COPD, other air pollution related diseases on rise, says new health data

Risks of lifestyle diseases particularly ischaemic heart disease stroke and diabetes are very high in Punjab Tamil Nadu Haryana and Andhra Pradesh

He said, this report, along with the technical scientific paper and the open-access visualization tool that are also released today, together provide systematic insights in to the health status of each state and the health inequalities between the states of India. These included censuses, vital registration, Sample Registration System, large-scale national household surveys, other population-level surveys and cohort studies, disease surveillance data, disease programme-level data, administrative records of health services, disease registries, and a wide range of other studies conducted across India. "It needs both macro and micro planning", said Union Health Minister JPNadda, according to Hindustan Times.

With a population of 1.3 billion, nearly one-fifth of the world's population lives in India.

The burden of most infectious and associated diseases came down from 1990 to 2016, but five of the 10 individual leading causes of the disease burden still belonged to this group: diarrhoeal diseases, lower respiratory infections, iron deficiency anaemia, neonatal preterm birth, and tuberculosis.

Lifestyle diseases like heart ailments, diabetes and injuries constitute the major disease burden of most Indian states in the last 25 years.

The report was on Tuesday launched by Vice President M. Venkaiah Naidu, who called for the immediate tackling of high disease burden caused by malnutrition. These diseases include cardiovascular diseases, diabetes, chronic respiratory diseases, mental health and neurological disorders, cancers, musculoskeletal disorders, and chronic kidney disease.

"Now non-communicable diseases constitute almost 25% of the disease burden in the states". In 1990, 61% of the total disease burden in India was attributed to communicable, maternal, neonatal, and nutritional diseases.

The disease burden due to child and maternal malnutrition has dropped in India substantially since 1990, but it is still the single largest risk factor, responsible for 15% of the total disease burden in India in 2016. Kerala, Goa, and Tamil Nadu have the largest dominance of non-communicable diseases and injuries over infectious and associated diseases, whereas this dominance is present but relatively the lowest in Bihar, Jharkhand, Uttar Pradesh, and Rajasthan. Health burden due to air pollution decreased by 23·6% in India from 1990 to 2016, mainly due to the reduction in household air pollution but the contribution from ambient air pollution increased by 16·6% in India during this period across the country. The findings show that the overall disease burden per person in some states of India is nearly twice as much as in some other states, and the burden rate due to the leading diseases ranges five to ten times between the states. The highest proportion of disease burden due to injuries is in young adults. The burden due to road injuries was much higher in males than in females. The range of disease burden or Disability Adjusted Life Year (DALY) rate varied 3 fold for road injuries and 6 fold for self-harm among the states of India in 2016. The disease burden due to unsafe water and sanitation has also reduced significantly in India, but this burden is still 40 times higher per person in India than in China.

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