Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Zunt JR, Kassebaum NJ, Blake N, Glennie L, Wright C, Nichols E, Abd-Allah F, Abdela J, Abdelalim A, Adamu AA, Adib MG, et al. (2018)
Lancet Neurology 17(12): 1061-1082.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Zunt, Joseph Raymond; Kassebaum, Nicholas J; Blake, Natacha; Glennie, Linda; Wright, Claire; Nichols, Emma; Abd-Allah, Foad; Abdela, Jemal; Abdelalim, Ahmed; Adamu, Abdu A; Adib, Mina G.; Ahmadi, Alireza
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Abstract / Bemerkung
Background Acute meningitis has a high case-fatality rate and survivors can have severe lifelong disability. We aimed to provide a comprehensive assessment of the levels and trends of global meningitis burden that could help to guide introduction, continuation, and ongoing development of vaccines and treatment programmes. Methods The Global Burden of Diseases, Injuries, and Risk Factors (GBD) 2016 study estimated meningitis burden due to one of four types of cause: pneumococcal, meningococcal, Haemophilus influenzae type b, and a residual category of other causes. Cause-specific mortality estimates were generated via cause of death ensemble modelling of vital registration and verbal autopsy data that were subject to standardised data processing algorithms. Deaths were multiplied by the GBD standard life expectancy at age of death to estimate years of life lost, the mortality component of disability-adjusted life-years (DALYs). A systematic analysis of relevant publications and hospital and daims data was used to estimate meningitis incidence via a Bayesian meta-regression tool. Meningitis deaths and cases were split between causes with meta-regressions of aetiological proportions of mortality and incidence, respectively. Probabilities of long-term impairment by cause of meningitis were applied to survivors and used to estimate years of life lived with disability (YLDs). We assessed the relationship between burden metrics and Socio-demographic Index (SDI), a composite measure of development based on fertility, income, and education. Findings Global meningitis deaths decreased by 21.0% from 1990 to 2016, from 403 012 (95% uncertainty interval [UI] 319426-458 514) to 318 400 (265 218-408 705). Incident cases globally increased from 2.50 million (95% UI 2.19-2.91) in 1990 to 2.82 million (2.46-3.31) in 2016. Meningitis mortality and incidence were dosely related to SDI. The highest mortality rates and incidence rates were found in the peri-Sahelian countries that comprise the African meningitis belt, with six of the ten countries with the largest number of cases and deaths being located within this region. Haemophilus influenzae type b was the most common cause of incident meningitis in 1990, at 780 070 cases (95% UI 613 585-978 219) globally, but decreased the most (-494%) to become the least common cause in 2016, with 397 297 cases (291076-533 662). Meningococcus was the leading cause of meningitis mortality in 1990 (192833 deaths [95% UI 153 358-221 503] globally), whereas other meningitis was the leading cause for both deaths (136 423 [112 682-178 022]) and incident cases (1.25 million [1.06-1.49]) in 2016. Pneumococcus caused the largest number of YLDs (634458 [444 787-839 749]) in 2016, owing to its more severe long-term effects on survivors. Globally in 2016, 1.48 million (1.04-1.96) YLDs were due to meningitis compared with 21.87 million (18.20-28.28) DALYs, indicating that the contribution of mortality to meningitis burden is far greater than the contribution of disabling outcomes. Interpretation Meningitis burden remains high and progress lags substantially behind that of other vaccine-preventable diseases. Particular attention should be given to developing vaccines with broader coverage against the causes of meningitis, making these vaccines affordable in the most affected countries, improving vaccine uptake, improving access to low-cost diagnostics and therapeutics, and improving support for disabled survivors. Substantial uncertainty remains around pathogenic causes and risk factors for meningitis. Ongoing, active cause-specific surveillance of meningitis is crucial to continue and to improve monitoring of meningitis burdens and trends throughout the world. Copyright (C) The Author(s). Published by Elsevier Ltd.
Erscheinungsjahr
2018
Zeitschriftentitel
Lancet Neurology
Band
17
Ausgabe
12
Seite(n)
1061-1082
ISSN
1474-4422
Page URI
https://pub.uni-bielefeld.de/record/2932297

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Zunt JR, Kassebaum NJ, Blake N, et al. Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology. 2018;17(12):1061-1082.
Zunt, J. R., Kassebaum, N. J., Blake, N., Glennie, L., Wright, C., Nichols, E., Abd-Allah, F., et al. (2018). Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology, 17(12), 1061-1082. doi:10.1016/s1474-4422(18)30387-9
Zunt, J. R., Kassebaum, N. J., Blake, N., Glennie, L., Wright, C., Nichols, E., Abd-Allah, F., Abdela, J., Abdelalim, A., Adamu, A. A., et al. (2018). Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology 17, 1061-1082.
Zunt, J.R., et al., 2018. Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology, 17(12), p 1061-1082.
J.R. Zunt, et al., “Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016”, Lancet Neurology, vol. 17, 2018, pp. 1061-1082.
Zunt, J.R., Kassebaum, N.J., Blake, N., Glennie, L., Wright, C., Nichols, E., Abd-Allah, F., Abdela, J., Abdelalim, A., Adamu, A.A., Adib, M.G., Ahmadi, A., Ahmed, M.B., Aichour, A.N., Aichour, I., Aichour, M.T.E., Akseer, N., Al-Raddadi, R.M., Alahdab, F., Alene, K.A., Aljunid, S.M., AlMazroa, M.A., Altirkawi, K., Alvis-Guzman, N., Animut, M.D., Anjomshoa, M., Ansha, M.G., Asghar, R.J., Avokpaho, E.F.G.A., Awasthi, A., Badali, H., Barac, A., Bärnighausen, T.W., Bassat, Q., Bedi, N., Belachew, A.B., Bhattacharyya, K., Bhutta, Z.A., Bijani, A., Butt, Z.A., Carvalho, F., Castañeda-Orjuela, C.A., Chitheer, A., Choi, J.-Y.J., Christopher, D.J., Dang, A.K., Daryani, A., Demoz, G.T., Djalalinia, S., Do, H.P., Dubey, M., Dubljanin, E., Duken, E.E., El Sayed Zaki, M., Elyazar, I.R.F., Fakhim, H., Fernandes, E., Fischer, F., Fukumoto, T., Ganji, M., Gebre, A.K., Gebremeskel, A., Gessner, B.D., Gopalani, S.V., Guo, Y., Gupta, R., Hailu, G.B., Haj-Mirzaian, A., Hamidi, S., Hay, S.I., Henok, A., Irvani, S.S.N., Jha, R.P., JÜRISSON, M., Kahsay, A., Karami, M., Karch, A., Kasaeian, A., Kassa, G.M., Kassa, T.D.D., Kefale, A.T., Khader, Y.S., Khalil, I.A., Khan, E.A., Khang, Y.-H., Khubchandani, J., Kimokoti, R.W., Kisa, A., Lami, F.H., Levi, M., Li, S., Loy, C.T., Majdan, M., Majeed, A., Mantovani, L.G., Martins-Melo, F.R., Mcalinden, C., Mehta, V., Melese, A., Memish, Z.A., Mengistu, D.T., Mengistu, G., Mestrovic, T., Mezgebe, H.B., Miazgowski, B., Milosevic, B., Mokdad, A.H., Monasta, L., Moradi, G., Moraga, P., Mousavi, S.M., Mueller, U.O., Murthy, S., Mustafa, G., Naheed, A., Naik, G., Newton, C.R.J., Nirayo, Y.L., Nixon, M.R., Ofori-Asenso, R., Ogbo, F.A., Olagunju, A.T., Olagunju, T.O., Olusanya, B.O., Ortiz, J.R., Owolabi, M.O., Patel, S., Pinilla-Monsalve, G.D., Postma, M.J., Qorbani, M., Rafiei, A., Rahimi-Movaghar, V., Reiner, R.C., Renzaho, A.M.N., Rezai, M.S., Roba, K.T., Ronfani, L., Roshandel, G., Rostami, A., Safari, H., Safari, S., Safiri, S., Sagar, R., Samy, A.M., Santric Milicevic, M.M., Sartorius, B., Sarvi, S., Sawhney, M., Saxena, S., Shafieesabet, A., Shaikh, M.A., Sharif, M., Shigematsu, M., Si, S., Skiadaresi, E., Smith, M., Somayaji, R., Sufiyan, M.'awiyyah B., Tawye, N.Y., Temsah, M.-H., Tortajada-Girbés, M., Tran, B.X., Tran, K.B., Ukwaja, K.N., Ullah, I., Vujcic, I.S., Wagnew, F.S., Waheed, Y., Weldegwergs, K.G., Winkler, A.S., Wiysonge, C.S., Wiyeh, A.B., Wyper, G.M.A., Yimer, E.M., Yonemoto, N., Zaidi, Z., Zenebe, Z.M., Feigin, V.L., Vos, T., Murray, C.J.L.: Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology. 17, 1061-1082 (2018).
Zunt, Joseph Raymond, Kassebaum, Nicholas J, Blake, Natacha, Glennie, Linda, Wright, Claire, Nichols, Emma, Abd-Allah, Foad, Abdela, Jemal, Abdelalim, Ahmed, Adamu, Abdu A, Adib, Mina G., Ahmadi, Alireza, Ahmed, Muktar Beshir, Aichour, Amani Nidhal, Aichour, Ibtihel, Aichour, Miloud Taki Eddine, Akseer, Nadia, Al-Raddadi, Rajaa M, Alahdab, Fares, Alene, Kefyalew Addis, Aljunid, Syed Mohamed, AlMazroa, Mohammad A, Altirkawi, Khalid, Alvis-Guzman, Nelson, Animut, Megbaru Debalkie, Anjomshoa, Mina, Ansha, Mustafa Geleto, Asghar, Rana Jawad, Avokpaho, Euripide F G A, Awasthi, Ashish, Badali, Hamid, Barac, Aleksandra, Bärnighausen, Till Winfried, Bassat, Quique, Bedi, Neeraj, Belachew, Abate Bekele, Bhattacharyya, Krittika, Bhutta, Zulfiqar A, Bijani, Ali, Butt, Zahid A, Carvalho, Félix, Castañeda-Orjuela, Carlos A, Chitheer, Abdulaal, Choi, Jee-Young J, Christopher, Devasahayam J, Dang, Anh Kim, Daryani, Ahmad, Demoz, Gebre Teklemariam, Djalalinia, Shirin, Do, Huyen Phuc, Dubey, Manisha, Dubljanin, Eleonora, Duken, Eyasu Ejeta, El Sayed Zaki, Maysaa, Elyazar, Iqbal RF, Fakhim, Hamed, Fernandes, Eduarda, Fischer, Florian, Fukumoto, Takeshi, Ganji, Morsaleh, Gebre, Abadi Kahsu, Gebremeskel, Afewerki, Gessner, Bradford D, Gopalani, Sameer Vali, Guo, Yuming, Gupta, Rahul, Hailu, Gessessew Bugssa, Haj-Mirzaian, Arvin, Hamidi, Samer, Hay, Simon I., Henok, Andualem, Irvani, Seyed Sina Naghibi, Jha, Ravi Prakash, JÜRISSON, Mikk, Kahsay, Amaha, Karami, Manoochehr, Karch, André, Kasaeian, Amir, Kassa, Getachew Mullu, Kassa, Tesfaye Dessale Dessale, Kefale, Adane Teshome, Khader, Yousef Saleh, Khalil, Ibrahim A., Khan, Ejaz Ahmad, Khang, Young-Ho, Khubchandani, Jagdish, Kimokoti, Ruth W, Kisa, Adnan, Lami, Faris Hasan, Levi, Miriam, Li, Shanshan, Loy, Clement T., Majdan, Marek, Majeed, Azeem, Mantovani, Lorenzo Giovanni, Martins-Melo, Francisco Rogerlândio, Mcalinden, Colm, Mehta, Varshil, Melese, Addisu, Memish, Ziad A, Mengistu, Desalegn Tadese, Mengistu, Getnet, Mestrovic, Tomislav, Mezgebe, Haftay Berhane, Miazgowski, Bartosz, Milosevic, Branko, Mokdad, Ali H., Monasta, Lorenzo, Moradi, Ghobad, Moraga, Paula, Mousavi, Seyyed Meysam, Mueller, Ulrich Otto, Murthy, Srinivas, Mustafa, Ghulam, Naheed, Aliya, Naik, Gurudatta, Newton, Charles Richard James, Nirayo, Yirga Legesse, Nixon, Molly R, Ofori-Asenso, Richard, Ogbo, Felix Akpojene, Olagunju, Andrew T, Olagunju, Tinuke O, Olusanya, Bolajoko Olubukunola, Ortiz, Justin R, Owolabi, Mayowa Ojo, Patel, Shanti, Pinilla-Monsalve, Gabriel D., Postma, Maarten J, Qorbani, Mostafa, Rafiei, Alireza, Rahimi-Movaghar, Vafa, Reiner, Robert C, Renzaho, Andre M.N., Rezai, Mohammad Sadegh, Roba, Kedir Teji, Ronfani, Luca, Roshandel, Gholamreza, Rostami, Ali, Safari, Hosein, Safari, Saeed, Safiri, Saeid, Sagar, Rajesh, Samy, Abdallah M., Santric Milicevic, Milena M, Sartorius, Benn, Sarvi, Shahabeddin, Sawhney, Monika, Saxena, Sonia, Shafieesabet, Azadeh, Shaikh, Masood Ali, Sharif, Mehdi, Shigematsu, Mika, Si, Si, Skiadaresi, Eirini, Smith, Mari, Somayaji, Ranjani, Sufiyan, Mu'awiyyah Babale, Tawye, Nega Yimer, Temsah, Mohamad-Hani, Tortajada-Girbés, Miguel, Tran, Bach Xuan, Tran, Khanh Bao, Ukwaja, Kingsley Nnanna, Ullah, Irfan, Vujcic, Isidora S, Wagnew, Fasil Shiferaw, Waheed, Yasir, Weldegwergs, Kidu Gidey, Winkler, Andrea Sylvia, Wiysonge, Charles Shey, Wiyeh, Alison B., Wyper, Grant M.A., Yimer, Ebrahim M., Yonemoto, Naohiro, Zaidi, Zoubida, Zenebe, Zerihun Menlkalew, Feigin, Valery L., Vos, Theo, and Murray, Christopher J L. “Global, regional, and national burden of meningitis, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016”. Lancet Neurology 17.12 (2018): 1061-1082.
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