Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017.

Hosni Salem,Reza Rawassizadeh,Saad M A Dahlawi,Syed Mohamed Aljunid,Ghobad Moradi,Akram Pourshams,Rajan Nikbakhsh,Rahmatollah Moradzadeh,Samer Hamidi,Mark J M Sullman,Mohammad Reza Sobhiyeh,Tauseef Ahmad,Mohammed Madadin,Payman Salamati,Aziz Rezapour,Mowafa Househ,Hamed Zandian,Arash Tehrani-Banihashemi,Sahar Saeedi Moghaddam,Mina Anjomshoa,Amitis Lahimchi,Maseer Khan,Morteza Shamsizadeh,Neeraj Bedi,Amin Soheili,Navid Manafi,Timo Lajunen,Mohammad Ali Jahani,Seyyed Meysam Mousavi,Samar Al-Hajj,Mohsen Naghavi,Jalal Arabloo,Mohammed Ibrahim Mohialdeen Gubari,Michal Grivna,Abdollah Mohammadian-Hafshejani,Mohammad Zamani,Mohammad Khammarnia,Vahid Alipour,Rohollah Kalhor,Salaheddine Bendak,Reza Malekzadeh,Saeid Safiri,Teamur Aghamolaei,Sharareh Eskandarieh,Alireza Rafiei,Hasan Yusefzadeh,Brijesh Sathian,Telma Zahirian Moghadam,Basema Saddik,Mehdi Hosseinzadeh,Yasir Waheed,Seyed Sina Naghibi Irvani,Amir Emami Zeydi,Farshad Farzadfar,Mostafa Dianatinasab,Habibolah Khazaie,Mohammad Alì Mansournia ,Zulfiqar Ahmed Bhutta ,Maziar Moradi‐Lakeh ,Sadaf G Sepanlou ,Abdallah M Samy ,Hala Elhabashy ,Ibrahim Kamel ,Rafael Luque ,Eman Abu‐Gharbieh ,Suliman Alghnam ,Randah Ribhi Hamadeh ,Alireza Ansari‐Moghaddam ,Amir Almasi‐Hashiani ,Ritesh G Menezes ,Hamidreza Komaki,Mehdi Naderi,Mohsen Bayati,Leila Zaki,Keyvan Pakshir,Leila R Kalankesh,Marwa Rashad Salem,Enayatollah Homaie Rad,Khezar Hayat,Fariborz Mansour-Ghanaei,Masood Ali Shaikh,Tetiana Hill,Saeed Shahabi,Shokofeh Maleki,Mansour Ghafourifard,Ahmad Ghashghaee,Farnam Mohebi,Zahra Sadat Dibaji Forooshani,Yousef Mohammad,Mehran Shams-Beyranvand,Ali Bijani

doi:10.34172/aim.2021.74

Abstract

Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs). In 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3454121; UI 2297890- 4342908) and the lowest was found in Bahrain (8616; UI 7670-9751). The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.

Highlights

Transport-related injuries (TIs) are a major public health concern for all regions of the world.[1]
We examined the burden of TIs in the Eastern Mediterranean region (EMR) in 2017, by sex and age, through calculating disability-adjusted life years (DALYs) and the total numbers of TI-related incidence and fatalities
Pakistan had the largest number of incidents, with 1 628 711 (UI 1 437 527–1 860 201), while the lowest number of incidents was reported in Djibouti (8864, uncertainty intervals (UIs) 7772–10 048)

Summary

Introduction

Transport-related injuries (TIs) are a major public health concern for all regions of the world.[1]. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5–876.2) per 100 000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). In 2017, Somalia (54; UI 30–77.4) and Lebanon (7.1; UI 4.8–8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. Conclusion: The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100 000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.

Methods

Results

Conclusion