Intentional injuries in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study
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Moradi-Lakeh, Maziar
Charara, Raghid
El Bcheraoui, Charbel
Khalil, Ibrahim
Afshin, Ashkan
Kassebaum, Nicholas J
Collison, Michael
Chew, Adrienne
Krohn, Kristopher J
Daoud, Farah
Colombara, Danny
Graetz, Nicholas
Kutz, Michael
Wang, Haidong
Abd-Allah, Foad
Abu-Raddad, Laith J
Kiadaliri, Aliasghar Ahmad
Ahmed, Muktar Beshir
Alam, Khurshid
Alghnam, Suliman
Alizadeh-Navaei, Reza
Al-Raddadi, Rajaa
Altirkawi, Khalid A
Anber, Nahla
Anwari, Palwasha
Avila-Burgos, Leticia
Awasthi, Ashish
Barac, Aleksandra
Barker-Collo, Suzanne L
Bedi, Neeraj
Bhutta, Zulfiqar A
Borschmann, Rohan
Boufous, Soufiane
Butt, Zahid A
Castaneda-Orjuela, Carlos A
Dalal, Koustuv
Danawi, Hadi
De Leo, Diego
Dharmaratne, Samath D
Djalalinia, Shirin
Doyle, Kerrie E
Esteghamati, Alireza
Faro, Andre
Farvid, Maryam S
Fereshtehnejad, Seyed-Mohammad
Fischer, Florian
Gebrehiwot, Tsegaye Tewelde
Gutierrez, Reyna A
Hafezi-Nejad, Nima
Hamadeh, Randah Ribhi
Hamidi, Samer
Haro, Josep Maria
Hendrie, Delia
Hu, Guoqing
Jonas, Jost B
Kasaeian, Amir
Keiyoro, Peter Njenga
Khader, Yousef Saleh
Khan, Ejaz Ahmad
Khubchandani, Jagdish
Kopec, Jacek A
Larson, Heidi J
Latif, Asma Abdul
Leshargie, Cheru Tesema
Lunevicius, Raimundas
Abd El Razek, Mohammed Magdy
Majeed, Azeem
Malekzadeh, Reza
Memish, Ziad A
Meretoja, Tuomo J
Miller, Ted R
Mohammed, Shafiu
Obermeyer, Carla Makhlouf
Ogbo, Felix Akpojene
Phillips, Michael Robert
Pourmalek, Farshad
Qorbani, Mostafa
Radfar, Amir
Rafay, Anwar
Rahimi-Movaghar, Afarin
Rahimi-Movaghar, Vafa
Rai, Rajesh Kumar
Rawaf, David Laith
Rawaf, Salman
Rezaei, Satar
Rezai, Mohammad Sadegh
Roshandel, Gholamreza
Safdarian, Mahdi
Safiri, Saeid
Salamati, Payman
Samy, Abdallah M
Sartorius, Benn
Seedat, Soraya
Sepanlou, Sadaf G
Shaikh, Masood Ali
Sobaih, Badr HA
Tabb, Karen M
Tehrani-Banihashemi, Arash
Temsah, Mohamad-Hani
Terkawi, Abdullah Sulieman
RomanTopor-Madry
Ukwaja, Kingsley Nnanna
Uthman, Olalekan A
Yaseri, Mehdi
NaohiroYonemoto
Younis, Mustafa Z
Jumaan, Aisha O
Vos, Theo
Hay, Simon I
Naghavi, Mohsen
Murray, Christopher JL
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Abstract
Objectives: We used GBD 2015 findings to measure the burden of intentional injuries in the Eastern Mediterranean Region (EMR) between 1990 and 2015.
Methods: The Global Burden of Disease (GBD) study defines intentional injuries as a combination of self-harm (including suicide), interpersonal violence, collective violence (war), and legal intervention. We estimated number of deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) for each type of intentional injuries.
Results: In 2015, 28,695 individuals (95% UI: 25,474–37,832) died from self-harm, 35,626 (95% UI: 20,947–41,857) from interpersonal violence, and 143,858 (95% UI: 63,554–223,092) from collective violence and legal interventions. In 2015, collective violence and legal intervention was the fifth-leading cause of DALYs in the EMR and the leading cause in Syria, Yemen, Iraq, Afghanistan, and Libya; they account for 49.7% of total DALYs in Syria.
Conclusions: Our findings call for increased efforts to stabilize the region and assist in rebuilding the health systems, as well as increasing transparency and employing preventive strategies to reduce self-harm and interpersonal injuries.
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International Journal of Public Health
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63 (Suppl 1)
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Supplement 1
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© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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Health services and systems
Public health