Today sees the publication of the EU and EFTA results of the Global Burden of Disease Study 2010.
The Global Burden of Disease Study 2010 (GBD)is the largest and most powerful health study ever undertaken: a remarkable snapshot of the world’s health. Funded by the Bill and Melinda Gates Foundation, this audit of global mortality and disability involved nearly 500 researchers in over 300 institutions in 50 countries. It studied 291 diseases and injuries in 21 regions covering the globe in 20 different age groups. It analysed disease trends, and it assessed 67 risk factors. The effort involved has been compared to that put into the human genome project.
The principal finding of the study is a continuing global shift from communicable and life-threatening diseases as a cause of disability to the commonly disabling chronic disorders like those of the musculoskeletal system and psychological disorders; from premature death to years now lived with disability.
Today’s report shows that there has been an increase in NCD’s for the EU and EFTA countries from 83.31% in 1990 to 86.14% in 2010, again measured by DALY’s.
Of the non-communicable diseases musculoskeletal disorders, such as rheumatoid arthritis, osteoarthritis and back and spine disorders, show the largest increase on the health of people in EU and EFTA countries, and now account for almost 30% of all disability.
Their burden is expected to continue increasing with the ageing of our populations and changes in lifestyle. Affordable measures to prevent and treat musculoskeletal conditions are currently available, but lack of priority and policy at local, national and international levels means that these are not available with equity across and between countries. This results in avoidable disability.
Today’s numbers signal the increasing need for governments in the EU and EFTA countries to alter their funding priorities and to recognise that Musculoskeletal Conditions pose new challenges to health affordability and delivery.
Musculoskeletal conditions (MSC’s) include joint diseases such as osteoarthritis and rheumatoid arthritis, back and neck pain, osteoporosis, and fragility fractures, soft tissue rheumatism, injuries due to sports and in the workplace, and trauma commonly related to traffic accidents. They cause pain, physical disability and loss of personal and economic independence.
- They are the greatest cause of disability, as measured by years lived with disability (YLDs) in the EU and EFTA countries and the second greatest worldwide.
- As a group musculoskeletal disorders cause 29.07% of all years lived with disability (YLDs) in the EU and EFTA countries.
- The leading cause of disability in the EU and EFTA countries is low back and neck pain contributing 20.78% of total disability (YLDs) (major depression contributes 7.81%, Alzheimers disease 2.41%).
- They have the third greatest impact on the health of the EU and EFTA population, considering both death and disability (DALYs).
- Musculoskeletal disorders account for 14.06% of all EU and EFTA DALYs
- Ranking of major causes of death and disability (% DALYs) in the EU and EFTA countries:
- Cardiovascular and circulatory diseases 19.53%
- All neoplasms 17.22%
- Musculoskeletal disorders 14.06%
- Mental and behavioural disorders 11.16%
- Chronic respiratory diseases 4.69%
- Diabetes 2.47%
- Neck and back pain have the greatest impact on the health of the EU and EFTA population, causing death and disability accounting for 9.92% of total DALYs (ischemic heart disease accounts for 9.72%).
- Disability due to musculoskeletal disorders is increasing due to ageing of the population, increased obesity and lack of physical activity.
- Disability due to musculoskeletal conditions can be effectively prevented by currently available interventions, such as accident prevention, modern treatment of arthritis and injuries, and by rehabilitation.
- The growing burden can be controlled if priority and resources are given to ensure access to these interventions.
Released on 06/08/13 by WHO, Strengthening road safety legislation: a practice resource manual for countries describes methods and provides resources that practitioners and decision-makers can use for enacting new laws or amending existing ones as part of a comprehensive road safety strategy.
The Global status report on road safety 2013: Supporting a decade of action revealed that legislation on five known KEY risk factors for road traffic injuries (speeding, drink-driving, and the non-use of motorcycle helmets, seat-belts and child restraints) is incomplete in the majority of countries and that current laws are often inadequately enforced, particularly in low- and middle-income countries. The report revealed that only 28 countries (covering just 7% of the world’s population) have comprehensive laws on these five risk factors.
More work needs to be done to improve road safety legislation globally, and meet the target of the Decade of Action for Road Safety 2011-2020 which aims to raise from 15% to 50% the number of countries worldwide that have comprehensive legislation on five key risk factors. This manual recommends a stepwise approach to assessing and improving legislation relating to these risk factors, as well as post-crash care.
The manual, which was funded by Bloomberg Philanthropies as part of the Global Road Safety Programme, can be used to:
- develop an understanding of the framework of legislation and relevant processes that are applicable in a country;
- review current national legislation and regulations and identify barriers to the implementation and enforcement of effective road safety measures;
- identify available resources, such as international agreements, and evidence-based guidance and recommendations on effective measures, to improve legislation;
- prepare action plans to strengthen national legislation and regulations for the five main risk factors and for post-crash care, including advocating for improvement.
To read more and to download the manual please click here.
“We developed Fit to a T as a sustainable public education program, in response to the Surgeon General’s Report on Bone Health and Osteoporosis. Bone health has a significant impact on overall health for everyone, regardless of race or whether you are male or female. Participants in the program learn how to maintain their bone health and how to identify their own risk factors for bone loss and osteoporosis. Being able to celebrate the 500th session demonstrates the continued public interest in this topic,” says Kimberly Templeton, MD, president, USBJI and chair of the USBJI Fit to a T Task Force.
“We don’t believe there are many programs of this type that have reached this milestone. The USBJI thanks all the healthcare presenters that developed this program and continue to keep it current, our program partners, those that have provided financial support to make it possible to offer the program free of charge, the hundreds of presenters and organizations who have held sessions, and the nearly 20,000 patients and members of the public that have participated in the sessions.”
Members of the Catonsville Senior Center in Maryland gather to celebrate the 500th session of Fit to a T, presented by Laxmi Suryanarayana, PT.
“More and more people are hearing about osteoporosis and low bone density. This program provides information on the basics of bone health, factors that can lead to loss of bone, ways to avoid a fracture, and the prevention, early detection, diagnosis, and treatment of osteoporosis. It also raises awareness of the impact of bone loss among people not typically thought to be at risk for developing osteoporosis, especially men and African Americans,” Dr. Templeton said.
Relevant to all ages, Fit to a T is targeted at men and women in their mid-40s to late 60s, as well as seniors and others who have had or are at risk of having a broken bone.
For further information please visit the USBJI website here.