Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study

Lalit Dandona; Rakhi Dandona; G Anil Kumar; D K Shukla; Vinod K Paul; Kalpana Balakrishnan; Dorairaj Prabhakaran; Nikhil Tandon; Sundeep Salvi; A P Dash; A Nandakumar; Vikram Patel; Sanjay K Agarwal; Prakash C Gupta; R S Dhaliwal; Prashant Mathur; Avula Laxmaiah; Preet K Dhillon; Subhojit Dey; Manu R Mathur; Ashkan Afshin; Christina Fitzmaurice; Emmanuela Gakidou; Peter Gething; Simon I Hay; Nicholas J Kassebaum; Hmwe Kyu; Stephen S Lim; Mohsen Naghavi; Gregory A Roth; Jeffrey D Stanaway; Harvey Whiteford; Vineet K Chadha; Sunil D Khaparde; Raghuram Rao; Kirankumar Rade; Puneet Dewan; Melissa Furtado; Eliza Dutta; Chris M Varghese; Ravi Mehrotra; P Jambulingam; Tanvir Kaur; Meenakshi Sharma; Shalini Singh; Rashmi Arora; Reeta Rasaily; Ranjit M Anjana; Viswanathan Mohan; Anurag Agrawal; Arvind Chopra; Ashish J Mathew; Deeksha Bhardwaj; Pallavi Muraleedharan; Parul Mutreja; Kelly Bienhoff; Scott Glenn; Rizwan S Abdulkader; Ashutosh N Aggarwal; Rakesh Aggarwal; Sandra Albert; Atul Ambekar; Monika Arora; Damodar Bachani; Ashish Bavdekar; Gufran Beig; Anil Bhansali; Anurag Bhargava; Eesh Bhatia; Bilali Camara; D J Christopher; Siddharth K Das; Paresh V Dave; Sagnik Dey; Aloke G Ghoshal; N Gopalakrishnan; Randeep Guleria; Rajeev Gupta; Subodh S Gupta; Tarun Gupta; M D Gupte; G Gururaj; Sivadasanpillai Harikrishnan; Veena Iyer; Sudhir K Jain; Panniyamamkal Jeemon; Vasna Joshua; Rajni Kant; Anita Kar; Amal C Kataki; Kiran Katoch; Tripti Khanna; Ajay Khera; Sanjay Kinra; Parvaiz A Koul; Anand Krishnan; Avdhesh Kumar; Raman K Kumar; Rashmi Kumar; Anura Kurpad; Laishram Ladusingh; Rakesh Lodha; P A Mahesh; Rajesh Malhotra; Matthews Mathai; Dileep Mavalankar; Murali Mohan BV; Satinath Mukhopadhyay; Manoj Murhekar; G V S Murthy; Sanjeev Nair; Sreenivas A Nair; Lipika Nanda; Romi S Nongmaithem; Anu M Oommen; Jeyaraj D Pandian; Sapan Pandya; Sreejith Parameswaran; Sanghamitra Pati; Kameshwar Prasad; Narayan Prasad; Manorama Purwar; Asma Rahim; Sreebhushan Raju; Siddarth Ramji; Thara Rangaswamy; Goura K Rath; Ambuj Roy; Yogesh Sabde; K S Sachdeva; Harsiddha Sadhu; Rajesh Sagar; Mari J Sankar; Rajendra Sharma; Anita Shet; Shreya Shirude; Rajan Shukla; Sharvari R Shukla; Gagandeep Singh; Narinder P Singh; Virendra Singh; Anju Sinha; Dhirendra N Sinha; R K Srivastava; A Srividya; Vanita Suri; Rajaraman Swaminathan; P N Sylaja; Babasaheb Tandale; J S Thakur; Kavumpurathu R Thankappan; Nihal Thomas; Srikanth Tripathy; Mathew Varghese; Santosh Varughese; S Venkatesh; K Venugopal; Lakshmi Vijayakumar; Denis Xavier; Chittaranjan S Yajnik; Geevar Zachariah; Sanjay Zodpey; J V R Prasada Rao; Theo Vos; K Srinath Reddy; Christopher J L Murray; Soumya Swaminathan

doi:10.1016/s0140-6736(17)32804-0

Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study

Lalit Dandona, Rakhi Dandona, G Anil Kumar, D K Shukla, Vinod K Paul, Kalpana Balakrishnan, Dorairaj Prabhakaran, Nikhil Tandon, Sundeep Salvi, A P Dash, A Nandakumar, Vikram Patel, Sanjay K Agarwal, Prakash C Gupta, R S Dhaliwal, Prashant Mathur, Avula Laxmaiah, Preet K Dhillon, Subhojit Dey, Manu R MathurAshkan Afshin, Christina Fitzmaurice, Emmanuela Gakidou, Peter Gething, Simon I Hay, Nicholas J Kassebaum, Hmwe Kyu, Stephen S Lim, Mohsen Naghavi, Gregory A Roth, Jeffrey D Stanaway, Harvey Whiteford, Vineet K Chadha, Sunil D Khaparde, Raghuram Rao, Kirankumar Rade, Puneet Dewan, Melissa Furtado, Eliza Dutta, Chris M Varghese, Ravi Mehrotra, P Jambulingam, Tanvir Kaur, Meenakshi Sharma, Shalini Singh, Rashmi Arora, Reeta Rasaily, Ranjit M Anjana, Viswanathan Mohan, Anurag Agrawal, Arvind Chopra, Ashish J Mathew, Deeksha Bhardwaj, Pallavi Muraleedharan, Parul Mutreja, Kelly Bienhoff, Scott Glenn, Rizwan S Abdulkader, Ashutosh N Aggarwal, Rakesh Aggarwal, Sandra Albert, Atul Ambekar, Monika Arora, Damodar Bachani, Ashish Bavdekar, Gufran Beig, Anil Bhansali, Anurag Bhargava, Eesh Bhatia, Bilali Camara, D J Christopher, Siddharth K Das, Paresh V Dave, Sagnik Dey, Aloke G Ghoshal, N Gopalakrishnan, Randeep Guleria, Rajeev Gupta, Subodh S Gupta, Tarun Gupta, M D Gupte, G Gururaj, Sivadasanpillai Harikrishnan, Veena Iyer, Sudhir K Jain, Panniyamamkal Jeemon, Vasna Joshua, Rajni Kant, Anita Kar, Amal C Kataki, Kiran Katoch, Tripti Khanna, Ajay Khera, Sanjay Kinra, Parvaiz A Koul, Anand Krishnan, Avdhesh Kumar, Raman K Kumar, Rashmi Kumar, Anura Kurpad, Laishram Ladusingh, Rakesh Lodha, P A Mahesh, Rajesh Malhotra, Matthews Mathai, Dileep Mavalankar, Murali Mohan BV, Satinath Mukhopadhyay, Manoj Murhekar, G V S Murthy, Sanjeev Nair, Sreenivas A Nair, Lipika Nanda, Romi S Nongmaithem, Anu M Oommen, Jeyaraj D Pandian, Sapan Pandya, Sreejith Parameswaran, Sanghamitra Pati, Kameshwar Prasad, Narayan Prasad, Manorama Purwar, Asma Rahim, Sreebhushan Raju, Siddarth Ramji, Thara Rangaswamy, Goura K Rath, Ambuj Roy, Yogesh Sabde, K S Sachdeva, Harsiddha Sadhu, Rajesh Sagar, Mari J Sankar, Rajendra Sharma, Anita Shet, Shreya Shirude, Rajan Shukla, Sharvari R Shukla, Gagandeep Singh, Narinder P Singh, Virendra Singh, Anju Sinha, Dhirendra N Sinha, R K Srivastava, A Srividya, Vanita Suri, Rajaraman Swaminathan, P N Sylaja, Babasaheb Tandale, J S Thakur, Kavumpurathu R Thankappan, Nihal Thomas, Srikanth Tripathy, Mathew Varghese, Santosh Varughese, S Venkatesh, K Venugopal, Lakshmi Vijayakumar, Denis Xavier, Chittaranjan S Yajnik, Geevar Zachariah, Sanjay Zodpey, J V R Prasada Rao, Theo Vos, K Srinath Reddy, Christopher J L Murray, Soumya Swaminathan

Research output: Contribution to journal › Article › peer-review

716 Citations (Scopus)

Abstract

18% of the world's population lives in India, and many states of India have populations similar to those of large countries. Action to effectively improve population health in India requires availability of reliable and comprehensive state-level estimates of disease burden and risk factors over time. Such comprehensive estimates have not been available so far for all major diseases and risk factors. Thus, we aimed to estimate the disease burden and risk factors in every state of India as part of the Global Burden of Disease (GBD) Study 2016.

Original language	English
Pages (from-to)	2437-2460
Number of pages	24
Journal	The Lancet
Volume	390
Issue number	10111
Early online date	14 Nov 2017
DOIs	https://doi.org/10.1016/s0140-6736(17)32804-0
Publication status	Published - 2 Dec 2017
Externally published	Yes

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PIIS0140673617328040Final published version, 3.16 MBLicence: CC BY

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Dandona, L., Dandona, R., Kumar, G. A., Shukla, D. K., Paul, V. K., Balakrishnan, K., Prabhakaran, D., Tandon, N., Salvi, S., Dash, A. P., Nandakumar, A., Patel, V., Agarwal, S. K., Gupta, P. C., Dhaliwal, R. S., Mathur, P., Laxmaiah, A., Dhillon, P. K., Dey, S., ... Swaminathan, S. (2017). Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study. The Lancet, 390(10111), 2437-2460. https://doi.org/10.1016/s0140-6736(17)32804-0

@article{fb51a5e0a68748479d1fef3c03b42f7d,

title = "Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study",

abstract = "18\% of the world's population lives in India, and many states of India have populations similar to those of large countries. Action to effectively improve population health in India requires availability of reliable and comprehensive state-level estimates of disease burden and risk factors over time. Such comprehensive estimates have not been available so far for all major diseases and risk factors. Thus, we aimed to estimate the disease burden and risk factors in every state of India as part of the Global Burden of Disease (GBD) Study 2016.",

author = "Lalit Dandona and Rakhi Dandona and Kumar, \{G Anil\} and Shukla, \{D K\} and Paul, \{Vinod K\} and Kalpana Balakrishnan and Dorairaj Prabhakaran and Nikhil Tandon and Sundeep Salvi and Dash, \{A P\} and A Nandakumar and Vikram Patel and Agarwal, \{Sanjay K\} and Gupta, \{Prakash C\} and Dhaliwal, \{R S\} and Prashant Mathur and Avula Laxmaiah and Dhillon, \{Preet K\} and Subhojit Dey and Mathur, \{Manu R\} and Ashkan Afshin and Christina Fitzmaurice and Emmanuela Gakidou and Peter Gething and Hay, \{Simon I\} and Kassebaum, \{Nicholas J\} and Hmwe Kyu and Lim, \{Stephen S\} and Mohsen Naghavi and Roth, \{Gregory A\} and Stanaway, \{Jeffrey D\} and Harvey Whiteford and Chadha, \{Vineet K\} and Khaparde, \{Sunil D\} and Raghuram Rao and Kirankumar Rade and Puneet Dewan and Melissa Furtado and Eliza Dutta and Varghese, \{Chris M\} and Ravi Mehrotra and P Jambulingam and Tanvir Kaur and Meenakshi Sharma and Shalini Singh and Rashmi Arora and Reeta Rasaily and Anjana, \{Ranjit M\} and Viswanathan Mohan and Anurag Agrawal and Arvind Chopra and Mathew, \{Ashish J\} and Deeksha Bhardwaj and Pallavi Muraleedharan and Parul Mutreja and Kelly Bienhoff and Scott Glenn and Abdulkader, \{Rizwan S\} and Aggarwal, \{Ashutosh N\} and Rakesh Aggarwal and Sandra Albert and Atul Ambekar and Monika Arora and Damodar Bachani and Ashish Bavdekar and Gufran Beig and Anil Bhansali and Anurag Bhargava and Eesh Bhatia and Bilali Camara and Christopher, \{D J\} and Das, \{Siddharth K\} and Dave, \{Paresh V\} and Sagnik Dey and Ghoshal, \{Aloke G\} and N Gopalakrishnan and Randeep Guleria and Rajeev Gupta and Gupta, \{Subodh S\} and Tarun Gupta and Gupte, \{M D\} and G Gururaj and Sivadasanpillai Harikrishnan and Veena Iyer and Jain, \{Sudhir K\} and Panniyamamkal Jeemon and Vasna Joshua and Rajni Kant and Anita Kar and Kataki, \{Amal C\} and Kiran Katoch and Tripti Khanna and Ajay Khera and Sanjay Kinra and Koul, \{Parvaiz A\} and Anand Krishnan and Avdhesh Kumar and Kumar, \{Raman K\} and Rashmi Kumar and Anura Kurpad and Laishram Ladusingh and Rakesh Lodha and Mahesh, \{P A\} and Rajesh Malhotra and Matthews Mathai and Dileep Mavalankar and \{Mohan BV\}, Murali and Satinath Mukhopadhyay and Manoj Murhekar and Murthy, \{G V S\} and Sanjeev Nair and Nair, \{Sreenivas A\} and Lipika Nanda and Nongmaithem, \{Romi S\} and Oommen, \{Anu M\} and Pandian, \{Jeyaraj D\} and Sapan Pandya and Sreejith Parameswaran and Sanghamitra Pati and Kameshwar Prasad and Narayan Prasad and Manorama Purwar and Asma Rahim and Sreebhushan Raju and Siddarth Ramji and Thara Rangaswamy and Rath, \{Goura K\} and Ambuj Roy and Yogesh Sabde and Sachdeva, \{K S\} and Harsiddha Sadhu and Rajesh Sagar and Sankar, \{Mari J\} and Rajendra Sharma and Anita Shet and Shreya Shirude and Rajan Shukla and Shukla, \{Sharvari R\} and Gagandeep Singh and Singh, \{Narinder P\} and Virendra Singh and Anju Sinha and Sinha, \{Dhirendra N\} and Srivastava, \{R K\} and A Srividya and Vanita Suri and Rajaraman Swaminathan and Sylaja, \{P N\} and Babasaheb Tandale and Thakur, \{J S\} and Thankappan, \{Kavumpurathu R\} and Nihal Thomas and Srikanth Tripathy and Mathew Varghese and Santosh Varughese and S Venkatesh and K Venugopal and Lakshmi Vijayakumar and Denis Xavier and Yajnik, \{Chittaranjan S\} and Geevar Zachariah and Sanjay Zodpey and Rao, \{J V R Prasada\} and Theo Vos and Reddy, \{K Srinath\} and Murray, \{Christopher J L\} and Soumya Swaminathan",

year = "2017",

month = dec,

day = "2",

doi = "10.1016/s0140-6736(17)32804-0",

language = "English",

volume = "390",

pages = "2437--2460",

journal = "The Lancet",

issn = "0140-6736",

publisher = "Elsevier B.V.",

number = "10111",

}

Dandona, L, Dandona, R, Kumar, GA, Shukla, DK, Paul, VK, Balakrishnan, K, Prabhakaran, D, Tandon, N, Salvi, S, Dash, AP, Nandakumar, A, Patel, V, Agarwal, SK, Gupta, PC, Dhaliwal, RS, Mathur, P, Laxmaiah, A, Dhillon, PK, Dey, S, Mathur, MR, Afshin, A, Fitzmaurice, C, Gakidou, E, Gething, P, Hay, SI, Kassebaum, NJ, Kyu, H, Lim, SS, Naghavi, M, Roth, GA, Stanaway, JD, Whiteford, H, Chadha, VK, Khaparde, SD, Rao, R, Rade, K, Dewan, P, Furtado, M, Dutta, E, Varghese, CM, Mehrotra, R, Jambulingam, P, Kaur, T, Sharma, M, Singh, S, Arora, R, Rasaily, R, Anjana, RM, Mohan, V, Agrawal, A, Chopra, A, Mathew, AJ, Bhardwaj, D, Muraleedharan, P, Mutreja, P, Bienhoff, K, Glenn, S, Abdulkader, RS, Aggarwal, AN, Aggarwal, R, Albert, S, Ambekar, A, Arora, M, Bachani, D, Bavdekar, A, Beig, G, Bhansali, A, Bhargava, A, Bhatia, E, Camara, B, Christopher, DJ, Das, SK, Dave, PV, Dey, S, Ghoshal, AG, Gopalakrishnan, N, Guleria, R, Gupta, R, Gupta, SS, Gupta, T, Gupte, MD, Gururaj, G, Harikrishnan, S, Iyer, V, Jain, SK, Jeemon, P, Joshua, V, Kant, R, Kar, A, Kataki, AC, Katoch, K, Khanna, T, Khera, A, Kinra, S, Koul, PA, Krishnan, A, Kumar, A, Kumar, RK, Kumar, R, Kurpad, A, Ladusingh, L, Lodha, R, Mahesh, PA, Malhotra, R, Mathai, M, Mavalankar, D, Mohan BV, M, Mukhopadhyay, S, Murhekar, M, Murthy, GVS, Nair, S, Nair, SA, Nanda, L, Nongmaithem, RS, Oommen, AM, Pandian, JD, Pandya, S, Parameswaran, S, Pati, S, Prasad, K, Prasad, N, Purwar, M, Rahim, A, Raju, S, Ramji, S, Rangaswamy, T, Rath, GK, Roy, A, Sabde, Y, Sachdeva, KS, Sadhu, H, Sagar, R, Sankar, MJ, Sharma, R, Shet, A, Shirude, S, Shukla, R, Shukla, SR, Singh, G, Singh, NP, Singh, V, Sinha, A, Sinha, DN, Srivastava, RK, Srividya, A, Suri, V, Swaminathan, R, Sylaja, PN, Tandale, B, Thakur, JS, Thankappan, KR, Thomas, N, Tripathy, S, Varghese, M, Varughese, S, Venkatesh, S, Venugopal, K, Vijayakumar, L, Xavier, D, Yajnik, CS, Zachariah, G, Zodpey, S, Rao, JVRP, Vos, T, Reddy, KS, Murray, CJL & Swaminathan, S 2017, 'Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study', The Lancet, vol. 390, no. 10111, pp. 2437-2460. https://doi.org/10.1016/s0140-6736(17)32804-0

TY - JOUR

T1 - Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study

AU - Dandona, Lalit

AU - Dandona, Rakhi

AU - Kumar, G Anil

AU - Shukla, D K

AU - Paul, Vinod K

AU - Balakrishnan, Kalpana

AU - Prabhakaran, Dorairaj

AU - Tandon, Nikhil

AU - Salvi, Sundeep

AU - Dash, A P

AU - Nandakumar, A

AU - Patel, Vikram

AU - Agarwal, Sanjay K

AU - Gupta, Prakash C

AU - Dhaliwal, R S

AU - Mathur, Prashant

AU - Laxmaiah, Avula

AU - Dhillon, Preet K

AU - Dey, Subhojit

AU - Mathur, Manu R

AU - Afshin, Ashkan

AU - Fitzmaurice, Christina

AU - Gakidou, Emmanuela

AU - Gething, Peter

AU - Hay, Simon I

AU - Kassebaum, Nicholas J

AU - Kyu, Hmwe

AU - Lim, Stephen S

AU - Naghavi, Mohsen

AU - Roth, Gregory A

AU - Stanaway, Jeffrey D

AU - Whiteford, Harvey

AU - Chadha, Vineet K

AU - Khaparde, Sunil D

AU - Rao, Raghuram

AU - Rade, Kirankumar

AU - Dewan, Puneet

AU - Furtado, Melissa

AU - Dutta, Eliza

AU - Varghese, Chris M

AU - Mehrotra, Ravi

AU - Jambulingam, P

AU - Kaur, Tanvir

AU - Sharma, Meenakshi

AU - Singh, Shalini

AU - Arora, Rashmi

AU - Rasaily, Reeta

AU - Anjana, Ranjit M

AU - Mohan, Viswanathan

AU - Agrawal, Anurag

AU - Chopra, Arvind

AU - Mathew, Ashish J

AU - Bhardwaj, Deeksha

AU - Muraleedharan, Pallavi

AU - Mutreja, Parul

AU - Bienhoff, Kelly

AU - Glenn, Scott

AU - Abdulkader, Rizwan S

AU - Aggarwal, Ashutosh N

AU - Aggarwal, Rakesh

AU - Albert, Sandra

AU - Ambekar, Atul

AU - Arora, Monika

AU - Bachani, Damodar

AU - Bavdekar, Ashish

AU - Beig, Gufran

AU - Bhansali, Anil

AU - Bhargava, Anurag

AU - Bhatia, Eesh

AU - Camara, Bilali

AU - Christopher, D J

AU - Das, Siddharth K

AU - Dave, Paresh V

AU - Dey, Sagnik

AU - Ghoshal, Aloke G

AU - Gopalakrishnan, N

AU - Guleria, Randeep

AU - Gupta, Rajeev

AU - Gupta, Subodh S

AU - Gupta, Tarun

AU - Gupte, M D

AU - Gururaj, G

AU - Harikrishnan, Sivadasanpillai

AU - Iyer, Veena

AU - Jain, Sudhir K

AU - Jeemon, Panniyamamkal

AU - Joshua, Vasna

AU - Kant, Rajni

AU - Kar, Anita

AU - Kataki, Amal C

AU - Katoch, Kiran

AU - Khanna, Tripti

AU - Khera, Ajay

AU - Kinra, Sanjay

AU - Koul, Parvaiz A

AU - Krishnan, Anand

AU - Kumar, Avdhesh

AU - Kumar, Raman K

AU - Kumar, Rashmi

AU - Kurpad, Anura

AU - Ladusingh, Laishram

AU - Lodha, Rakesh

AU - Mahesh, P A

AU - Malhotra, Rajesh

AU - Mathai, Matthews

AU - Mavalankar, Dileep

AU - Mohan BV, Murali

AU - Mukhopadhyay, Satinath

AU - Murhekar, Manoj

AU - Murthy, G V S

AU - Nair, Sanjeev

AU - Nair, Sreenivas A

AU - Nanda, Lipika

AU - Nongmaithem, Romi S

AU - Oommen, Anu M

AU - Pandian, Jeyaraj D

AU - Pandya, Sapan

AU - Parameswaran, Sreejith

AU - Pati, Sanghamitra

AU - Prasad, Kameshwar

AU - Prasad, Narayan

AU - Purwar, Manorama

AU - Rahim, Asma

AU - Raju, Sreebhushan

AU - Ramji, Siddarth

AU - Rangaswamy, Thara

AU - Rath, Goura K

AU - Roy, Ambuj

AU - Sabde, Yogesh

AU - Sachdeva, K S

AU - Sadhu, Harsiddha

AU - Sagar, Rajesh

AU - Sankar, Mari J

AU - Sharma, Rajendra

AU - Shet, Anita

AU - Shirude, Shreya

AU - Shukla, Rajan

AU - Shukla, Sharvari R

AU - Singh, Gagandeep

AU - Singh, Narinder P

AU - Singh, Virendra

AU - Sinha, Anju

AU - Sinha, Dhirendra N

AU - Srivastava, R K

AU - Srividya, A

AU - Suri, Vanita

AU - Swaminathan, Rajaraman

AU - Sylaja, P N

AU - Tandale, Babasaheb

AU - Thakur, J S

AU - Thankappan, Kavumpurathu R

AU - Thomas, Nihal

AU - Tripathy, Srikanth

AU - Varghese, Mathew

AU - Varughese, Santosh

AU - Venkatesh, S

AU - Venugopal, K

AU - Vijayakumar, Lakshmi

AU - Xavier, Denis

AU - Yajnik, Chittaranjan S

AU - Zachariah, Geevar

AU - Zodpey, Sanjay

AU - Rao, J V R Prasada

AU - Vos, Theo

AU - Reddy, K Srinath

AU - Murray, Christopher J L

AU - Swaminathan, Soumya

PY - 2017/12/2

Y1 - 2017/12/2

N2 - 18% of the world's population lives in India, and many states of India have populations similar to those of large countries. Action to effectively improve population health in India requires availability of reliable and comprehensive state-level estimates of disease burden and risk factors over time. Such comprehensive estimates have not been available so far for all major diseases and risk factors. Thus, we aimed to estimate the disease burden and risk factors in every state of India as part of the Global Burden of Disease (GBD) Study 2016.

AB - 18% of the world's population lives in India, and many states of India have populations similar to those of large countries. Action to effectively improve population health in India requires availability of reliable and comprehensive state-level estimates of disease burden and risk factors over time. Such comprehensive estimates have not been available so far for all major diseases and risk factors. Thus, we aimed to estimate the disease burden and risk factors in every state of India as part of the Global Burden of Disease (GBD) Study 2016.

U2 - 10.1016/s0140-6736(17)32804-0

DO - 10.1016/s0140-6736(17)32804-0

M3 - Article

SN - 0140-6736

VL - 390

SP - 2437

EP - 2460

JO - The Lancet

JF - The Lancet

IS - 10111

ER -

Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study

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