta, DC
Mathew, JL
Mengistu, DT
Mezgebe, HB
Mohammad, KA
Mohammed, AM
Momeniha, F
Murthy, S
Nguyen, CT
Nielsen, KR
Ningrum, DNA
Nirayo, YL
Oren, E
Ortiz, JR
Mahesh, PA
Postma, MJ
Qorbani, M
Quansah, R
Rai, RK
Rana, SM
Ranabhat, CL
Ray, SE
Rezai, MS
Ruhago, GM
Safiri, S
Salomon, JA
Sartorius, B
Savic, M
Sawhney, M
She, J
Sheikh, A
Shiferaw, MS
Shigematsu, M
Singh, JA
Somayaji, R
Sufiyan, MB
Taffere, GR
Temsah, M-H
Thompson, MJ
Tobe-Gai, R
Topor-Madry, R
Tran, BX
Tran, TT
Tuem, KB
Ukwaja, KN
Vollset, SE
Walson, JL
Weldegebreal, F
Werdecker, A
West, TE
Yonemoto, N
Zaki, MES
Zhou, L
Zodpey, S
Vos, T
Lim, SS
Naghavi, M
Murray, CJL
Mokdad, AH
Hay, SI
Jr, RRC
Infecti, GBDLR
author_facet Troeger, C
Blacker, BF
Khalil, IA
Rao, PC
Cao, S
Zimsen, SRM
Albertson, S
Stanaway, JD
Deshpande, A
Farag, T
Forouzanfar, MH
Abebe, Z
Adetifa, IMO
Adhikari, TB
Akibu, M
Lami, FH
Al-Eyadhy, A
Alvis-Guzman, N
Amare, AT
Amoako, YA
Antonio, CAT
Aremu, O
Asfaw, ET
Asgedom, SW
Atey, TM
Attia, EF
Avokpaho, EFGA
Ayele, HT
Ayuk, TB
Balakrishnan, K
Barac, A
Bassat, Q
Behzadifar, M
Behzadifar, M
Bhaumik, S
Bhutta, ZA
Bijani, A
Brauer, M
Brown, A
Camargos, PAM
Castaneda-Orjuela, CA
Colombara, D
Conti, S
Dadi, AF
Dandona, L
Dandona, R
Do, HP
Dubljanin, E
Edessa, D
Elkout, H
Endries, AY
Fijabi, DO
Foreman, KJ
Fullman, N
Garcia-Basteiro, AL
Gessner, BD
Gething, PW
Gupta, R
Gupta, T
Hailu, GB
Hassen, HY
Hedayati, MT
Heidari, M
Hibstu, DT
Horita, N
Ilesanmi, OS
Jakovljevic, MB
Jamal, AA
Kahsay, A
Kasaeian, A
Kassa, DH
Khader, YS
Khan, EA
Khan, MN
Khang, Y-H
Kim, YJ
Kissoon, N
Knibbs, LD
Kochhar, S
Koul, PA
Kumar, GA
Lodha, R
Razek, HM
Malta, DC
Mathew, JL
Mengistu, DT
Mezgebe, HB
Mohammad, KA
Mohammed, AM
Momeniha, F
Murthy, S
Nguyen, CT
Nielsen, KR
Ningrum, DNA
Nirayo, YL
Oren, E
Ortiz, JR
Mahesh, PA
Postma, MJ
Qorbani, M
Quansah, R
Rai, RK
Rana, SM
Ranabhat, CL
Ray, SE
Rezai, MS
Ruhago, GM
Safiri, S
Salomon, JA
Sartorius, B
Savic, M
Sawhney, M
She, J
Sheikh, A
Shiferaw, MS
Shigematsu, M
Singh, JA
Somayaji, R
Sufiyan, MB
Taffere, GR
Temsah, M-H
Thompson, MJ
Tobe-Gai, R
Topor-Madry, R
Tran, BX
Tran, TT
Tuem, KB
Ukwaja, KN
Vollset, SE
Walson, JL
Weldegebreal, F
Werdecker, A
West, TE
Yonemoto, N
Zaki, MES
Zhou, L
Zodpey, S
Vos, T
Lim, SS
Naghavi, M
Murray, CJL
Mokdad, AH
Hay, SI
Jr, RRC
Infecti, GBDLR
author_sort Troeger, C
collection OXFORD
description <h4>Background</h4> <p>Lower respiratory infections are a leading cause of morbidity and mortality around the world. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, provides an up-to-date analysis of the burden of lower respiratory infections in 195 countries. This study assesses cases, deaths, and aetiologies spanning the past 26 years and shows how the burden of lower respiratory infection has changed in people of all ages.</p> <h4>Methods</h4> <p>We used three separate modelling strategies for lower respiratory infections in GBD 2016: a Bayesian hierarchical ensemble modelling platform (Cause of Death Ensemble model), which uses vital registration, verbal autopsy data, and surveillance system data to predict mortality due to lower respiratory infections; a compartmental meta-regression tool (DisMod-MR), which uses scientific literature, population representative surveys, and healthcare data to predict incidence, prevalence, and mortality; and modelling of counterfactual estimates of the population attributable fraction of lower respiratory infection episodes due to Streptococcus pneumoniae, Haemophilus influenzae type b, influenza, and respiratory syncytial virus. We calculated each modelled estimate for each age, sex, year, and location. We modelled the exposure level in a population for a given risk factor using DisMod-MR and a spatiotemporal Gaussian process regression, and assessed the effectiveness of targeted interventions for each risk factor in children younger than 5 years. We also did a decomposition analysis of the change in LRI deaths from 2000–16 using the risk factors associated with LRI in GBD 2016.</p> <h4>Findings</h4> <p>In 2016, lower respiratory infections caused 652 572 deaths (95% uncertainty interval [UI] 586 475–720 612) in children younger than 5 years (under-5s), 1 080 958 deaths (943 749–1 170 638) in adults older than 70 years, and 2 377 697 deaths (2 145 584–2 512 809) in people of all ages, worldwide. Streptococcus pneumoniae was the leading cause of lower respiratory infection morbidity and mortality globally, contributing to more deaths than all other aetiologies combined in 2016 (1 189 937 deaths, 95% UI 690 445–1 770 660). Childhood wasting remains the leading risk factor for lower respiratory infection mortality among children younger than 5 years, responsible for 61·4% of lower respiratory infection deaths in 2016 (95% UI 45·7–69·6). Interventions to improve wasting, household air pollution, ambient particulate matter pollution, and expanded antibiotic use could avert one under-5 death due to lower respiratory infection for every 4000 children treated in the countries with the highest lower respiratory infection burden.</p> <h4>Interpretation</h4> <p>Our findings show substantial progress in the reduction of lower respiratory infection burden, but this progress has not been equal across locations, has been driven by decreases in several primary risk factors, and might require more effort among elderly adults. By highlighting regions and populations with the highest burden, and the risk factors that could have the greatest effect, funders, policy makers, and programme implementers can more effectively reduce lower respiratory infections among the world’s most susceptible populations.</p>
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spelling oxford-uuid:d25cb79a-4ac6-4bc6-a11d-3f27c2179d672022-03-27T08:04:02ZEstimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d25cb79a-4ac6-4bc6-a11d-3f27c2179d67Symplectic Elements at OxfordElsevier2018Troeger, CBlacker, BFKhalil, IARao, PCCao, SZimsen, SRMAlbertson, SStanaway, JDDeshpande, AFarag, TForouzanfar, MHAbebe, ZAdetifa, IMOAdhikari, TBAkibu, MLami, FHAl-Eyadhy, AAlvis-Guzman, NAmare, ATAmoako, YAAntonio, CATAremu, OAsfaw, ETAsgedom, SWAtey, TMAttia, EFAvokpaho, EFGAAyele, HTAyuk, TBBalakrishnan, KBarac, ABassat, QBehzadifar, MBehzadifar, MBhaumik, SBhutta, ZABijani, ABrauer, MBrown, ACamargos, PAMCastaneda-Orjuela, CAColombara, DConti, SDadi, AFDandona, LDandona, RDo, HPDubljanin, EEdessa, DElkout, HEndries, AYFijabi, DOForeman, KJFullman, NGarcia-Basteiro, ALGessner, BDGething, PWGupta, RGupta, THailu, GBHassen, HYHedayati, MTHeidari, MHibstu, DTHorita, NIlesanmi, OSJakovljevic, MBJamal, AAKahsay, AKasaeian, AKassa, DHKhader, YSKhan, EAKhan, MNKhang, Y-HKim, YJKissoon, NKnibbs, LDKochhar, SKoul, PAKumar, GALodha, RRazek, HMMalta, DCMathew, JLMengistu, DTMezgebe, HBMohammad, KAMohammed, AMMomeniha, FMurthy, SNguyen, CTNielsen, KRNingrum, DNANirayo, YLOren, EOrtiz, JRMahesh, PAPostma, MJQorbani, MQuansah, RRai, RKRana, SMRanabhat, CLRay, SERezai, MSRuhago, GMSafiri, SSalomon, JASartorius, BSavic, MSawhney, MShe, JSheikh, AShiferaw, MSShigematsu, MSingh, JASomayaji, RSufiyan, MBTaffere, GRTemsah, M-HThompson, MJTobe-Gai, RTopor-Madry, RTran, BXTran, TTTuem, KBUkwaja, KNVollset, SEWalson, JLWeldegebreal, FWerdecker, AWest, TEYonemoto, NZaki, MESZhou, LZodpey, SVos, TLim, SSNaghavi, MMurray, CJLMokdad, AHHay, SIJr, RRCInfecti, GBDLR <h4>Background</h4> <p>Lower respiratory infections are a leading cause of morbidity and mortality around the world. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, provides an up-to-date analysis of the burden of lower respiratory infections in 195 countries. This study assesses cases, deaths, and aetiologies spanning the past 26 years and shows how the burden of lower respiratory infection has changed in people of all ages.</p> <h4>Methods</h4> <p>We used three separate modelling strategies for lower respiratory infections in GBD 2016: a Bayesian hierarchical ensemble modelling platform (Cause of Death Ensemble model), which uses vital registration, verbal autopsy data, and surveillance system data to predict mortality due to lower respiratory infections; a compartmental meta-regression tool (DisMod-MR), which uses scientific literature, population representative surveys, and healthcare data to predict incidence, prevalence, and mortality; and modelling of counterfactual estimates of the population attributable fraction of lower respiratory infection episodes due to Streptococcus pneumoniae, Haemophilus influenzae type b, influenza, and respiratory syncytial virus. We calculated each modelled estimate for each age, sex, year, and location. We modelled the exposure level in a population for a given risk factor using DisMod-MR and a spatiotemporal Gaussian process regression, and assessed the effectiveness of targeted interventions for each risk factor in children younger than 5 years. We also did a decomposition analysis of the change in LRI deaths from 2000–16 using the risk factors associated with LRI in GBD 2016.</p> <h4>Findings</h4> <p>In 2016, lower respiratory infections caused 652 572 deaths (95% uncertainty interval [UI] 586 475–720 612) in children younger than 5 years (under-5s), 1 080 958 deaths (943 749–1 170 638) in adults older than 70 years, and 2 377 697 deaths (2 145 584–2 512 809) in people of all ages, worldwide. Streptococcus pneumoniae was the leading cause of lower respiratory infection morbidity and mortality globally, contributing to more deaths than all other aetiologies combined in 2016 (1 189 937 deaths, 95% UI 690 445–1 770 660). Childhood wasting remains the leading risk factor for lower respiratory infection mortality among children younger than 5 years, responsible for 61·4% of lower respiratory infection deaths in 2016 (95% UI 45·7–69·6). Interventions to improve wasting, household air pollution, ambient particulate matter pollution, and expanded antibiotic use could avert one under-5 death due to lower respiratory infection for every 4000 children treated in the countries with the highest lower respiratory infection burden.</p> <h4>Interpretation</h4> <p>Our findings show substantial progress in the reduction of lower respiratory infection burden, but this progress has not been equal across locations, has been driven by decreases in several primary risk factors, and might require more effort among elderly adults. By highlighting regions and populations with the highest burden, and the risk factors that could have the greatest effect, funders, policy makers, and programme implementers can more effectively reduce lower respiratory infections among the world’s most susceptible populations.</p>
spellingShingle Troeger, C
Blacker, BF
Khalil, IA
Rao, PC
Cao, S
Zimsen, SRM
Albertson, S
Stanaway, JD
Deshpande, A
Farag, T
Forouzanfar, MH
Abebe, Z
Adetifa, IMO
Adhikari, TB
Akibu, M
Lami, FH
Al-Eyadhy, A
Alvis-Guzman, N
Amare, AT
Amoako, YA
Antonio, CAT
Aremu, O
Asfaw, ET
Asgedom, SW
Atey, TM
Attia, EF
Avokpaho, EFGA
Ayele, HT
Ayuk, TB
Balakrishnan, K
Barac, A
Bassat, Q
Behzadifar, M
Behzadifar, M
Bhaumik, S
Bhutta, ZA
Bijani, A
Brauer, M
Brown, A
Camargos, PAM
Castaneda-Orjuela, CA
Colombara, D
Conti, S
Dadi, AF
Dandona, L
Dandona, R
Do, HP
Dubljanin, E
Edessa, D
Elkout, H
Endries, AY
Fijabi, DO
Foreman, KJ
Fullman, N
Garcia-Basteiro, AL
Gessner, BD
Gething, PW
Gupta, R
Gupta, T
Hailu, GB
Hassen, HY
Hedayati, MT
Heidari, M
Hibstu, DT
Horita, N
Ilesanmi, OS
Jakovljevic, MB
Jamal, AA
Kahsay, A
Kasaeian, A
Kassa, DH
Khader, YS
Khan, EA
Khan, MN
Khang, Y-H
Kim, YJ
Kissoon, N
Knibbs, LD
Kochhar, S
Koul, PA
Kumar, GA
Lodha, R
Razek, HM
Malta, DC
Mathew, JL
Mengistu, DT
Mezgebe, HB
Mohammad, KA
Mohammed, AM
Momeniha, F
Murthy, S
Nguyen, CT
Nielsen, KR
Ningrum, DNA
Nirayo, YL
Oren, E
Ortiz, JR
Mahesh, PA
Postma, MJ
Qorbani, M
Quansah, R
Rai, RK
Rana, SM
Ranabhat, CL
Ray, SE
Rezai, MS
Ruhago, GM
Safiri, S
Salomon, JA
Sartorius, B
Savic, M
Sawhney, M
She, J
Sheikh, A
Shiferaw, MS
Shigematsu, M
Singh, JA
Somayaji, R
Sufiyan, MB
Taffere, GR
Temsah, M-H
Thompson, MJ
Tobe-Gai, R
Topor-Madry, R
Tran, BX
Tran, TT
Tuem, KB
Ukwaja, KN
Vollset, SE
Walson, JL
Weldegebreal, F
Werdecker, A
West, TE
Yonemoto, N
Zaki, MES
Zhou, L
Zodpey, S
Vos, T
Lim, SS
Naghavi, M
Murray, CJL
Mokdad, AH
Hay, SI
Jr, RRC
Infecti, GBDLR
Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title_full Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title_fullStr Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title_full_unstemmed Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title_short Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
title_sort estimates of the global regional and national morbidity mortality and aetiologies of lower respiratory infections in 195 countries 1990 2016 a systematic analysis for the global burden of disease study 2016
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AT attiaef estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT avokpahoefga estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ayeleht estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ayuktb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT balakrishnank estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT baraca estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT bassatq estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT behzadifarm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT behzadifarm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT bhaumiks estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT bhuttaza estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT bijania estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT brauerm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT browna estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT camargospam estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT castanedaorjuelaca estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT colombarad estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT contis estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT dadiaf estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT dandonal estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT dandonar estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT dohp estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT dubljanine estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT edessad estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT elkouth estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT endriesay estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT fijabido estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT foremankj estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT fullmann estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT garciabasteiroal estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT gessnerbd estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT gethingpw estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT guptar estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT guptat estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT hailugb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT hassenhy estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT hedayatimt estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT heidarim estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT hibstudt estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT horitan estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ilesanmios estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT jakovljevicmb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT jamalaa estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kahsaya estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kasaeiana estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kassadh estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT khaderys estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT khanea estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT khanmn estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT khangyh estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kimyj estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kissoonn estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT knibbsld estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kochhars estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT koulpa estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT kumarga estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT lodhar estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT razekhm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT maltadc estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mathewjl estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mengistudt estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mezgebehb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mohammadka estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mohammedam estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT momenihaf estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT murthys estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT nguyenct estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT nielsenkr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ningrumdna estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT nirayoyl estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT orene estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ortizjr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT maheshpa estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT postmamj estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT qorbanim estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT quansahr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT rairk estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ranasm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ranabhatcl estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT rayse estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT rezaims estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ruhagogm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT safiris estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT salomonja estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT sartoriusb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT savicm estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT sawhneym estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT shej estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT sheikha estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT shiferawms estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT shigematsum estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT singhja estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT somayajir estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT sufiyanmb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT tafferegr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT temsahmh estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT thompsonmj estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT tobegair estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT topormadryr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT tranbx estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT trantt estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT tuemkb estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT ukwajakn estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT vollsetse estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT walsonjl estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT weldegebrealf estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT werdeckera estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT westte estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT yonemoton estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT zakimes estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT zhoul estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT zodpeys estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT vost estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT limss estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT naghavim estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT murraycjl estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT mokdadah estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT haysi estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT jrrrc estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016
AT infectigbdlr estimatesoftheglobalregionalandnationalmorbiditymortalityandaetiologiesoflowerrespiratoryinfectionsin195countries19902016asystematicanalysisfortheglobalburdenofdiseasestudy2016