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

GBD EMR Transport Injuries Collaborators(Tabriz University of Medical Sciences), Saeid Safiri(Tabriz University of Medical Sciences), Mark J. M. Sullman(University of Nicosia), Timo Lajunen(Norwegian University of Science and Technology), Tetiana Hill(University of Hertfordshire), Amir Almasi‐Hashiani(Arak University of Medical Sciences), Maziar Moradi‐Lakeh(Iran University of Medical Sciences), Farshad Farzadfar(Tehran University of Medical Sciences), Sadaf G Sepanlou(Shiraz University of Medical Sciences), Eman Abu‐Gharbieh(University of Sharjah), Teamur Aghamolaei(Hormozgan University of Medical Sciences), Tauseef Ahmad(Southeast University), Suliman Alghnam(King Saud bin Abdulaziz University for Health Sciences), Samar Al‐Hajj(BC Children's Hospital), Vahid Alipour(Iran University of Medical Sciences), Syed Mohamed Aljunid(Universiti Tun Abdul Razak), Mina Anjomshoa(Rafsanjan University of Medical Sciences), Alireza Ansari‐Moghaddam(Zahedan University of Medical Sciences), Jalal Arabloo(Iran University of Medical Sciences), Mohsen Bayati(Shiraz University of Medical Sciences), Neeraj Bedi(Gandhi Medical College), Salaheddine Bendak(University of Sharjah), Zulfiqar A Bhutta(Aga Khan University), Ali Bijani(Babol University of Medical Sciences), Saad M A Dahlawi(Imam Abdulrahman Bin Faisal University), Mostafa Dianatinasab(Shiraz University of Medical Sciences), Zahra Sadat Dibaji Forooshani(Tehran University of Medical Sciences), Hala Rashad Elhabashy(Cairo University), Amir Emami Zeydi(Mazandaran University of Medical Sciences), Sharareh Eskandarieh(Tehran University of Medical Sciences), Mansour Ghafourifard(Tabriz University of Medical Sciences), Ahmad Ghashghaee(Iran University of Medical Sciences), Michal Grivna(United Arab Emirates University), Mohammed Ibrahim Mohialdeen Gubari(University of Sulaimani), Randah R Hamadeh(Arabian Gulf University), Samer Hamidi(Hamdan Bin Mohammed Smart University), Khezar Hayat(University of Veterinary and Animal Sciences), Enayatollah Homaie Rad(Guilan University of Medical Sciences), Mehdi Hosseinzadeh(Duy Tan University), Mowafa Househ(Hamad bin Khalifa University), Seyed Sina Naghibi Irvani(Research Institute for Endocrine Sciences), Mohammad Ali Jahani(Babol University of Medical Sciences), Leila R Kalankesh(Tabriz University of Medical Sciences), Rohollah Kalhor(Qazvin University of Medical Sciences), Ibrahim Kamel(October 6 University), Mohammad Khammarnia(Zahedan University of Medical Sciences), Maseer Khan(Jazan University), Habibolah Khazaie(Kermanshah University of Medical Sciences), Hamidreza Komaki(Hamedan University of Medical Sciences), Amitis Lahimchi(Charles University), Mohammed Madadin(Imam Abdulrahman Bin Faisal University), Shokofeh Maleki(Kermanshah University of Medical Sciences), Navid Manafi(Iran University of Medical Sciences), Fariborz Mansour-Ghanaei(Guilan University of Medical Sciences), Mohammad Alì Mansournia(Tehran University of Medical Sciences), Ritesh G. Menezes(Imam Abdulrahman Bin Faisal University), Yousef Mohammad(King Saud University), Abdollah Mohammadian-Hafshejani(Shahrekord University of Medical Sciences), Farnam Mohebi(Tehran University of Medical Sciences), Ghobad Moradi(Kurdistan University of Medical Sciences), Rahmatollah Moradzadeh(Arak University of Medical Sciences), Seyyed Meysam Mousavi(Tehran University of Medical Sciences), Mehdi Naderi(Kermanshah University of Medical Sciences), Rajan Nikbakhsh(Shahid Beheshti University of Medical Sciences), Keyvan Pakshir(Shiraz University of Medical Sciences), Akram Pourshams(Tehran University of Medical Sciences), Navid Rabiee(Sharif University of Technology), Alireza Rafiei(Mazandaran University of Medical Sciences), Reza Rawassizadeh(Boston University), Aziz Rezapour(Iran University of Medical Sciences), Basema Saddik(University of Sharjah), Sahar Saeedi Moghaddam(Tehran University of Medical Sciences), Payman Salamati(Tehran University of Medical Sciences), Marwa Rashad Salem(Cairo University), Hosni Salem(Cairo University), Abdallah M Samy(Ain Shams University), Brijesh Sathian(Hamad Medical Corporation), Saeed Shahabi(Shiraz University of Medical Sciences), Masood Ali Shaikh, Mehran Shams-Beyranvand(Jahrom University of Medical Sciences), Morteza Shamsizadeh(University of Borås), Mohammad Reza Sobhiyeh(Kermanshah University of Medical Sciences), Amin Soheili(Semnan University of Medical Sciences), Arash Tehrani‐Banihashemi(Iran University of Medical Sciences), Yasir Waheed(Foundation University Islamabad), Hasan Yusefzadeh(Urmia University), Telma Zahirian Moghadam(Ardabil University of Medical Sciences), Leila Zaki(Tarbiat Modares University), Mohammad Zamani(Tehran University of Medical Sciences), Hamed Zandian(Ardabil University of Medical Sciences), Reza Malekzadeh(Shiraz University of Medical Sciences), Mohsen Naghavi(University of Washington)
Archives of Iranian Medicine
July 1, 2021
10.34172/aim.2021.74
Cited by 5Open Access
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Abstract

BACKGROUND: 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. METHODS: 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). RESULTS: 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). CONCLUSION: 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.

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