Outdoor air pollution responsible for 6% of disease burden in 2016

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He further said that the gap between the highest life expectancy in an Indian state and the lowest life expectancy now is 11 years, and the difference between the state with the highest infant mortality rate and lowest rate is 4 fold.

The report by the India State-level Disease Burden Initiative released today provides these comprehensive estimates for each state from 1990 to 2016 for the first time in India. For example, Bihar, Jharkhand, Uttar Pradesh, Rajasthan, Madhya Pradesh and Haryana experienced a higher health burden from air pollution compared to states like Delhi, Karnataka, Maharashtra, Goa and others.

To highlight this, the gap between the highest life expectancy in an Indian state and the lowest life expectancy now is 11 years, and the difference between the state with the highest infant mortality rate and lowest rate is 4 fold.

Lifestyle diseases like heart ailments, diabetes and injuries constitute the major disease burden of most Indian states in the last 25 years. A lot less number of people are burdened with communicable diseases, but the burden of non-communicable diseases is rising.

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According to the report, titled "India State-level Disease Burden" and released by Vice President M. Venkaiah Naidu here, indoor air pollution also caused five percent of the disease burden a year ago. Life expectancy at birth improved in India from 59.7 years in 1990 to 70.3 years in 2016 for females, and from 58.3 years to 66.9 years for males.

The goal of this Initiative, which was launched in October 2015, was to produce the best possible state-level disease burden and risk factors trends from 1990 onward as part of the Global Burden of Disease study, utilising all identifiable epidemiological data from India and in close engagement with the leading health scientists of India. Road injuries and suicides are the leading contributors to the injury burden in India. After child and maternal malnutrition, which was India's leading risk factor for health loss in 2016 causing 14.6 per cent of the country's total disability-adjusted life years (DALYs), air pollution was the second leading risk factor in India as a whole. Till now, we have not had this systematic and complete compilation of the burden of all diseases and the risk factors behind them for every state of the country in a single framework. The burden of household air pollution has decreased during this period due to decreasing use of solid fuels for cooking, and that of outdoor air pollution has increased due to a variety of pollutants from power production, industry, vehicles, construction, and waste burning. "This report will play a major role taking more specific action to improve the health and lives of the poor with special focus on the states that are relatively less developed". Kerala had the lowest burden due to this risk among the Indian states, but even this was 2.7 times higher per person than in China.

Infectious and associated diseases made up the majority of disease burden in most of the states in 1990, but this was less than half in all states in 2016. Such evidence-based health planning in each state would result in health improvements in every state, reduce the health inequalities between the states, and help make more rapid progress towards achieving the overall health targets for India.

"The proportion for air pollution-related DALYs was also higher in the low than in the high ETL state group".

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