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The India State-Level Disease Burden Initiative was launched in October 2015.

It is a collaboration between the Indian Council of Medical Research (ICMR), the Public Health Foundation of India (PHFI), Institute for Health Metrics and Evaluation (IHME), and senior experts and stakeholders currently from about 100 institutions across India.

This Initiative reported an unprecedented comprehensive assessment of the diseases causing the most premature deaths and ill-health in each state of the country, the risk factors responsible for this burden, and their trends spanning 26 years from 1990 to 2016.

The burden from 333 disease conditions and injuries and 84 risk factors was computed for each state of India as part of the Global Burden of Disease Study 2016.


Indians have registered a 50% increase in the prevalence of ischemic heart diseaseand stroke over the period from 1990 to 2016, with the number of diabetes cases climbing from 26 million to 65 million. In the same period, the number of people ailing from chronic obstructive lung disease went up from 28 million to 55 million, according to the ‘India State-level Disease Burden Initiative’ report released on Wednesday.

The proportional contribution of cancers to the total loss of health in India has doubled from 1990 to 2016, but the incidence of different types of cancers varies widely between the States.

The State-wise disease burden showed that Punjab has been ranked at the top for the burden of ischemic heart disease, followed by Tamil Nadu, and vice-versa for diabetes.

West Bengal topped with the largest number of stroke cases followed by Odisha, according to the comprehensive analysis of several major non-communicable diseases (NCDs).

Kerala was ranked at the top for the burden of cancer, followed by Assam.

Being overweight was found to be a major risk factor for diabetes doubled in every State of India from 1990 to 2016.

India’s proportional contribution to global suicide deaths is high and increasing. India’s contribution to global suicide deaths increased from 25.3% in 1990 to 36.6% in 2016 among women, and from 18.7% to 24.3% among men. 

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