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GBD 2010 Study consultations around the world
Policymakers and researchers around the world are getting the first glimpse of the Global Burden of Diseases, Injuries, and Risk Factors 2010 Study (GBD 2010 Study) as the project nears completion.
IHME in coordination with collaborators has been sharing the preliminary results of the GBD 2010 Study in a series of meetings that started in September 2011 and are continuing in 2012.
“These consultations have been enormously productive and enlightening,” IHME Director Dr. Christopher Murray said. “We have been meeting with representatives from countries around the world and listening to their thoughts on what is happening on the ground as we are finalizing our analysis.”
Eastern Mediterranean Regional Office (EMRO), Amman, Jordan
With EMRO, a regional office of the World Health Organization, IHME is co-hosting a presentation of the preliminary GBD results in Amman, Jordan, on July 17 and 18. IHME Director Dr. Christopher Murray, IHME Professor Dr. Rafael Lozano, and IHME Professor Dr. Ali Mokdad will speak about the findings relevant to the Middle East region and gather feedback from high-level decision-makers invited from many countries: Afghanistan, Bahrain, Djbouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, United Arab Emirates, and Yemen.
Pan American Health Organization (PAHO) and the Government of the Dominican Republic, Santo Domingo
In a two-day conference on July 5-6, organized by PAHO and the government of the Dominican Republic, IHME Professor and lead GBD researcher Dr. Rafael Lozano led a panel on analysis and decision-making based on the GBD 2010 Study’s preliminary results. In attendance were ministers of health from eight countries: Belize, Costa Rica, the Dominican Republic, Ecuador, El Salvador, Guatemala, Nicaragua, and Panama. IHME solicited comments and reactions to the GBD global and country-based research to consider as the research is finalized.
University of Zambia and Ministry of Health, Lusaka, Zambia
IHME Director Dr. Christopher Murray presented the GBD 2010 Study’s methods, data, global results, and preliminary findings for Zambia at a consultation co-hosted by the University of Zambia and the Ministry of Health. IHME also shared the Institute’s data visualization tool for showcasing the country-level GBD results. The group of researchers and health officials included representatives from the national HIV/AIDS, malaria, and maternal and child health councils, along with international research and health organizations. The presentations were followed by a discussion of the study’s implications for Zambia and how the data could assist in the country’s prevention measures to reduce burden.
Child Health Epidemiology Reference Group (CHERG) and World Health Organization (WHO), Seattle, United States
IHME hosted researchers from CHERG and WHO for a consultation about the GBD 2010 Study’s preliminary results. They discussed GBD methods for estimating neonatal mortality, maternal mortality, and the burden related to congenital disorders. They also focused on HIV-related deaths. CHERG published its latest estimates of child mortality in The Lancet that put the number of deaths in children under 5 at 8.8 million for 2008. WHO, as part of the Inter-agency Group for Child Mortality Estimation, released its latest estimates of child mortality as 7.6 million for 2010. IHME published its latest estimates of child mortality in The Lancet, saying that there were 7.2 million deaths in children under 5 in 2011. All three organizations agree that child mortality has been declining.
United Kingdom Department for International Development (DFID), Addis Ababa, Ethiopia
IHME met with DFID advisors for education and health to discuss the data used for the GBD 2010 Study. IHME also showed the Institute’s data visualization tool for showcasing the GBD results. DFID staff shared some of their own research about particular diseases and suggested some measurement methods for IHME and its GBD collaborators to explore.
Ministry of Health for Brazil, Brasilia
The Ministry of Health invited IHME researchers to meet with policymakers and researchers from across the country to discuss the GBD 2010 Study’s global preliminary results and findings specific to Brazil. Participants critiqued results for Brazil using intimate local knowledge of the impact of certain health conditions at both the municipal and national levels. They also shared new data sources and discussed alternative methods for analyzing specific diseases and risk factors.
Chinese Center for Disease Control and Prevention, Beijing, China
To showcase the preliminary GBD 2010 Study results, the Chinese CDC hosted a two-day Trilateral Symposium on Measuring Disease Burden in China. IHME researchers spoke about the study’s methods, data, global results, and findings for China as well as estimating exposure, relative risks, and theoretical minimum risk exposure.
United Kingdom Department for International Development, Dhaka, Bangladesh
IHME met with DFID advisors for education and health to discuss preliminary results and the data used for the GBD 2010 Study. IHME also demonstrated the Institute’s data visualization tool for showcasing the GBD results. DFID staff explored the findings and underlying methods, and they expressed interest in using the tool to inform their own work in countries.
World Health Organization’s Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt
IHME researchers met with EMRO leadership and staff to discuss the study. Researchers there were very interested in findings for the Middle East and North Africa, regions that have seen a significant improvement in areas such as child mortality and maternal mortality over the past two decades.
American University of Beirut (AUB) and Balamand University (UOB), Beirut, Lebanon
During two IHME presentations at AUB and UOB, researchers, physicians, nurses, and public health professionals were able to see preliminary results from the GBD 2010 Study and discuss its implications. IHME researchers fielded questions on a range of topics, including the importance of preventive measures and how the data could be used to advance prevention and reduce burden.
Pan American Health Organization, Washington DC, US
Assistant Director Socorro Gross-Galiano led a lively discussion of the early GBD results with PAHO researchers and policy advocates focusing on countries in Latin America, South America, and the Caribbean. The group offered guidance on potential new data sources and factors to consider when finalizing the results.
World Bank, Washington DC, US
IHME shared the preliminary findings with members of the World Bank’s Health, Nutrition and Population group in Washington DC. The original Global Burden of Disease Study (GBD 1990 Study) was commissioned by the World Bank in 1991 to provide a comprehensive assessment of the burden of 107 diseases and injuries and 10 selected risk factors for the world and eight major regions. It was during the GBD 1990 Study that the common metric to estimate the health loss associated with morbidity and mortality was established: the disability-adjusted life year (DALY).
United States Centers for Disease Control and Prevention (CDC), Atlanta, US
IHME met CDC Director Dr. Tom Frieden to present the preliminary study results with a particular focus on vaccine-preventable diseases, HIV/AIDS, and health risks associated with tobacco. IHME also discussed its methods for integrated surveillance and small area estimation. While at CDC headquarters, IHME met with multiple teams, including the agency’s National Center for Health Statistics and its Center for Global Health.
World Health Organization, Geneva, Switzerland
IHME kicked off the consultation process with a series of meetings with WHO leaders and staff. IHME researchers and collaborators met with WHO teams focused on diseases and risk factors that are part of the GBD 2010 Study, including major childhood diseases, infectious diseases, cardiovascular disease, and diabetes.
Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland
Researchers and policymakers at UNAIDS discussed the preliminary findings with IHME and were especially interested in new estimates for HIV/AIDS burden and the burden of related risk factors and diseases.
The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
Leaders and staff at the Global Fund discussed the GBD 2010 Study’s preliminary findings with IHME with a particular focus on the burden of AIDS, tuberculosis, and malaria in low-resource countries and associated risk factors for those diseases. IHME researchers published a paper in The Lancet in February 2012 that showed the decline in malaria mortality since 2004, coinciding with the scale-up in funding for malaria control and prevention that has been driven in large part by the Global Fund.
GAVI Alliance, Geneva, Switzerland
IHME presented the GBD 2010 Study’s preliminary findings and answered a range of questions from GAVI researchers and staff. GAVI was interested in estimates for pneumonia, vaccine-preventable diseases, and IHME’s new ensemble modeling approach, which was published in a paper in Population Health Metrics in January 2012.
International Agency for Research on Cancer (IARC), Lyon, France
IHME shared with IARC the preliminary estimates for cancer incidence and mortality worldwide, which include 25 subcategories of cancer, such as prostate cancer, colon cancer, and leukemia. In September 2011, IHME published a report about breast and cervical cancer worldwide that differed from the most recent estimates by IARC, largely due to differences in data gathering and methodology.