Evaluation of burden of disease by analysis of some mortality data in Chi Linh district, Hai D­uong province during 1997-1998

ABSTRACT

Based on limited sources of mortality data, the majority of the deaths occurred in working age groups with highest productivity, 30-49 and 50-64, and the under 5 age group. Using the YPLL65 as indicator, the 0-4 group has the largest burden of disease, followed by the 30-49 group, and the 5-29 group. Within the 0-4 group, females have a larger burden of disease than males, in contrast to all other age group. In general, injury became the leading cause of death (accounted for nearly 40% of YPLL65), followed by perinatal causes. Injury in males is consistently higher or equal to that of females. Drowning is the leading cause of injury among females while overall accidents and transportation-related injuries are the most important contributors to the burden of injury in males. The construction of cause-eliminated life tables affirms the important role of the heaviest contributors of burden of disease in Chi Linh (e.g. cardiovascular disease, injury and cancer) while infectious diseases are in the decline. Of note, elimination of the cardiovascular diseases would contribute best to increasing life expectancy.