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Serge Resnikoff MD, PhD

Course 17: NCDs & NTDs Introduction: The Global Burden of Disease and the Rationale for Disease Groupings . Serge Resnikoff MD, PhD. Classification of Diseases. 1893: “Bertillon Classification of Causes of Death” – 161 titles. 10 yr. interval. ICD-6: WHO, 1946. ICD-9: 1975 (17,000 codes)

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Serge Resnikoff MD, PhD

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  1. Course 17:NCDs & NTDsIntroduction:The Global Burden of Disease and the Rationale for Disease Groupings Serge Resnikoff MD, PhD

  2. Classification of Diseases 1893: “Bertillon Classification of Causes of Death” – 161 titles 10 yr. interval ICD-6: WHO, 1946 ICD-9: 1975 (17,000 codes) ICD-10: 1983 (155,000 codes)

  3. GBD • Initiated in 1992 • 107 causes of mortality and disability (diseases and injuries) • 10 risk factors • GBD 2004: last published • GBD 2010: 400 causes GBD 2001 (2006)

  4. GBD 2004 * Group I: Communicable, Maternal, Perinatal and Nutritional conditions Group II: Noncommunicable conditions Group III: Injuries * Eye/Vision-related * * “NCDs” * “NTDs” * * * * *

  5. Leading Causes of Burden of Diseases, 2004 HIV + TB + Malaria 3.8 + 2.2 + 2.2 = 8.2% NCDs = 16.6% Isch.HD + Cer.VD + COPD + Diab + Cancer 4.1 + 3.1 + 2.0 + 1.3 + 5.1 NTDs = 2.2% 0.2+0.1+0.2+0.2+0.7+0.05+0.02+0.1+0.2+0.2+0.1+0.1 Eye/Vision: 4.1%

  6. Rationale for Disease Grouping • To measure the “True” burden • Mainly for Advocacy purpose “My group is bigger than your group” “I deserve more resources”

  7. Misfinancing global health: a case for transparency in disbursements and decision makingDevi Sridhar, RajaieBatniji, Lancet 2008 Visual Impairment *

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